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NAMI Maine Data Collection

  1. NAMI Maine Online Data Sheet
  2. Updated 1/30/2024
  3. CRISIS CAUSED BY
  4. DISPOSITION OF THE CALL
  5. REASON FOR ARREST
  6. REFERRALS MADE: (These are any referrals or information for resources that you gave the individual).
  7. INJURY INCURRED
  8. RESPONDING OFFICER CIT CERTIFIED: (Was the primary officer on scene CIT trained - yes or no?)
  9. REFERRAL SOURCE OF THE CALL: (This is the initial call that was placed to dispatch requesting a response.)
  10. RESPONDENT (check all that apply):*
  11. COMMUNITY CO-RESPONSE: (Was there a co-response by community providers such as crisis, case managers, etc.?)
  12. Updated 1/30/2024
  13. Leave This Blank: