Seriously Mentally Ill, a legal classification in the state of Arizona, referring to a class of individuals who meet certain psychiatric diagnostic and functional criteria.
Subject Matter Ignoramus: used to describe a manager or executive who supposedly knows "how to lead" but knows nothing about the actual business or activities he or she is supposed to manage. Pronounced "smigh" -- rhymes with "sigh".
Opposite of subject matter expert (SME).
They've hired a SMI to head up the Roads Department: the guy can't tell concrete from asphalt -- hell, he doesn't even drive.