This episode was loosely based off the case of Gypsy Rose Blanchard and her mother, Dee Dee Blanchard.
Tamara Tunie's first appearance as Melinda Warner since Melancholy Pursuit (2015). She did not appear in any season 18 episodes. She has also played her once on Chicago Fire (2012) and Law & Order: Trial by Jury (2005).
Carolyn McCormick's first appearance on SVU as Elizabeth Olivet since Deadly Ambition (2013). She also played her on Law & Order (1990), and also appeared once on Law & Order: Criminal Intent (2001) and Law & Order: Trial by Jury (2005).
George R. Sheffey has played multiple characters on SVU:
- Dennis Papillion in Shaken (2003)
- Eric Olefson in Infiltrated (2006)
- Leo Barber in Child's Welfare (2012)
- Lou McLaughlin in Pathological (2018)
Mouzam Makkar previously appeared in a prior episode, Intimidation Game (2015), as a different character.