In re N.B., 22-75 (April 15, 2024)

CourtSupreme Court of Rhode Island
DecidedApril 15, 2024
Docket22-75
StatusPublished

This text of In re N.B., 22-75 (April 15, 2024) (In re N.B., 22-75 (April 15, 2024)) is published on Counsel Stack Legal Research, covering Supreme Court of Rhode Island primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In re N.B., 22-75 (April 15, 2024), (R.I. 2024).

Opinion

Supreme Court

No. 2022-75-Appeal. (PJ 21-2526)

In re N.B. :

NOTICE: This opinion is subject to formal revision before publication in the Rhode Island Reporter. Readers are requested to notify the Opinion Analyst, Supreme Court of Rhode Island, 250 Benefit Street, Providence, Rhode Island 02903, at Telephone (401) 222-3258 or Email opinionanalyst@courts.ri.gov of any typographical or other formal errors in order that corrections may be made before the opinion is published. Supreme Court

Present: Suttell, C.J., Goldberg, Robinson, Lynch Prata, and Long, JJ.

OPINION

Justice Lynch Prata, for the Court. This case came before the Supreme

Court on appeal by the Department of Children, Youth, and Families (DCYF or the

department), from an order finding it in contempt for failing to place N.B.1 at St.

Mary’s Home for Children (St. Mary’s),2 as ordered by the Family Court. On appeal,

DCYF submits that the hearing justice committed a variety of errors. First, DCYF

argues that the hearing justice abused his discretion by finding that it had not

1 N.B. was a minor at the time of the proceedings, so we refer to her using her initials to respect her privacy. 2 St. Mary’s is a nonprofit agency that cares for children facing psychiatric illness, sexual abuse and trafficking, and special-education challenges. See St. Mary’s Home for Children, About Us, https://www.smhfc.org/about-us/ (last visited Apr. 3, 2024). The facility offers three program areas: (1) residential services to children ages six to eighteen; (2) outpatient services to support those impacted by sexual abuse, exploitation, and other trauma such as family violence or physical abuse; and (3) a residential and day school that provides highly structured, individualized special- education instruction and therapeutic services for K-12 students with learning, social, emotional, and behavioral challenges. Id. -1- exercised reasonable efforts to place N.B., and thus it was an error to order the

child’s placement at St. Mary’s because the evidence demonstrated that N.B. could

not be placed at that facility and DCYF had made substantial efforts to place her

there and at other appropriate facilities. Second, DCYF challenges the hearing

justice’s finding that it had failed to demonstrate that it was not possible to comply

with the placement order as the department had put forth testimony and evidence of

its efforts to place her in an appropriate level of care, and that no placement was

available. And lastly, DCYF challenges the hearing justice’s decision to impose a

contempt sanction for the benefit of N.B. For the reasons stated herein, we vacate

the order of the Family Court.

Facts and Travel

N.B. became involved with DCYF on August 10, 2021, when the department

filed a neglect and dependency petition in Providence County Family Court alleging

that she “requires the protection and assistance of the [c]ourt due to the inability of

the mother, through no fault of the mother, to provide the child with a minimum

degree of care or proper supervision because of the special medical, educational or

social service needs of the child which the mother is unable to provide.” Laura

Bailey, in her capacity as a Child Protective Investigator for DCYF (Investigator

Bailey), filed an affidavit in support of the petition. The affidavit detailed a series

of events that preceded DCYF’s filing of the petition. Investigator Bailey reported

-2- that on August 7, 2021, N.B. was involved in an altercation in which she was caught

drinking alcohol and had assaulted her mother and younger brother. N.B. was

transported to Hasbro Children’s Hospital (Hasbro or hospital) for evaluation. The

Hasbro emergency-room staff evaluated N.B. but refused to admit her, indicating

that she did not meet the criteria because she was “not homicidal or suicidal.” At

discharge, N.B.’s mother refused to take her home out of concern for herself and

N.B.’s younger sibling’s safety. N.B. was placed on a seventy-two-hour hold at the

hospital and treated for her high blood-sugar levels. 3 After the incident, N.B. was

placed with her maternal grandmother.

Investigator Bailey also proffered that N.B.’s mother was “visibly upset about

the situation” and expressed concerns about her daughter’s ongoing behavioral

issues. In the months prior, N.B. had assaulted her mother and sibling multiple

times.4 N.B’s mother also informed Investigator Bailey that she had tried home-

based care for her daughter’s insulin regimen, therapy, and psychiatry, but “nothing

seemed to work” because her daughter refused the care. After a hearing on August

3 Approximately four years earlier, N.B. was diagnosed with Type I juvenile diabetes after she was rushed to the hospital on the first day of school because school personnel were concerned by her dramatic appearance; she weighed only fifty-five pounds. 4 Prior to the August 7 incident, N.B. had been in and out of both Bradley Hospital and Hasbro Children’s Hospital on at least nine occasions and the Providence Police Department had responded to the home due to her behavior numerous times. Her mother expressed concern to Investigator Bailey that N.B. was sexually active and using alcohol and marijuana. -3- 13, 2021, an order granting DCYF temporary custody of N.B. was entered on

September 13, 2021. The order required that both in-state and out-of-state placement

referrals be made for the child. The department was also ordered to update the Office

of the Child Advocate (OCA) incrementally as to its efforts to place N.B. in a more

suitable placement.

After an incident on August 14, 2021, in which N.B. was caught stealing and

threatened her grandmother, she was once again transported to Hasbro via

ambulance, and admitted to the hospital as a social admission. DCYF pursued an

emergency placement for N.B. at St. Mary’s on August 16, but after a phone

conversation, the facility indicated it could not meet N.B.’s needs. The department

began making referrals on August 23 and contacted at least seven different

placements, to no avail. On October 21, DCYF provided a letter to inform the court

of its additional efforts to place N.B. outside of Hasbro. At that point, DCYF had

made fourteen referrals to in-state and out-of-state facilities on behalf of the child,

but her placement at these facilities was either denied or pending review. Thereafter,

CASA sought a Family Court review of whether DCYF had made reasonable efforts

to place N.B. at an appropriate placement outside of the hospital. 5

5 At a later hearing, N.B.’s mother expressed concern that the care at Hasbro was inadequate given that she was not receiving any services and spent most days watching TV, playing Xbox, or painting. At the hospital, N.B. was not provided with any educational or mental-health services. -4- At the October 28 review hearing, Christopher Strnad (Strnad), the chief of

the Children’s Behavioral Health Unit at DCYF, detailed the agency’s efforts to

place N.B. outside of Hasbro. He explained that several out-of-state residential

centers stated that they could not take N.B. because there were no beds available and

the centers could not properly care for her diabetic needs. Strnad also testified that

DCYF had contacted five other in-state agencies, but he felt none could meet N.B.’s

needs due to a “mix of her behavioral health, [and] medical needs” and “a pretty dire

situation with the lack of staffing at the program,” in part due to the ongoing COVID-

19 pandemic. St.

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In re N.B., 22-75 (April 15, 2024), Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-nb-22-75-april-15-2024-ri-2024.