Lead Opinion
An Administrative Law Judge found that Lauren McClanahan (“Mother”) was responsible for child abuse and could be placed on the “central registry” maintained by the Department of Human Resources (“DHR”). This finding was based on Mother taking her child to health providers on multiple occasions after the child complained that her father had hurt her, and the child exhibited vaginal redness. Our decision hinges on the role of scienter in such a proceeding.
FACTS AND LEGAL PROCEEDINGS
In 2010 the Washington County Department of Social Services (“the Department”) conducted investigations of Mother’s alleged abuse and neglect of her daughter (“R”).
R received a ninth vaginal exam at a pediatric practice. Mother took R in because of a cough and an injury. When R reported that her father hurt her “bottom,” a physician assistant examined her vaginal area. The assistant referred Mother to a medical facility equipped to further evaluate R. But at the Department’s
The Department asked two experts in clinical child welfare, Dr. Carlton E. Munson (“Munsоn”) and Ronald E. Zuskin, LCSW-C
After conducting its investigations, the Department notified Mother that it found her responsible for indicated child abuse mental injury and indicated child neglect. Exercising her right of appeal under Md.Code (1984, 2012 Repl.Vol.), § 5-706.1(b) of the Family Law Article (“FL”), Mother requested contested case hearings through the Office of Administrative Hearings to challenge both findings. The Administrative Law Judge (“ALJ”) who was assigned to Mother’s appeal held a hearing for both cases in 2011.
In its decision, the ALJ affirmed the Department’s finding of indicated child abuse mental injury. Relying heavily on Munson’s and Zuskin’s assessments, the ALJ concluded that Mother’s actions “were either an intentional attempt to manipulate and influence the outcome of an ongoing custody dispute with R[ ]’s father, or were a result of her subconscious efforts to have R[ ] remain close to her.”
Munson concluded that Mоther had caused R’s mental injury by “engaging in conscious or unconscious suggestive utterances to R[ ] about abuse by the father and engaging in alienating activities related to the father.” Munson also explained that R suffered emotional and behavioral problems because of Mother’s “frequent abuse allegations,” which “resulted in repeated exams and investigations.” Zuskin reached similar conclusions. Although Zuskin did not state that Mother “coached” R to make false abuse allegations, he believed that Mother reinforced her daughter’s behavior by responding to R’s statements of abuse with “animal protectiveness and closeness.” Munson and Zuskin contacted Amy Hershey, a licensed social worker who counseled R and incorporated their communications with her into their assessments of R.
The ALJ rejected Mother’s argument that she had acted reasonably, ruling that no medical evidence justified the repeated allegаtions Mother and R had made. The ALJ authorized the Department to identify Mother in a central registry
The ALJ, however, modified the Department’s finding of indicated child neglect to “ruled out child neglect.” The ALJ reasoned that because Mother’s acts already
Mother appealed the ALJ’s decision to the Circuit Court for Washington County as provided by Md.Code (1984, 2014 Repl. Vol.), § 10-222(a) of the State Government Article (“SG”). Affirming the ALJ’s decision, the Circuit Court concluded that Hershey’s statements were not privileged and that the ALJ did not err in permitting Munson and Zuskin from relying on communications with and a report from Hershey. The court also found that Mother had failed to preserve her arguments that she was immune from liability by making a good faith report of child abuse, that Munson and Zuskin were not qualified as experts, and that Munson’s and Zuskin’s testimony was inadmissible. Finаlly, the Circuit Court rejected Mother’s argument that a finding of indicated child abuse mental injury requires proof of intent.
In a reported opinion, the Court of Special Appeals affirmed the judgment of the Circuit Court. McClanahan v. Washington Cnty. Dep’t of Soc. Servs.,
We granted Mother’s Petition for Writ of Certiorari to consider the following questions:
1. Does the Court of Special Appeals[’] decision that a parent can be strictly liable for child abuse by mental injury by seeking medical help for her five year old based on the child’s disclosures and symptoms, absent any finding that the parent acted intentionally, recklessly, or in bad faith to cause injury, violate the Due Process Clause, Family Law Article §§ 5-701 et seq., and Taylor v. Harford County Department of Social Services,384 Md. 213 [,862 A.2d 1026 ] (2004)?
2. Did Petitioner’s attorney waive Petitioner’s objections to the privileged testimony of a therapist by discussing the assertion of privilege by the child’s attorney in the collateral child custody proceeding?
3. Did the ALJ’s decision against Petitioner violate the immunity provisions of Family Law Article § 5-708 and [Md.Code (1973, 2013 RepLVol.), § 5-620 of the] Courts and Judicial Proceedings Article [ ]?
Because we answer yes to the first question (in part), we need not address the other questions. We shall reverse the judgment of the Court of Special Appeals and remand for further proceedings.
STANDARD OF REVIEW
When reviewing an administrative decision, we assume the same role as the Circuit Court and intermediate appellate court, and “ ‘limit our review to the agency’s decision.’ ” Cosby v. Dep’t of Human Res.,
“[A] challenge to the entry of one’s name in a central registry as an ‘indicated child abuser’ pursuant to [FL] § 5-701 [ ] is a contested case within the meaning of [SG] § 10-202(d)(1)” in which the agency acts in its quasi-judicial capacity. Taylor v. Harford Cnty. Dep’t of Soc. Servs.,
If a petitioner challenges the agency’s factual determinations, we review whether substantial evidence supports the finding. SG § 10-222(h)(3)(v); Vann,
Mother challenges the intermediate appellate court’s conclusion that the ALJ did not err in failing to include scienter as an element of indicated child abuse mental injury. See McClanahan,
DISCUSSION
Our role today is to engage in statutory interpretation as we decide whether a parent can be hable for child abuse mental injury within the meaning of FL § 5-701
“The cardinal rule of statutory construction is to ascertain and effectuate legislative intent.” Motor Vehicle Admin, v. Shrader,
Terms of Statutes, Regulations and Taylor
The key statutory language is found in the definition of child abuse in FL § 5-701. Abuse means:
(l) the physical or mental injury of a child by any parent or other person who has permanent or temporary care or custody or responsibility for supervision of a child, or by any housеhold or family member, under circumstances that indicate that the child’s health or welfare is harmed or at substantial risk of being harmed....
Additionally, FL § 5-701 defines the three findings that a local department may make after investigating a report of suspected abuse:
(m) “Indicated” means a finding that there is credible evidence, which has not been satisfactorily refuted, that abuse, neglect, or sexual abuse did occur.
(w) “Ruled out” means a finding that abuse, neglect, or sexual abuse did not occur.
(y) “Unsubstantiated” means a finding that there is an insufficient amount of evidence to support a finding of indicated or ruled out.
FL § 5-707(a)
A. Indicated Child Abuse.
(1) Physical Abuse Other than Mental Injury. Except as provided in § A(3) of this regulation, a finding of indicated child physical abuse is appropriate if there is credible evidence, which has not been satisfactorily refuted, that it is more likely than not that the following four elements are present:
(a) A current or prior physical injury;
(b) The injury was caused by a parent, caretaker, or household or family member;
(c) The alleged victim was a child at the time of the incident; and
(d) The nature, extent, and location of the injury indicate that the child’s health or welfare was harmed or was at substantial risk of harm.
(3) Abuse-Mental Injury. A finding of indicated child abuse with mental injury is appropriate if there is credible evidence, which has not been satisfactorily refuted, that the following four elements are present:
(a) A current or prior mental injury characterized by an observable, identifiable, substantial impairment to the child’s mental or psychological ability to function, which may be shown by the need for specific psychiatric, psychological, or social work intervention;
(b) The mental injury was caused by a parent, a caretakеr, or household or family member;
(c) The alleged victim was a child at the time of the incident; and
(d) The nature and extent of the mental injury indicate that the child’s health or welfare was harmed or was at substantial risk of harm.
(Emphasis added.) COMAR 07.02.07.12 also sets forth the following pertinent criteria for ruling out
C. Ruled Out Child Abuse. A finding of ruled out child abuse is appropriate if child abuse did not occur. A finding of ruled out may be based on credible evidence that:
(1) There was no physical or mental injury....
(2) In the case of physical abuse:
(a) The alleged abuser was not responsible for the injury for reasons including, but not limited to, one of the following:
(i) The contact with the child was accidental and unintended and under the circumstances, the injury was not foreseeable ....
(Emphasis added.) We keep FL § 5-701(b), the statutory definition of abuse, in the forefront of our minds as we construe these regulations and evaluate the actions of Mother. See Dep’t of Human Res., Balt. City Dep’t of Soc. Servs., v. Hayward,
The Department points out that the regulations pertaining to child abuse mental injury contain no express scienter requirement. See COMAR 07.02.07.12A(3)(b). Scienter only appears in one criterion, namely, to rule out child abuse physical injury: “[t]he contact with the child was accidental and unintended and under the circumstances, the injury was not foreseeable.” COMAR 07.02.07.12C(2)(a)(i). There exist no similar criteria to rule out child abuse mental injury. COMAR 07.02.07.12C. The Department insists that we should rely on COMAR 07.02.07.12 to conclude that a parent’s mental state is not material in a case of child abuse mental injury, citing Toler v. Motor Vehicle Admin.,
We reject the Department’s argument because the statute itself fails to draw any
In Taylor, an investigator for the local department made a finding of indicated child abuse where the father, acting in anger, kicked a footstool that collided with his daughter.
We further explained that the ALJ’s reasoning was flawed because it could extend to “any intentional act by a parent or caretaker which has the unintentional consequence of harming that person’s child.” Id. at 231,
We see no reason to do so now. When expert witnesses testify that a parental action hаs caused mental injury to a child, the parent’s action must be examined in context. As we concluded in Taylor, “it is material whether there was ‘intent’ to injure [the child].”
To be sure, there may be examples of mental injury arising from parental conduct that are so reprehensible that an ALJ might infer intent to harm or reckless disregard just from the act. One family law scholar has discussed classic examples of such conduct in the following manner:
What does emotional abuse and neglect look like? Elle’s case is one example. The “Cinderella syndrome” is another common form of emotional abuse. In these cases, parents designate one child as a scapegoat. They require her to do more household tasks than their other children and do not give her the same privileges and opportunities as they do the other children. Both methods of abuse include ignoring, rejecting, and isolating a child, which typically causes depression and low self-еsteem.17
The nature of the conduct in this case is patently different. We are faced with parental conduct that is ostensibly for a child’s protection.
Indeed, the Department’s view would undermine the paramount statutory purpose of Subtitle 7—child protection. See FL § 5-702. Amici curiae
We are well aware that “courts should generally defer to agencies’ decisions in promulgating new regulations because they presumably make rules based upon their expertise in a particular field.” Fogle v. H & G Rest., Inc.,
We have previously refused to give effect to other DHR regulations on grounds they were inconsistent with provisions of the Family Law Article pertaining to child abuse. In Department of Human Resources, Baltimore City Department of Social Services v. Hayward, we addressed the appeal rights of a person subject to a child abuse investigation after a local department makes a finding of unsubstantiated child abuse, and held that such person has a right to appeal that finding (with a goal of securing a “ruled out” decision).
Hayward involved FL § 5-706.1, which created a right to a conference and a right to appeal for persons challenging findings of unsubstantiated child abuse. Id. at 660,
Our decision is also informed by a case from our intermediate appellate court. In Fields v. Department of Human Resources Howard County Department of Social Services, also involving child abuse, the applicable statute required an individual contesting a finding of indicated child abuse to respond “to the notice of the local department in writing within 60 days.”
Accordingly, we decline to enforce the portion of COMAR 07.02.07.12C that limits its exculpatory scope (for accidental injury) to alleged abusers causing physical injury. FL § 5-706 does not justify such distinction. This means, then, that to be included as a “child abuser” in DHR’s central registry, a person must either intend to injure the child or at least act in reckless disregard оf the child’s welfare. This inteni/reckless disregard standard
The Reckless Disregard Standard and Mother’s Intent
The ALJ concluded that Mother’s actions were “either an intentional attempt to manipulate and influence” the custody dispute over R “or were a result of her subconscious efforts to have R[] remain close to her.” The standard we have adopted does not permit inclusion of a parent’s name in the central registry as a child abuser if the parent’s inappropriate motivations for reporting child abuse were only at the subconscious level, even if the child was mentally injured. A standard of liability reaching the subconscious level veers much too close to strict liability for рarental decisions. See Taylor,
Even if Mother intended to gain an advantage in the ongoing custody battle, inclusion on the central registry as a child abuser is not permitted unless Mother intended to harm R or acted in reckless disregard of R’s welfare. Acting with intent or reckless disregard is the standard we required the ALJ to apply in Taylor, and was, at the time, adopted by DHR with respect to physical injuries.
In a case where the alleged abuser’s conduct falls within the realm of conduct that could benefit the child, as medical treatment does, there must be some evidence that supports a conclusion that the parent was at least reckless visa-vis the child’s health. In other words, a parent’s conduct must constitute a gross departure from the type of conduct a reasonable person would engage in under the circumstances. Cf. Jones v. State,
CONCLUSION
Accordingly, we reverse the Court of Special Appeals and remand these proceedings to the ALJ to make factual findings and conclusions of law, consistent with this Opinion.
JUDGMENT OF THE COURT OF SPECIAL APPEALS REVERSED. CASE REMANDED TO THAT COURT WITH DIRECTIONS TO REVERSE
BATTAGLIA and McDONALD, JJ., dissent.
Notes
. Specifically, the Department opened the child abuse investigation after receiving several reports that R had said that her father had sexually abused her. The Department's child neglect investigation was triggered by a report the Department received the next month when Mother alleged at a medical facility that R said that her father had touched her.
. Mother and her ex-husband share joint legal custody of R, who was born in 2005.
. Some of these vaginal exаms were SAFE exams. SAFE is an acronym for a sexual assault forensic examination. See Cooper v. State,
. The ALJ found that the Department conducted approximately 14 sexual abuse investigations of R's father before it investigated Mother for alleged abuse and neglect. Although the record is unclear as to whether each vaginal exam triggered a sexual abuse allegation, the exams triggered sexual abuse investigations on at least several occasions.
. The Department had, at this time, commenced the child abuse and neglect investigations.
. LCSW-C means Licensed Certified Social Worker-Clinical.
. A complete investigation of child abuse mental injury requires assessment by two licensed physicians, psychologists, or social workers. Code of Maryland Regulations (“COMAR”) 07.02.07.09B.
. Although COMAR 07.02.07.02B(5) still refers to the database containing information regarding child abuse investigations as the “central registry,” the General Assembly amended FL § 5-701 in 2015 and renamed the central registry, which is now known as the "centralized confidential database.” See Md.Code (1984, 2012 Repl.Vol.), § 5-701(d) of the Family Law Article ("FL”); see also FL § 5-714.
. See FL § 5-706.1(b)(1) (A person “may request a contested case hearing to appeal” a finding of indicated child abuse.).
. See Md.Code (1984, 2014 Repl.Vol.), § 10-202(b)(l) of the State Government Article ("SG”) (An agency is an officer or unit authorized "to adjudicate contested cases.”); SG §§ 9-1603, 9-1604 (The Chief ALJ, who heads the Office of Administrative Hearings, assigns ALJs to conduct contested case hearings.).
. FL §§ 5-701-5-715 constitute Subtitle 7 (Child Abuse and Neglect) of Title 5 (Children). We shall sometimes refer to these sections collectively as "Subtitle 7.”
. In 1993, the General Assembly authorized the Department of Human Resources ("DHR”), through FL § 5-707(a), to create regulations to establish conditions for determining whether abuse was indicated, unsubstantiated, or ruled out. See H.B. 617, 1993 Gen. Assemb. Reg. Sess. (Md.1993). Then, a Notice of Emergency Action was issued. See 20 Md. Reg. 1547 (October 1, 1993). In then-COMAR 07.02.07.08, DHR established criteria for local departments to follow in determining whether to make a finding of indicated, unsubstantiated, or ruled out child abuse. See id. at 1549-50. In 1994, DHR reрealed and adopted new regulations pertaining to child abuse. See 21 Md. Reg. 1235 (July 8, 1994); 21 Md. Reg. 1630 (Sept. 16, 1994). The criteria for the three findings were moved to COMAR 07.02.07.12.
. See Hranicka v. Chesapeake Surgical, Ltd.,
. Because the parties do not discuss unsubstantiated child abuse, we do not include that portion of the regulation. See COMAR 07.02.07.12B.
. Following Taylor, DHR adopted an amendment to COMAR 07.02.07.12C(2)(a)(i), the criterion for ruled out child abuse physical injury, which reflected our reasoning in this decision. 34 Md. Reg. 2025 (November 9, 2007) ("The change is made to restate the language more clearly, consistent with [Taylor].”). This criterion previously ruled out child abuse physical injury when the act was unintentional. See Taylor v. Harford Cnty. Dep’t of Soc. Servs.,
. For example, a parent is not an abuser if she pushes a non-athletic child to participate in a sports program, thereby causing depression or a sense of inferiority if the child is unsuccessful. Likewise, a parent is not an abuser if he makes a decision to move to a different state and causes a child to become depressed from loss of friends and family.
. Jessica Dixon Weaver, The Principle of Subsidiarity Applied: Reforming the Legal Framework to Capture the Psychological Abuse of Children, 18 Va. J. Soc. Pol’y & L. 247, 250 (2011). Weaver described "Elle’s” situation:
"Elle” is a thirteen-year-old only child who is constantly left at the library past closing time. She is restricted from eating outside of set mealtimes by a lock and chains on the refrigerator door. Fed mostly hotdogs and other junk food, she hoards food from outside the home in her room, which is a mess. When she gets into fights with her mother, she usually winds up in a psychiatric facility for children. Her mother complained about her tantrums to the police the first ten times she called them out to her home. Elle is placed on three different types of psychotropic medication, which affect her ability to learn in school. By the eleventh phone call, the facility refuses to take Elle because she does not need their services____ Though library personnel and teachers at Elle’s school have been concerned about her, nothing that bad appears to be going on at home. After all, her mother is a well-respected schoolteacher.
... [Although initially nonresponsive], [ajfter a few visits, she eventually shares that her mother often told her "I hate you” and locked her in her room for hours. She tells us that she did not want to talk with or visit with her mother again. Neighbors later tell CPS, after she is removed, that Elle’s mother was verbally abusive and often kicked Elle out of the house late in the evening without food when she was upset with her.
Id. at 248-49 (emphasis in original) (footnote call number omitted). Weaver also cites domestic violence in the child’s presence, and living with a drug-addicted parent as actions giving rise to emotionally abused children. See id. at 259.
. Amici are non-profit organizations that advocate for abused children. Brief of Child Justice, Inc., et al. as Amici Curiae in Support of Mother, at 1, 5-8.
. We rest our decision on statutory interpretation, rather than Mother’s argument that, without proof of intent or reckless disregard, the Department’s interpretation of Subtitle 7 would be unconstitutional under Troxel v. Granville,
. For other cases where regulations were unenforceable because they violated statutes, see Mayor & City Council of Balt. v. William E. Koons, Inc.,
. See also Cecil Cnty. Dep’t of Soc. Servs. v. Russell,
. The Department modified its regulation after Taylor to say: "The contact with the child was accidental and unintended and under the circumstances, the injury was not foreseeable....” 34 Md. Reg. 2025 (Nov. 9, 2007). We rejected use of foreseeability as the proper standard in Taylor, casting it as inappropriate “because foreseeability, even in a tort context, is an appropriate рrecursor to a finding of negligence, not to a finding of intent.” Taylor,
. A case involving excessive medical visits/exams is a far cry from Elle and the "Cinderella” syndrome. See Weaver, supra, at 248-50.
. If there is a finding on remand adverse to Mother, we might address the second and third questions presented if the case reaches us again.
Dissenting Opinion
Dissenting Opinion by BATTAGLIA, J., which McDonald, j., joins.
I respectfully dissent.
The Majority applies the holding of Taylor v. Harford Cnty. Dep’t of Soc. Servs.,
The following specific findings of the ALJ regarding Ms. McClanahan’s behavior toward her daughter (“R”), when her daughter was between the ages of two to five years old, are certainly more graphic than the Majority describes. The ALJ found that Ms. McClanahan took R to the hospital on nine different occasions for Sexual Assault Forensic Examinations (“SAFE”)
10. The occasions on which the Appellant reported alleged sexual abuse and took R[ ] to a medical provider for treatment are as follows:
• On June 7, 2007, the Appellant had taken R[ ] to the hospital after R[ ] returned from her father’s house with redness and irritation in her vaginal area. The hospital instructed the Appellant to take R[ ] to the Child Advocacy Center for a SAFE exam. Dr. Ruth Ann Dwyer performed the examination of R[], the results of which were normal. (Dept.4)
• On February 21, 2008, the Appellant had taken R[ ] to the Child Advocacy Center for an examination after R[ ] had returned from her father’s house with her vaginal area red and swollen and she had reported that her father’s 8-year-old stepson, Sean, hurt her. Dr. Dwyer performed a SAFE exam of R[ ] and diagnosed R[ ] with vulvitis, which is often caused by poor hygiene and is not uncommon in prepubescent children. (Dept.5)
• On March 23, 2008, the Appellant had taken R[ ] to the Waynesboro Hospital in Pennsylvania reporting that R[ ] had stated that her “bottom hurt.” She had reported that her father put things in her vagina. R[ ] reported to the treating physician that a monster came from the cave and touched her. The physician noted that R[ ]’s vaginal area was red but that her hymen was intact. Pictures of R[ ]’s vaginal area were taken during the exam. (Dept.6)
• On April 28, 2008, the Appellant had taken R[ ] to Washington County Hospital.The Appellant reported that R[ ] had returned that day from her father’s house and had been reporting that “someone hurt her bottom.” The Appellant requested that a SAFE be performed on R[ ]. A SAFE exam was performed, the results of which revealed some redness in the vaginal area. (Dept.7)
• On May 26, 2008, the Appellant had taken R[] to the Washington County Hospital requesting a sexual assault examination of R[]. The Appellant had reported to a hospital physician that R[ ] had returned from her father’s home that day and reported that her “bottom hurt” and that “Sean had put a lollipop in her bottom.” The Appellant also reported that R[ ] had discharge in her panties earlier that day. (Dept.8). R[ ] also volunteered to the doctor that Shawn had put a lollipop in her bottom. (Dept.8)
• On May 26, 2008, Washington County Hospital performed a SAFE examination on R[ ] which revealed no indicia of sexual abuse. (Dept.8)
• On December 6, 2009, the Appellant had taken R[ ] to the Chambersburg Hospital in Chambersburg, Pennsylvania. R[ ] had reported that her father hurt her “bottom” and stuck her with a needle there. The Appellant reported that R[ ]’s vulva was red and swollen. (Dept.9)
• On December 6, 2009, upon examination of R[ ], the doctor noted mild erythema and swelling in the inferior vulva; foul discharge present but no other redness. A urianalysis that was requested by thе Appellant was unremarkable.
• On June 23, 2010, after R[ ] returned from a visit with her father, the Appellant took R[ ] to Chambersburg Hospital emergency room. The Appellant reported that R[ ] had stated that her father “poked her with a needle in her front bottom.” R[] reported to hospital staff that her “front bottom” hurts. (Dept.10). Upon examination of R[ ], the physician noted “mild erythema” and “foul-smelling whitish discharge noted on retraction of vulva.” R[ ] was diagnosed with a urinary tract infection at Chambers-burg Hospital. Chambersburg Hospital does not perform SAFE exams. (Dept.10)
• On June 23, 2010, the Appellant took R[ ] to Washington County Hospital for a SAFE exam. R[ ] was not cooperative for the exam so the Appellant brought her back to the hospital later that same day for an exam. R[ ] reported at the hospital that her father “stuck a needle in her front bottom.” R[] further reported that her father touched her the previous night. The SAFE examination revealed rеdness around R[]’s labia majora but no trauma was noted. (Dept.12)
• On November 17, 2010, the Appellant took R[ ] to White Oak Pediatric for a cough and injury. After R[ ] reported that she was there for her “bottom,” Jane Shughart, the physician’s assistant (PA), examined R[]’s vaginal area. She observed redness in the area with mucus discharge and what appeared to be a black coarse hair. Ms. Shugar referred the Appellant to Emergency Room to do further evaluation. (Appellant 1). The Appellant took R[] to Washington County Hospital where R[ ] reported that her father “pokes her with a needle and puts cream on her front bottom.” The Washington County Hospital physician refused to perform a SAFE exam based on the request of the local department and its report that R[] hadundergone numerous previous SAFE exams. (Dept.13)
The ALJ also found that the Department had “conducted approximately 14 investigations pertaining to R[ ] and allegations of abuse” and that every investigation of sexual abuse of R by her father had resulted in a ruled out disposition. Further, the ALJ’s findings questioned the bases for the numerous examinations and investigations initiated by Ms. McClanahan:
20. R[] has not demonstrated sexual behavior symptoms that are typical of a child that has experienced sexual abuse at the level alleged by the Appellant.
21. Redness in the vagina area and discharge are not uncommon medical occurrences in children of R[ ]’s age and are often the result of poor hygiene (Dwyer testimony).
22. R[ ]’s statements of alleged sexual abuse by her father are made to the Appellant upon her return to the Appellant from visits with her father. R[ ]’s statements to professionals regarding the alleged abuse are most always made in the presence of the Appellant and not followed up on with the professional at a later time.
23. R[ ] has never made a disclosure of sex abuse to CPS workers during any of the investigations. (McCarthy testimony).
The ALJ found that R suffered mental injury based upon the reports of Dr. Carlton E. Munson and Mr. Ronald E. Zuskin, but specifically attributed the source of that injury to Ms. McClanahan based on the evaluation provided by Dr. Munson:
27. It is the opinion of Dr. Munson that R[] has been mentally injured and that the source of the injury is the Appellant’s engaging in suggestive utterances to R[ ] about abuse by R[ ]’s father and engaging in alienating activities related to the father. (Dept. 17, page 21)
28. It is the opinion of Dr. Munson that R[] has been mentally injured and that the source of the injury is the Appellant’s exploitation of R[ ] by her use of sexual abuse allegations, investigations and examinations which encourages the development and reinforcement of aberrant behavior by drawing R[ ] in a closer relationship to the Appellant. (Dept. 19)
The ALJ, thus, affirmed the Department’s finding of indicated child abuse, mental injury, by Ms. McClanahan. In doing so, the ALJ used language upon which the Majority seizes regarding Ms. McClanahan’s motives:
The evidence presented by the local department has led me to conclude that the Appellant’s actions were either an intentional attempt to manipulate and influence the outcome of an ongoing custody dispute with R[ ]’s father, or were a result of her subconscious efforts to have R[ ] remain close to her. A finding of indicated abuse mental injury is appropriate as the Appellant’s actions have resulted in the mental injury of R[ ].
The Majority, however, in doing so, obviates the ALJ’s finding that Ms. McClanahan’s actions, which include reporting sexual abuse allegations, taking R to various hospitals for treatment, and subjecting R to intrusive sexual examinations, were intentional and “resulted in the mental injury of R” and that the ALJ specifically found that Ms. McClanahan’s “act of making multiple allegations of sex abuse of R[] by her father and subjecting R[] to repeated sexual abuse exams constitutes child abuse mental injury.”
The first holding of the Majority with which I disagree, however, is that the standard used in Taylor, a child abuse physical injury case, should be applied in a child abuse, mental injury, case. In Taylor, the father’s act of kicking a footstool that hit
A finding of ruled out child abuse is appropriate if child abuse did not occur. A finding of ruled out may be based on credible evidence that:
(2) In the case of physical abuse:
(a) The alleged abuser was not responsible for the injury for reasons including, but not limited to, one of the following:
(i) The act causing the injury was accidental or unintentional and not reckless or deliberate[ ]
Id. at 225-26,
The Taylor holding, however, is totally inapplicable to a child abuse, mental injury, case, because by its very terms COMAR 07.02.07.12C(2)(a)(i), then and now, is limited in scope to “physical injury.” The Majority points to nothing to support its conclusion thаt it “decline[s] to enforce the portion of COMAR 07.02.07.12C that limits its exculpatory scope (for accidental injury) to alleged abusers causing physical injury.” Maj. Op. at 711,
Even assuming Taylor’s holding can apply in the context of mental injury, with which I vehemently disagree, the Majority, nevertheless, errs because of its emphasis on a piece of the opinion by the ALJ that Ms. McClanahan’s actions were “a result of her subconscious efforts” to rule out child abuse, mental injury. Here, Ms. McClanahan’s acts met the standard of intentional abuse, not аccidental injury.
The Majority equates the ALJ’s discussion of subconscious motive with unintentional acts when it states that “[a] standard of liability reaching the subconscious level veers much too close to strict liability for parental decisions”, Maj. Op. at 711,
The important distinction between subconscious motive and intentional acts has been persuasively articulated in Johnson v. Metropolitan Life Ins. Co.,
In this regard, one must be careful to distinguish questions of intent and questions of motive. Psychoanalytically oriented and other schools of “depth psychology” have made the notions of “unconscious” or “subconscious” motive common parlance. But it is not helpful to define “suicide” as an intentional self-destruction, and then to confuse the slippery notion of “intent” with its underlying causes.
Whatever the constellation of drives, impulses or subconscious motives which cause the subject to perform a given act, unless that act is actuаlly inadvertent, its physical execution is “intentional” in the ordinary sense of the word. In short, my motive for doing, or impulse to do, the act is one thing; the fact that I therefore intend to do it and do so is a separate point and one that is not here in doubt.
Id. In the present case, Ms. McClanahan intended to subject her child to nine sexual examinations and fourteen investigations, all of which resulted in mental injuries. Ms. McClanahan’s motives, as found by the ALJ, included “to manipulate and influence the outcome of an ongoing custody dispute” or to “have R[ ] remain close to her.” Ms. McClanahan’s actions were not inadvertent or beneficent but were intentional and caused injury to R.
I would affirm. Judge McDonald authorizes me to state that he joins the views expressed in this dissenting opinion.
. In her findings, the ALJ explained that, “SAFE exams are conducted by doctors who are SAFE trained and when there is a concern of sexual abuse or assault. SAFE exams require retraction of the genitalia and are not routinely conducted on children between two and five years old.”
. Section 5-701(b) of the Family Law Article of the Maryland Code (1984, 1999 Repl.Vol., 2004 Supp.) defined 'abuse' and provided:
(1) the physical or mental injury of a child by any parent or other person who has permanent or temporary care or custody or responsibility for supervision of a child, or by any household or family member, under circumstances that indicate that the child’s health or welfare is harmed or at substantial risk of being harmed; or
(2) sexual abuse of a child, whether physical injuries are sustained or not.
. Following Taylor, in 2007, COMAR 07.02.07.12C(2)(a)(i) was amended to "restate the language more clearly, consistent with [Taylor]". 34 Md. Reg. 2025 (November 9, 2007) and it now provides:
A finding of ruled out child abuse is appropriate if child abuse did not occur. A finding of ruled out may be based on credible evidence that:
(2) In the case of physical abuse:
(a) The alleged abuser was not responsible for the injury for reasons including, but not limited to, one of the following:
(i) The contact with the child was accidental and unintended and under the circumstances, the injury was not foreseeable[ ]
