muscle biopsy.) Dr. Jurriaan Peters, a pediatric neurologist at BCH who evaluated Pelletier, suspected somatoform disorder—a psychological condition creating or worsening physical symptoms. Moreover, Peters suspected that Pelletier was a victim of factitious disorder by proxy—a form of medical abuse in which parents subject their children to excessive medical care. This suspicion was shared by some of Pelletier's prior doctors. In addition to conversations with Pelletier's past doctors, some of whom shared Peters's suspicion, Peters noted that Pelletier "had multiple diagnoses [and] a very patchy network of providers. Those are all classic red flags.” However, one of Pelletier's former pediatricians, Dr. Thomas Binder, would later state that he never suspected any child abuse. The Boston Children's Hospital team crafted a treatment plan, with input from some of Pelletier's doctors at Tufts, to "de-medicalize" the case and provide in-hospital psychological care. Although Pelletier's parents were initially receptive, Pelletier's father subsequently attempted to remove Pelletier from the hospital's care, and the team filed a 51A report—used to alert the Massachusetts Department of Children and Families of potential child abuse. Custody of Pelletier was transferred to that agency by order of Judge Joseph Johnston, and the DCF elected to keep her in treatment at Boston Children's Hospital. Pelletier was held in Boston Children's Hospital's psychiatric ward, Bader 5, from February 14, 2013, until January 2014, when she was transferred to Wayside Youth and Family Support Network, a residential treatment center in Framingham. Reports vary of Pelletier's condition during this stay: Pelletier's father said that Pelletier was "declining" in a way visible "to anyone," while the hospital records reflected Pelletier gaining strength, becoming less reliant on a feeding tube, and having regular bowel movements—something her parents had said was not possible without a tube forcing solution into her intestines to make her colon contract. The case, covered extensively by the media, sparked public protests and a cyberattack campaign on the hospital by Martin Gottesfeld (who was subsequently criminally charged and convicted). In mid 2014, the DCF began allowing Pelletier's parents increasingly expanded visitation rights—including unsupervised day trips, and, on June 6, the agency requested that Pelletier be returned to her parents. On June 17, 2014, Judge Johnston dismissed the child-protection case against the parents, holding that they had successfully demonstrated a "change in circumstances" and noting that they had been cooperative in Pelletier's treatment; the dismissal resulted in the return of Justina to her