Today it is known as Roosevelt Island. In 1828, when New York City purchased this narrow, two-mile-long island in the East River, it was called Blackwell's Island. There, over the next hundred years, the city would build a lunatic asylum, prison, hospital, workhouse, and almshouse. Stacy Horn has crafted a compelling and chilling narrative told through the stories of the poor souls sent to Blackwell's, as well as the period's city officials, reformers, and journalists.

"On a two-mile stretch of land in New York's East River, a 19th-century horror story was unfolding ... Today we call it Roosevelt Island. Then, it was Blackwell's, site of a lunatic asylum, two prisons, an almshouse, and a number of hospitals. Conceived as the most modern, humane incarceration facility the world had ever seen, Blackwell's Island quickly became, in the words of a visiting Charles Dickens, 'a lounging, listless madhouse.' In the first contemporary investigative account of Blackwell's, Stacy Horn tells this chilling narrative through the gripping voices of the island's inhabitants, as well as the period's officials, reformers, and journalists, including the celebrated Nellie Bly. Digging through city records, newspaper articles, and archival reports, Horn brings this forgotten history alive: there was terrible overcrowding; prisoners were enlisted to care for the insane; punishment was harsh and unfair; and treatment was nonexistent. Throughout the book, we return to the