In Re Keisheal N.E. ( 2010 )


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  •                   IN THE COURT OF APPEALS OF TENNESSEE
    AT NASHVILLE
    April 16, 2010 Session
    IN RE KEISHEAL N.E. ET AL.1
    Appeal from the Juvenile Court for Coffee County
    No. 935-05J     Timothy R. Brock, Judge
    No. M2009-02527-COA-R3-PT - Filed May 28, 2010
    Father appeals the termination of his parental rights to his children. The trial court found
    three grounds upon which Father’s parental rights could be terminated: lack of mental
    capacity to care for the children, abandonment by failure to visit, and substantial
    noncompliance with the permanency plan. The psychologist who testified at trial stated that
    Father was presently unable to properly care for his children due to the diagnosis of
    schizoaffective disorder. The psychologist also testified that it was possible Father could
    become a competent parent with the proper medication and treatment. The Department,
    however, provided no mental health services to assist Father. The statutory ground of mental
    incompetency as a basis for the termination of a parent’s rights requires clear and convincing
    proof that the parent’s mental condition is presently so impaired and is so likely to remain
    so that it is unlikely the parent will be able to care for the children in the near future. The
    Department proved that Father’s mental condition was such that he could not presently care
    for the children; however, the Department failed to prove that Father’s mental condition is
    likely to remain impaired to the degree that it is unlikely Father will be able to care for the
    children in the near future. We have also determined the Department was not excused from
    exerting reasonable efforts and yet it failed to establish that it exerted reasonable efforts to
    assist Father to accomplish the goal of reunification because it provided no services that dealt
    with the root of Father’s problems, his mental illness. For the above reasons, we find the
    Department failed to prove any ground upon which Father’s parental rights could be
    terminated. Accordingly, we reverse the termination of Father’s parental rights.
    Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Juvenile Court Reversed
    F RANK G. C LEMENT, J R., J., delivered the opinion of the Court, in which A NDY D. B ENNETT
    and R ICHARD H. D INKINS, JJ., joined.
    1
    This Court has a policy of protecting the identity of children in parental termination cases by
    initializing the last names of the parties.
    Jeffrey C. Gruber, Murfreesboro, Tennessee, for the appellant, Keith E.
    Robert E. Cooper, Jr., Attorney General and Reporter, and Joshua Davis Baker, Assistant
    Attorney General, for the appellee, Tennessee Department of Children’s Services.
    OPINION
    The Department of Children’s Services filed a petition to declare the three children
    at issue dependent and neglected on December 21, 2005, after learning their mother, Rachel
    E. (Mother), had admitted to using cocaine and marijuana in the presence of the children.
    The children’s father, Keith E. (Father), was not living with the children at the time; he was
    residing in Dayton, Ohio. The children were placed in the temporary custody of their paternal
    grandmother.
    The dependency and neglect hearing occurred on February 6, 2006 and both Mother
    and Father were present at the hearing. Following the hearing, the court declared the children
    dependent and neglected and adopted a safety plan that specified several requirements for
    Mother but none for Father. The same safety plan was adopted on July 13, 2006 and January
    25, 2007, and as before, none of the safety plans listed any requirements or recommendations
    for Father. Shortly thereafter, the placement of the children was changed; they were placed
    in the custody of the maternal grandmother in Tullahoma, Tennessee.
    On May 9, 2007, the Department filed a petition to modify the safety plan. The
    Department alleged that Mother was endangering the children because she and her domestic
    partner, who had a history of domestic violence and sexual abuse,2 were living with the
    children at the home of the maternal grandmother. At the time, Father was residing in
    Murfreesboro, Tennessee. The Department also petitioned the court to place the children into
    the custody of the Department, which the trial court granted on May 10, 2007.3
    On May 29, 2007, permanent parenting plans were created for the three children.
    Father was not present at the meeting to create the permanency plans. The plans listed many
    requirements of Mother, while Father’s responsibilities were minimal. Father was required
    to stay in contact with his Department caseworker, maintain regular, supervised visitation
    2
    Mother had previously obtained an order of protection against this man due to domestic assault on
    Mother.
    3
    In its Petition for Temporary Custody, the Department noted that both Mother and Father were
    under court ordered safety plans. Notably, none of these safety plans addressed Father in any way nor did
    they place any requirements upon Father.
    -2-
    with the children, and contact the Department to arrange each visitation. Specifically, the
    plan stated that “due to the lack of relationship” Father would “need to contact DCS and at
    that time visitation will be determined.” Subsequently, the permanency plan provided that
    the goal was to reunify the children with Father with the desired outcome that “[Father] will
    have a more positive relationship with [child].” The actions listed as needed in order to
    achieve this desired outcome were:
    1a) In the event that [Father] desires visitation, he will need to contact DCS
    and at that time visitation will be determined.
    1b) [Father] will be given opportunity to participate in the permanency plan.
    As Father was not at the meeting, he did not sign or ratify the permanency plans. The plans
    were ratified by the court four months later.
    On June 1, 2007, after the creation of the permanency plans, Ms. Brandi Shelton was
    assigned as the Department caseworker. Ms. Shelton’s first contact with Father was at a court
    hearing in July 2007, at which time she “briefly” discussed the requirements of the
    permanency plan with Father regarding his contact with the Department and visitation with
    the children. At this hearing, the trial court ordered a home study of Father’s home to be
    completed within thirty days; however, the home study never occurred. Ms. Shelton stated
    that Father was “uncooperative” in setting up the home visit, and, thus it was never
    completed.
    Father’s first visit with his children after the July 2007 hearing was on August 8, 2007.
    Father’s next visit with the children was a year later, in August 2008. Father did not see the
    children again until February 2009. Father told Ms. Shelton that transportation issues
    prevented him from visiting his children more frequently, as the visits were in Tullahoma and
    Father lived in Murfreesboro. Father also stated that he did not visit the children more
    frequently because he did not want to interfere with attempts by Mother to reunite with the
    children and he believed that when Mother obtained custody of the children that he and she
    would arrange visitation.
    On July 11, 2008, the Department filed the petition to terminate the parental rights of
    both parents. The parental rights of both parents were terminated by order entered on October
    1, 2009. Mother did not appeal the termination of her parental rights. Accordingly, we will
    focus our attention on the facts and procedural history that are relevant to Father.
    The initial petition filed by the Department alleged two grounds for termination, that
    Father abandoned the children by failing to visit and that he was in substantial
    noncompliance with the permanency plan. Eight months after the petition was filed, the
    -3-
    Department sent Father letters explaining the requirements of visitation and the consequences
    of not maintaining regular visitation. Four letters were sent to Father, the first in February
    2009 and the last in April 2009. Father visited with the children on February 19, 2009, April
    2, 2009, April 15, 2009, and May 20, 2009. Two other scheduled visits were cancelled
    because Father did not call to confirm the visitation; one of the days Father called the day of
    the visit to confirm, but the visit had already been cancelled by the caseworker.
    The trial on the petition to terminate Father’s parental rights began on May 21, 2009.
    The Department presented the testimony of Father’s Department caseworker, Brandi Shelton,
    the testimony of Cheryl Neal, a licensed social worker who had worked with Father at The
    Guidance Center in Murfreesboro, and the testimony of the director of CASA, Lynne Farrar,
    who observed two visits between Father and the children.
    Ms. Shelton testified that she had trouble staying in contact with Father because he
    did not have his telephone and she had to call his mother in order to contact him. She also
    stated that Father was “evasive” when answering questions and that she often had to ask
    Father questions repeatedly in order to get an answer. Though she stated contact with Father
    was sporadic and difficult, she maintained that she instructed Father on “numerous”
    occasions about his requirements under the permanency plan. Ms. Shelton also testified that
    at some point she realized it was best to put Father’s requirements regarding visitation into
    writing and began sending him letters; she thought Father might need help remembering.
    Ms. Farrar, the director of CASA, testified that she witnessed a one-hour visitation
    in April 2009 between Father and the children at a McDonald’s. She stated that the visit
    “seemed to be going ok” until Father whispered something to one of the children and Ms.
    Shelton instructed him not to do that, after which Father became upset. She was also present
    at another visit that took place at Father’s apartment and then at a McDonald’s. During this
    visit, Father became upset when Ms. Shelton criticized the way he was playing with the
    children; Ms. Farrar stated that one child became upset when Father shouted “my son” or
    “my boy” loudly. She also testified that the children were affectionate with Father at times,
    but she attributed this to the children’s affectionate nature.
    Cheryl Neal, a licensed social worker who worked with Father at The Guidance
    Center, testified that Father had been diagnosed by a psychiatrist at the facility with
    schizoaffective disorder, which is a combination of schizophrenia and mood disorder. She
    explained that Father was not referred by the Department of Children’s Services; instead, he
    was referred in the spring of 2008 by hospital staff following his hospitalizations due to two
    episodes of hallucinations. One such episode occurred on February 22, 2008, when Father
    was found in the floor of a laundromat rocking back and forth and repeating his name and
    birth date. In another episode, Father believed that insects were crawling all over him.
    -4-
    Following her first contact with Father in the spring of 2008, Ms. Neal met with Father five
    times. Her last visit occurred one week prior to the first day of trial, in May 2009. Ms. Neal
    testified that the frequency of their meetings was not unusual, although Father sometimes
    missed scheduled appointments. Based on his condition at their last visit, Ms. Neal stated that
    she did not believe Father would be able to properly care for his children, that Father’s
    compliance with his medication was questionable, but such problems were “consistent” with
    his diagnosis of schizoaffective disorder. She stated that typical symptoms of his mental
    illness were poor judgment and not showing up for appointments. Ms. Neal also stated that
    Father would likely be more stable with a good support system and the resumption of case
    management services.4 Ms. Neal stated that Father had benefitted from their services and,
    when asked what might assist Father further with his mental illness, Ms. Neal stated that a
    psychosocial day program often benefitted persons with schizoaffective disorder. Father was
    also examined by a psychiatrist and assigned a case manager at The Guidance Center;
    however, it was Ms. Neal’s role to follow-up with Father regarding therapy the hospital
    psychiatrist had recommended.
    The testimony presented at trial concerning Father’s mental illness caused the court
    to question whether Father’s failure to visit the children and his noncompliance with the
    permanency plan were willful. Ms. Shelton, the caseworker, stated that she became aware
    that Father was receiving psychological counseling in August of 2008 and, in February 2009,
    she became aware that Father had seen a psychiatrist. Ms. Shelton also testified that she
    requested that Father sign a release so she could obtain his medical records. Father informed
    her in April 2009 that he had done so; however, it was not until one week before trial, May
    2009, that Ms. Shelton spoke with someone at The Guidance Center about Father’s mental
    health.5
    At the close of the proof on the first day of trial, the Department moved to amend their
    petition to add mental incompetence as a ground for termination of Father’s parental rights.
    The trial court granted the amendment and then the trial court, acting sua sponte in light of
    Father’s schizoaffective disorder, requested the parties brief the issue of whether Father’s
    failure to visit his children and comply with the permanency plan was willful. By agreement
    of the parties, Thomas C. Monroe, III, Psy.D., a licensed clinical psychologist conducted a
    4
    Ms. Neal testified that Father ceased receiving case management services in January 2009, due to
    an “oversight.” Father was briefly incarcerated for driving on a suspended license, at which time services
    were suspended. Ms. Neal stated that it was probably an “oversight” on their part that their services had not
    resumed.
    5
    Ms. Shelton stated that she left a prior message with The Guidance Center that was not returned.
    The record indicates the mental health facility suffered significant damage in a tornado the previous week
    and was not open for business.
    -5-
    psychological assessment of Father on August 8, 2009. He first conducted a clinical
    interview, then a Personality Assessment Inventory (PAI), a Wechsler Adult Intelligence
    Scale – 3rd Edition subscale (WAIS) examination, and a Rorschach evaluation. Dr. Monroe
    prepared a written Psychological Assessment, dated August 16, after which the evidentiary
    deposition of Dr. Monroe was taken. His deposition was introduced into evidence on the
    second day of trial, September 10, 2009.
    Dr. Monroe testified in pertinent part that Father meets the diagnostic criteria for
    schizoaffective disorder. He stated that Father was actively delusional when they met and
    Father reported a history of auditory hallucinations, depressive episodes, and some manic
    symptoms, if not complete manic episodes. Dr. Monroe explained that “[s]chizoaffective
    [d]isorder is like a combination of schizophrenia, where there are hallucinations and
    delusions, and an affective disorder, such as depression or bi-polar disorder.” He further
    explained that: “Strict straight-forward schizophrenia does not generally have a mood
    component, where there are mood congruent hallucinations or mood congruent delusions.
    Straight schizophrenia is just a thought disorder.” When asked whether Father can become
    capable of caring for his children, Dr. Monroe stated: “Possibly. If he seeks treatment and
    if they find good treatments for what – for his illness, and he takes the medication, he
    possibly could become a competent parent.” He then stated that Father could have up to a 50
    percent success rate with proper treatment, and that it should be known within six months if
    there is any chance for him to be able to properly care for his children.
    Dr. Monroe additionally made the following recommendations:
    1. [Father] meets the diagnostic criteria for Schizoaffective Disorder, type not
    specified. He should seek medical treatment from a mental health center
    immediately as a requirement for any possible attempt at familial
    reconciliation. He should comply with his doctor’s orders for a period of no
    less than 6 months prior to any further consideration as a placement option for
    his children. At that time, the court and/or DCS may require further testing or
    evaluation to determine if the treatment has brought about sufficient
    improvement to warrant further consideration as a placement for his children.
    (emphasis added).
    2. If [Father] is unwilling to accept and follow medical treatment, he should
    not be considered as a placement for his children. His current functioning will
    not allow him to serve in that capacity.
    The deposition of Dr. Monroe was the only evidence presented on the second day of
    the trial. After counsel were afforded the opportunity to make closing statements, the court
    -6-
    took the case under advisement. On October 1, 2009, the trial court issued an order finding
    the Department had proven the grounds of abandonment by failure to visit, substantial
    noncompliance with the requirements of the permanency plan, and mental incompetence. The
    court also found that termination was in the best interests of the children and therefore it
    terminated Father’s parental rights to all three children. Father filed a timely appeal.6
    A NALYSIS
    Parents have a fundamental right to the care, custody and control of their children.
    Stanley v. Illinois, 
    405 U.S. 645
    , 651 (1972); Hawk v. Hawk, 
    855 S.W.2d 573
    , 577 (Tenn.
    1993). This right is superior to the claims of other persons and the government, yet it is not
    absolute. In re S.L.A., 
    223 S.W.3d 295
    , 299 (Tenn. Ct. App. 2006).
    Parental rights may be terminated only where a statutorily defined ground exists.
    Tenn. Code Ann. § 36-1-113(c)(1); Jones v. Garrett, 
    92 S.W.3d 835
    , 838 (Tenn. 2002); In
    re M.W.A., 
    980 S.W.2d 620
    , 622 (Tenn. Ct. App. 1998). The petitioner has the burden of
    proving that there exists a statutory ground for termination, such as abandonment or failing
    to remedy persistent conditions that led to the removal of the child. Tenn. Code Ann. §
    36-1-113(c)(1); Jones, 92 S.W.3d at 838. Only one ground need be proved, so long as that
    ground is proven by clear and convincing evidence. See In re D.L.B., 
    118 S.W.3d 360
    , 367
    (Tenn. 2003). In addition to proving one of the grounds for termination, the petitioner must
    prove that termination of parental rights is in the child’s best interest. Tenn. Code Ann. §
    36-1-113(c)(2); In re F.R.R., 
    193 S.W.3d 528
    , 530 (Tenn. 2006); In re A.W., 
    114 S.W.3d 541
    , 544 (Tenn. Ct. App. 2003); In re C.W.W., 
    37 S.W.3d 467
    , 475-76 (Tenn. Ct. App. 2000)
    (holding a court may terminate a parent’s parental rights if it finds by clear and convincing
    evidence that one of the statutory grounds for termination of parental rights has been
    established and that the termination of such rights is in the best interests of the child).
    Therefore, a court may terminate a person’s parental rights if (1) the existence of at least one
    statutory ground is proved by clear and convincing evidence and (2) it is clearly and
    convincingly established that termination of the parent’s rights is in the best interest of the
    child. Tenn. Code Ann. § 36-1-113(c); In re Adoption of A.M.H., 
    215 S.W.3d 793
    , 810
    (Tenn. 2007); In re Valentine, 
    79 S.W.3d 539
    , 546 (Tenn. 2002).
    Whether a statutory ground has been proved by the requisite standard of evidence is
    a question of law to be reviewed de novo with no presumption of correctness. In re B.T., No.
    M2007-01607-COA-R3-PT, 
    2008 WL 276012
    , at *2 (Tenn. Ct. App. Jan. 31, 2008) (no
    Tenn. R. App. P. 11 application filed) (citing In re Adoption of A.M.H., 215 S.W.3d at 810).
    The issue of substantial noncompliance with the requirements of a permanency plan is a
    6
    The court also terminated Mother’s parental rights but she did not appeal.
    -7-
    question of law; therefore, it is reviewed de novo with no presumption of correctness. In re
    Valentine, 79 S.W.3d at 546 (citing Langschmidt v. Langschmidt, 
    81 S.W.3d 741
    , 744-45
    (Tenn. 2002)).
    ISSUES
    Father raises three issues. One, he contends the evidence does not establish that his
    mental condition is presently so impaired and is so likely to remain impaired that it is
    unlikely that he will be able to care for his children in the near future. Two, he contends his
    substantial noncompliance with the requirements of the permanency plan was not willful.
    Three, he contends his failure to visit his children was not willful. We will discuss each in
    turn.
    T HE D EPARTMENT’S R ESPONSIBILITIES
    The Department is the agency with the responsibility for the care and protection of
    dependent and neglected children; it plays the pivotal role in such matters. Because of the
    Department’s role in the lives of dependent and neglected children and their families, the
    General Assembly has imposed on the Department “the responsibility to make reasonable
    efforts to reunify children and their parents after removing the children from their parents’
    home.” In re Tiffany B., 
    228 S.W.3d 148
    , 157-58 (Tenn. Ct. App. 2007) (citing Tenn. Code
    Ann. § 37-1-166) (emphasis added).
    The General Assembly recognized, as a matter of public policy, that families are
    among the fundamental building blocks of society, Tenn. Code Ann. § 36-3-113(a); thus, the
    statutes empowering the courts to remove children from the custody of their parents state that
    one of the Department’s primary purposes is to protect children from “unnecessary
    separation” from their parents. In re Tiffany B., 228 S.W.3d at 157 (citing Tenn. Code Ann.
    § 37-2-401(a)). In this regard,
    The Department must memorialize its efforts in an individualized permanency
    plan prepared for every dependent and neglected child placed in its custody.
    The requirements in each permanency plan must be directed toward remedying
    the conditions that led to the child’s removal from his or her parent’s custody.
    In re Valentine, 79 S.W.3d at 547; In re M.J.B., 140 S.W.3d at 656-57; In re
    L.J.C., 
    124 S.W.3d 609
    , 621 (Tenn. Ct. App. 2003). Reflecting the Tennessee
    General Assembly’s understanding that the ability of parents to rehabilitate
    themselves depends on the Department’s assistance and support, permanency
    plans place obligations on the Department to help parents become better able
    to provide their children with a safe and stable home and with consistent and
    -8-
    appropriate care. In re C.S., Jr., No. M2005-02499- COA-R3-PT, 
    2006 WL 2644371
    , at *9 (Tenn. Ct. App. Sept. 14, 2006).
    Id. at 158 (footnote omitted).
    MENTAL INCOMPETENCE
    Tennessee Code Annotated § 36-1-113(g)(8) provides that the court may terminate
    the parental rights of a parent if it determines on the basis of clear and convincing evidence
    that:
    (B) (i) The parent . . . of the child is incompetent to adequately provide for the
    further care and supervision of the child because the parent’s . . . mental
    condition is presently so impaired and is so likely to remain so that it is
    unlikely that the parent . . . will be able to assume or resume the care of and
    responsibility for the child in the near future, and . . . ;
    (C) In the circumstances described under subdivisions (8)(A) and (8)(B), no
    willfulness in the failure of the parent . . . to establish the parent’s . . . ability
    to care for the child need be shown to establish that the parental . . . rights
    should be terminated;
    Tenn. Code Ann. § 36-1-113(g)(8)(B)-(C) (emphasis added).
    As the statute expressly provides, the Department has the burden to demonstrate by
    clear and convincing evidence both that Father is presently unable to care for the children
    and that it is unlikely that Father will be able to assume the care of and responsibility for the
    children in the near future. Tenn. Code Ann. § 36-1-113(g)(8). We find that the Department
    established that Father is presently unable to care for the children due to his mental condition;
    however, the Department failed to demonstrate by clear and convincing evidence that it is
    unlikely that Father would be unable to care for the children in the near future.7 To the
    contrary, the expert testimony presented at trial, principally that of Dr. Monroe, established,
    7
    The clear and convincing evidence standard is a heightened burden of proof which serves to
    minimize the risk of erroneous decisions. In re C.W.W., 37 S.W.3d at 474; Matter of M.W.A., Jr., 
    980 S.W.2d 620
    , 622 (Tenn. Ct. App. 1998). Evidence satisfying this high standard produces a firm belief or conviction
    regarding the truth of facts sought to be established. In re C.W.W., 37 S.W.3d at 474. Clear and convincing
    evidence should produce a firm belief or conviction with regard to the truth of the allegations sought to be
    established. In re Estate of Armstrong, 
    859 S.W.2d 323
    , 328 (Tenn. Ct. App. 1993); Brandon v. Wright, 
    838 S.W.2d 532
    , 536 (Tenn. Ct. App. 1992); Wiltcher v. Bradley, 
    708 S.W.2d 407
    , 411 (Tenn. Ct. App. 1985).
    -9-
    without contradiction, that Father, with proper treatment and medication over a period of six
    months, may be appropriate for consideration as a placement option for his children. Dr.
    Monroe further stated that persons with Father’s diagnosis have up to a 50 percent success
    rate with proper treatment and medication.
    It is also very pertinent that Dr. Monroe recommended that Father immediately receive
    medical treatment from a mental health center as a requirement for any possible attempt at
    familial reconciliation; yet the Department provided no services to assist Father with his
    mental health needs. To the contrary, its only effort was to move to amend the petition to
    terminate Father’s parental rights on the ground that Father was mentally incompetent to care
    for his children.
    The evidence in the record reveals that the Department should have included a mental
    health evaluation or assessment as part of Father’s permanency plan. Further, if the
    evaluation recommended mental health services or treatment, the Department had an
    affirmative duty to exert reasonable efforts to provide the mental health services, if such
    services were reasonable to further the plan of reunification of Father with his children. See
    Tenn. Code Ann. § 37-1-166(g)(1). The testimony by the caseworker and the affidavit
    regarding the Department’s efforts reveal that essentially no services were offered to assist
    Father. More importantly, no mental health services were offered to assist Father to
    accomplish the stated goal of reunification with his children.
    Reasonable efforts are statutorily defined as the “exercise of reasonable care and
    diligence by the department to provide services related to meeting the needs of the child and
    the family.” Tenn. Code Ann. § 37-1-166(g)(1). The factors the courts are to use to determine
    reasonableness include: (1) the reasons for separating the parents from their children, (2) the
    parents’ physical and mental abilities, (3) the resources available to the parents, (4) the
    parents’ efforts to remedy the conditions that required the removal of the children, (5) the
    resources available to the Department, (6) the duration and extent of the parents’ efforts to
    address the problems that caused the children’s removal, and (7) the closeness of the fit
    between the conditions that led to the initial removal of the children, the requirements of the
    permanency plan, and the Department’s efforts. In re Tiffany B., 228 S.W.3d at 158-59
    (citing In re Giorgianna H., 
    205 S.W.3d 508
    , 519 (Tenn. Ct. App. 2006)) (footnote omitted).
    While the Department does not have to exert herculean efforts, they must do more than “rely
    on parents to facilitate their own rehabilitation.” In re A.R., No. M2007-00618-COA-R3-PT,
    
    2007 WL 4357837
    , at *5 (Tenn. Ct. Ap. Dec. 13, 2007) (citing In re M.B., No. M2006-
    02063-COA-R3-PT, 
    2007 WL 1034676
    , at *5 (Tenn. Ct. App. Mar. 30, 2007)).
    This court has repeatedly addressed the importance of Department employees using
    “their superior insight and training to assist parents” in remedying the problems that lead to
    -10-
    removal of the children, including mental health problems, and the importance of the
    Department exerting reasonable efforts to assist a parent whose mental condition presents an
    obstacle to reunification. See In re M.A.P., 
    2009 WL 2003357
    , at *16 (Tenn. Ct. App. July
    10, 2009) (quoting In re C.M.M., 
    2004 WL 438326
    , at *7 (Tenn. Ct. App. March 9, 2004)).
    While a few cases hold the Department is not usually required to exert efforts to assist a
    parent when the ground of mental incompetence is proven,8 this is not part of the statutory
    scheme. The Department is relieved of this obligation when the court finds an aggravated
    circumstance exists. See Tenn. Code Ann. § 37-1-166(g)(4)(A)-(C)9 ; In re B.L.C., 
    2007 WL 4322068
    , at *9 (Tenn. Ct. App. Dec. 6, 2007).
    There are cases in which a parent is proven to be so mentally incapacitated that efforts
    by the Department to address the parent’s mental health issues would be in vain. In those
    cases, where (1) the parent’s mental condition is presently so impaired and (2) the parent’s
    8
    Two of these cases are In re C.M.M., 
    2004 WL 438326
    , and Dep’t of Children’s Services v. M.R.N.,
    No. M2006-01705-COA-R3-PT, 
    2007 WL 120038
     (Tenn. Ct. App. Jan. 17, 2007). In footnote 26 of the
    C.M.M. opinion, the court states: “Termination proceedings based on the grounds in Tenn. Code Ann. §
    36-1-113(g)(4)-(8) usually will not require the Department to demonstrate that it has made reasonable efforts
    to reunite a child with his or her parents.” In re C.M.M., 
    2004 WL 438326
     at *7 (emphasis added). Three
    years later, in M.R.N., this court makes two references to C.M.M. on page twelve of the opinion. In the first
    reference, M.R.N. correctly quotes C.M.M. stating: “Termination proceedings based on the grounds in
    Tenn.Code Ann. § 36-1-113(g)(4)-(8) usually will not require the Department to demonstrate that it has made
    reasonable efforts to reunite a child with his or her parents.” M.R.N., 
    2007 WL 120038
     at * 12 (quoting In
    re C.M.M., 2004 Tenn. App. LEXIS 160, at *28, n. 26, 
    2004 WL 438326
    ). In the second reference to C.M.M.
    on page 12, M.R.N. states: “As we have stated, DCS is not required to establish reasonable efforts in cases
    involving the statutory ground of mental incompetence of the parent.” M.R.N., 
    2007 WL 120038
     at * 12. The
    term “usually” does not appear in this sentence. We believe the omission of that qualifying term is
    significant; accordingly, we believe the court’s statement that reasonable efforts are not required in cases
    involving the ground of mental incompetence is a misconstruction of C.M.M. and Tenn. Code Ann. § 36-1-
    113(g)(8)(B). The statutory ground of mental incompetency has two essential components, both of which
    the Department mus prove by clear and convincing evidence. As Tennessee Code Annotated § 36-1-
    113(g)(8)(B) expressly provides, the Department is required to prove the parent “is incompetent to
    adequately provide for the further care and supervision of the child because the parent’s . . . mental condition
    is presently so impaired and is so likely to remain so that it is unlikely that the parent . . . will be able to
    assume or resume the care of and responsibility for the child in the near future, . . .”
    9
    Tenn. Code Ann. § 37-1-166(g)(4) provides that reasonable efforts shall not be required if the court
    has determined that the parent has subjected the child or any sibling or half-sibling of the child, or any other
    child residing in the home to “aggravated circumstances” as defined in Tenn. Code Ann. § 36-1-102.
    Subsection (B) references Tenn. Code Ann. § 36-1-113, which lists the aggravating circumstances to be when
    the parent has committed murder, voluntary manslaughter, aided or abetted, attempted, conspired, or solicited
    to commit such a murder or such a voluntary manslaughter, or committed a felony assault that results in
    serious bodily injury to the child or any sibling or half-sibling of the child who is the subject of the petition
    or any other child residing temporarily or permanently in the home.
    -11-
    mental condition is so likely to remain so that it is unlikely that the parent will be able to
    resume responsibility for the child in the near future, the Department is excused from
    exerting efforts to reunify the parent and child. That has not been proven to be the case here,
    at least not yet.
    Mental illness compromises a parent’s ability to address his or her own problems and
    “a parent with serious mental illness cannot reasonably be expected to simply lift herself up
    by the bootstraps with no assistance. In re M.A.P., 
    2009 WL 2003357
    , *18 (citing In re A.R.,
    
    2007 WL 4357837
    , at *6-10). Therefore, the fact that a parent in need of mental health
    services does not request the assistance of the Department to deal with his or her mental
    health needs does not relieve the Department of its responsibility to exert reasonable efforts
    to assist the parent. To the contrary, we have emphasized the fact that the Department’s
    employees are to “use their superior insight and training to assist parents” in remedying the
    problems that lead to removal of the children, including mental health problems. Id.
    In the matter of M.A.P., we determined the Department failed to exert reasonable
    efforts to assist the mother “with respect to her underlying mental illness.” even though she
    did not request such services. Id. at *1; accord In re A.R., 
    2007 WL 4357837
     (reversing the
    termination of parental rights where the Department was aware that the parents needed
    significant psychological services and failed to provide such services). As is the case here,
    the mother in M.A.P. was diagnosed with schizoaffective disorder. Id. The court referred to
    this condition as the “root problem” yet the Department failed to provide any services to
    address the root problem. Id. at *16. The court in that case went on to hold that the assistance
    provided to the mentally ill parent was “simply inadequate; there was a complete failure to
    provide any assistance at all to Mother with her fundamental challenge, her mental illness.”
    Id. at *18.
    The Department did not have actual notice that Father was diagnosed with
    schizoaffective disorder until the week prior to trial; however, the Department’s caseworkers
    should have ascertained, at an earlier date, by using their superior insight and training that
    Father had a mental condition that compromised his ability to comply with the Permanency
    Plan. Nevertheless, there were more than adequate signs, prior to the filing of the petition,
    which indicated that Father was substantially impaired by a mental condition or mental
    illness. Moreover, the Department’s caseworker was aware long before trial that Father was
    receiving some form of mental health counseling yet she made no inquiries concerning his
    mental health or services that he needed. We also note that the Department was advised that
    Father was diagnosed with schizoaffective disorder in April of 2009, a month prior to the
    final hearing, yet the only affirmative step the Department took at that time was to amend the
    petition to additionally assert that he was mentally incompetent or mentally incapacitated to
    properly care for the children.
    -12-
    C OMPLIANCE WITH THE P ERMANENCY P LAN
    As we discussed previously, the Department of Children’s Services is the state agency
    with primary responsibility for the care and protection of dependent and neglected children.
    It plays a direct role in the removal of most dependent and neglected children from their
    parents’ custody, and Tennessee’s juvenile courts regularly place these children in the
    Department’s custody. Because of the prominent role that the Department plays in the lives
    of so many dependent and neglected children, the Tennessee General Assembly has explicitly
    imposed on the Department the responsibility to make reasonable efforts to reunify children
    and their parents after removing the children from their parents’ home. Tenn. Code Ann. §
    37-1-166.
    The primary purpose of permanency plans and, thus the requirements in each
    permanency plan must be directed toward remedying the conditions that led to the child’s
    removal from his or her parents. In re Valentine, 79 S.W.3d at 547; In re M.J.B., 140 S.W.3d
    at 656-57; In re L.J.C., 124 S.W.3d at 621. In furtherance of an appropriate plan, the
    Department must exert reasonable efforts to reunify parents and their children by, inter alia,
    exercising “reasonable care and diligence . . . to provide services related to meeting the needs
    of the child and the family.” In re Tiffany B., 228 S.W.3d at 157 (citing Tenn. Code Ann. §
    37-1-166(g)(1)) (emphasis added). Accordingly, a key component of any permanency plan
    is “the closeness of the fit between the conditions that led to the initial removal of the
    children, the requirements of the permanency plan, and the Departments efforts.” Id. at
    158-59 (citing In re Giorgianna H., 205 S.W.3d at 519) (footnote omitted). The Tennessee
    General Assembly has recognized that one of the most effective ways to improve the lives
    of dependent and neglected children is to improve the ability of their parents to be nurturing
    caregivers. Id. at 157. Improving parenting skills results in better parents and, in turn, happier
    and more well-adjusted children. Id.
    In this case, the permanency plans crafted by the Department stated that the goal for
    Father was reunification, yet the only requirements of Father were that he contact the
    Department to schedule visitation, maintain regular visitation, and stay in contact with his
    Department caseworker. Notably, there were no requirements that Father take parenting
    classes, obtain suitable housing, or maintain steady employment; there were also no
    requirements that Father obtain a mental health evaluation or treatment.
    The children were removed when they were residing with Mother, not Father;
    nevertheless, Father’s parenting skills were suspect when the children were removed from
    their mother’s care. Father’s parenting skills, or lack thereof, should have become even more
    suspect as time passed, yet at no time did the Department require that Father take parenting
    classes, obtain suitable housing, maintain steady employment, or have a mental health
    -13-
    evaluation. The absence of any of these requirements is counterintuitive to the goal of
    reunification.
    The record clearly reveals the Department never believed Father was fit to care for the
    children; accordingly, the Department should have crafted a plan to assist Father in achieving
    the plan goal of reunification. It seems most disingenuous that the stated goal was
    reunification, yet the only requirement was visitation. If the Department had no expectations
    of Father being able to care for the children, the stated goal could have been termination of
    Father’s rights from the inception.
    Not only were the requirements of the plan deficient, the Department’s efforts were
    as well. Tennessee Code Annotated § 37-1-166(c) requires that the Department file an
    affidavit demonstrating the reasonable efforts taken by the Department. Ironically, the
    affidavit of the Department’s “reasonable efforts” to assist Father is titled “Affidavit of Case
    Manger [sic] Brandie Shelton Concerning Criteria for Termination of Parental Rights.” 10 In
    it, Ms. Shelton states:
    2. Prior to the filing of the termination of parental rights in this matter on July
    11, 2008 two separate sets of plans had been drafted. The initial plans were
    drafted on May 29, 2007. . . .11
    3. The child’s father. . .was given notice of that meeting by notice sent to his
    most recent address, based upon the records in the file. [Father] did not attend
    this meeting.
    3.(sic) I took over this case on Friday June, 1 2007 as case manager. On
    Monday June 4, 2007, I presented the plans to the legal department’s
    administrative assistant to be presented to the court for approval. I have been
    10
    Tenn. Code Ann. § 37-1-166(c) requires that the Department file an affidavit demonstrating the
    “reasonable efforts” taken by the Department, not efforts “for termination.” The trial transcript indicates that
    the affidavit was not filed at the same time as the petition to terminate parental rights as the Department’s
    attorney indicated to the court that an affidavit would be filed in order to comply with the statutory
    requirements. This is the only affidavit in the record.
    11
    The rest of the sentence appears incomplete as no further dates are given for later permanency
    plans. Additionally, it does not appear that a second set of permanency plans was ratified by the trial court
    in regards to Father. In its brief, the Department references an order of the court from a permanency hearing
    which states that the Department intended to add adoption as a dual goal along with reunification. However,
    the second set of permanency plans appears nowhere in the record and statements in the trial transcript
    indicate that the second set of permanency plans was not ratified.
    -14-
    a case manger [sic] for 31/2 years with the Department and have maintained
    a case load of approximately 15 children since that time. Each year I am
    involved in preparation of approximately 30 permanency plans. My job
    requirements and my standard method of operations, which I was utilizing on
    June 1, 2007, is for the case manager to mail a copy of each set of plans to
    each child’s parents by U.S. mail to the parent’s most recent address if the
    parent does not attend the meeting. This is an invariable habit.12
    4. I would have mailed a copy by U.S. mail postage prepaid to his address at
    . . . Each plan had attached to it the Criteria and Procedures for Termination
    of Parental Rights. A copy of the Criteria is attached to this affidavit. This
    document outlines the legal consequences for the parents’ actions for, among
    other acts, the parents’ failure to visit and support their children, known as
    abandonment. This was provided to [Father] each time the new plans were
    prepared.
    5. Plans were subsequently prepared for these children on April 30, 2008 and
    a meeting was held at that time to which [Father] was invited to participate. He
    was notified by phone, because he had not responded to a letter I sent to him
    on April 4, 2008 in order to re-establish contact with him and update contact
    information for him. He did not attend the meeting. These plans were sent by
    U.S. mail postage prepaid to [Father] at his address at . . . Murfreesboro, TN.
    . . These plans also contained the above described “Criteria”. These plans were
    not returned to the Department.
    6. I spoke to [Father] prior to that April 2008 meeting and discussed with him
    that the new plans were going to contain an additional goal of adoption, based
    upon his failure to visit the children. I advised him at that time verbally that
    failure to visit is a ground for termination of parental rights. [Father] was upset
    by this change. However, he did not appear at the meeting and did not request
    visitation with the children until August 15, 2008.
    The testimony of the caseworker at trial provides few additional facts to supplement
    the sparse efforts stated in the affidavit. Significantly, no reunification services are
    mentioned, e.g. parenting classes, anger management classes, or mental health treatment,
    only the minimal administrative duties such as mailing of the plan along with written
    12
    Notably, in Ms. Shelton’s testimony at trial, she did not state that she mailed Father a copy but
    stated that “he would have been mailed a copy after the meeting.” We are troubled that nowhere is it
    conclusively shown that Father was mailed a copy of the initial permanency plan.
    -15-
    admonitions regarding the requirement that Father visit his children are listed in the
    permanency plan.
    The Department has the burden to prove by clear and convincing evidence that it
    exercised reasonable care and diligence to provide services reasonably necessary to meet the
    Father’s needs in assisting him in fulfilling his obligations under the permanency plans. In
    re R.L.F., 
    278 S.W.3d 305
    , 315-316 (Tenn. Ct. App. 2008) (citing In re Valentine, 79 S.W.3d
    at 546; In re C.M.M., 
    2004 WL 438326
     at *8; Tenn. Code Ann. § 36-1-113(c)). Under this
    burden, the Department must present sufficient evidence to enable this court to conclude,
    without serious or substantial doubt, that the Department’s efforts were reasonable under the
    circumstances. Id. at 316 (citing In re Valentine, 79 S.W.3d at 546; In re C.D.B., 
    37 S.W.3d 925
    , 927 (Tenn. Ct. App. ); Walton v. Young, 
    950 S.W.2d 956
    , 960 (Tenn. 1997)).
    As was the case in Tiffany B., the record, considered in its entirety, leaves the distinct
    impression that the Department neither prepared an appropriate permanency plan nor did it
    expend much effort to assist Father after it obtained custody of his children. Despite its
    knowledge, actual or constructive, that Father’s ability to function was compromised due to
    some sort of mental condition, the Department obviously expected Father to initiate the
    appropriate remedial efforts on his own and to contact the case manager when he chose to
    do so. This expectation was clearly unreasonable. As this court stated in Tiffany B.:
    In circumstances that do not involve serious physical abuse or harm to the
    child, the law does not permit the Department to be passive when it removes
    children from their parents’ custody. The law requires the Department to bring
    its skills, experience, and resources to bear in a reasonable way to bring about
    the reunification of the family. The Department has not presented clear and
    convincing evidence that it did so in this case. Therefore, we have no choice
    other than to vacate the order terminating the parents parental rights and
    remand the case for further proceedings.
    In re Tiffany B., 228 S.W.3d at 160 (footnote omitted). The evidence in the record reveals
    that the permanency plan was not crafted to address requirements needed to accomplish the
    stated goal of reunification and the Department exerted no effort to assist Father to
    accomplish that goal. Accordingly, the permanency plan, as well as the Department’s so-
    called efforts, fail the test.
    We therefore reverse the trial court’s finding that Father was in substantial
    noncompliance with the permanency plan.
    -16-
    A BANDONMENT BY F AILURE TO V ISIT
    The trial court also found that Father abandoned the children by willfully failing to
    visit. A parent abandons a child if for a period of four consecutive months immediately
    preceding the filing of a petition to terminate the parental rights of the parent, it is established
    that the parent willfully failed to visit, willfully failed to support, or willfully failed to make
    reasonable payments toward the support of the child. Tenn. Code Ann. § 36-1-102(1)(A)(i).
    The petition to terminate Father’s parental rights was filed on July 11, 2008. Father’s
    last visitation prior to the filing of the termination petition occurred in August 2007. At the
    time of the filing, Father had not visited the children for over ten months. Thus, this portion
    of the statutory requirement was demonstrated by clear and convincing evidence. Father’s
    argument regarding this ground is that due to his diagnosis of schizoaffective disorder, the
    “willfulness” requirement of the statute was not met. This court discussed the definition and
    requirements of willfulness at great length in In re Audrey S., 
    182 S.W.3d 838
    , 864 (Tenn.
    Ct. App. 2005):
    Failure to visit or support a child is “willful” when a person is aware of his or
    her duty to visit or support, has the capacity to do so, makes no attempt to do
    so, and has no justifiable excuse for not doing so. In re M.J.B., 140 S.W.3d at
    654; see also Shorter v. Reeves, 
    72 Ark. App. 71
    , 
    32 S.W.3d 758
    , 760 (Ark.
    Ct. App. 2000); In re B.S.R., 
    965 S.W.2d 444
    , 449 (Mo. Ct. App. 1998); In re
    Estate of Teaschenko, 
    393 Pa. Super. 355
    , 
    574 A.2d 649
    , 652 (Pa. Super. Ct.
    1990); In re Adoption of C.C.T., 
    640 P.2d 73
    , 76 (Wyo. 1982).
    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. In re Adoption of S.M.F.,
    No. M2004-00876-COA-R9-PT, 
    2004 WL 2804892
    , at *8 (Tenn. Ct. App.
    Dec. 6, 2004) (No Tenn. R. App. P. 11 application filed). Accordingly,
    triers-of-fact must infer intent from the circumstantial evidence, including a
    person’s actions or conduct. See Johnson City v. Wolfe, 
    103 Tenn. 277
    , 282,
    
    52 S.W. 991
    , 992 (1899); Absar v. Jones, 
    833 S.W.2d 86
    , 89-90 (Tenn. Ct.
    App. 1992); State v. Washington, 
    658 S.W.2d 144
    , 146 (Tenn. Crim. App.
    1983); see also In re K.L.C., 
    9 S.W.3d 768
    , 773 (Mo. Ct. App. 2000).
    In re Audrey S., 182 S.W.3d at 864.
    As the court noted, “failure to visit or support a child is ‘willful’ when a person is
    aware of his or her duty to visit or support, has the capacity to do so, makes no attempt to do
    -17-
    so, and has no justifiable excuse for not doing so.” In re Audrey S., 182 S.W.3d at 864 (citing
    In re M.J.B., 140 S.W.3d at 654) (other citations omitted). The willfulness standard requires
    that a parent both have the capacity to fulfill the visitation requirement and “no justifiable
    excuse for not doing so.” Id.
    In this case, the Department has the burden to prove by clear and convincing evidence
    that it exercised reasonable care and diligence to provide services reasonably necessary to
    meet the Father’s needs in assisting him in fulfilling his obligations under the permanency
    plans. In re R.L.F., 278 S.W.3d at 315-316. Other than contacting the Department, the only
    requirement of Father under the plan was to “visit” his children. The only service the
    Department provided was supervision of the visits. It did not provide assistance to Father in
    any other capacity.
    The statutory scheme excludes the requirement of reasonable efforts under certain
    circumstances only if the court has determined that “aggravated circumstances” exist. In re
    B.L.C., No. M2007-01011-COA-R3-PT, 
    2007 WL 4322068
    , at *9 (Tenn. Ct. App. Dec. 6,
    2007). The circumstances under which the Department is excused from exerting reasonable
    efforts to aid reunification of the family was discussed at length in the case of In re B.L.C.:
    Tennessee Code Annotated § 36-1-102(9) defines “aggravated circumstances”
    to mean “abandonment, abandonment of an infant, aggravated assault,
    aggravated kidnapping, especially aggravated kidnapping, aggravated child
    abuse and neglect, aggravated sexual exploitation of a minor, especially
    aggravated sexual exploitation of a minor, aggravated rape, rape, rape of a
    child, incest, or severe child abuse, as defined at § 37-1-102.” (emphasis
    added). As is seen from the italicized portion of the statute cited above, its
    plain language relieves DCS of its responsibility to make reasonable efforts
    only if a court of competent jurisdiction has made a determination that
    aggravated circumstances exist, along with the other statutory requirements.
    The statute does not allow DCS to take the approach of doing nothing on a
    parent’s case, providing no assistance, in the hopes that a court will later
    make a finding of abandonment that retroactively “forgives” DCS’s lack of
    efforts, particularly when, as is the case here, DCS’s failure to make a
    reasonable effort arguably was a significant factor in enabling DCS to argue
    that [the parent] abandoned her children.
    We believe the most reasonable and natural interpretation of the statute at issue
    is that DCS is relieved of its responsibility to make reasonable efforts to assist
    in the preservation and reunification of families that the State has decided to
    separate at such time that a court of competent jurisdiction makes the required
    -18-
    determination of aggravated circumstances, and not before. Prior to such a
    determination, DCS must continue to make reasonable efforts. To hold
    otherwise would be to create an unacceptable level of uncertainty among
    DCS’s staff members as to whether, and when, they are required to exercise
    reasonable efforts, because the answer to that question would not be clear until
    a trial court, or possibly an appellate court, rules on the issue of abandonment.
    A “wrong guess” on DCS’s part would create an unacceptably long delay in
    an area of the law, termination of parental rights, where expediency is of
    particular importance. We also make this determination mindful of a parent's
    fundamental constitutional rights in this regard, and the profound, permanent
    consequences of an order terminating a person’s parental rights.
    Id. at *9 (emphasis added).
    Here, the trial court did not make the determination that Father had “abandoned” the
    children by failing to visit them until October 1, 2009, after the trial concluded. Accordingly,
    the Department was not relieved of the duty to exert reasonable efforts to assist Father to
    reunite with the children. For all practical purposes, the only effort exerted by the Department
    was to supervise visitation, if and when Father called the Department.
    The Department had the burden to prove by clear and convincing evidence that it
    exercised reasonable care and diligence to provide services reasonably necessary to meet the
    Father’s needs in assisting him in fulfilling his obligations under the permanency plans. In
    re R.L.F., 278 S.W.3d at 315-316. Moreover, the Department had the burden to present
    sufficient evidence to enable this court to conclude, without serious or substantial doubt, that
    the Department’s efforts were reasonable under the circumstances. Id. We have determined
    the Department failed to present evidence sufficient to enable this court to conclude, without
    serious or substantial doubt, that the Department’s efforts were reasonable under the
    circumstances of this case.
    Accordingly, we reverse the trial court’s finding that Father abandoned the children
    by willfully failing to visit.
    B EST INTERESTS OF THE C HILDREN
    As we have reversed the trial court’s determinations on all three grounds for
    termination, there is no ground upon which Father’s parental rights may be terminated.
    Accordingly, the issue of best interests is mooted. See In re D.L.B., 118 S.W.3d at 367.
    -19-
    I N C ONCLUSION
    The judgment of the trial court is reversed, and this matter is remanded with costs
    of appeal assessed against the Department of Children’s Services.
    ______________________________
    FRANK G. CLEMENT, JR., JUDGE
    -20-