Street Crazy

Street Crazy highlights nine years in the life of aobservations related to the staggering percentage of
psychiatrist, Dr. Seager, while working in a Losmentally ill people in jails and prisons, many of whom
Angeles public mental hospital. He writes from hisupon release became homeless and in some instances
personal experiences to give people an understandingended up in jails and prisons multiple periods of time.
of the plight of more than one million Americans whoThe legal system and its mandates have been
are mentally ill, homeless and living on the streets. Hishindrances to successfully treat many severely
hope is that understanding will lead people to becomementally ill persons. Legal decisions have been made
actively involved in working to improve the lives ofbased upon protecting the freedom of choice and
homeless mentally ill individuals.not on the severe mental illness of the individual.
Dr. Seager is one of those rare psychiatrists whoThrough personal experiences and documentation
became personally involved with a few of theover the years, Dr. Seager proved to himself and
mentally ill people he came into contact with duringothers who worked with him that when a mentally ill
his years working in a public mental hospital. His beliefperson was given correct medication the vast
is that he was knowledgeable about mental illnessmajority of people significantly improved. The
diseases but knew very little about the everydayproblem lay in the judicial policies that could not keep
lives of people suffering with mental illness. Heseverely mentally ill people involuntarily committed
records one story of a grandmother and herbased upon the mentally ill person's individual needs.
grandson, Jamal. Even though Jamal's grandmotherAnother judicial policy stated that once a person left
had a bad heart, she wanted to gain legal custody ofthe hospital those persons were not required to take
Jamal after Jamal's mother, addicted to drugs,their medications. As a result, the hospital often
returned home after abandoning Jamal for years. Dr.became a revolving door. One patient had been
Seager personally became involved in the court casere-admitted 84 times within a four-year period.
related to the placement of Jamal.The author makes a strong case for looking at
In another case Dr. Seager fearfully took a bus intohomelessness and mental illness, not just as a
the ghetto and skid row areas of Los Angeles in anpsychiatric medical problem, not as a civil rights issue
effort to find the family of a man who had died.but looking at mental illness as a moral issue. He
Because of unforeseen circumstances he was forcedemphatically states, "That the brain-diseased must
to spend the night in a homeless shelter. The entireexist on our streets and eat garbage is a sin. Period."
disturbing experience was a defining moment in hisIn the final chapter of the book, Dr. Seager outlines
life.eight suggestions he and others believe must be
Dr. Seager quotes what one policeman said whentaken to insure chronically mentally ill persons are
bringing into the hospital a man who had previouslycompassionately cared for. His plea is a call to action,
been brought in on multiple occasions. The policemana plea for people to become involved in advocating
was overheard as saying, "They should just declareand working together to rethink and take action to
mental illness illegal." The policeman was making hisimprove the mental health system and the lives of
comment based on his own experiences andpeople within the system.