GAINS Center For Behavioral Health And Justice Transformation (Delmar, NY)
This brief provides a great introduction to forensic assertive community treatment (FACT). FACT is “an adaptation of the traditional assertive community treatment (ACT) model for people with serious mental illness who are involved with the criminal justice … ACT is a psychosocial intervention that was developed for people with severe mental illness (a subset of serious mental illness, marked by a higher degree of functional disability) who have significant difficulty living independently, high service needs, and repeated psychiatric hospitalizations” (p. 1). Sections cover: assertive community treatment; FACT adaptations; FACT evidence base; directions for further research of FACT’s effectiveness; and conclusions.
The Behavioral Health Framework developed to “help professionals in the corrections and behavioral health systems take a coordinated approach to reducing recidivism and advancing recovery” is explained (p. 2). Sections of this publication cover: building effective partnerships through a shared vision; health care reform and opportunities for expanded access to behavioral health services; prioritizing enrollment to facilitate transition; the risk-need-responsivity (RNR) model; implications for successful transition and reentry; Guidelines 1 and 2—Assess; Guidelines 3 and 4—Plan; Guidelines 5 and 6—Identify; and Guidelines 7 through 10—Coordinate. Appendixes to this document are: “Evidence-Based Practices and Programs for Individuals with Behavioral Health Needs in the Criminal Justice System”; and “Information Sharing in the Criminal Justice-Behavioral Health Context: HIPAA and 42 CFR”.
If you work with mentally ill offenders you find this publication very useful. “In this document, we [the authors] review the leading offender recidivism–targeted intervention paradigm: Risk/Needs/Responsivity (RNR) … In particular, we focus on criminal thinking, one of the identified “needs,” and structured cognitive-behavioral interventions from the worlds of criminal justice and mental health that were created or adapted to specifically target the thoughts, feelings, and behaviors associated with criminal recidivism” (p. 1). Sections address: risk—evidence-based criminogenic risk assessment; needs—Cognitive-Behavioral Therapy and adaptations for justice-involved populations--Thinking for a Change (T4c), Moral Reconation Therapy (MRT), Interactive Journaling, Reasoning & Rehabilitation (R&R), Dialectical Behavioral Therapy (DBT), and Schema Focused Therapy (SFT); and responsivity—Motivational Interviewing (MI).
“Employment is a key to community reintegration for both people with mental illness and those with justice involvement. At present, the empirical literature on employment services for justice-involved people with or without mental illness is meager. By contrast, an extensive evidence base documents the effectiveness of a specific employment model for people with severe mental illness: the Individual Placement and Support (IPS) model of supported employment” (p. 1). This publication covers: the IPS Model of Supported Employment; current trends in IPS services for justice-involved people; vocational programs for ex-offenders; and adaptations of IPS for justice-involved people.