The Ohio “House of Horrors” case has taken another serious turn as Elizabeth Siders and her husband, Gary Siders Jr., now face separate sex-abuse charges involving a minor who had been in their care, while questions about whether some family members are mentally competent to stand trial continue to reshape the case.

Elizabeth Siders has pleaded not guilty to two counts of sexual battery and two counts of unlawful sexual conduct with a minor, in addition to multiple child-endangerment charges tied to the 16 children removed from the family’s Hamden home. Prosecutors allege the separate sexual misconduct involved a teenager between 13 and 16 years old.

The broader investigation began after authorities executed a search warrant at the property on June 30 and found the children living in conditions officials described as severely unsafe and unsanitary. Several children reportedly had major developmental delays, and authorities said they had been largely isolated from schools and ordinary community contact.

At the same time, the legal proceedings are becoming more complicated because of competency evaluations. Gary Siders Sr., 73, has already been found incompetent to stand trial, with a psychologist concluding that his cognitive decline is unlikely to be reversed. His attorney has said that finding could ultimately result in the charges against him being dismissed.

Elizabeth’s defense has also requested a psychological evaluation, arguing that her ability to understand the proceedings should be assessed before the case moves forward. Her attorney has pointed to her long history of pregnancies and limited medical care as part of that argument, though those claims remain part of the defense case and have not been established as fact by the court.