Jump to ratings and reviews
Rate this book

Inside Oregon State Hospital: A History of Tragedy and Triumph

Rate this book
A look inside the historic mental hospital that served as the location for One Flew Over the Cuckoo’s Nest—includes photos.   Seen through the eyes of those who lived there, this book examines the world of a mental hospital established in Salem, Oregon, in 1883—where, in desperate attempts to cure their patients, physicians injected them with deadly medications, cut holes in their heads, and sterilized them.   Years of insufficient funding caused the hospital to decay into a crumbling, understaffed facility, which was later used as the setting for the 1975 film One Flew Over the Cuckoo’s Nest. Today, after a $360 million makeover, Oregon State Hospital is a modern treatment hospital for the state’s civil and forensic mentally ill. In this compelling account of the institution’s tragedies and triumphs, author Diane Goeres-Gardner offers an unparalleled look at the very human story of Oregon’s historic asylum.

456 pages, Kindle Edition

First published May 21, 2013

181 people are currently reading
105 people want to read

About the author

Ratings & Reviews

What do you think?
Rate this book

Friends & Following

Create a free account to discover what your friends think of this book!

Community Reviews

5 stars
34 (26%)
4 stars
34 (26%)
3 stars
45 (35%)
2 stars
13 (10%)
1 star
2 (1%)
Displaying 1 - 17 of 17 reviews
Profile Image for Amber.
57 reviews2 followers
May 8, 2015
Really interesting read, as a mental health professional in Oregon. I didn't really like the way the book was organized, especially near the end, and I would have liked the chapters to have more of a story woven in, but overall, very interesting.
Profile Image for Debbi.
1,010 reviews
December 31, 2019
A thoroughly researched history of the Oregon State Hospital beginning with it's opening in 1883 and ending around 2007 when a new hospital was built. It waffled between fascinating and boring. The human stories such as the suicides, escapes, drug therapies, patient abuses, lobotomies and insulin therapy were all fascinating to read about. The changing personnel, politics, budgets, and statistics made for some dry material. The chapter on the filming of "One Flew Over the Cuckoo's Nest" was enlightening. Overall 3.0 stars.
Profile Image for Nancy.
1,435 reviews49 followers
February 26, 2014
The book starts out with a listing of random facts about the early years of the hospital, its staff, and its patients. Ms. Goeres-Gardner moves from a list of the clothing a new patient brings with her to the cost of bringing patients to the asylum to a list of the disinfectants used to combat smallpox to a mention that the high board fence was replaced with a picket fence in 1890 to a (footnoted) assertion that an "excellent Christmas dinner was served to the patients" that same year. While any one of these thing might be interesting as part of a pattern, it just seemed like a jumble to me.

I found it very hard to get traction in this book so did not finish it before the Library Kindle version ran out its time. It is possible that the author offers less choppy and more coherent coverage of more recent times but I don't plan to take the book out again to find out.
Profile Image for Edwin Battistella.
Author 10 books32 followers
July 7, 2013
Inside Oregon State Hospital is the story of Salem, Oregon’s, historical state mental hospital, first established in 1883 as the Oregon State Insane Asylum. In a meticulously researched and robustly illustrated study, Diane Goeres-Gardner takes us through the stages and phases of the famous hospital where One Flew Over the Cuckoo’s Nest was filmed. It’s not just a history of an institution, but also the history of the various therapies—and approaches to mental illness (from moral therapies to hydrotherapy to drugs and lobotomies). And it’s the story of the various people associated with the institution—the patients (some of whom in the early days were inconvenient spouses), the doctors and superintendents who tried to make things work. It’s also the society’s relationship to mental illness and (and, this being Oregon) chronic underfunding. The book ends on a positive note, with the 2013 renovation of the hospital. This is a great addition to Oregon history.
Profile Image for Mel.
154 reviews38 followers
January 18, 2020
This book was ok for what it was meant to be, I suppose. It was mainly a recap of statistical data on Oregon State Hospital with brief narratives on treatment methods (along with anecdotal stories) as they evolved at the hospital. I thought the research was thorough. However, the book might have read a bit easier if the statistics were weaved into a more thought-out narrative or telling of the hospital's history. As written, it came off a bit dry and even the statistical data jumped back and forth in time, so it was a bit confusing to try to keep up with it. I believe the story would have been better if the history was simply laid out in chronological order instead of the subject matter format presented. I stopped reading with less than a hundred pages to go, simply because I felt that I had the gist of the book without completing it.
Profile Image for Elise.
5 reviews
November 13, 2025
Excellent overall history of Oregon State Hospital. Very well written with objective information rather than personal patient stories. I appreciated how organized and historically accurate this book was. Highly recommended to anyone interested in learning about the history and tragedies that can occur in a large state-run institution like OSH.
Profile Image for Robin H-R Holmes Richardson.
86 reviews6 followers
August 25, 2019
Stop at the Cuckoo's Next

A very interesting, well researched journey into Oregon's mental health system. Filled with historical incidents, photos, and statistics. I found it fascinating, but got bored with the stats after a while.
Profile Image for Vicky Peplow.
Author 74 books63 followers
December 28, 2021
Interesting insight!

Not what I was expecting and was expecting more stories regarding the patients and not about numbers. I did lose interest in places but managed to pick it up again and finish the book.
60 reviews
March 10, 2024
Very informative

A great book. How much mental healthcare has advanced is a blessing. Decades ago, the patients were treated unethically, regarding respect and care. This book definitely shows hope for people suffering from mental challenges.
Profile Image for Terry.
296 reviews
November 16, 2017
Thoroughly researched and well presented. I think most states have a very checkered past when it comes to mental health services. Very enlightening.
Profile Image for Jennifer.
3 reviews
April 11, 2020
It has a lot of potential, but I felt like it was very disorganized. Also, the font on shiny paper made it very difficult to read.
Profile Image for Marty.
1,329 reviews57 followers
August 22, 2022
Dry with a chance of sparks. If you love dull and endless who's who this is for you. An occasional look at patients and their chance of recovery
Profile Image for Mariejkt.
388 reviews4 followers
August 11, 2013
Excellent book. Very informative and tells it how it is and was at the Oregon State Hospital. The author is a very talented historian. I have read most of her books and recommend them all.
Displaying 1 - 17 of 17 reviews

Can't find what you're looking for?

Get help and learn more about the design.