In re S.R., Juvenile
Annotate this CaseJuvenile S.R. appealed a family division order granting the Department for Children and Families' (DCF) request to place him in a secure out-of-state psychiatric residential treatment facility pursuant to 33 V.S.A. 5926. In November 2019, mother stipulated that S.R. was CHINS. The stipulated merits order indicated that S.R. and mother were homeless, mother needed to undergo a medical procedure that would preclude her from caring for S.R., and S.R. had mental health and behavioral needs that needed continued treatment. The stipulated order included a statement that S.R. did not meet criteria for voluntary or involuntary mental health admission. Mother stipulated that she was unable to meet S.R.’s needs for stability, housing, and mental and behavioral health services. The COVID-19 pandemic struck, delaying court hearings. Over the following months, S.R. moved through a series of ten to twelve placements. The constant changes in placement prevented S.R. from establishing any therapeutic connections with service providers and also inhibited S.R.’s educational progress. S.R. was charged with delinquency several times after he reportedly became abusive during three of his placements. DCF, Mother and S.R.'s guardian ad litem eventually agreed on a placement in Harbor Point, Virginia. S.R. himself objected to placement at Harbor Point, and to any other placement out-of-state, unless a program could be found in New York, where his mother was living at the time of the hearing. The court ultimately granted DCF’s motion for out-of-state placement, finding that there were no equivalent facilities in Vermont, and that placement at Harbor Point was in S.R.’s best interest. On appeal, S.R. argued the court erred in granting the motion for out-of-state placement in the absence of any psychiatric or psychological evaluation supporting a conclusion that psychiatric residential treatment was necessary for him. He contended his placement was akin to the involuntary commitment of an adult, and that involuntary commitment decisions had to be supported by full psychiatric evaluations and expert testimony. The Vermont Supreme Court concluded the order was not supported by sufficient evidence, and reversed. "While we have no doubt that everyone involved in the proceeding below was concerned with S.R.’s best interest and acted in good faith, and it may be that DCF’s position is ultimately adequately supported, the record simply does not contain the sort of expert evidence required to support long-term placement in a locked psychiatric residential treatment facility over S.R.’s objection."
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