Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
J Am Psychiatr Nurses Assoc. 2011 Jan-Feb;17(1):90-7. doi: 10.1177/1078390310392374.
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 more than 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.
法医坚定社区治疗（FACT）是坚定社区治疗（ACT）模式的最新改编；然而，我们需要更多关于 FACT 和 ACT 消费者之间的差异以及如何修改 FACT 以适应这些差异的信息。
利用华盛顿州金县的链接、多系统行政数据，比较符合 ACT 和 FACT 条件的消费者的人口统计学、临床和刑事司法特征。
FACT 消费者更有可能是男性、有色人种，并且具有更复杂的临床特征。此外，一些 FACT 消费者因性犯罪被监禁，超过一半的人有暴力犯罪。
传统上，ACT 团队避免为有人格障碍、暴力和性犯罪的消费者提供服务；然而，鉴于强制性门诊治疗和心理健康法庭的使用增加，FACT 团队可能在选择服务对象方面的自主权较小。临床干预和其他修改的增加可能对 FACT 团队尤为重要。
