Assertive Community Treatment with People with Combined Mental Illness and Criminal Justice Involvement

O’Connor, Lauren K.; Yanos, Philip T.

doi:10.1007/978-3-030-01030-0_12

Cited by 4 publications

(6 citation statements)

References 64 publications

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“…These findings may be explained by FACT integrating and adjusting their services to accommodate the different client profiles (i.e., addiction problems, antisocial traits). FACT teams consequently ensure and facilitate access to a wide variety of services (e.g., mental health and addictions, vocational, residential) and deliver these services through outreach (DeLuca et al, 2018). However, while the Rochester FACT model specifically integrated forensic rehabilitation aspects by targeting criminogenic risk factors and using legal leverage to engage participants in treatment (Lamberti et al, 2017), other studies included failed to provide specific information on this matter.…”

Section: Discussionmentioning

confidence: 99%

“…This may partly be due to differing FACT across studies approaches. While new programs appeared to maintain similar ingredients (e.g., probation officers and residential components), it has been noted that FACT programs continue to show a significant degree of variability in terms of structure and function, for example, by differing in regard to the length of exposition to the program (DeLuca et al, 2018). Studies have also shown differing standardized admission criteria (e.g., diagnoses and demographics), with some programs having tended to exclude high-risk patients, clients with a primary personality disorder, or violent oﬀenders (Cimino & Jennings, 2002; Cusack et al, 2010; Parker, 2004; Solomon & Draine, 1995; Solomon et al, 1994).…”

Section: Discussionmentioning

confidence: 99%

“…Evidence-based programs to prevent recidivism and enhance community integration are essential given most people convicted of a crime are either currently in the community or will ultimately return to it (DeLuca et al, 2018). In this regard, given the evidence base of assertive community treatment (ACT) teams (Burns, 2010; Dixon, 2000; Mueser et al, 1998; Nelson et al, 2007; Phillips et al, 2001), forensic assertive community treatment (FACT) was developed to help transition justice-involved individuals with SMI into community treatment (DeLuca et al, 2018). FACT programs have been put forth to divert persons with mental illness away from correctional and forensic settings while providing comprehensive team-based services with a small case manager to consumer ratio (Cusack et al, 2010).…”

mentioning

confidence: 99%

“…FACT programs have been put forth to divert persons with mental illness away from correctional and forensic settings while providing comprehensive team-based services with a small case manager to consumer ratio (Cusack et al, 2010). FACT enhances the ACT model by also targeting criminal justice components and building relationships with the justice system (DeLuca et al, 2018). In addition, distinctive FACT targets individuals with prior arrests, accepts referrals from the justice system, integrates justice providers, and uses court sanctions to encourage participation while making rearrest prevention a goal (Lamberti et al, 2004).…”

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confidence: 99%

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Effectiveness of Forensic Assertive Community Treatment on Forensic and Health Outcomes: A Systematic Review and Meta-Analysis

Goulet¹,

Dellazizzo²,

Lessard-Deschênes³

et al. 2021

Criminal Justice and Behavior

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Given the increasing literature on forensic assertive community treatment (FACT), we conducted a systematic review and meta-analysis to explore the effectiveness of FACT among justice-involved individuals with severe mental illness. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. Sixteen studies were included in the systematic review, six of which were included in the meta-analyses for a total of 1,246 participants. Mixed results regarding health-related outcomes were found. The pre-post FACT analysis and comparison with control groups did not yield significant results other than increased outpatient service use. Results on forensic outcomes were more compelling. Both the narrative review and the meta-analysis highlighted that FACT programs may improve justice outcomes such as the number of days spent in jail. More high quality and multisite randomized controlled trials are needed to consolidate findings. Further research is needed to examine other psychosocial factors related to FACT program success.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Effectiveness of Forensic Assertive Community Treatment on Forensic and Health Outcomes: A Systematic Review and Meta-Analysis

Goulet¹,

Dellazizzo²,

Lessard-Deschênes³

et al. 2021

Criminal Justice and Behavior

View full text Add to dashboard Cite

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“…Others view FACT as a criminologically informed hybrid of assertive community treatment with both clinical and criminal justice components. [11][12][13] The absence of a standardized model has hindered both FACT research and model dissemination.…”

mentioning

confidence: 99%

Essential Elements of Forensic Assertive Community Treatment

Lamberti

Weisman²

2021

Harv Rev Psychiatry

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Learning objective After participating in this activity, learners should be better able to: • Assess characteristics of forensic assertive community treatment programs Abstract Forensic assertive community treatment (FACT) has emerged internationally as an intervention strategy for people with serious mental disorders who are involved with the criminal justice system. Studies to date have shown marked variability, however, in FACT program design and operation. Based upon a literature review and relevant experience, the authors present their perspective on the essential elements of FACT. Given that FACT is an adaptation of the evidence-based assertive community treatment (ACT) model, it is recommended that FACT programs maintain a high-fidelity ACT component. FACT programs should also have both mental health and criminal justice admission criteria because service recipients are involved in both service systems. For optimal effectiveness, FACT team clinicians must partner with criminal justice agencies that provide community-based supervision to their patients. Prospective FACT enrollees should receive a clear explanation of the program, including how their respective mental health and criminal justice service providers will work collaboratively with them to prevent incarceration. FACT programs should also use risk/need assessment to inform treatment planning, evidence-based mental health and community correctional practices to promote both wellness and public safety, and shared training to promote effective collaboration. Additional elements to consider include housing, medical care, and transitional services. These elements are presented and discussed, including a rationale and evidence to support each component. The article concludes with introduction of a FACT fidelity scale, the Rochester Forensic Assertive Community Treatment Scale (R-FACTS). By operationalizing essential FACT elements, the R-FACTS is designed to support FACT program development, implementation, and dissemination in a more consistent and measurable manner.

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