In Re Child of Cassie S.

2026 ME 26
Supreme Judicial Court of Maine·Decided March 17, 2026·No. Cum-24-426·Published·STANFILL, C.J.

Opinion

MAINE SUPREME JUDICIAL COURT Reporter of Decisions Decision: 2026 ME 26 Docket: Cum-24-426 Submitted On Briefs: November 25, 2025 Decided: March 17, 2026

Panel: STANFILL, C.J., and MEAD, LAWRENCE, DOUGLAS, and LIPEZ, JJ.

IN RE CHILD OF CASSIE S.

STANFILL, C.J.

[¶1] Cassie S. appeals from an order of the District Court (Portland, Woodman, J.) finding that she placed her child in jeopardy by subjecting the child to medical abuse. The mother does not contend that the evidence is insufficient to support the court’s finding of jeopardy, but she has appealed from the jeopardy order for a variety of other reasons. The mother argues that the court (1) violated her right to counsel in determining that she was not indigent and failing to appoint an attorney; (2) erred in continuing the jeopardy hearing beyond the 120-day deadline; (3) violated her right to due process when the judge did not recuse herself; (4) erred by drawing a negative inference from the mother’s failure to call certain witnesses at the jeopardy hearing; and (5) violated the mother’s First Amendment rights when it enjoined the mother from posting on social media, speaking to the media, and discussing any issues involved in this litigation. The mother additionally contends that the

court erred in denying, without a hearing, her motion for relief from judgment under M.R. Civ. P. 60(b), which alleged ineffective assistance of counsel at the jeopardy hearing. We affirm the jeopardy order and the court’s denial of the mother’s Rule 60(b) motion. We remand the matter to the trial court for the court to modify the order restraining the mother from commenting on this case.

I. BACKGROUND

[¶2] The following facts are drawn from the court’s findings, which are supported by competent evidence in the record, and from the procedural record. See In re Child of Radience K., 2019 ME 73, ¶ 2, 208 A.3d 380. A. Factual History

[¶3] Cassie S. is the mother of a child with a complex medical history beginning when the child was about six months old. When the child was twenty-one months old, the mother persuaded the child’s doctor to perform an invasive procedure—a tracheotomy—to attempt to cure cyanotic spells she had observed. According to the mother, the tracheostomy did not ameliorate the cyanosis, so the child’s medical providers recommended its immediate removal. The mother, however, insisted that the child’s tracheostomy become permanent.

[¶4] In the years that followed, the mother took the child to various medical providers in Maine and other states, many of whom recommended the removal of the child’s tracheostomy. The mother also reported to the child’s doctor that the child was aspirating on liquids, and as a result, a gastrostomy tube was placed in the child’s stomach.

[¶5] Ultimately, the medical director of the child protection program at a Massachusetts medical center reported the mother to the Maine Department of Health and Human Services. The medical director expressed concerns that the child had received inappropriate medical care at the urging of the mother. As a result, the Department petitioned for a protection order in 2019, although that petition was ultimately dismissed. Throughout the 2019 proceedings, the mother spoke to the press about the Department’s efforts to remove the child from her care, resulting in published articles about the child’s medical history and the mother’s experience with the Department.

[¶6] In September and October 2023, when the child was eight years old, the mother took him to a pediatric pulmonology specialist in New York City. The child arrived in a wheelchair with a tracheostomy, gastrostomy tube, and leg braces. Doctors conducted various medical tests and exams, all of which found no abnormalities. The doctors observed no mobility issues even though

the child was wearing leg braces and the mother reported concerns with his balance and gait. The child’s neurological examiner concluded that there was no evidence of a neuromuscular abnormality. The pulmonologist concluded that the child did not need the tracheostomy or gastrostomy tube, and that to begin the removal process, the child should be observed overnight with his tracheostomy capped. The mother refused to permit the child to undergo that evaluation. In fact, after the child’s discharge from the New York hospital, the mother scheduled a procedure with a Massachusetts doctor to enlarge the child’s tracheostomy, a procedure that the court ultimately blocked.

[¶7] On October 18, 2023, the medical center in New York filed a report with the Department expressing concerns that the mother was engaging in medical abuse of the child. B. Proceedings

[¶8] On December 6, 2023, the Department filed a petition for a child protection order but did not request a preliminary protection order (PPO). Days before the jeopardy hearing, the Department requested and received a PPO that allowed the mother to maintain custody but imposed conditions on her, including preventing her from moving forward with a procedure to enlarge the child’s tracheostomy.

1. Case Management Conferences and the Department’s Motion to Continue

[¶9] The Department was unable to serve the mother with the petition until January 4, 2024, partially because the mother’s privately retained attorney sent a letter to the Department ordering it not to meet with or contact the mother. The court held a case management conference on January 11, 2024. During the conference, the court suggested that having a jeopardy hearing without additional experts “may not provide any further clarification. I don’t know the facts, and I don’t know what has happened since [the 2019 proceedings], but the parties may wish to discuss a third expert or another expert or . . . if there can be an agreement to have [the child] seen by . . . an agreed upon expert. . . . [T]here’s got to be some more medical info—or documentation or expert’s opinion—other than the ones that we’ve already heard.” When the Department replied that it planned to present only the child’s medical providers, the court suggested that while information from the medical providers “is very important and relevant to this issue, . . . you might want to explore another expert that . . . can review all of the documentation, can review all of the medical reports and . . . give an opinion.”

[¶10] The court then issued an order compelling the mother to sign releases for the child’s medical records. The mother objected to this order

almost two months later, and she refused to sign the releases. The court held a trial management conference on March 4, which was continued to March 11 at the Department’s request. At this conference, the court again ordered the mother to sign all releases.

[¶11] The court initially scheduled the jeopardy hearing for mid-May, but the Department moved to continue the jeopardy hearing. At a March 18 conference, during arguments on the motion to continue, the Department explained that it had retained an out-of-state expert on child medical abuse but the expert would be unable to finish his review and report by May because of the mass of medical records and the complicated nature of the case. The Department also expressed that the mother’s delay in signing the releases meant that it had obtained only some of the child’s records. The mother objected, arguing that there was no legal basis for a continuance, that the hearing needed to occur within 120 days of the petition, and that that day she had met with some of the child’s medical providers, who were ready to testify in May.

[¶12] The court granted the Department’s motion to continue, rescheduling the jeopardy hearing for July. It reasoned that the mother was not served until January 4, had objected to the case management conference being

held so soon after she had been served, had refused to sign releases for a couple of months, and had previously objected to scheduling the jeopardy hearing for mid-May.

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