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Mother, interrupted: CPS accused her of everything from neglect to excessive care, never proved anything, and took her daughter anyway

Continued from page 3

Published on March 27, 2008

It's a loaded accusation. In the past few years, there has been some debate over the legitimacy of the diagnosis. Roy Meadow, the British pediatrician who coined the term, even lost his license in 2005 (see "Medical drama").

Eric Mart says first-time, worried moms such as Dunlavy are prime targets to be accused.

"There are a lot of single mothers who don't have anyone to help them with their baby, and the emergency room is always open," he says. "If no one else will help, they'll help."

The charges against her: taking the child to the doctor frequently, reporting her weight in the 16th percentile when it was in the 50th, testing her for allergies, withholding food at the hospital, and pushing for a feeding tube.

A review of the child's medical records — including those from PCH — shows the allegations are false or wildly exaggerated.

CPS granted physical custody to the father, with a court order to establish paternity through a test. There are hospital notes that indicate CPS intended for dad to get sole custody even before the first dependency meeting.

Dunlavy's court-appointed lawyer was Jennifer Morse, a veteran of CPS dependency cases.

On Halloween, instead of taking Sarah trick-or-treating, Dunlavy attended her preliminary protective hearing, the first step toward a dependency trial, where the state submits its probable cause evidence against the parent. In Arizona, hearsay is enough for probable cause — no hard evidence against Dunlavy was submitted at this hearing.

Morse says she assumed CPS had all Sarah's medical records, or at least her DDD file, on which to base their decision to remove Sarah from her mother's care.

They didn't. No one possessed any evidence beyond allegations at the first hearing, and in the coming weeks, no effort would be made to collect any.

According to the state's own policy, specific steps must be taken before a child is removed from a parent because of MSBP, including finding an expert to perform an evaluation, providing the expert with the child's complete medical records, and interviewing the parent, family members, friends, and the child's medical-care providers from birth.

Most of those steps never happened. When they did, it took months for CPS to perform them.

Morse needed medical records to help her build a case. She still hadn't gotten them from CPS, so Dunlavy collected them herself. Phoenix Children's Hospital would not release the record of Sarah's stay because Dunlavy no longer had custody.

"I requested them from the assistant attorney general. This was four weeks into it. Finally she called me and said she didn't think they had anything," says Morse. "I was stunned. I said, 'I don't understand. You have to have something. You at least need to have the file your sister division has.' She said no. She thought they had based their dependency on talking to people. They don't have any records."

Morse, who has litigated cases for CPS in the past, knew this was a gross breach in policy.

"What the AG was telling me was they hadn't talked to anybody or looked at any of the records," she says. "And then they made a decision to take the most extreme step, to take the child from her mom."

Morse says that without reading that medical history, it's easy to miss Sarah's complex difficulties. Failing to interview Dunlavy added to the confusion.

"They [didn't] know anything from October to January about her parenting," says Morse. "They completely violated their policy. If they had followed it, I don't think they would have filed."

Morse decided to file a motion to return the child, based on the notion that CPS hadn't done its job. She also decided Dunlavy needed to find her own MSBP expert.

They found Loren Pankratz, a renowned expert on the topic and a professor at Oregon Health and Sciences University. Dunlavy flew to Portland for the evaluation at the end of December.

His conclusion: Dunlavy does not have Munchausen Syndrome by Proxy, or any other kind of mental illness.

"I view this accusation as a breakdown in the delivery of medical service," he writes in the report. "This is not a case of Munchausen Syndrome by Proxy."


Dunlavy's dependency trial was slowly approaching and Morse was finding her client's case more and more bizarre. She couldn't figure out how CPS had decided to go as far as they did with it.

"It just seemed odd to me that there was this idea that the mother had made up the developmental disabilities," she says. "Because in order to get into the DDD program for Arizona Early Intervention, it can't just be the parent [saying there's a problem]. There has to be objective criteria," she says. "Not every child between zero and 3 is accepted."

In early January, Sarah's father got paternity test results back that proved he was her father. Immediately, the assistant AG filed a motion to dismiss the case and affirm the temporary orders that placed Sarah in her father's custody. She argued there was no need for a dependency trial now that it was clear the child had at least one fit parent.

Morse didn't respond right away. She already had trial dates set, and, because it was a case of the state against Dunlavy, not the father against the mother, she knew the dependency trial had to go on.

On January 10, 2008, Dunlavy agreed to an interview with the guardian ad litem (basically, Sarah's attorney), Lauren Hatfield. This was the first time anyone from the state interviewed Dunlavy.

At the meeting, Hatfield told Dunlavy and Morse she was concerned Dunlavy had "excessively cared" for the child and provided her with too much therapy.

"I argued that really wasn't for them to decide. It's something for the parent to decide," says Morse. "The child isn't going to be hurt by a speech therapist."

Dunlavy didn't know how to take it.

"I have no idea what law that is, but obviously, you can lose your child," she says. "So if anyone is out there and they care too much for their child, they better watch out."


The day before the dependency trial, Morse filed several motions. One was in response to the AG's motion to dismiss, which called on the state to give Sarah to her dad. She argued it was impossible to dismiss the case and just give the father custody. It violated Dunlavy's due process rights to award custody without a hearing.

She also filed a motion to dismiss the case because CPS had taken Sarah away without a good-faith basis to do so, and then had failed to follow its own policies while investigating the case.

So, on January 29, the day of the trial, Commissioner Joan Sinclair had three choices.

She could side with the AG and give custody to dad. She could side with Morse and return everyone to the position they were in before the state took Sarah. Or she could decide to go ahead with the trial, hear the evidence, and then make a decision.

Morse argued that Sinclair really had only two choices because she felt the AG's request was legally impossible.

"If you're going to change the mother's legal position to her child, then she has a right to be heard," she says.

Sinclair took a recess and came back with her decision 22 minutes later.

Morse was stunned. The judge dismissed the dependency petition and released the child to her father's custody, making orders against Dunlavy without reviewing any evidence — something with frightening implications for Arizona's CPS system.

"It's terrifying. It means that CPS doesn't have to investigate," Morse says. "They can make allegations, they can go in and decide which parent they like better, and take the child."

Dunlavy has decided to fight.

"I must have been the only person in Arizona who ever wanted to go to trial," she says, "because I knew they violated all their policies."

"Everybody gets a hearing in juvenile court. There are parents who are incarcerated for life who are allowed to protest dependency — murderers, rapists, and child molesters — they have a constitutional right to parent, so everyone gets a hearing," she says. "And she just didn't."

Morse has stayed on as Dunlavy's attorney and two other Phoenix lawyers, Tom Ryan and Deshon Pullen, have signed on pro bono to guide her through an appeal in family court. (The attorney general recently filed a motion to dismiss the appeal.)

Dunlavy and her attorneys are also discussing whether to file a civil suit against the state.

Life does go on. Dunlavy has enrolled in school at Scottsdale Community College to get the degree she lied about having.

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