A Randomized Controlled Trial of the Rochester Forensic Assertive Community Treatment Model

Lamberti, J. Steven; Weisman, Robert L.; Cerulli, Catherine; Williams, Geoffrey; Jacobowitz, David B; Mueser, Kim T.; Marks, Patricia D.; Strawderman, Robert L.; Harrington, Donald; Lamberti, Tara A.; Caine, Eric D.

doi:10.1176/appi.ps.201600329

Cited by 39 publications

(85 citation statements)

References 50 publications

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“…For example, Patel et al demonstrated the successful delivery of behavioral activation for depression by LHWs through relatively brief training to a population with significant barriers to healthcare access [ 91 •]. Some studies adapted evidence-based models (e.g., Forensic Assertive Community Treatment) to deliver treatments in non-traditional locations, such as jails, churches, and senior centers [ 77 ]. Many individual-level interventions also simultaneously acted at the organizational/institutional level.…”

Section: Discussionmentioning

confidence: 99%

“…In Monroe County, New York, adults with psychotic disorders charged with misdemeanors were conditionally released and randomized to usual treatment ( n = 35) or Forensic Assertive Community Treatment (FACT) ( n = 35) [ 77 ]. FACT employed high-fidelity ACT services with the following adaptations: a 6-h training in criminal justice collaboration for clinicians, screening for criminogenic risk factors among enrollees, weekly court appearances, and meetings to discuss barriers to success with the supervising judge, public defender, and district attorney.…”

Section: Criminal Justicementioning

confidence: 99%

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Community Interventions to Promote Mental Health and Social Equity

Castillo

Ijadi-Maghsoodi

Shadravan³

et al. 2019

Curr Psychiatry Rep

174

108

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Purpose of Review We review recent community interventions to promote mental health and social equity. We define community interventions as those that involve multi-sector partnerships, emphasize community members as integral to the intervention, and/ or deliver services in community settings. We examine literature in seven topic areas: collaborative care, early psychosis, schoolbased interventions, homelessness, criminal justice, global mental health, and mental health promotion/prevention. We adapt the social-ecological model for health promotion and provide a framework for understanding the actions of community interventions. Recent Findings There are recent examples of effective interventions in each topic area. The majority of interventions focus on individual, family/interpersonal, and program/institutional social-ecological levels, with few intervening on whole communities or involving multiple non-healthcare sectors. Findings from many studies reinforce the interplay among mental health, interpersonal relationships, and social determinants of health. Summary There is evidence for the effectiveness of community interventions for improving mental health and some social outcomes across social-ecological levels. Studies indicate the importance of ongoing resources and training to maintain long-term outcomes, explicit attention to ethics and processes to foster equitable partnerships, and policy reform to support sustainable healthcare-community collaborations. Keywords Mental health (MeSH). Mental health intervention (MeSH). Community networks (MeSH). Social problems (MeSH). Community interventions (MeSH). Community-based interventions (MeSH). Social determinants of health. Mental health equity. Health disparities. Multi-sector interventions

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Section: Discussionmentioning

confidence: 99%

Section: Criminal Justicementioning

confidence: 99%

Community Interventions to Promote Mental Health and Social Equity

Castillo

Ijadi-Maghsoodi

Shadravan³

et al. 2019

Curr Psychiatry Rep

174

108

View full text Add to dashboard Cite

show abstract

“…Such “step-down programs” also offer a gradual increase in behavioral interventions and incentives (such as out-of-cell time) to help inmates successfully prepare for general inmate population and release into community ( 81 ). Finally, upon release, intensive case-management of all releasees or forensic assertive community treatment for inmates with lasting mental illness could also reduce subsequent criminal justice involvement and hospitalizations in releasees ( 84 ).…”

Section: Discussionmentioning

confidence: 99%

Shedding Light on “the Hole”: A Systematic Review and Meta-Analysis on Adverse Psychological Effects and Mortality Following Solitary Confinement in Correctional Settings

et al. 2020

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Objectives: To systematically review and meta-analyze the psychological effects and mortality rate in inmates having been exposed to solitary confinement in correctional settings. Methods: PubMed, PsycINFO, Web of Science, and Google Scholar were searched using keywords describing solitary confinement in combination with keywords for psychological or mortality outcomes. Eligible case-control studies for the systematic review met an operational definition for solitary confinement and evaluated outcomes after exposure to such confinement. Studies presenting statistical data which allowed to compute standardized mean differences for symptom scales or odds ratio for mortality were further meta-analyzed using random-effects models. Results: Systematic review identified 13 studies for inclusion, with a total sample of 382,440 inmates (23% having been exposed to solitary confinement). Higher quality evidence showed solitary confinement was associated with an increase in adverse psychological effects, self-harm, and mortality, especially by suicide. Meta-analysis of five studies (n = 4,517) showed a standardized mean difference of 0.45 for general psychological symptomatology, which increased to 0.51 upon outlier exclusion. Small to moderate significant effects were observed for mood, psychotic, and hostility symptoms specifically. In addition, meta-analysis of two mortality studies (n = 243,050) showed a trend for a moderate effect for mortality by any or unnatural causes (i.e., suicide, homicide, overdose, and accidents). Conclusions: Analyses showed that solitary confinement is associated with the psychological deterioration of inmates. This effect appears to be beyond that of general incarceration or presence of prior mental illness. Thus, solitary confinement may pose

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“…ACT and its variants offer a related strategy to assist people at the margins of the criminal justice and mental health systems (Morrissey, Meyer, and Cuddeback 2007;Lamberti et al 2017;Calsyn et al 2005). This is a challenging assignment.…”

Section: Assertive Community Treatment (Act)mentioning

confidence: 99%

Reducing Violent Incidents between Police Officers and People with Psychiatric or Substance Use Disorders

Pollack¹,

Humphreys²

2020

The ANNALS of the American Academy of Political and Social Scie

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This article describes evidence-based strategies designed to reduce the prevalence of police encounters with people in behavioral crisis (PBCs) and to make such encounters less dangerous for all parties when they do occur. Some of these strategies are implemented by law enforcement, including gun violence restraining orders and the training of officers to provide time, distance, and cover during encounters with PBCs. Other strategies involve broader systems of community care, including assertive community treatment for people with serious psychiatric disorders, and critical time interventions for individuals leaving incarceration or inpatient psychiatric care. Broader adoption of such strategies should both reduce the risk of police shootings of PBCs as well as improve the effectiveness and well-being of police officers.

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A Randomized Controlled Trial of the Rochester Forensic Assertive Community Treatment Model

Abstract: The Rochester FACT model was associated with fewer convictions for new crimes, less time in jail and hospitals, and more time in outpatient treatment among justice-involved adults with psychotic disorders compared with treatment as usual.

Cited by 39 publications

References 50 publications

Community Interventions to Promote Mental Health and Social Equity

Community Interventions to Promote Mental Health and Social Equity

Shedding Light on “the Hole”: A Systematic Review and Meta-Analysis on Adverse Psychological Effects and Mortality Following Solitary Confinement in Correctional Settings

Reducing Violent Incidents between Police Officers and People with Psychiatric or Substance Use Disorders

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