In re N.D.

Supreme Court of Rhode Island·Decided April 15, 2024·No. 22-59·Published

Opinion

Supreme Court

No. 2022-59-Appeal.

(PJ 21-1688)

In re N.D. :

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

No. 2022-59-Appeal.

(PJ 21-1688)

In re N.D. :

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

OPINION

Justice Lynch Prata, for the Court. The petitioner, the Department of Children, Youth, and Families (DCYF), appeals from an order of the Family Court granting the motion of the respondent, the Court Appointed Special Advocate (CASA), to adjudge DCYF in contempt on behalf of N.D. 1 for violating an order to place N.D. in a residential facility that was appropriate for her level of need. DCYF argues that the hearing justice erred in: (1) rejecting its defense that it was unable to comply with the court’s order; (2) imposing a contempt sanction that was designed to punish rather than coerce DCYF into compliance; and (3) ordering that the contempt sanction be placed in a trust for N.D.’s benefit. For the reasons set forth herein, we vacate the order of the Family Court.

1 N.D. was a minor during the lower court proceedings. We refer to her using her initials to respect her privacy.

Facts and Travel

N.D. became involved with DCYF when the Pawtucket police found her with a scarf around her neck, tied to a curtain rod. At the time, N.D. was sixteen years old. Initially, N.D. was permitted to remain at home with a safety plan in place, but on February 15, 2021, she locked herself in the bathroom and cut herself, requiring twenty-one sutures.

N.D. was subsequently admitted to Bradley Hospital, where she attempted suicide multiple times and was often restrained by staff. Believing that N.D.’s parents could no longer provide her with a minimum degree of care or supervision, DCYF filed a dependency petition on May 25, 2021. Thereafter, the Family Court granted DCYF temporary custody of N.D. She was originally placed at the North American Family Institute,2 but she continued to struggle with self-harm and was sent to Hasbro Children’s Hospital (Hasbro) three times due to self-inflicted injuries. N.D. was re-admitted to Bradley Hospital on June 27, 2021.

By July 2021, N.D. was ready for discharge, and DCYF began issuing referrals for placements. Due to N.D.’s high level of need, she required placement in a psychiatric residential treatment facility. DCYF first looked for in-state placements, but to no avail. DCYF expanded its search to the New England area,

2 The North American Family Institute is a multi-service, multi-state agency that operates residential, foster care, and community-based programs in Rhode Island. About, NAFI Rhode Island, https://www.nafiri.org/about/ (last visited Apr. 3, 2024).

but several of DCYF’s typical providers were not accepting new admissions and others had extensive waiting lists. Meanwhile, N.D. began to grow frustrated about her extended stay at Bradley Hospital. She expressed that, despite engaging in treatment, she felt “like [her] head[] [was] underwater and [she was] just barely breathing.” At the September 14, 2021 pretrial conference, the hearing justice noted that “out of state and in state referrals have thus far been unsuccessful[,] additional out of state referrals have been made * * *.” On September 22, 2021, and September 27, 2021, N.D. was brought to the Hasbro emergency room due to self-harm. At the October 6, 2021 pretrial conference, the hearing justice noted that “the placement search shall be expanded greatly * * *.” He further noted that N.D. had regressed.

By November 2021, N.D. had improved. She had not been physically restrained since November 11, 2021, and had not been given intramuscular injections to calm her down since October 3, 2021. At the November 9, 2021 pretrial conference, the hearing justice noted that she was once again ready for discharge and instructed that N.D. be placed in an appropriate residential treatment facility. Upon learning at the December 1, 2021 pretrial conference that DCYF was still unable to find an appropriate placement, the hearing justice expressed his frustration noting, “I’m a broken record – [o]rder a national search [and] report back.” On December 6, 2021, a written order was entered memorializing the November 9, 2021

directive that N.D. “be placed forthwith in a residential treatment facility that is appropriate for her level of need.”

The same day, CASA, on behalf of N.D., filed a motion to adjudge DCYF in willful contempt of the court’s order because she remained at Bradley Hospital and was “at risk [of] decompensating due to the length of stay at [the] hospital.” Thereafter, the hearing justice conducted an evidentiary hearing on CASA’s motion. At the hearing, DCYF conceded that it had not complied with the Family Court’s December 6, 2021 order and that N.D. remained at Bradley Hospital. Nevertheless, DCYF argued that the hearing justice should deny CASA’s motion because it was not possible for the agency to comply with the court’s order.

The hearing justice heard testimony from two witnesses: Heather Warner, Ph.D., an administrator in the children’s community services and behavioral health division of DCYF, and Jennifer Sevigny, a social caseworker for the family services unit at DCYF, who was assigned to N.D.’s case. Doctor Warner testified to the efforts that she and her staff had undertaken in finding N.D. an appropriate placement. She first looked for in-state placements; but because of N.D.’s aggression and self-injurious behavior, there were no placements in Rhode Island that could meet her level of need. Doctor Warner testified that there were two placements in Rhode Island available to boys with N.D.’s level of need, but that

there were no similar placements available for girls.3 She stated that, at the time of the hearing, there was a proposal to build a new psychiatric residential treatment facility in the state. Nevertheless, until a new facility is built, there are no psychiatric residential treatment facilities for young girls in Rhode Island. Doctor Warner testified that DCYF typically uses out-of-state placements for girls with N.D.’s level of need but that its usual providers had a freeze on admissions due to staffing shortages. Accordingly, Dr. Warner made referrals in New England to placements that contracted with DCYF and placements that did not. Doctor Warner expanded her search outside of New England, conducting research to identify new out-of-state placements. DCYF made approximately thirty referrals, but only one referral, Mount Prospect Academy in New Hampshire, accepted N.D. Mount Prospect Academy could not, however, immediately place N.D. because it had a three- to four-month waiting list.

3 Doctor Warner originally testified that St. Mary’s would be an appropriate placement for girls with N.D.’s level of need if she had an individualized education plan. Saint Mary’s is a nonprofit agency that cares for children facing psychiatric illness, sexual abuse and trafficking, and special-education challenges. About Us, St. Mary’s Home for Children, https://www.smhfc.org/about-us/ (last visited Apr. 3, 2024). However, Dr. Warner later admitted that even St. Mary’s would be unable to meet N.D.’s level of need because, at times, she required medication by intramuscular injection to subdue her.

Doctor Warner continued to conduct research to identify a placement for N.D.

after she was accepted into Mount Prospect Academy. However, she testified that she was consistently hearing from placements that:

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