Inside Oregon State Hospital

A History of Tragedy and Triumph

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.