In a recent investigation conducted by the US Army, a series of communication breakdowns among various entities were found to have occurred prior to the tragic mass shooting in Lewiston, Maine, last year. The investigation report highlighted failures in communication between Robert Card's military chain of command, civilian law enforcement, and medical providers, which ultimately impacted Card's continuity of care.

One critical failure identified in the investigation was that military and civilian health facilities failed to upload Card's discharge documents to the military medical system for more than two weeks after he left their care. The discharge summary contained crucial information regarding Card's mental health issues, including homicidal ideations and resistance to psychoeducation. This information, if provided to the chain of command, could have provided insights into the extent of Card's mental health challenges.

The report also revealed several months of concerning behavior exhibited by Card leading up to the shooting. Colleagues, friends, and family expressed concerns about his mental health and believed he was capable of harming others. In fact, Card's best friend had even warned unit leadership about the potential for a mass shooting in a text message sent a month prior to the rampage.

The investigating team, consisting of a senior military intelligence officer, a military judge advocate, a nurse, and a criminal investigation division agent, interviewed 43 witnesses and gathered 445 pieces of evidence during their inquiry.

While Army reservists like Card typically serve around 40 days a year, his chain of command still had limited jurisdiction over him. Nonetheless, three individuals within Card's chain of command have faced disciplinary action, though the exact nature of the punishment remains unspecified.

The investigation report also criticized Card's leadership for ordering him to attend annual training in July 2023, despite his hospitalization in a psychiatric facility. The report emphasized that a proper Line of Duty Investigation should have been conducted to document his hospital stay and condition. Furthermore, the investigation highlighted the importance of leaders actively checking in on their soldiers' well-being, regardless of their limited duty status.

The breakdown in Card's mental state is believed to have begun in the fall of 2022, with a series of emotional events and behavioral health challenges. While Card had no previous recorded history of suicide attempts or mental health issues, his demeanor drastically changed in January 2023, becoming increasingly paranoid and exhibiting signs of anger towards others.

Card's family had raised concerns about his mental health to law enforcement by May 2023, even reporting that he possessed multiple firearms at his home. Despite these concerns, multiple attempts to contact Card failed, and law enforcement did not exercise measures to restrict his access to privately owned firearms under the Maine Yellow Flag Law.

The investigation also pointed out the delayed transmission of Card's discharge summary from Four Winds, the civilian hospital where he was treated, to the Army hospital. This delay potentially influenced the unit's ability to remove Card's personal firearms from his home.

Attention was also drawn to Four Winds as the facility refused to participate in the Army's investigation. The investigating officer recommended the Defense Health Agency to consider removing Four Winds as an authorized treatment facility.

In the days preceding the shooting, Card secluded himself further, accusing those around him of talking about him and ridiculing him. Despite continuous outreach from his family, Card withdrew from support and failed to respond to attempts made by the Army Reserve Medical Management Center to contact him for follow-up treatment and check on his well-being.

The investigation shed light on the severe breakdowns in communication between various entities involved in Card's case. The Army's efforts aim to prevent such incidents in the future and emphasize the importance of prompt and effective communication to ensure the well-being of service members.

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