Matter of K.L. , 214 MT 28 ( 2014 )


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  •                                                                                           February 4 2014
    DA 13-0274
    IN THE SUPREME COURT OF THE STATE OF MONTANA
    
    2014 MT 28
    IN THE MATTER OF:
    K.L.,
    A Youth in Need of Care.
    APPEAL FROM:           District Court of the Eighth Judicial District,
    In and For the County of Cascade, Cause No. BDN 11-127
    Honorable Julie Macek, Presiding Judge
    COUNSEL OF RECORD:
    For Appellants:
    Wade Zolynski, Chief Appellate Defender; David G. Dennis, Assistant
    Appellate Defender; Helena, Montana
    (for Mother)
    Julie Brown, Montana Legal Justice, PLLC; Missoula, Montana
    (for Father)
    For Appellee:
    Timothy C. Fox, Montana Attorney General; Tammy A. Hinderman,
    Assistant Attorney General; Helena, Montana
    John Parker, Cascade County Attorney; Jennifer Quick, Deputy County
    Attorney; Great Falls, Montana
    Submitted on Briefs: January 2, 2014
    Decided: February 4, 2014
    Filed:
    __________________________________________
    Clerk
    Justice Patricia Cotter delivered the Opinion of the Court.
    ¶1     T.L. (Father) and N.W. (Mother) are the biological parents of K.L., born in 2009.
    K.L. was first removed from her parents’ custody and placed into foster care in July
    2011. Her parents split shortly thereafter. In October 2011, K.L. was adjudicated as a
    youth in need of care. In August 2012, the Department of Public Health and Human
    Services (Department or DPHHS) filed a petition to terminate the parental rights of both
    parents. A termination hearing was held in February 2013, and the District Court issued
    its order of termination on March 28, 2013. Between the time K.L. was removed from
    her parent’s care in July 2011 and the termination of rights of both parents, K.L. was
    twice reunified through trial home visits with her father and twice removed and re-placed
    into foster care. There was no reunification attempt with her mother between the July
    2011 removal and the termination of Mother’s parental rights. Both parents appeal the
    order of termination. We affirm.
    ISSUES
    ¶2     A restatement of Father’s issues is:
    ¶3     Did the District Court abuse its discretion and violate Father’s constitutional rights
    by improperly granting the Department’s motion for an extension of temporary legal
    custody over K.L.?
    ¶4     Did the District Court abuse its discretion and violate Father’s constitutional rights
    when it terminated Father’s parental rights finding that the condition or conduct rendering
    Father unfit to parent was not likely to change in a reasonable time?
    2
    ¶5     A restatement of the dispositive issue on appeal vis-à-vis Mother is whether the
    District Court abused its discretion in terminating Mother’s parental rights.
    FACTUAL AND PROCEDURAL BACKGROUND
    ¶6     On July 19, 2011, Mother and Father were living together and raising their
    daughter, K.L., who was then approximately twenty-five months old. Mother returned
    home one evening to find Father intoxicated and drinking with an intoxicated male
    stranger in the home and in the presence of K.L.          A verbal argument ensued that
    subsequently turned violent.      One of the parents began hitting the other with a
    broomstick. The stick broke, yielding one-half of the stick to each parent who continued
    hitting the other parent with it. The police arrived, both parents were arrested and jailed,
    and the child was placed into protective foster care. Father later admitted that he was in a
    “blind, drunken rage” at the time. K.L. remained in foster care and at an October 6, 2011
    show cause hearing she was adjudicated a youth in need of care.1 At some point between
    July and October, the parents stopped living together and terminated their relationship.
    ¶7     In November 2011, the Department prepared initial treatment plans for both
    Mother and Father. Mother signed her initial plan on November 22, 2011. In an effort to
    facilitate reunification, the goals of the treatment plan, in part, were to: (1) preserve the
    parent-child relationship; (2) assist Mother in acquiring the necessary skills to provide for
    her child’s safety, permanency, and well-being; and (3) provide DPHHS with the
    information necessary to determine the strengths, needs, and concerns of the family, and
    1
    The show cause hearing was delinquent and not in compliance with § 41-3-432, MCA, but
    counsel for parents did not file an objection.
    3
    whether it would be safe to return the child to Mother. Mother was specifically tasked
    with: (1) maintaining a safe home environment; (2) completing an in-home parenting
    plan and demonstrating what she learned; (3) addressing her mental health needs by
    completing    a    psychological     evaluation    and    following    the    psychologists’
    recommendations; (4) attending domestic violence and relationship counseling as well as
    anger management counseling; (5) maintaining regular visitation with K.L.; and
    (6) initiating weekly contact with her case worker.
    ¶8     Father signed his treatment plan on November 4, 2011, and was tasked with many
    of the same tasks as Mother, e.g., maintaining a safe home environment, completing a
    parenting class, and addressing his mental health needs. In addition, given the bearing of
    Father’s alcohol use on his ability to parent, the Department required that Father address
    his alcohol abuse or addiction through DPHHS-provided evaluations, therapy, and
    support.
    ¶9     On December 8, 2011, the District Court conducted a dispositional hearing at
    which the parents’ treatment plans were presented for approval. Counsel for both parents
    stipulated to the initial treatment plans but reserved the right to submit written objections
    after reviewing the plans with their clients. The court issued an order on December 16,
    2011, that, among other things, approved both treatment plans as appropriate and
    reasonable. Neither parent’s counsel subsequently objected. In its December 16, 2011
    order, the District Court granted the Department temporary legal custody (TLC) and both
    parents were ordered to complete their court-approved treatment plans.
    4
    ¶10   As Father appeared to be making more progress on his treatment plan than
    Mother, the Department attempted to reunify K.L. with Father on January 5, 2012, for a
    trial home visit. Father entered into an agreement with the case worker that he would not
    drink alcohol when K.L. was in his care.        K.L. remained in Father’s custody until
    March 3, 2012, when the police were called because Father was publicly intoxicated
    while at a restaurant with K.L. K.L. remained in foster care until early May when she
    was again reunified with Father in a trial home visit. On June 11, 2012, the Department
    petitioned the court to extend TLC for an additional six months to allow the parents more
    time to complete their respective court-ordered treatment plans. Mother stipulated to the
    extension but Father opposed the petition. At a June 21, 2012 review hearing, the District
    Court granted a sixty-day, rather than a six-month, extension of TLC.
    ¶11   On June 23, 2012, police were again called by a third party who witnessed a
    “highly intoxicated” Father pushing K.L. in her stroller down a busy street in Great Falls
    after midnight, and then removing her from the stroller and allowing her to run in the
    street while he appeared too intoxicated to supervise or protect her. He was charged with
    child endangerment and K.L. was again removed from Father’s custody.
    ¶12   Throughout this time, no attempt was made to reunify K.L. with Mother because
    Mother failed to make adequate progress with her treatment plan.
    ¶13   On August 9, 2012, the Department filed its petition to terminate the parental
    rights of both Mother and Father. The District Court held a termination hearing on
    February 13, 2013, and issued its order terminating the rights of both parents on
    March 28, 2013. Both parents filed timely notices of appeal.
    5
    STANDARD OF REVIEW
    ¶14    The Department has the burden of proving by clear and convincing evidence that
    the statutory criteria for termination have been satisfied. Clear and convincing evidence
    in the context of parental rights cases is “simply a requirement that a preponderance of
    the evidence be definite, clear, and convincing, or that a particular issue must be clearly
    established by a preponderance of the evidence or by a clear preponderance of the proof.
    This requirement does not call for unanswerable or conclusive evidence.” In re B.H.,
    
    2001 MT 288
    , ¶ 16, 
    307 Mont. 412
    , 
    37 P.3d 736
    .
    ¶15    Additionally, in determining whether to terminate parental rights, “the district
    court is bound to give primary consideration to the physical, mental, and emotional
    conditions and needs of the children”; thus, “the best interests of the children are of
    paramount concern in a parental rights termination proceeding and take precedence over
    the parental rights.” In re E.K., 
    2001 MT 279
    , ¶ 33, 
    307 Mont. 328
    , 
    37 P.3d 690
    .
    ¶16    We review the district court’s rulings on the Department’s evidence to determine
    if the court’s findings are clearly erroneous and if the court’s conclusions are correct. In
    re D.B., 
    2007 MT 246
    , ¶ 18, 
    339 Mont. 240
    , 
    168 P.3d 691
    . If the court’s findings are not
    clearly erroneous and its conclusions are not incorrect, we will not disturb a district
    court’s order on termination unless we determine that the district court abused its
    discretion.   A district court abuses its discretion when it “acts arbitrarily, without
    employment of conscientious judgment, or exceeds the bounds of reason resulting in
    substantial injustice.” In re R.M.T., 
    2011 MT 164
    , ¶ 26, 
    361 Mont. 159
    , 
    256 P.3d 935
    .
    6
    DISCUSSION
    ¶17   We first address Father’s issues on appeal.
    ¶18   Did the District Court abuse its discretion and violate Father’s constitutional
    rights by improperly granting the Department’s motion for an extension of
    temporary legal custody over K.L.?
    ¶19   Section 41-3-442, MCA, provides the circumstances under which a district court
    may grant, or extend, temporary legal custody to the Department, and permits extending
    TLC upon a showing that “additional time is necessary for the parent . . . to successfully
    complete a treatment plan.” Section 41-3-442(4)(a)(i), MCA. Father did not challenge
    the original granting of TLC but challenges the District Court’s June 2012 extension of
    TLC. He maintains that on June 11, 2012, when the Department filed its petition to
    extend TLC, he had “completed his treatment plan goals”; consequently, no additional
    time was necessary to complete his plan. He further asserts that testimony at the June 21,
    2012 TLC extension hearing illustrated that he had done “an outstanding job of parenting
    and compliance”; therefore, the extension should not have been granted.
    ¶20   The record reveals, however, that Father had not completed his treatment plan, and
    while he may have done “an outstanding job” on some aspects of the plan, several aspects
    of his plan were wanting, including, but not limited to, maintaining a safe home
    environment for K.L. Additionally, and most critically in Father’s case, the plan required
    that he maintain sobriety. It was undisputed that he failed to do so. He was publicly
    intoxicated on March 3, 2012, in a restaurant with K.L. His intoxication led a third party
    bystander to call the police out of concern for K.L.’s safety and led to the removal of
    K.L. from Father’s care. The Department expressed ongoing concern at the TLC hearing
    7
    that Father had not yet demonstrated that he believed his alcohol consumption was a
    “major concern” in his life.      The Department wanted additional time to determine
    whether the March 3 event was an isolated incident or a continuing risk. The District
    Court’s order clearly states that it was extending TLC out of concerns “on the issue of
    [Father’s] alcohol usage.” The court also noted that extending DPHHS’s temporary legal
    custody was in K.L.’s best interests. The court had substantial credible evidence before it
    to support an extension of TLC. Despite the commendable successes Father may have
    achieved, it was not an abuse of the District Court’s discretion to extend TLC for 60 days
    to allow Father to continue working on the remaining conditions and goals of his
    treatment plan, particularly his use of alcohol.
    ¶21    Did the District Court abuse its discretion and violate Father’s constitutional
    rights when it terminated Father’s parental rights finding that the condition or
    conduct rendering Father unfit to parent was not likely to change in a reasonable
    time?
    ¶22    Section 41-3-604, MCA, establishes when a petition to terminate parental rights
    must be filed by the Department. The statute provides, in relevant part:
    (1) If a child has been in foster care under the physical custody of
    the state for 15 months of the most recent 22 months, the best interests of
    the child must be presumed to be served by termination of parental rights.
    If a child has been in foster care for 15 months of the most recent 22
    months or if the court has found that reasonable efforts to preserve or
    reunify a child with the child’s parent or guardian are not required pursuant
    to 41-3-423, a petition to terminate parental rights must be filed unless:
    (a) the child is being cared for by a relative;
    (b) the department has not provided the services considered
    necessary for the safe return of the child to the child’s home; or
    (c) the department has documented a compelling reason, available
    for court review, for determining that filing a petition to terminate parental
    rights would not be in the best interests of the child.
    8
    Section 41-3-604(1), MCA.
    ¶23    Additionally, under § 41-3-609, MCA, the Department may seek termination of
    parental rights if:
    (1) The court may order a termination of the parent-child legal
    relationship upon a finding established by clear and convincing evidence
    . . . that any of the following circumstances exist:
    . . .
    (f) the child is an adjudicated youth in need of care and both of the
    following exist:
    (i) an appropriate treatment plan that has been approved by the court
    has not been complied with by the parents or has not been successful; and
    (ii) the conduct or condition of the parents rendering them unfit is
    unlikely to change within a reasonable time.
    ¶24    On August 9, 2012, approximately 13 months after K.L. was first removed from
    her parents’ custody, the Department filed a Petition for Permanent Legal Custody and
    Termination of Parental Rights. As it pertained to Father, the Department asserted he had
    failed to maintain sobriety, noting the second public intoxication episode on June 23,
    2012, in which he was pushing K.L. in her stroller down a busy street after midnight,
    resulting in a child endangerment charge. The Department claimed that Father had also
    failed to maintain adequate housing and a safe environment for K.L., and had continually
    placed K.L. in danger, necessitating removal of her from his care. DPHHS further noted
    that Father failed to address his mental health and chemical dependency needs as
    recommended after a DPHHS-provided psychological evaluation.            The Department
    therefore sought termination concluding that the conduct and condition rendering Father
    unfit to parent was unlikely to change within a reasonable time. A termination hearing
    9
    was scheduled for December 2, 2012, but at Father’s request, it was vacated and
    rescheduled for February 21, 2013.
    ¶25    While awaiting the termination hearing, the Department continued monitoring
    Father’s progress with his treatment plan and his visitation interaction with K.L. DPHHS
    filed supplemental affidavits dated December 4, 2012, and February 14, 2013, updating
    the District Court. In both affidavits, the Department expressed continued concern that
    Father could not, or would not, stop drinking and that he failed to recognize how his
    drinking impacted his parenting and was preventing reunification with K.L.
    ¶26    In addition to the testimony posited by the Department in these affidavits, there
    was considerable similar testimony at the termination hearing. The clinical psychologist
    who conducted a psychological evaluation on Father testified that Father “didn’t think
    that he needed to quit drinking but that . . . he did need to quit [drinking] . . . while he was
    caring for his daughter and . . . he needed to quit drinking in public.” Several other
    witnesses testified that Father told them he was merely “jumping through the hoops” until
    he got his daughter back and that he did not intend to quit drinking as his drinking was
    not a problem. Further, witnesses presented testimony of the number of times Father
    failed to appear for court-ordered urinalyses (UA) or failed UA tests, and that Father
    would at times engage in binge drinking and drink until he blacked out. The psychologist
    determined that the likelihood that Father would abstain from alcohol over the long-term
    was “relatively poor” and that “it was unlikely that he would become capable of
    parenting his child within a reasonable period of time.”
    10
    ¶27    By the time the termination hearing was conducted in February 2013, K.L. had
    been in foster care for the majority of the 19 months since her initial removal. This factor
    brings this case squarely within the presumption set forth in § 41-3-604(1), MCA—“[i]f a
    child has been in foster care under the physical custody of the state for 15 months of the
    most recent 22 months, the best interests of the child must be presumed to be served by
    termination of parental rights.” It is clear from the record here that Father was unable, or
    unwilling, to abstain from alcohol. His testimony to the contrary at the termination
    hearing is not supported by his previous behavior and is unconvincing.
    ¶28    While Father made significant progress on some terms, conditions, and tasks set
    forth in his treatment plan, it is well-established that partial compliance with a treatment
    plan is insufficient to preclude termination of parental rights. In re S.M., 
    2001 MT 11
    ,
    ¶ 44, 
    304 Mont. 102
    , 
    19 P.3d 213
    . See also In re D.H., 
    2001 MT 200
    , ¶ 30, 
    306 Mont. 278
    , 
    33 P.3d 616
    . Father’s failure to comply with the court-mandated condition that he
    abstain from using alcohol while K.L. was in his care repeatedly placed K.L. in a
    dangerous situation. Focusing on K.L.’s best interests, the District Court did not abuse its
    discretion in concluding Father had failed to comply with his treatment plan. Moreover,
    in determining whether the condition rendering Father unfit to parent was unlikely to
    change within a reasonable time, § 41-3-609(2)(c), MCA, expressly states that the court
    shall consider whether the “excessive use of intoxicating liquor . . . affects the parent’s
    ability to care and provide for the child.” There was significant evidence presented
    throughout this proceeding that Father’s parenting was adversely affected by alcohol use,
    and Father’s repeated intoxication despite his awareness that he was being monitored and
    11
    had lost his daughter as a result of alcohol use, supported the court’s decision to terminate
    his parental rights. The District Court did not abuse its discretion in concluding that
    Father’s condition was unlikely to change within a reasonable time.
    ¶29    We affirm the District Court’s termination of Father’s parental rights. We now
    turn to Mother’s issue on appeal.
    ¶30    Did the District Court abuse its discretion in terminating Mother’s parental
    rights?
    ¶31    Mother argues on appeal that the District Court abused its discretion when it
    terminated her parental rights. She claims the District Court’s finding that her treatment
    plan was appropriate was incorrect because the Department failed to modify the plan to
    incorporate the recommendations of state psychologist Dr. Mary Jo Jeffreys.2 She also
    asserts the District Court abused its discretion in terminating her rights given the
    Department’s failure to arrange critical mental health treatments recommended by
    Dr. Jeffreys. She therefore maintains that the Department failed to “make reasonable
    efforts” to reunify Mother and K.L.
    ¶32    To reiterate the relevant standard employed by the District Court to terminate
    Mother’s parental rights to K.L., the court had to find “by clear and convincing evidence”
    that: (1) K.L. was an adjudicated youth in need of care; (2) Mother had not complied with
    a court-approved “appropriate treatment plan” or such plan was unsuccessful; and (3) the
    2
    Mother also argued that the District Court failed to apply the “clear and convincing” standard to
    its determination that Mother’s treatment plan was appropriate. As the court’s termination order
    expressly applies such a standard and Mother concedes this in her reply brief, we decline to
    address this claim further.
    12
    condition rendering Mother unfit to parent was unlikely to change within a reasonable
    time. Section 41-3-609(1)(f)(i) and (ii), MCA. The first factor is not in dispute.
    ¶33    Addressing the second factor, Mother claims the District Court erred in concluding
    that her treatment plan was “appropriate” given that “the Department did not modify the
    plan to incorporate the recommendations of the state’s psychologist.”          Mother was
    evaluated by Department-recommended clinical psychologist Dr. Mary Jo Jeffreys on
    February 2, 2012. The record does not contain Dr. Jeffreys’ report but her testimony at
    the termination hearing revealed that during her evaluation, she identified numerous
    concerns about Mother’s ability to parent K.L.         According to the doctor, Mother
    exhibited “a high proclivity to not be able to understand how another person is feeling,”
    and “a high proclivity to use force to get people to understand where she’s coming from.”
    Dr. Jeffreys concluded that Mother had an inability to identify with others and was rigid
    with a strong need to be in control.       She also testified that Mother suffered with
    borderline intellectual functioning and had a severe thought disorder, and that she
    displayed rapid mood swings and lacked empathy.                 Consequently, the doctor
    recommended mental health treatment but expressed reservations, given the severity of
    Mother’s mental and cognitive issues, about Mother’s ability to “engage” in such
    treatment.   Dr. Jeffreys also stated that even if Mother underwent mental health
    treatments, Mother is “at high risk of ever being able to parent.”
    ¶34    There is no indication in the record as to when the Department received a copy of
    Dr. Jeffreys’ report. However, the child protection specialist assigned by the Department
    to K.L.’s case completed an affidavit dated June 5, 2012, to support extending TLC. In
    13
    this affidavit, the Department specialist summarized Mother’s treatment plan for the
    District Court.   The affidavit reiterated the goals and tasks set forth in the initial
    November 2011 treatment plan and Mother’s progress with each of the tasks. It also
    contained a new section discussing Mother’s February 2, 2012 psychological evaluation
    with Dr. Jeffreys. This section of the affidavit indicated that Mother’s treatment plan
    required Mother to “seek appropriate mental health treatment, including a psychiatric
    evaluation to address further mental health concerns.”        It also stated, among other
    recommendations, that Mother must engage in vocational rehabilitation, and participate
    in supportive psychotherapy and anger management. While the District Court record does
    not contain a modified treatment plan signed by Mother and the Department, this
    affidavit indicates that the Department incorporated Dr. Jeffreys’ recommendations into
    Mother’s treatment plan. Consequently, Mother’s claim that the Department did not
    modify her plan to incorporate Dr. Jeffrey’s recommendations is incorrect. Moreover,
    testimony at the hearing illustrated that various service providers became concerned
    about Mother’s mental and emotional health and cognitive issues early in the proceeding
    and attempted to help Mother address them. D.B., ¶¶ 34-35.
    ¶35    We have previously declined to create a “single, generalized definition of an
    ‘appropriate’ treatment plan.” D.B., ¶ 32. We have suggested the consideration of
    several factors, such as whether the parent was represented by counsel, whether the
    parent stipulated to the plan, and whether the plan “takes into consideration the particular
    problems facing both the parent and the child.” D.B. ¶ 32. In the case before us, each of
    these factors was satisfied, as Mother was represented by counsel throughout the
    14
    proceedings and she stipulated to the plan and raised no objections to its contents. We
    therefore conclude the District Court did not err in finding that Mother’s treatment plan
    was appropriate.
    ¶36   Mother argues that under § 41-3-423(1), MCA, the Department was required to
    “make reasonable efforts” to reunify her with K.L. Citing primarily extra-jurisdictional
    authority, she asserts that “reasonable efforts” required the Department to provide her
    with the mental health treatment recommended by Dr. Jeffreys, and that failure to do so
    precluded the Department from seeking termination of her rights. Acknowledging that
    the Department attempted to make appointments for Mother with various mental health
    providers, and that at the time of the termination hearing Mother was on “waiting lists”
    with one or more mental health professionals, she asserts that the Department’s efforts
    were insufficient, and therefore did not constitute “reasonable efforts.”       Mother’s
    argument suggests that had she received psychiatric counseling or medications between
    the date Dr. Jeffreys’ conducted her psychological evaluation in February 2012 and
    termination of her rights in February 2013, reunification with K.L. may have been
    possible because she would have completed her treatment plan and the condition
    rendering her unfit would have changed for the better.
    ¶37   The Department counters that while “reasonable efforts” toward reunification is a
    Department obligation, it does not displace the statutory termination test set forth in
    § 41-3-609(1)(f)(i) and (ii), MCA, i.e., a youth in need of care adjudication, an
    unsuccessful appropriate treatment plan, and the unlikeliness that the condition rendering
    15
    a parent unfit will change within a reasonable time. The Department maintains that the
    record supports the District Court’s finding that these criteria were met.
    ¶38    The Department worked closely with Mother from the time it removed K.L. in
    July 2011 until Mother’s termination in February 2013. It provided her with multiple
    services such as: (1) a program to help develop life skills and parenting skills;
    (2) parenting classes; (3) domestic violence and crisis management counseling; and
    (4) anger management counseling. Mother attended the life/parenting skills classes from
    mid-December 2011 until February 2012, when the service was terminated due to
    Mother’s lack of progress and her inability to maintain a safe home environment where
    reunification could occur.     Additionally, Mother attended only 4 out of 8 anger
    management classes and was a “no show” for numerous domestic violence and crisis
    management counseling sessions. While she completed the required parenting classes,
    she was unable to demonstrate what she learned in these classes. Without notice, she
    failed to attend numerous scheduled visits with K.L. causing her visitation privileges to
    be revoked on at least two occasions. When she did visit K.L., she was distant and
    indifferent to the child’s attention and needs. She spent much of her visitation time on
    her telephone, texting, talking or listening to music. She remained unable to read K.L.’s
    cues and made inappropriate comments in front of K.L. about giving K.L. to K.L.’s
    grandmother once Mother resumed custody.
    ¶39    Additionally, the record reflects that throughout much of this time, Mother failed
    to provide a safe environment for herself, at times being homeless or living in a hotel
    room with three other adults, one of whom was a registered sex offender, and two
    16
    children. She became involved with at least one other man who physically abused her
    and repeatedly failed to maintain required communication with her case worker.
    ¶40   As noted above, the record does not establish when the Department received
    Dr. Jeffreys’ report of her February 2012 evaluation of Mother or when the Department
    began trying to schedule a psychiatric evaluation or the mental health treatment
    recommended by Dr. Jeffreys. We know that at the time of the termination hearing
    Mother was on a waiting list with multiple providers as a result of the Department’s
    efforts. Given the severity of Mother’s mental, emotional, and cognitive limitations as
    related by Dr. Jeffreys, it is unlikely that Mother’s ability to parent K.L. would have
    sufficiently improved within the relatively short period of time between removal and
    termination had the recommended counseling taken place. Moreover, as Mother was
    resistant to attending the counseling appointments actually scheduled by the Department,
    we will not admonish the Department for failing to secure others or for its inability to
    have Mother moved up on a waiting list.
    ¶41   The Dissent concludes that the Department failed to use “reasonable efforts” to
    ensure that Mother received a psychiatric assessment before there could be a
    determination that her unfitness to parent was unlikely to change within a reasonable
    time. Sarah Grotbo, a child protection specialist with the Department and Mother’s case
    worker, testified that she made referrals for psychiatric services to several different
    providers. For a psychiatric appointment at Benefis West, the wait was six months, and
    for Aware Services, the wait was a year.        Section 41-3-423, MCA, obligates the
    Department to make “reasonable efforts” to reunify families; however, the statue does not
    17
    define the term and indeed it would be impossible to do so, as each case must be
    evaluated on its own facts. But clearly the statute does not require herculean efforts.
    When faced with balancing the reservations of Dr. Jeffreys about Mother’s prospects of
    being able to parent even with mental health treatment and the substantial time it would
    take to secure such treatment, against the child’s need for permanency and stability, we
    cannot agree with the Dissent that more “reasonable efforts” were required.
    ¶42    Considering the paramount importance of K.L.’s best interests and given the
    abundant evidence presented to the District Court that (1) Mother had not completed the
    tasks set forth in her initial treatment plan between November 2011 and February 2013;
    (2) Mother’s condition was unlikely to change for the better within a reasonable time; and
    (3) significant bonding had occurred between K.L. and her foster parents and K.L. was
    experiencing an overall well-being in foster care, the District Court’s termination of
    Mother’s parental rights was not an abuse of the court’s discretion.
    CONCLUSION
    ¶43    We affirm.
    /S/ PATRICIA COTTER
    We concur:
    /S/ MIKE McGRATH
    /S/ LAURIE McKINNON
    /S/ JIM RICE
    18
    Justice Beth Baker concurring in part, dissenting in part.
    ¶44    I concur with the disposition of Father’s appeal.        I dissent from the Court’s
    decision to uphold the termination of Mother’s parental rights because I do not agree that
    the Department made the statutorily required reasonable efforts to provide her with
    needed mental health services.
    ¶45    Because “a natural parent’s right to care and custody of a child is a fundamental
    liberty interest,” a district court “must adequately address each applicable statutory
    requirement” before terminating an individual’s parental rights. In re Matter of A.T.,
    
    2003 MT 154
    , ¶ 10, 
    316 Mont. 255
    , 
    70 P.3d 1247
    . One such requirement is found in
    § 41-3-423(1), MCA, which provides:
    The department shall make reasonable efforts to prevent the necessity of
    removal of a child from the child’s home and to reunify families that have
    been separated by the state. Reasonable efforts include but are not limited
    to voluntary protective services agreements, development of individual
    written case plans specifying state efforts to reunify families, placement in
    the least disruptive setting possible, provision of services pursuant to a
    case plan, and periodic review of each case to ensure timely progress
    toward reunification or permanent placement. In determining preservation
    or reunification services to be provided and in making reasonable efforts at
    providing preservation or reunification services, the child’s health and
    safety are of paramount concern. [Emphases added.]
    We have observed that “the ‘reasonable efforts’ inquiry is relevant to abuse and neglect
    proceedings, in preventing the removal of a child or in working towards reunification of a
    family separated by the state.” In re D.B., 
    2007 MT 246
    , ¶ 25, 
    339 Mont. 240
    , 
    168 P.3d 691
    . The State points out that whether the Department made reasonable efforts is not a
    separate requirement for termination. But it certainly is not divorced from the analysis.
    Rather, it is a predicate to finding that the conduct or condition rendering a parent unfit is
    19
    unlikely to change within a reasonable time—one of the factors that is required for
    termination of the parent’s rights.     Section 41-3-609(1)(f)(ii), MCA.     Except when
    reunification efforts are not required by law, which is not the case here, a parent’s
    likelihood of regaining fitness to parent is informed by her progress on the treatment plan
    after “reasonable efforts” have been made to provide her with the tools to succeed.
    ¶46    In this case, Mother’s approved treatment plan required her to complete a
    psychological evaluation and to follow the psychologist’s recommendations and referrals
    regarding personal and family counseling.         As noted by the Court, that evaluation
    occurred in February 2012. Dr. Jeffreys found Mother to have both cognitive difficulties
    and a more serious thought disorder, which would require psychiatric evaluation and
    treatment. Dr. Jeffreys explained that her diagnostic impressions were “difficult to tease
    out because it’s hard to determine how much is a psychotic disorder and how much is
    mood disorder, and as she has not been medicated for any psychosis it’s difficult to
    determine which is which.” If the mental health issues were under control, Dr. Jeffreys
    observed, then the cognitive issues would be “more able to be dealt with.” But the
    mental health issues “are much more serious.” Dr. Jeffreys did not know whether Mother
    would be responsive to treatment for her “severe” mental health concerns and, as she is
    not a psychiatrist, Dr. Jeffreys could not prescribe medication or a course of treatment for
    those concerns.    She testified, “Until [Mother] is properly treated, it’s going to be
    difficult to ascertain exactly what the diagnosis is. Either way, the symptoms are severe
    and significant and preclude her ability to parent.”
    20
    ¶47    The Court responds to this testimony with two conclusions. First, it opines that
    the treatment plan appropriately required Mother to address her mental health concerns
    and that various service providers “attempted to help Mother address them” in light of the
    issues Dr. Jeffreys brought to light. Opinion, ¶ 34. Second, the Court holds that, given
    the severity of Mother’s myriad limitations, “it is unlikely that Mother’s ability to parent
    K.L. would have sufficiently improved within the relatively short period of time between
    removal and termination had the recommended counseling taken place.” Opinion, ¶ 40.
    I do not believe the necessary factual or legal predicates support these conclusions.
    ¶48    Angela Meyers, Mother’s domestic violence counselor, had not seen Dr. Jeffreys’
    report but learned some information about it from the Department’s caseworker. She
    testified that she also requested a psychiatric evaluation because she felt “there was more
    going on with [Mother]” and “wanted her assessed for more intense diagnosis as well as
    [possible] medication management.”        Testimony from other witnesses substantiates
    Dr. Jeffreys’ concerns about the extent of Mother’s mental health issues. She was noted
    to have been “mouthing words” to a non-existent person during at least one visitation
    session and to need “daily assistance” with managing her personal grooming and hygiene
    and with keeping appointments. The mental health professionals were in agreement that
    Mother’s mental health issues could not be addressed without psychiatric intervention.
    ¶49    Although the Court points out the testimony of the Department’s caseworker at the
    termination hearing that she had placed Mother on waiting lists for a psychiatric
    evaluation, she did not indicate when those referrals were made. Dr. Jeffreys’ evaluation
    occurred in February 2012 and the termination hearing was not until a year later; Grotbo
    21
    testified at the June 2012 hearing on the motion to extend temporary legal custody that
    she had received Dr. Jeffreys’ recommendations and Mother had contacted her about
    moving forward on them. There was no testimony that efforts had been made at that time
    to get Mother in to see a psychiatrist. Given the testimony at the termination hearing, had
    the referral been made when recommended, Mother likely could have been evaluated
    well before that hearing.
    ¶50    If Dr. Jeffreys is correct that Mother’s underlying mental health issues are
    “severe,” counseling alone is not going to address them. Moreover, given her “serious”
    limitations, Mother should not be faulted for not getting herself to a psychiatrist when
    even the Department could only get her on a waiting list. Without any assessment of her
    psychiatric condition, the list of Mother’s failures the Court recounts in ¶¶ 38-40 of its
    Opinion cannot be considered conclusive of whether Mother’s condition likely could
    change within a reasonable time if her underlying mental illness were treated. Until that
    “reasonable effort” is made and mental health treatment is explored, it is premature to
    conclude that Mother could not regain fitness to parent.
    ¶51    Further, that the child has been in foster care for many months is not insignificant,
    but it also is not dispositive. The Court correctly observes that the law requires a petition
    to terminate parental rights to be filed if a child has been in foster care for fifteen of the
    most recent twenty-two months, unless “the department has not provided the services
    considered necessary for the safe return of the child to the child’s home.” Section 41-3-
    604(1)(b), MCA.
    22
    ¶52    There are no easy decisions in these tragic cases. Courts struggle with balancing
    the child’s interest in permanency and stability against the parent’s fundamental liberty
    interests. All too often, mental health issues contribute to a parent’s inability to provide
    for the needs of her child; I recognize the challenges the Department faces to make
    limited services available to a growing number of parents facing these and similar
    obstacles. I have struggled in this case, knowing that K.L. has been in a foster placement
    for well over two years and is thriving in her current home and that, under the best of
    circumstances, Mother has a long road ahead. There are times, however, when the Court
    must recognize that the parent has not received what the law guarantees before her rights
    may be terminated. In this case, the law demanded that Mother receive an adequate
    psychiatric assessment before the Court could make a finding that the conditions
    rendering her unfit were unlikely to change within a reasonable time.
    ¶53    Accordingly, I would reverse the order terminating N.W.’s parental rights and
    remand for further proceedings.
    /S/ BETH BAKER
    23