In the Interest of: L.J.B

The issue presented to the Pennsylvania Supreme Court by this case was one of first impression: whether a woman’s use of opioids while pregnant, which results in a child born suffering from neonatal abstinence syndrome(“NAS”), constitutes “child abuse.” In 2016, A.A.R. (“Mother”), was released from incarceration, after which she relapsed into drug addiction, using opioids (pain pills) and marijuana. Mother subsequently learned that she was pregnant with L.J.B. (“Child”). She sought treatment for her addiction, first through a methadone maintenance program and then with subutex. Mother again relapsed, and in mid-January 2017 she tested positive for opiates, benzodiazepines and marijuana, none of which were prescribed for her. Mother gave birth to Child on January 27, 2017; at the time of Child’s birth, Mother tested positive for marijuana and subutex. By the third day of life, Child began exhibiting symptoms of NAS, including tremors, excessive suck, increased muscle tone and loose stools, which doctors treated with morphine. Mother reportedly left Child in the hospital and did not consistently check on her or stay with her (despite the availability of a room for her to do so). Hospital personnel communicated all of this information to the Clinton County Children and Youth Social Services Agency (“CYS”), which ultimately took emergency custody of the child. The Pennsylvania Child Protective Services Law (“CPSL”) defined “child abuse,” in relevant part, as “intentionally, knowingly or recklessly ... (1) [c]ausing bodily injury to a child through any recent act or failure to act,” or “(5) [c]reating a reasonable likelihood of bodily injury to a child through any recent act or failure to act.” The Supreme Court concluded,based on the relevant statutory language, that a mother cannot be found to be a perpetrator of child abuse against her newly born child for drug use while pregnant. The Court therefore reversed the decision of the Superior Court and remanded the matter for reinstatement of the trial court’s order. View "In the Interest of: L.J.B" on Justia Law