NEW JERSEY DEPARTMENT OF CHILDREN AND FAMILIES VS. L.O. (DIVISION OF CHILD PROTECTION AND PERMANENCY) (RECORD IMPOUNDED)

213 A.3d 187, 460 N.J. Super. 1
New Jersey Superior Court Appellate Division·Decided June 17, 2019·No. A-0007-15T2·Published·Cited by 8 cases

Opinion

RECORD IMPOUNDED

NOT FOR PUBLICATION WITHOUT THE APPROVAL OF THE APPELLATE DIVISION

SUPERIOR COURT OF NEW JERSEY APPELLATE DIVISION

DOCKET NO. A-0007-15T2

NEW JERSEY DEPARTMENT OF CHILDREN AND FAMILIES, APPROVED FOR PUBLICATION DIVISION OF CHILD PROTECTION June 17, 2019

AND PERMANENCY, APPELLATE DIVISION

Petitioner-Respondent,

v. L.O.,

Respondent-Appellant.

Argued May 21, 2019 – Decided June 17, 2019 Before Judges Fisher, Suter and Firko.

On appeal from the New Jersey Department of Children and Families, Division of Child Protection and Permanency, Agency Docket No. AHU 13-0922.

Michael K. Furey argued the cause for appellant (Day Pitney LLP, attorneys; Michael K. Furey and Michael L. Fialkoff, on the brief).

Christina A. Duclos, Deputy Attorney General, argued the cause for respondent New Jersey Department of Children and Families (Gurbir S. Grewal, Attorney General, attorney; Melissa H. Raksa, Assistant Attorney General, of counsel; Christina A. Duclos, on the brief).

Amy E. Vasquez argued the cause for amicus curiae New Jersey State Bar Association (New Jersey State Bar Association, attorneys; John E. Keefe, Jr., of counsel; Amy E. Vasquez, on the brief).

Katherine E. Haas argued the cause for amicus curiae American Civil Liberties Union of New Jersey (American Civil Liberties Union of New Jersey, attorneys; Katherine E. Haas, Alexander R. Shalom, and Jeanne M. LoCicero, on the brief).

The opinion of the court was delivered by FISHER, P.J.A.D.

In this appeal, we consider for the first time whether an indigent parent or guardian – substantiated for child abuse or neglect – is entitled to the appointment of counsel when exercising the right to an administrative hearing. Because the potential consequences of those proceedings are of significant magnitude, we agree that, in this setting, counsel should be made available for indigent parents and guardians both at the administrative level and in any appeal of right to this court. Because that opportunity was denied defendant, we reverse the final agency decision and remand for a new administrative hearing.

The child at issue – Carolyn (a fictitious name) – was born in 2002. The record reveals that her parents, Steven and defendant Lola (also fictitious names) never married but began living together at the time of Carolyn's birth. Their separation in 2009 triggered an acrimonious family court custody battle; Lola A-0007-15T2

also obtained a domestic violence final restraining order against Steven, and he was criminally convicted for assault arising from the same domestic violence event.

In 2011, the family judge presiding over the custody litigation ordered reunification therapy to improve Steven's relationship with the child. Dr. S.-W. was appointed for this purpose and first saw father and daughter in May 2012. Their sessions, however, were limited because of assertions that Carolyn was too ill to attend. Dr. S.-W. soon formed the belief that Lola was the cause of Carolyn's emotional and physical stress, which was standing in the way of the reunification sessions; the doctor suspected what she referred to as "Munchausen By Proxy Syndrome."1 In light of Dr. S.-W.'s communications to and testimony before the family judge in the custody litigation, the judge temporarily changed "physical and residential" custody to Steven on March 12, 2013. The next day, Dr. S.-W.

1 What is usually referred to as "Munchausen Syndrome by Proxy," or, more recently, "Factitious Disorder Imposed on Another," is a mental illness by which a person caring for another, often a child – in seeking attention – acts as if the cared-for individual has a physical or mental illness. Its effect on the cared-for individual results from the obstacles it creates for health care providers striving to identify the cared-for individual's nonexistent illness, thereby making the matter worse. See Munchausen Sydrome By Proxy, WebMD, www.webmd.com/mental-health/munchausen-by-proxy (last visited June 5, 2019); Stedman's Medical Dictionary 1906 (28th ed. 2005).

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wrote to the family judge, emphasizing that her "original diagnosis of Munchausen by Proxy Syndrome is a correct characterization of what has been going on with [Carolyn]" (emphasis added), and that there "is strong evidence that [Lola] is the cause of [Carolyn's] anguish, stress and physical symptoms"; a few days later, the family judge awarded Steven "temporary sole legal custody and temporary residential custody" of the child and limited Lola to one hour of visitation per week to be supervised at a Division of Child Protection and Permanency office.

The inflammatory nature of the Munchausen charge – even though that diagnosis was later largely disowned or found to be an improper or inaccurate label – appears to have been the impetus for the wedge driven between Lola and Carolyn. At the time Dr. S.-W. was urging her Munchausen diagnosis in mid- March 2013, the judge referred the matter to the Division for investigation. On June 19, 2013, the Division gave written notice to Lola that its investigation resulted in a substantiation of abuse or neglect; in his later testimony before the administrative law judge (ALJ), Division Investigator Kevin Buck acknowledged that Dr. S.-W.'s assertion that her Munchausen diagnosis was "a correct characterization" was "one piece of evidence the [D]ivision used to support [its position] that [Lola has] a mental health issue." The family judge

A-0007-15T2

entered an order continuing the new custody arrangement indefinitely, and Lola's supervised visitation was later suspended altogether.

Lola appealed the substantiation finding, and a hearing was scheduled and conducted before an administrative law judge (ALJ) in October 2014. The ALJ heard testimony from Buck, Dr. S.-W., and two Division experts, Drs. Stephanie Iacopelli and Colin Gass. The Division also had Lola evaluated by Dr. Michael Gentile, whose report was considered by the ALJ. Lola was not offered counsel and was left to conduct her own defense. She had no experts and only provided her own testimony in response.

In March 2015, the ALJ rendered her initial decision, rejecting the Division's substantiation of abuse or neglect. The ALJ found that the Division failed to demonstrate Carolyn "was actually a victim of Munchausen syndrome by proxy" and that the Division had been "[s]elective" in its focus on Lola's behavior. For example, the ALJ determined that the Division "shrewdly" quoted portions of Dr. Gentile's report to justify abuse when, in fact, Dr. Gentile's "entire medical opinion . . . casts doubts" on that finding. According to the ALJ, Dr. Gentile found "no criteria of major depressive disorder or panic disorder" and instead

rendered a diagnosis of adjustment disorder with symptoms of anxiety and depression. [Lola] also

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exhibited "mild symptoms of depression and anxiety,"

which Dr. Gentile attributed to "the acrimony of the divorce and the separation from her 10-year-old daughter."

The ALJ particularly pointed out that Dr. Gentile found that Lola:

has full insight into her condition and any allegations of Munchausen by proxy behavior is more related to an attempt to manipulate the system, so that decisions are made in her favor versus the underlying psychopathology characteristic of Munchausen syndrome by proxy. Her pattern of overreacting in times of stress may qualify her for a diagnosis of histrionic personality disorder. Her attempts at manipulation are more suggestive of an antisocial personality disorder.

Dr. Gentile drew a conclusion, which the ALJ adopted, that Lola "does not suffer from psychiatric illness that would require psychotropic medication"; instead, according to the ALJ, Lola "would benefit from individual supportive psychotherapy to help her adjust and cope with her current situation."

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NEW JERSEY DEPARTMENT OF CHILDREN AND FAMILIES VS. L.O. (DIVISION OF CHILD PROTECTION AND PERMANENCY) (RECORD IMPOUNDED), 213 A.3d 187, 460 N.J. Super. 1 (N.J. Ct. App. 2019).

213 A.3d 187 (NEW JERSEY DEPARTMENT OF CHILDREN AND FAMILIES VS. L.O. (DIVISION OF CHILD PROTECTION AND PERMANENCY) (RECORD IMPOUNDED)) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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