In re Petition of J.O. & P.O., N.B. & Ki.B. , 176 A.3d 144 ( 2018 )


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    DISTRICT OF COLUMBIA COURT OF APPEALS
    Nos. 16-FS-164 & 16-FS-172
    01/11/2018
    IN RE PETITION OF J.O. & P.O.,
    N.B. & KI.B., APPELLANTS.
    Appeals from the Superior Court of the
    District of Columbia
    (ADA-116-14)
    (Hon. Noel T. Johnson, Magistrate Judge)
    (Hon. Craig Iscoe, Reviewing Judge)
    (Argued October 18, 2016                                Decided January 11, 2018)
    Carla S. Rappaport for appellant N.B.
    Leslie J. Susskind for appellant Ki.B.
    Patricia M. Spicer for appellees J.O. and P.O.
    Karl A. Racine, Attorney General for the District of Columbia, Todd S. Kim,
    Solicitor General at the time the brief was filed, Loren L. AliKhan, Deputy
    Solicitor General, and Rhondalyn Primes Okoroma, Assistant Attorney General,
    filed a statement in lieu of brief in support of appellees.
    Charles Feezor, guardian ad litem, filed a statement in lieu of brief.
    Before FISHER and THOMPSON, Associate Judges, and RUIZ, Senior Judge.
    RUIZ, Senior Judge: This appeal concerns the petition of appellees J.O. and
    P.O. to adopt K.B., which was granted on June 15, 2015. Appellants N.B. and
    2
    Ki.B. (Mr. B. and Ms. B.), who are the child‟s natural parents, separately appeal
    the adoption. Mr. B. challenges the waiver of his consent to the adoption, and Ms.
    B. the denial of her motion to revoke her consent to the adoption. We conclude
    that the trial court‟s determination that Mr. B. is an unfit parent and that he
    withheld his consent contrary to the best interests of the child was not an abuse of
    discretion. We also conclude that the finding that Ms. B.‟s consent was voluntary
    is supported by the record. Therefore, we affirm the grant of the O.‟s adoption
    petition.
    I.
    K.B. was born on October 23, 2011. When he was ten months old, K.B. was
    removed from appellants‟ care by the Child and Family Services Agency following
    Ms. B.‟s arrest for possession of marijuana. He was placed with appellees as foster
    parents the same day. The government alleged that K.B. was a neglected child
    within the meaning of D.C. Code § 16-2301 (9)(A)(iii), and appellants stipulated to
    his neglect in November 2012.1
    1
    The stipulation of neglect was based on the fact that both parents were
    incarcerated at the time, for possession of marijuana, and were, therefore,
    unavailable to care for K.B.
    3
    Initially, K.B.‟s permanency goal was reunification with his parents, and the
    court ordered parenting classes and drug-testing services for appellants. However,
    citing concerns about appellants‟ continued substance abuse and failure to
    consistently visit K.B., the court changed the goal to adoption by the appellees on
    January 7, 2014. On June 24, 2015, the appellees filed a petition for adoption.
    A. Trial Court Proceedings as to Mr. B.
    The trial court heard a great deal of testimony about Mr. B.‟s history of
    mental illness and substance abuse. Dr. Seth King, a psychologist who completed
    evaluations of both appellants in November 2012 (two years prior to trial), testified
    about his evaluation of Mr. B. Dr. King diagnosed Mr. B. with schizophrenia,
    major depressive disorder, post-traumatic stress disorder, and marijuana and
    nicotine dependence. He based these diagnoses on Mr. B.‟s reports, mental health
    records, and symptoms observed during the evaluation. Dr. King testified that Mr.
    B. rated a 40 (on a zero to 100 scale) on the Global Assessment of Functioning,
    which “indicat[ed] that he was having some symptoms of mental health problems,
    difficulties, which affected his stability and his functioning.” Dr. King expressed
    concern that Mr. B.‟s mental health symptoms and use of marijuana “would
    interfere with a person‟s ability to focus effectively, consistently, to be able to care
    4
    for a child‟s needs.” He also opined that ongoing treatment “would be a step in the
    right direction,” but that he would still have concerns about Mr. B.‟s long-term
    parenting ability even with treatment. Dr. King noted that he was troubled by Mr.
    B.‟s reliance on Ms. B. as part of his support system in parenting K.B., since he
    felt that, in light of Ms. B.‟s own issues with mental illness and substance abuse,
    this meant there would be times when there was no stable adult in the household.
    Amanda Giordano, Mr. B.‟s case manager at Community Connections since
    July 2014, testified about Mr. B.‟s ongoing mental health treatment. Ms. Giordano
    testified that Mr. B., who had been diagnosed through Community Connections
    with schizoaffective disorder and poly substance dependence, received the most
    intensive level of services available. He was a “model consumer” of treatment
    who regularly attended his appointments and was medication-compliant.           She
    described his symptoms as “a tendency to be tangential, a little disorganized in his
    thought process and speech,” but said that those symptoms had decreased during
    the time she had been working with Mr. B. However, she also testified that she
    had become concerned about Mr. B.‟s possible substance use after noticing that he
    seemed disoriented during meetings.
    5
    Mr. B. testified that he had been in treatment for schizophrenia for twenty
    years.       He acknowledged that he had used marijuana in accordance with his
    Rastafarian religion, but testified that he stopped using it when the court ordered
    him to in connection with the neglect proceeding in 2012 and had been clean for
    two years. Mr. B. testified that he had instead been smoking K2, a form of
    synthetic marijuana. The records of Mr. B.‟s court-ordered drug testing (between
    August 28, 2012, and November 18, 2014) indicated that he had tested positive
    twice, had tested negative nineteen times, and had missed sixteen tests; the lab did
    not test for synthetic marijuana. 2
    The court also heard testimony about Mr. B.‟s relationship with K.B. India
    Ford, the ongoing social worker in K.B.‟s neglect case, testified that since K.B.
    was placed in foster care in August 2012, Mr. B. initially engaged in court-ordered
    weekly visitation, but failed to appear for his visits between September and
    December 2013, and again between March and July 2014. 3 She also testified that,
    when she asked Mr. B. in November 2013 why he was not visiting, he said that he
    “thought that [the Child and Family Services Agency] had taken [K.B.] away, like
    2
    Mr. B. tested positive for marijuana on November 20, 2012, and for
    amphetamines on December 19, 2013.
    3
    Ms. Ford testified that Ms. B. told her that the gap in visitation in 2014
    was due to appellants‟ incarceration.
    6
    it was just a done deal at that point.” He said he was “sad” about K.B. Ms. Ford
    reassured him that he could “absolutely have visitation.” Mr. B. visited K.B. after
    December 2013 until his incarceration in March 2014.4 He did visit consistently
    once he resumed visitation again after July 2014, and did not miss any visits.
    During his visits, Mr. B. was energetic and engaged with K.B., and K.B. was
    typically happy to spend time with his father. K.B. called Ms. B. “mommy, or
    mama,” and Mr. B. “daddy, or dad.” However, Ms. Ford testified that in the two
    months before her trial testimony, K.B. had cried until he was put back in the car to
    leave the visit.
    The magistrate judge found that Mr. B. was not a fit parent. The judge cited
    Mr. B.‟s mental health diagnoses and Dr. King‟s concerns about Mr. B.‟s reliance
    on Ms. B., who also has mental health and drug issues, and found that “absent a
    support system involving a constant, appropriate adult presence, the father‟s
    mental health issues render him presently unable to safely care for [K.B.].” He
    also cited Mr. B.‟s “refusal to abstain from mind-altering substances” and found
    4
    Ms. B. was in jail at the time of Ms. Ford‟s conversation with Mr. B. in
    November 2013. Ms. Ford testified that Mr. B. did not resume visitation
    immediately after this conversation, but rather once Ms. B. was released from jail
    after December 2013.
    7
    that Mr. B. had not “sufficiently addressed his substance abuse issues.”     The
    magistrate judge concluded as follows:
    The father‟s mental health and substance abuse issues,
    combined with his lapses in visitation and his inability to
    articulate a plan for resuming care of the respondent
    make plain that he is not presently capable of caring for
    the child. Furthermore, the evidence established that
    there is very little chance that he will become ready to do
    so in the foreseeable future. The father has been engaged
    with services designed to address his issues for an
    extended period of time now, and has not made sufficient
    progress. As such, the Court finds by clear and
    convincing evidence that the father is not a fit parent.
    The magistrate judge also found that, weighing the statutory factors to be
    considered for termination of parental rights, Mr. B. had withheld his consent to
    the adoption contrary to K.B.‟s best interests.5 As such, he ruled that Mr. B.‟s
    consent should be waived pursuant to D.C. Code § 16-304 (e), and that adoption by
    the appellees is in K.B.‟s best interests. The associate judge affirmed the trial
    court‟s finding of parental unfitness and determination to waive the father‟s
    consent, and Mr. B. filed this appeal.
    5
    These factors are considered infra.
    8
    B. Trial Court Proceedings as to Ms. B.
    Similar testimony was presented about Ms. B.‟s ability to care for K.B. Dr.
    King, who evaluated Ms. B. in 2012, and Dr. David Ault (Ms. B.‟s treating
    psychologist at Green Door) both testified that Ms. B. had been diagnosed with
    major depressive disorder; post-traumatic stress disorder; and alcohol, cannabis,
    and tobacco use disorders.     Dr. Ault also testified about Ms. B.‟s alcohol
    consumption, including the fact that her alcoholism was not considered to be in
    remission because she had not been alcohol-free for the past twelve months. He
    also reported that Ms. B. had had alcohol-induced seizures, which were being
    treated with medication, and that she had suffered from occasional memory lapses,
    auditory hallucinations, and unexplained anger attacks.      Ms. Ford, the social
    worker in the neglect case, testified about Ms. B.‟s relationship with K.B., and
    about her decision to recommend supervised visits after Ms. B. relapsed by
    drinking, during an overnight unsupervised visit K.B. had with his parents in
    August 2013, and passed out and assaulted Mr. B.‟s sister.
    The foregoing testimony took place during the first three days of trial in
    November 2014. When trial resumed on January 12, 2015, the proceeding opened
    with P.O.‟s testimony. P.O. testified about her family‟s relationship with K.B. and
    9
    about his health and developmental delays. She testified that K.B. had exhibited
    some delays in his physical development, including not walking until he was
    eighteen months old, but that he was now “doing fine in that area.” She also stated
    that K.B. had some “language delays, and maybe some cognitive delays.” For
    example, at three years old, K.B. should have been able to speak in complete
    sentences, but he only used one word sentences, “more like . . . where a child
    would be functioning if they were a year and a half.” P.O. previously worked as a
    school psychologist and was a special education teacher for fifteen years. She
    testified that she was “working with [K.B.] at home every day” to address his
    delays, and that she was considering the possibility of speech and language therapy
    in the future. P.O. also testified that, if the adoption petition were granted, she
    would want K.B. to maintain some contact with appellants, because she wanted
    him “to know who [his] biological parents are” and “to have a good healthy
    relationship with them.”      Appellees have another adopted child, who has
    maintained contact with his birth mother since his adoption.          After P.O.‟s
    testimony was concluded, Ms. B.‟s attorney, Kathryn Graham, informed the court
    before the luncheon recess that she hoped to speak with Ms. B. as soon as she was
    able to return to the courtroom.
    10
    When the trial resumed after lunch, Ms. B. asked the court if she could have
    a different lawyer, and said that she already knew who she wanted to represent her.
    The court denied her request, stating that it would be disruptive “in the middle . . .
    of a multi-day trial” to bring in a new lawyer. Ms. B. then asked if Ms. Graham
    could “receive assistance from another attorney,” which the court also denied as
    “[un]necessary.” Ms. B. gave no further grounds for her request, nor did the trial
    judge inquire as to the reason. After Ms. Graham consulted with the trial judge
    about the proper procedure, the court asked her to file a motion to withdraw so that
    it could be noted on the record.
    Ms. Graham and appellees‟ attorney then asked for a ten-minute recess so
    that Ms. B. and P.O. could speak with each other off the record. After this recess,
    Ms. Graham indicated that the conversation was “really beneficial” and that Ms. B.
    “is not prepared to consent [to the adoption] right now, but, is contemplating it.”
    Ms. B. took the stand the next day, January 13, 2015. She testified about her
    history of substance abuse and the steps she had taken towards sobriety, as well as
    about her mental health.      Ms. B. testified that she was “a hundred percent
    committed” to her sobriety and mental health treatment. She also stated that
    having K.B. back was “the most important thing in the world” to her. Ms. B.
    11
    admitted that she had recently been incarcerated, and that she was currently on
    probation and had at least one criminal charge pending against her at the time. She
    also testified about her struggles with relapses, but stated that she had been
    alcohol-free for the past eleven months.       On cross-examination, Ms. B. was
    questioned about her pending criminal charges, and about her alcohol use and the
    relapse she had during one of K.B.‟s unsupervised overnight visits.
    The court adjourned for the day before Ms. B.‟s testimony was finished, so
    she took the stand again on the morning of January 14, 2015. K.B.‟s guardian ad
    litem briefly cross-examined Ms. B. regarding her alcohol use while she was
    pregnant with K.B. Ms. B. testified that this was a planned pregnancy and that she
    had stopped drinking and smoking marijuana as soon as she became aware that she
    was pregnant, which occurred “within a month.”6 On redirect examination, Ms. B.
    stated that she would ensure K.B.‟s safety with “a stable family support system” if
    she were to relapse again. She testified about the positive changes she had made in
    her life in order to be better able to parent K.B., including abstaining from
    6
    The GAL‟s questioning suggested that K.B. had been born premature and
    underweight (5.4 pounds), and that Ms. B. had been told it was because of her
    alcohol use. Ms. B. denied that she had ever been told that, and stated that if it had
    been so, she would not have been allowed to take the baby home. Dr. Aimee
    Grace, K.B.‟s pediatrician, testified that in K.B.‟s newborn visit, there was
    documentation that K.B.‟s mother had been drinking alcohol until one month into
    her pregnancy, when she found out that she was pregnant.
    12
    substance use, taking her medication, and having a stable relationship with Mr. B.,
    which she described as “a loving committed relationship where we put our
    children‟s needs first, and foremost before our own.”        Ms. B. concluded her
    testimony as follows:
    [I am a] hundred percent committed to my sobriety. I
    want my sobriety because I want to get better. I want a
    better life for myself, for my kids, for my future. I plan
    to go back to school. I have a lot of aspirations that will
    keep me focused on wanting, and having a better life for
    myself, and for my kids.
    As soon as Ms. B.‟s testimony was concluded, and before closing arguments
    began, Ms. Graham asked the court for a brief recess to consult with her client.
    After conferring with Ms. B. for just over one minute, Ms. Graham informed the
    court that “at this time my client has indicated that she wishes to consent to the
    adoption.” She further indicated that Ms. B. had “reviewed the consent, and we
    have talked about it at length, this week, and this morning before court.” The court
    was surprised, given the testimony that Ms. B. had just completed, and Ms.
    Graham stated, “I‟m telling her this is her opportunity.” Ms. B. then spoke up,
    telling the court that she “want[ed] the best for [her] son,” and stating, “If this, I
    believe will bring the best to my child‟s life, then, please, would you consider to
    me consenting to the adoption.”
    13
    After Ms. B. signed the consent form with her attorney, the court engaged in
    extensive voir dire of Ms. B. to ensure that her consent to the adoption was
    knowing and voluntary. Throughout the court‟s questioning, Ms. B. was plainly
    emotional. As the court asked whether Ms. B. understood that she was giving up
    her legal parental rights, Ms. B. answered affirmatively, but became so upset that
    the court stopped several times to allow her to compose herself and “make sure
    [she understood] the seriousness of the action that [she was] taking.”
    The court noted that Ms. B. had asked for and been denied new
    representation two days before. The magistrate judge asked “whether or not [she
    had] had sufficient advice of counsel,” and Ms. B. (who was crying) asked, “Is
    there anything I can do? . . . My sweet baby.” The court asked, “Are you sure you
    want to consent?” and Ms. B. replied, “Yes.” The court again expressed concern
    that she was making an important decision about which she was clearly upset, and
    repeated, “Are you taking this action freely and voluntarily?” Ms. B. replied,
    “Yes.” The court also repeated, “Have you had the advice of counsel?” and Ms. B.
    again replied, “Yes.”
    14
    The court then asked Ms. B. if she felt like she was being pressured to
    consent. Ms. B. apparently shook her head but gave no verbal response, and then
    stated, “I had one relapse during the whole time, that‟s with the baby. It‟s serious.”
    The court responded that it was serious, and Ms. B. asked, “With one relapse,
    though, Your Honor? . . . Only one relapse, though, is that serious? . . . Do you
    know how many people — that don‟t even want their kids still got them[?]” The
    court asked once again whether she wished to consent, and Ms. B. again replied,
    “Yes.” The court found that Ms. B. was giving consent knowingly and voluntarily,
    and with advice of counsel, and it accepted her consent. That same day, Ms. B.
    and appellees signed a Post-Adoption Contact Agreement, in which they agreed
    that Ms. B. would be “welcome to schedule a supervised visit with [K.B.] . . . at a
    minimum two times per year” and that K.B. “should have reasonable telephone
    access to [Ms. B.].”
    Ms. Graham moved to withdraw as Ms. B.‟s counsel on March 18, 2015.
    Ms. B., represented by new counsel, filed a motion for leave to revoke her consent
    on April 30, and the court held a hearing on June 5, 2015. At the hearing, Ms. B.
    claimed that her consent was not voluntary because she had been incarcerated at
    the time, and because Ms. Graham had pressured her into believing that she would
    have no chance of seeing K.B. unless she consented and signed the Post-Adoption
    15
    Contact Agreement.7 She testified that Ms. Graham had told her that “if you don‟t
    sign, your baby, that you‟ll never get to see your son again,” and had told her,
    “You should just sign this because you‟ll never get to see your son again if you
    don‟t.” Ms. B. also testified that, at the time of her consent in court, she “wasn‟t
    feeling too well” and could not remember what the magistrate judge had asked her,
    because her “head wasn‟t together at all that day.”
    The court found that Ms. B.‟s testimony at the hearing on the motion to
    revoke her consent was “inconsistent and self-serving.” The court noted that,
    when Ms. B. signed the consent in open court five months earlier, “she repeatedly
    affirmed her desire to consent and . . . [took] that action freely and voluntarily.”
    The court also found that Ms. B. gave her consent, not as a result of her
    incarceration, but “strategically after sitting through the entirety of a four day trial,
    in an effort to preserve the possibility of future contact with her son.”           The
    magistrate judge thus denied her motion for leave to revoke her consent. On
    appeal to Superior Court, the associate judge affirmed the magistrate judge‟s
    finding that Ms. B. voluntarily consented to the adoption. Ms. B. then filed this
    appeal, which was consolidated with Mr. B.‟s appeal.
    7
    Ms. B. was in custody at the time of the trial, and was escorted to and from
    the courtroom by marshals.
    16
    II.
    This court reviews the trial court‟s decisions on appeal for abuse of
    discretion, errors of law, and clear lack of evidentiary support. In re J.J., 
    111 A.3d 1038
    , 1043 (D.C. 2015). In reviewing for abuse of discretion, this court considers
    “whether the trial court „exercised its discretion within the range of permissible
    alternatives, based on all the relevant factors and no improper factor.‟” In re T.J.,
    
    666 A.2d 1
    , 10 (D.C. 1995) (quoting In re Baby Boy C., 
    630 A.2d 670
    , 673 (D.C.
    1993)). Legal questions are reviewed de novo, but findings of fact are reviewed
    for clear error. See D.C. Code § 17-305 (a). Thus, the decision under review must
    provide “substantial reasoning” that is based on correct legal principles and has a
    “firm factual foundation in the record.” In re C.L.O., 
    41 A.3d 502
    , 510 (D.C.
    2012) (quoting In re C.A.B., 
    4 A.3d 890
    , 900 (D.C. 2010)).
    While procedurally this appeal is from the associate judge‟s order, on
    appellate review of the trial court‟s final order we “look to the findings and
    conclusions of the fact finder [the magistrate judge] on which that ruling is based.”
    
    Id. Thus, this
    court considers both the associate and magistrate judges‟ rulings.
    17
    A. Mr. B.’s Parental Fitness
    In general, an adoption requires the consent of the natural parent. D.C. Code
    § 16-304 (a). Parental consent can be waived, however, but only if the court finds,
    first, that the natural parent is “unfit,” see In re Ta.L., 
    149 A.3d 1060
    , 1081 (D.C.
    2016) (en banc), and, second, that the parent is withholding consent contrary to the
    best interests of the child. D.C. Code § 16-304 (e). Placing the child with a natural
    parent is presumed to be in the child‟s best interest, “provided the parent has not
    been proven unfit.” In re S.L.G., 
    110 A.3d 1275
    , 1285 (D.C. 2015) (quoting In re
    S.M., 
    985 A.2d 413
    , 417 (D.C. 2009)).8 This presumption “reflects and reinforces
    the fundamental and constitutionally protected liberty interest that natural parents
    have in the care, custody, and management of their children.” 
    Id. at 1286;
    see also
    8
    A fit parent is presumed to act in the best interests of the child. Therefore,
    where a child has a fit parent, “there will normally be no reason for the State to
    inject itself into the private realm of the family to further question the ability of
    that parent to make the best decisions concerning the rearing of that parent‟s
    children.” Troxel v. Granville, 
    530 U.S. 57
    , 68-69 (2000) (quoted in In re 
    S.L.G., 110 A.3d at 1286
    n.23). We have recognized that there might be “truly exceptional
    circumstance[s]” where “a continuation of the parental relationship [between a fit
    parent and child is nonetheless] detrimental to the best interest of the child.” In re
    
    Ta.L., 149 A.3d at 1083
    (quoting In re 
    S.L.G., 110 A.3d at 1289
    ). Such an
    exceptional circumstance requires that the trial court be “satisfied by clear and
    convincing evidence that reunification of the child with the family would
    grievously harm the child . . .” 
    Id. 18 Santosky
    v. Kramer, 
    455 U.S. 745
    , 753 (1982) (“The fundamental liberty interest
    of natural parents in the care, custody, and management of their child does not
    evaporate simply because they have not been model parents or have lost temporary
    custody of their child to the State.”).        In order to determine whether the
    presumption that placement with the natural parent is in the child‟s best interest has
    been overcome, a court must first decide, by clear and convincing evidence, that
    the parent has been proven unfit. See In re 
    Ta.L., 149 A.3d at 1081
    .
    The determination of whether a parent is unfit “is not merely a restatement
    of the „best interests of the child‟. . . ; „[f]itness,‟ rather, is an independent
    determination of parental „intention and ability over time,‟ . . . to resolve the
    natural parent‟s capacity to „care for the child‟ and protect the child against „undue
    risk of harm.‟” 
    Id. at 1083
    (quoting In re G.A.P., 
    133 A.3d 994
    , 998 (D.C. 2016)).
    Specifically, the focus is on “whether the parent is, or within a reasonable time will
    be, able to take care of the child in a way that does not endanger the child‟s
    welfare.” 
    Id. at 1082
    (quoting In re 
    S.L.G., 110 A.3d at 1286
    -87). Factors to be
    considered in determining whether a natural parent is unfit include:
    [A] failure to maintain contact with, nurture, or support
    the child; . . . the inability or unwillingness to make
    reasonable efforts to . . . provide a safe and stable home
    for the child, or to meet a particular child‟s special needs;
    19
    chronic drug or alcohol abuse; and mental health issues
    or other impairments that demonstrably interfere with the
    parent‟s ability to care for the child or that expose the
    child to undue risk of harm.
    In re S.L.G.,110 A.3d at 1287. The determination of unfitness is focused on the
    parent‟s willingness and ability and because it is a determination separate from the
    issue of consent to adoption (or waiver of that consent) should not be made by
    directly comparing the natural parent with the adoption petitioners and granting the
    adoption “simply because [the petitioners] are „fitter.‟”     
    Id. at 1288
    (quoting
    Appeal of H.R., 
    581 A.2d 1141
    , 1178 (D.C. 1990) (Ferren, J., concurring)).
    Mr. B. argues that the magistrate judge impermissibly relied on vague and
    outdated information about Mr. B.‟s mental health in determining that he was unfit.
    We disagree. It is true that the court‟s order relied significantly on Dr. King‟s
    testimony, which was based on an evaluation of Mr. B. that took place two years
    before the trial. However, the diagnoses that the court cited from Dr. King‟s
    evaluation were corroborated by Mr. B.‟s more recent diagnoses at Community
    Connections.    The court pointed to Mr. B.‟s diagnoses of “schizophrenia,
    undifferentiated type, post-traumatic stress disorder, and major depressive
    disorder.” When Mr. B. began receiving services at Community Connections, he
    was diagnosed as suffering from schizoaffective disorder with poly substance
    20
    abuse. Ms. Giordano, his case manager at Community Connections since July
    2014, indicated that this was a current diagnosis. Mr. B. himself testified that his
    mental health diagnosis was schizophrenia.
    It is well established that the fact that a parent has a mental or other illness
    does not make the parent unfit. See, e.g., In re J.G., 
    831 A.2d 992
    , 1001 (D.C.
    2003) (“a parent‟s poverty, ill health, or lack of education or sophistication, will
    not alone constitute grounds for termination of parental rights”); In re M.M.M., 
    485 A.2d 180
    , 184 (D.C. 1984) (“The emotional welfare of . . . the natural parent [] is
    relevant only „to the degree that such affects the welfare of the child . . .‟” (quoting
    D.C. Code § 16-2353 (b)(2))). The question for the court remains the parent‟s
    ability to care for the child.      Thus, what is relevant is whether the illness
    “demonstrably interfere[s]” with the parent‟s child-caring abilities. In re 
    S.L.G., 110 A.3d at 1287
    ; see In re K.J.L., 
    434 A.2d 1004
    , 1006-07 (D.C. 1981); see also
    In re K.M., 
    75 A.3d 224
    , 231 (D.C. 2013) (in a neglect case, there must be “a
    nexus between a parent‟s [] mental incapacity and an inability to provide proper
    parental care” (internal citation and quotation marks omitted)).
    The magistrate judge found that Mr. B. was “still in need of intensive
    ongoing therapy” and would be unable to “focus on and appreciate the needs of a
    21
    small child” on his own. In addition to Dr. King‟s testimony, the court heard Ms.
    Giordano‟s testimony that Mr. B. was currently receiving “the most intensive level
    of services in the community for mental health treatment.” She also testified that
    managing his symptoms was “sometimes difficult for him,” and that she was still
    working with him on his tendency to be “tangential, a little disorganized.” In fact,
    she had noted in September 2014 that Mr. B. experienced “frequent confusion[,]
    making accomplishing tasks, such as keeping medication appointments, to be a
    problem.”9
    Mr. B.‟s proposed support system if K.B. were placed with him was
    inadequate. When Dr. King evaluated him, Mr. B. had named Ms. B. as his
    “primary support system” in parenting K.B. Dr. King found this to be of concern,
    as Ms. B. also had significant mental health and substance abuse issues, and so
    there might be times when both parents were having difficulties and there would be
    “no stable adult in the household to address the concerns of the child.” Ms. Ford
    also testified that, after she became aware of Ms. B.‟s relapse in 2013 and a change
    9
    This case is therefore distinguishable from In re K.M., where the court
    concluded that Dr. King and Dr. Theut provided “largely conditional testimony,”
    expressed in “broad and vague terms,” that was too “generalized” to establish that,
    even if harm could befall a child from exposure to a mother‟s delusional behavior,
    it likely would do 
    so. 75 A.3d at 234
    . In addition, Dr. King‟s testimony in this
    case was confirmed by Mr. B.‟s case worker, Ms. Giordano.
    22
    was made to supervised visits, Mr. B. expressed that “he didn‟t think he could
    parent K.B. independent of Ms. B.” and that he “felt that he absolutely needed [his
    family‟s] support.”    His actions confirm his statement as he did not resume
    visitation with K.B. until Ms. B. was released from prison. See note 
    4, supra
    . At
    trial, however, Mr. B. testified that he thought he could be capable of parenting
    K.B. by himself if Ms. B. was unable to help. He added that if he needed support
    parenting K.B., he would call upon “God . . . I got a brother. I got a sister . . . I‟d
    probably talk to one of my aunt[s].” He indicated that his brother was unemployed
    and was attending Green Door for mental health treatment. No information was
    provided with respect to the other family members‟ capabilities or willingness to
    assist in caring for a young child. Thus, except for Mr. B.‟s trial testimony, which
    was contradicted by his prior statements and actions, the evidence of record
    supported that Mr. B. did not believe that he was capable of safely caring for K.B.
    on his own, and he relied on others who, like him, would at times be unable to care
    for K.B. because of their own mental health and substance abuse issues. 10
    10
    The trial court also questioned whether Mr. B. had the intention to care
    for K.B. based on his voluntary decision to stop visiting the child “for extended
    periods of time” in the fall of 2013 and spring of 2014, during which Ms. B. was
    incarcerated.
    23
    Finally, Mr. B. has a long history of substance abuse, a factor to be
    considered in determining a parent‟s fitness. In re 
    S.L.G., 110 A.3d at 1287
    . Dr.
    King diagnosed him with cannabis dependence based on Mr. B.‟s report that he
    had been using marijuana “as long as he could remember” and had progressed to
    using it daily. Mr. B. was diagnosed with poly substance dependence through
    Community Connections in 2014. Mr. B. testified that he stopped using marijuana
    when the court ordered him to in 2012, but other evidence refuted this: he missed
    sixteen drug tests and tested positive twice during the 2012-2014 court-ordered
    drug testing period. Indeed, his case manager testified that she worried that Mr. B.
    was using illegal substances after he appeared disoriented at their meetings. Mr. B.
    himself admitted that he had begun using K2, a synthetic form of marijuana, which
    would not have shown up on the court‟s drug tests. Dr. King testified that this use
    of K2 implied continuing substance abuse that could lead to resuming use of
    marijuana.
    Based on the evidence at trial, Mr. B. clearly has a history of chronic drug
    abuse, as does Ms. B. (who lives in the same home and would be part of Mr. B.‟s
    support system), and continues to use mind-altering substances.11 While Mr. B has
    11
    Both Mr. B. and Ms. B. testified that they were living together in a two-
    bedroom apartment.
    24
    commendably sought treatment for his mental illness and made some progress
    dealing with its symptoms, his condition leaves him confused and disorganized in a
    way that interferes with his ability to identify and respond to a child‟s needs, in
    addition to his own. Mr. B. expressed doubts that he would be able to parent K.B.
    by himself, and relied on Ms. B. to care for the child. For example, although Mr.
    B. was consistent in his weekly visits to K.B., he did not visit during the time Ms.
    B. was incarcerated. Ms. B.‟s support could not be assured, however, in light of
    her personal challenges with mental illness and substance abuse and periods of
    incarceration. (She was incarcerated at the time of trial.) Moreover, by the time
    the court decided whether Mr. B. had the wherewithal to parent K.B., Ms. B. had
    consented to the adoption. The combination of these myriad conditions provides a
    firm factual foundation for the court‟s finding that Mr. B. is not “able to care for
    [K.B.] in a way that does not endanger the child‟s welfare,” nor was it likely that
    he would be able to do so “within a reasonable time.” In re 
    S.L.G., 110 A.3d at 1287
    . It was therefore not an abuse of discretion for the magistrate judge and the
    associate judge to find that Mr. B. is not fit to parent K.B.
    25
    B. Waiver of Mr. B.’s Consent
    If a court finds, by clear and convincing evidence, that a natural parent is
    unfit, the strong presumption that placement with a natural parent is in the child‟s
    best interest falls away. See In re 
    Ta.L., 149 A.3d at 1081
    . A finding that a parent
    is not able to care for a child himself does not, however, terminate parental rights.
    See In re Adoption of Jayden G., 
    70 A.3d 276
    , 301-02 (Md. 2013). Thus, even
    without the presumption, the court may not grant adoption over a natural parent‟s
    objection unless it finds, by clear and convincing evidence, that the parent is
    withholding consent contrary to the best interests of the child. See In re 
    S.L.G., 110 A.3d at 1285
    ; see also In re 
    T.J., 666 A.2d at 15
    (holding that where parent is
    unable to care for child due to mental illness, i.e., is unfit, but is competent, trial
    court must find, by clear and convincing evidence, that parent‟s choice of fit
    adopted parents would be “clearly contrary to child‟s best interest”). In deciding
    what is in the child‟s best interests, the court will look to the factors considered in a
    termination of parental rights (“TPR”) proceeding, because an adoption over a
    natural parent‟s objection is the “functional equivalent” of a termination of parental
    rights. In re 
    S.M., 985 A.2d at 416
    . The relevant statutory factors are:
    (1) the child‟s need for continuity of care and caretakers
    and for timely integration into a permanent home, taking
    26
    into account the differences in the development and the
    concept of time of children of different ages;
    (2) the physical, mental and emotional health of all
    individuals involved to the degree that such affects the
    welfare of the child, the decisive consideration being the
    physical, mental and emotional needs of the child;
    (3) the quality of the interaction and interrelationship of
    the child with his or her parent, siblings, relative, and/or
    caretakers, including the foster parent; . . .
    (4) to the extent feasible, the child‟s opinion of his or her
    own best interests in the matter; and
    (5) evidence that drug-related activity continues to exist
    in a child‟s home environment after intervention and
    services have been provided . . . .
    D.C. Code § 16-2353 (b). If the court finds that the parent‟s withholding of
    consent is contrary to the child‟s best interests, then the parent‟s consent may be
    waived by the court.
    The trial court followed this analytical framework. As discussed above, the
    trial court first found that Mr. B. was not able to care for K.B. and therefore was
    not entitled to the presumption that K.B.‟s best interests would be served by
    placement with his natural father. The trial court then considered each of the
    relevant TPR factors, and found that they weighed in favor of placing K.B. with
    appellees. We perceive no abuse of discretion in the trial court‟s assessment that,
    viewed as a whole, the evidence relevant to the TPR factors established, by clear
    27
    and convincing evidence, that K.B.‟s best interests were served by placement with
    appellees, and that Mr. B.‟s consent to the adoption should be waived.
    The first factor is the child‟s need for continuity of care and caretakers and
    for timely integration into a stable and permanent home. D.C. Code § 16-2353
    (b)(1). At the time of the magistrate judge‟s decision in October 2015, appellees
    had been K.B.‟s caretakers for most of his life, since August 25, 2012, when he
    was ten months old. During that time, he had developed a close and loving
    relationship with appellees and with his foster-siblings. K.B. refers to P.O. as
    “mama” and J.O. as “dadda,” and is close with the other two children in appellees‟
    home. Appellees have met K.B.‟s needs since he was placed with them, and have
    helped him with his developmental delays in communication and gross motor
    skills,12 particularly as P.O. has a background in early childhood special education.
    Mr. B., on the other hand, has not been a consistent presence in K.B.‟s life, and
    although he has demonstrated deep affection for his child, the evidence of his lack
    of fitness also indicates that he is not capable of providing a stable home and care
    for a young child with K.B.‟s needs. We see no reason to disturb the trial court‟s
    determination that this factor weighs in favor of placement with appellees.
    12
    K.B. is a small but healthy child who has developmental delays, such as
    struggling to speak in complete sentences, and some problems with motor skills.
    28
    The second factor is the physical, mental and emotional health of all
    individuals involved to the degree that such affects the welfare of the child. D.C.
    Code § 16-2353 (b)(2). Appellees are in good health in all respects, and as noted
    previously, have helped maintain K.B.‟s health and development since he entered
    their care. Mr. B. has been diagnosed with serious mental illnesses, including
    schizophrenia or schizoaffective disorder, as well as substance dependence, and
    still struggles with symptoms of disorganization and disorientation as a result of
    these conditions. Mr. B.‟s continuing need to address his own health issues makes
    it unlikely that he can adequately take care of K.B.‟s physical, mental, and
    emotional needs. The trial court thus properly found that this factor also weighs in
    favor of placing K.B. with appellees.
    The third factor is the quality of the interaction and interrelationship of the
    child with his parents, siblings, and foster parents. D.C. Code § 16-2353 (b)(3).
    K.B. has a very affectionate relationship with appellees. He also has a positive
    relationship with Mr. B., with whom he was typically happy during visits. Dr.
    Susan Theut, a psychiatrist who performed an interactive evaluation of K.B.‟s
    relationship with appellees and with appellants, testified that K.B. was clearly
    comfortable in both situations and that there was no significant difference between
    29
    his interaction with his foster parents and with his natural parents. She reported
    that K.B. had a “strong and positive relationship” with both sets of adults. The
    trial court found that, despite this expert testimony about the interactive
    evaluations, the third factor still favored placement with appellees as serving
    K.B.‟s best interests, because they “have been meeting [K.B.‟s] emotional needs
    for more than three years.” The trial court also took note of the fact that the
    mother had consented to the adoption as being in the child‟s best interest.
    Although the evidence relevant to this factor is not as clearly weighted in favor of
    adoption as is the evidence related to other factors, it supports the magistrate
    judge‟s decision that adoption by appellees is in K.B.‟s best interests.
    The fourth factor is the child‟s opinion of his own best interests in the
    matter. D.C. Code § 16-2353 (b)(4). K.B. was too young to offer his opinion at
    trial. To the extent that his opinion could be ascertained, however, the trial court
    noted his close relationship with appellees and that the Guardian Ad Litem
    supported his adoption by the petitioners. In addition, there is evidence that K.B.
    recently cried during his visits with the natural parents and would not stop crying
    until he was returned to the car or brought back to appellees. Thus, to the extent
    that this factor is relevant, it weighs slightly in favor of the appellees.
    30
    Finally, the fifth factor is “evidence that drug-related activity continues to
    exist in a child‟s home environment after intervention and services have been
    provided pursuant to [D.C. Code § 4-1301.06 (a)].” 13 D.C. Code § 16-2353 (b)(5).
    There is no evidence of any drug activity in appellees‟ home. As outlined above in
    the discussion of Mr. B.‟s parental fitness, however, there is significant evidence of
    past and current substance abuse in his home. Mr. B. has a lengthy history of
    marijuana use and admitted that he was currently using K2. Furthermore, Ms. B.
    13
    Mr. B. attended a substance abuse group he found on his own and was not
    required to attend. The trial court ordered drug testing, mental health evaluations,
    parenting classes, and weekly visits with K.B. Those visits were initially
    supervised; as appellants were initially compliant with the court-ordered services,
    the visits were changed to unsupervised, progressing to overnight visits at
    appellants‟ home. Mr. B. claims that he was not given sufficient support after Ms.
    B.‟s relapse during one unsupervised overnight visit and his candid
    acknowledgment that he was unable to care for K.B. by himself, and that instead,
    the agency immediately changed the permanency goal to adoption. The record
    shows otherwise. When Ms. B. relapsed in August 2013 a change was made to
    supervised visits. Mr. B. stopped visiting because he thought the decision to take
    K.B. away had been made, but he was disabused of that notion in November 2013
    and encouraged to visit. He did not, however, resume his visits because Ms. B.
    was incarcerated. The permanency goal was changed to adoption in January 2014.
    Mr. B. does not specify what services would have permitted him to care for K.B.
    without Ms. B.‟s presence and assistance. See In re A.C., 
    597 A.2d 920
    , 922 (D.C.
    1991) (noting that although efforts of custodial agency to reunify family are
    relevant, agency‟s failings “do not preclude termination, if in the child‟s best
    interest”).
    31
    also lives in the home, and her alcoholism was not in remission. This factor clearly
    weighs in favor of placing K.B. with appellees.14
    The trial court found by clear and convincing evidence that the relevant
    statutory factors weighed in favor of placing K.B. with appellees, after properly
    denying Mr. B. the presumption that K.B.‟s best interests would be served by
    placement with his natural parent. “Evidence of continued drug activity” — which
    was undisputed in this case — “shall be given great weight.” D.C. Code § 16-2353
    (b)(5). It was therefore not an abuse of discretion for either the magistrate judge or
    the associate judge to conclude that it was in K.B.‟s best interests to terminate Mr.
    B.‟s parental rights and place K.B. with appellees.
    III.
    Adoption, as discussed above, requires the consent of a natural parent, or the
    court‟s waiver of the parent‟s consent. D.C. Code § 16-304 (a). Consent, once
    given, “is irrevocable absent a showing that it has been given involuntarily.”
    J.M.A.L. v. Lutheran Soc. Servs. of the Nat’l Capital Area, Inc., 
    418 A.2d 133
    , 135
    14
    A sixth factor, whether the child was left in the hospital after birth despite
    a medical determination that the child could be discharged, was not relevant to this
    case. See D.C. Code § 16-2353 (b)(3A).
    32
    (D.C. 1980); see also Super. Ct. Adopt. R. 70.15 To be voluntary, consent must be
    made without coercion, fraud, or mistake. 
    J.M.A.L., 418 A.2d at 136
    . On review
    of the trial court‟s determination that consent was given voluntarily, we assess
    whether the finding is supported by the record and is not clearly erroneous. See 
    id. (whether finding
    is “plainly wrong or without evidence to support it”); In re
    S.E.D., 
    324 A.2d 200
    , 201 (D.C. 1974).
    Ms. B. claims that the consent she gave in court on January 14, 2015, was
    involuntary because she lacked sufficient advice of counsel. She also claims that
    her incarceration and her emotional state of mind during the court‟s voir dire
    indicated that she was not voluntarily consenting to the adoption, and that she was
    pressured into giving consent in exchange for the Post-Adoption Contract
    Agreement as her only option for maintaining contact with K.B.            Both the
    15
    A consent to adoption may be revoked or withdrawn only
    after a judicial determination that the consent was not
    voluntarily given. The person moving to withdraw or
    revoke consent has the burden of proof to establish that
    the consent was not voluntarily given. The Court shall
    set a separate hearing to determine whether to permit
    revocation of a consent. If revocation or withdrawal of
    consent is permitted, the Court shall proceed on an
    expedited basis to determine whether consent is being
    withheld contrary to the best interests of the child
    pursuant to D.C. Code § 16-304 (e).
    Super. Ct. Adopt. R. 70 (a).
    33
    magistrate judge and the associate judge considered these arguments and found
    that Ms. B.‟s consent was voluntary. On the record before us, we have no basis to
    reverse their determination.
    Ms. B. had a statutory right to the effective assistance of counsel in a
    proceeding that could lead to termination of her parental rights. See In re R.E.S.,
    
    978 A.2d 182
    , 188 (D.C. 2009) (citing D.C. Code § 16-2304 (b)(1)); see also
    Lassiter v. Department of Soc. Servs., 
    452 U.S. 18
    , 32 (1981) (holding that because
    of fundamental liberty interest at stake in proceeding leading to termination of
    parental rights, due process might require appointment of counsel, a determination
    to be made on a case-by-case basis).       In determining whether the protection
    afforded by her right to counsel has been satisfied, we apply the familiar two-step
    standard developed for criminal proceedings, which considers whether the
    lawyer‟s performance has been deficient and, if so, whether the client was
    prejudiced as a result. See In re 
    R.E.S., 978 A.2d at 191
    (citing Strickland v.
    Washington, 
    466 U.S. 668
    , 687 (1984)).16
    16
    Claims of ineffective assistance of counsel should be raised on direct
    appeal, preferably by motion “as soon as possible,” and no later than “within one
    year following the date the final decree became effective.” In re 
    R.E.S., 978 A.2d at 193
    (quoting D.C. Code § 16-310 (2001)); see In re 
    R.E.S., 978 A.2d at 193
    nn.9-10 (noting possibility that claim of ineffectiveness could also be brought in
    Superior Court pursuant to Super. Ct. Adopt. R. 60 (d)). Ms. B. did not file a
    (continued . . .)
    34
    Two days before she gave her consent, Ms. B. asked for new counsel, or
    another lawyer to assist her counsel, but she gave no reason for her request other
    than that she preferred that another lawyer be involved in her representation. The
    trial court denied the request, noting that Ms. Graham was doing well in her
    representation of Ms. B., and that a change of counsel at that time would result in
    delay. At the hearing on the motion to revoke her consent, Ms. B. claimed that her
    lawyer did not “give [her] all the information.” On appeal, Ms. B. adds that she
    was not advised about the “positive and negative factors” that the court would have
    to consider in deciding whether to waive her consent to adoption. There is no
    evidence to support these claims other than Ms. B.‟s bare assertions.17 The trial
    transcript supports a contrary inference. Ms. Graham informed the court that she
    and Ms. B. had “talked about [the consent] at length” throughout that week. When
    Ms. B. told the court she wanted to consent, the trial court immediately recalled
    that she had requested another lawyer, and asked Ms. B. several times if she had
    had advice of counsel in giving her consent. Each time Ms. B. answered, “Yes.”
    ________________
    (. . . continued)
    motion, but her brief raising questions about her counsel‟s representation was filed
    on July 22, 2016, well within a year of the final decree of adoption, which was
    approved by the Superior Court on February 4, 2016. Although her brief on appeal
    does not specifically rely on the Strickland factors, her argument amounts to a
    claim that her counsel‟s deficiencies led her to make a decision to consent that she
    otherwise would not have made.
    17
    Ms. Graham was not called to testify at the revocation hearing.
    35
    She did not renew her request for different counsel. As for Ms. B.‟s claim that Ms.
    Graham told her that consenting was the only way she would get to see her son,
    Ms. B. offered no evidence of this other than her uncorroborated testimony, which
    the magistrate judge did not find credible. The trial court‟s finding that Ms. B. did
    have advice of competent counsel in deciding to consent to the adoption was
    reasonably supported by the record.
    The trial court also found that neither Ms. B.‟s incarceration at the time nor
    her emotional distress rendered her consent involuntary.         Consenting to the
    adoption of her son was obviously a difficult and profoundly distressing decision
    for Ms. B. 18 The trial court was aware of this and responded with sensitivity. As
    Ms. B. became increasingly upset while the court conducted the questioning about
    her decision to consent, the court gave her time to compose herself, and stated, “I
    can see that you are upset right now, and I don‟t want you to necessarily make a
    decision of this importance that you‟re not sure of.” The court asked Ms. B.
    18
    Because the transcript of the hearing contained a number of indications of
    pauses during which Ms. B.‟s testimony was interrupted, this court obtained a copy
    of the recording to have a more complete understanding of what transpired during
    the proceeding. Ms. B. is heard to be crying, sobbing at times, and evidently
    distressed. But she collected herself and was able to respond to the trial court‟s
    questions without once denying her intent to consent. A wrenching decision of this
    kind is heartbreaking for a parent, and it must have been very hard to accept that
    Ms. B.‟s personal circumstances were such that adoption was the best option for
    her child. But it does not mean it was not her choice.
    36
    several times if she was sure she wished to consent, and specifically asked if she
    felt pressured to do so.19 Although Ms. B. wondered whether “one relapse” was
    “serious” and sufficient to lose her “sweet baby,” each time the judge inquired, she
    affirmed that she was consenting to the adoption. Her testimony at the hearing to
    revoke her consent, that she was “not really all together” 20 and did not know how
    long she might be incarcerated, reflects the difficult circumstances in which she
    found herself at the time, but it does not override the trial court‟s finding, based on
    first-hand observations, that her consent was voluntary. As the trial court found,
    Ms. B. understood the legal consequences of her decision, and, after having heard
    the evidence at trial, made a “strategic choice” to consent to the adoption.
    The evidence also belies the contention that Ms. B. was pressured to consent
    in exchange for the Post-Adoption Contact Agreement that would permit her to
    19
    In response to the court asking if she felt pressured to consent, Ms. B.
    gave a non-verbal response that the court interpreted as shaking her head.
    20
    On appeal, Ms. B. contends that because the court was aware of her
    mental illness and alcohol dependence, the court should have made further inquiry
    about her present mental condition and whether she had taken her medications that
    day. Ms. B.‟s testimony up to that point, however, was that she was one hundred
    percent dedicated to her sobriety, was taking her medication, and that her seizures
    were being effectively controlled. Thus, there was no reason for the court to
    inquire further into her mental clarity or competence to consent, beyond the court‟s
    questioning about her willingness to consent and her understanding of the legal
    implications of consent to adoption.
    37
    have continuing contact with K.B. At the time she gave her consent in open court,
    Ms. B. asked to address the judge directly and told the judge that she “wanted the
    best for [her] son” and that she wanted to consent because she believed it would be
    in K.B.‟s best interest. Ms. B. testified at the hearing on her motion to revoke her
    consent that Ms. Graham pressured her into consenting as the only way she could
    have future contact with K.B. The magistrate judge, who was in the best position
    to “observe [Ms. B.‟s] demeanor and form a conclusion” about her credibility, In
    re P.S., 
    797 A.2d 1219
    , 1224 (D.C. 2001), did not find this assertion credible.
    There is also no evidence that appellees would withhold the promise of
    continued contact with K.B. unless Ms. B. consented to the adoption. On the
    contrary, appellees were clearly open to maintaining a relationship between K.B.
    and appellants even before Ms. B. consented to the adoption. Two days before Ms.
    B. consented, P.O. had testified that if the adoption petition were granted, “[W]e
    do think that [K.B.] should have some contact with his birth parents. We, that‟s
    what we wanted . . . I want [our adopted children] to know who their biological
    parents are, and I want them to have a good healthy relationship with them.” 21 The
    21
    Other evidence in the record corroborated that the adoptive parents
    intended that K.B. have contact with his natural parents. The adoptive parents
    have one adopted child and were in the process of adopting another. P.O. testified
    that the adopted child had a continuing relationship with his birth mother and that
    (continued . . .)
    38
    Post-Adoption Contact Agreement itself, which Ms. B. signed the same day that
    she consented, states that the agreement was entered into voluntarily and that
    nothing was promised in exchange for any of the parties‟ signatures.
    At the hearing on Ms. B.‟s motion to revoke her consent, the court found
    that Ms. B. “clearly made a determination, with the advice of counsel . . . as to
    whether or not she believed she would prevail at trial[,] and I think that went into
    her determination as to whether or not to consent to the adoption.” As a result, the
    trial court found that Ms. B. consented to the adoption “strategically after sitting
    through the entirety of a four day trial in an effort to preserve the possibility of
    future contact with her son,” and not because she was coerced into doing so. That
    Ms. B. evaluated her chances of prevailing in deciding whether to consent was a
    reasonable approach, well-founded on the evidence presented at trial. It does not
    detract from Ms. B.‟s stated reason, as a mother who loves her son, that she was
    doing so because she thought adoption to be in the best interests of the child. On
    ________________
    (. . . continued)
    she wished the same for K.B. Thus, Ms. B. had reason to believe they would offer
    the same treatment to K.B.‟s natural parents even without receiving Ms. B.‟s
    consent to the adoption.
    39
    this record, we have no basis to reverse the magistrate judge‟s finding, affirmed by
    the associate judge, that Ms. B.‟s consent to the adoption was voluntary. 22
    IV.
    We hold that the trial court did not abuse discretion in its determination that
    Mr. B. was not able to care for K.B. and that withholding his consent to adoption
    by the petitioners was contrary to the child‟s best interests. We also hold that the
    trial court did not clearly err in finding that Ms. B.‟s consent to the adoption was
    voluntary. Therefore, the associate judge‟s Orders affirming the magistrate judge‟s
    Orders and Final Decree of Adoption are affirmed.
    So ordered.
    22
    Ms. B.‟s brief on appeal asserts that there is no Post-Adoption Contact
    Agreement with Mr. B., who did not consent to the adoption. We are urged to
    infer that the reason is that Ms. B.‟s consent was the quid pro quo for her Contact
    Agreement. There is no evidence in the record with respect to whether Mr. B. has
    (or does not have) a Post-Adoption Contact Agreement or in fact has continuing
    contact with K.B.