57 pages • 1 hour read
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Earley returns to the jail and observes Freddie Gilbert, an incarcerated man whose mental illness is so severe and his communication so limited that he is housed on the ninth floor for his protection. Gilbert will only respond to the demands of the correctional officers if he is offered food. Dr. Poitier expresses frustration that Gilbert is being held in jail when he requires better treatment than what he can receive while incarcerated.
Ted Jackson, a man with bipolar disorder who is also housed on the ninth floor, becomes the second person Earley will shadow. While being interviewed, Jackson goes on a rambling diatribe about fossil fuels, President Bush, dancing, and more. He believes God has sent him a message that Jesus will return in 2007. When Earley retrieves Jackson’s arrest report, he learns that Jackson was arrested for spray painting “Jesus 2007” around Miami.
The next day, Jackson is transferred to Bayview Center for Mental Health, where Earley visits him. Jackson informs him that he never received antipsychotic medication while in jail. He begins to tell Earley his life story about growing up in Ohio, his run-ins with police, and people who have taken advantage of him. Later, when Jackson is released from prison, he learns that he owes $649 in court fees, an amount he doesn’t have. He also finds himself unable to get home on public transportation, becoming disoriented and confused. Earley notes that, despite the help Jackson received in prison and at Bayview, his condition has not improved.
Earley decides that he wants to hear more from parents like himself, and he reaches out to the Miami chapter of the National Alliance for the Mentally Ill (NAMI). The chapter is run by Rachel Diaz and Judy Robinson, who host separate family support groups.
Rachel Diaz, an 80-year-old woman whose husband became a “recluse,” believes that people with mental illnesses are unable to see their illness objectively or understand that there is anything wrong with how they think. She emphasizes mental illness as a chemical imbalance, one that family members ought not to feel ashamed of or embarrassed about. Earley sits in on one of her support groups, where a pharmaceutical representative from Bristol-Meyers Squibb speaks about a new antipsychotic medication called Abilify.
Earley then attends a NAMI meeting run by Judy Robinson, a woman in her seventies who became active within the organization after her son, Jeffrey, was diagnosed with a mental illness. Rather than doling out advice, Robinson focuses on the latest scientific studies, advocating for political change and telling families of individuals with mental illnesses to push for what they need. Her blunt responses as parents talk about their concerns for their children as they deal with doctors, medication changes, law enforcement, and social services provide a stark contrast to Diaz. Robinson does her best to empower parents to “become [their] own advocate[s] and fight for [their] loved ones” (110). This statement hits Earley especially hard as he looks around the room and realizes that, much like these parents, he’ll never find a cure for his son’s mental illness.
Robinson tells Earley that there is someone she wants him to meet, and as they drive, she tells the story of her son, Jeff, who was diagnosed with schizoaffective disorder. His mental illness began at the age of 18, and over three decades, he was arrested at least 40 times. His tendency to get into fistfights worried Robinson, who feared that the police would one day kill him.
This concern led Robinson to contact Lieutenant Sam Cochran in Memphis, Tennessee. In response to the Memphis community’s distrust of police when dealing with people with mental illnesses, Cochran trained a squad of police to respond specifically to such calls. This squad became known as the Crisis Intervention Team (CIT). Their training led to fewer casualties between police officers and suspects. Robinson found this idea remarkable and did her best to advocate for a CIT to be formed in Miami over the next six years. The Miami police department didn’t take her suggestion seriously until several deaths occurred because of the Miami police department shooting innocent suspects who had mental illnesses.
Robinson and Earley arrive at the house of Renee Sherman, mother of Robbie Sherman, a young man who has bipolar disorder. Robinson met Renee Sherman through her NAMI support group. Robbie’s psychotic episodes and violent outbursts proved difficult to control, and he was shot to death by Miami police. Robinson used this incident, as well as interest from a journalist at the Miami Herald, to spark public discussion about instating CIT in Miami. Earley reflects on how similar Robbie’s story sounds to his son’s and how easily Mike’s encounter with the police could have gone wrong.
Feeling overwhelmed and tired by his investigation in Miami, Earley returns home to Virginia. On the flight home, Earley dreams that he has returned to the ninth floor, this time as an inmate. Upon waking, he makes the connection: “We lock up the mentally ill because they terrify us. We are afraid of them and even more frightened of what they symbolize” (122). He realizes by seeing himself locked up in the dream, “It could happen to us. It could happen to me” (122)
If the first half of Part 1 set the stage for Earley’s investigation, his reporting dives deeper in the second half. Earley finds himself following people who serve as foils to, or perhaps alternate versions of, his son and himself. Both Freddie Gilbert and Ted Jackson, incarcerated men who struggle to keep their mental illnesses in check, bear similarities to Mike. Earley doesn’t state this explicitly but rather allows each individual’s story its own space and time so that readers can see for themselves where they are similar or dissimilar (considering location, age, class, family support, etc.). For example, where Mike has supportive and relatively well-off parents to see him through his legal troubles, Jackson finds himself saddled with court fees he cannot pay. His financial struggles reflect the difficulty people with severe mental illnesses may have in holding permanent jobs, which here collide with a legal system that does not recognize this reality. It thus illuminates one facet of The Plight of People with Mental Illnesses in the Criminal Justice System.
Nor is debt the worst possible outcome. Earley devotes particular attention to the elevated risk of police murder that people with mental illnesses face, as well as many departments’ apathy toward the problem. It is notable that the Miami police department only decides to establish a CIT after shootings of “innocent” people come to light. Earley implies that this reflects a fundamental misunderstanding of mental illness, as someone without a solid grasp on reality is surely not responsible for their actions in the typical sense.
Earley also sets up foils/alternate versions of his own story as he shadows Judy Robinson at her NAMI support group and as he speaks to Renee Sherman. His sympathy for both women is apparent, and the parallels between his story and theirs are more impactful because Mike’s fate is still undetermined. In particular, Robinson’s efforts to support and advocate for the families of people with mental illnesses mirror the aims of Earley’s investigation and speak to the theme of Invisibility, Stigma, and the Need for Community.
By ending this part of the book with his symbolic dream on an airplane, Earley addresses the question of where the fear and stigma surrounding mental illness truly come from. That he has this dream when flying home to see his son suggests that Earley’s time in Miami is already helping him tap into his misconceptions, insecurities, and anxieties when it comes to understanding and supporting his son.
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