Karen Frank met her future husband, Paul McCarron, when they were both students at the University of Illinois at Urbana–Champaign. Frank-McCarron and Paul's first child, Katie, was diagnosed with autism in 2004. In September of that year, Paul and Katherine moved to Apex, North Carolinato live with Paul's mother, so that Katie could attend The Mariposa School, a special education school for children with autism and related conditions, in Cary, North Carolina. Paul and Katie returned home to Illinois on holidays. Frank-McCarron, who was a pathologist with the Peoria-Tazewell Pathology Group, stayed in Morton, Illinois with their younger daughter Emily, and visited North Carolina occasionally. After 20 months, Paul decided to return full-time to Illinois with Katie. Paul McCarron took her to their home in Illinois on May 3, 2006. On May 7, 2006, Paul returned to North Carolina to fulfill the last three weeks of his work commitment. Katie remained in Illinois under the care of her mother and maternal grandparents, along with her younger sister. In addition to her mother and grandparents, Katie had two paid, full-time caregivers.
Psychiatric issues
Frank-McCarron was a patient of a psychologist while she was a resident doctor at a medical clinic in Cleveland, Ohio. In 2005, Frank-McCarron was a patient of a psychiatrist who treated her for depression. She had been prescribed antidepressants but apparently stopped taking them in early 2006. At trial, it was admitted into evidence that the psychiatrist she had been seeing from about August 2005 to February 2006 did not observe any delusional thinking in Frank-McCarron.
Katherine's murder
On the afternoon before Mother's Day, Saturday, May 13, 2006, Frank-McCarron killed Katie by suffocating her with a plastic bag. After killing her daughter, Frank-McCarron went to the grocery store to buy ice cream for herself. Hours later, Frank-McCarron told relatives what she had done. In the early morning of May 14, Frank-McCarron cut herself and took a non-fatal dose of Tylenol. While awaiting trial, Frank-McCarron was free on home confinement on $1 million bond.
Trial and aftermath
Frank-McCarron went on trial on January 7, 2008. Prosecutors said that before suffocating Katie, Frank-McCarron suggested institutionalizing her then-3-year-old daughter and putting her up for adoption.. After a week-long trial, she was convicted of first degree murder, obstruction of justice, and concealing a homicidal death on January 17, 2008. Frank-McCarron was sentenced to 36 years in prison, 30 months of supervised release after her prison term and was ordered to pay a $25,000 penalty to the state of Illinois. Paul filed for divorce from Frank-McCarron in Tazewell County, Illinois Circuit Court in 2006, citing "extreme and repeated mental cruelty." Frank-McCarron's parents Walter and Edna sued Frank-McCarron for money they loaned her for attorney fees during her January murder trial, and her parents won the lawsuit against her in December 2008. In 2010, Frank-McCarron appealed her conviction to an Illinois appellate court but the appellate court upheld the original conviction. In August 2011, Frank-McCarron filed a petition for a new trial. In November 2011, her petition for a new trial was denied. She is serving her sentence at Logan Correctional Center in Lincoln, Illinois.
Media coverage and activist response
News articles and weblogs have emphasized the difficulties in raising a child with autism, and some suggested that Frank-McCarron may have been stressed by lack of support and dealing with Katherine's autism—even though at the time of Katie’s murder, she had two paid, "full-time caregivers" in addition to being in a home with Frank-McCarron, Walter and Edna Frank and her younger sister. Katie’s paternal grandfather, Michael McCarron, said: Some autistic people rallied in favor of a conviction of Frank-McCarron, and Katie’s death garnered intense scrutiny within the autism rights movement and among disability advocates. Autism Hub held a memorial on May 24 and the disability rights group Not Dead Yet led the charge to reveal the facts of the case. The local media responded to advocates that criticize them for sympathic reporting towards alleged perpetrators.