Book Review | Damnation Island: Poor, Sick, Mad, and Criminal in 19th-Century New York

Rating | ⭐⭐⭐⭐

This book was absolutely horrifying and engrossing at the same time. I could not put it down.

In 1928 NYC purchased an island in the East River and called it Blackwell's Island. For the next hundred years the complex of buildings were supposedly a safe-ish place for the insane, poor, sick, and criminal. The author shows us what daily life was like for those living on the island, as well as those who worked there. We hear from the people trapped there, city officials who sent them away, reformers who knew it was not the solution, and journalists trying to shed light on the abusive and inhumane practices. We also are taken on a deep dive of the politics surrounding the on-going use of the island, how 'charity' was put into practice, and all of the horrific 'therapies' patients were subjected to.

Different facilities were built to care for each of the groups mentioned above. Great in theory, but not entirely accurate in practice. Due to funding (or lack of), staffing (or lack of), food (or lack of), and/or medication/supplies (or lack of), these populations often mixed together and the results are as awful as you would expect. With massive overcrowding, sometimes inmates were assigned to a different facility than was appropriate. And as a cost-saving measure, convicts were assigned jobs as attendants in one of the other buildings. It went as well as you would expect.

That was not the vision the city had for this project when it first began. Originally the plans were, naturally, to find humane ways to care for these populations with the highest needs. The initial plan was for a facility to house up to 200 people. There was no intention of mixing any of the populations, especially not those in the penitentiary with the mentally ill, One can see right away why that would be a receipe for disaster, a situation ripe for further abuse of those least able to defend themselves. When the building was nearly at capacity in the first few weeks, the city realized they had a much bigger problem on their hands. The asylum had to be enlarged repeatedly, and still there was never enough room for everyone. And for the doctors and nurses truly trying to do good and help those in their care, it must have been overwhelming to know that there was never enough of anything to truly help - not enough money, not enough staff, not enough supplies and food and medications. Of course, you also had those who did not care about treating patients humanely, which made an already-unbearable situation infinitely worse.

We might think we are doing so much better today, but let's be realistic. The mentally ill and the criminal are still housed together, only now it's in jails and prisons, where those with metal illness get zero treatment and they are subject to abuse again at the hands of fellow inmates. While treatments in psychiatric facilities are better now, prisons are not. Prisons are the new asylums for those who do not have access to treatments and medications and money/insurance to pay for these things that the psych facilities can provide.

The author did a fantastic job showcasing each facility on the island and how they operated. As we all know, people (mainly women) could be committed for pretty much anything, and that's exactly how Blackwell Island found itself at capacity so soon after opening. For a century, people sent to the island were subjected to absolutely disgusting living conditions. Food was often spoiled and rotting, and there was much physical abuse. It will also surprise no one that racism was also at work, and while conditions were terrible for everyone, it was usually even worse for Black patients and inmates. Plus we all know how well-liked the Irish were at this time, so their treatment was also as awful as you would expect.

This is a very well-researched and interesting read. The author had access to surviving documents and really brought to life individuals who lived and died on the island. It is a difficult read, but an important one. The complete disregard for human life over the decades of operations is heartbreaking and something that stayed with me long after I finished this one. There were certainly bright spots in the story, reformers who saw what was happening and tried to stop it, but were met with resistance at nearly every turn.

The author ends with a look at Rikers Island now, and asks if we are really doing much better today. You can probably draw your own conclusion.

Highly recommended.