disAbility Law Center of Virginia (dLCV) investigated the death of Irvo Otieno in March 2023. From his initial encounters with police and the hospital emergency room to his incarceration and transfer to Central State Hospital, dLCV discovered a complete breakdown of Virginia’s mental health crisis system, compounded by a culture of criminalizing individuals with mental illness, particularly communities of color. The system that was supposed to help Mr. Otieno utterly and completely failed him.