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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.
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.
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.

