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Maine's CIT program sets example
(July 2004 Issue)

By Jennifer Elise Chase

Since 2002, the police department in Portland, Maine has fielded increasing requests from 911 callers asking to speak with "blue circle" officers. And dispatchers who answer those rings know that's a good trend.

Wearing a circular, one-inch blue pin means an officer has completed Maine's Crisis Intervention Training, a 40-hour program that for the last two years has helped more than 70 of Maine's police officers learn the best ways to respond to psychiatric emergencies. Because the CIT program has helped clients in need be less wary of officers, Portland's squad is becoming as much known for its kind demeanor as its deftness in breaking up misdemeanors. And officers are proud of it.

"It's now a collaboration, where it used to be us against them," says Sergeant Robin Gavin, a 21-year officer with Portland's police department. "It used to be the police officers against the social workers or case managers… They relied on us when everything went to hell. [But] now, we have a collaboration."

That collaboration comprises a partnership between Maine's chapter of the National Alliance for the Mentally Ill (NAMI); Ingraham, a local crisis hotline provider; Spring Harbor psychiatric hospital and the Portland Police Department, all of which converged to bring to Maine the CIT program. It 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.

Educators - all of whom volunteer - include people with mental illness and their family members, mental healthcare professionals, advocates for the mentally ill and emergency room staff.

The CIT program has trained law enforcement officers in Portland, South Portland, Westbrook, and Augusta. In April, the program invited its New Hampshire neighbors by training five officers from the Cheshire County Sheriff's Department and the Keene and Jaffrey Police Departments.

"We were thrilled they chose to come over to our state," says Gail Wilkerson, chief of marketing at Spring Harbor Hospital. "It takes all of us to make it work and to work well and I think [the CIT program] is sort of a metaphor on how to treat [mental illness]."

NAMI, Maine wrote the initial grant that launched the program, but all counterparts are quick to call the effort collaboration, and one that still exists. Within six months of traveling to Memphis, Tenn. to learn about the CIT program there, Maine's CIT program was complete. It was quickly put to work. According to Gauvin, common psychiatric crises in Portland largely involve suicides, suicide threats or drug overdoses. With Portland's elder population, CIT officers deal with a lot of dementia, typically caused by improper diet.

"On the street, what happens is officers have a little more empathy," he says, "because most of the time, when we see people on the street, they probably have mental illness."

It is that empathy that has likely brought about the greatest amount of good in the eyes of Maine's healthcare professionals.

"I see [police officers] taking time out of their hectic jobs to speak with people in a very positive way," says Joe Everett, assistant director of operations at Ingraham. "[And] what personally pleases me is the consciousness we raise with police officers with mental illness."

"It gives police officers permission to be human and work with people," he says.

Others agree. "What I'm seeing here in Maine is officers having the opportunity to spend more time in the community," says Melissa Gattine, one of the initial group who, along with Gauvin and Joyce Cotton from Spring Harbor trekked to Memphis two years ago.

No one has had his eyes opened more than Gauvin. "There was an exercise that a woman did at NAMI [in Memphis] that brought me around," he says. "She had a dry erase board with a line drawn vertically. And on one side she said, 'Name all of the slang words associated with mental illness.'" Gauvin says people spouted words like "nuts, crazy, kooks."

"On the other side, she asked for names for people [diagnosed] with cancer," where terms like "brave" and "strong" were offered. The instructor's point, says Gauvin, was to show that mental illness is a disease like any other. Police officers in Maine now treat it as such.