Goodreads asked Kate Axelrod:

Where did you get the idea for your most recent book?

Kate Axelrod I came up with the idea for this book when I was doing homeless outreach work. There was an older woman who I met, she was very kind and quiet, probably in her late sixties. I met so many homeless women and men during that time, and I started thinking about the fact that everyone who is homeless started out having such a different life. They all had their own unique histories. And I kept thinking about this older woman (who had schizophrenia) she could've been my mother or my grandmother. And I started thinking: what if my mother had schizophrenia? And the germ of the novel started from there.

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