Madhouse (originally titled There Was a Little Girl and also known as And When She Was Bad) is a 1981 Italian-American slasher film directed and co-written by Ovidio G. Assonitis, and starring Trish Everly, Dennis Robertson, Allison Biggers, and Michael Macrae. The plot follows a schoolteacher in Savannah, Georgia being stalked by her psychopathic twin sister in the days leading up to their birthday. The film's original title takes its name from a poem called There Was a Little Girl by Henry Wadsworth Longfellow.