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Maine CIT program expands to correctional facilities
(June 2008 Issue)

By Jennifer Chase Esposito

Nearly four years since New England Psychologist's first profile, Maine's Crisis Intervention Training (CIT) program continues as a healthy exercise in collaboration, as law enforcement officers learn tools and tactics to head-off potentially explosive situations with the people with mental illness with whom they come in contact.

Having changed very little from the original model launched in 2002 thanks to a partnership between Maine's chapter of the National Alliance for the Mentally Ill (NAMI); Ingraham, a local crisis hotline provider; Spring Harbor Hospital, and the Portland Police Department, the curriculum includes a 40-hour training program that has now certified nearly 500 men and women in more than 70 state agencies. The training includes an overview of psychiatric illnesses, including their effect on a person's behavior, as well as discussions with mental healthcare consumers about the importance of responding respectfully and safely to individuals experiencing a psychiatric emergency.

NAMI-Maine wrote the initial grant launching the program but the effort wouldn't have formulated without all above agencies participating. Back in 2002, within six months of being trained by the folks who created the inaugural CIT program in Memphis, Tenn., Maine's program was complete.

Sergeant Robin Gauvin, a 25-year officer with Portland's police department, was responsible for implementing the curriculum within his department. More than 70 Portland officers are now certified. There are more than 90 statewide.

Today, NAMI-Maine has continued working with law enforcement officials in New Hampshire and presented at the 2006 SAMHSA National Conference on informing other states about CIT. And in Maine, the program has expanded into the state's correctional facilities.

"We received funding to expand in 2005 and have now certified staff in 14 county and three state facilities," says Bob Tiner, criminal justice manager for NAMI-Maine. "CIT has also expanded to dispatch/communications staff, fire and EMS, hospital security and college/university police."

Tiner came to NAMI-Maine in September 2007 from Waldo County Sheriff's Office where he was the jail administrator and has been involved with CIT since 2003 when he attended the training himself. Tiner helped bring CIT to his department as a corrections program after seeing its value as a law enforcement program for police officers. At the time, Waldo was the first state agency to have CIT in the county jail. Tiner continued to stay involved in CIT and assisted NAMI in promoting the program statewide to other agencies.

"As a jail administrator, I have witnessed a decline in use-of-force incidents as a result of implementing CIT," he says. "My belief in the program's value led me to join NAMI as a full-time employee."

Six years later, Tiner says that the response to CIT has been overwhelming. Having received positive feedback from all involved, CIT is recognized statewide as an effective jail diversion program. NAMI-Maine received the 2007 SAMHSA "Science to Service Award" for the program.

"CIT is more than just training," says Tiner. "It is about building relationships between law enforcement and community providers. It's about showing compassion towards those with mental illness and those in crisis."

NAMI asked The Center for Health Policy, Planning and Research (CHPPR) at the University of New England to do a study of the expansion project into the corrections system. That report is now complete.