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NAMI Maine Data Collection

  1. NAMI Maine Online Data Sheet
  2. CRISIS CAUSED BY
  3. DISPOSITION OF THE CALL
  4. REASON FOR ARREST
  5. REFERRALS MADE: (These are any referrals or information for resources that you gave the individual).
  6. INJURY INCURRED
  7. RESPONDING OFFICER CIT CERTIFIED: (Was the primary officer on scene CIT trained - yes or no?)
  8. REFERRAL SOURCE OF THE CALL: (This is the initial call that was placed to dispatch requesting a response.)
  9. RESPONDENT (check all that apply):*
  10. COMMUNITY CO-RESPONSE: (Was there a co-response by community providers such as crisis, case managers, etc.?)
  11. Updated 11/12/2021
  12. Leave This Blank: