This is the same author as RIDING THE BUS WITH MY SISTER and BUILDING A HOME WITH MY HUSBAND. This one is fiction, though, while the others are both based upon her real life.
I regrettably have to say I preferred her nonfiction books. This was written somewhat vaguely and I thought the characters were a bit simplistic and two-dimensional. At times, the action also seemed slow, and I found myself bored and/or not looking forward to getting back to the book. I do admire what she was trying to do here (shine some light upon the horrors of mental institutions in the 1950s-70s) but it just didn't really fulfill my expectations. The characters were so flat and like stock characters ("kindly old lady who takes baby in as her own," "kindly old widower who meets & marries kindly old lady," "nice person working at institution," "teenage girl who is questioning her roots and acting out,"), I wished that Simon had fleshed out their characters more and made them seem more like real people. At times, the book seemed so "flat," it was almost written as if it was a fable.
Brief summary: "Beautiful Girl" or "Lynnie" is a Caucasian girl in her 20s who is mentally deficient in some ways, and was placed in this institution as a young child by her family, despite reservations, b/c they were told it was "for the best."
"Buddy" or "#42" or just "42" is an African-American deaf man in his 30s who also lives at the institution, who ended up there b/c no one could understand him (he spoke a Black form of sign language which was not recognized by most white people, so he was misdiagnosed as being mentally challenged as well.).
"Beautiful Girl" has gotten pregnant in some way (we're not sure if it's by Buddy, by some other resident, through love, or through force. . .what. . . that becomes apparently only at the end) and Buddy and she love each other and they try to escape one night. They are on the run for 3 days, with their newborn baby, taking shelter at a nearby farmhouse with a kindly old lady who takes them in, when they are caught. They leave the baby with the old lady and ask her to keep the baby safe. (This is all background and happens in about the first chapter.) For the rest of the book, the old lady raises the baby as her granddaughter and the book alternates b/w 3 voices: Buddy's, Beautiful Girl's, Martha (the old lady), and sometimes Kate, one of the only kind caretakers at the institution who genuinely cares for the residents.
It sounds super-interesting, and I really, really, really was interested in this book. :( For some reason, though, the manifestation of this commendable outline and intent was just. . . .. kind of boring and not really as interesting as I had hoped. :(