In Re Kolton C. ( 2019 )


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  •                                                                                                              11/26/2019
    IN THE COURT OF APPEALS OF TENNESSEE
    AT KNOXVILLE
    Assigned on Briefs November 1, 2019
    IN RE: KOLTON C.
    Appeal from the Chancery Court for Bradley County
    No. 2018-CV-227 Jerri Bryant, Chancellor
    ___________________________________
    No. E2019-00736-COA-R3-PT
    ___________________________________
    This is a termination of parental rights case. Mother/Appellant appeals the trial court’s
    termination of her parental rights to the minor child on the grounds of: (1) severe child
    abuse, Tenn. Code Ann. § 36-1-113(g)(4); and (2) abandonment by willful failure to visit
    and to support, Tenn. Code Ann. §§ 36-1-113(g)(1), § 36-1-102(1)(A)(i). Mother also
    appeals the trial court’s determination that termination of her parental rights is in the
    child’s best interest. Because Appellee did not meet her burden to show that Mother
    failed to support the child, we reverse the trial court’s termination of parental rights as to
    this ground. We affirm the trial court’s termination of Mother’s parental rights on the
    grounds of severe child abuse and failure to visit, and on its finding that termination of
    Appellant’s parental rights is in the child’s best interest.
    Tenn. P. App. P. 3 Appeal as of Right; Judgment of the Chancery Court
    Reversed in Part; Affirmed in Part; and Remanded
    KENNY ARMSTRONG, J., delivered the opinion of the court, in which THOMAS R.
    FRIERSON, II, and W. NEAL MCBRAYER, JJ., joined.
    Bradley N. Wilson, Cleveland, Tennessee, for the appellant, Cassandra C.1
    H. Franklin Chancey, and Rachel Fisher, Cleveland, Tennessee, for the appellee, Erin S.
    OPINION
    I. Background
    Kolton C. (“Child”) was born in February 2018 to Cassandra C. (“Appellant,” or
    1
    In cases involving minor children, it is the policy of this Court to redact the parties’ names so as
    to protect their identities.
    “Mother”) and Brandon S. (“Father”).2 Mother and Father were never married. The
    Child was born addicted to heroin, which Mother admitted to using during the pregnancy
    and up to two days before delivery. Erin S. (“Appellee”) is a nurse at the hospital where
    Mother gave birth to the Child. After learning from a co-worker that Mother had
    expressed an interest in adoption, Erin S. met with Mother to discuss that option. With
    Mother’s approval on February 22, 2018, Erin S. filed a petition, in the Polk County
    Juvenile Court seeking temporary custody of the Child. The juvenile court granted the
    petition, and the Child has remained with Erin S. since March 2018.
    On March 6, 2018, Mother voluntarily entered into a thirteen-month rehabilitation
    program with Teen Challenge located in Knoxville, Tennessee. According to the record,
    the facility allows limited calls and visits for patients. In order to receive visitors,
    patients must list approved visitors on a correspondence authorization form. Although
    Mother was aware of this requirement, it is undisputed that she did not list Erin S. or the
    Child on her form.
    On March 28, 2018, the juvenile court held a dependency and neglect hearing.
    Despite notice, Mother neither appeared nor filed any responsive pleading. By order of
    April 28, 2018, the juvenile court found the Child to be dependent and neglected because
    the Child was born drug-exposed and neither parent was able to support or care for him.
    The juvenile court continued temporary custody with Erin S. and gave her sole discretion
    concerning visitation.
    On July 12, 2018, Erin S. filed in the Bradley County Chancery Court (“trial
    court”), a petition for adoption and to terminate Mother’s parental rights. As grounds for
    termination of Mother’s parental rights, Appellee averred that Mother: (1) committed
    severe child abuse by using drugs while the Child was in utero; (2) abandoned the Child
    by failing to visit; and (3) abandoned the Child by failing to provide support. Appellee
    also averred that termination of Mother’s parental rights was in the Child’s best interest.
    On her pauper’s oath, the trial court appointed an attorney to represent Mother and
    appointed a guardian ad litem for the Child. Mother filed an answer to the petition,
    wherein she denied all grounds and contested that termination of her parental rights was
    in the Child’s best interest.
    The trial court heard the petition for termination of parental rights on February 4
    and February 14, 2019. By order of March 25, 2019, the trial court terminated Mother’s
    parental rights on all grounds averred in Appellee’s petition and on its finding that
    termination of Mother’s parental rights is in the Child’s best interest. Mother appeals.
    2
    Father surrendered his parental rights on January 29, 2019. He is not a party to this appeal.
    -2-
    II. Issues
    There are two dispositive issues, which we state as follows:
    1. Whether there is clear and convincing evidence to support any of the grounds the trial
    court relied on in terminating Mother’s parental rights?
    2. If so, whether there is clear and convincing evidence to support the trial court’s
    determination that termination of Mother’s parental rights is in the Child’s best interest?
    III. Standard of Review
    Under both the United States and Tennessee Constitutions, 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 when a compelling interest
    exists. 
    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. Tenn. Code
    Ann. § 36-1-113(c); In re D.L.B., 
    118 S.W.3d 360
    , 367 (Tenn. 2003); In re Valentine,
    
    79 S.W.3d 539
    , 546 (Tenn. 2002).
    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
    . Accordingly, both the
    grounds for termination and that termination of parental rights is in the child’s best
    interest 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), perm. app. denied
    (Tenn. July 12, 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. In light
    of the heightened standard of proof in termination of parental rights cases,
    a reviewing court must modify the customary standard of review in Tennessee Rule of
    Appellate Procedure 13(d). On appeal, we review the trial court’s findings of fact “de
    novo on the record, with a presumption of correctness of the findings, unless the
    -3-
    preponderance of the evidence is otherwise.” In re Taylor B.W., 
    397 S.W.3d 105
    , 112
    (Tenn. 2013); Tenn. R. App. P. 13(d). We must then make our “own determination
    regarding whether the facts, either as found by the trial court or as supported by a
    preponderance of the evidence, provide clear and convincing evidence that supports all
    the elements of the termination claim.” In re Bernard T., 
    319 S.W.3d 586
    , 596-97
    (Tenn. 2010). We review the trial court’s conclusions of law de novo with no
    presumption of correctness. In re J.C.D., 
    254 S.W.3d 432
    , 439 (Tenn. Ct. App. 2007).
    IV. Grounds for Termination of Parental Rights
    Although only one ground must be proven by clear and convincing evidence in
    order to terminate a parent’s rights, the Tennessee Supreme Court has instructed this
    Court to review every ground relied upon by the trial court to terminate parental rights in
    order to prevent “unnecessary remands of cases.” In re Angela E., 
    303 S.W.3d 240
    , 251
    n.14 (Tenn. 2010). Accordingly, we will review all of the foregoing grounds.
    A. Severe Child Abuse
    The trial court found, by clear and convincing evidence, that Mother’s parental
    rights should be terminated on the ground of severe child abuse. Tenn. Code Ann. § 36-
    1-113(g)(4). Tennessee Code Annotated section 36-1-113(g)(4) provides that a ground
    for terminating parental rights exists if:
    The parent or guardian has been found to have committed severe child
    abuse as defined in § 37-1-102, under any prior order of a court or is found
    by the court hearing the petition to terminate parental rights or the petition
    for adoption to have committed severe child abuse against any child[.]
    Tenn. Code Ann. § 36-1-113(g)(4). Tennessee Code Annotated section 37-1-102 defines
    “severe child abuse,” in relevant part, as “[t]he knowing exposure of a child to or the
    knowing failure to protect a child from abuse or neglect that is likely to cause serious
    bodily injury or death[.]” Tenn. Code Ann. § 37-1-102(b)(22)(A)(i).
    In its order terminating Appellant’s parental rights, the trial court made the
    following relevant findings concerning severe child abuse:
    Respondent, CASSANDRA [C.], admitted that she used illegal drugs while
    pregnant. . . . Respondent, CASSANDRA [C.], admitted to medical care
    professionals that she used illegal drugs specifically heroin, two (2) days
    before the birth of the minor child. . . . The deposition of the minor child’s
    pediatrician establishes that the minor child tested positive for drugs at birth
    and was diagnosed with Neonatal Abstinence Syndrome resulting in his
    transfer to NICU. . . . The minor child remained hospitalized for about
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    three (3) weeks and, after his discharge on March 2, 2018, Petitioner, ERIN
    [S.], helped him with his continuing withdrawal which lasted for over two
    (2) months.
    It is undisputed that Mother used illegal drugs throughout her pregnancy and up to
    two days before the Child was born. According to the testimony of his pediatrician, the
    Child required treatment for Neonatal Abstinence Syndrome. The Child was kept in the
    Newborn Intensive Care Unit (“NICU”) for three weeks after his birth. Furthermore, the
    Child’s pediatrician testified that “when we follow children who have had significant
    drug exposure in utero, as this child has, we anticipate developmental delays and
    emotional delays that can be longstanding.”
    In her brief, Mother concedes that “Custodian [Erin S.,] satisfied the burden of
    proof as to severe child abuse under case law.” Nonetheless, Mother maintains that
    “current case law interpreting the definition of severe abuse to include in utero drug use
    contravenes a public policy of fostering and promoting addiction treatment rather than
    allowing such problems to linger untreated in the shadows.” This Court has very recently
    addressed this argument. In In re Colton, No. M2018-01053-COA-R3-PT, 
    2018 WL 5415921
    (Tenn. Ct. App. Oct. 29, 2018), we explained that
    [f]or over a decade, this Court has held that prenatal drug use constitutes
    severe child abuse for purposes of terminating parental rights. See In
    Matter of M.J.J., No. M2004-02759-COA-R3-PT, 
    2005 WL 873305
    , at *8
    (Tenn. Ct. App. Apr. 14, 2005). In In re Benjamin M., 
    310 S.W.3d 844
    ,
    846-51 (Tenn. Ct. App. 2009), we discussed the issue in great detail in light
    of a parent’s argument that a “child” within the meaning of the statute
    “does not include a fetus.” 
    Id. at 847.
    We agreed with DCS that this
    argument “misses the point because the fetus did not stay a fetus but
    became a child that sustained injury at the hand of the Mother.” 
    Id. As a
          result, we concluded that a parent may be held responsible for prenatal
    conduct that exposes a child, once born, to great bodily harm. 
    Id. We also
          considered the mother’s arguments regarding whether a fetus is a child or a
    person within the meaning of criminal law and wrongful death actions but
    found that neither argument was helpful in a parental termination case.
    
    Id. at 849-50.
    We ultimately concluded that “the statutory language
    defining severe child abuse clearly reflects an intent that actions before a
    child is born can constitute abuse to a child that is born injured by those
    actions.” 
    Id. at 850.
    Consequently, “[w]hen a child is born alive but
    injured, the pre-birth timing of the actions is not dispositive.” 
    Id. at 850-
          51.
    In numerous cases since Benjamin M., this Court has repeatedly
    confirmed that severe child abuse can be based on a mother’s prenatal drug
    -5-
    use. See, e.g., In re P.T.F., No. E2016-01077-COA-R3-PT, 
    2017 WL 2536847
    , at *5 (Tenn. Ct. App. June 12, 2017) (“This Court has
    consistently upheld termination of a mother’s parental rights on the ground
    of severe child abuse when she has used drugs during pregnancy.”); In re
    Garvin M., 
    2014 WL 1887334
    , at *5 (“there are numerous cases holding
    that a mother’s use of drugs while pregnant can constitute severe child
    abuse”); In re Shannon P., No. E2012-00445-COA-R3-PT, 
    2013 WL 3777174
    , at *5 (Tenn. Ct. App. July 16, 2013) perm. app. denied (Tenn.
    Oct. 16, 2013) (“there is substantial case law supporting a finding of severe
    child abuse for a parent exposing a child to drugs in utero”); In re Ethin
    E.S., No. E2011-02478-COA-R3-PT, 
    2012 WL 1948817
    , at *8 (Tenn. Ct.
    App. May 31, 2012) (“this Court has repeatedly held that a mother’s
    prenatal drug use can constitute severe child abuse in termination of
    parental rights cases”); In re Joshua E.R., No. W2011-02127-COA-R3-
    PT, 
    2012 WL 1691620
    , at *3 (Tenn. Ct. App. May 15, 2012) (“In light of
    our prior holdings, and the supreme court and General Assembly’s
    disinclination to overrule them, we continue to hold that prenatal drug
    abuse may constitute severe child abuse for the purpose of terminating
    parental rights.”); In re B.A.C., 
    317 S.W.3d 718
    , 725 (Tenn. Ct. App.
    2009) (“we are content to rely on the reasoning set forth in . . . In re
    Benjamin M. . . . thoroughly addressing the question of whether prenatal
    drug use may constitute severe child abuse”). This long line of cases
    “demonstrate[s] the uniform view of this Court that prenatal drug use does,
    in fact, constitute severe child abuse.” In re P.T.F., 
    2017 WL 2536847
    , at
    *4. “A child has the right ‘to begin life free from the impairment of drug
    addiction and other ill effects of prenatal drug abuse.’” 
    Id. at *5
          (quoting In re Benjamin 
    M., 310 S.W.3d at 849
    ).
    In re Colton, 
    2018 WL 5415921
    , at *7-8 (footnote omitted). We decline to deviate from
    these holdings. Turning to the record, there is undisputed evidence that Mother used
    illegal drugs up to two days before the Child was born. The Child’s exposure to these
    illicit drugs required treatment in the NICU for three weeks. Thereafter, the Child
    continued to experience withdrawal symptoms for an additional two months. According
    to his pediatrician, the Child may experience emotional and developmental delays such
    that the full extent of his injuries from drug exposure may not be known for years. There
    is no dispute that Mother knowingly exposed this Child to drugs, which exposure has and
    is likely to continue to cause him injury. From the record, there is clear and convincing
    evidence to support the trial court’s termination of Mother’s parental right on the ground
    of severe child abuse.
    B. Abandonment
    The trial court also terminated Mother’s parental rights on the ground of
    -6-
    abandonment by failure to visit and failure to support. We begin with the ground of
    abandonment generally. In pertinent part, Tennessee Code Annotated section 36-1-
    113(g) provides:
    (g) Initiation of termination of parental or guardianship rights may be based
    upon any of the grounds listed in this subsection (g). The following
    grounds are cumulative and nonexclusive, so that listing conditions, acts or
    omissions in one ground does not prevent them from coming within another
    ground:
    (1) Abandonment by the parent or guardian, as defined in § 36-1-102, has
    occurred . . .
    Tenn. Code Ann. § 36-1-113(g)(1). Tennessee Code Annotated section 36-1-102 defines
    “abandonment,” in relevant part, as follows:
    (1)(A) For purposes of terminating the parental or guardian rights of a
    parent or parents or a guardian or guardians 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, pleading, petition, or any amended petition to
    terminate the parental rights of the parent or parents or the guardian or
    guardians of the child who is the subject of the petition for termination of
    parental rights or adoption, that the parent or parents or the guardian or
    guardians either have failed to visit or have failed to support or have failed
    to make reasonable payments toward the support of the child;
    Tenn. Code Ann. § 36-1-102(1)(A)(i). Prior to 2018, the statutory definition of
    abandonment placed the burden of proof on the petitioner to show that the parent’s failure
    to visit or failure to support was “willful.”
    In 2018, the General Assembly amended the statute to shift the burden of proof to
    the parent or guardian to show that his or her failure to support or visit was not willful.
    For cases filed on or after July 1, 2018, Tennessee Code Annotated section 36-1-
    102(1)(I) now provides that
    For purposes of this subdivision (1), it shall be a defense to abandonment
    for failure to visit or failure to support that a parent or guardian’s failure to
    visit or support was not willful. The parent or guardian shall bear the
    burden of proof that the failure to visit or support was not willful. Such
    defense must be established by a preponderance of evidence. The absence
    of willfulness is an affirmative defense pursuant to Rule 8.03 of the
    -7-
    Tennessee Rules of Civil Procedure
    Tenn. Code Ann. § 36-1-102(1)(I). Here, Appellee filed her petition on July 12, 2018;
    accordingly, Mother has the burden to show that her failure to visit and failure to support
    the Child was not willful. As stated in the final order, the trial court applied the correct
    standard in this case, to-wit:
    The Court finds based on the record that there is sufficient evidence to
    warrant a determination that Respondent, CASSANDRA [C.], abandoned
    the minor child by failing to support and engaging in only token visitation.
    Respondent, CASSANDRA [C.], must provide by preponderance of the
    evidence, that her failure to visit and support the minor child was not
    willful.
    Concerning the concept of willfulness in the context of abandonment for purposes of
    termination of parental rights, this Court has stated:
    In the statutes governing the termination of parental rights, “willfulness”
    does not require the same standard of culpability as is required by the penal
    code. Nor does it require malevolence or ill will. Willful conduct consists
    of acts or failures to act that are intentional or voluntary rather than
    accidental or inadvertent. Conduct is “willful” if it is the product of free
    will rather than coercion. Thus, a person acts “willfully” if he or she is a
    free agent, knows what he or she is doing, and intends to do what he or she
    is doing. . . .
    The willfulness of particular conduct depends upon the actor’s intent.
    Intent is seldom capable of direct proof, and triers-of-fact lack the ability to
    peer into a person’s mind to assess intentions or motivations. Accordingly,
    triers-of-fact must infer intent from the circumstantial evidence, including a
    person’s actions or conduct.
    In re Audrey S., 
    182 S.W.3d 838
    , 863-64 (Tenn. Ct. App. Aug. 25, 2005) (internal
    citations and footnotes omitted). “Whether a parent failed to visit or support a child is a
    question of fact. Whether a parent’s failure to visit or support constitutes willful
    abandonment . . . is a question of law.” In re Adoption of Angela E., 
    402 S.W.3d 636
    ,
    640 (Tenn. Ct. App. 2013) (citing In re Adoption of A.M.H., 
    215 S.W.3d 793
    , 810
    (Tenn. 2007)). As previously discussed, this Court reviews questions of law de novo
    with no presumption of correctness. 
    Id. With the
    foregoing in mind, we turn to address
    the specific findings on abandonment.
    1. Abandonment by Failure to Visit
    -8-
    The trial court found sufficient evidence that Mother’s parental rights should be
    terminated on the ground of abandonment by failure to visit. Tenn. Code Ann. § 36-1-
    102(1)(A)(i). This court has emphasized that “visitation is not a rote statutory
    requirement; it is necessary to maintain the thread of the parent-child relationship[.]” In
    re Joshua S., No. E2010-01331-COA-R3-PT, 
    2011 WL 2464720
    , at *16 (Tenn. Ct. App.
    June 16, 2011). An absence of contact between a parent and child for an extended period
    of time can lead to, in effect, the “death” of the relationship. 
    Id. In its
    order terminating
    Appellant’s parental rights, the trial court made the following relevant findings
    concerning this ground:
    Hospital records introduced by Petitioner, ERIN [S.], show that
    Respondent, CASSANDRA [C.], did not seek to visit the minor child
    during his hospitalization from being born-drug exposed. . . . Respondent,
    CASSANDRA [C.] sought one visit with the minor child on March 5,
    2018. Petitioner, ERIN [S.] testified that Respondent, CASSANDRA [C.]
    knew where she worked and Theresa [C.], the maternal grandmother, had
    her telephone number. Respondent, CASSANDRA [C.], did not make
    phone calls to Petitioner, ERIN [S.], to ask about the minor child.
    Respondent, CASSANDRA [C.], did not place Petitioner, ERIN [S.], on
    her visitation list with TEEN CHALLENGE. Respondent, CASSANDRA
    [C.] has not attempted to visit the child since. Jessie [S.] and Kendall [I.],
    witnesses for Petitioner, ERIN [S.] testified that Respondent,
    CASSANDRA [C.], did not acknowledge or seek visitation with the minor
    child on June 13, 2018 during court proceedings in the Juvenile Court of
    Polk County, Tennessee when the minor child attended court with
    Petitioner, ERIN [S.]. Respondent, CASSANDRA [C.], only sought
    visitation after the adoption petition was filed. []
    Turning to the record, the petition to terminate Appellant’s parental rights was
    filed on July 12, 2018; therefore, the relevant four-month time period is from March 12,
    2018 until July 11, 2018. See In re Jacob C.H., No. E2013-00587-COA-R3-PT, 
    2014 WL 689085
    , at *6 (Tenn. Ct. App. Feb. 20, 2014) (concluding that the day before the
    petition is filed is the last day in the relevant four-month period). Mother does not
    dispute that she failed to visit the Child during the relevant time period. Instead, she
    contends that Erin S. prevented the Child from visiting Mother in the rehabilitation
    facility. Thus, Mother argues that her failure to visit was not willful.
    The Supreme Court has held that “a parent who attempted to visit and maintain
    relations with his child, but was thwarted by the acts of others and circumstances beyond
    his control, did not willfully abandon his child.” In re A.M.H., 
    215 S.W.3d 793
    , 810
    (Tenn. 2007) (citing Swanson, 
    2 S.W.3d 180
    , 189 (Tenn. Oct. 4, 1999)). However, “[a]
    parent’s failure to visit may be excused by the acts of another only if those acts actually
    prevent the parent from visiting the child or constitute a significant restraint or
    -9-
    interference with the parent’s attempts to visit the child.” In re M.L.P., 
    281 S.W.3d 387
    ,
    393 (Tenn. 2009) (citation omitted).
    The juvenile court’s order transferring custody to Erin S. permitted visitation at
    the sole discretion of Erin S. The record shows that, in March 2018, Mother voluntarily
    entered into a thirteen-month rehabilitation program. At that time, Mother knew that the
    Child was in Erin S.’s custody and, in fact, Mother had consented to this placement.
    Furthermore, the record shows that the Child’s maternal grandmother had Erin S.’s
    contact information — a fact that Mother knew. Nonetheless, the record shows that
    Mother did not attempt to contact Erin S. during the relevant four-month period. As
    noted above, Teen Challenge only allowed calls and visits according to the patient’s
    correspondence authorization form. Despite the fact that Mother knew about this
    requirement, she failed to include Erin S. and/or the Child on her form. Furthermore,
    Mother knew the Child was born addicted to drugs, yet there is no evidence that Mother
    reached out to Erin S. or to anyone else to inquire about the Child’s well-being. Under
    the trial court’s order, it was Mother’s initial burden to pursue visitation. Then, it was
    left to Erin S. to approve and facilitate visitation. There is nothing in the juvenile court’s
    order mandating that Erin S. was unilaterally responsible for visitation between the
    Mother and the Child. Here, Mother failed to instigate visitation, which she could have
    done by putting Erin S.’s name on the correspondence authorization form or by reaching
    out to Erin S. Having failed to make any such effort, Mother’s contention that Erin S.
    somehow thwarted visitation is disingenuous. Therefore, we conclude that there is clear
    and convincing evidence to support the trial court’s termination of Mother’s parental
    rights on the ground of abandonment by failure to visit.
    2. Abandonment by Failure to Support
    A parent fails to support his or her child when, for the relevant four-month period,
    the parent fails to provide monetary support or fails to provide more than “token
    payments” toward the support of the child. Tenn. Code Ann. § 36-1-102(1)(D) (defining
    “failed to support” and “failed to make reasonable payments toward such child’s
    support”). “Token support” is support that, considering the individual circumstances of
    the case, is “insignificant given the parent’s means.” 
    Id. at (1)(B).
    “Terminating parental
    rights based on failure to support presupposes: (1) that the parent is aware of his or her
    duty to support; (2) that the parent is able to provide financial support, either through
    income from private employment or qualification for government benefits; and (3) that
    the parent has voluntarily and intentionally chosen not to provide financial support
    without a justifiable excuse.” In re M.J.B., 
    140 S.W.3d 643
    , 645 (Tenn. Ct. App. Apr. 8,
    2004) (citation omitted).
    As discussed above, Mother carries the burden of proof by a preponderance of the
    evidence to show that her failure to support was not willful. See Tenn. Code Ann. § 36-
    1-102(1)(I). This Court has held that failure to pay support is “willful” if the parent “is
    - 10 -
    aware of his or her duty to support, has the capacity to provide the support, makes no
    attempt to provide support, and has no justifiable excuse for not providing the support.”
    In re J.J.C., 
    148 S.W.3d 919
    , 926 (Tenn. Ct. App. Jan. 23, 2004), perm. app. denied
    (Tenn. May 10, 2004) (quoting In Re Adoption of Muir, No. M2002-02963-COA-R3-
    CV, 
    2003 WL 22794524
    , at *5 (Tenn. Ct. App. Nov. 25, 2003)). A parent will not be
    found to have abandoned his or her child if the failure to support the child was not within
    his or her control. In re Adoption of Angela 
    E., 402 S.W.3d at 640
    (citing In re
    Adoption of A.M.H., 
    215 S.W.3d 793
    , 810 (Tenn. 2007)).
    In its order terminating Mother’s parental rights, the trial court found:
    Respondent, CASSANDRA [C.], did not provide support for the
    minor child. Respondent, CASSANDRA [C.], testified that she could not
    provide financial support for the child because she needed money to enter
    the rehabilitation program with TEEN CHALLENGE. The TEEN
    CHALLENGE documents show that as of March 6, 2018, Respondent,
    CASSANDRA [C.], did not pay any money down to TEEN CHALLENGE
    and as of the date of those records she paid $500 towards the $1000 she
    was supposed to pay to enter the program.
    Turning to the record, it is undisputed that Mother failed to pay any support for the
    Child during the relevant four-month time period. However, it is also undisputed that,
    during this time period, Mother was voluntarily admitted to an inpatient rehabilitation
    program. Mother testified that she was not allowed to work outside of the facility, and
    she received no compensation during the relevant four-month time period. Appellee
    argues that Mother voluntarily chose Teen Challenge when there were other programs
    that would have allowed Mother to work. Appellee also notes that Mother owned a car,
    which she was not using during her rehabilitation program. Appellee opines that Mother
    could have sold the vehicle to provide support for the Child. Appellee, however, offered
    no evidence to show the value of the vehicle or that the title was actually held by Mother.
    In addition, there is no evidence concerning Mother’s income, expenses, or employment
    history during the relevant time period.
    Because Mother’s rehabilitation was voluntary, we concede that she had some
    choice in the program she attended. However, Mother should not be punished for
    seeking help with her drug addiction. Although Mother chose a program that required
    her to pay, the evidence shows that, as of the date of the hearing on the petition to
    termination her parental rights, Mother had not paid the full balance owed to the program.
    This fact tends to indicate that Mother had very limited financial means during the
    relevant time period. There can be no doubt that the necessity of treatment for her drug
    addiction was more imperative than gainful employment during the relevant time period.
    Accordingly, although there is no dispute that Mother failed to provide support for the
    Child, we conclude that Mother met her burden to show that her failure to do so was not
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    willful. Therefore, we reverse the trial court’s termination of Mother’s parental rights on
    the ground of abandonment by failure to support.
    V. Best Interest
    When at least one ground for termination of parental rights has been established,
    the petitioner must then prove, by clear and convincing evidence, that termination of the
    parent’s rights is in the child’s best interest. White v. Moody, 
    171 S.W.3d 187
    , 192
    (Tenn. Ct. App. 1994). As the Tennessee Supreme Court recently explained:
    Facts considered in the best interests analysis must be proven by “a
    preponderance of the evidence, not by clear and convincing evidence.”
    In re Kaliyah 
    S., 455 S.W.3d at 555
    (citing In re Audrey 
    S., 182 S.W.3d at 861
    ). “After making the underlying factual findings, the trial court should
    then consider the combined weight of those facts to determine whether they
    amount to clear and convincing evidence that termination is in the child’s
    best interest[s].” 
    Id. When considering
    these statutory factors, courts must
    remember that “[t]he child’s best interests [are] viewed from the child’s,
    rather than the parent’s, perspective.” In re Audrey 
    S., 182 S.W.3d at 878
    .
    Indeed, “[a] focus on the perspective of the child is the common theme”
    evident in all of the statutory factors. 
    Id. “[W]hen the
    best interests of the
    child and those of the adults are in conflict, such conflict shall always be
    resolved to favor the rights and the best interests of the child. . . .” Tenn.
    Code Ann. § 36-1-101(d)(2017).
    In re Gabriella D., 
    531 S.W.3d 662
    , 681-82 (Tenn. 2017).
    The Tennessee Legislature has codified certain factors that courts should
    consider in ascertaining the best interest of the child in a termination of parental rights
    case. As is relevant to this appeal, these factors include, but are not limited to, the
    following:
    (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;
    ***
    (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;
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    (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, controlled substances or controlled substance
    analogues 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. . . .
    Tenn. Code Ann. § 36-1-113(i). This Court has noted that “this list [of factors] is not
    exhaustive, and the statute does not require a trial court to find the existence of each
    enumerated factor before it may conclude that terminating a parent’s rights is in the best
    interest of a child.” In re M.A.R., 
    183 S.W.3d 652
    , 667 (Tenn. Ct. App. Aug. 11, 2005),
    perm. app. denied (Tenn. Nov. 21, 2005). Depending on the circumstances of an
    individual case, the consideration of a single factor or other facts outside the enumerated,
    statutory factors may dictate the outcome of the best interest analysis. In re Audrey 
    S., 182 S.W.3d at 877
    . As explained by this Court:
    Ascertaining a child’s best interests does not call for a rote examination of
    each of Tenn. Code Ann. § 36-1-113(i)’s nine factors and then a
    determination of whether the sum of the factors tips in favor of or against
    the parent. The relevancy and weight to be given each factor depends on
    the unique facts of each case. Thus, depending upon the circumstances of a
    particular child and a particular parent, the consideration of one factor may
    very well dictate the outcome of the analysis.
    
    Moody, 171 S.W.3d at 194
    .
    Concerning the Child’s best interest, the trial court found:
    Respondent, CASSANDRA [C.], does not have a home, a job,
    [and] faces criminal charges. . . . Respondent, CASSANDRA [C.], has
    mental health issues which are currently not being treated. Respondent,
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    CASSANDRA [C.], put forth no evidence of being drug free other than
    her own testimony. Respondent, CASSANDRA [C.], did not provide
    the Court with clean drug screens or the success rate of the TEEN
    CHALLENGE program. Respondent, CASSANDRA [C.], presented
    no evidence that she has made a lasting adjustment or any indication
    that her current progress would continue. Respondent, CASSANDRA
    [C.], does not have a specific plan to maintain her adjustment of
    circumstances.
    Respondent, CASSANDRA [C.], does not have a meaningful
    relationship with the minor child. Respondent, CASSANDRA [C.],
    visited the minor child on March 5, 2018 before entering the
    rehabilitation program with TEEN CHALLENGE. Respondent,
    CASSANDRA [C.], did not call the child nor place the child or
    Petitioner, ERIN [S.], on her visitor list with TEEN CHALLENGE.
    Respondent, CASSANDRA [C.], did not seek to visit the minor child
    on June 13, 2018 when he attended court proceedings with Petitioner,
    ERIN [S.]. Respondent, CASSANDRA [C.], engaged in token visitation
    with the minor child.
    Jessie [S.], the sister of Petitioner, ERIN [S.], testified that the
    minor child seemed to be emotionally healthy with Petitioner, ERIN
    [S.]. Kendyll [I.], the babysitter for the minor child, testified that there
    was a bond between Petitioner, ERIN [S.], and the minor child. The
    Court accepts the testimony of Andrea [C.], as a disinterested third
    party that the child is happy and in a suitable home for placement. The
    Court cannot overlook the fact that Petitioner, ERIN [S.], is medically-
    trained, and the minor child suffered medical issues that have had to be
    addressed by someone with the heightened qualifications of the
    Petitioner, ERIN [S.].
    Respondent, CASSANDRA [C.], showed abuse toward the minor
    child. . . . Respondent, CASSANDRA [C.], used illegal drugs
    knowingly while pregnant with the minor child is in complete disregard
    to the effect of heroin on this child.
    Respondent, CASSANDRA [C.], is homeless. Respondent,
    CASSANDRA [C.]’s plan is to bring the child to the home of the
    maternal grandparents. The Court can only draw an inference that the
    maternal grandparents’ home is safe and does not have criminal
    activity. . . . Respondent, CASSANDRA [C.], if not using illegal drugs
    in the maternal grandparents’ home, was using illegal drugs while
    residing in the maternal grandparents’ home. The testimony of the
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    maternal grandparents is that their daughter would stay gone a few days
    and come back. The home of Petitioner, ERIN [S.], is a healthy, stable
    and safe home.
    The medical records introduced as Exhibit 2-3 indicate that
    Respondent, CASSANDRA [C.]’s diagnosis of bipolar disorder and
    anxiety. The medical records do not show any treatment for these
    disorders. Respondent, CASSANDRA [C.], suffers from mental issues
    which are not being addressed. [] The Court finds that it would be
    detrimental to the child and could keep Respondent, CASSANDRA
    [C.], from providing a safe, stable home for the child.
    Respondent, CASSANDRA [C.], testified that she could not
    provide financial support for the child because she needed money to
    enter the rehabilitation program with TEEN CHALLENGE. The TEEN
    CHALLENGE documents show that as of March 6, 2018, Respondent,
    CASSANDRA [C.], did not pay any money down to TEEN
    CHALLENGE and as of the date of those records she paid $500
    towards the $1000 she was supposed to pay to enter the program. []
    ***
    The minor child deserves more than a chance that Respondent,
    CASSANDRA [C.], will maintain sobriety. The child at this time is in
    a home that is stable with a parent, who because of her medical training,
    is able to assist him with development. Petitioner, ERIN [S.], provided
    a home study and a background report to the Court. The home study
    shows Petitioner, ERIN [S.]’s home is safe, without criminal activity.
    Petitioner took care of the child going through withdrawals, took care of
    a child during his hospitalization for drug exposure in utero . . . and
    tried to keep the maternal grandparents in a relationship with the child[.]
    Petitioner, ERIN [S.], testified that she spent over $9,000 to purchase
    items for the child and set up housekeeping for the minor child. [] There
    is no proof in the record that Petitioner, ERIN [S.], is anything but a
    good parent and has taken care of this child since a time close to his
    birth.    It is in the best interest of the child for Respondent,
    CASSANDRA [C.]’s, rights to be terminated.
    The foregoing findings are supported by the evidence. As discussed above, the
    Child has lived solely with Erin S. since he was discharged from the hospital, and he has
    not had consistent, quality time with Mother since his birth. The Child has bonded with
    Erin S. and is currently in a safe, nurturing home. Conversely, at the time of the hearing,
    Mother had not completed her inpatient rehabilitation program, and there was no proof
    - 15 -
    concerning her ability to maintain sobriety. Furthermore, Mother’s mental health issues
    remain untreated at the time of the hearing. Mother testified that she cannot afford a
    house or apartment and intends to return to her parents’ home. Meanwhile, the Child has
    bonded with Erin S. and has thrived while in her care. The Child’s needs have been fully
    satisfied during the time he has lived with Appellee. To remove him from her home
    would likely cause the Child significant emotional and/or physical harm. This is
    especially true given the lack of evidence concerning the stability of Mother’s sobriety
    and the myriad problems in her life that remain unaddressed. From the record, we
    conclude that there is clear and convincing evidence to support the trial court’s
    conclusion that termination of Mother’s parental rights is in the Child’s best interest.
    VI. Conclusion
    For the foregoing reasons, we reverse the trial court’s termination of Mother’s
    parental rights on the ground of abandonment by failure to support. We affirm the
    termination of Mother’s parental rights on the remaining grounds and on the trial court’s
    finding that termination of Mother’s parental rights is in the Child’s best interest. The
    case is remanded for such further proceedings as may be necessary and are consistent
    with this opinion. Costs of the appeal are assessed to Appellant, Cassandra C. Because
    Cassandra C. is proceeding in forma pauperis in this appeal, execution for costs may
    issue if necessary.
    _________________________________
    KENNY ARMSTRONG, JUDGE
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