Forensic Assertive Community Treatment: A Review of the Literature

Marquant, Thomas; Sabbe, Bernard; Nuffel, Meike Van; Goethals, Kris

doi:10.1007/s10597-016-0044-0

Cited by 25 publications

(21 citation statements)

References 50 publications

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“…They recommend the provision of extended residential treatment with a focus on life skills and treatment continuity prior to implementing ACT. A recent systematic review of ACT trials, including 11 studies (3 RCTs, none based in Europe) also found only limited support that ACT adapted for forensic populations improves forensic outcomes [92].…”

Section: Resultsmentioning

confidence: 99%

European Psychiatric Association (EPA) guidance on forensic psychiatry: Evidence based assessment and treatment of mentally disordered offenders

et al. 2018

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Forensic psychiatry in Europe is a specialty primarily concerned with individuals who have either offended or present a risk of doing so, and who also suffer from a psychiatric condition. These mentally disordered offenders (MDOs) are often cared for in secure psychiatric environments or prisons. In this guidance paper we first present an overview of the field of forensic psychiatry from a European perspective. We then present a review of the literature summarising the evidence on the assessment and treatment of MDOs under the following headings: The forensic psychiatrist as expert witness, risk, treatment settings for mentally disordered offenders, and what works for MDOs. We undertook a rapid review of the literature with search terms related to: forensic psychiatry, review articles, randomised controlled trials and best practice. We searched the Medline, Embase, PsycINFO, and Cochrane library databases from 2000 onwards for adult groups only. We scrutinised publications for additional relevant literature, and searched the websites of relevant professional organisations for policies, statements or guidance of interest. We present the findings of the scientific literature as well as recommendations for best practice drawing additionally from the guidance documents identified. We found that the evidence base for forensic-psychiatric practice is weak though there is some evidence to suggest that psychiatric care produces better outcomes than criminal justice detention only. Practitioners need to follow general psychiatric guidance as well as that for offenders, adapted for the complex needs of this patient group, paying particular attention to long-term detention and ethical issues.

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Section: Resultsmentioning

confidence: 99%

European Psychiatric Association (EPA) guidance on forensic psychiatry: Evidence based assessment and treatment of mentally disordered offenders

et al. 2018

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“…36,39 While residential stability and symptoms reduction have value in themselves, independent of any reduction in arrests or incarceration they may achieve, integration of forensic knowledge into HF may be needed for it to reduce CJI. 9 Components of forensic assertive community treatment 40,41 could be integrated into regular teams by including professionals trained in risk assessment/management and offender rehabilitation strategies. For example, in addition to addressing use of leisure time and substance abuse, HF could implement voluntary adjunctive interventions such as victim impact intervention to develop empathy 42 and cognitive behavioural therapy to enhance anger management.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Housing First on Criminal Justice Outcomes among Homeless People with Mental Illness: A Systematic Review

et al. 2019

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Objective: Housing First is increasingly put forward as an important component of a pragmatic plan to end homelessness. The literature evaluating the impact of Housing First on criminal justice involvement has not yet been systematically examined. The objective of this systematic review is to examine the impact of Housing First on criminal justice outcomes among homeless people with mental illness. Method: Five electronic databases (PsycINFO, MEDLINE, Embase, CINAHL, Web of Science) were searched up until July 2018 for randomised and nonrandomised studies of Housing First among homeless people with a serious mental disorder. Results: Five studies were included for a total of 7128 participants. Two studies from a randomised controlled trial found no effect of Housing First on arrests compared to treatment as usual. Other studies compared Housing First to other programs or compared configurations of HF and found reductions in criminal justice involvement among Housing First participants. Conclusions: This systematic review suggests that Housing First, on average, has little impact on criminal justice involvement. Community services such as Housing First are potentially an important setting to put in place strategies to reduce criminal justice involvement. However, forensic mental health approaches such as risk assessment and management strategies and interventions may need to be integrated into existing services to better address potential underlying individual criminogenic risk factors. Further outcome assessment studies would be necessary.

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“…Protective Multidisciplinary Teams, which should serve as a bridge between outpatient and inpatient care for patients with PT. In the service pilot design, we have been inspired by preexisting assertive community treatment models for the protective population (Marquant, Sabbe, Van Nuffel, & Goethals, 2016). Alongside this we also advise the use of structured professional judgment risk assessment tools HCR-20, SVR-20, SAPROF, and SAVRY (Singh et al, 2014a).…”

Section: Discussionmentioning

confidence: 99%

Forensic Treatment Services in the Czech Republic: Current State and Future Challenges

Páv

Skřivánková

Wiseman

et al. 2020

International Journal of Forensic Mental Health

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In the Czech Republic (CR), Forensic Treatment (FT) is provided to approximately 600 individuals per year. FT services consist of Protective Treatment (PT) provided in healthcare services, and quasi-compulsory treatment and Secure Detention (SD) provided by prison services. Currently, there are 13 facilities providing inpatient PT treatment; meanwhile, 386 clinics provide outpatient PT treatment. 950 patients receive inpatient and 2300 outpatient treatment; there are 85 patients placed in Secure Detention. Czech psychiatric care is currently undergoing a reform that aims to develop community care services and improve psychiatric hospitals. PT system development must be part of this reform process. The long-term aim should be to separate PT systems from the rest of psychiatric care, build Protective Multidisciplinary Teams providing community care, and support outpatient PT care. There is a need to implement risk assessment using structured professional judgment tools to ensure routine risk assessment is undertaken in all phases of the treatment system, and to adjust interventions and management plans to these risks. Furthermore, as a part of the care system transformation, it is necessary to build special services for minority populations to target their specific needs. There is also a need to improve data collection in regard to FT.

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Forensic Assertive Community Treatment: A Review of the Literature

Cited by 25 publications

References 50 publications

European Psychiatric Association (EPA) guidance on forensic psychiatry: Evidence based assessment and treatment of mentally disordered offenders

European Psychiatric Association (EPA) guidance on forensic psychiatry: Evidence based assessment and treatment of mentally disordered offenders

The Impact of Housing First on Criminal Justice Outcomes among Homeless People with Mental Illness: A Systematic Review

Forensic Treatment Services in the Czech Republic: Current State and Future Challenges

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