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The SVU receives a complaint from an elderly woman that her daughter Katie, who has Downs Syndrome, has been raped and is now pregnant. She is reluctant to provide the identity of the father and it is apparently questionable whether or not she even knew what she was doing. This brings up all manner of questions of competency, about who the father might be and whether or not she had consensual sex or was raped. Was it the bus driver? Her employer? Her boyfriend? The administrator at the care facility? Even further, is Katie fit to be a mother and raise a child?