Morrissey Joseph, Meyer Piper, Cuddeback Gary
Cecil G. Sheps Center for Health Services Research, Department of Health Policy and Administration, School of Public Health, University of North Carolina, Chapel Hill, USA.
Community Ment Health J. 2007 Oct;43(5):527-44. doi: 10.1007/s10597-007-9092-9. Epub 2007 Jun 21.
This paper presents an overview of Assertive Community Treatment (ACT) as an evidence-based practice in mental health care. We then consider current evidence for FACT (ACT for forensic populations) and FICM (intensive case management for forensic populations) and the ways these models have been extended and adapted to serve mentally ill persons in a variety of criminal justice settings. The available evidence about the effectiveness of these models towards preventing recidivism among criminally-justice involved persons with mental illness is weak. We conclude with several suggestions for how the clinical model of FACT needs to be expanded to incorporate interventions aimed at reducing criminal behavior and recidivism.
本文概述了积极社区治疗（ACT）作为精神卫生保健中一种循证实践的情况。接着，我们考量了法医精神病患者积极社区治疗（FACT）和法医精神病患者强化个案管理（FICM）的现有证据，以及这些模式如何得到扩展和调整，以服务于各种刑事司法环境中的精神病患者。关于这些模式在预防患有精神疾病的刑事司法涉案人员再次犯罪方面有效性的现有证据不足。我们最后提出了几点建议，说明法医精神病患者积极社区治疗（FACT）的临床模式应如何扩展，以纳入旨在减少犯罪行为和再犯的干预措施。
