Program planning and staff competencies for forensic assertive community treatment: ACT-eligible versus FACT-eligible consumers.
Program planning and staff competencies for forensic assertive community treatment: ACT-eligible versus FACT-eligible consumers.
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DOI：
10.1177/1078390310392374
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发表时间：
2011-01
影响因子：
2
通讯作者：
Morrissey JP
中科院分区：
文献类型：
--
作者：
Cuddeback GS;Morrissey JP
法医断言社区治疗(FACT)是最近对断言社区治疗(ACT)模式的一种适应；然而，还需要更多的信息来了解FACT和ACT消费者的不同之处，以及FACT应该如何修改以适应这些差异。来自华盛顿州金县的相互关联的多系统管理数据被用来比较符合ACT和FACT条件的消费者的人口统计、临床和刑事司法特征。事实上，消费者更有可能是男性，有色人种，临床特征更复杂。此外，一些消费者因性侵犯而入狱，超过一半的消费者有暴力侵犯行为。传统上，ACT团队避免为有人格障碍的消费者、暴力消费者和性犯罪者提供服务；然而，由于越来越多地使用强制门诊治疗和精神健康法庭，事实团队可能没有那么多自由裁量权来选择他们服务的对象。增加临床干预和其他修改对事实团队可能特别重要。
Forensic assertive community treatment (FACT) is a recent adaptation of the assertive community treatment (ACT) model; however, more information is needed about how FACT and ACT consumers differ and how FACT should be modified to accommodate these differences. Linked, multisystem administrative data from King County, Washington were used to compare the demographic, clinical and criminal justice characteristics of ACT- and FACT-eligible consumers. FACT consumers were more likely to be male, persons of color and had more complex clinical profiles. Also, some FACT consumers were incarcerated for sex offenses and over half had violent offenses. Traditionally, ACT teams avoid serving consumers with personality disorders, violent consumers and sex offenders; however, given increased use of mandated outpatient treatment and mental health courts, FACT teams may have less discretion to choose whom they serve. The addition of clinical interventions and other modifications may be particularly important for FACT teams.