Lafayette, Indiana resident Jodie Hicks had watched her son Justin abuse heroin for years. The house he shared with his girlfriend, who was also an addict, was filthy and frequently chaotic with fellow users. What caused Hicks the most concern was the fact that the house was also home to her granddaughter, Tessa. Tessa’s days were largely spent alone, at times locked in her bedroom, and at four years old her speech was so poor it was largely indecipherable. She had been responsible for feeding herself since toddlerhood, taking food out of the fridge that was frequently sugar-laden and lacking in nutrients, leaving her underweight.