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Forensic assertive community treatment: an emerging best practice.

J Steven Lamberti1, Robert L Weisman2

  • 1Chair, Research Subject Review Board for Behavioral and Social Sciences, Professor of Psychiatry, University of Rochester Medical Center, Rochester, NY, USA.

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PubMed
Summary
This summary is machine-generated.

Forensic Assertive Community Treatment (FACT) helps justice-involved individuals with serious mental illness (SMI) avoid arrest. Standardizing the FACT model is crucial for effective implementation and research into its outcomes.

Keywords:
assertive community treatmentcommunity mental healthcriminal justiceforensicforensic assertive community treatment

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Area of Science:

  • Forensic Psychiatry
  • Mental Health Services Research
  • Criminal Justice Reform

Background:

  • Serious mental illness (SMI) is over-represented in the US criminal justice system.
  • Forensic Assertive Community Treatment (FACT) is an adaptation of the Assertive Community Treatment (ACT) model.
  • FACT aims to prevent arrest and incarceration for justice-involved individuals with SMI.

Purpose of the Study:

  • To review the origins and current understanding of FACT.
  • To discuss the operational variations and effectiveness of FACT teams.
  • To identify key components, challenges, and research needs for FACT model development.

Main Methods:

  • Literature review on FACT origins and existing research.
  • Discussion of operational components based on author experience.
  • Analysis of current challenges and recommendations for future research.

Main Results:

  • FACT is recognized as a best practice but lacks a standardized model.
  • Significant variation exists in FACT team structure and operations.
  • Knowledge gaps persist regarding FACT's precise operational mechanisms and effectiveness.

Conclusions:

  • A standardized FACT model is needed to improve program implementation and research.
  • Further research is recommended to address current challenges and guide FACT model development.
  • Enhancing FACT's structure and operations can improve outcomes for justice-involved individuals with SMI.