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The current study aimed to identify the correlates of post-traumatic stress among a sample of women on probation and parole with a history of victimization. Community-based sampling was used to recruit 406 women on probation and parole in Jefferson County, Kentucky. The post-traumatic stress diagnostic scale was used to measure three indicators of post-traumatic stress: post-traumatic stress disorder diagnosis, symptom severity, and the number of life domains impacted by symptoms. Shaped by the comprehensive health seeking and coping paradigm, logistic and ordinary least squares regression analyses were used to examine the relationships between sociodemographic factors, criminal justice involvement, cumulative victimization, substance use, social support, material loss, homelessness, and post-traumatic stress. Models identifying correlates of post-traumatic stress accounted for between 18.6% and 26% of the variance and point to critical opportunities for intervention surrounding the dynamic factors of recent intimate partner violence and material loss. Targeting these important factors during community supervision is anticipated to decrease post-traumatic stress and increase the likelihood of success under criminal justice system supervision.

Research on paternal incarceration has paid less attention to young fathers incarcerated in jail settings where most residents are either pretrial detained or serving out short sentences. This stud...

Purpose This study aims to examine steps taken by correctional staff to prevent COVID-19 from spreading through correctional facilities and explores strategies used by incarcerated individuals to reduce their own risk of contracting COVID-19 during confinement. Design/methodology/approach Data were drawn from interviews with 327 individuals incarcerated after March 16, 2020, in Midwest1, Midwest2 and Southeast state using a questionnaire developed for this purpose. All study participants were actively involved in a randomized controlled trial of a behavioral health reentry intervention and the human subjects board approved the supplement of this study on COVID-19; interviews were conducted from April 15 to November 19, 2020. Findings Overall, 9.89% of participants contracted COVID-19. Most (68.50%) individuals learned about COVID-19 from television compared to official correctional facility announcements (32.42%). Participants wore face masks (85.02%), washed hands (84.40%) and practiced physical distancing when possible (66.36%). Participants reported that facilities suspended visitation (89.60%) and volunteers (82.57%), provided face masks (83.18%), sanitized (68.20%), conducted temperature checks (55.35%) and released individuals early (7.34%). Social implications Longitudinal observational study on the implementation and effectiveness of public health guidelines in prisons and jails may identify best practices for containing the infectious disease. Maximizing transparent communications, as well as COVID-19 prevention and mitigation efforts, are critical to achieving universal best practices for virus containment and amplifying public health. Originality/value Data presented indicate the early adoption of many Centers for Disease Control guidelines by individuals and correctional facilities, although broad variation existed. Data support the identification of containment strategies for feasible implementation in a range of correctional spaces.

Leaving incarceration and returning home (i.e., reentry) affects individuals and their families; 90% of individuals releasing from prison rely on family for critical reentry supports. Although positive family support during this period is empirically linked to an individual’s success, providing support can place a substantial emotional, social, and fiscal toll on family units. Without intervention, positive family support may deteriorate or become negative. This article presents the theoretical and empirical grounding for creating family-focused reentry interventions which target the family members of individuals leaving incarceration to improve the outcomes of both the re-entering individual and the family unit. This article then proposes a family skills training intervention Support4Families, and describes the evidence-driven intervention components of Support4Families. The intervention was developed using preliminary social support research and feedback from family members of formerly incarcerated individuals. Current testing and future research agenda of family support interventions in reentry are also explored.

The Grand Challenge to Promote Smart Decarceration was launched more than 5 years ago to advance strategies to reform the criminal legal system. Smart decarceration aims to decrease the use of incarceration, reverse disparities, and maximize community safety and well-being. Ultimately, smart decarceration seeks to build social capacity through robust and community-driven responses to local issues without resorting to the default incarceration approach. This updated chapter expands on these original goals, bringing attention to historically underrepresented groups, emphasizing “front-end” actions needed to prevent future criminal legal system involvement, and discussing decarceration strategies that are antiracist and diverse. The chapter also updates readers on the progress to date of promoting smart decarceration and proposes a vision for the future of the Grand Challenge to Promote Smart Decarceration.

Increasing the effectiveness of programs designed to treat individuals who have sexually offended is a critical step in reducing the rates of sexual violence in our communities. Yet, the research o...

Over the past decade and a half, substantial resources were poured into the development of prisoner reentry programs. However, the excitement that surrounded the initial roll out of reentry program...

A significant treatment gap exists for incarcerated men with lifetime traumatic experiences. A small research base for trauma interventions for incarcerated women is emerging, but incarcerated men have largely been ignored. Men comprise 90% of the incarcerated population and are at the greatest risk

The research process within prisons has largely considered researchers’ perspectives. Only one known study explicitly examined incarcerated persons’ perceptions and no known studies have explored incarcerated persons’ experiences with research on sensitive topics. This study examines incarcerated women’s experiences with participating in research on victimization. A thematic analysis was conducted on responses to open-ended questions about participating in a research study from 227 women in two prisons who participated in a study about victimization. Women prisoners were overwhelmingly positive about participating in the research study with the vast majority willing to participate in a future study. Participants believed participating in the study provided opportunities for them to share their story, heal, reflect, grow, and help others. Some women mentioned that discussing certain topics created uncomfortable emotions and memories. Participants perceived benefits of participating in research. Implications for research in prisons are presented.

Objectives: Positive social support is critically important to postprison well-being outcomes. However, researchers and program developers are still trying to understand how to best promote stable and sustainable social support for formerly incarcerated individuals during reentry to the community. We sought to add to the body of knowledge on social support and prisoner reentry by comparing men and women releasing from prison on the quality (e.g., positive or negative) and amount of informal social support. Methods: A random sample of 395 male ( n = 165) and female ( n = 230) releasing prisoners participated in the study. After unadjusted bivariate comparisons, multivariate regression was conducted to identify gender differences in preincarceration social support quality of influence and anticipated number of postrelease support persons while controlling for important covariates such as substance abuse and mental illnesses. Results: Males reported higher rates of negative social support overall, and females reported higher rates of both mixed and positive social support compared to their male counterparts. Older participants reported higher levels of positive support compared to younger participants. Men of color reported significantly higher levels of positive support than their White male counterparts. Overall, women had higher prevalence of behavioral health factors that complicate quality of support. However, there were no differences in gender found for the amount of perceived social support available postrelease in the unadjusted models. Implications: Study findings suggest the need for gender-specific and culturally tailored targets for prisoner reentry programs addressing social support. Possible adaptations for interventions are explored.

Objective Over 50% of released prisoners are reincarcerated within 3 years. Social support from loved ones postincarceration significantly reduces the likelihood of reincarceration. Increasingly, intervention developers aim to implement interventions that will enhance the stability of support available. This study responds to gaps in knowledge. Method The current efficacy study reports findings from a randomized controlled trial (n = 57) of a social support intervention. A priori power analysis indicated moderate effect sizes could be detected. Participants were men, average age was 25 years, and over 90% were African American. Preliminary effects on social support, cognitions, substance use, and rearrest were assessed. Recruitment and consent occurred in prison; the intervention and 4 follow-ups occurred postrelease. Results Findings converge with research indicating declines in social support (b = −.70, p < .05) and perceived quality of support (b = .05, p < .01) over time. Age showed inverse relationships with support (b = −1.77, p < .05). There were no statistically significant group effects for social support, cognitions, substance use (with the exception of marijuana), or recidivism. Clinical implications are discussed. Conclusion This study advances research on intervention dosage, potency, and measurement considerations.

Sex offender outcome studies continue to produce mixed results. A common critique of these studies is their lack of methodological rigor. This study attempts to address this critique by adhering to the standards established by the Collaborative Outcome Data Committee (CODC) aimed at increasing the quality and confidence in outcome studies. We examined recidivism outcomes for a sample of formerly incarcerated sex offenders who participated in a state prison-based cognitive-behavioral-skills-based treatment program. We used propensity score analysis to compare treatment participants with a matched sample of non-participants. The final sample post-matching ( n = 512) was observed for a minimum of 4 years and a maximum of 14 years. Using survival analysis, findings indicate that there were no differences in recidivism rates between treatment participants and non-participants in sexual or violent crimes. However, participants demonstrated significantly lower rates of recidivism for non-violent crimes. We discuss strengths, limitations of the study, and implications of these findings.

The current study uses the dose–response model to examine the relationships between childhood victimization events and subsequent depression, symptoms of psychosis, and substance misuse in a sample of 230 randomly selected incarcerated women in the United States. Results on the frequency of victimization were mixed. In this sample, both frequency of physical abuse and frequency of sexual abuse significantly predicted current symptoms of psychosis, but only frequency of physical abuse significantly predicted substance misuse. Incarcerated women who experienced multivictimization were 5.7 times as likely to report depression, 4.2 times as likely to report current symptoms of psychosis, and 3.8 times as likely to meet criteria for a substance use disorder. Results indicate that adjusting prison-based interventions to address multivictimization may improve outcomes and reduce recidivism among this population.

Randomized controlled trials (RCTs) are rarely used to evaluate social and behavioral interventions designed for releasing prisoners. Objective: We use a pilot RCT of a social support intervention (Support Matters) as a case example to discuss obstacles and strategies for conducting RCT intervention evaluations that span prison and community contexts. Method: First, we summarize existing studies with current and former prisoner samples that highlight RCT methodological techniques. Then, we introduce the trial of Support Matters and discuss obstacles and efforts to overcome those obstacles. Results and Conclusions: We focus on factors related to sampling frame, participant eligibility, sample size, engagement, and attrition. We conclude with general recommendations related to project delays, compromised research sites, and retention. This article provides guidance based on lessons learned from an RCT of a social support intervention with releasing prisoners and their loved ones. Barriers discussed and recommendations presented here will help interventionists develop and implement RCTs in prison to community contexts.

A relatively unexplored area of prisoner reentry programs involves actively engaging the prisoner’s naturally occurring social support in the reentry interventions. Most reentering prisoners rely on loved ones for social support, but that support is often fragile. Interventions that strengthen the sustainability of social support are crucial to a successful reentry. This study evaluates the acceptability of a social support intervention for male prisoners with substance-use disorders who are reentering the community. The manualized, community-based Support Matters intervention is delivered to dyads comprised of a reentering prisoner and a support partner through 10 weekly group sessions. Support Matters teaches cognitive and relational skills that reduce the likelihood of relapse to substance abuse and crime. This acceptability evaluation pilot tested Support Matters with a sample of 30 prisoner-support person dyads and 7 program facilitators to assess the recipients’ and intervention deliverers’ ...

The United States has the world’s largest proportion of people behind bars. Mass incarceration and failed rehabilitation have resulted in staggering economic and human costs. Our challenge is to develop a proactive, comprehensive, evidence-based “smart decarceration” strategy that will dramatically reduce the number of people who are imprisoned and enable the nation to embrace a more effective and just approach to public safety.

Re-entering prisoners have complex needs. Growing attention hasturned to the role of informal social support in successful post-release outcomes. Research indicates informal supports are available to re-entering prisoners, yet this support can be experienced negatively and contribute to poor outcomes. We examined antici-pated and received quality, source, and types of support for re-entering prisoners from perspectives of 60 re-entering prisonersand corrections professionals. We found re-entering prisoners anticipated and received what they considered positive support. Alternatively, corrections professionals perceived limited positive support as available and instead reported negative support as morelikely. Corrections professionals also questioned whether re-entering prisoners’ accurately differentiate positive and negative support. Results indicate key practice implications.

Women entering prison report high rates of childhood victimization. Women in prison also report higher rates of nonfatal suicidal behavior (self-reported suicide attempts) than women in the general population and similar rates to their male counterparts despite having significantly lower suicide rates than males in the general population. Yet, there is a dearth of research that addresses the relationship between childhood victimization and suicidality for women prisoners in the United States. The purpose of this study is (a) to assess the relationship between childhood victimization and nonfatal suicidal behavior for a random sample of women prisoners; (b) to investigate predictive differences between childhood physical victimization, childhood sexual victimization, childhood neglect, and childhood support; and (c) to determine whether women prisoners with higher frequencies of childhood victimization and neglect are more likely to have attempted suicide than women prisoners with lower frequencies. Results indicate that childhood victimization, neglect, and lack of support are all significantly associated with nonfatal suicidal behavior among women prisoners. Frequency of childhood neglect had a larger effect size than frequency of childhood physical victimization, childhood sexual victimization, and lack of support. The results of this study add to the growing body of literature on childhood victimization and suicidality in general, and nonfatal suicidal behavior for prisoner populations in particular. The article ends with a discussion on clinical implications; particularly the finding that frequency of childhood victimization, childhood neglect, and lack of childhood support matters when determining the risk of suicidality.

Individuals with a serious mental disorder (SMD) are disproportionately incarcerated in state prisons, and research has shown that individuals with SMD are more likely to recidivate upon release. Persons of color are also disproportionately incarcerated and at risk for repeat incarcerations. However, minimal research has yet to examine whether the relationship between SMD and recidivism is conditioned on race. This study used proportional hazards Cox regression modeling to investigate the effect of SMD on criminal recidivism over an 8-year period among 22,376 former prisoners in North Carolina. The interaction between race and SMD is explored to test for cross-racial variation in time-to-reincarceration. A significant interaction effect of non-Black minority by SMD was found. Non-Black minority former prisoners with SMD returned to prison significantly quicker than non-Black minorities without SMD. No interaction effect was found for either Black or White former prisoners. Hazard to return to prison was also significantly increased for former prisoners that were younger in age, male, Black, not employed at arrest, and indicated for substance abuse. Those factors contributing to the effect of SMD on criminal recidivism within non-Black minority former prisoners is unclear. Additional research is needed on the interactive effects of racial group and SMD on postprison experiences. (PsycINFO Database Record

Social workers are needed but infrequently involved with criminal justice systems. One way to increase the number of social workers in the criminal justice system is by exposing students to work in these settings. This study examined the number, types, and utilization of criminal justice field placements in MSW programs by surveying field education directors. On average, 7.73% of field placements were in criminal justice settings. When asked about barriers to criminal justice placements, the most frequently identified challenge was a lack of MSW supervisors. Implications for future research and education are discussed.

Women provide support for many vulnerable groups, work that is frequently discounted with gendered stereotypes. One growing vulnerable group is former prisoners who often return to women family members. We completed a qualitative study with 25 former prisoners and criminal justice staff to examine their conceptualizations of the demands placed on women supporters of former prisoners. Results indicate a significant burden of support experienced by women, discounted by prisoners and criminal justice staff through a dynamic of gendered idealization and stigmatization. Implications include the importance of exposing this dynamic and providing supports to decrease the burden of care that women experience.

Social work has neglected adults involved in the criminal justice system for nearly four decades. This neglect has been attributed to value conflicts between social work and criminal justice professionals, perceived limited effects of interventions with adults involved in the criminal justice system, and lack of social work training in services to those involved in the criminal justice system (Scheyett, Pettus-Davis, McCarter, & Bringham, 2012). Meanwhile, the number of adults under criminal justice supervision has increased sevenfold. Nearly 24 million people cycle through the U.S. criminal justice system each year. On any given day, 2.3 million people are held in state and federal prisons or local jails, and more than 7.2 million people are under some form of criminal justice supervision (Glaze, Bonczar, & Zhang, 2010; Sabol & West, 2010). Fear-driven and conceptually devoid policies adopted since the 1970s have turned America into a carceral state with criminal justice supervision rates higher than those in most nations in the world (Gottschalk, 2011). The reach of criminal justice involvement extends well beyond the sentence for a crime committed. During the time period that social work disengaged from the criminal justice system, policies proliferated throughout the United States to exclude justice-involved adults from conventional means of citizenry. A felony conviction permanently bans adults from a multitude of housing, employment, education, social service, and civic participation (for example, voting) opportunities. These exclusionary policies impede social mobility and propagate intergenerational transmission of inequality (Wakefield & Uggen, 2010). Despite the enormous implications for social justice, social workers remain silent. Therefore, it seems important to remind fellow social workers that almost every facet of social work intersects with criminal justice. RACIAL DISPARITIES More than 60% of prisoners in the United States are racial or ethnic minorities (Sentencing Project, 2011). Arrest rates for African Americans are double the national average (Bureau of Justice Statistics, 2011). African Americans make up half of the prison and parole populations and one-third of the probation population but only 12% of the general population (Glaze et al., 2010; Sabol & West, 2010). If current trends continue, one in three African American men and one in six Hispanic men will go to prison at some point during their lifetime, compared with one in 17 white men (Bonczar, 2003). POVERTY Nearly half of prisoners in 2004 had been in poverty in the year prior to their arrest (Wheelock & Uggen, 2006). The rate of homelessness among prisoners is four to six times the rate of homelessness among the general population (Greenberg & Rosenheck, 2008). Earning potential is severely limited by involvement in the criminal justice system. A history of incarceration reduces annual income for men by 40% (Western & Pettit, 2010). Parental incarceration imposes hardship on families and negatively affects the economic and residential stability of children (Geller, Garfinkel, Cooper, & Mincy, 2009). EDUCATION Adults involved in the criminal justice system report poor educational histories. On average, only 13% of jail inmates have more than a high school education. Two-thirds of state prisoners and 44% of jail inmates have less than a high school education. Compared with 18% of the general population, one-third of adult probationers did not complete high school (Harlow, 2003; James, 2004). CHILD WELFARE More than 2.7 million children have a parent in jail or prison (Western & Pettit, 2010). Parental incarceration is related to aggression, delinquency, anxiety, and depression in children (Wakefield & Wildeman, 2011). National data indicate that at least 12.5% of children reported to child welfare authorities had parents who had been arrested (Phillips, Burns, Wagner, & Barth, 2004). …

Purpose Naturally-occurring social support is underutilized in interventions with former prisoners with substance use disorders. This paper proposes a conceptual framework followed by a program model to inform the development of naturally-occurring social support interventions with former prisoners with substance use disorders. Methods We reviewed all published social support interventions designed for former prisoners and people with substance use disorders over a ten year period. Building on the implications of this review, empirical literature, professional experience, and theory, we propose a conceptual framework for naturally-occurring social support programs. Results Few published programs exist that actively incorporate social support providers into the program model. Of these, even fewer use naturally-occurring support. Expanding on gaps in theory and program approaches, the conceptual model posits that it is the appropriate match of support needs and provision that reinforces emotions, cognitions, and behaviors, that in turn, promote adaptive outcomes. Conclusions With mounting pressure to identify interventions that will reduce high re-incarceration rates, this paper draws attention to a neglected, potentially effective, and low cost resource – naturally-occurring social support. The described program, Support Matters, illustrates how social support interventions can be used with former prisoners to promote reduced relapse to substance misuse and crime.

The work of parole officers who supervise sex offenders rarely comes to the public’s attention unless something goes wrong. Research suggests that those providing postrelease supervision of convicted sex offenders likely experience trauma as a result of their work and that little support is available to respond to their emotional needs. This manuscript explores parole officers’ and parole officer supervisors’ experiences of the symptoms of secondary trauma, defined as the emotional and cognitive experiences of hearing stories that recount one or more traumatic events. The qualitative study described here builds on existing literature by providing a detailed exploration, presented in their own words, of the experiences of specialist parole officers, about how they cope with the symptoms of secondary trauma, and about what they need to help them continue to do the job that the public and the politic want done well. Recognizing and understanding the symptoms of secondary trauma among supervising officers have important implications for maintaining a healthy workforce and for providing effective management of sex offenders in the community.

Evidence-based practice must include the translation of research into practice, and the social work practitioner is the essential link in that translation. As part of the EBP process, researchers must present findings in a way that is accessible to practitioners and practitioners must view the study as relevant and representative of their clients’ needs. This article provides practitioners with tools to interpret research, specifically the sampling process. Our goal is to support practitioners in bridging the gap between research and practice. We discuss how sampling fits with the translation of research and describe sampling procedures. We conclude with a unique three-step approach for reviewing research that is designed to assist practitioners to translate research into practice.

Individuals with severe mental illnesses (SMI) are a vulnerable population, struggling to cope with fragmented and often unwelcoming community service systems. Research has examined Assertive Community Treatment (ACT) as an intervention for SMI individuals, but little research has explored ACT's potential as a community system change intervention. Using focus groups with ACT teams, we explored changes in community service systems as a result of ACT teams' presence. Changes identified included increased understanding of SMI; increased access to services; and increased collaboration across service systems. Processes by which these changes occurred included knowledge communication, negotiation, renaming by association, and ongoing relationships.

Persons with severe mental illness have higher rates of chronic general medical illness compared with the general population. Similarly, compared with the general population, incarcerated persons have higher rates of chronic medical illness; however, there is little information about the synergy between severe mental illness and incarceration and the general medical problems of consumers. To address this gap in the literature this study addressed the following question: are consumers with a history of incarceration at greater risk of general medical problems compared with consumers without such a history?Administrative data were used to compare the medical problems of 3,690 persons with severe mental illness with a history of incarceration and 2,042 persons with severe mental illness with no such history.Consumers with a history of incarceration were more likely than those with no such history to have infectious, blood, and skin diseases and a history of injury. Furthermore, when analyses controlled for gender, race, age, and substance use disorders, consumers with an incarceration history were 40% more likely to have any general medical problem and 30% more likely to have multiple medical problems.The findings presented here call for better communication among local public health and mental health providers and jails and better integration of primary care and behavioral health care among community mental health providers. Also, research should be accelerated on evidence-based interventions designed to divert persons with severe mental illness from the criminal justice system and facilitate community reentry for persons with severe mental illness who are released from jails and prisons.

In 2005, there were 20,888 prisoners in the U.S. prisons known to be HIV-positive, many substance-involved. The high reincarceration rate of substance-involved prisoners, coupled with the fact that substance-involved prisoners are more prone to HIV-risk behaviors in the community, necessitates attention to preventing substance use and HIV transmission risk behaviors of prisoners upon reentry to communities. We use a social support framework to explore the role of social support in HIV+ prisoners' expectations of release and postrelease plans. Interview data from 23 participants were collected from August 2005 to January 2006. Participants reported concerns about their ability to access needed formal and informal prosocial support upon release. Implications of these findings for release planning are discussed.

High rates of lifetime trauma experiences exist among men incarcerated in US state and federal prisons. Because lifetime trauma experiences have been linked to problematic behavioral and psychiatric outcomes for incarcerated populations, trauma-informed interventions could improve post-release well-being of releasing men prisoners with trauma histories. Social support has consistently been found to have a positive impact on trauma-related outcomes in non-incarcerated populations. Therefore, it is reasonable to hypothesize that social support may be an important intervention component for releasing men prisoners with trauma experiences; yet, the relationship between trauma experiences, psychiatric and behavioral factors, and social support has received almost no attention in research with men prisoners. Using a probability sample of 165 soon-to-be-released men, the present study examined differences in certain demographic, criminal justice history, mental health, substance abuse, and social support (type, quality, amount, and source) variables between releasing men prisoners with and without lifetime trauma experiences. Results indicate that men with trauma histories had more negative social support experiences and fewer positive social support resources before prison than their counterparts. Men with trauma histories also had more lifetime experiences with mental health and substance use problems. On further investigation of the subsample of men with trauma histories, those who were older, had substance use disorders, and histories of mental health problems anticipated fewer post-release social support resources. Study findings underscore the nuances of social support for men prisoners with trauma experiences and point to implications for future directions in targeted trauma-informed intervention development for releasing men prisoners.

This study examines the relationship between childhood victimization and self-reported current symptoms of psychosis in an incarcerated female population in the United States. Participants are 159 randomly selected women incarcerated in two North Carolina state prisons. Participants completed a battery of self-report measures to assess childhood victimization and current and lifetime experience of audio/visual hallucinations and delusions. In accordance with the dose–response model, we hypothesized a predictive relationship between severity, frequency, and type of victimization and psychosis for this sample of women prisoners. Results indicate that women who experienced multi-victimization were 2.4 times more likely to report current symptoms of psychosis than other women prisoners who experienced only physical or sexual victimization in childhood. Likewise, a one-unit increase in frequency of childhood victimization was associated with a 3.2 % increased likelihood of having reported symptoms of current psychosis. These results provide support for the dose–response model hypothesis that multi-victimization is an important predictor of psychosis for the women prisoner population. Results indicate that adjusting prison-based mental health services to address the relationship of childhood victimization and symptoms of psychosis may be a key factor in improving outcomes among this population.

A common critique of program evaluations of prison-based sex offender treatment holds that the samples inherently show selection bias because the participants typically volunteer for treatment. To address this critique, we used propensity score analysis to assess the influence of volunteerism on treatment effects. We examined recidivism outcomes for a sample of participants who volunteered for treatment, of whom some participated in treatment ( n = 161) and some did not ( n = 282) and compared these outcomes to the recidivism rate of a matched sample of nonvolunteers for treatment ( n = 443). The primary finding is that offenders who volunteered for treatment did not demonstrate any differences in recidivism rates when matched with and compared to inmates who did not volunteer to participate in treatment. Furthermore, our results revealed that there were a number of significant differences between unmatched volunteers and unmatched nonvolunteers, perhaps most importantly in their risk for future recidivism as measured by the STATIC-99 risk assessment. We discuss study strengths and limitations and present the implications of the findings for policy, practice, and research.

Objective The evidence for forensic assertive community treatment (FACT) is promising; however, a number of gaps in our knowledge about FACT remain. For example, only one study in the extant literature includes the perspectives of FACT consumers and more information about what consumers like and/or dislike about FACT is needed. Methods To address this gap in our knowledge, semi-structured interviews were conducted with 14 FACT consumers from four FACT teams in Ohio. Interviews were audio recorded and transcribed and open coding analysis techniques were used to identify themes. Results Findings suggest most consumers have no complaints or dislikes about FACT and found housing assistance, access to mental health services, and access to medication and psychiatrists particularly helpful. Conclusions and implications for practice FACT consumers have profound needs and teams must be prepared to provide a wide array of intensive services, especially in early stages of intervention. Collaborations with local Housing First or other initiatives may be particularly important to facilitate consumer engagement and build therapeutic rapport. This study contributes to the growing literature on FACT; however, more research is needed about how FACT needs to be adapted to serve justice-involved consumers, the critical ingredients of FACT, and FACT's impact on psychiatric functioning and other outcomes.