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Rebuilding Lives. Strengthening Communities.

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Marvin A.<br />

Marvin A. is a 64-year-old African-American man.<br />

Real Life<br />

For the past 35 years, Marvin<br />

has been suffering from a chronic<br />

mental illness—paranoid schizophrenia—and<br />

because of this<br />

illness, he has been repeatedly<br />

involved in the criminal justice<br />

system. His arrest record goes<br />

back to 1969. He has been<br />

arrested 151 times for crimes<br />

including retail theft, criminal<br />

trespassing, battery, armed<br />

robbery, and public indecency.<br />

He has been hospitalized 33<br />

times in state psychiatric<br />

facilities, plus multiple additional<br />

times in private psychiatric<br />

hospitals.<br />

While not on medication,<br />

Marvin gets excessively nervous<br />

and paranoid, and cannot function<br />

in society. Fearing contamination,<br />

he has stolen clothing<br />

rather than let a clerk handle<br />

the merchandise. Fearing people<br />

will hurt him, Marvin has<br />

been unpredictable, on at least<br />

one occasion attempting armed<br />

robbery.<br />

Before his illness, Marvin served<br />

in the Air Force, had his own<br />

apartment, and held a job as a<br />

stock clerk in a department<br />

store. However, during the<br />

onset of his illness, he began<br />

becoming suspicious and was<br />

afraid to go places, thinking<br />

strangers would harm him. As<br />

Marvin says,“I was confused, and<br />

couldn’t adjust myself too well.”<br />

He simply couldn’t bring himself<br />

to allow others to help him with<br />

his medication or therapy.<br />

Marvin cycled in and out of<br />

nursing homes, state hospitals,<br />

YMCAs, group homes, shelters,<br />

and spent much of his time<br />

homeless. He also cycled in and<br />

out of jail, with one prison term<br />

for theft. Over the last 30 years,<br />

Marvin spent more than onethird<br />

of his life either in hospitals<br />

or jail.<br />

Marvin did receive social security<br />

benefits to help pay for his<br />

mental health treatment.<br />

However, each time he was sent<br />

to jail, his disability checks<br />

stopped and he had to reapply<br />

for eligibility after his release.<br />

During this time, he was often<br />

without medication, money, or<br />

stable housing.<br />

Throughout the years Marvin<br />

has received medication and<br />

treatment, it was never quite<br />

intensive enough. Even involvement<br />

in a program five days a<br />

week did not keep him stabilized.<br />

Marvin needed someone<br />

to help him take medication<br />

even on weekends and holidays.<br />

While Marvin acknowledges<br />

that medication helps him,<br />

symptoms still make it very difficult<br />

to take the medication<br />

each day.<br />

In 2000, the last time Marvin<br />

was in jail, he became involved<br />

with an “assertive community<br />

treatment team” designed to<br />

work with mentally ill individuals<br />

in Cook County Jail. This<br />

agency arranged in court to<br />

have Marvin released to its care.<br />

They helped him to obtain<br />

housing immediately in a large<br />

North Side rooming house that<br />

offered communal meals. Once<br />

out of jail, case managers visited<br />

him once a day to ensure that<br />

he was taking his medication as<br />

well as helped him build a<br />

support network in the<br />

community.<br />

He has now moved and is living<br />

independently in a small apartment.<br />

Case managers still visit<br />

him daily. He is following his<br />

treatment regime, compliant<br />

with supervision and, in his<br />

words, “trying to keep straight,<br />

get a job, get a puppy, and stay<br />

on my medication.” He can now<br />

function in the community<br />

without any institutional care.<br />

Since beginning this therapy five<br />

years ago, Marvin has not been<br />

arrested, he has not been back<br />

to jail, and he has not returned<br />

to any state hospitals.<br />

“[I am] trying to keep straight,<br />

get a job, get a puppy, and<br />

stay on my medication.”<br />

MAYORAL POLICY CAUCUS ON PRISONER REENTRY<br />

43

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