TUSCARAWAS COUNTY, Ohio —

A mother charged in the drowning death of her four-year-old son in what officials called a "spiritual delusion" appeared in court Tuesday.

Ruth Miller, 40, was indicted on seven charges following the deaths of her young son and her husband at Atwood Lake in Tuscarawas County. Advertisement

Charges include aggravated murder, murder, felonious assault, and child endangering. She pleaded not guilty by reason of insanity.

The family is part of the Holmes County Amish Community and was visiting Atwood Lake on Aug. 23 when it all took place.

Authorities were called to the area around 10:30 a.m. for a report of a woman driving a golf cart, flipping it into the water with her three teenage children on board.

"She drove around the lake erratically, praying a couple

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