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Assertive Community Treatment and the Mentally Ill Offender

Assertive Community Treatment and the Mentally Ill Offender. An Investigation Into the Relationships Between Program Structural Features and Outcome Measures of Mentally Ill Offenders. Structural Facets of Eight Factor Model. Team Intensity. Contact Frequency Team Meeting Team Approach

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Assertive Community Treatment and the Mentally Ill Offender

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  1. Assertive Community Treatment and the Mentally Ill Offender An Investigation Into the Relationships Between Program Structural Features and Outcome Measures of Mentally Ill Offenders

  2. Structural Facets of Eight Factor Model Team Intensity • Contact Frequency • Team Meeting • Team Approach • Service Intensity • Small Caseload

  3. Structural Facets of Eight Factor Model Community Treatment • In-Vivo Services • Hospital Admissions Responsibility • Treatment Responsibility • Admissions Criteria • Crisis Services • Work With Supports

  4. Structural Facets of Eight Factor Model Engagement/Retention • No-Drop Policy • Assertive Engagement • Hospital Discharge Planning • Time-Unlimited Service

  5. Structural Facets of Eight Factor Model Substance Abuse Treatment • Substance Abuse Groups • Substance Abuse Treatment • Dual-Disorder Model

  6. Structural Facets of Eight Factor Model Specialist Staffing • Substance Abuse Specialist • Nurse on Staff • Psychiatrist on Staff • Vocational Specialist

  7. Structural Facets of Eight Factor Model Caseload Distribution • Team Leader Role • Intake Rate Staff Capacity and Continuity • Staff Capacity • Continuity of Staffing

  8. Methods of Analysis Logistic Regression • Establish a relationship between an outcome and a set of predictors • If one is found, simplify the model by eliminating some of the predictors while still maintaining strong prediction or explanatory power • Dichotomize dependent variable into two groups coded 0 & 1 • Examine strength of association • Examine the effect of the change of each predictor on the odds of being in one group or the other

  9. Outcome Measures Dichotomized Criminal Engagement Index • Number of bookings • Number of convictions • Number of days in jail • Group 0: no criminal involvement • Group 1: any degree of criminal involvement

  10. Outcome Measures Dichotomized Quality of Life Index • First Eschelon of Quality of Life • Type of Employment • Living Arrangements • Group 0: Unfavorable Life Situation • Not in the paid work force • Homeless or in intensive care • Group 1: Favorable Life Situation • Paid work force • Group or independent living • Second Eschelon of Quality of Life • Non-Employment Sources of Income

  11. ACTness and Criminal Engagement Model 1

  12. ACTness and Criminal Engagement Model 2

  13. ACTness and Criminal Engagement Relative Importance of ACT Facets • Substance Abuse Treatment (.255) • Specialized Staffing (.250) • Caseload Distribution (.204) • Team Intensity (.176) • Community Treatment (.097) • Staff Capacity & Continuity (-.100) • Engagement & Retention (n.s)

  14. ACTness and Quality of Life Index

  15. ACTness and Quality of Life Index Relative Importance of ACT Facets • Caseload Distribution (.334) • Team Intensity (.324) • Engagement & Retention (.308) • Community Treatment (.246) • Specialist Staffing (.216) • Staff Capacity & Continuity (.000)

  16. QUESTIONS?

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