Given the increasing literature on forensic assertive community treatment (FACT), we conducted a systematic review and meta-analysis to explore the effectiveness of FACT among justice-involved individuals with severe mental illness. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. Sixteen studies were included in the systematic review, six of which were included in the meta-analyses for a total of 1,246 participants. Mixed results regarding health-related outcomes were found. The pre-post FACT analysis and comparison with control groups did not yield significant results other than increased outpatient service use. Results on forensic outcomes were more compelling. Both the narrative review and the meta-analysis highlighted that FACT programs may improve justice outcomes such as the number of days spent in jail. More high quality and multisite randomized controlled trials are needed to consolidate findings. Further research is needed to examine other psychosocial factors related to FACT program success.

鉴于法医自信社区治疗 (FACT) 的文献越来越多，我们进行了系统回顾和荟萃分析，以探讨 FACT 在涉及司法的严重精神疾病个体中的有效性。遵循系统评价和元分析的首选报告项目 (PRISMA) 指南。16 项研究被纳入系统评价，其中 6 项被纳入荟萃分析，共有 1,246 名参与者。发现了有关健康相关结果的混合结果。除了增加门诊服务的使用外，前后 FACT 分析和与对照组的比较没有产生显着的结果。法医结果的结果更具说服力。叙述性审查和元分析都强调 FACT 计划可能会改善司法结果，例如在监狱中度过的天数。需要更多高质量和多中心随机对照试验来巩固研究结果。需要进一步研究以检查与 FACT 计划成功相关的其他心理社会因素。