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As Mike’s attorney tries to reach a deal with the prosecutor, Mike enters treatment. The owners of the house Mike broke into, however, won’t back down from wanting him to plead guilty to the two felonies. Meanwhile, as he awaits trial, Mike has recovered enough to find a part-time job to pay his hefty medical fees, but he quits after a few weeks, not feeling ready to handle employment on top of his treatment. When Mike’s new court date arrives, a new opportunity for a plea bargain arises, and Mike pleads guilty to two misdemeanors rather than a felony. Earley allows himself to consider the perspective of the family whose house was broken into, feeling sympathy for them as victims as well as for his son.
Mike switches medications and gains renewed energy. He decides to look for a job again but realizes he sometimes must disclose his record of misdemeanors and bipolar disorder. Both Mike and Earley realize that, despite already having overcome many hurdles, Mike’s life will never look the same as it did before his diagnosis.
Earley speaks to Dr. E. Fuller Torrey, a psychiatrist who testified before a congressional subcommittee in 1997 that people with mental illnesses were more likely to be unhoused due to the near-impossibility of involuntary psychiatric treatment in most states. He would go on to found a nonprofit advocacy group called the Treatment Advocacy Center (TAC) to challenge mental health legislation, as well as the Bazelon Center, which defended these laws.
Initially compelled by his sister’s schizophrenia diagnosis, Dr. Torrey would go on to believe that mental illnesses were diseases of the brain rather than merely products of childhood environment. His ideas were counter to the prevailing ideas put forward by the NIMH when he first began working there in 1970. He would later write Surviving Schizophrenia and many other important works on supporting people with mental illnesses.
Dr. Torrey’s TAC would also draft Kendra’s Law, which allowed medical providers to force a patient to take medication if they met six specific criteria. It was signed into law in 1999. Kendra’s Law was meant to be safer for the public and for the patient. Dr. Torrey tells Earley that the law wouldn’t force a patient like Mike to take medication but was aimed at those with a history of violence as well as hospitalizations.
On his next trip to Miami, Earley is invited to dinner with Judy Robinson and her son Jeff. Earley notes that Jeff, who is in his early fifties, does not appear to have a mental illness. Robinson and Jeff both tell the story of how his mental illness began to manifest when he was 12 years old. He was originally diagnosed with bipolar disorder, and the illness was blamed on Robinson’s skills as a mother. The diagnosis was later changed to schizoaffective disorder. After Jeff had charges of attempted kidnapping brought against him and subsequently dismissed, he found medical treatment that helped.
Even with the progress he has made, Jeff tells Robinson and Earley that he is sure that he is being “watched and tested” by federal agents (232). Earley notes that Jeff’s outward demeanor shifts and that he appears to be more on edge. When Earley brings this up to Robinson and asks how she deals with her son’s mental illness, she becomes emotional, saying that for all her advocacy, she knows there is only so much she can do to help her son.
Earley shifts his focus from mental health diagnoses and law to longer-term prognoses for people with mental illnesses. Earley uses Mike’s journey through the legal and mental health care systems as a framework for his research as well as for the book’s structure. The next stage of Mike’s story, especially as he tries to pick up the pieces of his life and find employment after pleading guilty to two misdemeanors, adds personal resonance to Earley’s research and reporting. It thus serves the theme of Invisibility, Stigma, and the Need for Community, rendering the plight of people with mental illnesses more visceral for readers.
Dr. Torrey’s work on Kendra’s Law shows how state legislators have begun to respond to their constituents’ desire to see fewer people with mental illnesses living on the street. While the law is still controversial, it is presented here as a gesture toward how reform can benefit patients and their families while also upholding public safety. This discussion also puts Mike’s story into perspective, especially when Dr. Torrey says Mike would not have been forcibly medicated under Kendra’s Law. As much as Mike’s struggles have impacted his life, they are not severe “enough” to warrant legal intervention. The law is therefore not a perfect solution for someone like Earley, who still considers the whole system broken.
Earley’s interactions with Robinson continue to provide a glimpse into his own future. By seeing her struggles with her adult son Jeff, Earley sees what his future with Mike could potentially look like. Jeff’s story also puts much of the well-meaning policy, advocacy, legislation, and pharmaceutical innovation that Earley has investigated so far into perspective: No matter how hard Earley (or anyone else) works, illnesses like bipolar or schizoaffective disorder cannot be cured.
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