Court Cases on
Children With FAS/FAE
In re Alicia Z.,
784 N.E. 2d 240, 336 Ill. App. 3d 476, 271 Ill. Dec. 22 (App. Ct. 2002)
The appellate court declined to transfer guardianship of girl with
FAS to her foster parents, but also declined to order that she be
immediately placed in the custody of her biological father.
There was a dispute in this case about whether the child in
question, Zayda, actually had FAS. A pediatrician testified that Zayda
did have FAS, while a pediatric geneticist concluded that she had neither
FAS, FAE, nor ARND. The latter physician testified that if there were
evidence that the mother consumed alcohol during pregnancy, that might
alter her diagnosis. The trial court had already concluded that the
mother did drink during the pregnancy. The child had an IQ of 100; both
experts agreed that that did not rule out a diagnosis of FAS. The trial
court downplayed the importance of the disagreement about whether the
child had FAS/FAE, since both experts agreed that Zayda needed continuing
therapy sessions.
Zayda was first diagnosed with FAS in January 2000, when she was
less than two. A court "ordered early intervention therapies,
developmental classes, and occupational and speech therapy." She was
later was "kicked out" of two day care centers for behaving badly, but her
ability to extract and use learned information had improved.
The biological father had attended some of the child's therapy
sessions, and understood and was attempting to help her deal with her
problems.
"[He] used games, puzzles, and toys to teach her to remain focused on
tasks. He also calmed Zayda when she became disoriented, frustrated,
anxious, and afraid."
In the Matter of C.C.
1997 WL 360676 (Tex. Ct. App.)
The appellate court approves the termination of the father's
parental rights with regard to three children, all of whom had FAS. (*4).
The court concluded that one factor militating in favor of
termination of parental rights was that the children had "tremendous
needs."
A pediatrician who specialized in birth defects
"diagnosed the children with triple hit suite syndrome, a syndrome
associated with prenatal exposure to drugs/alcohol. The children have the
physical features of Down's Syndrome, physical growth problems, and
learning disorders. All three children suffer from growth impairment
which indicates their cases are severe."
(*4). The mother at various times had used marijuana, cocaine, and
methamphetamine. One child had tested positive for drugs (unspecified) at
birth.
In re Adoption of Charles B.
552 N.E. 2d 884, 50 Ohio St. 3d 88 (1990)
Charles B., age 8, suffered from a number of serious problems:
leukemia (then in remission), low I.Q., a speech disorder, deficits in
fine and gross motor skills, and "possible brain damage (fetal alcohol
syndrome.)" (552 N.E. 2d at 884).
The court noted that these problems "make Charles less adoptable
than other children his age." (552 N.E. 2d at 885).
There was expert testimony that Charles had "special needs" and
"requires an adoptive parent with stability and flexibility, and the
willingness to seek needed services." (552 N.E. 2d at 889).
The primary controversy in this case was whether Ohio law
permitted the adoption of a child by a homosexual adult. The court held
that it did.
In the Matter of the Custody and Parental
Rights of M.M.
271 Mont. 52, 894 P. 2d 298 (1995)
The court approves termination of the father's parental rights
with regard to M.M., who had been diagnosed with FAS. The decision rested
largely on the failure of the father to comply with the terms of a
treatment plan.
One element of the treatment plan was that the father "take
classes on fetal alcohol syndrome." 894 P. 2d at 299. The treatment plan
was prepared by the Lewis and Clark County Department of Family Protective
Services.
Adoption of Oliver
554 N.E. 2d 40, 28 Mass. App. Ct. 620 (Appeals Ct. 1990)
The appellate court affirmed a decision dispensing with the
mother's consent to Oliver's adoption. This will permit the child's
foster parents to adopt Oliver without the mother's agreement.
In reaching this conclusion, the court relied primarily on the
special needs of a child, like Oliver, with FAS. The court also gave some
weight to the mother's continued use of alcohol.
The description of the facts on which the diagnosis was based
included the following:
"[Oliver has] some of the particular facial features of such
children,
retarded growth, and some neurological dysfunction. He is
developmentally and mentally delayed. His psychological testing places
him in the borderline retarded range."
(554 N.E. 2d at 43.)
The court described Oliver's special needs in the following
passage:
"[I]t will be pivotal to Oliver's development that he live in an
enriched
environment with constant stimulation, by which the doctor meant that he
must have sustained contact with persons willing to take an active
interest in his everyday life and willing to encourage him to take
responsibility for himself."
(554 N.E. 2d at 43).
Appeal of U.S.W.
541 A. 2d 625 (D.C.Ct.App. 1998)
Appellate court affirms the termination of father's parental
rights. The court holds that the father would be unable to meet the
special needs of the child caused by FAS and "fetal hydantoin syndrome."
541 A. 2d at 626-27.
The opinion notes that the child's foster parents appear better
able to meet the child's needs.
Expert testimony asserted that the child's disabilities will make
it harder to find adoptive parents. 541 A. 2d at 626.
People v. W.
222 Mich. App. 160, 564 N.W. 2d 903 (Ct. App. 1997)
W. pled nolo contendere to several counts of unlawful sexual
contact with a child.
The sentencing judge was aware that W. had FAS. At the initial
sentencing hearing, W.'s defense counsel had and referred to several
psychological examinations, but evidently did not actually provide
the court with copies of at least some of them. The judge initially
sentenced W. to 2-15 years in prison.
Thirteen days later, W.'s attorney filed a motion to alter the
sentence, and this time attached the psychologist reports that had not
been provided earlier. Two weeks later the trial judge granted the
motion, and reduced the sentence to 90 days in jail and 5 years of
probation. the judge ordered that W. spend 150 days on the "tether
program" and undergo outpatient therapy. 222 Mich. App. at 182-83.
The prosecution appealed. The appellate court held that under
Michigan law the trial judge had no authority to modify his original 2-15
year sentence.
This case is important, not because of this legal issue, but
because it illustrates the impact at sentencing of a more detailed
exposition of the significance of FAS/FAE. The trial judge concluded that
that exposition warranted a far lower sentence; the appellate court did
not disagree, but held only that the trial judge could not change his mind
after he handed down the first sentence.
The dissenting opinion in the appellate court quoted extensively
from the materials that persuaded the trial judge to impose the lower
sentence (later overturned solely on procedural grounds).
Effect of Imprisonment
The materials on which the trial judge relied in reducing the
sentence included in particular an affidavit from Dr. Ann Streissguth.
That affidavit identified several distinct reasons why imprisonment was an
inappropriate sentence.
(1) "The general objective of punishment will not be met because
this individual cannot and will not intellectually connect past conduct
with present consequences . . . . [I]n all probability, [he] will never
have an acceptable understanding of the reasons he is incarcerated." 564
N.W. 2d at 912
(2) "Rehabilitation will be virtually impossible because if
therapy is available at all, it would most likely be cognitive-type group
therapy. This would almost certainly have little positive impact on Mr.
W. and could actually be counterproductive. For an FAS individual,
traditional group therapy generally causes additional confusion in a
setting which will already be virtually impossible for him to function
in." 564 N.W. 2d at 912.
(3) "Persons with FAS become targets for mental, physical, and
sexual victimization within the prison population." 564 N.W. 2d at 912.
(4) Despite the FAS, "[W. has] achieved nearly unprecedented life
goals such as his regular job as a dishwasher, no previous court
intervention, and no observable secondary psychological problems. . . . If
he survives prison, . . . the qualities which have caused him to be an
example of how well FAS children can function if raised in a structured
and affectionate environment, will be lost or severely minimized." 564
N.W. 2d at 912.
(5) "[I]t is very likely that he will learn and internalize
deviant sexual behaviors in the prison setting. Incarcerating Mr. W.
makes it much more probable that he will be a repeat sex offender than
placing him back into his parents' home." 564 N.W. 2d at 912.
Sexual Offenses
There was a sharp disagreement between state probation officials
about the appropriate sentence. The probation officer who actually
interviewed W. recommended no prison time at all. Another more senior
officer urged a sentence of 3 1/2 years, insisting that W. was a
pedophile. 564 N.W. 2d at 911.
Two experts disagreed with that characterization. Dr. Streissguth
concluded that the "clinical diagnosis of pedophilia is not likely to be
supportable in [W.'s] case, given his level and mode of intellectual
functioning." 564 N.W. 2d at 912.
Dr. Steven Miller concluded that W. did not have "sufficient
emotional maturity and mental ability to be diagnosed as a pedophile."
564 N.W. 2d at 913. Both Streissguth and Miller concluded that the
particular type of activity for which W. had been convicted did not
support a diagnosis of pedophilia. 564 N.W. 2d at 912-13; see 564 N.W. 2d
at 904-05 and n. 1 (describing conduct).
Premeditation
Dr. Miller concluded that "the organic brain damage caused by
Fetal Alcohol syndrome excludes the possibility of . . . premeditation and
planning." 564 N.W. 2d at 182. This would be important in a case in
which an individual with FAS/FAE was charged with a crime in which
premeditation was an element.
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