In the Matter of David J.B. ( 2010 )


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  •                   IN THE COURT OF APPEALS OF TENNESSEE
    AT NASHVILLE
    June 15, 2010 Session
    IN THE MATTER OF DAVID J. B. ET AL.1
    Appeal from the Juvenile Court for Dickson County
    No. 06-09-036-CC     A. Andrew Jackson, Judge
    No. M2010-00236-COA-R3-PT - Filed July 23, 2010
    Mother appeals the termination of her parental rights to her two youngest children. The trial
    court found three grounds upon which to terminate Mother’s parental rights: abandonment
    by failure to provide a suitable home, failure to remedy persistent conditions and mental
    incompetence; and the court found that termination was in the children’s best interests. We
    affirm.
    Tenn. R. App. P.3 Appeal as of Right; Judgment of the Juvenile Court Affirmed
    F RANK G. C LEMENT, J R., J., delivered the opinion of the Court, in which A NDY D. B ENNETT
    and R ICHARD H. D INKINS, JJ., joined.
    James L. Baum, Burns, Tennessee, for the appellant, Patricia S.
    Robert E. Cooper, Jr., Attorney General and Reporter, and Lindsey O. Appiah, Assistant
    Attorney General, for the appellee, Tennessee Department of Children’s Services.
    OPINION
    The central figure in this tragic circumstance is Patricia S., a mother of seven children,
    who has a long history of mental health issues and marrying or cohabiting with physically
    abusive men, some of whom are convicted sex offenders.
    Mother gave birth to her first child when she was fifteen; the father of her first child
    was seventeen years her senior and was physically abusive of Mother. The father of her third
    child was also abusive and used illegal drugs. Michael A., a husband with whom she has two
    1
    This Court has a policy of protecting the identity of children in parental termination cases by
    initializing the last names of the parties.
    children, was twice convicted of sexual offenses. The two children at issue in this appeal, her
    sixth and seventh children, are David B. and Savannah S. The father of David was physically
    abusive of Mother, and the purported father of Savannah is a convicted sexual offender. At
    one time or another, each of these men resided with Mother and some of her minor children.
    All seven of Mother’s children are no longer in her custody. Her two oldest children
    were removed by child protective services of Nebraska in December 1994, and her third child
    was removed from her custody by child protective services of Iowa. Mother’s parental rights
    to her three oldest children were terminated; the parental rights of the fathers of those
    children were also terminated. Mother’s fourth and fifth children are presently in the custody
    of child protective services in the state of Washington; the petition to terminate the parental
    rights of Mother and the fathers of those children is pending.
    David and Savannah have been in the custody of the Department of Children’s
    Services of Tennessee since August 2, 2008. The parental rights of the men believed to be
    the fathers were terminated and the fathers did not appeal. Only Mother appeals.
    Tennessee’s Department of Children’s Services (“DCS”) initially became involved
    with Mother in July 2008 when Lydia Bennett, a DCS child protective services assessor,
    received a report that Mother’s boyfriend may have physically abused one of the four
    children then residing with her in Tennessee. It was reported that one of the children had a
    visible mark on his back, allegedly caused by being hit with a belt buckle. As a result of the
    report and the ensuing inquiry by DCS, a noncustodial safety plan was implemented on July
    11, 2008. The plan covered areas in which Ms. Bennett believed Mother needed assistance,
    including her mental health, one child’s physical health, another child’s speech, parenting
    classes, finding stable housing, and finding a job conducive to raising four children.
    Two weeks later, during a routine visit on July 22, 2008, Ms. Bennett found bruising
    on one of the children; upon inquiry by Ms. Bennett, the child reported that Mother had hit
    him on the back with a shoe. Ms. Bennett discussed her findings with Mother, and reported
    that Mother may have physically abused the child.
    Shortly thereafter, Mother took two of her children (her fourth and fifth) to
    Washington to live with their father, who had just been released from prison. While in
    Washington, Mother left David and Savannah in the care of an acquaintance in Tennessee.
    On August 2, 2008, three days after DCS learned that Mother had gone to Washington and
    placed two of her children in the custody of a convicted sexual offender, David and Savannah
    were placed in DCS custody. The juvenile court found the children were dependent and
    neglected. DCS notified child protective services in Washington that two of the children
    would be living in the state with their father, a convicted sex offender.
    -2-
    After the children were placed in DCS custody and the juvenile court adjudicated the
    children dependent and neglected, a new permanency plan was created on September 8, 2008
    requiring Mother to: (1) attend visitations; (2) participate in a parenting assessment and
    follow all recommendations; (3) set up a home study after securing housing; (4) undergo a
    clinical interview and comply with all recommendations; and (5) undergo a drug and alcohol
    assessment and follow all recommendations.
    Because Mother chose to remain in Washington indefinitely, it became necessary for
    Tennessee and Washington to coordinate the administration of services to assist Mother with
    the requirements of the permanency plans of both states to avoid redundancy of services.
    Following discussions between Lydia Bennett, the Tennessee DCS child protective services
    assessor, and Paige Cummings, the family services worker assigned to assist Mother in
    Washington, it was agreed that the state of Washington would provide the appropriate
    services to Mother, including parenting classes, a psychological assessment, and random drug
    screens, which was required by the court in Washington.
    In October 2008, Mother decided that she wished to permanently reside in
    Washington. As a result, DCS completed an interstate compact with Washington pursuant
    to which Washington would provide the necessary services. Washington state agreed to
    obtain a home study and DCS agreed to pay for monthly plane tickets for Mother to travel
    to Tennessee, and to also pay for three psychological assessments, a drug and alcohol
    assessment, and a drug and alcohol counselor.
    In November 2008, a family therapist performed a parenting assessment of Mother,
    during which, Mother stated that she had been diagnosed with bipolar disorder and
    schizophrenia, but that she had not taken any medication in ten years. The family therapist
    also conducted a drug and alcohol assessment, which, the therapist testified, indicated
    Mother had a possible alcohol addiction. Mother stated that she did not drink alcohol, and
    she felt that she was not in need of drug and alcohol treatment, despite the fact that one of
    her children was born with fetal alcohol syndrome.
    DCS created a second Permanency Plan for Mother in January 2009. The stated goal
    was amended to include the possibility of adoption. The caseworker reviewed the Plan with
    Mother as well as the Criteria and Procedures for Termination of Parental Rights with
    Mother. Mother signed both the Plan and the Criteria.
    In April 2009, Mother underwent a psychological evaluation in Washington. The
    evaluation was performed by psychologist Dr. Michael O’Leary. The evaluation tested
    cognitive factors such as intelligence, concentration, attention, and executive decision
    making functions, as well as personality and parenting issues. After the psychological
    -3-
    evaluation, Dr. O’Leary diagnosed Mother with Post Traumatic Stress Disorder, major
    depression, and other psychological disorders including mixed personality disorder with
    narcissistic, histrionic, and borderline features. Dr. O’Leary determined that Mother had
    problems with her executive decision making, “[which] has to do with learning from
    experience, being able to evaluate behavioral situations accurately, planning and
    understanding cause and effect relationships.” Dr. O’Leary also determined that Mother’s
    poor executive decision making “is related to perseveration, which is defined as bringing the
    same ineffective solutions to problems over and over without learning from experience.”
    Based on his findings, Dr. O’Leary concluded that releasing the children into
    Mother’s care would be dangerous, that Mother “is incapable of being a consistent or safe
    parent without consistent monitoring and control,” that she was “not capable of providing a
    consistently stable environment for her children now or in the foreseeable future,” and that
    “he could not conceive of any treatment that would remedy Mother’s deficits within a
    reasonable time frame.”
    Thereafter, on June 22, 2009, DCS filed a petition to terminate Mother’s parental
    rights to her children. A trial was held on November 13, 2009.
    During the trial, the depositions of Paige Cummings2 and Dr. O’Leary were proffered
    by DCS as evidence. Mother moved to suppress the depositions upon the ground the
    witnesses had not signed their depositions. The deposition transcript represented that, by
    stipulation, the parties and the witnesses agreed to waive signatures of the witnesses. Mother,
    however, asserted that the parties did not stipulate to any waiver of signatures and the
    depositions should be suppressed because neither witness signed the deposition. After
    hearing arguments from both parties, the trial court ruled that the depositions would be
    admitted into evidence if the witnesses signed the depositions. DCS obtained the signature
    of Ms. Cummings and Dr. O’Leary on their respective deposition transcripts and filed them
    with the court. Thereafter, the court ruled on the merits of the case, finding that DCS made
    reasonable efforts to assist Mother and to address Mother’s specific needs, that Mother
    abandoned David and Savannah by failing to provide a suitable home, that she failed to
    remedy persistent conditions that prevented her children’s return to her care, and that she was
    mentally incompetent to care for the children. The trial court also found that termination was
    in the children’s best interests for numerous reasons, including the fact the children had
    formed a bond with their foster parents who were willing to adopt the children. Based on the
    2
    Paige Cummings, the family services worker assigned to assist Mother in Washington, testified that
    she had serious concerns about Mother’s ability to parent her children due to Mother’s history, her behavior
    and poor choices, and Mother’s failure to complete the court-ordered programs that were to help Mother
    remedy her fundamental deficiencies.
    -4-
    above findings, the trial court entered judgment terminating Mother’s parental rights to David
    and Savannah. This appeal followed.
    ANALYSIS
    Parents have a fundamental right to the care, custody and control of their children.
    Stanley v. Illinois, 
    405 U.S. 645
    , 651 (1972); Hawk v. Hawk, 
    855 S.W.2d 573
    , 577 (Tenn.
    1993). This right is superior to the claims of other persons and the government, yet it is not
    absolute. In re S.L.A., 
    223 S.W.3d 295
    , 299 (Tenn. Ct. App. 2006).
    Parental rights may be terminated only where a statutorily defined ground exists.
    Tenn. Code Ann. § 36-1-113(c)(1); Jones v. Garrett, 
    92 S.W.3d 835
    , 838 (Tenn. 2002); In
    re M.W.A., 
    980 S.W.2d 620
    , 622 (Tenn. Ct. App. 1998). The petitioner has the burden of
    proving that there exists a statutory ground for termination, such as abandonment or failing
    to remedy persistent conditions that led to the removal of the child. Tenn. Code Ann. §
    36-1-113(c)(1); 
    Jones, 92 S.W.3d at 838
    . Only one ground need be proved, so long as that
    ground is proved by clear and convincing evidence. See In re D.L.B., 
    118 S.W.3d 360
    , 367
    (Tenn. 2003). In addition to proving one of the grounds for termination, the petitioner must
    prove that termination of parental rights is in the child’s best interest. Tenn. Code Ann. §
    36-1-113(c)(2); In re F.R.R., 
    193 S.W.3d 528
    , 530 (Tenn. 2006); In re A.W., 
    114 S.W.3d 541
    , 544 (Tenn. Ct. App. 2003); In re C.W.W., 
    37 S.W.3d 467
    , 475-76 (Tenn. Ct. App. 2000)
    (holding a court may terminate a parent’s parental rights if it finds by clear and convincing
    evidence that one of the statutory grounds for termination of parental rights has been
    established and that the termination of such rights is in the best interests of the child).
    Therefore, a court may terminate a person’s parental rights if (1) the existence of at least one
    statutory ground is proved by clear and convincing evidence and (2) it is clearly and
    convincingly established that termination of the parent’s rights is in the best interest of the
    child. Tenn. Code Ann. § 36-1-113(c); In re Adoption of A.M.H., 
    215 S.W.3d 793
    , 809
    (Tenn. 2007); In re Valentine, 
    79 S.W.3d 539
    , 546 (Tenn. 2002).
    Whether a statutory ground has been proved by the requisite standard of evidence is
    a question of law to be reviewed de novo with no presumption of correctness. In re B.T., No.
    M2007-01607-COA-R3-PT, 
    2008 WL 276012
    , at *2 (Tenn. Ct. App. Jan. 31, 2008) (no
    Tenn. R. App. P. 11 application filed) (citing In re Adoption of 
    A.M.H., 215 S.W.3d at 810
    ).
    ISSUES
    Mother raises three main issues on appeal. First, she contends the trial court abused
    its discretion by admitting into evidence and considering the depositions of Dr. O’Leary and
    Paige Cummings. Second, she contends DCS did not make reasonable efforts to reunify her
    -5-
    with her children. Third, she contends that trial court erred by finding clear and convincing
    evidence of grounds for termination of her parental rights. We will discuss each issue in turn.
    A DMISSION OF D EPOSITIONS
    Mother argues that the depositions of Paige Cummings and Dr. O’Leary should not
    have been admitted into evidence because she did not waive the requirement that the witness
    read and sign the deposition. Mother also asserts it was error to admit the depositions into
    evidence after they were signed by the witnesses because the procedure by which DCS
    obtained the signatures of the witnesses was not in compliance with Tenn. R. Civ. P. 30.05.
    We have determined the trial court did not abuse its discretion by admitting the depositions
    into evidence once the witnesses signed the depositions.
    A trial court’s ruling on the admissibility of evidence is within the sound discretion
    of the trial court and issues regarding the admission of evidence are reviewed by this court
    under the abuse of discretion standard. Dickey v. McCord, 
    63 S.W.3d 714
    , 723 (Tenn. Ct.
    App. 2001).
    An abuse of discretion occurs when a court either goes beyond the framework of the
    applicable legal standards or when a court fails to properly consider the factors customarily
    used to make that discretionary decision. State v. Lewis, 
    235 S.W.3d 136
    , 141 (Tenn. 2007)
    (citations omitted). A discretionary decision, [such as the admission of evidence], will be set
    aside only when the deciding court applied incorrect legal standards, reached an illogical
    conclusion, decided the case on a clearly erroneous assessment of the evidence, or employed
    reasoning that will cause injustice to the complaining party. Konvalinka v. Chattanooga-
    Hamilton County Hospital Authority, 
    249 S.W.3d 346
    , 358 (Tenn. 2008) (citations omitted).
    The depositions of Paige Cummings and Dr. O’Leary were conducted over the phone.
    Tenn. R. Civ. P. 30.05, which governs the signing of depositions, provides that once the
    deposition is completed and transcribed “[t]he deposition shall then be signed by the witness,
    unless the parties by stipulation waive the signing.” When the depositions were first filed
    with the trial court the depositions did not bear the signature of the witness; however, each
    deposition contained a representation by the court reporter that the parties and witness agreed
    that: “[a]ll formalities as to notice, caption, certificate, reading and signing of the deposition
    are waived.”
    Mother filed a motion to suppress the deposition, asserting that she did not waive the
    requirement that the witness read and sign the transcript. See Tenn. Rule Civ. P. 32.04 (which
    provides that any “errors and irregularities in the manner in which . . . the deposition is
    -6-
    prepared, signed, [or] certified” are automatically waived “unless a motion to suppress the
    deposition . . . is made with reasonable promptness.”).
    In support of her argument, Mother points to this court’s decision in State, DHS for
    Martin v. Neilson, 
    771 S.W.2d 128
    , 131 (Tenn. Ct. App. 1989) wherein we determined the
    failure of the witness to sign the deposition was fatal to its admission. We, however, find
    Neilson distinguishable. The Nielson deposition expressly stated that the witness’s signature
    was not waived. The facts in Nielson are in sharp contrast to the facts presented here. In the
    present case, each transcript contains an affirmative representation by the court reporter that
    the parties and witnesses agreed: “[a]ll formalities as to notice, caption, certificate, reading
    and signing of the deposition are waived.”
    Had the trial court found that Mother agreed to waive all formalities except as to the
    form of the questions, as the court reporter stated, then Mother would have waived the
    requirement and the depositions would have been admissible without the witnesses’
    signatures. However, the trial court did not determine whether Mother agreed to the waiver.
    Instead, the trial court rendered the issue moot by holding that the depositions would be
    admissible if the witnesses signed the depositions. After the hearing, counsel for DCS
    submitted the depositions to the witnesses, each witness signed the transcript of his or her
    deposition, and the signed depositions were filed with the court.
    Notwithstanding the foregoing, Mother contends the depositions are still inadmissible
    because the transcripts were not submitted to the witnesses by the court reporter. Instead,
    counsel for DCS erroneously submitted them to the witnesses.
    Tenn. Rule Civ. P. 30.05 states that “[w]hen the testimony is fully transcribed the
    deposition shall be submitted to the witness for examination and shall be read to or by the
    witness . . . .” Rule 30.05 further states that “[a]ny changes in form or substance which the
    witness desires to make shall be entered upon the deposition by the officer. . . .”
    The rules do not expressly prohibit counsel from submitting a deposition to a witness
    for reading and signature, however, it is apparent from reading the various provisions of the
    rules that the court reporter has the duty to “submit” the transcript of the deposition to the
    witness unless the signature of the witness is waived.3 We also find it significant that, once
    3
    Tenn. R. Civ. P. 30.05 provides:
    When the testimony is fully transcribed the deposition shall be submitted to the witness for
    examination and shall be read to or by the witness, unless such examination and reading are
    (continued...)
    -7-
    Rule 30.05 is satisfied, the court reporter has the affirmative duty to deliver the deposition
    and exhibits to “the party who requested taking of the deposition.” Tenn. Rule Civ. P. 30.06.
    It is obvious from the record that the court reporter verily believed the signatures of
    the witnesses had been waived, and once she completed the transcript she satisfied her duties
    under Rule 30.05. Believing she satisfied the requirements of Rule 30.05, the court reporter
    delivered the unsigned depositions, along with the exhibits, to counsel for DCS as mandated
    by Rule 30.06. Having done so, the court reporter’s Rule 30 duties were fulfilled.
    The trial court held that it would admit the depositions into evidence if the signatures
    of the witnesses were obtained, and the record indicates that the trial court was aware counsel
    for DCS would be submitting the depositions to the witnesses for signature. Counsel for DCS
    submitted the deposition transcripts, and the witnesses signed the depositions. The transcripts
    were then filed with the court, as the trial court authorized.
    The trial court made a discretionary decision allowing counsel for DCS to obtain the
    requisite signatures. The witnesses signed the depositions, and the signed depositions were
    filed with the trial court before the court ruled on the case. We find no abuse of discretion
    with this decision. Therefore, we affirm the decision of the trial court in admitting the two
    depositions into evidence.
    T HE D EPARTMENT’S R ESPONSIBILITIES
    DCS is the agency responsible for the care and protection of dependent and neglected
    children. Because of the importance of the family unit, DCS has the “responsibility to make
    reasonable efforts to reunify children and their parents after removing the children from their
    parents’ home.” In re Tiffany B., 
    228 S.W.3d 148
    , 157-58 (Tenn. Ct. App. 2007) (citing
    Tenn. Code Ann. § 37-1-166 (2007)). Reasonable efforts are defined as the “exercise of
    3
    (...continued)
    waived by the witness and by the parties. Any changes in form or substance which the
    witness desires to make shall be entered upon the deposition by the officer [court reporter]
    with a statement of the reasons given by the witness for making them. The deposition shall
    then be signed by the witness, unless the parties by stipulation waive the signing or the
    witness is ill or cannot be found or refuses to sign. If the deposition is not signed by the
    witness within 30 days of its submission, the officer shall sign it and state on the record the
    fact of the waiver or of the illness or absence of the witness or the fact of the refusal to sign
    together with the reason, if any, given therefor; and the deposition may then be used as fully
    as though signed unless on a motion to suppress under Rule 32.04(4) the court holds that the
    reasons given for the refusal to sign require rejection of the deposition in whole or in part.
    -8-
    reasonable care and diligence by the department to provide services related to meeting the
    needs of the child and the family.” Tenn. Code Ann. § 37-1-166(g)(1) (2010).4
    Although the DCS is generally required to prove that it has made reasonable efforts
    at reunification, “[t]here are cases in which a parent is proven to be so mentally incapacitated
    that efforts by the Department to address the parent’s mental health issues would be in vain.”
    In re Keisheal N.E., No. M2009-02527-COA-R3-PT, 
    2010 WL 2176104
    , at *8 (Tenn. Ct.
    App. Apr. 16, 2010). If the parent’s mental condition is presently so impaired and the
    parent’s mental condition is likely to remain so that it is unlikely that the parent will be able
    to resume care of the child in the near future, then the DCS is excused from exerting
    reasonable efforts to reunify the parent and child. 
    Id. at *7
    (citing Tenn Code Ann. § 36-1-
    113(g)(8)(B) (2010) (emphasis added)). Accordingly, before evaluating the scope and extent
    of DCS’s efforts at reunification, we will examine whether such efforts would be in vain.
    M ENTAL INCOMPETENCE
    A parent’s rights may be terminated on the ground of mental incompetency if the court
    determines, by clear and convincing evidence5 that the parent cannot adequately provide care
    and supervision to the child because the parent’s mental condition is impaired and is likely
    to remain so that it is unlikely that the parent will be able to a care for the child in the near
    future, and that termination of parental rights is in the best interest of the child. See Tenn.
    Code Ann. § 36-1-113(g)(8)(B) (2010). Thus, the burden is on DCS to demonstrate two
    4
    The factors used to determine the reasonableness of efforts include:
    (1) the reasons for separating the parents from their children, (2) the parents’ physical and
    mental capabilities, (3) the resources available to the parents, (4) the parents’ efforts to
    remedy the conditions that required the removal of the children, (5) the resources available
    to the Department, (6) the duration and extent of the parents’ efforts to address the problems
    that caused the children’s removal, and (7) the closeness of the fit between the conditions
    that led to the initial removal of the children, the requirements of the permanency plan, and
    the Department’s efforts.
    In re Tiffany 
    B., 228 S.W.3d at 158-59
    (citing In re Giogianna H., 
    205 S.W.3d 508
    , 519 (Tenn. Ct. App.
    2006) (footnote omitted)).
    5
    The clear and convincing evidence standard is a heightened burden of proof, which serves to
    minimize the risk of erroneous decisions. In re 
    C.W.W., 37 S.W.3d at 474
    ; Matter of M.W.A., Jr., 
    980 S.W.2d 620
    , 622 (Tenn. Ct. App. 1998). Evidence satisfying this high standard produces a firm belief or conviction
    regarding the truth of facts sought to be established. In re 
    C.W.W., 37 S.W.3d at 474
    . Clear and convincing
    evidence should produce a firm belief or conviction with regard to the truth of the allegations sought to be
    established. In re Estates of Armstrong, 
    859 S.W.2d 323
    , 328 (Tenn. Ct. App. 1993); Brandon v. Wright, 
    838 S.W.2d 532
    , 536 (Tenn. Ct. App. 1992); Witcher v. Bradley, 
    708 S.W.2d 407
    , 411 (Tenn. Ct. App. 1985).
    -9-
    essential facts: (1) that Mother is presently unable to care for the subject children and (2) that
    Mother is unlikely to be able to care for the children in the near future. Tenn. Code Ann. §
    36-1-113(g)(8) (2010) (emphasis added). We have determined that DCS satisfied its burden
    of proof as to both essential facts.
    There is clear and convincing evidence to establish that Mother is presently unable to
    care for her children due to her mental incompetence. Mother has given birth to seven
    children, and all seven children have been removed from Mother’s care and placed in state
    custody. She consistently cohabits with men who are physically abusive and several of them
    are chronic drug users, as well as convicted sexual offenders. Mother has been hospitalized
    for suicidal and homicidal thoughts, and she has been diagnosed with various mental
    illnesses and personality disorders. Morever, the record reveals that Mother is unwilling to
    address her mental health issues. The above facts are sufficient to establish by clear and
    convincing evidence that it would be dangerous to place the children in the care of or under
    the supervision of Mother.
    There is also clear and convincing evidence to establish that it is unlikely Mother will
    be able to assume or resume the care of and responsibility for the children in the near future.
    This is readily apparent from Mother’s recurring history and the convincing testimony of Dr.
    O’Leary. As noted above, Mother has a substantial and persistent history of cohabiting with
    physically abusive men who use drugs and are sex offenders. Moreover, the record indicates
    that Mother does not intend to break the chain of self destructive conduct, and she does not
    appreciate the fact that her conduct poses a great threat of harm to the children.
    Mother has been diagnosed with a number of mental health problems. Therefore, her
    period of recovery could be prolonged, rendering it most unlikely that she would be able to
    care for her children in the near future. Mother has been hospitalized for suicidal and
    homicidal thoughts, and has been diagnosed with bipolar disorder, schizophrenia, Post
    Traumatic Stress Disorder, major depression, as well as mixed personality disorder with
    narcissistic, histrionic, and borderline features. Dr. O’Leary testified that “[Mother’s]
    treatment needs are extensive and are likely to require two to three years of intensive
    psychiatric intervention . . . .” Furthermore, Dr. O’Leary testified that he did not believe
    Mother would benefit from treatment because in the thirteen years since first being
    hospitalized, she has continued to engage in the same negative behaviors and expose her
    children to substantial risks.
    In addition to the substantial period of time needed for treatment and the fact that
    Mother has engaged in the same behavior for years, Mother appears most unwilling to
    address her numerous mental health issues, and, as a result, it is unlikely that she will be able
    to care for her children in the near future. Dr. O’Leary testified the treatment options
    -10-
    available to Mother would only work if “she were motivated and able to recognize her
    deficits, which she’s not.” During Dr. O’Leary’s psychological evaluation, Mother stated that
    she did not feel she had any psychiatric problems, despite her earlier diagnosis of bipolar
    disorder and schizophrenia. Testimony by Ms. Cummings further supports Dr. O’Leary’s
    opinion that Mother is not motivated to address her mental issues. Ms. Cummings testified
    that Mother failed to perform many of the requirements deemed most important for recovery
    by the Washington court. According to Ms. Cummings, Mother missed numerous domestic
    violence classes, as well as meetings to set up individual counseling. The testimony of Dr.
    O’Leary and Ms. Cummings establishes clearly and convincingly that Mother is unwilling
    to address her mental issues. Even if she were willing, the necessary psychiatric treatment
    would take at least two years to complete, a time frame that is certainly not in the near future.
    See Tenn. Code Ann. § 36-1-113(g)(8)(B) (2010).
    Based on Mother’s history and the testimony of Dr. O’Leary and Ms. Cummings, we
    find that the Department has proved by clear and convincing evidence that Mother is
    presently unable to care for her children, and it is highly unlikely that she will be able to care
    for them in the near future. Therefore, we conclude that the Department has proven the
    ground of mental incompetence under Tenn. Code Ann. § 36-1-113(g)(8)(B) (2010).
    W OULD F URTHER EFFORTS AT REUNIFICATION BE IN VAIN?
    As noted earlier, we must now determine whether DCS was excused from its
    responsibility to exert reasonable efforts to reunify Mother with her two children and, if not,
    whether it exerted reasonable efforts toward reunification.
    For the reasons discussed in detail in the analysis above, we find the record provides
    clear and convincing evidence that further departmental efforts toward reunification would
    have been in vain. The record convincingly establishes that Mother was unwilling to
    acknowledge her mental health needs, that she had failed to benefit from previous mental
    health services, that even if extensive mental health services and treatment were provided the
    prospect of success was modest and the period of time needed to determine if success was
    possible would be measured in years, a time too distant, especially considering the poor
    prospect of success, to justify the delay.
    G ROUNDS FOR T ERMINATION
    The trial court found three grounds upon which Mother’s rights could be terminated
    if termination of her parental rights was in the best interests of the children. Tenn. Code Ann.
    § 36-1-113(c) (2010) provides that one ground is sufficient. See In re Adoption of A.M.H.,
    
    215 S.W.3d 793
    , 810 (Tenn. 2007); In re Valentine, 
    79 S.W.3d 539
    , 546 (Tenn. 2002). We
    -11-
    have affirmed the finding of the ground of mental incompetence. Accordingly, we need not
    examine the other grounds, only whether termination is in the children’s best interests. 
    Id. B EST
    INTERESTS OF THE C HILDREN
    In determining whether termination of parental rights is in the best interests of a child,
    the court is to consider certain statutory factors, including the following:
    (1) Whether the parent . . . has made such an adjustment of circumstance,
    conduct, or conditions as to make it safe and in the child’s best interest to be
    in the home of the parent . . . ;
    (2) Whether the parent . . . has failed to effect a lasting adjustment after
    reasonable efforts by available social services agencies for such duration of
    time that lasting adjustment does not reasonably appear possible;
    ....
    (4) Whether a meaningful relationship has otherwise been established between
    the parent . . . and the child;
    (5) The effect a change of caretakers and physical environment is likely to
    have on the child’s emotional, psychological and medical condition;
    (6) Whether the parent . . . , or other person residing with the parent . . . , has
    shown brutality, physical, sexual, emotional or psychological abuse, or neglect
    toward the child, or another child or adult in the family or household;
    (7) Whether the physical environment of the parent’s . . . home is healthy and
    safe, whether there is criminal activity in the home, or whether there is such
    use of alcohol or controlled substances as may render the parent . . .
    consistently unable to care for the child in a safe and stable manner;
    (8) Whether the parent’s . . . mental and/or emotional status would be
    detrimental to the child or prevent the parent . . . from effectively providing
    safe and stable care and supervision for the child; or
    .....
    Tenn. Code Ann. § 36-1-113(i) (2010).
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    Considering the relevant statutory factors regarding the best interests of the children,
    a reasonable person could come to only one conclusion, that it is no longer in the best
    interests of the children to continue this parent-child relationship.
    The psychological evaluation conducted by Dr. O’Leary revealed that Mother
    allowed her children to be in the presence of violence because she “loved them [the men].”
    As is obvious to even a layperson, Dr. O’Leary testified that Mother’s statement was illogical
    and it demonstrated Mother’s inability to protect her children. Further, it is clear that Mother
    places a higher value on her own needs than those of her children. This is evident from her
    statement that she stays in relationships with abusive men because she is fearful her children
    will be taken away by child protective services if she reports the abuse. There is also
    evidence that Mother continues to be abusive towards her children. Ms. Cummings testified
    that Mother became “violent” toward one of her children during a visitation, and that Mother
    had to be physically removed from the room because she continued to escalate the situation
    and physically handle her child.6
    Dr. O’Leary testified that Mother is incapable of learning from her experiences
    because she “selects men who are dysfunctional, addicted, abusive, or have a criminal
    history.” Furthermore, Dr. O’Leary testified that when monitoring by state agencies is
    withdrawn, “[Mother] tends to go back into her previous pattern of narcissistic parenting,
    which is focused on meeting her needs but not the needs of her children.”
    The children have been living with a foster family since their removal from Mother
    and the foster parents wish to adopt the children should they become eligible for adoption.
    The children have formed a bond with their foster parents. A change in caretakers and
    physical environment will certainly have a negative effect of the children’s emotional and
    psychological condition. See Tenn. Code Ann. § 36-1-113(i)(5) (2010). The children need
    an opportunity to grow in a caring environment, and being adopted by foster parents will
    afford them that opportunity.
    For the reasons stated above, and other compelling facts appearing throughout this
    opinion including Mother’s various mental health issues, her persistent association with
    sexual offenders and physically abusive men, her inability to protect her children, and the fact
    the children are in a stable and loving environment with foster parents who desire to adopt
    them, and realizing that a change of caretakers and physical environment is very likely to
    have a significant adverse effect on the children’s emotional and medical condition, we find
    6
    This episode occurred in Washington and did not involve the subject children, nevertheless, it is
    strong evidence of her inability to properly parent the children.
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    the record clearly and convincingly proves that termination of Mother’s parental rights is in
    the best interests of the children at issue here.
    We, therefore, affirm the trial court’s finding that termination of Mother’s parental
    rights is in the best interests of both children.
    IN CONCLUSION
    The judgment of the trial court is affirmed, and this matter is remanded with costs of
    appeal assessed against the Department of Children’s Services due to Mother’s indigency.
    ______________________________
    FRANK G. CLEMENT, JR., JUDGE
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