In 1889, seventeen-year-old Amy Underwood is committed to a psychiatric hospital in northern Michigan. Feeling abandoned by her loved ones, she finds solace in her friendship with a spirited fellow patient, Letitia. Yet as Amy becomes more comfortable at the hospital, she faces a troubling reality: not everyone will leave this place.
The hospital's aging superintendent, the doctor, believes in the principles of the moral treatment: that an orderly environment, healthy diet, exercise, and uplifting activities will restore mental health. But as the hospital's population swells, the doctor's control slips-and those closest to him clamor for change.
In this dual coming-of-age story, as Amy grows in self-awareness, the doctor is forced to reexamine his long-standing professional and personal practices.
