 As mentioned above, much of the source material Deutsch used in compiling his account of state hospitals was primary.In many cases, he requested and was granted a tour of a facility by the superintendent—in other words, the head doctor and administrator.Throughout the book, he directly quotes the various doctors, administrators, staff, patients, and state government representatives whom he met and interviewed, and augments their observations, and his own, with notes on the statistics of mental illness, patient demographics, rates of staff turnover and salary, local state policy and budget, and APA regulations dictating the minimum requirements for care.