title: Forensic continuum of care with Assertive Community Treatment (ACT) for persons recovering from co-occurring disabilities: long-term outcomes.
abstract: This study presents the long-term outcomes of a continuum of care program for co-occurring psychiatric disabilities and chemical dependency that has been recognized as a best practice model by the American Psychological Association's Committee for the Advancement of Professional Practice's Task Force on Serious Mental Illness and Severe Emotional Disturbance (APA/CAPP, 2007). Since publication of the initial positive outcomes for 18 men in 2002, this innovative recovery program continued to successfully reintegrate a total of 91 men and women with severe co-occurring disabilities who had been acquitted of violent crimes by reason of insanity (NGRI). This follow-up study showed continued positive outcomes for an additional 73 program graduates in terms of non-reoffending, psychiatric stability, substance abuse abstinence, stable housing and meaningful activity. In contrast to other studies that have applied Assertive Community Treatment and Intensive Case Management to populations with forensic issues and failed to reduce criminal recidivism, this continuum of care recovery model had strong results in preventing criminal recidivism in addition to achieving improved mental health, abstinence and quality of life.
authors.affiliation: Wexford Health Sources, Pittsburgh, PA, USA.
authors.forename: Ronald J
authors.initials: RJ
authors.lastname: Smith
authors.forename: Jerry L
authors.initials: JL
authors.lastname: Jennings
authors.forename: Anthony
authors.initials: A
authors.lastname: Cimino
mesh_terms: D000328:Adult; D001131:Arkansas; D001521:Behavior Therapy / Q000379:methods; D019090:Case Management / Q000331:legislation & jurisprudence; D003131:Combined Modality Therapy; D003134:Commitment of Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence; D003156:Community Mental Health Services / Q000331:legislation & jurisprudence*; D015897:Comorbidity; D003266:Continuity of Patient Care / Q000331:legislation & jurisprudence*; D003415:Crime / Q000331:legislation & jurisprudence / Q000517:prevention & control / Q000523:psychology; D005260:Female; D006801:Humans; D007298:Insanity Defense; D008297:Male; D001523:Mental Disorders / Q000534:rehabilitation*; D010043:Outcome and Process Assessment, Health Care; D011329:Prisoners / Q000523:psychology*; D012114:Residential Treatment; D012951:Socialization; D019966:Substance-Related Disorders / Q000534:rehabilitation*; D014754:Violence / Q000331:legislation & jurisprudence* / Q000517:prevention & control / Q000523:psychology