Forensic assertive community treatment: an emerging best practice.

IF 3.4 3区 医学 Q2 CLINICAL NEUROLOGY
J Steven Lamberti, Robert L Weisman
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引用次数: 0

Abstract

People with serious mental illness (SMI) are over-represented throughout the US criminal justice system. To address this issue, forensic assertive community treatment has recently emerged as a best-practice intervention. Also known as forensic ACT, ForACT, or most commonly as "FACT," forensic assertive community treatment is an adaptation of the assertive community treatment (ACT) model. Unlike ACT, however, FACT is purposefully designed to prevent arrest and incarceration among people with SMI who have histories of involvement with the criminal justice system (i.e., "justice-involved" individuals). Although FACT was recognized as a best practice by the Substance Abuse and Mental Health Services Administration (SAMHSA) in 2019, FACT teams vary widely in their structure and daily operations. This lack of a standard FACT model continues to impede FACT program implementation and outcomes research. This article begins with a review of FACT origins, followed by a discussion of what we know (and do not know) about FACT operation and effectiveness. Based on the authors' experience, the article then discusses key components of FACT and concludes with a discussion of current challenges and research recommendations for FACT model development.

法医自信社区治疗(FACT):一种新兴的最佳实践。
在美国刑事司法系统中,严重精神疾病(SMI)患者的比例过高。为了解决这一问题,法医果断的社区治疗最近成为一种最佳实践干预措施。也被称为法医ACT, ForACT,或最常见的“FACT”,法医果断社区治疗是对果断社区治疗(ACT)模型的适应。然而,与ACT不同的是,FACT的目的是防止那些有刑事司法系统前科的重度精神障碍患者(即“司法相关”个体)被逮捕和监禁。尽管FACT在2019年被药物滥用和精神健康服务管理局(SAMHSA)认定为最佳实践,但FACT团队的结构和日常运作存在很大差异。缺乏标准的FACT模型继续阻碍着FACT项目的实施和结果研究。本文首先回顾FACT的起源,然后讨论我们对FACT操作和有效性的了解(和不了解)。根据作者的经验,本文讨论了FACT的关键组件,并以讨论当前的挑战和对FACT模型开发的研究建议作为结论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CNS Spectrums
CNS Spectrums 医学-精神病学
CiteScore
6.20
自引率
6.10%
发文量
239
审稿时长
>12 weeks
期刊介绍: CNS Spectrums covers all aspects of the clinical neurosciences, neurotherapeutics, and neuropsychopharmacology, particularly those pertinent to the clinician and clinical investigator. The journal features focused, in-depth reviews, perspectives, and original research articles. New therapeutics of all types in psychiatry, mental health, and neurology are emphasized, especially first in man studies, proof of concept studies, and translational basic neuroscience studies. Subject coverage spans the full spectrum of neuropsychiatry, focusing on those crossing traditional boundaries between neurology and psychiatry.
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