"On a cold day in March of 1911, officials marched twelve Black men into the heart of a forest in Maryland. Under the supervision of a doctor, the men were forced to clear the land, pour cement, lay bricks, and harvest tobacco. When construction finished, they became the first twelve patients of the state's Hospital for the Negro Insane. For centuries, Black patients have been absent from our history books. Madness transports readers behind the brick walls of a Jim Crow asylum. In Madness, Peabody and Emmy award-winning journalist Antonia Hylton tells the 93-year-old history of Crownsville Hospital, one of the last segregated asylums with surviving records and a campus that still stands to this day in Anne Arundel County, Maryland. She blends the intimate tales of patients and employees whose lives were shaped by Crownsville with a decade-worth of investigative research and archival documents. Madness chronicles the stories of Black families whose mental health suffered as they tried, and sometimes failed, to find safety and dignity. Hylton also grapples with her own family's experiences with mental illness, and the secrecy and shame that it reproduced for generations. As Crownsville Hospital grew from an antebellum-style work camp to a tiny city sittingon 1,500 acres, the institution became a microcosm of America's evolving battles over slavery, racial integration, and civil rights. During its peak years, the hospital's wards were overflowing with almost 2,700 patients. By the end of the 20th-century, the asylum faded from view as prisons and jails became America's new focus. In Madness, Hylton traces the legacy of slavery to the treatment of Black people's bodies and minds in our current mental healthcare system. It is a captivating and heartbreaking meditation on how America decides who is sick or criminal, and who is worthy of our care or irredeemable"-- - (Baker & Taylor)

Tracing the legacy of slavery to the treatment of Black people’s bodies and minds in our current healthcare system, a Peabody and Emmy award-winning journalist tells the 93-year-old history of Crownsville Hospital, one of the nation’s last segregated asylums. Illustrations. - (Baker & Taylor)

A New York Times 100 Notable Books of 2024 • A New Yorker Best Book of 2024
New York Times Bestseller • USA Today Bestseller
Kirkus Reviews Best Nonfiction Books of the Year • Amazon Editor’s Pick for Best Books

In the tradition of The Immortal Life of Henrietta Lacks, a page-turning ninety-three-year history of Crownsville Hospital, one of the nation’s last segregated asylums, that the New York Times described as "fascinating…meticulous research" and bestselling author Clint Smith endorsed it as "a book that left me breathless."

On a cold day in March of 1911, officials marched twelve Black men into the heart of a forest in Maryland. Under the supervision of a doctor, the men were forced to clear the land, pour cement, lay bricks, and harvest tobacco. When construction finished, they became the first twelve patients of the state’s Hospital for the Negro Insane. For centuries, Black patients have been absent from our history books. Madness transports readers behind the brick walls of a Jim Crow asylum.

In Madness, Peabody and Emmy award-winning journalist Antonia Hylton tells the ninety-three-year history of Crownsville Hospital, one of the last segregated asylums with surviving records and a campus that still stands to this day in Anne Arundel County, Maryland. She blends the intimate tales of patients and employees whose lives were shaped by Crownsville with a decade-worth of investigative research and archival documents. Madness chronicles the stories of Black families whose mental health suffered as they tried, and sometimes failed, to find safety and dignity. Hylton also grapples with her own family’s experiences with mental illness, and the secrecy and shame that it reproduced for generations.

As Crownsville Hospital grew from an antebellum-style work camp to a tiny city sitting on 1,500 acres, the institution became a microcosm of America’s evolving battles over slavery, racial integration, and civil rights. During its peak years, the hospital’s wards were overflowing with almost 2,700 patients. By the end of the 20th-century, the asylum faded from view as prisons and jails became America’s new focus.

In Madness, Hylton traces the legacy of slavery to the treatment of Black people’s bodies and minds in our current mental healthcare system. It is a captivating and heartbreaking meditation on how America decides who is sick or criminal, and who is worthy of our care or irredeemable. - (Grand Central Pub)

New York Times Bestseller
Amazon Editor’s Pick for Best Books

In the tradition of The Immortal Life of Henrietta Lacks, a page-turning 93-year history of Crownsville Hospital, one of the nation’s last segregated asylums, that the New York Times described as “fascinating…meticulous research” and bestselling author Clint Smith endorsed it as “a book that left me breathless.”

On a cold day in March of 1911, officials marched twelve Black men into the heart of a forest in Maryland. Under the supervision of a doctor, the men were forced to clear the land, pour cement, lay bricks, and harvest tobacco. When construction finished, they became the first twelve patients of the state’s Hospital for the Negro Insane. For centuries, Black patients have been absent from our history books. Madness transports readers behind the brick walls of a Jim Crow asylum.
 
In Madness, Peabody and Emmy award-winning journalist Antonia Hylton tells the 93-year-old history of Crownsville Hospital, one of the last segregated asylums with surviving records and a campus that still stands to this day in Anne Arundel County, Maryland. She blends the intimate tales of patients and employees whose lives were shaped by Crownsville with a decade-worth of investigative research and archival documents. Madness chronicles the stories of Black families whose mental health suffered as they tried, and sometimes failed, to find safety and dignity. Hylton also grapples with her own family’s experiences with mental illness, and the secrecy and shame that it reproduced for generations.
 
As Crownsville Hospital grew from an antebellum-style work camp to a tiny city sitting on 1,500 acres, the institution became a microcosm of America’s evolving battles over slavery, racial integration, and civil rights. During its peak years, the hospital’s wards were overflowing with almost 2,700 patients. By the end of the 20th-century, the asylum faded from view as prisons and jails became America’s new focus.
 
In Madness, Hylton traces the legacy of slavery to the treatment of Black people’s bodies and minds in our current mental healthcare system. It is a captivating and heartbreaking meditation on how America decides who is sick or criminal, and who is worthy of our care or irredeemable.
- (HARPERCOLL)

Antonia Hylton is a Peabody and Emmy-award winning journalist at NBC News reporting on politics and civil rights, and the co-host of the hit podcast Southlake and Grapevine. She graduated magna cum laude from Harvard University, where she received prizes for her investigative research on race, mass incarceration and the history of psychiatry. She lives in Brooklyn.

Library Journal Reviews

From Peabody- and Emmy Award—winning NBC journalist Hylton, Madness relates the history of Crownsville Hospital, one of the last segregated asylums in the United States with surviving records, built in 1911 Maryland by enchained Black men who were then incarcerated there. Prepub Alert. Copyright 2023 Library Journal

Library Journal Reviews

Peabody- and Emmy-winning journalist Hylton (cohost of the podcast Southlake and Grapevine) documents the history of Crownsville Hospital in Anne Arundel County, MD. The author conducted her own investigation and scanned archival documents for 10 years to deliver this book that shows how the Jim Crow-era mental health facility, deemed a house of horrors, first came to exist after 12 Black men were forced to clear the land, build the asylum, and become its first patients. In its heyday, Crownsville Hospital had nearly 2,700 patients at a time. Hylton writes a scathing exposé on the bigotry that led to the mistreatment of hundreds of Black patients and the attempts to cover it up. Her book is also a call to action to reform the systems that treat people diagnosed with mental illnesses. The author dives deeply into sources that have been lost or held behind bureaucratic red tape to uncover the injustices that occurred at Crownsville Hospital. VERDICT This well-researched title is an important chronicle of the treatment of Black Americans and their mental health during the Jim Crow era. Beyond promoting systemic change, Hylton compels readers to look within to assess how they treat and view the people around them.—Mason Bennett