In the wake of the Civil War, twelve-year-old ConaLee and her mother Eliza, who hasn't spoken in more than a year, arrive at the Trans-Allegheny Lunatic Asylum in West Virginia. Delivered to the hospital by a war veteran known to ConaLee as Papa, mother and daughter are soon swept up in the life of the facility and its characters: the night watchman who lost his eye in battle, the child called Weed, the fearsome woman who runs the kitchen, and the remarkable doctor at the head of the institution. There, far from family and the mountain home they knew, ConaLee and Eliza try to reclaim their lives, and uncover identities lost, hidden or unknown.