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Promising Program Seal

Rochester Forensic Assertive Community Treatment (R-FACT)

Blueprints Program Rating: Promising

An outpatient treatment program to reduce recidivism and promote recovery among justice-involved adults with a serious mental illness.

Initial Training and Technical Assistance

On average, a 12-month training contract costs $80,000 plus applicable taxes. Training is provided by Drs. J. Steven Lamberti and Robert L. Weisman. The training contract covers all aspects of training and technical assistance, including:

  • Pre-training needs assessment and consultation.
  • Three live trainings, consisting of a two-day “kick-off” training, followed by two additional day-long trainings at 6 and 12 months.
  • All materials, including training manuals, videos, fidelity scale user’s guides, and handouts.
  • A limited license to reproduce training materials for new staff members.
  • Regular teleconferences to promote skill acquisition and to address implementation barriers.
  • A post-training follow-up report.

Curriculum and Materials

Included in the training contract.

Licensing

Included in the training contract.

Other Start-Up Costs

R-FACT is an adaptation of the assertive community treatment (ACT) model. The space needs are the same for R-FACT as for a standard ACT team (i.e. shared office space for approximately 10 staff members).

Ongoing Curriculum and Materials

None.

Staffing

R-FACT is an adaptation of the assertive community treatment (ACT) model. The staffing requirements and operational costs are the same for R-FACT as for a standard ACT team. (For specific staffing requirements, see Act Program Guidelines 2007, Section 4.7.1.) These costs are offset by program revenues, assuming that ACT is a billable service in municipalities seeking to initiate R-FACT.

Other Implementation Costs

Participation of agency administrators and other senior stakeholders is required during each of the three training visits.

Fidelity Monitoring and Evaluation

The training curriculum includes instruction in use of the Rochester Forensic Assertive Community Treatment Scale (R-FACTS) to monitor intervention fidelity. R-FACTS fidelity assessment requires approximately ½ day, with additional time required for preparation beforehand and for report writing afterwards.

A fidelity review is included at the end of the training process (i.e. at month 12).

The R-FACT model teaches ACT team members new skills related to identifying and addressing risk factors for criminal recidivism, including how to collaborate most effectively with criminal justice service providers. As such, R-FACT teams operate within existing administrative and billing structures for standard ACT teams. Beyond training costs, the R-FACT model is designed to introduce no new costs or expenses.