United States v. Sweeting ( 2000 )


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  •                                                                                                                            Opinions of the United
    2000 Decisions                                                                                                             States Court of Appeals
    for the Third Circuit
    5-3-2000
    United States v. Sweeting
    Precedential or Non-Precedential:
    Docket 99-3774
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    Recommended Citation
    "United States v. Sweeting" (2000). 2000 Decisions. Paper 89.
    http://digitalcommons.law.villanova.edu/thirdcircuit_2000/89
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    Filed May 3, 2000
    UNITED STATES COURT OF APPEALS
    FOR THE THIRD CIRCUIT
    No. 99-3774
    UNITED STATES OF AMERICA,
    Appellant
    v.
    DENEEN SWEETING
    On Appeal from the United States District Court
    for the Middle District of Pennsylvania
    (D.C. Crim. No. 98-00189)
    District Judge: Honorable Thomas I. Vanaskie
    Argued March 24, 2000
    BEFORE: MANSMANN, GREENBERG, and BARRY,
    Circuit Judges
    (Filed: May 3, 2000)
    David M. Barasch
    United States Attorney
    John C. Gurganus, Jr. (argued)
    Assistant United States Attorney
    United States Attorney's Office
    Middle District of Pennsylvania
    309 Federal Building
    Scranton, PA 18501
    Attorneys for Appellant
    James V. Wade, Esq.
    Federal Public Defender
    Daniel I. Siegel, Esq. (argued)
    Assistant Federal Public Defender
    Federal Public Defender's Office
    100 Chestnut Street, Suite 306
    Harrisburg, PA 17101
    Attorneys for Appellee
    OPINION OF THE COURT
    GREENBERG, Circuit Judge.
    I. INTRODUCTION
    This matter comes before this court on an appeal by the
    government from a judgment of conviction and sentence
    entered in the district court on August 26, 1999, against
    the defendant Deneen Sweeting ("Sweeting"). This appeal
    presents the sole question of whether the district court
    abused its discretion in awarding Sweeting a 12-level
    downward departure from the sentencing range applicable
    under the United States Sentencing Guidelines ("the
    Guidelines" or "U.S.S.G.") for extraordinary family ties and
    responsibilities pursuant to U.S.S.G. S 5H1.6, p.s.
    (hereinafter cited in the text as "section 5H1.6"). After a
    careful review of the facts and circumstances of this case,
    we are constrained to agree with the government's position
    that Sweeting's family ties and responsibilities were not
    "extraordinary" in any degree to warrant a departure under
    section 5H1.6, and that the district court thus abused its
    discretion in departing downward on this basis.
    Accordingly, we will vacate the sentence and remand the
    case to the district court for sentencing in accordance with
    this opinion.
    II. FACTS and PROCEEDINGS
    On August 11, 1998, a federal grand jury returned a six-
    count indictment charging Sweeting with violations of the
    2
    Controlled Substances Act. On October 29, 1998, Sweeting
    pleaded guilty to count V of the indictment, distribution
    and possession with an intent to distribute cocaine, in
    violation of 18 U.S.C. S 841(a)(1).
    The United States Probation Office prepared Sweeting's
    Presentence Investigation Report ("PSI"). The PSI calculated
    that Sweeting was responsible for the distribution of at
    least 300 grams but less than 400 grams of cocaine. Given
    Sweeting's offense conduct and prior criminal history, the
    PSI calculated a total offense level of 19 and a criminal
    history category of VI, which placed her in the sentencing
    range of 63-78 months imprisonment under the Guidelines.
    Sweeting did not object to the content of the PSI or its
    calculation of the final offense level and criminal history
    category. She nevertheless filed a motion seeking a
    downward departure from the Guidelines range
    recommended in the PSI, offering the following grounds for
    the departure request: (1) the Category VI criminal history
    overstated the seriousness of her prior conduct; (2) she
    engaged in extraordinary post-offense rehabilitation efforts;
    and (3) there were extraordinary family ties and
    responsibilities in this case because she was solely
    responsible for the care and support of her five children,
    one of whom had been diagnosed with Tourette's
    Syndrome. The government opposed the motion, arguing,
    inter alia, that Sweeting's family responsibilities did not
    warrant any departure from the Guidelines range
    recommended in the PSI.
    As reflected in the PSI, Sweeting is a single mother of five
    children who were of ages five through 14 at the time of her
    sentencing in the district court. In September of 1997, Dr.
    Kenneth W. Lilik, M.D. ("Dr. Lilik"), a neurologist,
    diagnosed Sweeting's oldest son as afflicted with Tourette's
    Syndrome, a neurological disorder characterized by facial
    and body tics, often accompanied by grunts and compulsive
    utterances. PSI P 46. Dr. Lilik reported that Sweeting's son
    suffered from several symptoms of Tourette's Syndrome,
    including involuntary throat clearing, head nodding, and
    bringing his fist in contact with his mouth. His report noted
    that the child displayed head nodding movements during
    the course of his examination, "particularly as he became
    3
    more tense." App. at 65. The examination concluded with
    several treatment suggestions, including daily physical
    activity, and organization of the young man's personal
    habits, school work and home responsibilities. Dr. Lilik also
    provided Sweeting with a list of foods to eliminate from her
    son's diet, and indicated that her son should avoid taking
    stimulant decongestive medications and refrain from
    watching television and video games during the school
    week. 
    Id. Dr. Lilik
    reevaluated Sweeting's son in December 1998.
    Dr. Lilik noted that he "had transient resolution of his ticks
    and gulping while he played football," but that his
    symptoms had returned because he was no longer involved
    in sports activities. His report concluded by suggesting that
    Sweeting's son should participate in a daily exercise
    program (in the mornings) and become involved in sports
    throughout the entire year. He indicated that "[i]f
    nonmedication strategies are inadequate, we may consider
    the use of Pamelor or Zoloft, if he feels that social
    difficulties remain due to his tics." Dr. Lilik ordered a follow
    up visit in one year. App. at 64. Sweeting certified that as
    of May 19, 1999, her son was taking Pamelor to assist in
    controlling the physical symptoms of Tourette's Syndrome.
    The district court held a sentencing hearing on August
    25, 1999. During the colloquy between the court and
    counsel relating to Sweeting's extraordinary family
    circumstances, defense counsel described the nature of her
    son's disorder and Sweeting's responsibilities in caring for
    her son as follows:
    [I]n this particular instance, this is not a handicap that
    [the child] suffers from which is so disabling that he
    can't play football, he plays football. Or he can't attend
    school, he does attend school. But his handicap is
    permanent, it is neurological, it's medically diagnosed
    by a pediatric neurosurgeon, and has been introduced
    into the record. Its practical effect, its manifestation on
    this young man in school was testified to by Karen
    DeSantis, who said that it causes him a learning
    disability. Some of the manifestations are twitching of
    his eyes, that is, he blinks both of his eyes and it
    causes him to cock his head back without--in an
    4
    involuntary manner repeatedly, such that he has had
    neck sprains while being in school. They flare-up more
    intensely during times of anxiety and tensions. For
    instance, in school when he's having tests.
    His mother gets up with him at the crack of dawn,
    does physical exercises with him. This is not--she
    doesn't have to be an RN or a physical therapist, but
    this is what she does. She gets him up and goes
    through physical training with him, which is
    recommended by [the neurologist]. She closely
    monitors and regulates the types of foods that he
    ingests, by and large he has to steer away from sweets
    and she guards against that. She makes him lunches,
    she makes him breakfast, she makes him dinner, all
    the while juggling four other kids and work.
    When he comes home at night she has to spend
    more time with him going through his homework at
    night. She has a routine with him. And during the
    more intense times of schooling she does have to
    regulate and make sure that he takes medication at
    night to beat back the Tourette's Syndrome. . . .
    That is something that is distinct, unique and
    requires constant attention. It will only get worse if
    that is not clearly closely monitored, and it is with him
    for the rest of his life. All of that is documented and
    supported by the record in this case.
    App. at 179-81. Sweeting certified that Dr. Lilik informed
    her that "without this routine the prognosis is that the
    symptoms will become more aggravated to the point that he
    would involuntarily make animal noises, or develop into a
    serious case of Attention Deficit Disorder." App. at 103.
    After hearing testimony and argument from counsel, the
    court ruled on Sweeting's motion for a downward
    departure. First, it determined that the PSI overstated
    Sweeting's criminal history, which it thus reduced from
    Category VI to Category IV. Second, the court found that
    Sweeting's extraordinary rehabilitative efforts warranted a
    1-level decrease in offense level. This departure reduced the
    offense level to 18 which, combined with a criminal history
    Category IV, produced a Guidelines range of 41-51 months
    5
    imprisonment. App. at 200. The government does not
    challenge these downward departures.
    The district court, however, made a third departure
    which forms the basis for the government's appeal in this
    case. Specifically, the court determined that section 5H1.6
    provided a court with the discretion to depart from the
    Guidelines where the circumstances demonstrated that the
    defendant's family ties and responsibilities were
    "extraordinary." From that initial premise, the court found
    that this case presented extraordinary circumstances
    because "Ms. Sweeting is a single parent providing for five
    children, one of whom has a substantial neurological deficit
    in the form of Tourette's Syndrome." App. at 202. The court
    then departed downward 12 levels, producing an adjusted
    offense level of 6, which, combined with a criminal history
    Category IV, produced a Guidelines range of 6-12 months
    imprisonment. App. at 203-04. Consistent with that
    Guidelines range, the district court imposed a sentence of
    five years probation, 12 months home detention with
    electronic monitoring, 200 hours of community service, and
    a special assessment of $100. App. at 13. The district court
    entered the final judgment of conviction and sentence on
    August 26, 1999.
    The government filed a timely notice of appeal on
    September 23, 1999. Its sole challenge on appeal relates to
    the district court's 12-level departure for extraordinary
    family ties and responsibilities under section 5H1.6.1
    III. DISCUSSION
    In the usual case, the district court is required to impose
    a sentence within the applicable Guidelines range. See 18
    U.S.C. S 3553(b). "For the most part, a court can treat each
    _________________________________________________________________
    1. The district court exercised subject matter jurisdiction pursuant to 18
    U.S.C. S 3231, which provides that the district courts have original
    jurisdiction "of all offenses against the laws of the United States." We
    exercise appellate jurisdiction over the district court's final order
    pursuant to 28 U.S.C. S 1291, and have jurisdiction under 18 U.S.C.
    S 3742(b)(3) to review a final sentence where, as here, the sentence is
    less than the minimum sentence specified in the applicable Guidelines
    range.
    6
    guideline as carving out a `heartland,' a set of typical cases
    embodying the conduct that each guideline describes."
    United States v. Baird, 
    109 F.3d 856
    , 870 (3d Cir. 1997)
    (citing and quoting 1994 U.S.S.G. ch. 1, pt. A., intro.
    comment. 4(b)) (internal quotation marks omitted). But in
    the unusual case in which a defendant's conduct falls
    outside the typical "heartland" of cases, the district court
    may consider whether a departure is appropriate. See
    United States v. Iannone, 
    184 F.3d 214
    , 226 (3d Cir. 1999).
    Section 5K2.0 of the Guidelines provides that a court may
    impose a sentence outside the applicable Guidelines range
    "if the court finds `that there exists an aggravating or
    mitigating circumstance of a kind, or to a degree, not
    adequately taken into consideration by the Sentencing
    Commission in formulating the guidelines that should
    result in a sentence different than that described.' " See
    U.S.S.G. S 5K2.0, p.s. (quoting 18 U.S.C.S 3553(b)). That
    section further states that "an offender characteristic or
    other circumstance that is, in the Commission's view, `not
    ordinarily relevant' in determining whether a sentence
    should be outside the applicable guideline range may be
    relevant to this determination if such characteristic or
    circumstance is present to an unusual degree and
    distinguishes the case from the `heartland' of cases covered
    by the guidelines. . . ." 
    Id. One of
    the offender characteristics that the Sentencing
    Commission specifically has identified as "not ordinarily
    relevant" in determining an offender's sentence is the
    defendant's family ties and responsibilities. Section 5H1.6
    of the Guidelines provides that "[f]amily ties and
    responsibilities . . . are not ordinarily relevant in
    determining whether a sentence should be outside the
    applicable guideline range."2 Thus, the Sentencing
    Commission has classified the existence of family ties and
    responsibilities as a "discouraged" basis for departure. See
    Koon v. United States, 
    518 U.S. 81
    , 95, 
    116 S. Ct. 2035
    ,
    _________________________________________________________________
    2. The genesis of section 5H1.6 lies in Congress' directive to the
    Sentencing Commission to "assure that the guidelines and policy
    statements . . . reflect the general inappropriateness of considering the
    . . . family ties and responsibilities . . . of the defendant." 28 U.S.C.
    S 994(e).
    7
    2045 (1996) (explaining that the district court's departure
    analysis must involve a determination whether the
    Guidelines forbid departures based on the factor, encourage
    departures on that basis, discourage departures, or do not
    mention the factor at all). "The Commission does not view
    discouraged factors `as necessarily inappropriate' bases for
    departure but says they should be relied upon only`in
    exceptional cases.' " See 
    id. (quoting 1995
    U.S.S.G. ch. 5,
    pt. H, intro. comment.). Indeed, the commentary to
    U.S.S.G. S 5K2.0 explains that with respect to a departure
    decision predicated on a discouraged offender characteristic
    or other circumstance "not ordinarily relevant" to
    sentencing determinations, "[i]n the absence of a
    characteristic or circumstance that distinguishes a case as
    sufficiently atypical to warrant a sentence different from
    that called for under the guidelines, a sentence outside the
    guideline range is not authorized." U.S.S.G.S 5K2.0
    comment.
    At the risk of stating the obvious, then, a downward
    departure based on family ties and responsibilities should
    be the exception rather than the rule. See United States v.
    Higgins, 
    967 F.2d 841
    , 846 (3d Cir. 1992) (remanding to
    district court to determine, inter alia, if defendant's family
    ties and responsibilities fell within the "very narrow
    category" of "extraordinary"); see also United States v.
    Tocco, 
    200 F.3d 401
    , 436 (2d Cir. 2000) ("The district court
    has broad discretion in dealing with requests for departure
    . . . but the Sentencing Commission and the courts expect
    that they will not often occur. . . ."); United States v.
    Archuleta, 
    128 F.3d 1446
    , 1450 (10th Cir. 1997) ("The
    question before us, then, is whether the record in this case
    establishes family circumstances so exceptional that they
    constitute the rare case justifying a departure from the
    guidelines which already recognize the reality of difficult
    family circumstances for many defendants and which
    discourage making an additional allowance on that basis.");
    United States v. Dyce, 
    91 F.3d 1462
    , 1466 (D.C. Cir. 1996)
    ("[W]e underscore what is implicit in the word
    `extraordinary' and explicit in the Guidelines themselves:
    departures on [the basis of family ties and responsibilities]
    should be rare."). This observation, in turn, must inform
    our analysis as to the type of family situation which
    8
    legitimately may be categorized as "extraordinary" and thus
    outside the typical heartland of cases the Guidelines were
    designed to cover. See 
    Dyce, 91 F.3d at 1466
    (noting that
    a court may depart on the basis of family ties and
    responsibilities only if the case "significantly differs from
    the norm") (internal quotation marks omitted).
    We review a district court's decision to depart from the
    applicable Guidelines range under an abuse of discretion
    standard, giving due deference to the district court's
    institutional advantage over an appellate court in
    comparing one sentencing case to another. See 
    Koon, 518 U.S. at 98
    , 116 S.Ct. at 2046-47 ("Before a departure is
    permitted, certain aspects of the case must be found
    unusual enough for it to fall outside the heartland of cases
    in the Guideline. To resolve this question, the district court
    must make a refined assessment of the many facts bearing
    on the outcome, informed by its vantage point and day-to-
    day experience in criminal sentencing."); see also 
    Iannone, 184 F.3d at 227
    ("[W]e note the substantial deference that
    we owe the decision to depart from the Guidelines.").
    Nevertheless, we agree with the Court of Appeals for the
    Second Circuit's observation that an appellate court's
    review of a departure determination in this context must
    " `ensure that the circumstances relied upon to justify a
    downward departure are [not] so far removed from those
    found exceptional in existing case law that the sentencing
    court may be said to be acting outside permissible limits.' "
    See United States v. Faria, 
    161 F.3d 761
    , 762 (2d Cir. 1998)
    (quoting United States v. Sprei, 
    145 F.3d 528
    , 534-35 (2d
    Cir. 1998)) (internal quotation marks omitted) (alteration in
    original); see also 
    Koon, 518 U.S. at 98
    , 116 S.Ct. at 2047
    ("Whether a given factor is present to a degree not
    adequately considered by the Commission, or whether a
    discouraged factor nonetheless justifies departure because
    it is present in some unusual or exceptional way, are
    matters determined in large part by comparison with the
    facts of other Guidelines cases.").
    The issue implicated in this case, simply stated, is
    whether Sweeting's family circumstances constitute
    "extraordinary" family ties and responsibilities. As the
    Court of Appeals for the District of Columbia Circuit
    9
    recognized in Dyce, "[t]he issue is admittedly a murky one."
    
    See 91 F.3d at 1466
    . Indeed, while
    [i]t may not be unusual, for example, to find that a
    convicted drug offender is a single mother with family
    responsibilities, . . . at some point, the nature and
    magnitude of family responsibilities (many children?
    with handicaps? no money? no place for children to
    go?) may transform the `ordinary' case of such
    circumstances into a case that is not at all ordinary.
    See United States v. Rivera, 
    994 F.2d 942
    , 948 (1st Cir.
    1993); see also 
    Dyce, 91 F.3d at 1466
    (quoting 
    Rivera, 994 F.2d at 948
    ).
    To reiterate, the district court predicated its ruling on the
    fact that Sweeting "is a single parent providing for five
    children, one of whom has a substantial neurological deficit
    in the form of Tourette's Syndrome." App. at 202. The
    district court expounded on that point as follows:
    It is a breakdown in the family, a breakdown that is all
    too common. And we collectively, as a society, should
    do what we can to support the family and to sometimes
    take--you can call it a risk or make an investment in
    a decision that supports the family. And I have decided
    in this case that I will make that investment collectively
    on behalf of society that invests in me the discretionary
    authority to depart downward based upon
    extraordinary circumstances. I find that the
    extraordinary circumstance in this case is that Ms.
    Sweeting is a single parent providing for five children,
    one of whom has a substantial neurological deficit in
    the form of Tourette's syndrome. That from all of the
    evidence that has been presented to me, Ms. Sweeting
    is a substantial positive influence on the children's
    lives. That incarceration would have a very serious
    detrimental effect on the family unit, that it would
    break up the family unit, and that's a consequence
    that I don't want to see happen in this case.
    It's a consequence that I think we as a society
    should, when we have the ability, try to avoid. It's not
    a decision I make that is lightly taken, and it is also a
    decision I know that's in some respects risky, maybe
    10
    you call it a high risk investment in light of Ms.
    Sweeting's prior record.
    App. at 202-03.
    The government contests the district court's ruling on
    several grounds. First, it maintains that the court erred in
    relying upon the fact that Sweeting is the sole provider for
    her five children because we determined in United States v.
    Headley, 
    923 F.2d 1079
    (3d Cir. 1991), that a defendant's
    status as a single mother of five children was not
    "extraordinary" in the sense that it was so atypical of the
    situations facing most convicted felons that it fell outside
    the heartland of cases sentenced under the Guidelines.
    Next, it points out that under our case law, the fact that
    Sweeting is a substantial positive influence on her
    children's lives and that her incarceration would break up
    the family unit similarly does not take this case out of the
    heartland and render her situation extraordinary. Itfinally
    contends that the fact that Sweeting's oldest child suffers
    from Tourette's Syndrome is insufficient under the
    circumstances of this case to support the district court's
    ultimate factual finding that her family responsibilities were
    extraordinary. It points out in this connection that there is
    nothing extraordinarily atypical about Sweeting's
    responsibilities to her oldest son, or the needs of the child
    himself, that indicate that her presence at home is essential
    to his care and well-being.
    We agree entirely with the government's assessment of
    the circumstances of this case. Put simply, we find that
    none of the factors the district court considered, taken
    individually or in their entirety, present extraordinary
    family ties and responsibilities taking this case out of the
    heartland of cases sentenced under the Guidelines. 3
    _________________________________________________________________
    3. We point out that the government does not challenge the accuracy of
    the evidence in the record concerning the nature of Sweeting's family ties
    and responsibilities--for example--the type of specialized care her son
    requires because of his condition. Rather, it asserts that the facts in
    the
    record do not warrant a downward departure because they do not
    demonstrate that her family situation is extraordinary in the sense
    contemplated by section 5H1.6. Similarly, for purposes of our analysis,
    we assume the accuracy of the historical facts in the record, but part
    11
    Consequently, we find that Sweeting's family ties and
    responsibilities present an insufficient basis for a departure
    pursuant to section 5H1.6.
    First, as our cases repeatedly have recognized, the
    circumstance that Sweeting's incarceration will disrupt the
    family unit cannot be considered atypical, inasmuch as
    innumerable defendants no doubt could establish that their
    absence will cause a void in their children's lives. As a
    practical matter, it may be said that most children look to
    their parents for support, guidance and stability. But, as
    we indicated in United States v. Gaskill, 
    991 F.2d 82
    (3d
    Cir. 1993), "[d]isruptions of the defendant's life, and the
    concomitant difficulties for those who depend on the
    defendant, are inherent in the punishment of incarceration.
    Disintegration of family life in most cases is not enough to
    warrant departures." 
    Id. at 85
    (citation and internal
    quotation marks omitted); see also United States v. Reilly,
    
    33 F.3d 1396
    , 1424 n.22 (3d Cir. 1994) (quoting 
    Gaskill, 991 F.2d at 84
    ); accord 
    Dyce, 91 F.3d at 1468
    (as
    "innumerable defendants could no doubt establish[,] . . . a
    prison sentence[ ] normally disrupts . . . parental
    relationships") (internal quotation marks omitted); United
    States v. Brown, 
    29 F.3d 953
    , 961 (5th Cir. 1994) (same).
    We also point out that while Sweeting appears devoted to
    her children and is "a substantial positive influence" on
    their lives, see app. at 203, the district court's reliance on
    those facts was inappropriate because they do not take this
    case out of the "heartland" of cases sentenced under the
    _________________________________________________________________
    company with the district court's ultimate factual conclusion that those
    circumstances render Sweeting's family ties and responsibilities so
    "extraordinary" so as to take this case out of the heartland of cases
    sentenced under the Guidelines.
    Moreover, it is appropriate to mention at this juncture that although
    our analysis of the nature of Sweeting's family responsibilities proceeds
    by examining each component of the district court's analysis separately,
    we have considered the cumulative effect of the totality of the
    circumstances presented in this case. And, as we have indicated in the
    text, we simply see no sound basis for upholding the district court's
    departure determination notwithstanding our deferential standard of
    review.
    12
    Guidelines involving a defendant who also is a parent.
    Indeed, in United States v. Shoupe, 
    929 F.2d 116
    (3d Cir.
    1991), we expressly rejected the defendant's argument that
    a departure under section 5H1.6 was warranted because he
    was a good father to his son. There the defendant's
    presentence report revealed that he had a young son who
    resided with his former wife, that the defendant paid
    regular child support, frequently spoke with the child by
    telephone and visited him. Defendant's counsel stated at
    the sentencing hearing that his client was "a good father."
    See 
    id. at 121.
    We held that "[t]hese facts do not show such
    extraordinary family ties and responsibilities as to justify a
    departure despite Section 5H1.6." Id.; see also United
    States v. Wilson, 
    114 F.3d 429
    , 434 (4th Cir. 1997)
    (reversing downward departure based on district court's
    finding that defendant's attention to his children was
    extraordinary based on the defendant's lack of parental
    guidance as a child); United States v. Webb, 
    49 F.3d 636
    ,
    638 (10th Cir. 1995) (reversing district court's downward
    departure where circumstances showed only that defendant
    was sole caretaker of his son, had positive influence on his
    life, and that son needed "to be taken care of "); United
    States v. Brand, 
    907 F.2d 31
    , 33 (4th Cir. 1990) (finding
    that district court erred in awarding downward departure
    for extraordinary circumstances; court of appeals found
    that the factors the district court relied on, specifically the
    fact that the defendant's children would be separated and
    placed with "blood strangers," simply were not
    extraordinary).
    The district court also relied in its departure ruling on
    the related circumstance that Sweeting was a single mother
    and the sole provider for her five children. But in doing so,
    the government is correct that the court appears to have
    overlooked our opinion in United States v. Headley, 
    923 F.2d 1079
    . Headley was a single mother of five children,
    ranging in age from 11 months to 11 years who was
    convicted of charges stemming from her activities as a drug
    courier for a large narcotics manufacturing and distribution
    organization. She had a relationship with the leader of the
    drug organization in which she participated, and it was
    undisputed that he was the father of her five children.
    Headley argued in the district court for a downward
    13
    departure for extraordinary family responsibilities under
    section 5H1.6, but the court held that it lacked authority to
    depart downward from the applicable Guidelines range on
    that basis. The district court thus sentenced Headley to 17
    years imprisonment, the minimum in her Guidelines range.
    See 
    id. at 1081-82.
    Headley appealed, arguing that the district court erred in
    concluding that it lacked authority to consider the
    psychological impact that a lengthy sentence would have on
    her five young children. We rejected her argument,
    explaining that as of that time, "every court to consider the
    issue of departure based on the effect that sentencing a
    single parent to prison will have on minor children has
    found the circumstances not to be extraordinary." See 
    id. at 1082.
    But see United States v. Johnson, 
    964 F.2d 124
    , 129
    (2d Cir. 1992) (deciding after Headley that section 5H1.6
    departure was warranted because the defendant, who"was
    solely responsible for the upbringing of her three young
    children, including an infant, and of the young child of her
    institutionalized [adult] daughter, . . . faced extraordinary
    parental responsibilities").
    We obviously predicated our ruling in Headley on the
    unfortunate reality that single parents often commit crimes
    requiring incarceration. As the Court of Appeals for the
    Fourth Circuit explained in United States v. Brand:
    A sole, custodial parent is not a rarity in today's
    society, and imprisoning such a parent will by
    definition separate the parent from the children. It is
    apparent that in many cases, the other parent may be
    unwilling or unable to care for the children, and that
    the children will have to live with friends, relatives or
    even in foster homes. . . . [Defendant's] situation,
    though unfortunate, is simply not out of the 
    ordinary. 907 F.2d at 33
    ; see also United States v. Leandre, 
    132 F.3d 796
    , 807-08 (D.C. Cir. 1998) (affirming district court's
    denial of the defendant's request for downward departure
    under section 5H1.6 based on fact that he was a single
    father of two young children who might be placed in foster
    care as a result of incarceration; court of appeals stated
    that "[f]rom the perspective of the defendant's children, the
    14
    result may be harsh but it is not so extraordinary a
    circumstance confronting sentencing judges"). Thus,
    despite the fact that Headley's situation was unfortunate,
    we held that incarceration of a single parent and its
    concomitant effects on the children simply cannot be
    characterized as out of the ordinary. Accord 
    Archuleta, 128 F.3d at 1450
    ; 
    Leandre, 132 F.3d at 807-08
    ; United States
    v. Rodriguez-Valarde, 
    127 F.3d 966
    , 969 (10th Cir. 1997)
    (collecting cases); 
    Webb, 49 F.3d at 638-39
    ; United States v.
    Chestna, 
    962 F.2d 103
    , 107 (1st Cir. 1992); 
    Brand, 907 F.2d at 33
    . We therefore agree with the government's
    position that the district court's ruling, to the extent that
    the court predicated it on Sweeting's status as a single
    mother, was inconsistent with our decision in Headley.
    As the foregoing demonstrates, the fact that Sweeting is
    a devoted single mother of five whose children solely
    depend on her for support and guidance simply does not
    meet the threshold of "extraordinary" when compared to the
    innumerable cases in which parents commit crimes and are
    sentenced under the Guidelines. Thus, we must consider at
    this point the only factor that arguably removes this case
    from the heartland of cases under the Guidelines, and
    distinguishes this case from the situation we faced in
    Headley--namely, that Sweeting's oldest son suffers from
    Tourette's Syndrome.4 Sweeting argues that it is clear that
    responsibility for the care of a sick family member may
    constitute an extraordinary circumstance warranting a
    departure. See br. at 18. She contends that the record
    demonstrates that her "extraordinary efforts are essential to
    her son's continued health and well-being." Br. at 14.
    We are unpersuaded. First, we point out that a review of
    the district court's comments at the sentencing hearing
    _________________________________________________________________
    4. Sweeting apparently recognizes that her son's condition is pivotal to
    the analysis of whether the district court erred in granting a departure
    under section 5H1.6 given her family situation. Importantly, this factor
    is the sole basis on which she argues in her brief that she faces
    "extraordinary" family responsibilities. See br. at 12 ("It is submitted
    that
    this mother's responsibilities for the care of an adolescent child with
    Tourette's Syndrome constituted an extraordinary family responsibility.
    For this reason, the district court did not abuse its discretion [in]
    granting the downward departure.").
    15
    confirms that in granting the downward departure under
    section 5H1.6, the court was motivated primarily by the
    circumstance that Sweeting's incarceration would break up
    the family unit because of her status as a single parent.
    See app. at 201-02 ("[T]he circumstances of this case are
    extraordinary. We are dealing with a single parent."); 
    id. at 202
    ("It is a breakdown in the family, a breakdown that is
    all too common. And we collectively, as a society, should do
    what we can to support the family. . . ."); 
    id. at 203
    ("[I]ncarceration would have a very serious detrimental
    effect on the family unit[;] it would break up the family
    unit, and that's a consequence that I don't want to see
    happen in this case."). Indeed, the district court only
    mentioned her son's Tourette's Syndrome once in the entire
    course of its findings on this point: "I find that the
    extraordinary circumstances in this case is that Ms.
    Sweeting is a single parent providing for five children, one
    of whom has a substantial neurological deficit in the form
    of Tourette's Syndrome." App. at 202. It did not make any
    specific factual findings regarding the severity of Sweeting's
    son's condition, or the nature of care that she provides to
    him. Thus, while on appeal Sweeting presses this particular
    family circumstance as the definitive factor justifying the
    district court's departure determination, the district court
    did not predicate its ruling to any significant degree on the
    fact that her son had Tourette's Syndrome.
    Second, and more importantly, while we in no way intend
    to minimize the difficulties facing a parent whose child
    suffers from Tourette's Syndrome, the record in this case
    suggests that there is nothing about the severity of this
    child's condition or the nature of the care that he requires
    indicating that Sweeting is so irreplaceable that her
    otherwise ordinary family ties and responsibilities are
    transformed into the "extraordinary" situation warranting a
    departure under section 5H1.6. First, as to the nature of
    the care that her son requires, the evidence demonstrates
    that after Sweeting's son was diagnosed with Tourette's
    Syndrome, his neurologist, Dr. Lilik, provided several
    treatment suggestions, including daily physical activity, and
    organization of the young man's personal habits, school
    work and home responsibilities. Dr. Lilik also provided
    Sweeting with a list of foods to eliminate from her son's
    16
    diet, and instructed that her son should avoid taking
    stimulant decongestive medications and refrain from
    watching television and video games during the school
    week. On a follow up visit, Dr. Lilik suggested that
    Sweeting's son should participate in a daily exercise
    program (in the mornings) and become involved in sports
    throughout the entire year.
    The record indicates (and the government does not
    dispute) that Sweeting complied with Dr. Lilik's
    suggestions. See app. at 180-81 (describing Sweeting's care
    for her son as consisting of exercising with him in the
    mornings, shopping for and preparing his meals, helping
    him with his homework, and administering his medication
    when necessary). And we agree with Sweeting that the
    record reflects the fact that her son must continue this diet
    and exercise regimen to combat and control the symptoms
    of his condition. Nevertheless, there simply is nothing
    about the type of care that he requires that suggests to us
    that it is so unique or burdensome that another responsible
    adult could not provide the necessary supervision and
    assistance in Sweeting's absence. As the government
    pointed out at oral argument, the degree of extra attention
    that her son needs as a result of his condition pales in
    comparison to that which is required by an infant who
    needs constant care and supervision. Compare 
    Dyce, 91 F.3d at 1467
    (rejecting defendant's argument that
    downward departure was necessary so that she could care
    for and nourish her three-month old infant); 
    Headley, 923 F.2d at 1082
    (youngest child was 11 months old).
    Moreover, as the record demonstrates, the regimen that
    Sweeting has followed with her son thus far has assisted
    him in controlling the effects of his condition. Sweeting's
    attorney recognized that his condition is not "so disabling
    that he can't play football, he plays football.[It is not so
    disabling that] he can't attend school, he does attend
    school." App. at 179-80. Thus, it does not appear that the
    child's Tourette's Syndrome is so severe that it precludes
    him from participating meaningfully in various school and
    social activities.
    These observations confirm that while her child's
    neurological condition supports Sweeting's contention that
    17
    he "needs to be taken care of " in a way that differs from
    the needs of her other four children, her responsibilities to
    her son do not differentiate her situation to such a degree
    so as to support the finding that her case is extraordinary.
    Our conclusion on this point is guided, as it must be, see
    
    Koon, 518 U.S. at 98
    , 116 S.Ct. at 2047, by other cases in
    which a defendant has sought a downward departure under
    section 5H1.6 under similar factual circumstances--namely
    where the defendant claimed "extraordinary" family
    responsibilities in part due to his or her obligation to care
    for a disabled family member. While we have found several
    cases that support our conclusion in this case, we need
    only highlight the most pertinent to our analysis on this
    point.
    For example, in Archuleta the Court of Appeals for the
    Tenth Circuit reversed the district court's downward
    departure under section 5H1.6 based on the circumstance
    that the defendant was the sole support for two of his
    children and cared for his elderly, diabetic mother. 
    See 128 F.3d at 1447
    . There the defendant pleaded guilty to
    providing false statements in the acquisition of afirearm in
    violation of 18 U.S.C. S 922(a)(6), and to one count of being
    a felon in possession of a firearm in violation of 18 U.S.C.
    S 922(g)(1). The district court departed downward 8 levels
    from the applicable Guidelines range and imposed a
    sentence of five months imprisonment, five months home
    confinement, and three years supervised release based on
    his extraordinary family ties and responsibilities. See 
    id. at 1447-48.
    The court of appeals vacated the sentence, finding that
    the family circumstances the district court relied upon to
    justify its departure were insufficient to take this case out
    of the "heartland" of cases governed by the Guidelines. See
    
    id. at 1452.
    The court first found that the district court's
    reliance on the defendant's status as sole caretaker of his
    children as a basis for the section 5H1.6 departure was
    inconsistent with the court's decision in United States v.
    Webb, 
    49 F.3d 636
    , which held that the defendant's status
    as a single parent of a son did not constitute an
    extraordinary circumstance warranting a departure. See 
    id. at 1450.
    With respect to the district court's reliance on
    18
    defendant's status as the caretaker of his diabetic, elderly
    mother, the court of appeals observed that
    the record is scarce on the details of the care she
    requires. Nor does the record say anything about the
    mother's mental and physical abilities, including her
    ability to prepare her own meals and, perhaps,
    partially care for the children. Assuming the mother
    cannot administer her own medication or maintain a
    properly balanced diet, the record is equally silent on
    the availability of home nurse visits and other services
    for the sick and elderly.
    The record reflects the representation of Archuleta's
    counsel that six of his eight siblings in the Espanola
    area cannot undertake his mother's care, or that of
    Archuleta's children. There is no evidence regarding the
    remaining two siblings, or the availability of other
    alternatives for care.
    
    Id. at 1450-51.
    Similarly in United States v. Allen, 
    87 F.3d 1224
    (11th
    Cir. 1996), the defendant pleaded guilty to one count of
    bank fraud in violation of 18 U.S.C. S 1344 after she
    admitted to diverting approximately $138,000 of her
    employer's funds into her own bank account. The relevant
    Guidelines range called for a sentence of 12-18 months for
    the crime. At sentencing, the defendant sought a departure
    for extraordinary family ties and responsibilities based on
    the fact that she was the primary caretaker of her 70-year
    old father who suffered from Alzheimer's and Parkinson's
    diseases. The district court departed 5 offense levels and
    sentenced the defendant to one hour of imprisonment, and
    36 months of supervised release. See 
    id. at 1225.
    The Court of Appeals for the Eleventh Circuit vacated the
    sentence and remanded the matter to the district court for
    resentencing. Citing several cases in which the courts
    denied departures because the circumstances were not
    atypical, the court stated that in its view, the defendant's
    family responsibilities "though difficult, are not
    extraordinary." See 
    id. The court
    noted specifically that the
    defendant was not "the only family member available to
    care for her father. The Presentence Report indicates that
    19
    [the defendant's] husband and adult son take care of her
    father to some extent, and that [the defendant] has a
    brother and another adult child living nearby." 
    Id. at 1226
    n.1.
    Finally, in United States v. Rybicki, 
    96 F.3d 754
    (4th Cir.
    1996), the defendant was convicted for conspiracy and
    perjury. See 
    id. at 756.
    The district court granted the
    defendant a 5-level downward departure, in part on the
    basis of his extraordinary family responsibilities. The Court
    of Appeals for the Fourth Circuit initially reversed the
    district court's 5-level departure. See United States v.
    Rybicki, 
    1995 WL 420001
    (4th Cir. July 13, 1995). But in
    light of its decision in Koon, the Supreme Court vacated the
    court of appeals' judgment and remanded the case for
    further consideration. See Rybicki v. United States, 
    518 U.S. 1014
    , 
    116 S. Ct. 2543
    (1996).
    On remand, the court of appeals adhered to its earlier
    ruling reversing the district court's departure, but modified
    its reasoning after considering Koon. The court recognized
    that the district court based its downward departure in part
    on the fact that the defendant had a nine-year old son with
    neurological problems who was in need of special
    supervision, and a wife experiencing a period of fragile
    mental health. It nevertheless held that the record
    indicated that defendant's responsibilities to his son and
    wife were not factors present to an "exceptional degree" so
    as to warrant a departure under section 5H1.6. See 
    id. at 759.
    Here, in a situation consistent with those in Archuleta,
    Allen, and Rybicki, Sweeting's son's Tourette's Syndrome
    obviously requires that he receive additional attention and
    care. Nevertheless, there is nothing extraordinary about the
    nature or severity of his condition, his physician's
    prescribed method of treatment, or the type of assistance
    Sweeting provides, which compels the conclusion that no
    other competent adult could make sure that her son
    continues to exercise, eat and sleep properly, and take his
    medication at the appropriate times. Sweeting maintains
    throughout her brief that this regimen is an essential part
    of her son's treatment, but again there is nothing in the
    record suggesting that Sweeting (and only Sweeting) can
    20
    provide him with the care and attention he needs, or that
    he as a teenager cannot take some responsibility for his
    own care. This, we believe, is an important factor to
    consider in determining whether the district court's section
    5H1.6 departure was warranted. See 
    Tocco, 200 F.3d at 435-36
    (remanding for resentencing where district court
    departed 2 levels for extraordinary family responsibilities
    where the defendant's wife had cancer and emphysema;
    court of appeals instructed that on remand, the district
    court should "make specific findings regarding [the
    defendant's] personal involvement in the care of his wife
    and other family members," and should consider whether
    his wife had "alternative sources of support," inasmuch as
    the record demonstrated that the defendant had eight
    children, seven of whom lived in the area and one of whom
    was a doctor); see also 
    Dyce, 91 F.3d at 1467
    (finding that
    district court's downward departure under section 5H1.6 on
    the basis that the defendant was breast feeding her child at
    the time of sentencing was erroneous; court reasoned in
    part that "there is no evidence in the record supporting the
    district court's statement in its Sentencing Opinion that the
    infant was `totally dependent on [Dyce] for nourishment,'
    nor is there any evidence that the child could not have been
    fed from a bottle."); United States v. Shortt , 
    919 F.2d 1325
    ,
    1328 (8th Cir. 1990) (vacating district court's departure
    based on defendant's position as the sole provider for his
    family and the fact that he assisted his disabled father on
    his farm; court of appeals determined that defendant's two
    brothers could help their father on the farm, and
    defendant's position as the provider for his family did not
    make his case "extraordinary").
    We also note that these decisions further demonstrate
    the point that a family member's medical problems cannot
    be viewed in a vacuum; rather, courts considering whether
    to depart must weigh carefully, among other things, the
    severity of the condition and the degree of extra attention
    that it requires. See 
    Gaskill, 991 F.2d at 82-84
    . Thus, while
    we recognize that there is evidence in the record that
    supports the conclusion that Sweeting's son has
    experienced behavioral and learning difficulties associated
    with his condition, we find it relevant to our ultimate
    determination that her son is able to attend school and
    21
    participate in various sports activities with a large measure
    of success. These facts, which are uncontroverted by the
    parties, certainly undercut Sweeting's argument that her
    son's disorder presents her with extraordinary family
    responsibilities--at least to the extent that her argument
    rests in part on the fact that her son is a "chronically infirm
    child," see br. at 11, 18, who suffers from "a rare medical
    condition." App. at 35. As the record reflects, Sweeting's
    son attends high school, has been the captain of the
    football team, and has participated in track andfield,
    basketball, baseball and karate. App. at 34, 106-07.
    Finally, Sweeting's counsel represented at the sentencing
    hearing that Sweeting made arrangements with friends
    "who she could trust" to take care of her children, including
    her son, in the event that the district court rejected her
    downward departure request and sentenced her to a period
    of incarceration. App. at 178. In particular, Sweeting
    informed the district court that she had arranged for
    someone in Edgewood, Maryland, to care for her son. 
    Id. This fact
    further confirms that in Sweeting's absence, her
    son would not be left without anyone to care for him and
    assist him in managing his symptoms, which in turn
    undercuts her apparent concern (and presumably that of
    the district court) that her son's condition would go
    unregulated in her absence. See 
    Dyce, 91 F.3d at 1467
    (noting, as a factor militating against departure, that the
    children would be cared for by defendant's family rather
    than placed in foster care); United States v. Abbott, 975 F.
    Supp. 703, 709 (E.D. Pa. 1997) (rejecting defendant's
    downward departure motion under 5H1.6 where his mother
    and wife could care for his children, despite the fact that
    wife and mother had medical problems); cf. 
    Leandre, 132 F.3d at 807-08
    (affirming district court's denial of departure
    under section 5H1.6 where defendant was a single father of
    two young children who might be placed in foster care if
    defendant's brother refused to care for them; "[s]uch
    evidence of a difficult family situation that will arise upon
    [defendant's] incarceration is, unfortunately, no more
    extraordinary than that deemed by the Dyce court not to be
    sufficiently extraordinary for a departure").
    It thus appears from a review of the record that the fact
    22
    that Sweeting's son is afflicted with Tourette's Syndrome
    does not render this case distinguishable from Headley to
    a degree sufficient to warrant a departure under section
    5H1.6. Indeed, when compared to the facts in Archuleta,
    Allen, Rybicki and other courts of appeals' decisions on
    point, it is clear to us that the existence of his condition
    does not present a situation in which incarceration would
    cause Sweeting or her son to suffer an atypical hardship
    sufficient to take this case out of the heartland of cases in
    which a parent has committed a crime requiring
    incarceration.5 At bottom, the unfortunate fact is that her
    _________________________________________________________________
    5. We recognize, as Sweeting points out in her brief, that there are
    decisions by other courts of appeals that have upheld downward
    departures under section 5H1.6 where the circumstances demonstrated
    that the defendant was responsible for the care of a sick family member.
    She contends that those cases support her position because the
    defendants were responsible for the care of dependents, at least one of
    whom was disabled. We reject this argument, however, as we do not
    agree with Sweeting's assessment that the cases she cites are analogous
    to the factual situation presented here. Indeed, a review of the cases
    that
    she relies upon confirms that each had an additional factual component
    distinguishing it from this case. See, e.g., United States v. Haversat, 
    22 F.3d 790
    , 797 (8th Cir. 1994) (upholding district court's finding that
    section 5H1.6 departure was warranted based on totality of
    circumstances which indicated that defendant's wife had suffered "severe
    psychological problems which [had] been potentially life threatening,"
    defendant was involved actively in her care and wife's treating physician
    characterized his participation as an "irreplaceable part" of his wife's
    treatment plan, doctor's testimony confirmed that he (the doctor)
    depended on the defendant to identify the beginning of his wife's
    regression, and doctor stated on the record that he would have "grave
    clinical concerns that her medical management could be safely
    continued without the ongoing presence of her spouse"; court of appeals,
    however, remanded for resentencing because the extent of the departure
    was unreasonable); United States v. Sclamo, 
    997 F.2d 970
    , 972 (1st Cir.
    1993) (upholding district court's departure under section 5H1.6 where
    the defendant had developed a special and crucially important
    relationship with girlfriend's 12-year old son, who suffered from
    Attention Deficit Disorder and had been physically abused by his
    biological father; child underwent weekly individual psychotherapy and
    his psychologist submitted letters to the court concluding that the
    defendant "played a major positive role in [the child's] therapy" and that
    his continued presence was "necessary for [the child's] increasing
    23
    children will suffer the same type and degree of injury felt
    by any family where a parent is incarcerated. Cf. United
    States v. Maddox, 
    48 F.3d 791
    , 799 (4th Cir. 1995)
    (remanding for resentencing for further development of the
    record on the nature of defendant's family responsibilities,
    but opining that evidence that defendant "relates well" to
    his severely mentally retarded sister, provides"invaluable
    care for her and his mother," and is "crucial to the
    structure and stability of his family" was insufficient to
    show that defendant's family ties were extraordinary);
    United States v. Goff, 
    20 F.3d 918
    , 921 (8th Cir. 1994) (pre-
    Koon decision applying de novo standard of review and
    determining that district court erred in awarding section
    5H1.6 departure where defendant supported three young
    sons and his wife had begun receiving Social Security
    disability benefits for a depression disorder and anxiety
    attacks; court stated that defendant's family responsibilities
    were "not outside the heartland of cases that the
    Sentencing Commission has considered").
    Sweeting contends nevertheless that her son's school
    principal, Karen DeSantis, testified at the sentencing
    hearing that Sweeting's continued parental efforts are
    essential to her son's continued health and well-being
    because his life is "on a tightrope." She argues that the
    record confirms that she is an essential part of her son's
    life because it is her extraordinary efforts that are keeping
    him from falling "off that tightrope." Br. at 14.
    To be sure, Ms. DeSantis stressed that Sweeting's son
    needed a great deal of guidance and one-on-one contact,
    and opined that his life "is on a tightrope." App. at 217,
    220. But as the government correctly states, her testimony
    on this point must be read in context. The fact that
    Sweeting's son needs one-on-one guidance does not lead to
    the conclusion that Sweeting is the only person capable of
    _________________________________________________________________
    progress"; and that the defendant "continues to be the only available
    resource for positive bonding"); United States v. Alba, 
    933 F.2d 1117
    ,
    1122 (2d Cir. 1991) (upholding departure where record showed that the
    defendant had a wife and two daughters, aged four and 11, lived with his
    grandmother and disabled father who depended on the defendant to
    assist him moving in and out of a wheelchair).
    24
    providing it. Compare United States v. Haversat , 
    22 F.3d 790
    , 797 (8th Cir. 1994); United States v. Sclamo, 
    997 F.2d 970
    , 972 (1st Cir. 1993). Moreover, to the extent that her
    testimony supports the conclusion that Sweeting is a
    positive influence on her son's life, as we have indicated
    above, that circumstance is not the atypical or
    extraordinary situation warranting a departure.
    More importantly, it is clear to us from a reading of her
    entire testimony on this point that her reference to
    Sweeting's son's life being on a "tightrope" is based not
    primarily on the fact that his Tourette's Syndrome has
    affected his learning abilities and behavior, but on the
    circumstance that he is a "Black male in Scranton" that
    may succumb to peer pressure more readily.6 App. at 220.
    Again, while certainly unfortunate, there is nothing
    extraordinary about the effect of peer pressure on high
    school children that takes this case out of the"heartland"
    of cases sentenced under the Guidelines where the
    defendants have family responsibilities to their adolescent
    children. Indeed, we do not quarrel with the proposition
    _________________________________________________________________
    6. The following exchange between Sweeting's counsel and Ms. DeSantis
    provides further context for the principal's statement that we quote in
    the text:
    Q. Can you describe some of the peer pressures tha t may exist for
    a young Black male in the City of Scranton in 1999?
    A. Well, I think more--and you mentioned the you ng Black male,
    and I think that half of it has to be considered. Too many of the
    Black students will say to me, you know, Ms. DeSantis, I have so
    much pressure against me to achieve. So many of my friends will
    call me names if I try and achieve. And I can see[defendant's son]
    in a more open environment, a larger school if he goes to Scranton
    High School, more students, more freedom, I can see him bending
    to that pressure. He needs strong parental guidance, more than [her
    second child].
    I could see a tremendous problem with him if he doesn't have a
    firm hand on him. He needs someone that's going to be in the
    school the first type of slight problem, that's going to work with
    the
    school and work with him. He is going to need that right from the
    beginning.
    App. at 218-19.
    25
    that a parent is an important influence on a child's growth
    and maturation into adulthood. But the fact that Sweeting
    provided such guidance to her son does not differentiate
    the situation here from other cases in which children whose
    parents are incarcerated similarly lose that support system.7
    Sweeting also maintains that her family situation is
    similar to that involved in United States v. Gaskill, where
    we held that the defendant's responsibility of providing the
    only source of care to his mentally ill wife presented an
    "extraordinary" family responsibility that took his case out
    of the heartland of cases governed by the Guidelines. See
    
    991 F.2d 82
    . Sweeting's protestations notwithstanding, our
    review of the factual circumstances presented in Gaskill
    confirms that the result in that case actually supports our
    finding that the departure awarded here was a clear abuse
    of discretion.
    In Gaskill, a former president of a computer company
    pleaded guilty to fraudulent use of social security numbers
    to obtain things of value. 
    See 991 F.2d at 83
    . At
    sentencing, he sought a downward departure based on his
    extraordinary family ties and responsibilities to his wife.
    The record demonstrated that Gaskill resigned from his
    well-paid position at a computer company, at least partially
    because of his wife's erratic conduct caused by an onset of
    mental illness. Gaskill's wife, a college graduate who in her
    earlier years had careers as an interior decorator, teacher,
    and businesswoman, suffered her first serious mental
    illness following the birth of their fourth child. Over the
    years, she experienced bouts of depression accompanied by
    suicide attempts and was hospitalized in a number of
    institutions, having displayed erratic and compulsive
    behavior brought on by her manic depressive condition. See
    id.
    _________________________________________________________________
    7. At oral argument, Sweeting's attorney pointed to the fact that
    Sweeting's son had been teased by his peers because of the effects of his
    condition on his behavior. He argued that the other children's
    inappropriate actions supported his argument that Sweeting's son needs
    his mother's influence in his life. But we cannot ascribe significance to
    the fact that her son is being ridiculed by his adolescent peers, as
    unfortunately that circumstance is not atypical.
    26
    At sentencing, Gaskill introduced letters and testimony
    concerning the nature and severity of his wife's condition,
    and his role in caring for her. He submitted a letter from
    his wife's attending psychiatrist which indicated that she
    had experienced intellectual deterioration evidenced by a
    marked decrease in vocabulary and reduced verbal
    communication. The record also demonstrated that his wife
    watched television for 15 or 20 minutes a day, and stayed
    in bed resting for the remainder of the day. Moreover,
    Gaskill's wife had no personal friends and had no contact
    with extended family members. Gaskill testified at the
    sentencing hearing about the deleterious effect that his
    wife's illness had on her relationship with her children,
    explaining that they thought their mother was vindictive
    and cruel, and did not understand that her behavior was
    related to her mental illness. See 
    id. at 83-84.
    In addition to the testimony concerning the severe nature
    of his wife's mental illness, the evidence overwhelmingly
    demonstrated Gaskill's indispensable role in maintaining
    his wife's well being. Indeed, the record showed that Gaskill
    performed almost all household chores and was responsible
    for administering proper medication for his wife. Moreover,
    her psychiatrist opined that Gaskill's wife was totally
    dependent on him, and that her medication was an
    essential aspect of her treatment. See 
    id. at 84.
    The district court denied Gaskill's departure request,
    stating that it lacked authority to depart under section
    5H1.6. Consistent with the applicable Guidelines range, the
    district court imposed a four-month period of incarceration,
    followed by four months in a halfway house or a
    community treatment center, and a period of supervised
    release. See 
    id. at 83.
    On appeal, we vacated Gaskill's
    sentence and remanded the matter to the district court for
    resentencing. We explained that section 5H1.6 does not
    prohibit departures, but restricts them to cases where the
    circumstances are extraordinary. We found that the
    situation presented by Gaskill's family responsibilities to
    his wife stood in "sharp contrast" to the cases in which
    departure was found to be unwarranted. See 
    id. at 85-86.
    First, there was no real dispute that his wife's mental
    condition was serious. Moreover, we pointed out that the
    27
    wife's current living status demonstrated the defendant's
    pivotal role in her care. At oral argument, Gaskill's attorney
    represented that since his incarceration, his wife had been
    living alone, subsisting on food that her daughter left once
    a week, did not leave the house, and had not seen her
    doctor. See 
    id. at 84
    n.1.
    In addition to the fact that the record demonstrated that
    Gaskill's wife suffered from serious effects of her mental
    illness and depended totally on her husband for care, we
    also explained that "the length of imprisonment mandated
    by the Guidelines and the nature of the offense are also
    circumstances that should be factored into the equation" in
    determining whether a departure is warranted. See 
    id. at 85.
    In particular, we contrasted the circumstances in
    Gaskill to the facts in Headley where the lower end of
    Guidelines range for the defendant's drug conviction
    required a sentence of 17 years imprisonment, and noted
    that given the substantial sentence required, the children
    were destined to be consigned to foster care even if the
    sentence were reduced substantially. We further
    distinguished Headley because that case presented "some
    question whether the best interests of the children would
    be served by allowing them to remain under the care of the
    defendant who had exposed them to the atmosphere of
    large scale drug dealings." 
    Id. We summarized
    our holding
    in Gaskill as follows:
    [t]he record demonstrates circumstances quite out of
    the ordinary. The degree of care required for the
    defendant's wife, the lack of close supervision by any
    family member other than the defendant, the risk to
    the wife's well being, the relatively brief--in one sense
    --imprisonment sentence called for by the Guidelines
    computation, the lack of any end to be served by
    imprisonment other than punishment, the lack of any
    threat to the community--indeed, the benefit to it by
    allowing the defendant to care for his ailing wife--are
    all factors that warrant departure.
    
    Id. at 86.
    We find the circumstances in this case clearly
    distinguishable from the situation we faced in Gaskill for a
    28
    number of reasons. First, as previously mentioned, there
    was no indication in Gaskill that the defendant had a
    violent nature, nor was his offense classified as a violent
    crime. Here, as in Headley, Sweeting was convicted of a
    violation of the Controlled Substances Act, which Congress
    considers a serious crime that endangers the community as
    a whole. Moreover, unlike the defendant in Gaskill, where
    we found that there was "no indication that the defendant
    has a violent nature," 
    id. at 85,
    the PSI confirms that
    Sweeting engaged in violent behavior in the past in
    connection with some of her prior crimes. Furthermore, it
    is clear that unlike the defendant in Gaskill , Sweeting had
    been engaged in a criminal business, i.e., the sale of
    narcotics. Thus, we believe that this case presents a
    situation in which "there would be some question whether
    the best interests of the children would be served by
    allowing them to remain under the care of the defendant,"
    see 
    id., who admitted
    to engaging in drug sales to enable
    her to purchase items of value for herself and her children.
    See 
    Abbott, 975 F. Supp. at 710
    (distinguishing Gaskill
    because defendant had "a history of crimes involving actual
    violence, the threat of violence, and the use of weapons").8
    Second, the severity of Gaskill's wife's mental illness, the
    degree of care required in response to it, and the lack of
    available alternative sources of care further distinguish this
    case from Gaskill. It is fair to say that the record in Gaskill
    demonstrated to us that Gaskill's wife had limited (if any)
    ability to function normally, and that her husband was
    essential to sustaining her well being because the effects of
    her illness alienated her remaining family and friends. The
    degree of care that Sweeting's son requires as a result of
    his disorder pales in comparison; the record shows that
    Sweeting exercises with him in the morning, monitors his
    diet by restricting the type of foods he eats, makes sure
    that he takes his medication and gets sufficient sleep, and
    sees the doctor once a year. But as we previously found,
    there is nothing in the record indicating that another
    _________________________________________________________________
    8. The PSI further stated that after Sweeting's arrest, government agents
    executed a search warrant at her residence in Scranton, finding, inter
    alia, a Ruger .45 caliber semi-automatic pistol and two loaded
    magazines. PSI P 13.
    29
    responsible adult could not (and would not) perform these
    obligations in Sweeting's absence. Sweeting made
    arrangements for her son to live with a friend in Maryland
    that she trusted, and it would be mere speculation on our
    part if we were to find that the person she chose would be
    unable or unwilling to monitor her son's care as necessary.
    Moreover, unlike the situation presented in Gaskill, it
    cannot be said that her son's condition requires constant,
    around-the-clock attention, and there is no statement from
    Dr. Lilik indicating that his continued health depends
    totally on her presence in the home. Compare 
    Gaskill, 991 F.2d at 84
    .
    Finally, we point out that Sweeting's sentence under the
    Guidelines is significant, even after we account for the
    other departures the district court granted and which the
    government does not challenge on this appeal. Sweeting
    was subject to a sentence in the Guidelines range of 41-51
    months, which is a substantially longer period of time than
    the eight-month sentence mandated by the applicable
    Guidelines range in Gaskill. In Gaskill , the relatively light
    Guidelines sentence was a factor that militated in favor of
    granting a departure under section 5H1.6, inasmuch as
    only a slight departure would yield the necessary result of
    keeping the family intact. See 
    id. at 85-86.
    Here, however,
    the district court granted Sweeting a 12-level departure in
    order to achieve the same result, which, as we have
    indicated, she did not deserve in the first place.
    Finally, in view of the record presented, we see no merit
    in the argument that a finding of an abuse of discretion in
    this case ignores the district court's "special competence" in
    assessing the "ordinariness or unusualness" of a particular
    case. See 
    Koon, 518 U.S. at 99
    , 116 S.Ct. at 2047. To the
    contrary, we recognize the indispensable role of the district
    court in making the fact-intensive determination that is
    critical to the analysis required by section 5H1.6 and our
    case law applying that provision. We nevertheless agree
    with the Court of Appeals for the Second Circuit's
    observation that appellate courts "must ensure that the
    circumstances relied upon to justify the downward
    departure are [not] so far removed from those found
    exceptional in existing case law that the sentencing court
    30
    may be said to be acting outside permissible limits." See
    
    Faria, 161 F.3d at 762
    (internal quotation marks omitted)
    (alteration in original); see also 
    Koon, 518 U.S. at 98
    , 116
    S.Ct. at 2047 (explaining that the determination of whether
    a given factor is present to an exceptional degree must be
    made by comparing the facts of other Guidelines cases).
    Thus, while we must approach the issue by according the
    district court's determination "substantial deference" in
    accordance with the Supreme Court's decision in Koon, see
    
    Iannone, 184 F.3d at 227
    , we do not read Koon as
    constraining our role to the point that it would require us
    to uphold a district court's departure determination that is,
    in our opinion, a clear abuse of discretion. Here, based on
    the record presented, we conclude that the district court
    acted outside the boundaries of its discretion infinding
    extraordinary family ties and responsibilities warranting a
    departure under section 5H1.6.9
    IV. CONCLUSION
    For the foregoing reasons, we hold that Deneen
    Sweeting's family ties and responsibilities are not
    _________________________________________________________________
    9. The government argues in the alternative that if we affirm the district
    court's initial decision to depart under 5H1.6, the court nonetheless
    acted unreasonably in granting the degree of departure that it did. Given
    our resolution of this appeal, it is not necessary for us to address in
    detail the government's argument on that second point. Nevertheless, we
    note that, while not critical to our analysis, we agree that the district
    court abused its discretion in awarding the degree of departure that it
    did. Unlike the situation in Gaskill where we found that there was a
    "lack of any end to be served by imprisonment other than punishment,"
    
    see 991 F.2d at 86
    , imprisonment in this case would serve the important
    purposes underlying the Guidelines themselves--deterrence,
    incapacitation, just punishment and rehabilitation. See 1998 U.S.S.G.
    ch. 1, Pt. A, intro. As the PSI in this case reflects, Sweeting is a
    recidivist
    who came before the sentencing court with a Criminal History Category
    VI despite her relatively young age (age 31 on the date of her arrest). We
    think it is fair to say that some period of incarceration is necessary in
    this case to punish Sweeting for her most recent and very serious
    criminal conduct. Thus, we believe that the district court's sentence of
    five years probation with 12 months of home confinement wholly
    disregarded the extent of Sweeting's prior criminal history and the
    serious nature of her most recent illegal conduct.
    31
    "extraordinary" in the sense contemplated by section 5H1.6,
    and that she was not entitled to any downward departure
    on that basis. Accordingly, we will vacate the judgment of
    conviction and sentence entered in the district court on
    August 26, 1999, and will remand for resentencing
    consistent with this opinion.
    A True Copy:
    Teste:
    Clerk of the United States Court of Appeals
    for the Third Circuit
    32