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The Rochester Forensic Assertive Community Treatment (R-FACT) model was developed at the University of Rochester by J. Steven Lamberti, MD, and Robert L. Weisman, DO, beginning with Project Link in 1995.  After Project Link received the American Psychiatric Association’s Services Achievement Gold Award in 1999, Drs. Lamberti and Weisman learned that similar programs were quietly operating across the United States. This observation led them conduct the first national study of such programs, and to coin the term "forensic assertive community treatment" in the research literature.  Their research revealed major differences in how existing FACT programs were designed and how they operated.  To address the issue, Drs. Lamberti and Weisman obtained funding from the National Institute of Mental Health to develop and test a standardized model; the Rochester FACT model.  R-FACT is characterized by four distinct elements:  A high-fidelity ACT "core", identification and targeting of criminogenic risk factors, use of legal authority to promote engagement, and mental health - criminal justice collaboration for effective problem solving.  A randomized controlled trial of R-FACT found that it was associated with significant reductions in convictions for new crimes, jail time, and psychiatric hospitalizations, along with significantly increased engagement in outpatient mental health services.  Further work is currently underway to confirm the R-FACT model's effectiveness and its replicability in diverse communities.