The death of a boy, who dies in his first night at Trails Carolina, has been ruled a homicide. 

The autopsy report of the 12-year-old says the cause of death is asphyxia due to smothering. Trails Carolina has the troubled youths sleeping in bivies that are placed on top of a thick plastic sheet that is folded up the sides in the form of a canoe.

The mesh in the bivy being torn and replaced with the weather-resistant door secured with an alarm that would alert if someone tries getting out of the bivy. Counselors check on the boy during the night, but can't actually see him because of the door that is being used.  The autopsy notes that instructions for the bivy sack readily available online warn against zipping the solid outer layer completely shut. 

When counselors try to wake the boy in the morning, they find he is cold and stiff. His body is turned 180 degrees from the entrance and his feet are near the opening, which the autopsy report says would have allowed the waterproof material to fall onto his face and head.

The report also says the boy was placed in this compromised sleeping area by others and did not have the ability to remove himself from the situation with the alarm securing the opening. Standard protocol was deviated from due to using a damaged bivy and securing the outer weather resistant door instead of the inner mesh panel." 

Joining Nancy Grace Today:

• Leanne Roberts - Attended Trails Carolina camp at age 12  
• Meg Appelgate - Co-founder and CEO of Unsilenced, Victim of troubled teen industry and advocate for survivors, Author: "Becoming UNSILENCED: Surviving and Fighting the Troubled Teen Industry';" TikTok and IG: @megappelgate/TikTok and IG: Unsilenced_now 
• Caryn L. Stark – Psychologist, Renowned TV and Radio Trauma Expert and Consultant; Instagram: carynpsych/FB: Caryn Stark Private Practice
• Dr. Eric Eason – Board-certified Forensic Pathologist, Consultant; Instagram: @eric_a_eason, Facebook: Eric August Eason, LinkedIn: Eric Eason, MD
• Nick Ochsner –  Executive Producer & Chief Investigative Reporter, WBTV