Assertive community treatment (ACT) is associated with an array of positive outcomes for people with serious mental illness, but reducing arrest and incarceration is not one of them. To gain a better understanding of the failure of traditional ACT models to improve criminal justice outcomes, Craig Beach, M.D., M.Sc., and colleagues analyzed five years of data for more than 4,700 ACT clients with and without forensic histories in New York State. Clients with recent forensic histories experienced an array of adverse outcomes, particularly during their first year of ACT. Findings highlight the need for ACT teams to implement additional strategies for these high-risk clients, the authors note (page 437). In the Veterans Affairs (VA) health system, ACT is called mental health intensive case management. A team of VA researchers led by Marcia Valenstein, M.D., M.S., examined 2001–2004 data for VA patients with schizophrenia who were new ACT enrollees and a matched sample of those not enrolled in ACT. ACT enrollment significantly improved medication adherence. The effect persisted for at least 24 months and was higher among patients with greater ACT participation (page 445).