Challenges to developing forensic assertive community treatment

Gary S. Cuddeback, Joseph P. Morrissey, Karen J. Cusack, Piper S. Meyer

Research output: Contribution to journalArticlepeer-review

20 Scopus citations

Abstract

Limited information currently exists about forensic assertive community treatment (FACT) and how it serves persons with mental illness involved with the criminal justice system. This study screened 28 forensic mental health programs to identify 12 FACT teams for site visits about their consumers, their interface with the criminal justice system, and implementation and sustainability challenges. Site visit findings were reviewed by an expert panel knowledgeable about the interface between assertive community treatment and the criminal justice system. Little consensus exists about a program model for FACT and several issues require more research to guide its further dissemination. FACT represents an opportunistic adaptation to growing numbers of justice-involved persons with mental illness but practice has outpaced the evidence base.

Original languageEnglish (US)
Pages (from-to)225-246
Number of pages22
JournalAmerican Journal of Psychiatric Rehabilitation
Volume12
Issue number3
DOIs
StatePublished - Jul 2009
Externally publishedYes

Bibliographical note

Funding Information:
Keywords: Assertive community treatment; Criminal justice; Forensic assertive community treatment; Mental illness This research was supported by the John D. and Catherine T. MacArthur Foundation Mental Health Policy Research Network. The authors would like to thank the many respondents who participated in the telephone calls and site visits that made data collection for this study possible. Portions of this paper were presented at the GAINS Center’s 2006 National Conference, System Transformation at the Interface of the Criminal Justice and Mental Health Systems, in Boston, Mass. The authors would like to thank Gary R. Bond, PhD, and Michelle P. Salyers, PhD for their critique of earlier drafts of this manuscript. Address correspondence to Gary S. Cuddeback, PhD, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 725 Martin Luther King Jr. Blvd., Chapel Hill, NC 27599-7590, USA. E-mail: [email protected]

Keywords

  • Assertive community treatment
  • Criminal justice
  • Forensic assertive community treatment
  • Mental illness

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