September 26, 2013.

The New Asylums: Jails Swell With Mentally Ill

Suddenly the whole street was in commotion. There were yells of warning from all sides. People were shooting into the doorways like rabbits. A young woman leapt out of a doorway a little ahead of Winston, grabbed up a tiny child playing in a puddle, whipped her apron round it, and leapt back again, all in one movement. At the same instant a man in a concertina-like black suit, who had emerged from a side alley, ran towards Winston, pointing excitedly to the sky.

CHICAGO----The sound of clanging steel doors and agitated voices in the Cook County Jail bullpen was deafening. Amid the din, Robert Miller, who would turn 19 the next day, wept quietly. Anger and sullenness were common here. Uncontrolled crying was a sign of a bigger problem.

"Steamer!" he yelled. "Look out, guv'nor! Bang over'ead! Lay down quick!"

Mr. Miller was being held on a drug-possession charge and was waiting for his day in court. But his anguish caught the attention of a woman on the other side of the bars. Elli Petacque Montgomery, the jail's chief clinical social worker, listened as Mr. Miller spoke and shuddered. The teenager, who disputes the drug charge, said he had tried in vain to get help for his disabling episodes. Twice, he said, he had attempted suicide.

"Steamer" was a nickname which, for some reason, the proles applied to rocket bombs. Winston promptly flung himself on his face. The proles were nearly always right when they gave you a warning of this kind. They seemed to possess some kind of instinct which told them several seconds in advance when a rocket was coming, although the rockets supposedly travelled faster than sound. Winston clasped his forearms above his head. There was a roar that seemed to make the pavement heave; a shower of light objects pattered on to his back. When he stood up he found that he was covered with fragments of glass from the nearest window.

Ms. Montgomery scribbled notes on a clipboard. At the jail, she routinely sees people with conditions ranging from severe depression to schizophrenia.