Susan Abney, 46, was sentenced to life in prison Oct. 11 for neglect or abuse of a child resulting in death following the 2020 starvation death of her adopted daughter, Josie Ann Abney. The sentencing hearing took place in a Steelville courtroom due to an approved change of venue request from Abney’s legal team.

Abney and her husband, Randall, were both initially charged with second-degree murder and abuse or neglect of a child resulting in death after their adopted daughter, Josie, died at Salem Memorial District Hospital Oct. 3, 2020. At the time, Josie weighed only 34 pounds, had a blood sugar level of 10 (a healthy blood sugar would be between 70 and 120 for someone Josie’s age) and was so dehydrated that a blood sample could not be drawn. Her protruding bones and emaciation were described by law enforcement as though she “appeared like a Holocaust victim.”