In re N.D.

CourtSupreme Court of Rhode Island
DecidedApril 15, 2024
Docket22-59
StatusPublished

This text of In re N.D. (In re N.D.) 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.D., (R.I. 2024).

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

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. -1- 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). -2- 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

-3- 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

-4- 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.

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