Very nice ! I'd completely forgotten about the madness tables, and they fit in quite well with something I'm cooking up for my players. We're playing D&D 3.5, where the insanity rules are very basic and limited, but it would be very easy to adapt the (much better) 5th Edition rules to fit in.
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That is the nice thing about D&D: there's usually a simple way to shoehorn in a new mechanic it lacks, or make some easy upgrades to what is already there. Too many "homebrew" systems try to force an entirely new structure into d20, and that usually indicates to me they're using the wrong core game system from the get-go. Basic tables and cause/effect systems are great for the DM toolbox though.