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2015-41: Forensic FACT MID (Call 2015-41)

Target group

Forensic (F)ACT is intended for those patients/clients who alternately have either a forensic indication or not. 

Forensic FACT teams and the MID client

Since 2008, forensic (F)ACT teams have been set up at various locations in the Netherlands. FACT teams are Flexible Assertive Community Treatment teams. They offer targeted and flexible care to people with serious psychiatric disorders who have been, or are at risk of being, in contact with the criminal law. The primary objective of these teams is to reduce recidivism. It is becoming increasingly clear that forensic (F)ACT teams can play an important role in filling the gap between the judiciary and the mental healthcare sector. Within forensic psychiatry, the group of people with mild mental disability (MID) is increasingly recognised as a specific target group. People with an MID and serious additional problem behaviour cause a lot of social nuisance and are 'a complex problem' (Kaal, 2010). Although the existing (forensic) (F)ACT teams in the mental healthcare sector already have MID clients in care, experts from both the disability care and the mental healthcare sector believe that this target group (including forensic clients) could benefit from ACT and FACT to an even greater extent than was previously the case.

Application and effect

By using the joint expertise of the Trimbos Institute and De Borg, the objective was that (F)ACT could be used more widely and more specifically for forensic clients with an MID, so that this target group could also benefit from the active elements of (forensic) (F)ACT. The implementation of (F)ACT for the forensic MID target group was actively supported for two years with funding from KFZ. For this specific target group, continuity of care (and therefore also the continuity of funding) is a prerequisite for achieving lasting results. 

The experiences with (F)ACT MID are positive. Using this method, De Borg was able to reach a target group that had previously been insufficiently reached or did not receive the right care. Clients and financiers of care have positive experiences with or a positive image of (F)ACT and care providers see that clients benefit from this care because they can keep clients in care and prevent drop-outs, limit admissions and relieve the judiciary. The practical implementation of the model and the certification differ per institution but score sufficiently everywhere. However, the administrative burden and the pressure to produce results is still disproportionately high everywhere, which can counteract the optimal implementation of the (F)ACT. 

Executive party

The Borg institutions: Trajectum (main applicant), Altrecht Fivoor, IpsedeBruggen, Dichterbij-Stevig.