Skip to main content

Advertisement

Log in

Forensic Assertive Community Treatment in a Continuum of Care for Male Internees in Belgium: Results After 33 Months

  • Original Paper
  • Published:
Community Mental Health Journal Aims and scope Submit manuscript

Abstract

Non-forensic or regular assertive community treatment (ACT) has positive effects on non-forensic outcomes but has poor effects on forensic outcome measures. In this study, we examined non-forensic and forensic outcome measures of a forensic adaptation of ACT (ForACT) within a continuum of care for internees. Data were collected retrospectively from files of 70 participants in the ForACT group who had been released from a forensic hospital. The control group comprised internees who had left prison and entered community-based care (n = 56). The ForACT group demonstrated significantly better outcomes on forensic measures, such as arrests and incarcerations, and had better community tenure. However, this group showed high hospitalization rates. The findings indicate that this type of community-based care can be beneficial for such internees; however, internees continue to experience difficulties reintegrating into society.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th Edn., text rev.). Washington, DC: American Psychiatric Press.

  • Andrews, D., & Bonta, J. (2010). The psychology of criminal conduct. New Providence: LexisNexis.

    Google Scholar 

  • Beach, C., Dykema, L., Appelbaum, P. S., Deng, L., Leckman-Westin, E., Manuel, J. I., et al. (2013). Forensic and nonforensic clients in assertive community treatment: A longitudinal study. Psychiatric Services, 64(5), 437–444.

    Article  Google Scholar 

  • Bond, G., Burns, B. J., & Edgar, E. R. (2001). Moving assertive community treatment into standard practice. Psychiatric Services, 52, 771–779.

    Article  Google Scholar 

  • Burns, T., & Firn, M. (Eds.). (2002). Assertive outreach in mental health: A manual for practitioners. Oxford: Oxford University Press.

    Google Scholar 

  • Burns, X. (2011). In C. Williams, M. Firn, S. Wharne & R. MacPherson (Eds.), Assertive outreach in mental healthcare: Current perspectives. Chichester: Blackwell.

    Google Scholar 

  • Cimino, T., & Jennings, J. (2002). Arkansas partnership program: An innovative continuum of care program for dually diagnosed forensic patients. Psychiatric Rehabilitation Skills, 6(1), 104–114.

    Article  Google Scholar 

  • Coldwell, C. M., & Bender, W. S. (2007). The effectiveness of assertive community treatment for homeless populations with severe mental illness: A meta-analysis. The American Journal of Psychiatry, 164(3), 393–399.

    Article  Google Scholar 

  • Cosyns, P., Koeck, S., & Verellen, R. (2008). De justitiabele met een psychische stoornis in Vlaanderen [English title of article]. Tijdschrift Voor Psychiatrie, 50, 63–68.

    PubMed  Google Scholar 

  • Crawford, M. J., de Jonge, E., Freeman, G. K., & Weaver, T. (2004). Providing continuity of care for people with severe mental illness. Social Psychiatry and Psychiatric Epidemiology, 39(4), 265–272.

    Article  Google Scholar 

  • Cusack, K. J., Morrissey, J. P., Cuddeback, G. S., Prins, A., & Williams, D. M. (2010). Criminal justice involvement, behavioral health service use, and costs of forensic assertive community treatment: A randomized trial. Community Mental Health Journal, 46(4), 356–363.

    Article  Google Scholar 

  • De Witte, N., Crunelle, C., Sabbe, B., Moggi, F., & Dom, G. (2014). Treatment for outpatients with comorbid schizophrenia and substance use disorder: A review. Journal of European Addiction Research, 20, 105–114.

    Article  Google Scholar 

  • Drake, R. E., & Latimer, E. (2012). Lessons learned in developing community mental health care in North America. World Psychiatry, 11, 47–51.

    Article  Google Scholar 

  • Drake, R. E., Essock, S. M., Shaner, A., Carey, K. B., Minkoff, K., Kola, L., … & Rickards, L. (2001). Implementing dual diagnosis services for clients with severe mental illness. Psychiatric Services, 52(4), 469–476.

    Article  CAS  Google Scholar 

  • Field, A. (2013). Discovering statistics using IBM SPSS statistics (4th edn.). London: Sage.

    Google Scholar 

  • Greenberg, G. (2014). Psychiatric correlates of past incarceration in the national co-morbidity study replication. Criminal Behaviour and Mental Health, 24(1), 18–35.

    Article  Google Scholar 

  • Hayes, A. (2014). A 21-year retrospective outcome study of New South Wales forensic patients granted conditional and unconditional release. The Australian and New Zealand Journal of Psychiatry, 48(3), 259–282.

    Article  Google Scholar 

  • Jeandarme, I., Bogaerts, S., Vander Laenen, F., Wittouck, C., Ampe, M., Oei, T. I., et al. (2015). Forensische pilootprojecten ‘medium security’. Herval in delictgedrag na behandeling van geïnterneerden ressorterend onder CBM Gent [English title of article]. Panopticon, 36(3), 227–247.

    Google Scholar 

  • Lamberti, J. S., Weisman, R., & Faden, D. I. (2004). Forensic assertive community treatment: Preventing incarceration of adults with severe mental illness. Psychiatric Services, 55(11), 1285–1293.

    Article  Google Scholar 

  • Manguno-Mire, G. M., Coffman, K. L., DeLand, S. M., Thompson, J. H., & Myers, L. (2014). What factors are related to success on conditional release/ discharge? Findings from the New Orelans forensic aftercare clinic: 2002–2013. Behavioral Sciences & the Law, 32(5), 641–658.

    Article  Google Scholar 

  • Marshall, M., & Lockwood, A. (2011). Assertive community treatment for people with severe mental disorders. Cochrane Database of Systematic Reviews, 4, CD001089.

    Google Scholar 

  • Parker, G. F. (2004). Outcomes of assertive community treatment in an NGRI conditional release program. Journal of the American Academy of Psychiatry and the Law, 32(3), 291–303.

    PubMed  Google Scholar 

  • Robertson, P., Barnao, M., & Ward, T. (2011). Rehabilitation frameworks in forensic mental health. Aggression and Violent Behavior, 16(6), 472–484.

    Article  Google Scholar 

  • Simpson, A. I. F., Jones, R. M., Evans, C., & McKenna, B. (2006). Outcome of patients rehabilitated through a New Zealand forensic psychiatry service: A 7.5 year retrospective study. Behavioral Sciences and the Law, 24(6), 833–843.

    Article  Google Scholar 

  • Smith, R. J., Jennings, J. L., & Cimino, A. (2010). Forensic continuum of care with Assertive Community Treatment (ACT) for persons recovering from co-occurring disabilities: Long-term outcomes. Psychiatric Rehabilitation Journal, 33(3), 207–218.

    Article  Google Scholar 

  • Solomon, P., & Draine, J. (1995). Jail recidivism in a forensic case management program. Health and Social Work, 20(3), 167–173.

    Article  CAS  Google Scholar 

  • Stein, L. I., & Test, M. A. (1980). Alternative to mental hospital treatment. I. Conceptual model, treatment program, and clinical evaluation. Archives of General Psychiatry, 37(4), 392–397.

    Article  CAS  Google Scholar 

  • Ward, T. (2002). The management of risk and the design of good lives. Australian Psychologist, 37, 172–179.

    Article  Google Scholar 

  • Webster, C. D., Douglas, K. S., Eaves, D., & Hart, S. D. (1997). HCR-20: Assessing risk for violence, version 2. Burnaby: Mental Health, Law, and PolicyInstitute, Simon Fraser University.

    Google Scholar 

  • Webster, C. D., Nicholls, T. L., Martin, M. L., Desmarais, S. L., & Brink, J. (2006). Short-term assessment of risk and treatability (START): The case for a new structured professional judgment scheme. Behavioral Sciences and the Law, 24, 747–766.

    Article  Google Scholar 

Download references

Funding

Funding was obtained from the Scientific fund of the Broeders van Liefde.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Thomas Marquant.

Ethics declarations

Conflict of interest

All authors certify responsibility for this manuscript. There are no conflicts of interest to be reported.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study was approved by the Ethics Committee of the University of Antwerp with the number BE300201628708. The study was also done with the written authorisation of the Belgian prison system (EPI).

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Marquant, T., Sabbe, B., Van Nuffel, M. et al. Forensic Assertive Community Treatment in a Continuum of Care for Male Internees in Belgium: Results After 33 Months. Community Ment Health J 54, 58–65 (2018). https://doi.org/10.1007/s10597-017-0153-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10597-017-0153-4

Keywords

Navigation