Marquant Thomas, Sabbe Bernard, Van Nuffel Meike, Goethals Kris
Collaborative Antwerp Psychiatric Research institute (CAPRI), Campus Drie Eiken Universiteitsplein 1, 2610, Antwerp, Belgium.
UPC St Camillus Bierbeek, Krijkelberg 1, 3360, Bierbeek, Belgium.
Community Ment Health J. 2016 Nov;52(8):873-881. doi: 10.1007/s10597-016-0044-0. Epub 2016 Jul 15.
An extensive body of literature provides evidence supporting the effectiveness of assertive community treatment (ACT) with regard to non-forensic outcome measures, such as number of hospital admissions and length of stay. However, research findings on the effectiveness of ACT for forensic outcome measures, such as rearrests or detentions, is much less clear. The present review, therefore, focuses on the application of ACT in forensic populations, combining key elements of ACT with elements of forensic rehabilitation models. Specifically, a review of the literature was conducted using a systematic methodology in an attempt to combine evidence-based elements of 40 years of research on regular ACT with elements of forensic rehabilitation models. Results reveal limited yet promising evidence in support of the effectiveness of forensic ACT for forensic outcome measures. Implications for future research and clinical practice are discussed.
大量文献提供了证据，支持积极社区治疗（ACT）在诸如住院次数和住院时长等非法医结果指标方面的有效性。然而，关于ACT在诸如再次逮捕或拘留等法医结果指标方面有效性的研究结果却不太明确。因此，本综述聚焦于ACT在法医人群中的应用，将ACT的关键要素与法医康复模式的要素相结合。具体而言，采用系统方法对文献进行了综述，试图将40年关于常规ACT的循证要素与法医康复模式的要素相结合。结果显示，有有限但有前景的证据支持法医ACT在法医结果指标方面的有效性。文中还讨论了对未来研究和临床实践的启示。
