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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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How many forensic assertive community treatment teams do we need?

Gary S Cuddeback1, Joseph P Morrissey, Karen J Cusack

  • 1Cecil G. Sheps Center for Health Services Research and the School of Social Work, University of North Carolina at Chapel Hill, 725 Martin Luther King Jr. Blvd., CB 7590, Chapel Hill, NC 27599, USA. cuddeback@mail.schsr.unc.edu

Psychiatric Services (Washington, D.C.)
|February 5, 2008
PubMed
Summary

Forensic Assertive Community Treatment (FACT) teams need standardized eligibility criteria. Research suggests urban areas need FACT teams to serve 44% of severe mental illness populations.

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Area of Science:

  • Forensic Mental Health
  • Community Psychiatry
  • Health Services Research

Background:

  • Growing interest in Forensic Assertive Community Treatment (FACT).
  • Lack of standardized eligibility criteria and team number guidelines for FACT.
  • Need for evidence-based practices in forensic mental health services.

Purpose of the Study:

  • Propose a standardized definition for FACT eligibility.
  • Model the number of FACT teams needed in urban communities.
  • Inform the development of FACT services and resource allocation.

Main Methods:

  • Defined FACT eligibility as severe mental illness and three jail detentions annually.
  • Utilized 5.5 years of administrative data from a large, western US urban county.
  • Modeled the proportion of the severe mental illness population eligible for FACT.

Main Results:

  • Proposed FACT eligibility criteria: severe mental illness and 3+ jail detentions/year.
  • Findings suggest urban communities need FACT teams for ~44% of severe mental illness population.
  • This equates to approximately 0.05% of the total adult population.

Conclusions:

  • Standardized FACT eligibility criteria are crucial for evidence-based development.
  • Model provides a basis for estimating FACT team needs in urban settings.
  • This research supports improved resource allocation for forensic mental health services.