State of Tennesse, Department of Children's Services v. Dedrus Peterson ( 2009 )


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  •                     IN THE COURT OF APPEALS OF TENNESSEE
    AT JACKSON
    Assigned on Briefs July 31, 2009
    STATE OF TENNESSEE, DEPARTMENT OF CHILDREN'S SERVICES v.
    DEDRUS PETERSON, ET AL.
    Direct Appeal from the Juvenile Court for Shelby County
    No. R5363/I5733    Herbert J. Lane, Judge
    No. W2009-00281-COA-R3-PT - Filed August 27, 2009
    This is a termination of parental rights case. Mother appeals the trial court's termination of her
    parental rights on grounds of persistence of conditions, abandonment by willful failure to visit or
    support, failure to substantially comply with the permanency plans, and mental incompetence.
    Finding that the grounds for termination of Mothers's parental rights are established by clear and
    convincing evidence in the record, and that termination is in the best interests of the minor children,
    we affirm.
    Tenn. R. App. P. 3. Appeal as of Right; Judgment of the Juvenile Court Affirmed
    J. STEVEN STAFFORD , J., delivered the opinion of the court, in which ALAN E. HIGHERS, P.J., W.S.,
    and DAVID R. FARMER , J., joined.
    Shantell S. Suttle, Cordova, Tennessee, for the Appellant, Dedrus Peterson.
    Robert E. Cooper, Jr., Attorney General and Reporter, and Michael E. Moore, Solicitor General,
    Amy T. McConnell, Assistant Attorney General, Nashville, Tennessee, for Appellee, State of
    Tennessee, Department of Children’s Services.
    OPINION
    Appellant D.P. (“Mother”) appeals the trial court’s termination of her parental rights to her
    six children, C.J.T. (D.O.B. 1/9/91), Q.P. (D.O.B. 2/15/94), A.P. (D.O.B. 7/15/96), J.S.P. (D.O.B.
    9/28/97), D.A.P. (D.O.B. 11/22/2000), and M.C.S.P. (D.O.B. 12/15/2003).1 The Tennessee
    Department of Children’s Services (“DCS,” or “Appellee”) first became involved with Mother in
    1
    The parental rights of the putative, known, and unknown fathers of these children were also terminated in
    the court’s final order. However, Mother is the sole Appellant herein.
    June 1997, when her children were taken into DCS custody. Custody was restored to Mother on
    April 20, 2000.
    On May 2, 2005, DCS again petitioned the court for a finding of dependency and neglect with
    a protective custody order being entered on May 2, 2005. In its protective custody order, the court
    found that Mother had been arrested on April 29, 2005, on robbery charges. According to the order,
    the arresting officers reported that they were responding to a warrant that had been issued against
    Mother’s boyfriend, who was on the Memphis Most Wanted list. They discovered Mother and her
    boyfriend in a hotel room, naked, and surrounded by drugs and weapons. The children, who were
    also in the room, were filthy, with the youngest child covered in dried feces. When she was arrested,
    Mother was pregnant with her seventh child. A hearing on the dependency and neglect petition was
    held and the children were found to be dependent and neglected on June 30, 2005. The children
    were placed with a foster family. When the children came into custody, they had physical scars and
    suffered nightmares. They would self-mutilate, hoard food, drink out of the toilet, wet the bed, and
    get into fights at school. The foster mother testified that M.C.S.P. had burns on her body when she
    first came into the foster home. This allegation is corroborated by a counselor from the foster
    agency, Camelot Care Center.
    On June 16, 2005, DCS devised the first set of permanency plans for the children. The goal
    was reunification with Mother by June 16, 2006. To achieve this goal, Mother was required to
    submit to a mental health assessment, a drug and alcohol assessment, and to follow the
    recommendations of both. She was to maintain a safe and stable home, with no health hazards, and
    was to show proof of employment and steady income. In addition, Mother was asked to maintain
    a bond with the children, by adhering to the visitation schedule, and by demonstrating parenting
    skills during her visits so as to meet the physical and emotional needs of the children. She was also
    required to attend parenting classes and counseling.2 The record indicates that Mother attended the
    plans’ staffing, and signed the plans, which were approved by the trial court on August 9, 2005.
    According to the record, DCS referred Mother to parenting classes at the Exchange Club,
    and to Midtown Mental Health for a mental health assessment. On September 21, 2005, Mother’s
    case manager attempted to transport Mother to the assessment, but she refused to go. At the hearing,
    Mother testified that she participated in the assessment at Midtown Mental Health in November
    2005; however, she did not provide copies of the results of that assessment, nor did she sign a release
    so that DCS could obtain the results. Mother did complete the parenting classes in November 2005.
    Around that time, DCS also assisted Mother in obtaining a house and furnishings.
    On December 27, 2005, the permanency plans were revised; however, the goal and
    achievement date remained unchanged. The revised plans required Mother to attend a meeting with
    Frayser Family Counseling to learn about treatment for C.J.T.’s ADHD (a requirement unique to
    C.J.T.’s plan). Mother was required to maintain her housing, and to attend the children’s school
    2
    Mother’s requirements were the same in each of the children’s plans. Any requirements that are unique to
    a specific child will be noted throughout; otherwise, the requirement is applicable to all of the children.
    -2-
    meetings. Mother was also required to attend mental health counseling in order to submit to a
    mental health evaluation and to follow the recommendations thereof. Mother signed these plans,
    which were approved by the trial court on January 1, 2006.
    On September 18, 2006, the permanency plans were revised for a third time. The plans had
    dual goals of reunification and adoption, with an achievement date of October 31, 2007. Mother was
    required to maintain safe, stable, and adequate housing, to participate in school meetings and
    decisions regarding the children’s health and to provide proof of financial stability. She was also
    required to complete a mental health evaluation, and to follow its recommendations. Mother was
    also expected to resolve her legal issues, and to conduct herself appropriately around the children
    and their foster parents. Mother agreed to the plans, which were approved by the trial court on
    November 7, 2006. In approving these plans, the Juvenile Court noted that DCS had been making
    reasonable efforts to reunite Mother with the children, by providing furnishings for her home,
    helping her to obtain a mental health assessment, and providing her with parenting classes. The
    court further found that Mother had completed the plans’ requirements that she obtain housing,
    attend parenting classes, and participate in a mental health evaluation. The record indicates that, in
    October 2006, Mother was evaluated at LeBonheur Center for Children and Parents (“CCP”). Dr.
    Sonny Gentry, who testified as an expert in clinical psychology at the hearing, performed the 2006
    evaluation of Mother. Dr. Gentry had also performed a previous evaluation in 1997. The earlier
    evaluation was performed due to “the severe physical abuse of the two older children.” Dr. Gentry
    testified that he had observed a deterioration in Mother’s parenting skills from 1997 to 2006. The
    CCP further observed that Mother had poor judgment and “no insight that any of her parenting
    behavior was [in]sufficient.” Furthermore, the 1997 CCP assessment tested her IQ at 74, which is
    in the borderline range of intellectual functioning, and “only four points above mildly mentally
    retarded.” The IQ test was not repeated during the 2006 evaluation because “intelligence is
    considered a stable trait, and from observations obtained in this psychology, it is thought that the
    assessment results remain accurate.” It was this low intellectual functioning combined with the
    psychological diagnosis of a personality disorder, and the denial of poor parenting skills that led CCP
    to opine that Mother has a high probability of abusing or neglecting the children again. Specifically,
    Dr. Gentry testified that Mother’s “prognosis for future improvement was very poor [and] we
    recommended that her parental rights be terminated.” Based upon this analysis, Dr. Gentry testified
    that, due to her poor insight and judgment, he did not believe that DCS could offer Mother any
    services that would remedy her parenting inadequacies. Dr. Gentry also noted that Mother was
    “surly and angry and defensive,” and that, “[g]iven her pattern of functioning for more than 10 years,
    I think her prognosis is virtually zero,” and that she is unlikely to change in the near future. CCP
    was ultimately unable to complete a full psychological assessment because Mother was
    uncooperative. DCS case manager, Dee Kangal, testified that CCP could have performed the
    required drug and alcohol assessment, but that Mother did not submit to these services.
    The 2006 CCS assessment also included psychiatric evaluations of the five oldest children.
    The report indicates that, when they entered foster care, “all five of those children had pretty
    significant behavior and emotional problems. They really are special needs children.” The report
    goes on to specify that the children “were aggressive, acting out, stealing things, taking their clothes
    -3-
    off, pretty serious behaviors.” The children gave CCP “multiple reports of physical abuse, emotional
    abuse...[and] [m]ultiple reports of their Mother not protecting them from her boyfriends, who did
    terrible things to them.” One of the children reported to the foster mother that Mother’s boyfriend
    had put him in the oven and in the trunk of a car. Dr. Gentry testified that a change in caretakers
    [i.e., removal from the foster family] would be “emotionally dramatic for these kids.”
    When M.C.S.P. entered DCS custody, she was diagnosed with failure to thrive. In 2006, at
    16 months old, her CCP evaluation revealed that she was still malnourished and was unable to hold
    her head upright. At the time of the trial, she was still underweight. J.S.P. was diagnosed with
    ADHD and needed counseling and medication. In 2008, she was placed in a special education class
    that provided tutoring in an effort to ready her for the correct grade level at school. When she first
    came into the foster home, J.S.P. displayed overt sexual behavior when playing with her dolls.
    Likewise, C.J.T. was diagnosed with “unruly behavior” and was prescribed psychotropic medication.
    At the time of the trial, Q.P. was no longer living in the foster home. In August 2008, he was
    deemed a danger to other children. After stabbing a child at school and sexually molesting a four-
    year-old boy, he was moved from the foster home into a “Level 3 ” placement.
    The foster mother testified that, once in her care, the children received counseling at their
    schools. They attended summer camps and participated in the Big Brothers and Big Sisters Club.
    The children also attend individualized educational programs, and received after-school tutoring.
    The record indicates that, since entering DCS’s custody, the children’s social skills have improved,
    they have been better behaved generally, and especially in school. The foster mother testified that
    she hopes to adopt all six children.
    The record indicates that visits between Mother and the children were consistent until the
    summer of 2006. The children’s foster Mother had been transporting the children to weekend visits
    at their grandmother’s home where, Mother testified, she was also present. However, in July 2006,
    the Juvenile Court terminated visitation with the grandmother after learning that the children should
    not be exposed to the grandmother’s husband, an alleged sexual predator. The last visit between
    Mother and the children was July 7, 2006. Mother testified that, once the children were kept from
    the grandmother’s house, she was no longer able to visit with them. However, Ms. Kangal testified
    that she offered to arrange a visit on July 20, 2006, but that Mother indicated that she did not want
    to see the children if their foster mother was present.
    On April 24, 2007, and in an amendment filed September 30, 2007 to add Q.P. and A.P. to
    the petition, DCS petitioned the court to terminate Mother’s parental rights. As grounds, the petition
    alleges that Mother is mentally incompetent to care for her children; that she has abandoned them
    by willful failure to visit or support, and by failing to establish a suitable home; that she has failed
    to substantially comply with the permanency plans, despite reasonable efforts on the part of DCS;
    and that she has failed to remedy persistent conditions, which prevent the safe return of the children.
    DCS further asserts that termination of Mother’s parental rights is in the best interest of the children.
    -4-
    The next permanency plan staffing was held on May 7, 2007. The goal was changed to
    adoption, but the achievement date remained October 31, 2007. Again, the plans require Mother to
    maintain stable, safe, and adequate housing, to maintain the furnishings and appliances provided to
    her by DCS, to participate in the children’s school meetings, and health appointments, and to provide
    proof of stable income. Furthermore, Mother was required to provide her mental health records to
    DCS, and to complete psychiatric evaluations. In addition, she was to attend and complete
    appropriate parenting classes, and anger management classes if recommended. She was to resolve
    her legal issues, display appropriate conduct with her children and their foster parents, and maintain
    contact with DCS. Mother signed these plans, which were approved by the court.
    In October 2007, DCS filed an affidavit of reasonable efforts that it had made to reunite
    Mother with the children. DCS averred that it had referred Mother to parenting classes at the
    University of Tennessee, and to Midtown Mental Health for a full psychiatric evaluation. DCS also
    attested to the fact that it had provided Mother with furnishings and appliances for the home. The
    trial court found that these efforts were reasonable, but that Mother had failed to comply with the
    permanency plans as her current whereabouts were unknown, and she had not maintained stable
    housing, nor completed a full psychiatric evaluation.
    A final set of permanency plans was devised on September 20, 2007. The goal of adoption
    and Mothers’s requirements remained unchanged. Mother did not participate in this staffing. On
    August 21, 2006, after the children were taken into custody, Mother pled guilty to the crimes she had
    committed prior to losing custody. These included felony theft over $1,000 (committed on January
    6, 2005), felony identity theft (committed on July 14, 2004), and misdemeanor theft under $500 (also
    committed on July 14, 2004). Mother was placed on probation for two years; however, in November
    2008, she was incarcerated for six outstanding warrants. At the time of the hearing, Mother was still
    incarcerated and was pregnant with her ninth child. Although she testified that she expected to be
    released in January 2009, she admitted that she did not know where she would live after her release.
    According to DCS’s proof, Mother never paid child support. Mother testified that she was
    employed for a month and a half in 2005 or 2006, but that she did not pay support during this time.
    She admitted that she had not provided DCS with any proof of income.
    DCS’s petition to terminate Mother’s parental rights was heard by the Juvenile Court of
    Shelby County on November 24-25, 2008. In an order filed on January 6, 2009, and in an amended
    order filed on April 6, 2009, the trial court terminated Mother’s parental rights on grounds of
    persistence of conditions, abandonment by willful failure to visit or support, failure to substantially
    comply with the permanency plans, and mental incompetence. The court also specifically found that
    DCS had made reasonable efforts to aid Mother, and that termination of her parental rights was in
    the best interests of the children. Mother appeals and raises five issues for review as stated in her
    brief:
    -5-
    I. Whether the trial court erred by finding that there was clear and
    convincing evidence that [Mother] abandoned her children by
    willfully failing to visit.
    II. Whether the trial court erred by finding that there was clear and
    convincing evidence that [Mother] had not substantially complied
    with the permanency plan.
    III. Whether the trial court erred by finding that there was clear and
    convincing evidence that [Mother] was incompetent such that her
    parental rights should be terminated.
    IV. Whether the trial court erred by finding that there was clear and
    convincing evidence that there were persistent conditions that warrant
    termination of [Mother’s] parental rights.
    V. Whether the trial court erred by finding that termination of
    [Mother’s] parental rights was in the best interests of the children.
    A parent has a fundamental right to the care, custody, and control of his or her child. Stanley
    v. Illinois, 
    405 U.S. 645
    , 651 (1972); Nash-Putnam v. McCloud, 
    921 S.W.2d 170
    , 174 (Tenn.1996).
    Thus, the state may interfere with parental rights only if there is a compelling state interest.
    Nash-Putnam, 921 S.W.2d at 174-75 (citing Santosky v. Kramer, 
    455 U.S. 745
     (1982)). Our
    termination statutes identify “those situations in which the state's interest in the welfare of a child
    justifies interference with a parent's constitutional rights by setting forth grounds on which
    termination proceedings can be brought.” In re W.B., Nos. M2004-00999-COA-R3-PT,
    M2004-01572-COA-R3-PT, 
    2005 WL 1021618
    , at *7 (Tenn.Ct.App. Apr. 29, 2005) (citing
    Tenn.Code Ann. § 36-1-113(g)). A person seeking to terminate parental rights must prove both the
    existence of one of the statutory grounds for termination and that termination is in the child's best
    interest. In re D.L.B., 
    118 S.W.3d 360
    , 367 (Tenn.2003); In re Valentine, 
    79 S.W.3d 539
    , 546
    (Tenn.2002); Tenn.Code Ann. § 36-1-113©.
    Because of the fundamental nature of the parent's rights and the grave consequences of the
    termination of those rights, courts must require a higher standard of proof in deciding termination
    cases. Santosky, 455 U.S. at 769. Consequently, both the grounds for termination and the best
    interest inquiry must be established by clear and convincing evidence. Tenn.Code Ann. §
    36-3-113(c)(1); In re Valentine, 79 S.W.3d at 546. Clear and convincing evidence “establishes that
    the truth of the facts asserted is highly probable ... and eliminates any serious or substantial doubt
    about the correctness of the conclusions drawn from the evidence.” In re M.J.B., 
    140 S.W.3d 643
    ,
    653 (Tenn.Ct.App.2004). Such evidence “produces in a fact-finder's mind a firm belief or conviction
    regarding the truth of the facts sought to be established.” Id. at 653.
    -6-
    In light of the heightened standard of proof in these cases, a reviewing court must adopt the
    customary standard of review set forth by Tenn. R. App. P. 13(d). As to the court's findings of fact,
    our review is de novo with a presumption of correctness unless the evidence preponderates
    otherwise, in accordance with Tenn. R.App. P. 13(d). Id. We must then determine whether the facts,
    as found by the trial court or as supported by the preponderance of the evidence, clearly and
    convincingly establish the elements necessary to terminate parental rights. Id.
    The trial court terminated Mother’s parental rights on several grounds: (1) persistence of
    conditions pursuant to Tenn. Code Ann. § 36-1-113(g)(3); (2) abandonment by willful failure to visit
    or support pursuant to Tenn. Code Ann. § 36-1-113(g)(1); (3) failure to substantially comply with
    the permanency plans pursuant to Tenn. Code Ann. § 36-1-113(g)(2); and (4) mental incompetence
    pursuant to Tenn. Code Ann. § 36-1-113(g)(8). We will address each of these grounds in turn to
    determine whether DCS proved each by clear and convincing evidence.
    Persistence of Conditions
    Tenn.Code Ann. § 36-1-113(g)(3) provides:
    (3) The child has been removed from the home of the parent or
    guardian by order of a court for a period of six (6) months and:
    (A) The conditions that led to the child's removal or
    other conditions that in all reasonable probability
    would cause the child to be subjected to further abuse
    or neglect and that, therefore, prevent the child's safe
    return to the care of the parent(s) or guardian(s), still
    persist;
    (B) There is little likelihood that these conditions will
    be remedied at an early date so that the child can be
    safely returned to the parent(s) or guardian(s) in the
    near future; and
    (C) The continuation of the parent or guardian and
    child relationship greatly diminishes the child's
    chances of early integration into a safe, stable and
    permanent home;
    In In re Audrey S., 
    182 S.W.3d 838
     (Tenn. Ct. App. 2005), this Court held that, “based upon
    the statutory text and its historical development, Tenn.Code Ann. § 36-1-113(g)(3) [grounds of
    persistence of conditions] applies as a ground for termination of parental rights only where the prior
    court order removing the child from the parent's home was based on a judicial finding of
    dependency, neglect, or abuse.” As stated above the trial court adjudicated these children to be
    dependent and neglected on June 30, 2005. The specific conditions that led to this determination
    were that Mother and the children were found in a hotel room with a wanted felon and the children
    -7-
    were not properly cared for (in terms of their hygiene, nutrition, and general welfare and safety). At
    that time, Mother had no income, and no adequate housing. Moreover, she failed to demonstrate a
    present ability to properly care for the children.
    At the time of the hearing, these conditions had not been remedied. The record indicates that
    Mother had not visited the children since 2006. On the day of trial, Mother was an inmate of the
    Shelby County Correctional Center; consequently, she had no housing and no employment. Dr.
    Gentry further testified that Mother’s CCP prognosis was that her mental state was such that she will
    likely never be able to properly care for the children, and that she had made virtually no progress
    toward that end in the three years since the children had been in DCS custody. From the record as
    a whole, we conclude that there is clear and convincing evidence to support the trial court’s finding
    that the conditions that led to the removal of the children from Mother’s custody (more than three
    years prior to the hearing) had not been sufficiently remedied so that the children might be returned
    to her.
    Abandonment
    Tenn.Code Ann. § 36-1-102(1)(A) defines abandonment, in relevant part, as follows:
    (1)(A) For purposes of terminating the parental or guardian rights of
    parent(s) or guardian(s) of a child to that child in order to make that
    child available for adoption, “abandonment” means that:
    (i) For a period of four (4) consecutive months immediately preceding
    the filing of a proceeding or pleading to terminate the parental rights
    of the parent(s) or guardian(s) of the child who is the subject of the
    petition for termination of parental rights or adoption, that the
    parent(s) or guardian(s) either have willfully failed to visit or have
    willfully failed to support or have willfully failed to make reasonable
    payments toward the support of the child;
    (ii) The child has been removed from the home of the parent(s) or
    guardian(s) as the result of a petition filed in the juvenile court in
    which the child was found to be a dependent and neglected child, as
    defined in § 37-1-102, and the child was placed in the custody of the
    department or a licensed child-placing agency, that the juvenile court
    found, or the court where the termination of parental rights petition
    is filed finds, that the department or a licensed child-placing agency
    made reasonable efforts to prevent removal of the child or that the
    circumstances of the child's situation prevented reasonable efforts
    from being made prior to the child's removal; and for a period of four
    (4) months following the removal, the department or agency has made
    reasonable efforts to assist the parent(s) or guardian(s) to establish a
    suitable home for the child, but that the parent(s) or guardian(s) have
    made no reasonable efforts to provide a suitable home and have
    -8-
    demonstrated a lack of concern for the child to such a degree that it
    appears unlikely that they will be able to provide a suitable home for
    the child at an early date;
    “For purposes of this subdivision (1), willfully failed to visit means the willful failure, for
    a period of four (4) consecutive months, to visit or engage in more than token visitation.” Tenn.Code
    Ann. § 36-1-102(1)(E). Token visitation “means that the visitation, under the circumstances of the
    individual case, constitutes nothing more than perfunctory visitation or visitation of such an
    infrequent nature or of such short duration as to merely establish minimal or insubstantial contact
    with the child.” Tenn.Code Ann. § 36-1-102(1)©.
    The record demonstrates that, since the children came into protective custody, Mother has
    provided no support. By her own testimony, Mother is able bodied and capable of working to
    support the children. Despite the fact that she testified that she was employed during some period
    of 2006, she admitted that she did not pay support during the time that she worked. Moreover, both
    the foster parents, and the DCS case manager testified that the children had not received anything
    (e.g., cards, gifts) from Mother since they came into custody. In short, Mother has made no efforts
    to support her children, and has provided no justifiable excuse for this failure.
    Concerning visitation, the record demonstrates that DCS has made numerous attempts to
    assist Mother in visiting the children. However, Mother had not visited in the four months
    immediately preceding the filing of the petition to terminate and, in fact, had not visited since 2006.
    From the record as a whole, we conclude that there is clear and convincing evidence to support the
    trial court’s finding that Mother has abandoned these children both in her failure to provide support,
    and in her failure to visit.
    Failure to Substantially Comply with the Permanency Plans
    Mother’s parental rights were also terminated on the ground of failure to substantially comply
    with her responsibilities as set out in the permanency plans. Tenn Code Ann.. § 36-1-113(g)(2). As
    discussed by this Court in In re M.J.B., 
    140 S.W.3d 643
     (Tenn. Ct. App.2004):
    Terminating parental rights based on Tenn. Code Ann. §
    36-1-113(g)(2) requires more proof than that a parent has not
    complied with every jot and tittle of the permanency plan. To succeed
    under Tenn.Code Ann. § 36-1-113(g)(2), the Department must
    demonstrate first that the requirements of the permanency plan are
    reasonable and related to remedying the conditions that caused the
    child to be removed from the parent's custody in the first place, In re
    Valentine, 79 S.W.3d at 547; In re L.J.C., 
    124 S.W.3d 609
    , 621
    (Tenn. Ct. App.2003), and second that the parent's noncompliance is
    substantial in light of the degree of noncompliance and the
    importance of the particular requirement that has not been met. In re
    -9-
    Valentine, 79 S.W.3d at 548-49; In re Z.J.S., 
    2003 WL 21266854
    ,
    at *12. Trivial, minor, or technical deviations from a permanency
    plan's requirements will not be deemed to amount to substantial
    noncompliance. In re Valentine, 79 S.W.3d at 548; Department of
    Children's Servs. v. C.L., No. Tenn. R.App. P. 11 application filed).
    Id. at 656-57.
    As set out in more detail above, Mother’s responsibilities under the parenting plans include:
    (1) maintain stable housing, (2) show proof of employment and steady income, (3) participate with
    the children, including visitation, school, and health care, (4) submit to CCP evaluation and follow
    all recommendations thereof, (5) resolve pending legal matters, and (6) act in a non-threatening
    manner when dealing with department personnel and the foster parents. These plans were ratified
    by the court, and, following our review, we agree that the plans are reasonable and related to the
    reasons that the minor children came into custody. Despite the fact that she participated in the
    majority of the staffings, and signed the plans, the record demonstrates that she has failed to
    substantially comply with any of her plan requirements. Giving her every benefit of the doubt, at
    most, this Court can find that she only complied with the CCP assessment task, but ultimately did
    not complete the evaluation as she did not return for one of the assessments. From the record as a
    whole, there is clear and convincing evidence to support the trial court’s finding that mother failed
    to substantially comply with the reasonable responsibilities contained in the plans.
    Mental Incompetence
    Tenn. Code Ann. § 36-1-113(g)(8)(B) provides that:
    The court may terminate the parental or guardianship rights of that
    person if it determines on the basis of clear and convincing evidence
    that:
    (i) The parent or guardian of the child is incompetent
    to adequately provide for the further care and
    supervision of the child because the parent's or
    guardian's mental condition is presently so impaired
    and is so likely to remain so that it is unlikely that the
    parent or guardian will be able to assume or resume
    the care of and responsibility for the child in the near
    future;
    Dr. Gentry testified, concerning the 2006 CCP evaluation, that Mother “did not have the
    capability of providing her children with a safe and loving home and any child in her care would be
    at risk for harm.” Dr. Gentry further testified that mother’s condition had not changed from 1997,
    when she was first interviewed by CCP. Moreover, Dr. Gentry testified that Mother’s IQ of 74,
    along with her self-defeating behaviors, renders her overall prognosis poor. Dr. Gentry opined that
    -10-
    social services would not be able to remedy Mother’s condition. CCP ultimately recommended
    termination of Mother’s parental rights, a recommendation made in only 3-5% of CCP’s cases.
    From the totality of the circumstances, we conclude that there is clear and convincing evidence that
    Mother’s current mental health, and her ongoing prognosis, make her incompetent to care for these
    children.
    Best Interests
    Before a court in this State can terminate a biological parent's parental rights, it must find that
    doing so is in the best interest of the child. See Tenn Code Ann. § 36-1-113(c)(2). In determining
    whether termination of parental rights is in a child's best interest, the lower court must consider the
    following factors:
    (1) Whether the parent or guardian has made such an adjustment of
    circumstance, conduct, or conditions as to make it safe and in the
    child's best interest to be in the home of the parent or guardian;
    (2) Whether the parent or guardian has failed to effect a lasting
    adjustment after reasonable efforts by available social services
    agencies for such duration of time that lasting adjustment does not
    reasonably appear possible;
    (3) Whether the parent or guardian has maintained regular visitation
    or other contact with the child;
    (4) Whether a meaningful relationship has otherwise been established
    between the parent or guardian and the child;
    (5) The effect a change of caretakers and physical environment is
    likely to have on the child's emotional, psychological and medical
    condition;
    (6) Whether the parent or guardian, or other person residing with the
    parent or guardian, has shown brutality, physical, sexual, emotional
    or psychological abuse, or neglect toward the child, or another child
    or adult in the family or household;
    (7) Whether the physical environment of the parent's or guardian's
    home is healthy and safe, whether there is criminal activity in the
    home, or whether there is such use of alcohol or controlled substances
    as may render the parent or guardian consistently unable to care for
    the child in a safe and stable manner;
    (8) Whether the parent's or guardian's mental and/or emotional status
    would be detrimental to the child or prevent the parent or guardian
    from effectively providing safe and stable care and supervision for the
    child; or
    (9) Whether the parent or guardian has paid child support consistent
    with the child support guidelines promulgated by the department
    pursuant to § 36-5-101.Tenn. Code Ann. § 36-1-113(i).
    -11-
    This list is not exhaustive, and the statute does not require the court to find the existence of
    every factor before concluding that termination is in a child's best interest. State v. T.S.W., No.
    M2001-01735-COA-R3-JV, 
    2002 WL 970434
     (Tenn. Ct. App. May 10, 2002).
    Based upon the foregoing discussion, it is clear that Mother has failed to make an adjustment
    of circumstances, conduct, or conditions so as to make it safe and in the children’s best interests to
    be with her. Despite reasonable efforts on the part of DCS, Mother has failed to make a lasting
    adjustment and, in fact, it appears that such adjustment may not be possible. Mother has failed to
    support the children, and has failed to visit the children. Because of her absence from their lives, no
    meaningful relationship has developed between Mother and the children.
    The record indicates that the children have done well in foster care. They have received
    proper services for their respective special needs, they have found stability, and have received proper
    care and love for perhaps the first time in their young lives. The foster parents have also expressed
    a desire to adopt. Because Mother has failed to make the difficult changes that would be necessary
    in order for her to take custody, and because the children are currently in a stable, caring, and loving
    environment, where they have a possibility of adoption, we conclude that termination of Mother’s
    parental rights is in the children’s best interests.
    For the foregoing reasons, we affirm the order of the trial court. Costs of this appeal are
    assessed against the Appellant, Mother and her surety.
    ___________________________________
    J. STEVEN STAFFORD, J.
    -12-