In the Interest of: N.S. Appeal of: N.S.

CourtSuperior Court of Pennsylvania
DecidedDecember 30, 2024
Docket945 EDA 2024
StatusUnpublished

This text of In the Interest of: N.S. Appeal of: N.S. (In the Interest of: N.S. Appeal of: N.S.) is published on Counsel Stack Legal Research, covering Superior Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In the Interest of: N.S. Appeal of: N.S., (Pa. Ct. App. 2024).

Opinion

J-S37014-24

NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT O.P. 65.37

IN THE INTEREST OF: N.S. : IN THE SUPERIOR COURT OF : PENNSYLVANIA : APPEAL OF: N.S. : : : No. 945 EDA 2024

Appeal from the Dispositional Order Entered February 14, 2024 In the Court of Common Pleas of Montgomery County Criminal Division at No(s): CP-46-JV-0000252-2021

BEFORE: BOWES, J., MURRAY, J., and SULLIVAN, J.

MEMORANDUM BY BOWES, J.: FILED DECEMBER 30, 2024

N.S. appeals from the order entered on February 14, 2024, following a

dispositional review hearing for his 2021 adjudication of delinquency. We

affirm.

In February 2020, Appellant, then aged fifteen, repeatedly stabbed his

thirteen- and nine-year-old siblings at a playground, causing them significant

injuries. The Commonwealth initially charged him as an adult with attempted

homicide, aggravated assault, and other crimes, but the trial court decertified

the matter to juvenile court upon Appellant’s unopposed request. At the July

19, 2021 adjudication hearing, Appellant entered admissions to acts that, if

committed by an adult, would constitute two counts of aggravated assault and

one count of possessing an instrument of crime, conceding that he used a

knife from the family home to repeatedly stab his brother in the face, chest,

and hands, causing a collapsed lung, and then to stab his sister in the head

multiple times. J-S37014-24

Subsequent court-ordered psychiatric and psychological evaluations

revealed diagnoses of psychotic disorder and early-onset schizophrenia, with

visual, auditory, olfactory, and tactile hallucinations and recommended that

Appellant be placed in a residential treatment facility until therapists

concluded he was ready to be reunified with his family. At a September 29,

2021 dispositional hearing, the Commonwealth provided expert testimony

that Appellant suffered from psychosis of an unclear nature, likely a

schizoaffective disorder or a combination of schizophrenia and an affective

illness, making him extremely dangerous until his condition was brought under

control through treatment. On this basis, the court ordered Appellant to be

placed at the Harborcreek Youth Services (“HYS”) residential treatment facility

pending future review.

The juvenile court thereafter held dispositional review hearings at three-

month intervals, which it detailed as follows:

The Honorable Garrett D. Page presided over a dispositional review hearing on March 28, 2022. The court had the benefit of a report from HYS, Erin Bastow, MS, LPC, NCC—Clinical Director, which assessed Appellant’s behavior from initial intake, October 4, 2021, to March 8, 2022. The report discussed progress Appellant had made through therapy but recommended that “continued placement in a structured psychiatric residential program continues to be necessary” and that Appellant continues to need “psychiatric consultation and medication management” along with “individual counseling and therapy” and other services. The court ordered that Appellant remain at HYS.

Of note, a Horsham Clinic psychiatric evaluation provide[d] that in February 2022, Appellant was experiencing “auditory and visual hallucinations, derogatory in type including visual hallucinations of monsters talking to him.” During this time period

-2- J-S37014-24

Appellant “became increasingly paranoid, believed the government was going to arrest his family and he started to have auditory hallucinations, command type to kill people.”

HYS presented another report, purportedly reviewed by [Clinical Director Bastow], for the period from March 8, 2022 to June 13, 2022. This report concluded that Appellant had made “significant progress” and was headed for a “possible discharge” but that he would benefit from the following services upon release: “psychiatric consultation and medication management, independent living services and family-based mental health services.”

Following another dispositional review hearing on June 27, 2022, Judge Page discharged Appellant effective June 30, 2022 and placed him on probation supervision with various conditions.

While on probation, Appellant’s family admitted Appellant to the Horsham Clinic on or about October 9, 2022. According to the Horsham discharge plan dated October 19, 2022, the “reason for admission” was “recurrent intrusive thoughts of hurting people, raping women.” The discharge diagnosis was schizoaffective disorder.

Appellant remained on probation through a December 22, 2022 dispositional review hearing. The next dispositional review hearing took place on March 10, 2023. The March 10, 2023 dispositional review — probation supervision report noted the following:

 Since the December 22, 2022 hearing Appellant’s “behavior appears to be decompensating.”

 Appellant began attending the Explorations partial hospitalization program (PHP) (“Explorations”) on January 11, 2023 “to continue his education in an atmosphere that dealt with children who have psychiatric issues or disorders.”

 At Explorations, Appellant spoke about talking to the “Sandman” and “wonders aloud in school questioning why he has a lack of care of others, and feels nothing when someone gets hurt.”

-3- J-S37014-24

 On February 1, 2023 he “revealed that his younger siblings had friends over and he had thoughts of harming them.”

 On February 15, 2023, Appellant’s mother found a box cutter in Appellant’s book bag. Appellant’s parents apparently told the school that Appellant “raises his voice, curses, and threatens his father by posturing.”

 On February 17, 2023, Appellant’s mother contacted Explorations expressing fear for her family. That day, Mother transported Appellant to Belmont Behavioral Hospital where he remained until his discharge on February 24, 2023.

 Upon returning to Explorations, Appellant was involved in a conflict with another student, punched a wall, accused his peers of having a vendetta against him and was overheard by staff saying “he just came from lock up and killed four people.”

 Appellant admitted to Explorations staff that he had thoughts of harming his father prior to being admitted to Belmont Behavioral Hospital.

 At a “team meeting” on March 3, 2023, Appellant’s mother spoke of Appellant’s “fantasies of harming people” and an incident where Appellant “revealed that he saw people in the park and thoughts of harming them.”

 The March 7, 2023 progress note from Explorations provides that Appellant reports “urges and thoughts to hurt others” which is like a “feeling of being hungry” and th[at] “he wants to do this so badly.” Appellant reported having dreams of going on a “killing spree” which he describes as giving him a rush and that he did not want to wake up from those dreams.

At the conclusion of the March 10, 2023 Dispositional Review Hearing, Judge Page ordered that Appellant be detained at the [Montgomery County Youth Center (“MCYC”)] pending psychological and psychiatric evaluations.

Appellant remained at MCYC until May 12, 2023 when he was released to the Horsham Clinic. Appellant was admitted to

-4- J-S37014-24

Horsham with “worsening symptoms of psychosis” and “auditory hallucinations” that were “consistent” and “overwhelming” and involved voices “talking to themselves.” At the time of admission, Appellant “expressed having homicidal ideations and continued to struggle with auditory and visual hallucinations.” Appellant had “intrusive homicidal thoughts, but stated that he would not act on them.” Appellant “described a long history of psychosis and having thoughts of hurting others, which he stated he could ignore.”

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