ILNews

ILS Medical Legal Partnership gives Midtown clients access to legal services

Back to TopCommentsE-mailPrintBookmark and Share

The cockroaches crawling around the apartment were not enough to force the landlord to break the lease agreement.

For any tenant, an insect infestation would be unbearable. But for the young man living there, the bugs, along with the loud noises and criminal mischief, were exacerbating his mental illness and pushing him toward the desperate act of fleeing.

His caseworkers at the Midtown Community Mental Health Center reached for a form letter, checked off the deplorable conditions of the living space, and demanded the apartment owner cancel the terms of the lease.
 

ils03-15col.jpg Jay Chaudhary, along with interns Sarah Dunkley (left) and Aishah Shamsi, provide legal assistance to clients as part of the Midtown/Indiana Legal Services Medical Legal Partnership. (IL Photo/ Perry Reichanadter)

Before they sent it, the team from Midtown showed the letter to Abhishek “Jay” Chaudhary, and that, said social worker Lael Hill, made all the difference.

Chaudhary is an attorney at Indiana Legal Services who directs the Midtown/ILS Medical Legal Partnership. He helps navigate through the legal entanglements that can ensnare Midtown clients, all of whom struggle with severe mental illnesses like bipolar disorder, antisocial personality disorder, schizoaffective disorder, and most cope with symptoms of paranoia, depression and hallucinations.

Like the young man in the apartment, legal problems can add to the already overwhelming stress in their lives and make their mental health worse.

When he reviewed the letter, Chaudhary first rewrote it, softening the tone, and sent it to the building manager who rebuffed him. The young attorney then found the landlord’s name and wrote a letter to him, outlining the issues in the apartment that violated the federal Fair Housing Act.

Not only did the landlord consent to releasing the young man from the lease, he also disinfected the tenant’s personal items and delivered them to his new residence.

“Without the help of Jay, probably what would have happened is (the Midtown client) would have left and the landlord would have probably been pursuing a court case against him for rent,” Hill said.

As a result, she continued, the young man’s credit rating would have been ruined, and he likely would have had difficultly finding another place to live.

The Midtown/ILS Medical Legal Partnership began on a limited basis in 2009 and is believed to be one of a few mental health partnerships in the country. Chaudhary is credited with having the vision and the drive to enact the idea, find the funding and offer a much-need service to the mental health clinic.

A 2009 graduate of Indiana University Maurer School of Law, Chaudhary said he has always wanted to work in legal services and is “passionate about giving marginalized people a voice.”

Midtown Community Mental Health Center is the mental health division of Wishard Health Care. The hospital established its own medical-legal partnership in 2008 with Faegre Baker Daniels LLP, Neighborhood Christian Legal Clinic, Indiana Legal Services and the Indiana University Robert H. McKinney School of Law Health & Human Rights Clinic.

Like the Midtown MLP, the Wishard partnership is aimed at improving patient health by providing legal advocacy.

Almost tabled

Nearly three years after the Midtown MLP launched, Norman Metzger, executive director of Indiana Legal Services, remains enthusiastic about the program. He gives a great amount of credit for the success to Chaudhary and is haunted by the thought that the idea could have been tabled.

He was intrigued when Chaudhary approached him with the idea of forming a partnership with the mental health service provider, but the economic recession and budgets cuts had reduced ILS funding by nearly $2 million in three years so no money was available to support the program.

The executive director said he “could have blown” the opportunity because of the strained coffers. However, two separate $15,000 grants from the Ruth Lilly Philanthropic Foundation, filtered through the United Way of Central Indiana, and the St. Margaret’s Hospital Guild got the program going on a part-time basis in 2010 and 2011. A two-year, $120,000 grant from the Nina Mason Pulliam Charitable Trust has turned the partnership into a full-time program.

Year to date in 2012, Chaudhary has had 70 referrals. Twenty-one clients were provided with brief service while another 32 clients were accepted for representation.

Before the partnership, Metzger said these individuals were falling through cracks.

“These are poor people who are in such challenging and compromising situations that they can’t, on their own, access legal services,” Metzger said.

He called the Midtown clients “literally most vulnerable people in our society.” In addition to not knowing how to access legal help, they often do not even know their problem can be solved with a lawyer.

Dr. Jeffrey Kellams, medical director of the Midtown Community Mental Health Center and chief of psychiatric services at Wishard, echoed Metzger.

“I think every mental health clinic in the state of Indiana ought to have access to a program like this,” he said.

As an example, he pointed to Chaudhary’s hard work in securing Medicaid benefits for a 40-year-old patient, which prevented the difficult situation for Midtown of providing services without reimbursement.

More help

A key part of the Mason Pulliam grant was the inclusion of legal interns into the partnership. For the fall semester, two licensed attorneys who are enrolled in the Master of Laws program at the Indiana University Robert H. McKinney School of Law are working with Chaudhary.

Legal services, by nature, are constant triage, Chaudhary said. The unpaid interns enable him to take a step back and still handle the workload. With the extra help, he now has the ability to spend more time with cases, researching and writing well-crafted letters. Before, he was almost to the point of having to put the Midtown clients on a waiting list.

Aishah Shamsi and Sarah Dunkley have just started interning but have already gained valuable insights.

“I think people wouldn’t realize the effect even the small things can have on a person who has mental health problems,” Shamsi said.

For Shamsi, the MLP internship provides the opportunity to explore the medical industry and, she said, help her find a career path. Her concentration in the LLM program is health care law, an area she is attracted to because she sees the opportunity to make a difference.

Dunkley came to the MLP internship with experience working in mental health services in her native Australia. As an LLM student at McKinney studying international and comparative law, she was directed to the Midtown MLP through the school’s pro bono program.

The internship is allowing her to get a better view of the American legal system than she could get sitting in a classroom, she said.

During the summer months, Chaudhary had two I.U. McKinney School of Law students as interns. They shadowed him, drafted pleadings, did legal research and put together a presentation on advance directives for the Midtown Older Adult Services.

Both Kellams and Metzger see the interns as a natural extension of the partnership. The internship not only provides more help with the workload, it also gives the students valuable real-life experience in talking to clients, assembling the facts and applying the law.

“It’s very exciting to run something like this,” Chaudhary said. “The way I see it, it’s going to rise and fall, depending on how much effort I put into it. That’s a constant motivation here.”•

ADVERTISEMENT

Post a comment to this story

COMMENTS POLICY
We reserve the right to remove any post that we feel is obscene, profane, vulgar, racist, sexually explicit, abusive, or hateful.
 
You are legally responsible for what you post and your anonymity is not guaranteed.
 
Posts that insult, defame, threaten, harass or abuse other readers or people mentioned in Indiana Lawyer editorial content are also subject to removal. Please respect the privacy of individuals and refrain from posting personal information.
 
No solicitations, spamming or advertisements are allowed. Readers may post links to other informational websites that are relevant to the topic at hand, but please do not link to objectionable material.
 
We may remove messages that are unrelated to the topic, encourage illegal activity, use all capital letters or are unreadable.
 

Messages that are flagged by readers as objectionable will be reviewed and may or may not be removed. Please do not flag a post simply because you disagree with it.

Sponsored by
ADVERTISEMENT
Subscribe to Indiana Lawyer
  1. I have been on this program while on parole from 2011-2013. No person should be forced mentally to share private details of their personal life with total strangers. Also giving permission for a mental therapist to report to your parole agent that your not participating in group therapy because you don't have the financial mean to be in the group therapy. I was personally singled out and sent back three times for not having money and also sent back within the six month when you aren't to be sent according to state law. I will work to het this INSOMM's removed from this state. I also had twelve or thirteen parole agents with a fifteen month period. Thanks for your time.

  2. Our nation produces very few jurists of the caliber of Justice DOUGLAS and his peers these days. Here is that great civil libertarian, who recognized government as both a blessing and, when corrupted by ideological interests, a curse: "Once the investigator has only the conscience of government as a guide, the conscience can become ‘ravenous,’ as Cromwell, bent on destroying Thomas More, said in Bolt, A Man For All Seasons (1960), p. 120. The First Amendment mirrors many episodes where men, harried and harassed by government, sought refuge in their conscience, as these lines of Thomas More show: ‘MORE: And when we stand before God, and you are sent to Paradise for doing according to your conscience, *575 and I am damned for not doing according to mine, will you come with me, for fellowship? ‘CRANMER: So those of us whose names are there are damned, Sir Thomas? ‘MORE: I don't know, Your Grace. I have no window to look into another man's conscience. I condemn no one. ‘CRANMER: Then the matter is capable of question? ‘MORE: Certainly. ‘CRANMER: But that you owe obedience to your King is not capable of question. So weigh a doubt against a certainty—and sign. ‘MORE: Some men think the Earth is round, others think it flat; it is a matter capable of question. But if it is flat, will the King's command make it round? And if it is round, will the King's command flatten it? No, I will not sign.’ Id., pp. 132—133. DOUGLAS THEN WROTE: Where government is the Big Brother,11 privacy gives way to surveillance. **909 But our commitment is otherwise. *576 By the First Amendment we have staked our security on freedom to promote a multiplicity of ideas, to associate at will with kindred spirits, and to defy governmental intrusion into these precincts" Gibson v. Florida Legislative Investigation Comm., 372 U.S. 539, 574-76, 83 S. Ct. 889, 908-09, 9 L. Ed. 2d 929 (1963) Mr. Justice DOUGLAS, concurring. I write: Happy Memorial Day to all -- God please bless our fallen who lived and died to preserve constitutional governance in our wonderful series of Republics. And God open the eyes of those government officials who denounce the constitutions of these Republics by arbitrary actions arising out capricious motives.

  3. From back in the day before secularism got a stranglehold on Hoosier jurists comes this great excerpt via Indiana federal court judge Allan Sharp, dedicated to those many Indiana government attorneys (with whom I have dealt) who count the law as a mere tool, an optional tool that is not to be used when political correctness compels a more acceptable result than merely following the path that the law directs: ALLEN SHARP, District Judge. I. In a scene following a visit by Henry VIII to the home of Sir Thomas More, playwriter Robert Bolt puts the following words into the mouths of his characters: Margaret: Father, that man's bad. MORE: There is no law against that. ROPER: There is! God's law! MORE: Then God can arrest him. ROPER: Sophistication upon sophistication! MORE: No, sheer simplicity. The law, Roper, the law. I know what's legal not what's right. And I'll stick to what's legal. ROPER: Then you set man's law above God's! MORE: No, far below; but let me draw your attention to a fact I'm not God. The currents and eddies of right and wrong, which you find such plain sailing, I can't navigate. I'm no voyager. But in the thickets of law, oh, there I'm a forester. I doubt if there's a man alive who could follow me there, thank God... ALICE: (Exasperated, pointing after Rich) While you talk, he's gone! MORE: And go he should, if he was the Devil himself, until he broke the law! ROPER: So now you'd give the Devil benefit of law! MORE: Yes. What would you do? Cut a great road through the law to get after the Devil? ROPER: I'd cut down every law in England to do that! MORE: (Roused and excited) Oh? (Advances on Roper) And when the last law was down, and the Devil turned round on you where would you hide, Roper, the laws being flat? (He leaves *1257 him) This country's planted thick with laws from coast to coast man's laws, not God's and if you cut them down and you're just the man to do it d'you really think you would stand upright in the winds that would blow then? (Quietly) Yes, I'd give the Devil benefit of law, for my own safety's sake. ROPER: I have long suspected this; this is the golden calf; the law's your god. MORE: (Wearily) Oh, Roper, you're a fool, God's my god... (Rather bitterly) But I find him rather too (Very bitterly) subtle... I don't know where he is nor what he wants. ROPER: My God wants service, to the end and unremitting; nothing else! MORE: (Dryly) Are you sure that's God! He sounds like Moloch. But indeed it may be God And whoever hunts for me, Roper, God or Devil, will find me hiding in the thickets of the law! And I'll hide my daughter with me! Not hoist her up the mainmast of your seagoing principles! They put about too nimbly! (Exit More. They all look after him). Pgs. 65-67, A MAN FOR ALL SEASONS A Play in Two Acts, Robert Bolt, Random House, New York, 1960. Linley E. Pearson, Atty. Gen. of Indiana, Indianapolis, for defendants. Childs v. Duckworth, 509 F. Supp. 1254, 1256 (N.D. Ind. 1981) aff'd, 705 F.2d 915 (7th Cir. 1983)

  4. "Meanwhile small- and mid-size firms are getting squeezed and likely will not survive unless they become a boutique firm." I've been a business attorney in small, and now mid-size firm for over 30 years, and for over 30 years legal consultants have been preaching this exact same mantra of impending doom for small and mid-sized firms -- verbatim. This claim apparently helps them gin up merger opportunities from smaller firms who become convinced that they need to become larger overnight. The claim that large corporations are interested in cost-saving and efficiency has likewise been preached for decades, and is likewise bunk. If large corporations had any real interest in saving money they wouldn't use large law firms whose rates are substantially higher than those of high-quality mid-sized firms.

  5. The family is the foundation of all human government. That is the Grand Design. Modern governments throw off this Design and make bureaucratic war against the family, as does Hollywood and cultural elitists such as third wave feminists. Since WWII we have been on a ship of fools that way, with both the elite and government and their social engineering hacks relentlessly attacking the very foundation of social order. And their success? See it in the streets of Fergusson, on the food stamp doles (mostly broken families)and in the above article. Reject the Grand Design for true social function, enter the Glorious State to manage social dysfunction. Our Brave New World will be a prison camp, and we will welcome it as the only way to manage given the anarchy without it.

ADVERTISEMENT