Impact of assertive community treatment and client characteristics on criminal justice outcomes in dual disorder homeless individuals

Calsyn, Robert J.; Yonker, Robert D.; Lemming, Matthew R.; Morse, Gary A.; Klinkenberg, W. Dean

doi:10.1002/cbm.24

Cited by 112 publications

(96 citation statements)

References 21 publications

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“…Having a substance abuse disorder was the also a strong predictor for increased jail admissions (b=.23, Beta=.lI, t=7.48). These findings are consistent with prior research on mental illness, substance abuse and crime (Calsyn et al, 2005;Fitzpatrick & Myrstol, 2011;Golder et al, 2005;Perez et al, 2003). Severe mental illness and substance abuse often increases the risk for violating social norms and laws (Belcher, 1988;Greenberg & Rosenheck, 2008;Hartwell, 2004;Yee, 2000).…”

Section: Modellsupporting

confidence: 88%

“…It is estimated that men are ten times more likely to be incarcerated than females and that African Americans are six times more likely to be incarcerated than whites (Fisher et aI., 2011). Of considerable concern is the increasing number of homeless found in our jails and prisons, many of which suffer from mental illness, substance abuse, and co-occurring disorders (Belcher, 1988;Calsyn, Yonker, Lemming, Morse & Klinkenberg, 2005;Fitzpatrick & Myrstol, 2011;Greenberg & Rosenheck, 2008, Golder et aI., 2005Lynch & Sabol, 2004;Markowitz, 2006;Munetz & Griffin, 2006;Perez, Leifman & Estrada, 2003). Greenberg and Rosenheck (2008) suggest that poor health status and disadvantageous socioeconomic characteristics have been found to contribute to the high rates of homeless ness.…”

Section: The Incarceration Bingementioning

confidence: 99%

See 1 more Smart Citation

Reducing the incarceration of the homeless : an examination of multi-service use and the utilization of institutional services.

Hughes¹

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Section: Modellsupporting

confidence: 88%

Section: The Incarceration Bingementioning

confidence: 99%

Reducing the incarceration of the homeless : an examination of multi-service use and the utilization of institutional services.

Hughes¹

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“…Essock et al [48], Frisman et al [49] and Manuel et al [50] use the same database. Another group consisting of Morse et al [51], Calsyn et al [52], and Lemming et al [53] also worked on 1 study population. A third group is Drake et al [54], McHugo et al [55], and Clark et al [56].…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Effect of Assertive Community Treatment for Patients with Substance Use Disorder: A Systematic Review

et al. 2019

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Purpose: Substance use disorders (SUD) are an important health issue internationally. Traditional outpatient programmes often do not adequately address the substantial medical and social needs and in addition many patients have difficulties accessing the care needed. The assertive community treatment (ACT) model was originally developed for patients with a severe mental illness but has been adapted for patients with SUD by integrating specific SUD treatments into the traditional ACT model. This paper aims to assess the effectiveness of ACT for patients with SUD on a number of measures. Methods: We performed a systematic review of ACT interventions for patients with SUD by analyzing randomized controlled studies published before June 2017 found on the electronic databases PsychINFO, MEDLINE, PsychARTICLES. Eleven publications using 5 datasets were included in the analysis. Quality of studies was analyzed using the JADAD scale or Oxford quality scoring system. Outcome measures used were substance use, treatment engagement, hospitalization rates, quality of life, housing status, medication compliance and legal problems. Patients included in the studies had a diagnosis of SUD. Two datasets included homeless patients and 2 datasets included patients with high service use. Results and Conclusions: The results of the very few existing randomized control studies are mixed. Treatment engagement was higher for ACT in 4 datasets. One dataset reported higher service contact rates for the ACT group than for controls. In 2 datasets a positive effect on hospitalization rates was found. Higher fidelity to the ACT model appears to improve outcomes. Substance use reduced only in half of the datasets, of which only one showed a significant reduction in the ACT group. Overall, ACT is a promising approach that may be useful for promoting treatment engagement for patients with SUD. According to earlier studies on patients with severe mental illness, patients with high inpatient service use benefit most from this assertive approach. We hypothesize that a similar high need user group among patients with SUD might benefit most from ACT. Further research is needed to examine which types of clinical interventions might help difficult-to-engage patients with addictions.

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“…There is mounting evidence suggesting that ACT teams focused on reducing hospitalizations are not effective in reducing jail recidivism (6,10,11). However, in separate pre-post studies (no control groups) of small local samples, consumers who received FACT had significant reductions in jail days, arrests, hospital days, and hospitalizations (12,13).…”

mentioning

confidence: 99%

How Many Forensic Assertive Community Treatment Teams Do We Need?

Cuddeback¹,

Morrissey²,

Cusack³

2008

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Despite the growing interest in forensic assertive community treatment (FACT), there is no standardized definition of FACT eligibility and no guidelines for how many FACT teams communities may need. In this brief report a definition for FACT eligibility is proposed-severe and persistent mental illness and three jail detentions in a one-year period-and modeled by using 5.5 years of administrative data (July 1, 1993, through December 31, 1998) from a large, urban county in the western United States. Findings suggest that large, urban communities should develop enough FACT teams to serve approximately 44% of their populations of persons with severe mental illness, or roughly .05% of their adult populations. Developing standardized eligibility criteria for FACT is an important first step toward developing its evidence base.

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Impact of assertive community treatment and client characteristics on criminal justice outcomes in dual disorder homeless individuals

Abstract: Elsewhere the authors have shown that ACT and IT had advantages for health and stability of accommodation but these analyses suggest that more specialized interventions are needed to reduce criminal behaviour in dual disorder individuals.

Cited by 112 publications

References 21 publications

Reducing the incarceration of the homeless : an examination of multi-service use and the utilization of institutional services.

Reducing the incarceration of the homeless : an examination of multi-service use and the utilization of institutional services.

Effect of Assertive Community Treatment for Patients with Substance Use Disorder: A Systematic Review

How Many Forensic Assertive Community Treatment Teams Do We Need?

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