-- >> I was in state hospital before prison and diagnosed then, at the age of 16, as a schizophrenic.

I go through cycles where I, you know, don't take my Thorazine willingly and stuff, and then I really, you know, as I say it, my mind snaps.

I've cut myself a lot, and I've ingested things like bed hooks, razor blades, ink pens, pencils, toothbrushes.

I swallowed a cassette Walkman AM-FM radio, and just crushed it up in chunks and slivers, and just bend my head back and push it down my throat and immediately drink water and swallow it.

I'm like my own worst enemy.

I'm really, you know, in a sense, you know, destroying myself psychologically and physically.

>> INTERVIEWER: Do you think you're mentally ill, Mr. Tharp?

>> No.

No, I don't think I'm mentally ill. >> INTERVIEWER: What do you think you are?

>> I think I have a spiritual illness.

Maybe, you know, as I say, a spiritual insanity.

That's the extent of it.

>> Tharp, ready?

>> NARRATOR: We first met Jerry Tharp in 2004 when we made a film in Ohio about the mentally ill in prison.

>> Come this way.

>> I will be a headache to you no more, B.

>> NARRATOR: After serving ten years for aggravated robbery, Jerry was about to be paroled.

>> I need you to sign this copy saying that you received these medications.

It goes in your chart.

>> NARRATOR: He was released to a halfway house with $75 and two weeks' worth of medication.

>> That's your Thorazine.

If you have any problems you can follow up with your primary care physician or your local health department.

>> If I was a betting man, what would be the odds of me coming back to prison?

Uh, zero.

It's been a long time and I'm finally free.

I feel good about leaving and I'm gonna be gone.

Stay gone.

(horn beeps) >> NARRATOR: Our hope was that Jerry would "stay gone," as he put it, but only three months later he stopped taking his medication, robbed a pharmacy and went back to prison.

We also found out that, like Jerry, almost all of the inmates we met five years ago had since been released and re-arrested.

>> Any person who leaves prison without a pretty good support system will have a very difficult time at trying to stay out of prison.

And if you're mentally ill, that compounds the possibilities of you being successful in the community.

I think the community knows very little about the fact that we're treating thousands of persons in our prison population with mental illness, and serious mental illnesses.

And they are a population that would be at risk, not only in the institutions, but when they leave the confines of our correctional facilities.

>> NARRATOR: This year alone, over 700,000 inmates are being released-- the largest exodus of prisoners in America's history-- and over half are mentally ill.

So we went back to Ohio to find out why so many mentally ill offenders aren't making it on the outside.

>> The parole board let me go.

The parole board said, "Well, we think you are rehabilitated.

Honest, abiding citizen, hard working-class person.

Honest, abiding citizen.

Believe you did the right thing.

We taught you a lesson by giving you 21 years, over 21 years."

So, they said, "Boom, we let you go."

Here I am.

I got big plans, me and God got big plans, beautiful plans, too.

Keep doing the right thing, try to better myself and abide by the laws, keep your nose clean, stay out of trouble.

>> NARRATOR: Michael Grissett was paroled eight months ago.

He spent 21 years in prison for murder and has been diagnosed with paranoid schizophrenia.

>> INTERVIEWER: Do you have voices going on right now?

>> No, they don't talk all the time.

They listen.

They can hear y'all, but y'all can't hear them.

I can hear them and what's inside me can hear them.

>> INTERVIEWER: And what are they saying to you right now?

>> They ain't saying nothing right now, they're listening.

They're kind of scared, you know what I'm saying?

>> INTERVIEWER: And then when we leave, will they start to talk again, or what will they say?

>> They ask me, say, "Mr. Michael Grissett, we know you're the father of God," cause God come in... they say, "Where's our cornbread at?

You gonna feed us today?"

I say, "Get the [beep] out of here.

"Hell, you wasn't born with nothing to eat, no money, so die."

That's what I tell the voices, the devil.

The voices.

So they start crying.

They got a needle.

They got a needle and they got a feather and they got a rope.

God give it to them.

A needle, a feather and a rope.

>> NARRATOR: Grissett is one of 50 offenders lucky enough to get into a reentry program in Cleveland.

It's one of the few programs in Ohio that helps the seriously mentally ill transition back to the community.

>> Ain't no joke.

I don't think nothing of nothing.

No, no, no nice to play with.

>> Mr. Grissett?

>> The program is designed for people who have a severe mental illness or a psychotic-level illness, which means they're going to be having auditory hallucinations or fixed-false beliefs-- delusions-- and require antipsychotic medication in order to stabilize and function in a regular way.

>> Come on in, have a seat.

>> NARRATOR: While in the program, Grissett has access to mental health treatment and sees a psychiatrist once every two weeks.

>> Give me an update for today.

Right now, today, how are you doing as far as the voices go?

>> Fine.

Good.

Real good.

>> Yeah?

>> 100%, 100%.

Greater power.

Greater power.

>> So you don't feel at risk for hurting yourself or somebody else right now?

>> That's me and God's business, what we do.

I tell you all I know... >> When you have someone who's disorganized and irritable and hearing voices and may be paranoid, the risk for negative behavior is much higher.

These really are medical illnesses that require daily compliance with the medication in order to adequately treat it.

We see plenty of people who, depending on their condition, can decompensate quite quickly off the medications, and certainly in the course of days sometimes, or certainly weeks, people can be quite disorganized and hallucinating and under full spell of delusions, and really incapable of functioning in the community.

>> All right, nice seeing you today.

>> Same to you.

>> Have a good day.

>> Same to you.

>> NARRATOR: But unlike Michael Grissett, most mentally ill offenders go untreated and are more likely to commit another crime.

>> I was upstairs, getting ready for Thanksgiving dinner.

And I was up there cleaning my chitlins and trying to, you know, get my stuff done prior to the next day.

And I heard him, with beer bottles and bricks, breaking her windows and kept calling Bin Laden out in the middle of the street.

So me and my daughter was upstairs, and we kept looking out the window because I was scared as hallelujah.

So we called the police.

>> 911, what's your emergency?

>> There's a guy that's trying to break into this lady's house.

He's trying to open the screen windows and banging on her door.

>> Does he have any type of weapons or anything in his hands?

>> He's throwing bottles and bricks and carrying on.

>> NARRATOR: When police arrived on the scene, a suspect was arrested, but was released the same day.

12 hours later he was back, still looking for Osama Bin Laden.

>> 911, what is your emergency?

>> Please come to my house, somebody's trying to get in my door, please hurry.

>> Ma'am?

>> He's trying to get in!

>> Who is it?

>> Please hurry.

>> Okay, they're coming.

>> Thank you, thank you.

(sirens blaring) >> NARRATOR: Lynn Moore was sentenced to eight months for breaking and entering.

He'd been arrested and released over 20 times and this was his fourth time in prison.

>> Well, I had delusional thoughts about Bin Laden, thinking that he was in Canton, Ohio, gonna blow up different schools and different places.

I hoped that he would of came out or he'd be exposed and that, uh, he would be captured.

I was gonna stay on my meds, it's just, uh... it just didn't seem to, uh...

I mean it was working, but it just, uh...

I just got tired of taking it.

I figured I was...

I was cured, I was healed from it, you know?

I figured I don't have no more delusions, but, uh, it... it popped back up saying that, uh, Bin Laden was still in town, you know?

And, uh, that's what the problem was.

I wish I stayed on it now.

>> NARRATOR: Moore, a paranoid schizophrenic, was medicated and stabilized in prison.

This is his last meeting with his treatment team before he's released.

>> How do you feel now?

>> Pretty good.

>> What about the delusions?

>> I don't have any.

>> None at all?

>> None at all.

>> You really need to make sure you take those medications.

>> Yes.

>> Because you know what happens when you stop.

What are some of the signs that you'll look for, what would happen if you stopped taking them?

>> I start hallucinating different... just start getting into that past of what I used to be, thinking about the terrorists and different things.

>> Okay, make sure you take those medications, because once you stop taking them that's when you get in trouble.

You don't want to wind up back in prison again.

>> Yes.

>> Okay, you don't want to be waking up in some stranger's house looking for Bin Laden or... right?

>> Yeah... that was terrible.

>> Yeah, yeah.

Okay.

>> NARRATOR: Moore has served his full sentence, so he is being released with no parole or supervision.

>> That one right there is us.

>> All right, thank you.

>> For inmates released on parole at least there's somebody that's tracking that person, that's still working with the community to try to get them involved in services.

Whereas the person that maxes out, they're pretty much on their own.

You try to help make the connection to mental health services in the community, but mental health services are limited, so that person is out on their own to be able to advocate for themselves.

>> Okay.

You are free.

Good luck to you.

>> All right, thank you.

>> When you talk to some of the mental health staff, they talk about it being very difficult.

They get real concerned that people that we let out, are they going to really have a chance out there?

>> NARRATOR: On his first day of freedom, Lynn Moore is heading home to Canton, Ohio.

But home is now a place called the Refuge of Hope, a shelter where he's stayed before.

>> When I see guys come out of jail, generally there's no support or buffer there to kind of cushion their fall; it's just kind of a hard drop into reality.

They've kind of broken down every other relationship they've had, whether family or friends, so there's no other place to catch them, so they end up falling here.

>> They take breathalyzers?

>> Yeah.

>> We have guys who have been here for over a year.

I think we even may have one or two that have been here over two years.

All we ask is that they are making progressions towards getting themselves out of here, whatever that may be, however small those steps may be.

We'll put you in bed 15.

Everyone that comes in here has to take a breathalyzer before he's admitted.

If he fails, he's dismissed for 30 days and then welcome to come back.

We also ask that they don't do drugs.

It is an expectation, but we don't have any way of enforcing it, so... Clear.

So, if you want to just get sheets from Doug, he'll get you... for your bed.

Bed 20 is the second bunk, you'll see it at the end of the... >> All right.

>> I don't think we have any pillow cases left, but... >> Oh, don't worry about that.

>> I don't know if there's a pillow on there or not.

>> All right.

>> I don't think people understand how hard it is to transition from prison life back to everyday life.

There's some dignity that's lost with coming here and saying, "I have nowhere else to turn.

You guys are kind of my last option."

You're kind of at the end of your rope.

You're hoping this will be a place where you turn around.

>> All right, fellas, lights out.

>> NARRATOR: Homelessness is often part of the cycle for the mentally ill coming out of jails and prisons.

And once homeless, receiving and sustaining treatment is almost impossible.

So outside a homeless shelter in Columbus, Ohio, an outreach team is bringing psychiatric care to those who would otherwise fall through the cracks.

>> (laughing, mumbling): She's going through everything.

It's under the wire.

I know what you're saying.

I'm not bull[beep]... >> The realities of psychiatric treatment for those that are coming out of incarceration is that it's either nonexistent or very poor.

People are being released with maybe one or two weeks' worth of medication, and told that they should follow up at this time and this date with this agency, which assumes that they have the judgment that they need to continue their medications as prescribed.

And also assumes that they have the cognitive capacity to be proactive with phone calls, making appointments, discussing how many days of their medications they have left.

So it assumes a lot.

>> How come everything is still in here the way I fixed it?

You haven't been taking them.

>> Yes, I have.

I'm the one refilled it.

>> Okay, but today is... >> Today's Thursday, so... >> Thursday.

Okay.

So you shouldn't have these for Monday, Tuesday and Wednesday, they should be gone.

>> Well, they ain't.

>> This isn't a population that's going to come with their planners and their organizers, and keep track of their appointments, and seamlessly integrate their own physical healthcare issues with their mental health issues and be compliant with their medications and keep them in that perfect little medication box, as they live behind a dumpster somewhere.

What's more likely is that they'll come out, they'll take their medication for three, four, five days, either run out of it or lose it, eventually they may get into trouble for something again, and it's a chronic cycle for the people that we're seeing.

>> For real.

(mumbling) >> Is this what you wanted me to have?

Okay.

And this is what we've been talking about on numerous occasions.

You want PC because you don't feel safe.

>> Yes, ma'am.

>> NARRATOR: We first met Bennie Anthony in 2004 on the mental health unit of a prison in Orient, Ohio.

A classic repeat offender, within weeks of his last release, he'd set his girlfriend's house on fire.

This was his third time in prison.

>> We discussed this, Mr. Anthony.

>> I want protective custody.

>> You're in your own cell.

>> I want protective custody.

>> All right.

>> (laughs) I want protective custody, because I'm scared.

>> Okay.

And what are you afraid of?

>> NARRATOR: Even medicated, Anthony still struggles with paranoia and believes people are trying to kill him.

>> They was from Texas.

They was coming out of Texas.

And, uh, some of them have syringes of poison, electric battery-powered volts on them, where they can pierce your heart or your stomach.

And some of them have wooden bats, like, and, uh, guns.

>> NARRATOR: A year after we first met him, Anthony was released.

He did well under supervision, but as soon as he went off parole, he moved to Pittsburgh, stopped taking his medication, and within a month, became homeless.

>> In the past two years Bennie's been arrested ten times.

Sometimes he would have three arrests in one month: retail theft, loitering, harassment, a lot of defiant trespass.

He broke into several buildings just to get food, open lewdness because he was urinating in the park-- that was his home.

But the major thread, similar thread, through all of them is that they were all related directly to his mental illness.

>> NARRATOR: After a series of misdemeanors, Anthony was arrested again-- this time for assault-- and was held in the Allegheny County Jail.

>> Bennie was very sick when he hit the jail.

He was yelling loudly unintelligible words.

He just looked very confused.

It was very clear that he was actively psychotic.

>> NARRATOR: Anthony was so psychotic that he was diverted from jail to the Allegheny County Mental Health Court, a program that believes mentally ill offenders should be treated rather than punished.

>> We've talked about your case in chambers, and I think it appears that you haven't been taking your medication.

>> NARRATOR: In mental health court, mentally ill offenders are given probation instead of prison time, but mental health treatment is mandatory.

>> See you then.

>> Bennie Anthony?

>> NARRATOR: The next time we saw Anthony, he had been on probation for four months.

Once again, under supervision, he was doing well.

>> Good, good.

You look great.

>> Thank you.

>> It's a major difference, sir.

A major, major difference.

>> Your Honor, this is a positive hearing for Mr. Anthony.

Mr. Anthony resides at Gibbs Personal Care Home and he's been maintaining his treatment and doing everything he needs to do.

>> That's excellent, Mr. Anthony.

You know what you need to do.

You figured it out, so you just got to keep it up and keep taking your medication.

And you get closer and closer to graduating from the court.

>> Yes, sir.

>> Now I've been a mental patient since 1974, you know, that's about 32 or 33 years ago.

I mean, I know what make me paranoid and what don't, you know.

If I get paranoid or something, I just go sit somewhere and think it out.

And I've been working on it over the years and I handle it pretty good, I handle it pretty good.

I handle my paranoia pretty good, yeah, I handle it pretty good.

>> NARRATOR: With the court's help, Anthony found a room at a group home for the mentally ill in Wilkinsburg, Pennsylvania.

>> In the past, we used to have mainly senior citizens.

They're gone.

Now we have, mainly, mentally ill, mostly men, now mostly minority men.

Most of them are on public assistance of some kind.

Some have been to jail, most have been in a mental hospital, some have been homeless and they have nowhere to go.

>> Yeah.

All right.

>> Of course, they get a room, their board, we provide meals for them, they get assistance with medications, everything that they may need assistance in.

>> All right, thank you.

>> But a person may refuse their meds.

If they refuse them, there's nothing we can do.

We can talk to them about it, let them know what could happen if they decompensate, but they have a right to refuse their medications.

>> All set for you, sir.

>> All right.

>> NARRATOR: Although the court can't force him to take medication, Anthony has to see a psychiatrist once every two weeks.

>> All right, I had the opportunity to go through some of your old history.

>> Yes, ma'am.

>> You've been through a revolving door.

>> Yeah, I have.

>> There's a pattern to it, about kind of when you're off your meds... >> Yes, ma'am.

>> ...what happens?

>> So I was homeless almost two years, and I wasn't taking no medication.

I was around all types of cutthroats, too, you know?

But I made it through without the medication, you know?

>> Did you want to be on your medication?

>> No, I didn't want to be on it.

>> Bennie knows well, from our conversations, that he cannot do well for any consistent period of time unless he takes his medication.

And each time I meet with Bennie, we go through that again and again and again.

Can you write a sentence for me?

Symptoms have quelled.

He can sit calmly.

The agitation is completely gone.

And I'm happy that he's responded so nicely to the medication, but just as quickly as that happened, he can decide to not take the medication anymore.

And in an instant-- in an instant-- all the good can be erased by a relapse.

All bets are off.

>> NARRATOR: When William Stokes last left prison, he also stopped taking his medication.

Unmedicated and out of control, within a month, he was back behind bars.

>> This is inmate Stokes, he has been very agitated.

He punched a brick wall and he also threatened staff.

So the order's been given for restraints.

>> NARRATOR: Stokes has been in prison three times.

He is a schizophrenic with a long history of refusing medication.

>> I'll start fighting if you mother[beep] want to.

>> This is inmate Stokes 421895 being placed in four-way restraints and given emergency medication.

>> [Beep], yeah.

>> I have psychotic episodes sometimes when I'm not taking my medication.

I can be a real jerk, a real jerk.

I take Clozaril, it's an antipsychotic.

It's like a miracle drug.

I'm a totally different person on it.

I mean, I'm able to function, abide by rules set here and everything, and it's the medication that I need to be on.

I take Depakote also.

I take Effexor also, and I also take Trazodone and Vistaril.

But the other medications, they're okay, but they don't work as well as the Clozaril does, that's the main one.

>> NARRATOR: Stokes has just completed a 21-month sentence for theft and is about to be released again.

>> Hi, Mr. Stokes.

>> Hello.

>> NARRATOR: This time, he's hoping things will be different.

With the prison's help, he's been accepted into one of the few group homes in Ohio that provides mental health treatment.

>> Is that exciting?

>> Yes, very, yeah.

It alleviates a lot of stress.

>> I know last time you left, you were pretty stressed about it.

>> Yeah.

>> We were contacted about Mr. Stokes following his release from prison.

He has a horrendous history of self-mutilation.

He's a spitter.

He's a cutter.

He's a biter.

He's very, very hostile.

He has been seen, I would hazard to guess, upwards of near 100 times in the emergency room.

He is isolated from his family.

He doesn't have a lot of support.

And he's not on probation or parole.

If we didn't take him this time, he would be at the homeless shelter.

>> Bring your blues out when you're done.

>> All right.

>> I'm going to try to do better this time, not make the same mistakes.

I want to do good.

I don't want to fail again.

It's, actually...

I'm at that point where failing isn't even an option so...

I'm lucky enough to be going to a place specifically made for mental health.

And there'll be a case manager, nurses there, uh, staff, all kinds, you know, all the people you need for, to help you make it, you know?

And this time, since I'm going through all this programming and stuff, they're going to make sure I stay on my medication.

>> NARRATOR: William Stokes will be living at Bridgeview Manor in Ashtabula, with 15 other schizophrenic men.

There's nothing else like it in Ohio.

It's the only residential facility that accepts the indigent mentally ill and offers them treatment.

>> You just want to grab your box, we'll get it inside.

>> Your room is the first door.

>> Bridgeview Manor is our residential facility.

And it was born out of frustration, really.

>> You'll share the room with two other gentlemen.

>> First room on the left?

>> Mm-hmm.

>> Here we had very severely ill people that needed residential kinds of services.

We simply couldn't find them.

>> Clean towels and wash cloths are kept up here.

>> Literally, within an hour drive, there were no residential facilities that could house mentally ill clients.

>> William, this is...

I'm George.

>> Hello.

>> I've been here almost two years.

>> All right.

>> My room is number three.

>> Okay.

>> How old are you, about 30?

>> 29.

>> 29.

Nice to meet you.

The staff is really good here.

They take good care of you.

>> All right.

Okay.

>> They give you good meals and everything.

Nice to meet you.

>> Yep.

>> Jake, this is William.

>> Most of our residents, before living here, were living in various states of squalor and disarray.

They were isolated, they were lonely.

We've had other clients who've come from having been incarcerated, but primarily they've been homeless or living in a homeless shelter.

>> This is also the area where...

I think Sherri told you about having groups in the morning... >> So what we tried to design here at Bridgeview Manor is a place where housing needs are met, first and foremost.

So they live here, they have no predetermined length of stay, and whatever the client has for income, whether it be from Social Security, Social Security Disability, they pay 70% of that income in rent.

And clients have access to individual mental health therapy, partial hospitalization programming, which is group treatment, and case management, all within the house.

>> For those of you who haven't met William, he is our new resident today.

>> Hi, William.

>> Hello.

>> Let's give him a welcome.

Does everybody... (applause) William, in the morning, we do a morning meeting.

Everybody takes part in it.

Some people are assigned some tasks.

This is the part where we... what?

>> Positive for the day.

>> Say something positive.

>> Frank, how about you?

Something positive.

>> I keep myself clean.

>> Okay.

How about something else, something about you.

What are you?

>> Hope everybody has a nice day.

>> Okay.

Let me give you an example.

Are you a nice person?

Are you happy person, funny person?

>> I'm happy.

>> You're a happy person?

>> Yeah.

>> You definitely are that.

Okay, William?

>> I'm a nice person.

>> You're a nice person, okay.

Dennis?

>> Didn't know what to expect.

And the guys here, they're good people.

So lots of personalities, lots of different people.

It's all right.

You know, nice room, nice beds, good food, people that seem to generally care and that's what I need right now.

>> There's a huge segment of the population of people that are diagnosed with severe and persistent mental illness that will need care for the remainder of their lifetime.

It's not just a matter of, "Okay, take some medications and learn some skills and then you can go live on your own."

These clients need this level of care consistently, day after day after day, if we want them to function at this level.

Of course, the danger is that when this level of care isn't available anymore, they immediately are thrown back into the situation where they're rehospitalized and reincarcerated, and the cycle kind of starts all over again.

(groaning) >> 6:00 wake up.

6:00 wake up, everybody up.

6:00.

>> Living in a homeless shelter, there's not a ton of success that you're going to see.

People will make it out.

They will probably not be your average story, you know?

They will be the exception rather than the rule.

I mean, the reality of Lynn's situation, he's got a history of alcohol and drug abuse coupled with a mental illness.

You know the hardest thing for him will be staying clean.

If he's able to stay clean, the next hardest thing will be permanent affordable housing.

And then finding work.

The combination of three very difficult things kind of converging and happening is unlikely at best.

And staying mentally on even par will be very, very difficult, just because of the environment here, coupled with already being paranoid schizophrenic.

Yeah, it's difficult for people with mental illness for sure.

>> INTERVIEWER: How much money do you have today?

>> $19.75.

It should last me... it's supposed to last me at least a month.

Trying to keep focused.

And, um, hopefully find a job and hang on to it.

Other than that, it'll be a wait.

>> NARRATOR: Lynn Moore used to receive $627 a month in Social Security disability, but his benefits stopped when he went to prison.

And it can take months to get them going again.

So today, he's meeting with a case manager, hoping for some help.

>> So it looks to me like your symptoms are pretty well managed right now with whatever medication they had you on.

>> Abilify.

>> Abilify?

All right.

This is good, you're feeling pretty empowered, seeing yourself as a capable person, have a positive attitude.

All those are good things.

>> Mm-hmm.

>> So right now the main thing is going to be getting your benefits back.

Right?

And what else?

What other goals do you have for yourself?

>> Just to find employment and, um... that's the main thing.

>> The main thing?

>> Yeah.

>> You want to get back to work?

>> Yeah.

>> What type of work would you like to do?

>> Construction or restaurant work.

>> Okay.

So the first step is probably going to start looking in the paper... >> Yeah.

>> ...putting in applications.

How many applications do you think you want to do a week?

You don't want to overwhelm yourself.

>> No, I don't.

At least a couple.

>> At least a couple?

Like, one to two.

>> Yeah.

>> Okay.

So we'll make that your first objective.

So that means you're going to apply for one to two jobs per week.

So that means that I'm going to encourage...

I'll link you to whatever I can and address concerns.

Okay.

>> I see the whole community mental health system as a huge social failure and a huge moral obligation that we're not meeting because we went from institutionalization to nothing.

And in many cases, a person is going to get a better level of care while incarcerated than they're going to get if they live in the community.

And that's really sad.

But it's what happens.

>> NARRATOR: When state psychiatric hospitals closed in the 1970s, the seriously mentally ill were left with nowhere to turn, and prisons became the new asylums.

Keith Williams, more than anyone we met, represented the failure of deinstitutionalization.

Years ago, he might have spent his life at a state hospital.

Instead, he was sent to prison.

And that's where we first met him.

He had just finished a two-year sentence and was about to be released.

>> INTERVIEWER: Where are you going to go?

>> Toledo, Ohio.

St. Paul's.

Yeah, pretty much.

>> INTERVIEWER: And is your family there?

>> No, I am not close with my family anymore, been away too long.

I'll just, you know, St. Paul's and then after that, somewhere else with my people.

>> INTERVIEWER: Who are your people?

>> My mommies, angels, cats.

>> INTERVIEWER: And where are they living?

>> They live all over the world.

If I'm not mistaken, they live all over the world, all over the world, all over the world.

>> NARRATOR: Williams was taken to a homeless shelter, but within a month, he was back in jail.

Five years later, we found him again, at one of the last remaining state psychiatric hospitals in Ohio.

>> I'm doing a whole lot better.

I feel great.

I feel happy.

I have the confidence to stay out of jail, and move on, push on.

I want better things to go on in life than just, you know, going back and forth to jail, back and forth to jail, back and forth to jail, back and forth to hospitals, back and forth to hospitals, back and forth to hospitals, back and forth to hospitals.

So, yeah.

Yeah, so, I feel like a million bucks, a million 250 bucks... $250.

Yeah.

I feel great.

I feel great, feel great.

>> We're here this morning to discuss Keith Williams.

Mr. Williams has an extensive history of psych admissions and a variety of diagnoses over the years, including the present one of schizoaffective disorder, schizophrenia, bipolar disorder, antisocial personality disorder and this is his 18th admission to our facility.

>> Keith is on Depakote, Seraquil and Risperdal.

But the typical thing is he does well, he responds to medication, but once he's discharged he's noncompliant and he ends up either back here or in jail.

>> You know he's really well-managed right now on three-times-a-day medication dosing, which is difficult to expect of anybody even without mental illness, but that seems to be the magic bullet for him.

So, therein lies the problem.

>> NARRATOR: This state hospital once housed 5,000 mentally ill patients, but today there are only 110.

With so few beds, even the seriously mentally ill are now held only for short-term crisis care.

>> Good morning, Keith.

>> Good morning.

>> Do you want juice or water?

>> Juice, please.

>> The good news is that Keith is getting better, and he is more stable.

And in a sense, the bad news as well is that because of this, he'll be sent back into the community in Toledo.

And he'll back within three months.

Three to six, probably.

Probably very psychotic, and hopefully not having hurt somebody out in the community, but that's always a possibility.

>> NARRATOR: Once he's released, Williams will be responsible, once again, for taking his own medications.

>> INTERVIEWER: How will you know when to take them and which to take?

>> I would know when to take them, because if I feel, like, if I feel just normal, I know when to take them.

But if I... if I feel, like, um, like, (unintelligible)... or like, um, (unintelligible)....

I mean, groovy or something, or (unintelligible) or something, maybe, you know what I'm saying?

That's when I know I took them already.

So, yeah, that'd be it, too.

Mm-hmm.

>> Today's devotion is "I am that I am."

Moses wanted to know, not only who he was, but also who God was.

Most people don't know who God is.

God says that "I am."

That means he is whatever you lack in your life.

If you lack health, God is your healer.

If you lack salvation, God is your savior.

If you lack finances, God is your source of supply.

What do you need today?

>> Lynn Moore has been in here two months.

It's almost a little over two months since he first arrived at the Refuge of Hope.

At the beginning, he came around for meals, and I would see him on a fairly regular basis.

I knew that he was following up on meetings.

He was taking his medication when he was in here.

He thought he was going to get housing right away, and then that kind of fell through, and then it looked like that kind of, like, swung his mood.

He was pretty depressed about the situation, didn't feel like there was much hope.

>> We pray all these things in the name of Jesus, amen.

>> And then he failed the breathalyzer on September 5, and then so he was dismissed from our facility for 30 days.

And so that's the last I know about his whereabouts.

(phone dialing) >> 911, what's your emergency?

>> Well, there's a guy out here busted a window out of my trailer today, and they arrested him.

I don't know how he's out, but he's back here again.

He's back here throwing rocks again.

>> What's his name?

>> I think the report says it's Lynn Moore.

I know it's the same guy.

I'm on the phone again.

>> I'm gonna call the cops.

>> We'll, I'm on the phone with them.

I don't know what the hell is going on with that guy.

>> What is your name?

>> My name is Ron Whitmore.

>> NARRATOR: Lynn Moore was arrested again.

He was taken to the county jail and charged with criminal damage.

It had been three months to the day since he was released from prison.

>> Want to step in here for me?

Go ahead and have a seat.

(cell door closes) >> INTERVIEWER: Lynn, just tell me how you are.

What's happened this week?

>> I don't know.

The Devil, Antichrist, Bin Laden, Satan, Saddam.

First class 300 prospect.

I don't know.

Just cigarettes, you work to perfection, you try to work to perfection.

>> INTERVIEWER: When you went to the camper last week and to the house, what were you hoping to do?

>> Like I said, it was Bin Laden, Saddam, Antichrist, Devil, Ronald Whitmore.

I hope I didn't miss none.

But, uh... that place is for real.

>> INTERVIEWER: Do you think this could all be part of your illness though and your delusion?

>> Part of my delusion?

No, I don't think it's no delusion.

It's not no delusion.

The spirits are going which way they're going and that, that's delusions.

'Cause it's like pinpointing right exactly where he's at.

>> NARRATOR: After spending 30 days in jail, Lynn Moore would be released.

One week later, he would be arrested again.

We once believed, with deinstitutionalization, that the mentally ill would have the same rights and freedoms as the rest of us, but for the seriously mentally ill, real freedom can be hard to define.

>> There is this notion of focusing on freedom, which is an important idea, of course, in our country, but what's maybe not appreciated is how free one isn't when you're being affected by schizophrenia.

Maybe there was a hope, when many people were in the hospitals, that we could do things better in the community, and that people would have more freedom, but we also see the negative side of that freedom.

>> Can we hear the Bible verse up there Reverend Jack Black?

>> Was it a good policy change to deinstitutionalize?

Absolutely.

But I think that it went a little bit too far, and that we do have people that are out there that really do need some level of supervision on a regular and consistent and constant basis.

They are chronically mentally ill. >> NARRATOR: There are now over a million mentally ill inmates in prisons across the county, and within 18 months of their release, the vast majority will wind up back behind bars.

>> I don't promote the bringing back of state-run facilities by any stretch of the imagination, but we need to understand better how to divert persons who are mentally ill, who have committed a crime, to something other than a state prison or jail.

(inmates yelling) State prison and correctional facilities is not the answer.

>> NARRATOR: It's been seven months since William Stokes moved into Bridgeview Manor, and he continues to do well.

Michael Grissett was hoping to complete his parole, but on January 16, 2009, he was shot to death during a robbery in his group home.

Two weeks before his court review, Bennie Anthony stopped taking his medication, packed up his belongings from Gibbs House, and disappeared.

He is now back in the Allegheny County Jail.

And four days after he was discharged from the state psychiatric hospital, Keith Williams assaulted a police officer.

He is now facing ten years in prison.

>> Explore more of this story on our website, where you can watch the full program again online, see more video and photos of life inside Bridgeview Manor, and why this kind of residential facility is a model.

>> I want protective custody.

>> View a dramatic timeline, with photos, of Bennie Anthony's lifetime of rotating in and out of prison.

Learn about the organizations trying to help mentally ill offenders reintegrate into society.

>> We went from institutionalization to nothing.

>> Explore our interviews with experts... >> He's better in the community.

>> ...and join the discussion at pbs.org.