In 1976, photographer Mary Ellen Mark spent thirty-six days living in the Oregon State Hospital with social worker and writer Karen Folger Jacobs to photograph the patients of Ward 81—a high security, locked psychiatric facility for women. The inmates were considered dangerous to themselves or to others. Mark’s unique access led to a poignant and compelling portrayal of intimate and deeply human moments in the lives of mental health patients. Jacobs recalls their slow, inevitable assimilation: "We felt the degeneration of our own bodies and the erosion of our self-confidence. We were horrified at the thought of what we might become after a year or two of confinement and therapy on Ward 81”.