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R-FACT Training and Technical Assistance


Community Forensic Interventions, LLC, provides training and technical assistance services that are tailored to meet community needs, whether starting a new FACT program or optimizing an existing one.  For locales interested in starting a new FACT program using the Rochester model, training is provided through a combination of on-site interactive workshops and teleconference meetings.  All training activities are enhanced through the use of printed and video-based materials.  Training covers key elements of program development, implementation, operation and evaluation.  Training topics include: 

  •     How the Rochester FACT model (R-FACT) differs from ACT

  •     Building community stakeholder support

  •     Establishing program admission and discharge criteria

  •     Integrating criminogenic risk assessment into treatment planning

  •     Building effective mental health - criminal justice collaborations

  •     Promoting engagement of diverse consumer populations

  •     Ensuring trauma-informed care delivery
  •     Ensuring safe practice in high-risk community settings 

  •     Monitoring and ensuring fidelity of R-FACT services

  •     Assessing program outcomes


Community Forensic Interventions, LLC, also offers technical assistance to locales seeking to optimize the performance of existing FACT programs.  Technical assistance is provided through consultation with program leadership and through on-site program assessment to identify opportunities for improvement.  Common FACT program implementation and operational challenges can include: 

  • Hiring the right staff

  • Preventing staff burn-out

  • Achieving enrollment targets

  • Managing pressure to over-enroll

  • Finding appropriate housing

  • Implementing harm reduction practices

  • Effectively addressing non-adherence

  • Forming mental health - criminal justice partnerships
  • Balancing clinical and legal roles

  • Addressing dual agency concerns











Featured Publications

The First Publication on Forensic Assertive Community Treatment:

  • Lamberti JS, Weisman R, Faden D.  Forensic assertive community treatment:  Preventing incarceration of adults with severe mental illness.  Psychiatric Services 55:1285-1293, 2004.

A Framework for Preventing Criminal Recidivism Among People with Serious Mental Illness:

  • Lamberti JS.  Understanding and preventing criminal recidivism among adults with psychotic disorders.  Psychiatric Services 58:773-781, 2007.

Forensic Assertive Community Treatment in the United States:

  • Lamberti JS, Weisman RL.  “Forensic Assertive Community Treatment:  Origins, Current Practice and Future Directions.  In:  Reentry Planning for Offenders with Mental Disorders:  Policy and Practice.  Dlucacz H, Ed.  Civic Research Institute, Kingston NY.  Chapter 7:1-14, 2010.

The Role of Probation in Forensic Assertive Community Treatment:

  • Lamberti JS, Deem A, Weisman RL et al.  The role of probation in forensic assertive community treatment.  Psychiatric Services 62:418-421, 2011.

Predictors of Arrest During Forensic Assertive Community Treatment:

  • Erickson S, Lamberti JS, Weisman RL et al. The role of probation in forensic assertive community treatment.  Psychiatric Services 60:834-837, 2009

Use of Legal Authority to Promote Treatment Adherence

  • Lamberti JS, Russ A, Cerruli K, et al.  Perceptions of autonomy and coercion among recipients of legal leverage in forensic assertive community treatment. Harvard Review of Psychiatry 22:222-230, 2014

A Framework for Promoting Effective Mental Health and Criminal Justice Collaboration

  • Lamberti JS.  Preventing criminal recidivism through mental health and criminal justice collaboration.  Psychiatric Services 67:1206-1212, 2016

A Randomized Controlled Trial of Forensic Assertive Community Treatment

  • Lamberti JS, Weisman RL, Cerulli K et al.  A randomized controlled trial of the Rochester forensic assertive community treatment model.  Psychiatric Services 68:1016-1024, 2017

A Review of Community-Based Intervention for Justice-Involved Patients

  • Weisman RL, Lamberti JS, Ciccone JR.  Community-based interventions for justice-involved individuals with serious mental disorders.  In, Principles and Practice of Forensic Psychiatry, Third Edition.  Rosner R, and Scott CL, Eds.  CRC Press, Boca Raton, FL, 2017

A Review of Psychosis, Mania and Criminal Justice System Involvement

  • Lamberti JS, Katsetos V, Jacobowitz D et al.  Psychosis, Mania and Criminal Recidivism:  Associations and Implications for Prevention.  Harvard Review of Psychiatry 28:179-202, 2020

Fidelity Scale for Forensic Assertive Community Treatment

  • Lamberti JS, Weisman RL.  Essential elements of forensic assertive community treatment.  Harvard Review of Psychiatry 29:278-297, 2021

Promoting Collaboration Through Inter-Agency Partnerships

  • Kamin D, Weisman RL, Lamberti JS.  Promoting mental health and criminal justice collaboration through system-level partnerships.  Frontiers in Psychiatry 13:1-8, 2021

Cost-Effectiveness of Forensic Assertive Community Treatment

  • Maeng D, Tsun Z, Lesch E, Lamberti JS:  Cost-effectiveness of the Rochester forensic assertive community model.  In Press:  Psychiatric Services