If you were Black with mental illness in the early 1900s, you couldn’t seek help just anywhere. You’d have to go to a segregated asylum like Maryland’s Crownsville Hospital, formerly known as the Hospital for the Negro Insane. The facility opened in 1911 when 12 men were brought into the woods outside of Baltimore and told to start working. They were tasked with creating one of the first asylums for Black Americans with mental illnesses, and they would soon become its first patients.

Kai speaks with NBC News correspondent Antonia Hylton about her latest book, “MADNESS: Race and Insanity in a Jim Crow Asylum,” which breaks down the dark history of one psychiatric institution, and highlights the hope it offered Black patients. And we hear from listeners around the country about their own experiences with mental health treatment and care in the U.S.

Tell us what you think. We're @noteswithkai on Instagram and X (Twitter). Email us at notes@wnyc.org. Send us a voice message by recording yourself on your phone and emailing us, or record one here.

Notes from America airs live on Sundays at 6 p.m. ET. The podcast episodes are lightly edited from our live broadcasts.

What A Segregated Mental Asylum Can Tell Us About Health Care in the US Today

Notes from America with Kai Wright