What Caused the Death of Boy, 12, at ‘Troubled Teen Wilderness Camp? [Video]

North Carolina authorities have revealed the harrowing details that they believe led to the death of a 12-year-old boy one day after he was taken to a “troubled teens” therapy camp in Lake Toxaway in Transylvania County.

The child, who PEOPLE is not naming, was “smothered” and died from asphyxiation on Feb. 3 and his death has been ruled a homicide by the Transylvania County Medical Examiner’s office. 

He was found unresponsive by counselors on the morning of Feb. 3 at Trails Carolina, a self-described “adventure therapy program” that works with teenagers with behavioral concerns. 

The report, which was obtained by PEOPLE, details the circumstances surrounding the death, offering explanations for what the medical examiner believes caused the child to be smothered. The sheriff’s office and Trails Carolina did not respond to PEOPLE’s inquiries, and the camp has previously denied responsibility.

On the night he arrived at the camp, the boy was placed in a bivy — a small camping tent that encloses a sleeping …