Mental Institutions
"The transition to state hospitals and "state schools", however, brought with them many abuses that shocked operators of private American psychiatric hospitals. Reformers, such as American Dorothea Dix began to advocate a more humane and progressive attitude towards the mentally ill. Some were motivated by a so-called Christian Duty to mentally ill citizens. In the United States, for example, numerous states established state mental health systems paid for by taxpayer money (and often money from the relatives of those institutionalized inside them). These centralized institutions were often linked with loose governmental bodies, though oversight and quality consequently varied. They were generally geographically isolated as well, located away from urban areas because the land was cheap and there was less political opposition." -

Relating the novel to literature
  • Hannah - This book relates to Orwell's 1984 because it has similar techniques for control and the characters are likewise aware that if they don't submit, they will lose everything and suffer. This connection might show that O.F.O.T.C.N. will end with McMurphy going to the shock shop and losing the fight with the Big Nurse.
  • Shannan - like Catcher in the Rye because in C.I.T.R. the main character ends up in an asylum but doesn't believe he is crazy.
  • Kenna - One Thousand White Women
  • Delaney - the Chief = Nick in The Great Gatsby because Nick is the narrator who looks in from the sidelines and the prediction is that the Chief will not suffer the same fate as the other patients just like Gatsby didn't have the same suffering as Gatsby.

The History Of Ken Kesey:
"At Stanford in 1959, Kesey volunteered to take part in a CIA-financed study named Project MKULTRA at the Menlo Park Veterans Hospital. The project studied the effects of psychoactive drugs, particularly LSD, psilocybin, mescaline, cocaine, AMT, and DMT on people.[3] Kesey wrote many detailed accounts of his experiences with these drugs, both during the Project MKULTRA study and in the years of private experimentation that followed. His role as a medical guinea pig inspired Kesey to write One Flew Over the Cuckoo's Nest in 1962. The success of this book, as well as the sale of his residence at Stanford, allowed him to move to La Honda, California, in the mountains south of San Francisco. He frequently entertained friends and many others with parties he called "Acid Tests" involving music (such as Kesey's favorite band, The Warlocks, later known as the Grateful Dead), black lights, fluorescent paint, strobes and other "psychedelic" effects, and, of course, LSD. These parties were noted in some of Allen Ginsberg's poems and are also described in Tom Wolfe's The Electric Kool-Aid Acid Test, as well as Hell's Angels: The Strange and Terrible Saga of the Outlaw Motorcycle Gangs by Hunter S. Thompson and Freewheelin Frank, Secretary of the Hell's Angels by Frank Reynolds. Ken Kesey was also said to have experimented with LSD with Ringo Starr in 1965 and in fact influenced the set up for their future performances in the UK."

Mental Illness In veterans: - CNN article about mental illness in returning veterens: "Nearly a third of veterans returning from Iraq and Afghanistan who received care from Veterans Affairs between 2001 and 2005 were diagnosed with mental health or psychosocial ills, a new study concludes."