Madness by Antonia Hylton provides an in-depth examination of Crownsville Hospital's tumultuous past as a segregated Maryland asylum, spanning 93 years. The author reveals systemic racism and inhumane treatment of Black patients from its inception, where twelve men were coerced into building the facility and became its first inhabitants. By integrating personal accounts with historical context, Hylton illuminates the far-reaching consequences of racial disparities in mental health care, rendering Madness a vital addition to the literature on mental health and civil rights. Hylton's rigorous research and empathetic narrative make this book an enlightening and impactful read.