Michael Keenes third book explores the dark, twisted history of insane asylums in 19th century New York. While most of these hospitals were opened with altruistic intentions, they quickly degraded into abuses, neglect of patients, and other horrors. Having worked in the mental health industry himself, Keene's experience in the mental health industry gives him special insight as he recounts the horrific stories of the institutions and the souls that once inhabited their wards, but have since been long forgotten.