In the matter of: April F. (d.o.b. 11/20/98), Dylan F. (d.o.b. 3/30/00), and Devin F. (d.o.b. 7/24/06 ( 2010 )


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  •                  IN THE COURT OF APPEALS OF TENNESSEE
    AT KNOXVILLE
    Assigned on Briefs April 29, 2010
    IN RE CHASE A. C.
    An Appeal from the Juvenile Court for Campbell County
    No. J0009043     Joseph M. Ayers, Judge
    _________________________________
    No. E2009-01952-COA-R3-PT - FILED AUGUST 18, 2010
    This is a termination of parental rights case. The child at issue was removed from his
    father’s home based on allegations of physical abuse and inability to control the child’s
    behavior. After the child was placed in state custody, the state developed a permanency plan.
    The father timely performed some of his assigned tasks under the plan, but not others. As
    to the tasks he completed, the father did not submit documentation to show completion.
    Eventually, the state filed a petition to terminate the father’s parental rights. After a trial, the
    trial court terminated the father’s parental rights based on abandonment for failure to provide
    a suitable home, substantial noncompliance with the permanency plan, and persistent
    conditions. The father now appeals, arguing that the state did not make reasonable efforts
    to reunify him with the child. We agree that the State did not make reasonable efforts at
    reunification, and we further find that the State did not by clear and convincing evidence
    show that termination of the father’s parental rights is in the child’s best interest. Therefore,
    we reverse the termination of the father’s parental rights.
    Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Juvenile Court is Reversed
    H OLLY M. K IRBY, J., delivered the opinion of the Court, in which A LAN E. H IGHERS, P.J.,
    W.S., and J. S TEVEN S TAFFORD, J., joined.
    David K. Vander Sluis, Oak Ridge, Tennessee, for the Appellant, Ronnie Cupp
    Robert E. Cooper, Attorney General & Reporter, Michael E. Moore, Solicitor General, and
    Douglas Earl Dimond for the Appellee, State of Tennessee Department of Children’s
    Services
    OPINION
    F ACTS
    Respondent/Appellant Ronnie C. (“Father”) and Respondent Tracie Lynn B. (“Mother”) are
    the biological parents of the child at issue, their son, C.A.C., born on February 17, 1997.
    Mother and Father were never married to each other. Father has been C.A.C.’s sole
    residential parent since C.A.C. was three years old. At all pertinent times, Mother lived in
    Ohio, and Father and C.A.C. lived in Caryville, Tennessee, located in east Tennessee near
    Knoxville.
    Father has a tenth grade education. Since the age of twelve, he has suffered from a
    degenerative bone disease, for which he takes the prescription pain medication Oxycodone
    four times a day. He also sustained damage to his heart, brain, and lungs from exposure to
    carbon monoxide in 1990. Despite his physical difficulties, Father earns his living in
    construction and masonry work, and he also does odd jobs such as repairing electronics.
    When C.A.C. was three years old, Mother left the home. For a long while, Father and
    C.A.C. lived by themselves. At some point, Father married Shawn C. (“Stepmother”), who
    had two daughters, one older and one younger than C.A.C. After Stepmother and her
    daughters moved into the three-bedroom mobile home with C.A.C. and Father, C.A.C. began
    exhibiting behavioral problems and jealousy toward Stepmother and her daughters. He
    began smoking cigarettes, engaged in behaviors that could start fires, broke another child’s
    finger at school, was suspended from school for fighting, and was often untruthful. Father
    tried withholding privileges, holding family meetings, and utilizing corporal punishment, to
    no avail. In 2007, C.A.C. was diagnosed with reactive attachment disorder at Ridgeview
    Psychiatric Hospital & Center, Inc. (“Ridgeview”). Counseling for C.A.C. was
    recommended, but Father was unable to pay for it.
    The family’s difficulties culminated in a report to the Child Protective Services division
    (“CPS”) of the State of Tennessee Department of Children’s Services (“DCS”). On February
    21, 2008, CPS received a referral from C.A.C.’s school regarding C.A.C., then eleven years
    old. The referral stemmed from a statement to school personnel by one of C.A.C.’s
    stepsisters that Stepmother had twisted C.A.C.’s arm and that Father had hit C.A.C. in the
    face until he got a bloody nose. CPS investigator Melia Henegar (“Henegar”) went to the
    school to investigate. She observed dried blood in C.A.C.’s nose, several bruises on his shin
    and his eyes, and markings on his neck. She was informed that C.A.C. had been in a physical
    -2-
    altercation with another child at school that day.1 However, when Henegar spoke to C.A.C.
    about his injuries, he told her that, the prior weekend, Father had kicked him in the shin
    continuously “for no reason.” He told her that he was scared to talk about the incident,
    because his dad would go to jail and things would be “worse than it ever was before.”
    C.A.C. told Henegar that Stepmother yelled at him and talked to him “like a dog” and wanted
    him out of the home. It was reported that the parents put an alarm on C.A.C.’s bedroom and
    closet door, and that he was often locked in his bedroom and required to obtain permission
    to leave his room to eat, drink, or use the bathroom.
    That day, Father and Stepmother were called to the school to meet with Henegar. They
    denied the abuse allegations but agreed to sign a document allowing C.A.C. to stay with his
    grandparents until CPS could conduct an investigation. Stepmother’s two daughters stayed
    at a friend’s house during the investigation.
    The next day, on February 22, 2008, a DCS child and family team meeting was held at the
    DCS office. During the meeting, Father and Stepmother told DCS personnel that they could
    not control C.A.C.’s behavior or address his issues at home, and they did not have any friends
    or family who would be able to care for C.A.C. while CPS completed its investigation. The
    team decided that the best course of action would be to place C.A.C. in State protective
    custody. The two stepsisters were returned to the home on March 3, 2008, because there was
    no evidence that they had been abused, and they reported that “the things that were
    happening to [C.A.C.] did not happen to them.”
    On February 26, 2008, DCS filed a dependency and neglect petition with respect to C.A.C.
    against Father and Mother based on the above facts. On the same day, the trial court entered
    a temporary order placing the child in DCS custody pending a final hearing. Attorney Robert
    Asbury was appointed as C.A.C.’s guardian ad litem (“GAL”). Because of the child’s
    behavioral problems, he was placed in Youth Villages (formerly known as Boys Town), a
    remedial agency located in Memphis, Tennessee, a five- to six-hour drive from Father’s
    home in Caryville. Psychiatrists at Youth Villages prescribed C.A.C. medications such as
    Risperdal for insomnia, anger, and suicidal ideations. Meanwhile, the hearing on the
    dependency and neglect petition was scheduled for April 17, 2008.
    Prior to the April hearing, on March 12, 2008, DCS developed the first permanency plan for
    C.A.C., with a target completion date of August 22, 2008. On March 17, 2008, Father,
    Stepmother, and DCS representatives met to review the parenting plan and discuss the goals
    and requirements in the plan. Mother, who lived in Ohio, did not participate in this meeting.
    The parenting plan provided that both Father and Mother could have supervised visits with
    1
    C.A.C.’s bruises were apparently not caused by this fight.
    -3-
    C.A.C., as well as telephone contact. Stepmother, however, was not allowed to have contact
    with him. The plan provided that the parents were required to visit C.A.C. a “minimum of
    4.3 hours a month,” and that the parents would “provide [their] own transportation to and
    from the visitation.” DCS’s responsibilities under the plan were to supervise visitation,
    monitor the progress of the parent/child visitation, and document the progress. DCS was also
    “responsible for obtaining approval from the Court and arranging visitation between parents
    and placements.”
    The goal of the permanency plan at that point was either reunification or adoption. For
    reunification, Father, Stepmother, and Mother were required to (1) maintain stable housing
    and provide verification to DCS, (2) provide appropriate furnishings for C.A.C.’s bedroom,
    (3) provide verification of employment to DCS, (4) complete a mental health assessment at
    Ridgeview and complete all recommendations arising from the assessment, (5) complete an
    alcohol and drug (“A & D”) assessment and cooperate with all recommendations arising
    from that assessment, (6) cooperate with all recommended treatment for C.A.C., (7) complete
    parenting classes, and (8) cooperate with in-home visits. Father and Stepmother signed the
    permanent parenting plan.2 They also signed forms containing the criteria and procedures
    for termination of parental rights; the forms indicate that Father and Stepmother had read and
    understood the possible grounds for terminating parental rights.
    On April 17, 2008, the hearing on the dependency and neglect petition was conducted as
    scheduled. Father was represented at the hearing by attorney Steve Hurst. Father stipulated
    that C.A.C. was dependent and neglected, and the trial court approved the DCS permanency
    plan.3 On May 15, 2008, the trial court entered an order holding that the child was dependent
    and neglected and that he should remain in DCS custody.4
    Within one to two months, Father had an alcohol and drug (“A&D”) assessment, as required
    under the permanency plan. However, verification of the assessment was not sent to DCS,
    as required under the plan. Thereafter, attorney Hurst ceased representing Father, and Father
    could not pay to hire another attorney.
    In the same time period, Father arranged for his own mental health assessment at Ridgeview,
    as required under the permanency plan. The mental health assessment was conducted on
    2
    Mother did not participate in the team meeting and did not sign the parenting plan.
    3
    For reasons not clear in the record, the order approving this plan was not entered until March 4, 2009.
    4
    Although the order required Father to “submit to a hair follicle test,” this was not done. Father later
    explained that he was willing to do the hair follicle test, but DCS never called him to schedule it. The case
    manager at the time later could not recall why the hair follicle test was not done.
    -4-
    May 15, 2008. In the course of his mental health evaluation, Father denied that either he or
    Stepmother physically abused C.A.C., claiming that the bruises on the child’s leg were
    sustained in a fight at school. Father also denied that he had any mental health or A&D
    issues. He told the Ridgeview personnel that he needed help to address his son’s behavior
    and asked about services available to C.A.C. after his discharge from Youth Villages. The
    report of the mental health assessment states that Father became “very upset” when he was
    told that services could have been made available to C.A.C. prior to his being taken into State
    protective custody. The report indicated that the family would receive group therapy at a
    later date to be determined, and that Father would contact Ridgeview when the child was
    discharged from Youth Villages to schedule these services. It is unclear whether Father
    signed a release to have his mental health assessment sent to DCS but, regardless, the report
    was not sent to DCS as required under the permanency plan.
    After C.A.C. was sent to Youth Villages in Memphis in February 2008, Father was unable
    to travel the considerable distance from East Tennessee to visit him because his car was
    unreliable and he could not afford more reliable transportation. However, C.A.C. telephoned
    Father every Monday and Wednesday evening for telephone visitation.5 In early summer
    2008, Youth Villages decided that it was necessary to discontinue Father’s telephone visits
    because, after each call, C.A.C. would become upset and repeatedly hit his head against a
    wall. Father was told that their telephone visits would be temporarily discontinued, for a
    period of sixty to ninety days to see if C.A.C.’s behavior improved.
    On July 24, 2008, the trial court conducted a judicial review of the case. Present at the
    hearing were C.A.C., the GAL, representatives of DCS, and the DCS case manager at the
    time, John Davis. Father did not appear at the hearing; he later claimed that he was not
    notified of it until one hour prior to the hearing. The order entered after the hearing noted
    that DCS had stopped Father’s telephone contact with C.A.C.; for reasons that are unclear
    in the record, the order states that the trial court had determined that Father “has caused
    problems at the child’s placement facility.”6 The order did not describe the no-contact
    provision as temporary or include an anticipated end date for it. The order found that C.A.C.
    should remain in DCS custody, and that DCS was “making reasonable efforts toward
    5
    Under the privilege system at Youth Villages, the telephone visitation had to be initiated by C.A.C. rather
    than by Father.
    6
    In the appellate record, the GAL confirmed Father’s version of the events that led to discontinuation of the
    telephone visits. Father stated that the telephone calls between C.A.C. and Father were “going great,” but
    after C.A.C. would hang up the telephone, he would begin hitting his head against a wall, apparently because
    he wanted to return home. The record does not indicate any conduct by Father that caused disruption to
    C.A.C. at Youth Villages.
    -5-
    reunification or toward making a permanent and appropriate placement for the children [sic]
    and toward preventing the children [sic] from continuing in foster care unnecessarily.”
    Meanwhile, Mother had been contacted by the counselors at Youth Villages, and spoke to
    them regularly by telephone.7 Apparently she told them that she was attempting to prepare
    her home for C.A.C. upon his discharge. Evidently, this raised some hope on the part of
    DCS officials that Mother might be able to take custody of C.A.C. Indeed, in June 2008,
    Youth Villages provided Mother with a bus ticket from Ohio to Memphis and put her up in
    a local motel, to enable her to visit C.A.C. and attend a DCS team meeting. Soon after the
    visit, however, Mother stopped contacting C.A.C., DCS, and Youth Villages. Since that time,
    she has had no involvement in the child’s life.
    In approximately August 2008, DCS caseworker John Davis visited Father’s mobile home
    to determine if it was suitable for C.A.C. to live there.8 In the mobile home, Father had
    repaired and painted the walls in C.A.C.’s bedroom, but the room had only a bed frame and
    did not have a mattress.9 Thereafter, Father obtained a new mattress for C.A.C.’s room.
    However, there were no follow-up home visits by DCS officials to review C.A.C.’s bedroom.
    Sometime in August or September 2008, DCS held another team meeting in which Father
    participated by telephone. Father told DCS officials in this meeting that he had completed
    the mental health and A&D assessments required under the permanency plans; however,
    DCS had not received documentation on the assessments. Father was told that DCS/Youth
    Villages had paid for Mother to come from Ohio to visit C.A.C.; however, Youth Villages
    was still prohibiting Father from telephone visitation with C.A.C. at this time, and the
    prospect of DCS facilitating Father’s travel to Memphis to visit C.A.C. was not discussed in
    the meeting. Father was informed at this meeting that DCS was considering having Father’s
    parental rights terminated based on his failure to accomplish his responsibilities in the
    permanency plan.
    7
    Mother indicated to officials that she was afraid of Father.
    8
    Davis said that this visit took place in August 2008; other evidence in the record indicates that this visit took
    place in December 2008 just before a team meeting. Whether the visit took place in August or December
    2008 is irrelevant to our analysis here.
    9
    Father explained that the mattress had to be replaced because C.A.C. had urinated on it. Father would later
    testify that the room was fully furnished except for the mattress, but the DCS case manager said that there
    was no furniture in the room, besides the bed frame. Regardless, DCS indicated that the lack of a mattress
    was the factor that made the room unsuitable for C.A.C.
    -6-
    In August 2008, Father and Stepmother were arrested for manufacturing methamphetamine
    and were taken into police custody. Based on this arrest, CPS received another referral, this
    one regarding Stepmother’s daughters, who lived in the home. Brandi Smith (“Smith”), a
    CPS investigator, met with Father about the allegations, and conducted a drug test on Father;
    the test returned positive for both methamphetamine and opiates. Father and DCS entered
    into a consent protection order, under which Father was to stay away from the home and
    would be permitted supervised visits with his two stepdaughters. Pursuant to the agreement,
    Father enrolled in a drug treatment program. While he was in treatment, Smith conducted
    a random visit at Father’s home at 7:00 a.m. one morning. Although Stepmother told Smith
    that Father was not living there, Smith found Father hiding in the closet in his underwear,
    obviously in violation of the order that he not stay in the home. Eventually, Father was
    discharged from the drug treatment program because he continued to take the opiate-based
    medication prescribed for his degenerative bone condition, which was not permissible under
    the drug treatment program. Nevertheless, because Father did not test positive for
    methamphetamine or other non-prescription drugs during the two months after the DCS
    referral, DCS permitted him to return to the home with Stepmother and her daughters. The
    methamphetamine charges against Father and Stepmother were later dismissed.
    Around the same time, Father and Stepmother were arrested for theft at a gas station at which
    Stepmother worked as a cashier. They pled guilty and were ordered to pay a $450 fine by
    February 17, 2009. Because the fine was not paid in a timely manner, both were briefly
    jailed in February 2009 and released shortly thereafter.
    In October 2008, DCS moved C.A.C. from the Youth Villages facility in Memphis to a
    Youth Villages therapeutic foster home in Knox County, a thirty to forty minute drive from
    Father’s home. However, DCS did not immediately inform Father that C.A.C. had been
    moved from Memphis to Knox County; Father was not notified until November or December
    2008. By this time, DCS had essentially made a decision to seek the termination of Father’s
    parental rights.
    On December 19, 2008, DCS held a child and family team meeting at the DCS office in
    Campbell County. Both Father and C.A.C. were present at the meeting, and this was the last
    time Father saw C.A.C. before the termination petition was filed. Father was permitted to
    have a brief supervised visit with C.A.C., at which time he gave the child Christmas presents
    to celebrate the holiday. Within a few months after that, C.A.C. was moved to another
    therapeutic foster home, at least in part because his behavior continued to be problematic.
    In January 2009, Father was arrested for possession of drug paraphernalia, namely, syringes
    found in a coat in his home. According to Father, he used the syringes to inject Oxycodone,
    -7-
    the prescription medication he took for his degenerative bone condition. Father entered a
    guilty plea to the charge and was sentenced to two years probation.
    P ROCEEDINGS B ELOW
    On February 11, 2009, DCS filed a petition to terminate the parental rights of both Mother
    and Father based on four grounds: (1) abandonment for failure to visit the child in the four
    months preceding the petition (T.C.A. §§ 36-1-113(g)(1) & 36-1-102(1)(A)(i)); (2)
    abandonment for failure to provide a suitable home for the child (T.C.A. §§ 36-1-113(g)(1)
    & 36-1-102(1)(A)(ii)); (3) substantial non-compliance with the permanency plan (T.C.A. §
    37-2-403(a)(2)(C)); and (4) persistent conditions which led to the child’s removal from the
    home (T.C.A. § 36-1-113(g)(3)).10
    Shortly after the termination petition was filed, Father and Stepmother arranged to take
    parenting classes required under the permanent parenting plan. Documentation on their
    completion of the parenting classes was submitted to DCS in May 2009.
    On June 11, 2009, the trial court conducted a hearing on the DCS termination petition against
    Mother and Father.11 Father was the first to testify. He stated that he and his family have
    lived in the same mobile home in Caryville since November 2007. DCS apparently had on
    file another address for him in Jellico, Tennessee, but Father explained that the Jellico
    address was his own father’s home, where he had lived for some time. Father testified that
    he has five other biological children but does not have custody of any of them.
    Father indicated that C.A.C. began behaving badly when Stepmother and her two daughters
    moved in with them; he surmised that C.A.C. was jealous of the time Father spent with
    them.12 Father described C.A.C. as being “out of control,” and he said that the discipline
    techniques he employed did not work. After C.A.C. was diagnosed with reactive attachment
    10
    In May 2009, CPS received another referral on Father. This referral was based on an allegation by one of
    Father’s stepdaughters that she no longer wanted to live in the home because Father was beginning to treat
    her as he had treated C.A.C. Brandi Smith was the CPS investigator on this referral as well. Smith went to
    the school to meet with the stepdaughter, but she observed no bruising or other signs of physical abuse. The
    family received home services from DCS while the stepdaughters continued to live in the home. This
    investigation was ongoing at the time of the proceedings below, and the record does not indicate that a DCS
    petition was filed related to these allegations.
    11
    Mother did not appear at the hearing.
    12
    The record does not reflect when Father and Stepmother married.
    -8-
    disorder in 2007, counseling was recommended, but Father could not afford to pay for
    counseling.
    Father claimed that, before C.A.C. was taken into custody, he called DCS and “begged for
    [outside] help . . . [for] [s]omebody to show me what I can do.” He stated that, at the time,
    a DCS worker visited his home but gave him no advice or instruction on how to deal with
    C.A.C.’s serious behavioral problems. Father said that he was advised by the C.A.C.’s
    probation officer that he could file an “unruly child” petition with the court.13 Father did not
    do so, however, because he was told that filing such a petition could result in C.A.C.
    remaining in State custody until he was eighteen years old. Father thought that family
    counseling would have helped him take care of C.A.C., and that “[i]f we could all meet as
    a family and start addressing the issues or the problems in the home and try to find a solution
    for them,” the situation would improve. Even after C.A.C. was taken into State custody,
    Father said, he received no help from DCS in trying to resolve these problems, stating that
    “nobody recommended nothing” to help with C.A.C.’s behavior problems. When Father
    was asked what he could do differently to control C.A.C.’s behavior, he could not describe
    any new strategies; he thought that the separation would ultimately help C.A.C. control his
    behavior. He wished that the DCS case managers would have offered him more help.
    At the March 2008 DCS meeting regarding the permanency plan, Father testified, case
    manager John Davis read parts of the parenting plan and the criteria for termination to him.
    He did not read the document itself, Father explained, but he signed it to acknowledge that
    he had received it. Attorney Hurst never reviewed the documents with Father.
    Once C.A.C. was brought to the Youth Villages facility in Memphis, Father said, he was
    unable to visit him due to lack of transportation. Father had a vehicle, but he described it as
    “hideous” and unreliable, insisting that it would not have been able to travel safely from
    Caryville to Memphis. Father claimed that he told DCS that he needed assistance to visit
    C.A.C. in Memphis, but none was forthcoming. When Father learned that DCS/Youth
    Villages had provided Mother with a bus ticket from Ohio to Memphis to visit C.A.C. and
    paid for a motel room for her, Father said it “kind of tore me up” because he was never
    offered such assistance.
    Father testified about the discontinuation of his telephone visitation in the summer of 2008.
    He said that his telephone calls with C.A.C. were “going great,” but C.A.C. would hit his
    head against a wall after their phone calls ended because he did not like living at Youth
    Villages and wanted to return home. Father claimed that he did not attend the court hearing
    in July 2008 because he only found out about the hearing one hour before it began.
    13
    The record does not reflect how the child came to have a probation officer.
    -9-
    According to Father, DCS case manager Davis told him that it was “not an important hearing,
    but it was something that they had to do. But to do it, they just had to run it through the
    judge so they can observe [the child’s] behavior.” By that time, Father had no attorney.
    Father received in the mail a copy of the trial court’s August 2008 order on the hearing, and
    he understood it to mean that he was to have no further contact with C.A.C.
    Father said that he was never told that he had permission to resume having contact with
    C.A.C. He claimed that he called case manager Davis several times about setting up
    visitation with C.A.C., but that Davis could not be reached. Father first learned that C.A.C.
    had been moved from Memphis to foster care in east Tennessee at the December 2008
    meeting; C.A.C.’s move back to east Tennessee had taken place some two months earlier,
    in October 2008. In the December 2008 meeting, Father asked about reinstating telephone
    visitation, but Davis told Father that he would have to file a motion in court to get visitation
    in light of the existing court order. Father said that he could not afford another attorney at
    that time to pursue visitation. He indicated that, had he known that visitation with C.A.C.
    could have been arranged, he would have visited.
    Father asserted in his testimony that he had completed his responsibilities under the parenting
    plan. He had an adequate bedroom for C.A.C. in his home. He completed the renovation of
    the child’s bedroom in January 2009; he repaired the walls, painted, and added a ceiling fan,
    a television, and other furniture for the room. He said that when DCS case managers Davis
    and Leah Baird (“Baird”) inspected the home in December 2008, C.A.C.’s room contained
    a bed frame but not a mattress and box springs; he had to discard the old mattress because
    it was urine-stained. Father testified that he obtained a mattress for the bed two days after
    that visit. He claimed that he called Davis and left a message that C.A.C.’s room had been
    completed, but he never received a response, and DCS never did another home visit to see
    the completed room.
    Father said that he completed the mental health assessment as required under the permanency
    plan. When asked about the recommendations on the assessment, Father seemed unaware
    that the assessment form recommended that he contact Ridgeview for counseling upon
    C.A.C.’s discharge from Youth Villages. He stated that he thought that he was finished with
    his responsibilities after the assessment was completed, and that “[n]othing was mentioned
    about a program.” Father testified that he had signed a release in order for DCS to obtain a
    copy of his mental health test results, and in fact signed medical release forms at the March
    2008 DCS team meeting.
    Father also said that he completed his A&D assessment within two weeks after C.A.C. was
    removed from the home, as required by the permanency plan. He claimed that the result of
    the drug screen was “clean.” He said that the test administrator attempted to fax the results
    -10-
    to DCS three times, but for some reason the fax would not go through. In any event, he
    stated, DCS was aware that he had completed the A&D assessment. Father said that, in
    December 2008, he compiled his test results and delivered them to DCS in a black folder
    with other important documents, but DCS later claimed that it lost the documents.
    Father testified that he first found out that he was required to complete parenting training
    during a telephonic meeting with DCS that took place in November 2008.14 He claimed that
    he started the classes as soon as he learned that they were required, and that he completed the
    classes one month prior to trial. He explained that his completion of the program was
    delayed by several adversities, including his month-long hospitalization in January and
    February 2009 with double pneumonia, and the death of his sister-in-law in a car accident
    in March 2009.
    Father’s testimony about his employment was somewhat unclear. At the time C.A.C. was
    taken into protective custody, Father had regular employment with S&A Construction. He
    said that DCS never asked him to provide verification of employment after the May 2008
    DCS team meeting. At the time of trial, Father said, he was working temporarily for A & G
    Construction, Inc., and earning extra money “on the side” by repairing small electronics,
    cleaning and restoring computers, and working on cars. Father conceded that he struggled
    with maintaining permanent employment, commenting that he was “barely getting enough
    work to keep the train moving.” Father testified that he had twice applied for disability
    benefits, was denied both times and appealed both times, “waited forever, and did the appeal
    again.” After being turned down the third time, he said, “I just went back to work and made
    do the best I could.” Asked if he would pursue disability benefits again, Father said, “I had
    thought about it, but I don’t have that time to waste. I’ve got to keep working.” At the time
    of trial, Father had delivered job applications to sixteen steel companies and a staffing
    agency, and he hoped to obtain regular employment with one of them. He did not have
    health insurance, because neither of the construction companies for which he worked
    provided health insurance. Father said that he would not be able to afford regular counseling
    for C.A.C. if he were placed back in the family home.
    Father testified about his criminal history. He denied having methamphetamine in his home
    when he was arrested in August 2008, noting that the charges were ultimately dismissed. He
    claimed that the DCS drug test at that time was positive for methamphetamine because he
    had been given the drug by a nurse at the jail. The positive result for opiates was because
    of his prescription medication. The same day that the methamphetamine charges were
    brought, Father and Stepmother were charged with theft at the convenience store at which
    14
    Father first recalled that the conference call took place in August 2008, but later said that it took place in
    November 2008.
    -11-
    she worked. He pled guilty to the theft charge and was ordered only to pay a fine, but was
    jailed briefly in February 2009 because he paid that fine one hour too late. Father conceded
    that he was arrested again in January 2009 for possession of drug paraphernalia, but
    explained that the “paraphernalia” consisted of the syringes he used to inject the Oxycodone
    prescribed to him in pill form for the pain from his degenerative bone condition.
    Nevertheless, he pled guilty to that charge in March 2009. Father acknowledged the
    importance of staying out of criminal trouble in order to regain custody of his child.
    The trial court then heard testimony from the various DCS personnel. CPS investigator
    Henegar testified about her February 2008 visit to investigate the original referral from
    C.A.C.’s school and about the subsequent dependency and neglect petition filed by DCS.
    Her role in the case ended after C.A.C. was placed at Youth Villages in Memphis.15
    All three of the DCS case managers who had responsibility for C.A.C. testified at trial. Lisa
    Jeffers (“Jeffers”) was the case manager from the beginning of the case (March 2008) until
    May 2008.16 By the time Jeffers was assigned to the case, C.A.C. had already been placed
    at Youth Villages in Memphis. She testified that she “would say” that she spoke to C.A.C.
    once a week on the telephone, and visited with him once a month. Jeffers received reports
    from Youth Villages that C.A.C. acted out frequently, especially during bedtime, because he
    was afraid that someone would disturb him at night. She did not recall any recommendations
    by Youth Villages as to family counseling or other treatment for C.A.C. Asked “[w]hat was
    the point of [C.A.C.] being down in Youth Villages?” Jeffers replied, “I don’t know.”
    Jeffers could not recall her conversations with Father after C.A.C. was taken into protective
    custody, but she had the impression that Father and Stepmother blamed the child for their
    failure to exert control over him. In the beginning, Jeffers stated, Father and Stepmother
    were cooperative, remained in contact with her, and returned her calls as needed. Over time,
    she asserted, their contacts became more sporadic. However, she conceded that she really
    had “no idea” how often she and Father were in contact.
    Jeffers was present at the March 2008 DCS team meeting and remembered explaining to
    Father and Stepmother their responsibilities under the permanency plan. However, she
    recalled little beyond that. She did not recall the tasks assigned to Father under the plan and
    15
    CPS investigator Smith testified about her two investigations on the referrals regarding Father’s
    stepdaughters in September 2008 and May 2009. Those investigations related to Father as a stepparent to
    the two stepdaughters, not as C.A.C.’s biological parent, and she said that DCS’s actions on these referrals
    were quite limited.
    16
    Jeffers ended her employment with DCS in May 2008.
    -12-
    did not recall receiving the results of a mental health assessment, A&D assessment, or proof
    of his employment.
    Asked about any assistance provided to Father to travel from east Tennessee to Youth
    Villages in Memphis to visit C.A.C., Jeffers responded that it was not “a part of the
    Department’s criteria to take them to Memphis.” She explained, “it’s up to the parents to get
    wherever the child is located. We don’t do transportation.” When asked how she assisted
    Father in obtaining the required mental health assessment, Jeffers answered, “I gave him the
    phone number. We’re not allowed to set that up because he’s not a child, he’s an adult.” 17
    She could not recall whether she followed up to determine whether he had completed that
    assessment. Regarding the A&D assessment, Jeffers again said that she gave Father the
    telephone number, and she could not recall whether Father actually set up the A&D
    assessment. When asked about her assistance with the permanency plan requirement of
    parenting education, Jeffers was unsure, stating, “I’m sure I probably recommended a phone
    number.” She did not recall any in-home assistance being provided to Father. She had no
    meetings with Father outside of the scheduled DCS team meeting and a court date. Jeffers
    was asked, “So to sum this up, the extent of what you did to assist [Father] in this whole
    matter was to give him several phone numbers?” Jeffers replied, “Yes, sir.”
    The next DCS case manager to testify was John Davis, the case manager for C.A.C. for the
    four-month period from May 2008 to August 2008. During the time in which Davis was
    assigned to the case, he understood that Youth Villages had said that “no visits should occur
    between the father and the child” in order “to assess [C.A.C.’s] behavior without contact with
    [Father].” Davis said that this directive came from Youth Villages personnel, not from DCS
    case managers or from a court order. Consequently, Davis did not attempt to help Father
    visit the child.
    Youth Villages did, however, facilitate Mother’s travel from Ohio to Memphis to visit
    C.A.C. on June 27, 2008, in Memphis at Youth Villages for a child and family team meeting.
    Davis testified that Mother was “setting up for home services in Ohio” and commented that
    things were “really looking good for her at that time.” Davis said that Mother later
    17
    Some parental termination cases have noted DCS efforts to assist parents by setting up mental health
    appointments for them. See, e.g., In re Derrick B., No. M2008-01162-COA-R3-PT, 
    2008 WL 5424078
    , at
    *8-9 (Tenn. Ct. App. Dec. 30, 2008) (noting that DCS set up mental health appointments for the father).
    Other parental termination cases have reflected assistance by a DCS case manager by helping the parent
    schedule such appointments or providing transportation for such appointments. See In re J.D.L., No.
    M2009-00574-COA-R3-PT, 
    2009 WL 4407786
    , at *2 (Tenn. Ct. App. Dec. 2, 2009)(noting that DCS helped
    the mother make appointments and provided bus fare for the appointment); DCS v. Wright, No. M2008-
    01607-COA-R3-PT, 
    2009 WL 302292
    , at*2-3 (Tenn. Ct. App. Feb. 6, 2009) (noting that DCS set up an
    initial mental health appointment).
    -13-
    encountered personal problems and “just kind of lost contact” with DCS in August 2008.
    She never again visited C.A.C. after the June 2008 meeting.
    Davis said that Father would have been invited to the June 2008 meeting, but they were
    unable to contact him at that time because one of the telephone numbers that Davis had for
    Father had been cut off. Also, Davis was given two addresses for Father by DCS, one in
    Caryville and one in Jellico. However, Davis did not send any correspondence to Father at
    any address. Eventually, the communication problems were resolved.18 Davis made one visit
    to Father’s home to inspect C.A.C.’s bedroom. The visit revealed that the child’s room
    contained only a bed frame and was not then suitable for the child. Davis made no other
    visits to Father’s home. He conceded that one home visit over a period of three or four
    months was below the standard number of home visits in a typical DCS case.
    Davis testified that Father told him that he wanted a face-to-face visit with his son. DCS
    tried to set up a team meeting in Memphis, but when they discussed a Memphis meeting with
    Father, he told Davis that he had difficulties with his vehicle and could not travel to
    Memphis. So the team meeting was set up for east Tennessee.
    Davis testified that the persons present at the August 2008 team meeting included him,
    incoming case worker Leah Baird, Father, Stepmother, and C.A.C. The meeting was held
    in the DCS office in Campbell County in east Tennessee. Davis reviewed with Father the
    progress on his assigned tasks under the permanency plan. Davis said that Father told him
    that he had completed his mental health assessment and his A&D assessment; however, DCS
    had not received the results of those assessments. Davis conceded that he took no initiative
    to get those records himself. Father did not provide verification of employment at that time.
    Davis did not recall about the parenting class requirement of the plan. At that meeting, Davis
    informed Father that DCS was beginning to consider terminating Father’s parental rights
    based on his failure to comply with the plan. This disclosure upset Father, so he refused to
    sign the plan. Father’s visitation with C.A.C. was not discussed at the August 2008 meeting.
    The next case manager assigned to C.A.C.’s case was Leah Baird. Baird testified that she
    was the case manager from late August or September 2008 until the time of trial. By the time
    she received the case, Baird stated, DCS had essentially made a decision to seek the
    termination of Father’s parental rights. Differing from Davis’s testimony, Baird recalled that
    Father and Stepmother participated in the August 2008 meeting by telephone only. Baird
    said, however, that Father and Stepmother were both present at a September 2008 team
    18
    Apparently, DCS at all times had two addresses and at least two telephone numbers in the file for Father,
    and this created some confusion for the case managers in attempting to contact Father. At all times, however,
    DCS had at least one operable telephone number and Father’s correct address.
    -14-
    meeting, and that C.A.C. was present as well.19 She claimed that she discussed the
    permanency plan with Father. Baird said that Father was informed at that meeting that he
    was required to visit C.A.C. at least 4.3 hours per month. When asked whether she assisted
    Father in visiting the child while he was at Youth Villages, Baird testified that she “wasn’t
    aware of any problems about visiting,” and was not made aware that Father did not have a
    reliable vehicle. Baird said that she attempted to visit Father in his home in Caryville two
    times in October or November. The first time no one was home, and the second time a
    meeting had been pre-arranged, but Father had to cancel.
    Baird testified that, in late October 2008, C.A.C. was moved from Memphis to a Youth
    Villages therapeutic foster home in Knox County, about 40 miles from Father’s home in
    Caryville. However, Baird did not inform Father that the child had been moved until
    “[p]robably in November,” but at least by the December 2008 DCS team meeting.
    Baird stated that, at the December 2008 team meeting, she did not have documentation that
    Father had completed parenting classes, or documentation of Father’s mental health
    assessment, A&D assessment, or employment. Father had informed Baird at an earlier
    meeting that he had completed the mental health assessment at Ridgeview, so Baird called
    Ridgeview to get a copy of the results but was informed that there was no release on file
    signed by Father. Baird did not attempt to obtain a release form for Father to sign, nor did
    she ask Ridgeview to send a release to Father. Baird called and sent emails to obtain Father’s
    A&D assessment, but she claimed that she did not receive it “until later.” Baird said that
    Father called her only once or twice during the period in which she was assigned to C.A.C.’s
    case, and she perceived that he was not informed or involved.
    When Baird was asked if she tried to contact Father about visiting C.A.C., she responded,
    “No. The parents are supposed to contact the workers to try to set up visitations.” She
    explained that she does not “have to initiate phone contact, or to make [a parent] be
    involved” in his child’s case. She never asked Father if he was able to get to visitation with
    C.A.C. in his vehicle. Baird could not recall whether she informed Father that the Youth
    Villages no-contact policy had expired and that he was again permitted to have telephone
    contact with C.A.C.
    Baird was asked about C.A.C.’s condition. She testified that, at the time of the hearing, he
    was still in a Youth Villages therapeutic foster home. C.A.C. attended counseling once a
    19
    Baird’s testimony regarding the dates of the team meetings and the attendees was unclear. After recalling
    one meeting in August in which Father participated over the telephone, and one in September at which Father
    was present, Baird later said that she first met Father in person in October or November 2008, and still later
    stated that she “probably” first saw him in person at the home visit in December 2008.
    -15-
    week, as he still had some behavior problems. Baird said that when she tried to explain to
    C.A.C. that DCS was attempting to terminate Father’s parental rights, he elaborated on the
    conditions in his Father’s home; for example, C.A.C. stated that he was locked in his room
    and had to ask for food and to be permitted to go the bathroom. When asked about C.A.C.’s
    behavior in the foster home, Baird said that C.A.C. was placed in specialized classes and had
    gotten involved in fights at school, but added that “he’s doing pretty well on his own there.”
    The trial court also heard testimony from Candace Neill (“Neill”), C.A.C.’s foster care
    counselor at Youth Villages from December 2008 until the time of trial. Neill was present
    at the December 2008 team meeting in Campbell County that both C.A.C. and Father
    attended. She said that, at the team meeting, her contact information was written on a board
    and was available to Father in that way. Despite attending the meeting with Father, Neill did
    not, as C.A.C.’s counselor, converse with Father or say anything directly to him. When
    asked if she ever tried to include Father in her counseling of C.A.C., Neill replied, “I am
    required to have one birth family contact per month. And I called.” Apparently, however,
    the one number she had been given for Father was not a working number, and she never
    spoke to him.
    At the time of trial, Neill had been meeting with C.A.C. for one hour once or twice per week
    in his foster home for some six months. She said that C.A.C. had had numerous behavioral
    problems at school in the previous year, including verbal and physical aggression and issues
    with female authority figures. When asked whether C.A.C. had shown any progress, Neill
    replied, “A little.” She said that C.A.C. experienced a setback in progress after the December
    2008 DCS team meeting, which both C.A.C. and Father attended, and that C.A.C. also
    regressed after he changed foster homes in March 2009. Neill anticipated that C.A.C.’s
    problems would be ongoing for some time.
    In response to questions by GAL Asbury, Neill testified that, during the time in which she
    had been C.A.C.’s counselor, C.A.C. had consistently expressed a desire to return home to
    Father. When asked the reason C.A.C. gave for wanting to return to Father’s home, Neill
    said that C.A.C. told her that he loves Father, admires him, looks up to him, and misses
    home.
    DCS also submitted the testimony of both sets of foster parents with whom C.A.C. had lived
    after he was moved back to east Tennessee. Kati Wheatley (“Wheatley”) was C.A.C.’s
    foster mother from October 2008 until March 2009. Wheatley testified that C.A.C. was
    “great” when he first arrived in her home, and that he tried to do well both socially and
    academically. She said that C.A.C. began to decline after the December 2008 DCS team
    meeting in which he saw Father for the first time in a long while. During that same time
    period, C.A.C. was assigned a new counselor at Youth Villages. Prior to that, Wheatley said,
    -16-
    C.A.C. was passing all of his classes; his lowest grade was a “C.” He soon began failing all
    of his classes at school except for one. She said that C.A.C. began lying and disobeying, and
    he became violent as well. She admitted that he had struck her more than once. On one
    occasion, he formed a gun with his hands and pointed it at Wheatley’s head while she was
    driving and said, “I’m going to get you, woman.” On another occasion, C.A.C. grabbed the
    steering wheel of her car while she was driving and tried to wreck the car. She described
    C.A.C.’s bad behavior as intermittent, but said that he was eventually moved out of her
    family’s home because “[h]is behavior became so out of control that we just couldn’t do it
    anymore.” 20
    Bobbie Buckner (“Buckner”) was C.A.C.’s foster mother from March 2009 until the time of
    trial. She testified that C.A.C. had had behavioral issues since coming into her care. She told
    the trial court that C.A.C. gets “plumb violent” when she takes him to visit his psychiatrist;
    he tried to knock her down several times in the psychiatrist’s office, and the female
    employees in the psychiatrist’s office felt threatened by him.
    Buckner said that she takes C.A.C. to about six or seven appointments per week for a variety
    of needs, including the psychiatrist, “med management,” and his pediatrician. She named
    several medications that C.A.C. takes for behavioral and medical issues.21 Buckner dispenses
    the medication to him.
    Buckner was asked whether C.A.C. had mentioned any episodes of neglect or abuse in his
    home with Father. She related that C.A.C. had told her that, on one occasion, Stepmother
    entered his bedroom and “whipped him in the middle of the night, because she had heard a
    noise.” He denied having made the noise, but Stepmother “whipped him anyway.”
    Buckner described her relationship with C.A.C. as “pretty good. . . . But we’ve had some
    trials.” She stated that she was willing to adopt C.A.C. if he became available for adoption.
    In lieu of calling C.A.C., then twelve years old, to testify at trial, GAL Asbury gave the trial
    court an oral report. The GAL told the trial court that he had been assigned to C.A.C.’s case
    from the beginning, and that he did “not take exception” to the DCS petition to terminate
    Father’s parental rights. However, he described for the trial court his view of how C.A.C.
    20
    GAL Asbury later commented to the trial court that he was “aggravated” that DCS had called Wheatley
    as a witness because her home “was a disruptive home, and the child suffered as a result of that disruption.”
    21
    Buckner testified, “He’s on Focalin (stimulant ADD medication) in the morning, and Singulair and
    ranitidine for his stomach. . . . And he also takes ranitidine at night, too. . . . Oh, he . . . takes Celexa, also.”
    -17-
    had fared since being removed from his home, and he recounted what C.A.C. had told the
    GAL that he wants:
    I have spoken to [C.A.C.] on multiple occasions. The reason that I asked his
    counselor [witness Neill] the series of questions that I did was to see if, in fact,
    he told her the same things that he does me. And in fact, he does. He is
    adamant that he would like to go home.
    I have told him, quite frankly, that it would be my argument . . . that I disagree
    with his decision from the Guardian ad Litem standpoint. But he has remained
    steadfast that he would like to go home.
    ***
    The . . . concern that I have — and I don’t know how to address this other than
    just to state it to this Court.
    This is a situation that this child is in ways better off since he has been in
    custody, and in other ways has not improved at all.
    I mean, the behaviors that he has now, and the issues that they are struggling
    with are the same issues that we have been struggling with since he was
    initially removed. . . .
    . . . I am keenly concerned that his behavior is not getting any better since he
    has been in custody. And I don’t know if there’s anything we can do about
    that, other than to make it known that it’s not better. And that’s my position.
    Thus, GAL Asbury reported to the trial court that C.A.C. had essentially not improved while
    in State custody, and that C.A.C. remained “adamant” that he wanted to return to his home
    with Father. Nevertheless, GAL Asbury did not disagree with the DCS petition to terminate.
    At the conclusion of the hearing, the trial court held that DCS had carried its burden of
    proving by clear and convincing evidence that grounds existed on which to terminate the
    parental rights of both Mother and Father, and that terminating their parental rights was in
    the best interest of C.A.C. On July 2, 2009, the trial court entered an order outlining the basis
    for its decision. Initially, the trial court noted that Mother was properly served but did not
    appear or otherwise answer the petition, and that sufficient evidence existed as to all four
    grounds alleged in the termination petition against Mother.
    With respect to Father’s parental rights, the trial court held that DCS had failed to meet its
    burden of proving by clear and convincing evidence that Father abandoned C.A.C. for failure
    -18-
    to visit. The trial court said that the proof showed that Father reasonably believed that he
    was not allowed to visit the child:
    Though there was no order of the Court that prevented contact, there was
    evidence that the Youth Villages agency informed [Father] that he could not
    contact the child. According to the testimony of John Davis, DCS agreed with
    the recommendations of Youth Villages and informed [Father] that he could
    not have phone calls or face to face visits with the child. The current DCS
    case manager, Leah Baird, testified that during an August 2008 phone
    conversation with [Father], she discussed the permanency plan with him,
    including the provision regarding supervised visits for 4.3 hours per month.
    However, Ms. Baird did not testify that she expressly explained to [Father] that
    the prior recommendation against contact had been lifted, and it is possible
    [Father] did not understand that he could now visit. In addition, the child was
    placed in Memphis from February of 2008 until sometime in October 2008,
    and [Father], who does not have reliable transportation, could not reasonably
    be expected to travel such a distance to visit the child. Once the child was
    moved to the Knoxville area in October 2008, a period of time passed before
    [Father] was informed of the move. Ms. Baird testified that she informed
    [Father] of the move sometime in November.
    Thus, the trial court found that, because Father was not clearly informed that he could resume
    visiting C.A.C. and was not told when C.A.C. was moved back to east Tennessee, it was
    reasonable for him to believe that he could not visit the child.
    The trial court held, however, that DCS had proven the other three grounds for termination
    by clear and convincing evidence. First, the trial court concluded that Father had abandoned
    C.A.C. by failing to provide him with a suitable home, despite reasonable efforts made by
    DCS to help Father provide a suitable home.22 The trial court noted that DCS provided
    telephone numbers to Father to obtain the required mental health assessment, A&D
    22
    A parent’s rights can be terminated under these circumstances when:
    for a period of four (4) months following the removal, the department or agency has made
    reasonable efforts to assist the parent(s) or guardian(s) to establish a suitable home for the
    child, but that the parent(s) or guardian(s) have made no reasonable efforts to provide a
    suitable home and have demonstrated a lack of concern for the child to such a degree that
    it appears unlikely that they will be able to provide a suitable home for the child at an early
    date . . . .
    T.C.A. § 36-1-102(1)(A)(ii) (2005 & Supp. 2009).
    -19-
    assessment, and parenting training, and had explained to Father that he needed to obtain a
    mattress for the bed frame in C.A.C.’s bedroom. The trial court found that Father continued
    to engage in criminal activity, testing positive for methamphetamine while C.A.C. was in
    DCS custody. It stated that Father’s conduct, particularly during the four months preceding
    the DCS petition, reflected a “lack of concern for the child to such a degree that it appears
    unlikely they will be able to provide a suitable home for the child at an early date.”
    The trial court also held that the State had established by clear and convincing evidence that
    Father failed to comply substantially with the permanency plan.23 The trial court found that
    Father failed to submit documentation to DCS that he completed his responsibilities under
    the plan in a timely fashion, and that some of the tasks were not completed at all. The trial
    court noted that DCS “made reasonable efforts to assist [Mother and Father] to complete
    their responsibilities under the Permanency Plan but that they did not avail themselves of the
    services and assistance provided by the Department . . . .”
    The trial court also found that the ground of persistent conditions had been established by
    clear and convincing evidence.24 It explained:
    [C.A.C.] was removed from the home of [Father] on February 22, 2008, due
    to allegations of physical abuse, and [Father’s] statement that he could not
    control the child’s behaviors. . . .
    [Father] completed parenting training, but not until after the termination
    petition was filed. During testimony, [Father] was unable to articulate how he
    has learned to address the child’s behavioral issues. [Father] testified about
    23
    “Substantial noncompliance by the parent with the statement of responsibilities provides grounds for the
    termination of parental rights . . . .” T.C.A. § 37-2-403(a)(2)(C) (2005 & Supp. 2009)
    24
    Termination of parental rights may be based on a finding that the child has been removed from the parent’s
    home for a period of six months and:
    (A) The conditions that led to the child’s removal or other conditions that in all reasonable
    probability would cause the child to be subjected to further abuse or neglect and that,
    therefore, prevent the child's safe return to the care of the parent(s) or guardian(s), still
    persist;
    (B) There is little likelihood that these conditions will be remedied at an early date so that
    the child can be safely returned to the parent(s) or guardian(s) in the near future; and
    (C) The continuation of the parent or guardian and child relationship greatly diminishes the
    child's chances of early integration into a safe, stable and permanent home . . . .
    T.C.A. § 36-1-113(g)(3) (2005 & Supp. 2009).
    -20-
    how he disciplined the child before the removal, but admitted that those
    discipline techniques were unsuccessful. He could not explain how he would
    discipline the child differently now. The child’s former foster mother, Kati
    Wheatley, current foster mother, Bobbie Buckner, and counselor, Candace
    Neill, all provided testimony about the child’s behavioral issues. . . . The
    Court finds that it is clear that the child continues to have significant
    behavioral issues, and [Father] has not demonstrated that he can now control
    those issues.
    Thus, the trial court found that the original conditions that led to C.A.C.’s removal, namely,
    the child’s behavioral problems and Father’s inability to control the behavior, still existed,
    and that Father had not demonstrated that he can now control C.A.C.’s behavior. The trial
    court also found that Father had not demonstrated that he could pay for the counseling that
    C.A.C. would need after he returned to the home. The trial court again found that DCS had
    used reasonable efforts to assist Father in preparing to care for C.A.C. at home, but that the
    child still could not safely return home, and the situation would not likely be remedied in the
    near future. Therefore, it found that the ground of persistent conditions had been established.
    The trial court also found clear and convincing evidence that terminating the parental rights
    of both Mother and Father would be in C.A.C.’s best interest. In addition to the reasons
    outlined above, the trial court found that both Mother and Father had “no meaningful
    relationship” with C.A.C. Tracking the language of the termination statutes, the trial court
    found further that “[c]ontinuation of the legal parent and child relationship greatly diminishes
    the child’s chances of early integration into a stable and permanent home,” 25 commenting that
    C.A.C. “is very fortunate . . . in that his foster parents are committed to and involved in his
    treatment plan and are willing to adopt him.” Thus, the trial court terminated the parental
    rights of both Mother and Father and awarded custody of C.A.C. to DCS with the right to
    place the child for adoption. From this order, Father now appeals.26
    ISSUES ON A PPEAL AND S TANDARD OF R EVIEW
    On appeal, Father argues that the trial court erred in determining that clear and convincing
    evidence established that DCS made reasonable efforts to make it possible for C.A.C. to
    return home. He contends that the evidence at trial, particularly the testimony of the three
    DCS case managers, shows that DCS did not exercise the reasonable care and diligence
    25
    See T.C.A. § 36-1-113(g)(3)(C).
    26
    Mother did not participate in the proceedings below and did not appeal the trial court’s termination of her
    parental rights.
    -21-
    necessary to help him complete his tasks under the permanency plan. Consequently, he
    maintains, his parental rights cannot be terminated at this juncture.
    A biological parent’s right to the care and custody of his or her child is among the oldest of
    the judicially recognized liberty interests protected by the due process clauses of the federal
    and state constitutions. Troxel v. Granville, 
    530 U.S. 57
    , 65 (2000); In re Adoption of
    A.M.H., 
    215 S.W.3d 793
    , 809 (Tenn. 2007); Hawk v. Hawk, 
    855 S.W.2d 573
    , 578-79 (Tenn.
    1993); In re Giorgianna H., 
    205 S.W.3d 508
    , 515 (Tenn. Ct. App. 2006). While this right
    is fundamental and superior to the claims of other persons and the government, it is not
    absolute. DCS v. C.H.K., 
    154 S.W.3d 586
    , 589 (Tenn. Ct. App. 2004). It continues without
    interruption only so long as the parent has not relinquished it, abandoned it, or engaged in
    conduct requiring its limitation or termination. Blair v. Badenhope, 
    77 S.W.3d 137
    , 141
    (Tenn. 2002); In re M.J.B., 
    140 S.W.3d 643
    , 652-53 (Tenn. Ct. App. 2004).
    Termination proceedings are governed by statute in Tennessee. A party with standing to seek
    the termination of the parental rights of a biological parent must first prove at least one of the
    statutory grounds for termination. T.C.A. § 36-1-113(c)(1) (2005 & Supp. 2009). Secondly,
    the party seeking termination must prove that termination of the parental rights of the
    biological parent is in the child’s best interest. T.C.A. § 36-1-113(c)(2). Because of the
    profound consequences of a decision to terminate parental rights, courts must apply a higher
    standard of proof. Therefore, the elements required for termination of parental rights must
    be proven by clear and convincing evidence. T.C.A. § 36-1-113(c); In re Adoption of
    A.M.H., 
    215 S.W.3d at 808
    ; In re Valentine, 
    79 S.W.3d 539
    , 546 (Tenn. 2002).
    This heightened burden of proof in parental termination cases minimizes the risk of
    erroneous decisions. See In re M.W.A., Jr., 
    980 S.W.2d 620
    , 622 (Tenn. Ct. App. 1998).
    Evidence that meets the clear and convincing standard “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 Audrey S., 
    182 S.W.3d 838
    ,
    861 (Tenn. Ct. App. 2005) (citations omitted). “It produces in a fact-finder’s mind a firm
    belief or conviction regarding the truth of the facts sought to be established.” 
    Id.
     (citations
    omitted); see also In re A.D.A., 
    84 S.W.3d 592
    , 596 (Tenn. Ct. App. 2002).
    In light of the clear and convincing standard of proof, a reviewing court must “distinguish
    between the specific facts found by the trial court and the combined weight of those facts.”
    In re Tiffany B., 
    228 S.W.3d 148
    , 156 (Tenn. Ct. App. 2007). When a trial court has seen
    and heard witnesses, considerable deference must be accorded to the trial court’s findings
    as to the credibility of the witnesses. Seals v. England/Corsair Upholstery Mfg. Co., 
    984 S.W.2d 912
    , 915 (Tenn. 1999). Using the standard under Rule 13(d) of the Tennessee Rules
    of Appellate Procedure, the trial court’s specific findings of fact are first reviewed to
    -22-
    determine whether they are supported by the preponderance of the evidence; these facts are
    presumed to be correct unless the evidence preponderates against them. Tenn. R. App. P.
    13(d); Union Carbide Corp. v. Huddleston, 
    854 S.W.2d 87
    , 91 (Tenn. 1993). We then
    determine whether the combined weight of the facts, as found by the trial court or as
    supported by the preponderance of the evidence, clearly and convincingly establish all of the
    elements required to terminate the biological parent’s parental rights. In re Tiffany B., 
    228 S.W.3d at 156
    ; In re S.M., 
    149 S.W.3d 632
    , 640 (Tenn. Ct. App. 2004). The trial court’s
    conclusions of law, including its conclusion that the State presented clear and convincing
    evidence to support termination, are reviewed de novo on the record, affording them no
    presumption of correctness. In re Tiffany B., 
    228 S.W.3d at 156
    ; Campbell v. Florida Steel
    Corp., 
    919 S.W.2d 26
    , 35 (Tenn. 1996); Presley v. Bennett, 
    860 S.W.2d 857
    , 859 (Tenn.
    1993).
    A NALYSIS
    Reasonable Efforts
    The Tennessee General Assembly has explicitly recognized “family . . . as the fundamental
    building block of our society.” T.C.A. § 36-3-113(a) (2005). Accordingly, the State is
    authorized to remove a child from the care of his parents “only when necessary for such
    child’s welfare or in the interest of public safety,” and children are to be “protect[ed] from
    unnecessary separation from parents” who will care for them. T.C.A. § 37-1-101(a)(3) (2005
    & Supp. 2009) and §37-2-401(a) (2005). Once a child is removed from the family, “the first
    priority should be to reunite the family if at all possible.” In re Tiffany B., 
    228 S.W.3d at 157
    . Thus, any separation “should be for only as long as is necessary to preserve, repair, or
    reunify the family.” 
    Id.
    Under the Tennessee statutes governing the termination of the parental rights of a biological
    parent, in most instances in which a child has been removed from the parent’s home, DCS
    is required to make “reasonable efforts” to reunify the parent with the child.27 The statute
    elaborates on the meaning of “reasonable efforts”:
    (g)(1) As used in this section, “reasonable efforts” means the exercise of
    reasonable care and diligence by the department to provide services related to
    meeting the needs of the child and the family. In determining reasonable
    efforts to be made with respect to a child, as described in this subdivision
    27
    DCS is not required to exert reasonable efforts at reunification in circumstances described in Tennessee
    Code Annotated § 37-1-166(g)(4), such as in cases involving aggravated abuse, neglect, or sexual
    exploitation. None of these circumstances is present in the instant case.
    -23-
    (g)(1), and in making such reasonable efforts, the child’s health and safety
    shall be the paramount concern.
    (2) Except as provided in subdivision (g)(4), reasonable efforts shall be made
    to preserve and reunify families:
    (A) Prior to the placement of a child in foster care, to prevent or
    eliminate the need for removing the child from the child’s home;
    and
    (B) To make it possible for a child to safely return to the child’s
    home.
    T.C.A. § 37-1-166(g) (2005).28
    After a child is removed from the home by DCS, the Department is required to prepare an
    individualized permanency plan directed toward remedying the conditions that led to the
    child’s removal from his parent’s custody. In re Valentine, 
    79 S.W.3d at 547
    ; In re Tiffany
    B., 
    228 S.W.3d at 158
    . Parents are responsible for addressing the conditions that led to the
    removal of the child from the home, and they must make reasonable efforts to rehabilitate
    themselves once services have been made available to them. In re Tiffany B., 
    228 S.W.3d at 159
    . Thus, the permanency plan should include requirements that are reasonably expected
    to enable the parents to remedy those conditions. 
    Id. at 158
    . However, the parents’ ability
    to rehabilitate themselves may depend on the assistance and support of DCS, and so the
    permanency plan also allocates to the Department obligations to help reunite the parent and
    the child. 
    Id.
    In In re Georgiana H., 
    205 S.W.3d 508
     (Tenn. Ct. App. 2006), the Court elaborated on the
    standard to which DCS is held in endeavoring to reunite the family:
    While the Department’s reunification efforts need not be “herculean,” the
    Department must do more than simply provide the parents with a list of
    services and send them on their way. The Department’s employees must use
    their superior insight and training to assist the parents in addressing and
    completing the tasks identified in the permanency plan. . . . [T]he
    Department’s reunification efforts are “reasonable” if the Department has
    exercised “reasonable care and diligence . . . to provide services related to
    28
    Effective May 10, 2010, Tennessee Code Annotated § 36-1-102(1)(A)(ii) was amended to include a
    provision stating that “[t]he efforts of the department or agency to assist a parent or guardian in establishing
    a suitable home for the child may be found to be reasonable if such efforts exceed the efforts of the parent
    or guardian toward the same goal, when the parent or guardian is aware that the child is in the custody of the
    department.” This amendment, while not applicable in this case, would not alter the result in this appeal.
    -24-
    meeting the needs of the child and family.” 
    Tenn. Code Ann. § 37-1-166
    (g)(1) (2005). The reasonableness of the Department’s efforts
    depends upon the circumstances of the particular case. The factors that courts
    use to determine the reasonableness of the Department’s efforts include: (1)
    the reasons for separating the parent from his or her children, (2) the parent’s
    physical and mental abilities, (3) the resources available to the parent, (4) the
    parent’s 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 parent’s remedial efforts, 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 Georgiana, 
    205 S.W.3d at 519
     (citations and footnotes omitted). It is not reasonable
    for the Department to direct reunification efforts toward matters of little consequence. 
    Id.
    at 519 n.24. While the Court is cognizant of DCS budgetary constraints, given the profound
    consequences associated with the termination of a biological parent’s parental rights, the
    Court cannot accept budgetary concerns to justify the Department’s failure to make
    reasonable efforts to reunify a parent and child. See In re Tiffany B., 
    228 S.W.3d at 158
    .
    The State has the burden of showing by clear and convincing evidence that it brought its
    skills, experience, and resources to bear in a reasonable way to bring about the reunification
    of the family. 
    Id. at 160
    .
    In the instant case, Father asserts that DCS’s assistance with respect to the various
    assessments and parenting classes was unreasonable. Father claims that even after he
    informed Davis, the second case manager, that he had completed the mental health
    assessment and the A&D testing, DCS employees made little or no effort to obtain copies of
    necessary documentation showing that it had been done. Furthermore, DCS only visited
    Father’s home one time to determine if it was suitable for C.A.C. Case manager Davis
    admitted that this was substandard. Father contends that, overall, DCS efforts consisted
    essentially of furnishing him with telephone numbers and periodically reading the
    permanency plan requirements to him, and this does not amount to reasonable efforts.
    In response to the issue raised by Father, DCS primarily points its finger back at Father.
    While DCS concedes that Father’s assertion that DCS workers did not follow up to ascertain
    if he had accomplished requirements such as his mental health and A&D assessments “may
    have some merit,” DCS protests that DCS employees “were not the direct service providers.”
    DCS claims that Father availed himself of the services provided by DCS, but did not verify
    his actions to DCS. It contends: “The problem is not that DCS did not make the efforts;
    [Father] got the recommended services . . . . The problem is that [Father] did not benefit
    from the services.” (DCS Brief at 18 (citing State v. C.W.W., 
    37 S.W.3d 467
     (Tenn. Ct. App.
    -25-
    2000), and In re C.S., Jr., No. M2005-02499-COA-R3-PT, 
    2006 WL 2644371
    , at *14-15
    (Tenn. Ct. App. Sept. 14, 2006)). DCS also argues that Father’s “drug abuse and criminality
    are two prime concerns in this case.” 
    Id.
     It notes that Father was provided drug treatment
    in the Fall of 2008, but he did not stay in treatment because of his “refusal to quit abusing
    drugs.” 
    Id.
     Furthermore, DCS argues, any failure by DCS to make reasonable efforts did
    not cause Father to be convicted of both theft and possession of drug paraphernalia while
    C.A.C. was in DCS custody. Therefore, DCS claims, Father’s argument is not a basis for
    reversing the termination of his parental rights.
    The issue of whether DCS made reasonable efforts to reunite parent and child was discussed
    at length in In re Tiffany B., supra. In that case, DCS removed two children from the
    parents’ home.29 The children were found to be dependent and neglected and remained in
    DCS custody. The mother and father had problems maintaining a stable home, maintaining
    stable employment, refraining from domestic violence, and managing their addiction to crack
    cocaine. Because of their drug addiction, they committed petty crimes to obtain money to
    purchase drugs. As a result of their criminal activity, they spent much of their time in jail
    while the children were in DCS custody. In re Tiffany B., 
    228 S.W.3d at 151
    .
    When the children in In re Tiffany B. were placed in DCS custody, the mother entered a
    drug treatment program, but her counselors declined to recommend therapy for the mother
    because she was not forthcoming about her addiction. Over the year the children were in
    DCS custody, the mother and the father spent much time in jail, and when they were out of
    jail, they had no fixed residence and no access to a telephone. 
    Id.
     at 160 n.20. The parents
    rarely communicated with the DCS case managers. The case managers blamed this lack of
    communication on the parents, saying that they could not locate the parents because they
    were always “on the run.” 
    Id. at 160
    . The parents also could not secure stable employment
    or prepare a home for the child. Eventually, DCS filed a petition to terminate the parents’
    rights based on, among other things, failure to comply with the permanency plan, persistent
    conditions preventing the children’s safe return to the home, and abandonment for failure to
    visit, support, or provide a suitable home for the children. The parents later tested positive
    for cocaine and marijuana. The mother entered into a six-month drug treatment program and
    eventually found employment. 
    Id. at 154
    .
    While the parents in In re Tiffany B. were in drug treatment, the trial court conducted its trial
    on the DCS petition to terminate their parental rights. The trial court held that clear and
    convincing evidence established that, under the circumstances, DCS had made reasonable
    efforts to reunify the parents with the children and terminated their parental rights. 
    Id.
     The
    29
    The father involved in the Tiffany B. case was actually the biological father of only one of the children.
    In re Tiffany B., 
    228 S.W.3d at 151
    .
    -26-
    appellate court reversed, finding that the DCS efforts to assist the parents in completing their
    responsibilities under the permanency plan were not reasonable. The appellate court noted
    that the record contained little evidence of DCS’s attempts to locate or assist the mother in
    being reunified with her children. 
    Id. at 159
    . While the case managers had some personal
    contact with the mother and the father, they did not attempt to communicate with them in
    writing and did not follow-up to help them obtain rehabilitative services. 
    Id. at 159-60
    .
    Also, the appellate court noted that, while DCS blamed its lack of communication on the
    parents, the evidence showed that the parents had no money, and thus had no fixed residence
    or access to a telephone and were not intentionally being evasive. 
    Id.
     at 160 n.20. The court
    stated that the record left “a distinct impression” that DCS put little effort into either locating
    the parents or providing assistance to parents who were addicted to crack cocaine, homeless,
    unemployed, and facing criminal charges. The In re Tiffany B. court reasoned:
    [T]he Department apparently expected the parents to initiate the remedial
    efforts on their own and to ask their case manager for help. This expectation
    was unreasonable. 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.
    
    Id. at 160
    . Under these circumstances, the court found that DCS did not make reasonable
    efforts to assist these parents, and so the termination of their parental rights was reversed and
    the case was remanded for further proceedings. 
    Id.
    In light of these standards, we analyze whether DCS’s efforts were reasonable in this case.
    DCS’s initial actions were clearly appropriate; there was some indication that C.A.C. may
    have been subjected to physical abuse, and Father and Stepmother conceded that C.A.C.’s
    behavior issues had escalated to the point that they could no longer control him. There is no
    dispute but that taking C.A.C. into protective custody was the correct course of action.
    C.A.C. was immediately transferred to a facility in Memphis, some five to six hours from
    Father’s home. We presume that there was no closer facility available that was appropriate
    for C.A.C., given the significant behavior issues involved. However, moving C.A.C. such
    a distance from Father creates an obvious impediment to reunification of the family.
    At that point, the obvious appropriate action by DCS would be to probe whether Father, who
    clearly had little means, had the ability to travel to and from Memphis to maintain contact
    with his son. There is no evidence that any case manager even asked Father whether he had
    -27-
    the ability to go see C.A.C. Dismissive testimony such as DCS case manager Jeffers’
    testimony that “It’s up to the parents to get wherever the child is located. We don’t do
    transportation,” is clearly an inappropriate response to obstacles to visitation created by DCS.
    In addition, the accuracy of this assertion is questionable in light of the fact that
    transportation and lodging were in fact arranged for Mother in Ohio.
    Another impediment to reunification arose in the form of the Youth Villages directive
    temporarily prohibiting telephone contact between C.A.C. and Father. Again, we presume
    that this directive was imposed for legitimate therapeutic reasons, to allow Youth Villages
    personnel to ascertain the reason why C.A.C. would hit his head against a wall after talking
    to Father and to evaluate the effect on C.A.C. of reduced contact with Father. After that,
    however, each DCS case manager in turn was simply passive concerning the directive. The
    case managers testified that they were in touch with C.A.C. periodically, and even saw him
    occasionally. However, there is no indication in the record that any DCS case manager asked
    why C.A.C. had been hitting his head against a wall, ever asked Youth Villages personnel
    whether discontinuing telephone contact with Father had been of therapeutic value to C.A.C.,
    or made efforts to determine when the directive could end in order to facilitate
    communication between C.A.C. and Father. Indeed, when Father inquired of DCS case
    manager Davis about the directive, Davis deflected Father by misinforming him that he
    would have to go to court in order to talk to his son on the telephone.
    From the record, it appears that either Youth Villages personnel or DCS personnel, or both,
    initially saw Mother as the likely eventual custodial parent, who could take custody of C.A.C.
    in Ohio, obviating the need for DCS to rehabilitate C.A.C.’s relationship with Father and
    Stepmother in Tennessee. This, of course, did not work out.
    Meanwhile, when DCS first took C.A.C. into protective custody, an initial permanency plan
    was drawn up. At that point, DCS personnel could not know the reasons for C.A.C.’s
    behavioral problems or Father’s inability to control them, so the permanency plan was
    necessarily broad-based and generic. Father was required to get a mental health assessment,
    an A&D assessment, take parenting classes, maintain stable employment and ensure that his
    home was suitable for C.A.C.’s return to his custody. Father was also required to verify to
    DCS that he had fulfilled each responsibility. All of these generic requirements were
    appropriate to help DCS determine if Father had underlying problems and to ensure that the
    home to which C.A.C. would return was safe and stable.
    -28-
    After that, however, each DCS case manager in turn appeared to go on autopilot.30 The
    assistance provided to Father consisted of giving him telephone numbers for the various
    services, such as obtaining the mental health and A&D assessment, as well as parenting
    education.31 The series of DCS case managers did not communicate with Father, did not
    communicate with each other, and did not meaningfully collaborate with Youth Villages
    personnel.32 The contacts with Father consisted of periodic required team meetings in which
    the generic requirements of the permanency plan were read to him, and contact information
    for DCS personnel was written on a board. Follow-up, even to verify the tasks that Father
    told case managers he had accomplished, was perfunctory at best.
    More importantly, there is no evidence in the record that any of the DCS personnel tried to
    dig deeper into the case to ascertain the family’s underlying problems and determine what
    measures could reasonably be taken to address them. For example, the permanency plan
    required Father to have stable employment to support the family. This is no easy feat for
    someone with Father’s challenges, a forty-year-old man with a tenth grade education and
    multiple physical disabilities, whose income had always been derived primarily from physical
    work such as construction and masonry. Father, a seeming candidate for disability benefits,
    testified that he had tried at least twice to secure disability benefits, with no success, and gave
    up trying, commenting, “I’ve got to keep working.” There is no evidence in the record that
    any DCS personnel spoke to Father about his employment challenges, to ascertain whether
    additional training would be helpful, or to connect him with additional resources for either
    employment or another attempt to obtain disability benefits. Instead, Father was left “to fend
    for [him]self.” In re M.A.P., No. W2008-01352-COA-R3-PT, 
    2009 WL 2003357
    , at *18
    (Tenn. Ct. App. July 10, 2009).
    30
    We are cognizant of the fact that C.A.C. was placed with Youth Villages soon after he was taken into State
    protective custody. The relationship between Youth Villages and DCS is not explained in the appellate
    record, but apparently Youth Villages was charged with responsibility for C.A.C.’s treatment. Regardless,
    DCS retained overall responsibility for reunifying C.A.C. with his family, if possible, and for deciding
    whether to seek termination of Father’s parental rights. These fundamental decisions cannot be made in the
    absence of information from those providing treatment regarding his condition, plan of care, and prognosis,
    to ascertain where the child’s best interests lie.
    31
    Jeffers could not even recall the telephone numbers she provided to Father, guessing that she “probably
    recommended a phone number” for parenting education.
    32
    Case manager Davis was aware that Youth Villages had precluded telephone contact, but indicated no
    awareness of the reason for the directive or that it was intended to be temporary. Davis was aware of
    Father’s transportation challenges but apparently did not inform the next case manager, Baird. Baird
    indicated no awareness of the Youth Villages no-contact directive. Case manager Jeffers’ testimony was
    uninformed, even cavalier.
    -29-
    Even more significant, there is no evidence in the record that DCS personnel made any
    attempt to ascertain and understand the cause of C.A.C.’s initial, and continuing, behavioral
    problems.33 If DCS case managers spoke to Youth Villages counselors about these issues,
    there is no indication of that in the record. Certainly there is no indication that DCS case
    managers acquired any insight from their contacts with either C.A.C. or Father.
    That, after all, is what is meant by the requirement that DCS employees “bring their
    education and training to bear to assist the parents in a reasonable way to address the
    conditions that required removing their children from their custody.” In re Tiffany B., 
    228 S.W.3d at 158
    ; see In re Giorgianna H., 
    205 S.W.3d at 519
    . Doing so requires no additional
    budgetary resources; rather, it requires capable and trained DCS personnel to employ their
    skills to gain insight into the underlying problems for the child and the family, and then use
    that acquired insight to tailor a permanency plan that addresses the root problems and to
    provide available resources to assist both the child and the parent.
    None of this was done in this case. There is no indication that DCS personnel or Youth
    Villages personnel spoke to Father substantively to either acquire his views as a parent of the
    cause of C.A.C.’s initial and continuing behavioral problems, or to include him in C.A.C.’s
    plan of care. There is no indication in the record that DCS case managers spoke to C.A.C.’s
    Youth Villages foster care counselor, Candace Neill, about the cause of C.A.C.’s problems
    or his plan of care. Even counselor Neill testified that, when she attended required DCS team
    meetings which Father attended, she did not speak directly to him. Asked if she ever
    contacted Father, she recited that she fulfilled the “requirement” of “one birth family contact
    per month” by calling a non-working telephone number for Father. Similar questions asked
    of the DCS case managers elicited comparable rote responses. Simply checking off the
    boxes for DCS requirements does not substitute for real thought and effort to effect the
    reconciliation and reunification of the family.
    The efforts by DCS in this case involved primarily ascertaining whether Father had
    completed tasks under the generic permanency plan, such as providing DCS with
    documentation of his mental health and A&D assessments. It was known by all involved that
    such assessments had been done; Father’s infraction was in failing to get the documentation
    33
    Several pertinent questions are readily apparent from this record: Was Father correct in his belief that
    C.A.C. began acting out in reaction to Father’s marriage to Stepmother? Was Father correct that C.A.C.
    began hitting his head against a wall after telephone conversations with Father because he missed Father and
    wanted to come home? Was there merit to Father’s belief that family counseling would help reconcile
    C.A.C. and their family and help C.A.C. return to his home? If solo therapy, powerful medications, and
    separation from Father have not resulted in any discernable improvement in C.A.C.’s behavior, and if C.A.C.
    continues to insist that he loves Father and wants to return home, is continuing the same course of action the
    best approach? If these important questions were asked by anyone, it is not reflected in the appellate record.
    -30-
    to DCS. In the context of this case, that is a minor infraction indeed. Department efforts
    directed “toward matters of little consequence” are not reasonable. In re Giorgianna H., 
    205 S.W.3d at
    519 n.24.
    Moreover, it is the job of the juvenile court along the way to “independently determine that
    the remedial efforts the Department proposes to engage in are reasonable.” In re C.M.M.,
    No. M2003-01122-COA-R3-PT, 
    2004 WL 438326
    , at *6 (Tenn. Ct. App. Mar. 9, 2004). In
    this case, all parties frankly conceded at trial that, despite the fact that C.A.C. had been
    removed from the home for over a year and had received months of individual counseling
    and an array of medications, C.A.C. had basically not improved from the time he was
    removed from Father’s custody. Receiving this testimony, however, did not prompt the trial
    court in this case to question the direction DCS had taken in this case, or even to question
    whether DCS efforts were reasonable. Termination of parental rights should not be the
    “default” position; such an approach is clearly contrary to the policy established by our
    Legislature, that if children must be removed from the parents’ custody, “the first priority
    should be to reunite the family if at all possible.” In re Tiffany B., 
    228 S.W.3d at 157
    .
    The State argues on appeal that any lack of reasonable efforts on its part did not make a
    difference in this case because of Father’s failings. The State contends first that Father
    “continued a career of criminality” and “drug abuse.” The evidence on this allegation
    consists of (1) a single methamphetamine charge that was later dismissed, (2) a single drug
    test that was positive for methamphetamine, with no indication that Father subsequently used
    methamphetamine, (3) a single charge for theft from Stepmother’s employer, for which
    Father paid a fine, and (4) a drug paraphernalia charge arising from Father’s possession of
    syringes for his Oxycodone prescription. Father was referred for drug treatment, which he
    explained that he did not complete because the program required him to give up the pain
    medicine legally prescribed for the degenerative bone condition from which he had suffered
    since the age of twelve.34 While all of this merits attention, none of it goes to the underlying
    cause for C.A.C.’s continuing behavioral problems. The State’s use of hyperbole, in
    characterizing Father as having engaged in “a career of criminality and drug abuse,” is not
    helpful in responsibly evaluating the efforts of both Father and DCS in this case.
    The State also sniffs on appeal that Father “exhibited no better understanding at trial of how
    he could address [C.A.C.’s] issues than he did at the time of removal.” This assertion is
    ironic indeed. Despite months of residential treatment, a phalanx of experts, including
    doctors, counselors, and specially trained foster parents, and an array of powerful medicines,
    GAL Asbury reported to the trial court that he was “keenly concerned that [C.A.C.’s]
    34
    After Father failed to complete the drug treatment program, DCS did not contest Father’s continuing to live
    in the family’s home with Stepmother’s two daughters.
    -31-
    behavior is not getting any better since he has been in [State] custody,” and “the issues they
    are struggling with are the same issues that we have been struggling with since he was
    initially removed.” C.A.C.’s lack of progress only highlights DCS’s failure to exert efforts
    to ascertain and address the root causes of C.A.C.’s problems. In point of fact, Father, in
    insisting that DCS should provide family counseling and other support to enable C.A.C. to
    return home, may have come closest to hitting the nail on the head.
    Under these circumstances, we must conclude that the State failed to carry its burden of
    proving by clear and convincing evidence that it made reasonable efforts to reunify C.A.C.
    with Father. The holding of the trial court on this issue is reversed.
    Best Interest
    Although the termination of Father’s parental rights may be reversed on the basis of DCS’s
    reasonable efforts, we feel compelled to briefly address the trial court’s finding on the best
    interest of the child, as the child’s best interest is always of primary importance.35 See
    T.C.A. § 36-1-113(i) (2005 & Supp. 2009).
    In holding that Father’s parental rights should be terminated, the trial court found that
    termination of his parental rights was in C.A.C.’s best interest. This was based in part on the
    trial court’s factual finding that “[t]here is no meaningful relationship between . . . [Father]
    and the child, [C.A.C.].”
    We look first at whether this specific factual finding is supported by a preponderance of the
    evidence. In this case, the finding that there is no meaningful relationship between Father
    and C.A.C. is supported by virtually no evidence in the record. Indeed, the record includes
    very substantial evidence to the contrary, despite the fact that C.A.C. has been prevented
    from having any significant contact with Father while he has been in State custody. C.A.C.’s
    Youth Villages counselor, Ms. Neill, testified that C.A.C. told her that he loves Father,
    admires him, looks up to him, and misses home. GAL Asbury reported to the trial court that
    Neill’s testimony confirmed that C.A.C. “told her the same things as he does me. . . . He is
    adamant that he would like to go home.”
    35
    As to the trial court’s holding on the ground of persistent conditions, we note our concern about the trial
    court’s apparent finding that C.A.C.’s continued behavioral problems after being taken into State custody
    constituted a “condition[] that led to [C.A.C.’s] removal that . . . still persist[s].” T.C.A. § 36-1-
    113(g)(3)(A). If this was in fact the trial court’s finding, it would be a disturbing interpretation of this
    statute. The child’s continuing distress while in State protective custody cannot be deemed a “persistent
    condition” of the parent within the meaning of the statute. Father did not, however, challenge the trial
    court’s decision on this issue.
    -32-
    Youth Villages personnel reported that C.A.C. would hit his head against a wall repeatedly
    after hanging up from telephone conversations with Father. There is no indication in the
    record that Father did anything to cause this; the only explanation in the record is Father’s
    testimony that C.A.C. would hit his head against the wall because he wanted to return home.
    Similarly, foster mother Wheatley testified that C.A.C.’s behavior took a turn for the worse
    after C.A.C. saw Father at a DCS team meeting just before Christmas 2008, after not having
    any contact with Father for many months. All of this is substantial evidence that C.A.C.
    loves Father and misses his home with Father. Overall, we find insufficient support in the
    record for the trial court’s finding that there is “no meaningful relationship” between C.A.C.
    and Father.
    In some instances, the Court must conclude that the evidence clearly and convincingly shows
    that termination of the parental rights of the biological parent is in the best interest of the
    child, even in the face of evidence that the child continues to care for the parent. This is not
    such a case.36 Thus, from the record as a whole, we find that the evidence does not support
    the trial court’s conclusion that DCS established by clear and convincing evidence that
    termination of Father’s parental rights is in C.A.C.’s best interest.
    C ONCLUSION
    “No civil action carries with it graver consequences than a petition to sever family ties
    irretrievably and forever.” In re Tiffany B., 
    228 S.W.3d at 155
    . The parental rights of
    biological parents should be terminated only upon clear and convincing evidence of each and
    every element required under the Tennessee statutes. 
    Id. at 156
    . Here, the evidence in the
    record does not support the finding that DCS’s efforts were reasonable under the
    circumstances, or that termination is in the child’s best interest. Accordingly, we reverse the
    trial court’s termination of Father’s parental rights.
    The decision of the trial court is reversed, and the cause is remanded for further
    proceedings consistent with this Opinion. Costs of this appeal are assessed against Appellee
    the State of Tennessee, for which execution may issue if necessary.
    _________________________________
    HOLLY M. KIRBY, JUDGE
    36
    Even the testimony of C.A.C.’s current foster parent did not indicate that C.A.C. had formed a parental
    bond with the foster parents. She could provide only rather tepid testimony that, despite “some trials,” their
    relationship was “pretty good.” She reported no significant improvement in C.A.C.’s behavior while in her
    care.
    -33-