Integrating into the Mental Health System from the Criminal Justice System: Jail Aftercare Services for Persons with a Severe Mental Illness

Davis, Kristin; Fallon, John; Vogel, Sue; Teachout, Alexandra

doi:10.1080/10509670802143599

Cited by 17 publications

(20 citation statements)

References 28 publications

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“…Lamberti et al ( 73 , 79 ) and Erickson et al ( 87 ) reported on a project in Rochester, New York. Lurigio et al ( 90 ), McCoy et al ( 92 ), Davis et al ( 95 ), and Kelly et al ( 96 ) reported on the Thresholds program in Chicago. Smith et al ( 78 ) and Cimino and Jennings ( 91 ) reported on the Arkansas Partnership Program.…”

Section: Resultsmentioning

confidence: 99%

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Substance Use Disorders as a Critical Element for Decision-Making in Forensic Assertive Community Treatment: A Systematic Review

Marquant

Nuffel²,

Sabbe

et al. 2021

Front. Psychiatry

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Introduction: The prevalence of substance use disorders in forensic populations is high. They are an important factor linked to negative outcomes in mentally ill offenders and are detrimental to forensic or non-forensic outcome measures. In contrast, substance use disorders are often underdiagnosed and undertreated, especially in forensic settings. Forensic Assertive Community Treatment is a forensic adaptation of regular assertive community treatment, combined with essential elements of forensic rehabilitation theories. Little is known however on the effectivity of forensic assertive community treatment when it comes to substance use disorders or what their exact role is on the outcome measures. In this paper, we explore how SUD is treated in Forensic assertive community treatment and how it relates to the forensic and non-forensic outcome measures.Methods: We performed a systematic review (PRISMA) of forensic Assertive community treatment teams that followed the main evidence-based principles of regular assertive community treatment and added basic elements of forensic rehabilitation. We analyzed articles the Psychinfo and Medline databases dating from 2005 to 2020. Fifteen studies fit the search criteria and were included in the analysis. The Quality of the studies was assessed using the Newcastle-Ottawa scale.Results: SUD was highly prevalent in all studies. Patients entered FACT through two pathways, either from a care continuum or directly from prison. The severity of SUD at intake emerges as a critical element when deciding which pathway to choose, as a high severity-score at the start of FACT follow-up was linked to recidivism. While differing in method all studies offered integrated SUD treatment. These included evidence-based techniques like CBT, therapeutic communities, and Substance Abuse Management Module. Though results on SUD outcomes were mixed 4 studies mentioned abstinence in 50–75%. The severity of SUD tended to increase initially and to stabilize afterwards.Conclusion: Severity of SUD at intake emerges as a decisive element in decision-making on entering FACT teams directly from prison or through a care-continuum. The ways to provide SUD treatment varied and outcomes for SUD were mixed. SUD was found to be detrimental to forensic and non-forensic outcome measures, such as recidivism or hospitalizations during FACT treatment.

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Section: Resultsmentioning

confidence: 99%

“…In McCoy et al ( 92 ), SUD treatment was also included. Davis et al ( 95 ) mentioned the intention to implement integrated dual diagnosis treatment (IDDT), yet that has not happened at the time of the study. Erickson et al ( 87 ) reported on the presence of an unspecified SUD treatment model ( 73 ).…”

Section: Resultsmentioning

confidence: 99%

Substance Use Disorders as a Critical Element for Decision-Making in Forensic Assertive Community Treatment: A Systematic Review

Marquant

Nuffel²,

Sabbe

et al. 2021

Front. Psychiatry

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“…Among the studies reporting health outcomes, nine had no controls, one had a comparison with a control, and three were RCTs. For studies with no controls, Davis et al (2008) showed that exposure was significantly associated with a reduction in hospital use postservices. Parker (2004) observed that overall hospitalization rate was 0.2 hospitalizations/participant/ year.…”

Section: Health Outcomes Systematic Narrative Reviewmentioning

confidence: 99%

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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“…Although ACT is not typically considered a correctional intervention, some initiatives that have incorporated aspects of the ACT model into service for criminal justice‐involved individuals have shown promising improvement in measures of community adjustment, as well as reductions in substance abuse and criminal involvement (e.g. Cosden et al, ; Davis et al, ; Lange et al, ).…”

Section: The Community Mental Health Initiativementioning

confidence: 99%

The impact of a community mental health initiative on outcomes for offenders with a serious mental disorder

Stewart

Farrell-MacDonald

Feeley

2016

Criminal Behav Ment Health

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Provision of specialised community mental health services for higher-risk male offenders with a mental disorder may reduce recidivism in the short and longer term - within 3 months and up to 4 years respectively. Statistical modelling also pointed to the need to include treatment for substance abuse and assistance in identifying stable accommodation and brokerage of community services among the interventions and services. Copyright © 2016 John Wiley & Sons, Ltd.

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Integrating into the Mental Health System from the Criminal Justice System: Jail Aftercare Services for Persons with a Severe Mental Illness

Cited by 17 publications

References 28 publications

Substance Use Disorders as a Critical Element for Decision-Making in Forensic Assertive Community Treatment: A Systematic Review

Substance Use Disorders as a Critical Element for Decision-Making in Forensic Assertive Community Treatment: A Systematic Review

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

The impact of a community mental health initiative on outcomes for offenders with a serious mental disorder

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