In Re Savanna I. ( 2018 )


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  •                                                                                                              11/26/2018
    IN THE COURT OF APPEALS OF TENNESSEE
    AT KNOXVILLE
    July 19, 2018 Session
    IN RE SAVANNA I.
    Appeal from the Juvenile Court for Knox County
    No. 100825    Timothy E. Irwin, Judge
    ___________________________________
    No. E2018-00392-COA-R3-PT
    ___________________________________
    This is a termination of parental rights case involving the parental rights of the mother,
    Melody I. (“Mother”), to her minor child, Savanna I. (“the Child”), who was eight
    months old at the time of trial. Shortly after the Child’s birth, the Knox County Juvenile
    Court (“trial court”) entered an order removing the Child from Mother’s custody and
    placing the Child into the temporary legal custody of the Tennessee Department of
    Children’s Services (“DCS”). The Child was immediately placed in foster care, where
    she remained at the time of trial. The trial court subsequently entered an order on
    November 28, 2017, finding that the Child was dependent and neglected due in part to
    Mother’s prenatal drug use, incarceration, and severe abuse of the Child. The trial court
    relieved DCS from making reasonable efforts to reunite Mother with the Child. Also on
    November 28, 2017, DCS filed a petition to terminate the parental rights of Mother.1
    Following a bench trial, the trial court terminated Mother’s parental rights to the Child
    upon determining by clear and convincing evidence that (1) Mother had severely abused
    the Child, (2) Mother had abandoned the Child by engaging in conduct prior to her
    incarceration that exhibited wanton disregard for the Child’s welfare, and (3) Mother had
    failed to manifest an ability and willingness to personally assume custody of or financial
    responsibility for the Child. The trial court further found by clear and convincing
    evidence that termination of Mother’s parental rights was in the best interest of the Child.
    Mother has appealed. Discerning no reversible error, we affirm.
    Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Juvenile Court
    Affirmed; Case Remanded
    THOMAS R. FRIERSON, II, J., delivered the opinion of the court, in which D. MICHAEL
    SWINEY, C.J., and JOHN W. MCCLARTY, J., joined.
    1
    DCS also sought termination of the father’s parental rights to the Child through a separate proceeding.
    Because the father is not a participant in this appeal, we will confine our analysis to those facts relevant to
    Mother.
    Ben H. Houston, II, Knoxville, Tennessee, for the appellant, Melody I.
    Herbert H. Slatery, III, Attorney General and Reporter, and Erin A. Shackelford,
    Assistant Attorney General, for the appellee, Tennessee Department of Children’s
    Services.
    OPINION
    I. Factual and Procedural Background
    The Child was born in May 2017. When Mother arrived at the hospital to give
    birth, the hospital staff administered a drug test to Mother, which demonstrated that
    Mother had amphetamines, cocaine, oxycodone, and opiates in her system. Following
    her birth, the Child’s urine drug screen tested positive for amphetamines, opiates, and
    oxycodone. A tissue sample from the Child’s umbilical cord tested positive for
    amphetamines, methamphetamine, cocaine, and “opiates/morphine/codeine.” Shortly
    after her birth, the Child began experiencing withdrawal symptoms, including vomiting;
    fever; moderate to severe tremors; increased respiratory rate; uncoordinated sucking; and
    excessive, high-pitched crying. The Child was then transferred to the Neonatal Intensive
    Care Unit (“NICU”) at East Tennessee Children’s Hospital, where she remained for
    approximately three weeks. While hospitalized, the Child was diagnosed with Neonatal
    Abstinence Syndrome, Intrauterine Cocaine Exposure, and Maternal Substance Abuse.
    She was also identified as “At Risk for Developmental Delay.” The Child was treated
    with morphine for twenty days and with clonidine for nineteen days to address her
    withdrawal symptoms. While the Child remained hospitalized, Mother was arrested for
    shoplifting on May 26, 2017.
    DCS filed a “Petition for Adjudication of Dependency & Neglect, for Ex Parte
    Protective Custody Order, and for Temporary Legal Custody” on June 8, 2017. The trial
    court subsequently placed the Child into DCS custody on June 8, 2017, pending further
    hearing. The trial court conducted an adjudicatory hearing and severe abuse hearing on
    October 10, 2017, and entered an order on November 28, 2017, finding that the Child
    was dependent and neglected due to Mother’s substance abuse, incarceration, and
    resulting inability to provide for the Child’s proper care and supervision. The trial court
    also determined that Mother had severely abused the Child due to Mother’s prenatal use
    of heroin, methamphetamine, and cocaine. The court further found that Mother had
    knowledge that her use of illegal substances during her pregnancy could cause harm to
    the Child and that the Child had been harmed by Mother’s prenatal drug use because the
    Child had suffered withdrawal symptoms. Additionally, the court found that Mother
    -2-
    resumed her daily use of heroin after her release from the hospital following the Child’s
    birth. The court ordered that the Child would remain in the temporary custody of DCS.2
    On November 28, 2017, DCS filed a petition to terminate Mother’s parental rights
    to the Child, alleging that Mother had severely abused the Child, had abandoned the
    Child by exhibiting wanton disregard for her welfare prior to Mother’s incarceration, and
    had failed to manifest an ability and willingness to assume custody of or financial
    responsibility for the Child. DCS further averred that termination of Mother’s parental
    rights was in the best interest of the Child.       Mother was incarcerated when the
    termination petition was filed and remained incarcerated on the date of trial.
    On December 12, 2017, a summons in this matter was hand-delivered to Mother
    while she was incarcerated in Loudon County. The summons directed Mother to file an
    answer within thirty days of receipt and informed Mother that if she failed to do so, a
    default judgment could be taken against her and her parental rights to the Child
    terminated. A “Notice to Incarcerated Parent” was concomitantly served upon Mother,
    which read as follows:
    Pursuant to T.C.A. § 36-1-113(f), you are hereby notified that a hearing on
    the attached petition will be held before the Knox County Juvenile Court at
    3323 Division Street in Knoxville, Tennessee. The purpose of this hearing
    will be to determine whether or not your parental rights to the children,
    Savanna [I.], should be terminated and the children freed for adoption.
    You have the right to participate in the hearing and to contest the allegation
    that your rights should be terminated. Your participation may be achieved
    through personal appearance, teleconference, telecommunication, or other
    means deemed to be appropriate by the Court under the circumstances.
    If you wish to participate in the hearing, you shall have the right to present
    your testimony or that of any witnesses by means of deposition or
    interrogatories as provided by the Tennessee Rules of Civil Procedure.
    If you are indigent, the Court will appoint an attorney to represent you.
    YOU MUST NOTIFY THE COURT IMMEDIATELY IF YOU WISH
    TO PARTICIPATE OR TO CONTEST THIS PETITION.
    You may respond by writing to the Court at the address shown above or by
    telephoning Stacy Turpin at the Knox County Juvenile Court Family
    2
    We find no indication in the record that the November 28, 2017 order was appealed by any party.
    -3-
    Services Unit at (865) 215-6437. If you take no action after receiving this
    notice, a Default Judgment may be taken against you and the Court may
    proceed with the termination without your participation.
    Alongside the summons and notice to incarcerated parent, DCS hand-delivered to
    Mother a “Motion for Default and/or Scheduling Conference and Notice,” which
    provided, inter alia, as follows:
    The State of Tennessee, Department of Children’s Services, moves
    this Honorable Court to default [Mother] if she does not plead or otherwise
    defend the Petition to Terminate Parental Rights within the time allowed
    by law, in accordance with Tennessee Rule of Civil Procedure 55.01. In
    support thereof, [DCS] will show at the time of hearing that [Mother] will
    have been properly and personally served, will have failed to plead or
    otherwise defend, and is a competent adult. Upon granting the Motion for
    Default Judgment, [DCS] will further move for an immediate uncontested
    hearing and termination of [Mother’s] parental rights[.]
    ***
    NOTICE
    This motion will be heard on February 6, 2018, at 9:00 AM at the
    Knox County Juvenile Court, 3323 Division Street, Knoxville, Tennessee.
    Be present if you wish to be heard.
    DCS’s motion for default judgment was filed with the trial court on December 21, 2017.
    Mother was not present at the scheduled hearing on February 6, 2018. The trial
    court heard testimony from Stacy Turpin, an employee of the Knox County Juvenile
    Court; Courtney Hamilton, DCS case manager; and the Child’s foster mother (“Foster
    Mother”). Regarding the default judgment, Ms. Turpin testified that she was the
    employee with the Knox County Juvenile Court who had been identified as a contact
    person for incarcerated parents wishing to participate in termination proceedings. She
    testified that she had not heard from Mother since Mother had been served with the
    summons and petition in this matter. Following Ms. Turpin’s testimony, the trial court
    granted DCS’s motion for default judgment. The trial court further ordered that “this
    cause be taken as confessed by [Mother] and further hearing set ex parte.” On the same
    day, the trial court proceeded to hear proof regarding the termination petition in Mother’s
    absence. DCS entered as an exhibit the adjudicatory and severe child abuse order, which
    included a finding that Mother had severely abused the Child due to her prenatal drug
    use.
    -4-
    Ms. Hamilton subsequently testified that she had remained the Child’s case
    manager the entire time the Child had been in DCS custody. According to Ms. Hamilton,
    Mother was arrested on May 26, 2017, for shoplifting and had outstanding warrants for
    her arrest from Loudon County. Ms. Hamilton related that Mother had been incarcerated
    continuously throughout the case. Ms. Hamilton further testified that the Child was
    “doing fantastic” in her current foster placement. The Child’s Tennessee Early
    Intervention System (TEIS) evaluation determined that the Child did not require a need
    for services, but she continued to be monitored by the East Tennessee Children’s Hospital
    “Grow With Me” clinic. The Child also attended the “GI 4 Kids” program due to
    ongoing reflux issues. According to Ms. Hamilton, the Child was developing well.
    Foster Mother testified during trial that the Child had been residing in her home
    since the Child’s release from the hospital in June 2017. Foster Mother explained that
    her husband, two biological sons, and two other foster children also resided in the foster
    home. According to Foster Mother, the two older children in the home loved the younger
    children and behaved very well with them. When the Child came to live with Foster
    Mother and her family, the Child experienced a few tremors and trouble sleeping. Foster
    Mother further explained that the Child had always suffered from reflux and had an
    allergy to milk. According to Foster Mother, the Child was meeting her developmental
    milestones. She reported that the Child had been crawling and would chase Foster
    Mother around the home. She also indicated that the Child pulled up on her crib for the
    first time the night before trial. Moreover, Foster Mother stated that she wished to adopt
    the Child.
    Following the termination trial, the trial court found by clear and convincing
    evidence that Mother had committed severe abuse against the Child due to her prenatal
    drug use as previously found in the November 28, 2017 order. The trial court further
    determined by clear and convincing evidence, based on Mother’s prenatal drug use and
    Mother’s act of shoplifting while the Child was suffering from withdrawal symptoms in
    the NICU, that Mother’s conduct prior to her incarceration had exhibited a wanton
    disregard for the welfare of the Child. Additionally, the trial court found by clear and
    convincing evidence that Mother had failed to manifest an ability and willingness to
    personally assume legal and physical custody or financial responsibility of the Child and
    that placing the Child in Mother’s custody would pose a risk of substantial harm to the
    physical or psychological welfare of the Child. The trial court further determined that
    termination of Mother’s parental rights was in the best interest of the Child. Mother
    timely appealed.
    Following entry of the judgment, a letter written by Mother to her trial counsel
    was filed by Mother in the trial court record. In the letter, Mother states: “On December
    12, 2017 I was served with the ‘Notice to Incarcerated Parent’ and the ‘Summons’ &
    -5-
    ‘Motion for Default and/or Scheduling Conference & Notice’ relative to the termination
    of my parental rights to [the Child].” Mother also claimed in the correspondence filed
    with the court that she had mailed letters to her court-appointed counsel but that the
    letters were returned to her.
    II. Issues Presented
    Mother raises eight issues for our review, which we have restated slightly:
    1.    Whether Mother was provided with sufficient notice, pursuant to Tennessee Code
    Annotated § 36-1-113(f)(1), of the hearing on DCS’s motion for default judgment
    in the proceedings to terminate Mother’s parental rights.
    2.    Whether the trial court erred by granting DCS’s motion for default judgment when
    it was undisputedly prematurely filed.
    3.    Whether the trial court deprived Mother of her constitutional right to due process
    under both the Fourteenth Amendment to the United States Constitution and
    Article I, Section 8 of the Tennessee Constitution.
    4.    Whether the trial court’s judgment should be set aside, pursuant to Tennessee Rule
    of Civil Procedure 59.04 or 60.02, based on Mother’s mistake, inadvertence, or
    excusable neglect.
    5.    Whether the trial court erred in finding by clear and convincing evidence that
    Mother had severely abused the Child.
    6.    Whether the trial court erred by finding clear and convincing evidence of the
    statutory ground of Mother’s abandonment of the Child through conduct
    exhibiting wanton disregard for the Child’s welfare prior to Mother’s
    incarceration.
    7.    Whether the trial court erred by finding clear and convincing evidence of the
    statutory ground of Mother’s failure to manifest an ability and willingness to
    personally assume custody or financial responsibility for the Child.
    8.    Whether the trial court erred by finding clear and convincing evidence that
    termination of Mother’s parental rights was in the best interest of the Child.
    -6-
    III. Standard of Review
    In a termination of parental rights case, this Court has a duty to determine
    “whether the trial court’s findings, made under a clear and convincing standard, are
    supported by a preponderance of the evidence.” In re F.R.R., III, 
    193 S.W.3d 528
    , 530
    (Tenn. 2006). The trial court’s findings of fact are reviewed de novo upon the record,
    accompanied by a presumption of correctness unless the evidence preponderates against
    those findings. See Tenn. R. App. P. 13(d); see also In re Carrington H., 
    483 S.W.3d 507
    , 524 (Tenn. 2016); In re F.R.R., 
    III, 193 S.W.3d at 530
    . Questions of law, however,
    are reviewed de novo with no presumption of correctness. See In re Carrington 
    H., 483 S.W.3d at 524
    (citing In re M.L.P., 
    281 S.W.3d 387
    , 393 (Tenn. 2009)). The trial court’s
    determinations regarding witness credibility are entitled to great weight on appeal and
    shall not be disturbed absent clear and convincing evidence to the contrary. See Jones v.
    Garrett, 
    92 S.W.3d 835
    , 838 (Tenn. 2002).
    “Parents have a fundamental constitutional interest in the care and custody of their
    children under both the United States and Tennessee constitutions.” Keisling v. Keisling,
    
    92 S.W.3d 374
    , 378 (Tenn. 2002). It is well established, however, that “this right is not
    absolute and parental rights may be terminated if there is clear and convincing evidence
    justifying such termination under the applicable statute.” In re Drinnon, 
    776 S.W.2d 96
    ,
    97 (Tenn. Ct. App. 1988) (citing Santosky v. Kramer, 
    455 U.S. 745
    (1982)). As our
    Supreme Court has explained:
    The parental rights at stake are “far more precious than any property
    right.”    Santosky [v. Kramer], 455 U.S. [745,] 758-59 [(1982)].
    Termination of parental rights has the legal effect of reducing the parent to
    the role of a complete stranger and of [“]severing forever all legal rights
    and obligations of the parent or guardian of the child.” Tenn. Code Ann. §
    36-1-113(l)(1); see also 
    Santosky, 455 U.S. at 759
    (recognizing that a
    decison terminating parental rights is “final and irrevocable”). In light of
    the interests and consequences at stake, parents are constitutionally entitled
    to “fundamentally fair procedures” in termination proceedings. 
    Santosky, 455 U.S. at 754
    ; see also Lassiter v. Dep’t of Soc. Servs. of Durham Cnty,
    N.C., 
    452 U.S. 18
    , 27 (1981) (discussing the due process right of parents to
    fundamentally fair procedures).
    Among the constitutionally mandated “fundamentally fair
    procedures” is a heightened standard of proof—clear and convincing
    evidence. 
    Santosky, 455 U.S. at 769
    . This standard minimizes the risk of
    unnecessary or erroneous governmental interference with fundamental
    parental rights. Id.; In re Bernard T., 
    319 S.W.3d 586
    , 596 (Tenn. 2010).
    “Clear and convincing evidence enables the fact-finder to form a firm belief
    -7-
    or conviction regarding the truth of the facts, and eliminates any serious or
    substantial doubt about the correctness of these factual findings.” In re
    Bernard 
    T., 319 S.W.3d at 596
    (citations omitted). The clear-and-
    convincing-evidence standard ensures that the facts are established as
    highly probable, rather than as simply more probable than not. In re
    Audrey S., 
    182 S.W.3d 838
    , 861 (Tenn. Ct. App. 2005); In re M.A.R., 
    183 S.W.3d 652
    , 660 (Tenn. Ct. App. 2005).
    ***
    In light of the heightened burden of proof in termination
    proceedings, however, the reviewing court must make its own
    determination as to whether the facts, either as found by the trial court or as
    supported by a preponderance of the evidence, amount to clear and
    convincing evidence of the elements necessary to terminate parental rights.
    In re Bernard 
    T., 319 S.W.3d at 596
    -97.
    In re Carrington 
    H., 483 S.W.3d at 522-24
    . “[P]ersons seeking to terminate [parental]
    rights must prove all the elements of their case by clear and convincing evidence,”
    including statutory grounds and the best interest of the child. See In re Bernard T., 
    319 S.W.3d 586
    , 596 (Tenn. 2010).
    IV. Default Judgment
    A. Notice of Default Judgment Hearing
    Mother initially argued on appeal that the record lacked evidence that she had
    been provided proper notice of DCS’s motion for default judgment filed with the trial
    court. However, Mother conceded in her reply brief that the motion for default judgment
    was listed on the summons return as having been personally delivered to Mother.
    Therefore, Mother stated in her reply brief and her counsel acknowledged during oral
    argument that Mother would not be pursuing this argument on appeal.
    B. Motion for Default Judgment
    Mother also argues that the trial court’s judgment was void because DCS
    prematurely filed its motion for default judgment. We disagree with Mother’s
    contention. Tennessee Rule of Civil Procedure 55.01 provides in relevant part:
    When a party against whom a judgment for affirmative relief is sought has
    failed to plead or otherwise defend as provided by these rules and that fact
    -8-
    is made to appear by affidavit or otherwise, judgment by default may be
    entered as follows:
    The party entitled to a judgment by default shall apply to the court. Except
    for cases where service was properly made by publication, all parties
    against whom a default judgment is sought shall be served with a written
    notice of the application at least five days before the hearing on the
    application, regardless of whether the party has made an appearance in the
    action. . . .
    In this case, DCS filed its petition to terminate Mother’s parental rights on
    November 28, 2017. Mother was subsequently served with process on December 12,
    2017, and DCS filed its motion for default judgment against Mother on December 21,
    only nine days after service upon Mother. The record reflects that the motion for default
    judgment was personally served upon Mother together with the petition to terminate her
    parental rights on December 12, 2017. The trial court granted DCS’s motion for default
    judgment during a hearing on February 6, 2018, nearly two months following service of
    process upon Mother.
    Although DCS filed its motion for default judgment against Mother before her
    answer was due, the hearing on such motion did not occur until after the expiration of
    Mother’s time to respond to the petition. Regarding this issue, this Court has previously
    explained:
    While it is undisputed that the motion for default judgment was filed before
    the answer was due, we find no prohibition to that practice. . . .
    Rule 55.01 T.R.C.P. contains no prohibition against the premature
    filing of a motion for default judgment so long as the order on default
    judgment is not entered until after the time the defendant has had to
    respond.
    Boatmen’s Bank of Tenn. v. Dunlap, No. 02A01-9607-CH-00166, 
    1997 WL 793507
    , at
    *9 (Tenn. Ct. App. Dec. 30, 1997). Because Mother was provided sufficient time to
    respond to the petition prior to entry of the order granting default judgment, we determine
    that Mother is not entitled to relief on this issue.
    V. Due Process
    Mother contends that her constitutional right to due process was violated, pursuant
    to the Fourteenth Amendment to the United States Constitution and Article I, Section 8 of
    the Tennessee Constitution. Mother argues that she was not provided with fundamentally
    -9-
    fair procedures, specifically the right to have counsel appointed to represent her in the
    termination proceedings and court-ordered transportation from jail to court for the
    hearing. Upon careful review, we determine that Mother’s due process rights were not
    violated in the case at bar.
    “Due process unquestionably requires States to provide parents with
    fundamentally fair procedures, but it does not require States to ignore the other interests
    at stake in parental termination proceedings.” In re Carrington 
    H., 483 S.W.3d at 533
    .
    In Carrington H., our Supreme Court explained that “Tennessee court rules, statutes, and
    decisional law are already replete with procedures . . . designed to ensure that parents
    receive fundamentally fair parental termination proceedings.” 
    Id. In all
    parental
    termination proceedings, Tennessee provides a statutory right for indigent parents to
    receive appointed counsel. 
    Id. at 527-28
    (citing Tenn. Code Ann. § 37-1-126(a)(2)(B)(ii)
    (2014); Tenn. Sup. Ct. R. 13, § 1(c), (d)(2)(B); Tenn. R. Juv. P. 39(e)(2)).3 Tennessee
    Supreme Court Rule 13, § 1(d)(2) requires that the trial court advise any parent without
    counsel in a proceeding to terminate parental rights his or her right to have an attorney
    represent him or her throughout the proceedings and further provides that counsel will be
    appointed if the parent is indigent and requests appointment of counsel.
    Additionally, Tennessee Code Annotated § 36-1-113(f) requires the petitioner in a
    proceeding to terminate parental rights to provide specific notice to incarcerated parents
    as follows:
    (f)     Before terminating the rights of any parent or guardian who is
    incarcerated or who was incarcerated at the time of an action or
    proceeding is initiated, it must be affirmatively shown to the court
    that such incarcerated parent or guardian received actual notice of
    the following:
    (1)     The time and place of the hearing to terminate parental rights;
    (2)     That the hearing will determine whether the rights of the
    incarcerated parent or guardian should be terminated;
    (3)     That the incarcerated parent or guardian has the right to
    participate in the hearing and contest the allegation that the
    rights of the incarcerated parent or guardian should be
    3
    We note that on July 1, 2016, the Tennessee Rules of Juvenile Procedure were completely revised and
    renumbered such that Tennessee Rule of Juvenile Procedure 39 is no longer in existence. Tennessee
    Code Annotated § 37-1-126(a)(2)(B)(ii) and Tennessee Supreme Court Rule 13, § 1(c) and (d)(2) remain
    in full force and effect.
    - 10 -
    terminated, and, at the discretion of the court, such
    participation may be achieved through personal appearance,
    teleconference, telecommunication or other means deemed by
    the court to be appropriate under the circumstances;
    (4)    That if the incarcerated parent or guardian wishes to
    participate in the hearing and contest the allegation, such
    parent or guardian:
    (A)    If indigent, will be provided with a court-appointed
    attorney to assist the parent or guardian in contesting
    the allegation; and
    (B)    Shall have the right to perpetuate such person’s
    testimony or that of any witness by means of
    depositions or interrogatories as provided by the
    Tennessee Rules of Civil Procedure; and
    (5)    If, by means of a signed waiver, the court determines that the
    incarcerated parent or guardian has voluntarily waived the
    right to participate in the hearing and contest the allegation, or
    if such parent or guardian takes no action after receiving
    notice of such rights, the court may proceed with such action
    without the parent’s or guardian’s participation.
    In arguing that her due process rights were violated, Mother asserts that she was
    operating under the mistaken assumption that her court-appointed attorney during the
    dependency and neglect proceedings would also be representing her in the subsequent
    action to terminate her parental rights. Mother also argues that she believed she would be
    transported from the jail to the trial court for the termination hearing without her
    requesting the court to do so. According to Mother, “the procedure utilized by the [trial
    court] led [Mother] to believe that she was represented by an attorney even though she
    wasn’t.” Mother argues that her “confusion could have been avoided by the [trial court]
    either [by] appointing an attorney to represent Mother in the termination of parental
    rights proceeding or by simply transporting the Mother as it had done in the majority of
    the underlying dependenc[y] and neglect proceedings.”
    We note that Mother did not raise a due process argument below in a manner that
    would have allowed the trial court to address it. The only mention of this issue was
    contained in a letter written by Mother, which she filed with the trial court concomitant
    with her notice of appeal. The letter, which was directed to her attorney in the
    dependency and neglect proceedings and dated February 16, 2018, included a copy of
    - 11 -
    Mother’s “Inmate Mail History” from the Loudon County Sheriff’s Department, which
    spanned June 9, 2017, through February 20, 2018. In the letter, Mother acknowledged
    having been served with a “Summons,” a “Notice to Incarcerated Parent,” and a “Motion
    for Default and/or Scheduling Conference & Notice” on December 12, 2017. The inmate
    history reflects outgoing mail from Mother to her attorney in the dependency and neglect
    proceedings on five separate occasions during the pendency of the termination
    proceedings. The contents of the letters are not contained within the record, and Mother
    claimed in her February 2018 letter that each of the letters was returned to her.
    At the beginning of the dependency and neglect proceedings, the trial court
    entered an appointment of counsel order, determining Mother to be indigent and
    appointing an attorney to represent her. The appointment order consisted of a form
    allowing the trial court to mark boxes identifying for which stages of the proceedings the
    attorney was appointed. In its appointment order, entered June 12, 2017, the trial court
    specified that Mother’s appointed attorney was to represent her “[f]rom the filing of the
    dependency petition through disposition” and “[i]n post disposition, foster care review
    and permanency proceedings.” However, the trial court did not check the box that would
    have appointed Mother’s attorney throughout any subsequent proceedings to terminate
    parental rights. We note that at the time the trial court appointed counsel for Mother, the
    petition to terminate her parental rights had not been filed.
    Approximately six months later, DCS filed its petition to terminate Mother’s
    parental rights to the Child. The proceedings to terminate parental rights was not a
    continuation of the dependency and neglect proceedings. In re Carrington 
    H., 483 S.W.3d at 536
    (“Dependency and neglect proceedings are separate and distinct from
    proceedings to terminate parental rights.”); In re M.J.B., 
    140 S.W.3d 643
    , 651 (Tenn. Ct.
    App. 2004), perm. app. denied (Tenn. July 1, 2004) (“A termination of parental rights
    proceeding is not simply a continuation of a dependent-neglect proceeding. It is a new
    and separate proceeding involving different goals and remedies, different evidentiary
    standards, and different avenues for appeal.”).
    In this case, we conclude that Mother received proper notice of the proceedings to
    terminate her parental rights. On December 12, 2017, Mother was served with a
    summons, a copy of the termination petition, a “Notice to Incarcerated Parent” in
    compliance with Tennessee Code Annotated § 36-1-113(f), and a copy of DCS’s motion
    seeking a default judgment against Mother, which provided Mother with notice of the
    scheduled hearing date. The summons informed Mother that she should file a written
    answer with the trial court within thirty days of receiving the summons and that if she
    failed to file an answer, a default judgment would be taken against her and her parental
    rights could be terminated.
    - 12 -
    Additionally, the “Notice to Incarcerated Parent” notified Mother of her right to
    participate in the termination proceedings and to contest the allegations DCS had made
    against her in the petition. The notice informed Mother that if she were indigent, an
    attorney would be appointed to represent her in the proceedings. The notice further
    provided in bold font and all-capital letters as follows: “YOU MUST NOTIFY THE
    COURT IMMEDIATELY IF YOU WISH TO PARTICIPATE OR TO CONTEST
    THIS PETITION.” The notice further instructed Mother regarding how to notify the
    trial court of her desire to participate in the termination proceedings. Mother was
    afforded the option of either writing a letter to the trial court and mailing it to the address
    specified in the notice or contacting a designated court staff member by using the
    telephone number provided in the notice. The notice again notified Mother that if she
    took no action after receiving the notice, the trial court could proceed with the
    termination action without her participation.
    Pursuant to Tennessee Code Annotated § 36-1-113(f)(3), an incarcerated parent
    “has the right to participate in the hearing and contest the allegation that the rights of the
    incarcerated parent . . . should be terminated.” DCS’s “Notice to Incarcerated Parent”
    and motion for default judgment, which were served upon Mother, complied with the
    requirements of Tennessee Code Annotated § 36-1-113(f). The motion included the time
    and place that the hearing would occur. See Tenn. Code Ann. § 36-1-113(f)(1). The
    “Notice to Incarcerated Parent” informed Mother that the purpose of the hearing before
    the trial court was to determine whether her parental rights were to be terminated. See
    Tenn. Code Ann. § 36-1-113(f)(2). The notice also informed Mother of her right to
    participate in the proceedings and contest the allegations against her, as well as
    instructing Mother in how to notify the trial court if she wished to participate. See Tenn.
    Code Ann. § 36-1-113(f)(3). Additionally, the notice provided that if Mother were
    indigent, the trial court would appoint an attorney to represent her. See Tenn. Code Ann.
    § 36-1-113(f)(4)(A). Also, the notice explained that Mother would have the right to
    present her testimony or the testimony of other witnesses by means of deposition or
    interrogatories in accordance with the Tennessee Rules of Civil Procedure. See Tenn.
    Code Ann. § 36-1-113(f)(4)(B).
    Tennessee Code Annotated § 36-1-113(f)(5) states that if an incarcerated parent is
    provided with statutory notice of his or her rights under that section and the parent
    proceeds to take no action following receipt of the notice, the trial court may proceed
    with the termination action without that parent’s participation. Mother does not dispute
    that upon receipt of the “Notice to Incarcerated Parent,” she did not contact the trial
    court, as the notice directed, to notify the court that she wished to participate in the
    proceedings. Mother also did not request the trial court to appoint an attorney to
    represent her. Instead, according to Mother, she had mailed letters to her former attorney
    that had all been returned to her. Despite her receipt of the returned letters, Mother took
    no further action. Because Mother never initiated steps to contact the trial court to notify
    - 13 -
    it of her desire to participate in the termination hearing, the trial court was authorized to
    proceed with the hearing without Mother’s participation, pursuant to Tennessee Code
    Annotated § 36-1-113(f)(5). As such, the trial court did not err by proceeding with the
    hearing in Mother’s absence. See Tenn. Code Ann. § 36-1-113(f)(5).
    Mother further argues that the trial court should have appointed an attorney to
    represent her throughout the termination proceedings. Because termination of parental
    rights is a separate action, the appointment of Mother’s attorney with respect to the
    dependency and neglect proceedings would not continue through the termination
    proceedings. See In re Carrington 
    H., 483 S.W.3d at 536
    . Pursuant to Tennessee
    Supreme Court Rule 13 § 1(d)(2), in termination of parental rights proceedings, “counsel
    will be appointed if the party is indigent and . . . requests appointment of counsel
    (emphasis added).” As the rule provides, Mother must request that an attorney be
    appointed to represent her in order for the trial court to appoint counsel in the termination
    proceedings. See Tenn. Sup. Ct. R. 13 § 1(d)(2). Because Mother did not notify the
    court that she desired to participate in the hearing and never requested that the trial court
    appoint her an attorney in the proceedings to terminate her parental rights, we conclude
    that the trial court did not err in failing to appoint counsel for Mother. See Tenn. Sup. Ct.
    R. 13 § 1(d)(2); In re Yariel S., No. E2016-00937-COA-R3-PT, 
    2017 WL 65469
    , at *5
    (Tenn. Ct. App. Jan. 6, 2017) (“[The parent] failed to appear at the hearing and never
    requested the appointment of counsel. Accordingly, we conclude that the court did not
    err in failing to appoint counsel for [the parent].”).
    Mother also asserts that the trial court should have transported her from jail to
    court for the termination hearing despite her failure to request transport or notify the court
    that she wished to participate in the hearing. When an incarcerated parent’s fundamental
    parental rights are at stake, “due process requires the trial court to provide the prisoner
    defendant with meaningful access to the court and an opportunity to be heard.” In re
    Perry, No. W2000-00209-COA-R3-CV, 
    2001 WL 277988
    , at *5 (Tenn. Ct. App. Mar.
    12, 2001). An incarcerated parent’s right to participate does not necessarily require
    physical presence in the courtroom during the termination proceedings. See 
    id. Tennessee Code
    Annotated § 36-1-113(f)(3) specifically provides that “at the discretion
    of the court, [the incarcerated parent’s] participation may be achieved through personal
    appearance, teleconference, telecommunication or other means deemed by the court to be
    appropriate under the circumstances.”
    We therefore determine that the trial court did not err by failing to transport
    Mother for the hearing regarding termination of her parental rights when she had failed to
    notify the court of her desire to participate in the proceedings. Having previously
    determined that the trial court did not err by failing to appoint an attorney to represent
    Mother during the termination proceedings, we conclude that Mother was provided with
    - 14 -
    fundamentally fair procedures and has not demonstrated a violation of her due process
    rights.
    VI. Tennessee Rules of Civil Procedure 59 and 60
    Mother contends that the trial court’s judgment should be set aside, pursuant to
    Tennessee Rules of Civil Procedure 59 or 60, specifically arguing that Mother’s failure to
    appear was due to her mistake, inadvertence, and excusable neglect. However, a review
    of the record reflects that Mother never filed a motion with the trial court in the
    proceedings below requesting relief pursuant to either Rule 59 or Rule 60. Therefore,
    this issue is not properly before this Court. See Dorrier v. Dark, 
    537 S.W.2d 888
    , 890
    (Tenn. 1976) (“This is a court of appeals and errors, and we are limited in authority to the
    adjudication of issues that are presented and decided in the trial courts[.]”); Guess v.
    Maury, 
    726 S.W.2d 906
    , 922 (Tenn. Ct. App. 1986), overruled on other grounds by
    Elliott v. Cobb, 
    320 S.W.3d 246
    (Tenn. 2010) (“[The appellants] seek relief in this Court
    under Rule 60, T.R.C.P. This argument is raised for the first time on appeal and therefore
    cannot and will not be considered by this Court. . . . In short, [the appellants] failed to
    utilize the procedural opportunities afforded them.”). Mother is not entitled to relief on
    this issue.
    VII. Statutory Grounds for Termination of Mother’s Parental Rights
    Tennessee Code Annotated § 36-1-113 (2017) lists the statutory requirements for
    termination of parental rights, providing in relevant part:
    (a)      The chancery and circuit courts shall have concurrent jurisdiction
    with the juvenile court to terminate parental or guardianship rights to
    a child in a separate proceeding, or as a part of the adoption
    proceeding by utilizing any grounds for termination of parental or
    guardianship rights permitted in this part or in title 37, chapter 1,
    part 1 and title 37, chapter 2, part 4.
    ***
    (c)      Termination of parental or guardianship rights must be based upon:
    (1)    A finding by the court by clear and convincing evidence that
    the grounds for termination of parental or guardianship rights
    have been established; and
    (2)    That termination of the parent’s or guardian’s rights is in the
    best interests of the child.
    - 15 -
    The trial court determined that the evidence clearly and convincingly supported a finding
    of three statutory grounds to terminate Mother’s parental rights: (1) severe child abuse,
    (2) abandonment by conduct exhibiting wanton disregard for the Child’s welfare prior to
    Mother’s incarceration, and (3) failure to manifest an ability and willingness to assume
    custody of or financial responsibility for the Child. We will address each statutory
    ground in turn.
    A. Severe Child Abuse
    The trial court found that Mother had severely abused the Child. Mother contends
    that the trial court erred by determining that clear and convincing evidence existed to
    terminate her rights on this ground. Specifically, Mother argues that because the trial
    court relied solely on a prior court order and no additional evidence was presented during
    the termination trial to support a finding of severe child abuse against Mother, the record
    contains insufficient evidence to support the trial court’s finding of severe abuse. We
    disagree.
    A court may terminate the parental rights of a parent if he or she has committed
    severe child abuse against the child at issue or a half-sibling of such child. See Tenn.
    Code Ann. § 36-1-113(g)(4) (2017).4 Tennessee Code Annotated § 36-1-113(g)(4), as
    relevant to this action, provides:
    (g)     Initiation of termination of parental or guardianship rights may be
    based upon any of the grounds listed in this subsection (g). The
    following grounds are cumulative and nonexclusive, so that listing
    conditions, acts or omissions in one ground does not prevent them
    from coming within another ground:
    ***
    4
    Effective July 1, 2018, the General Assembly has amended Tennessee Code Annotated § 36-1-
    113(g)(4), replacing the former language in its entirety with the following:
    The parent or guardian has been found to have committed severe child abuse, as defined
    in § 37-1-102, under any prior order of a court or is found by the court hearing the
    petition to terminate parental rights or the petition for adoption to have committed severe
    child abuse against any child[.]
    See 2018 Tenn. Pub. Acts, Ch. 875, § 11 (H.B. 1856). The amendment essentially eliminates the
    requirement that the victim of severe abuse be the child at issue or a half-sibling of the child at issue. See
    
    id. Inasmuch as
    the instant action was filed in November 2017, we will confine our analysis in this
    Opinion to the version of Tennessee Code Annotated § 36-1-113 in effect at that time.
    - 16 -
    (4)    The parent or guardian has been found to have
    committed severe child abuse as defined in § 37-1-102,
    under any prior order of a court or is found by the
    court hearing the petition to terminate parental rights
    or the petition for adoption to have committed severe
    child abuse against the child who is the subject of the
    petition or against any sibling or half-sibling of such
    child, or any other child residing temporarily or
    permanently in the home of such parent or guardian . .
    ..
    Tennessee Code Annotated § 37-1-102(b)(22) (2017) defines “severe child abuse,” in
    relevant part, as:
    (A)(i) The knowing exposure of a child to or the knowing failure to protect
    a child from abuse or neglect that is likely to cause serious bodily injury or
    death and the knowing use of force on a child that is likely to cause serious
    bodily injury or death . . . .
    As this Court has previously explained:
    [A] parent’s conduct is “knowing, and a parent acts or fails to act
    ‘knowingly,’ when . . . she has actual knowledge of the relevant facts and
    circumstances or when . . . she is either in deliberate ignorance of or in
    reckless disregard of the information that has been presented to . . . her.”
    In re H.L.F., 
    297 S.W.3d 223
    , 236 (Tenn. Ct. App. 2009) (quoting In re R.C.P., No.
    M2003-01143-COA-R3-PT, 
    2004 WL 1567122
    , at *7 (Tenn. Ct. App. July 13, 2004)).
    “Serious bodily injury” is defined in Tennessee Code Annotated § 39-15-402(d)
    (2017) as follows:
    “Serious bodily injury to the child” includes, but is not limited to, second-
    or third-degree burns, a fracture of any bone, a concussion, subdural or
    subarachnoid bleeding, retinal hemorrhage, cerebral edema, brain
    contusion, injuries to the skin that involve severe bruising or the likelihood
    of permanent or protracted disfigurement, including those sustained by
    whipping children with objects.
    (Emphasis added.) “The most serious consequence of a finding that a parent has
    committed severe child abuse is that such a finding, in and of itself, constitutes a ground
    - 17 -
    for termination of parental rights.” In re Samaria S., 
    347 S.W.3d 188
    , 201 (Tenn. Ct.
    App. 2011).
    Following a hearing during the dependency and neglect proceedings on October
    10, 2017, the trial court entered an order on November 28, 2017, citing the definition of
    severe child abuse within Tennessee Code Annotated § 37-1-102(b)(22)(A) and
    determining by clear and convincing evidence that Mother had severely abused the Child
    due to Mother’s use of illegal substances during her pregnancy. Specifically, the trial
    court found that Mother had used heroin, methamphetamine, and cocaine during her
    pregnancy with the Child.
    According to the trial court, Mother had confirmed her pregnancy on November 7,
    2016, and was counseled by hospital personnel on the “risks of drug use during
    pregnancy, including the risks of neonatal abstinence syndrome.” Mother was treated in
    May 2017 while pregnant and reported to hospital personnel that she had not received
    any prenatal care during her pregnancy. At that time, Mother was administered a urine
    drug screen and tested positive for cocaine, amphetamines, opiates, and oxycodone.
    Hospital personnel urged Mother to consult an obstetrician, provided her information to
    assist in doing so, and again counselled her regarding the risks her prenatal drug use
    could have to the baby, “including the fact that her infant would likely experience
    withdrawal symptoms and would possibly need Neonatal Intensive Care following birth.”
    The following day, Mother was admitted to a different hospital to give birth.
    Upon admission, Mother acknowledged to hospital personnel that she had been
    using illicit drugs, including daily use of heroin. Mother was administered a urine drug
    screen and tested positive for amphetamines, cocaine, oxycodone, and opiates. The trial
    court found that at the hospital, Mother “falsely claimed to medical staff that she had not
    found out she was pregnant until January 2017.” A tissue sample from the umbilical cord
    was analyzed at the hospital and tested positive for amphetamine, methamphetamine,
    cocaine, and “opiates/morphine/codeine.”
    As a consequence of Mother’s prenatal drug use, the Child suffered withdrawal
    symptoms shortly after her birth and was diagnosed with Neonatal Abstinence Syndrome,
    Intrauterine Cocaine Exposure, and Maternal Substance Abuse, as well as being
    identified as “At Risk for Developmental Delay.” The Child experienced vomiting;
    fever; moderate to severe tremors; increased respiratory rate; uncoordinated sucking; and
    excessive, high-pitched crying. The Child’s Finnegan Scale Score, assessing signs of
    Neonatal Abstinence Syndrome, increased significantly, and the Child was transferred to
    the NICU at East Tennessee Children’s Hospital, where she was given morphine and
    clonidine to manage her symptoms for twenty and nineteen days respectively.
    - 18 -
    Based on those facts, the trial court entered an order finding by clear and
    convincing evidence that Mother had severely abused the Child. Mother does not contest
    that the trial court’s November 28, 2017 order in the dependency and neglect proceedings
    was a final order, and no evidence was presented to suggest that the order was not final.
    Instead, Mother argues that the severe child abuse finding in the dependency and neglect
    proceedings is not sufficient for res judicata purposes because the actions are not “the
    same type of claim or cause of action.” We do not consider Mother’s argument to be
    persuasive.
    Tennessee Code Annotated § 36-1-113(g)(4) allows a trial court to terminate a
    parent’s rights on the ground of severe abuse if the parent “has been found to have
    committed severe child abuse as defined in § 37-1-102, under any prior order of a court
    (emphasis added).” It is well settled that a trial court may rely on a prior court order
    finding severe child abuse and is not required to re-litigate the issue of severe abuse at the
    trial to terminate parental rights. See In re Samaria 
    S., 347 S.W.3d at 201
    ; State, Dep’t
    of Children’s Servs. v. M.S., No. M2003-01670-COA-R3-CV, 
    2005 WL 549141
    , at *10
    (Tenn. Ct. App. Mar. 8, 2005). In the case at bar, the trial court properly relied on the
    November 28, 2017 order in finding that DCS had proven the ground of severe child
    abuse against Mother by clear and convincing evidence. We therefore affirm the trial
    court’s determination that this statutory ground for termination was proven by clear and
    convincing evidence.
    B. Abandonment Through Wanton Disregard
    The trial court also determined that Mother had abandoned the Child by exhibiting
    wanton disregard for the Child’s welfare prior to Mother’s incarceration. See Tenn. Code
    Ann. § 36-1-102(1)(A)(iv) (2017). Tennessee Code Annotated § 36-1-113(g)(1) (2017)
    provides as a ground for termination:
    (1)    Abandonment by the parent or guardian, as defined in § 36-1- 102,
    has occurred[.]
    Tennessee Code Annotated § 36-1-102(1)(A)(iv) provides in pertinent part:
    A parent or guardian is incarcerated at the time of the institution of an
    action or proceeding to declare a child to be an abandoned child, or the
    parent or guardian has been incarcerated during all or part of the four (4)
    months immediately preceding the institution of such action or proceeding,
    and . . . the parent or guardian has engaged in conduct prior to incarceration
    that exhibits a wanton disregard for the welfare of the child. . . .
    (Emphasis added.)
    - 19 -
    A parent’s actions constituting wanton disregard for the welfare of a child are not
    restricted to only the four-month period prior to incarceration. See In re Audrey 
    S., 182 S.W.3d at 871
    . This Court has consistently held that “probation violations, repeated
    incarceration, criminal behavior, substance abuse, and the failure to provide adequate
    support for a child can, alone or in combination, constitute conduct that exhibits a wanton
    disregard for the welfare of a child.” In re Audrey 
    S., 182 S.W.3d at 867-68
    ; see also In
    re K.F.R.T., 
    493 S.W.3d 55
    , 59-60 (Tenn. Ct. App. Mar. 10, 2016), perm. app. denied
    (Tenn. June 6, 2016) (citing In re Audrey S. with approval and noting that “wanton
    disregard can be based upon bad conduct that occurs at any time prior to incarceration”).
    “Simply stated, a parent’s ‘poor judgment and bad acts that affect the children constitute
    a wanton disregard for the welfare of the children.’” In re T.L.G., No. E2014-01752-
    COA-R3-PT, 
    2015 WL 3380896
    , at *3 (Tenn. Ct. App. May 26, 2015) (quoting State,
    Dep’t of Children’s Servs. v. Hood, 
    338 S.W.3d 917
    , 926 (Tenn. Ct. App. 2009)).
    We note that a parent’s conduct prior to the Child’s birth can constitute wanton
    disregard for the Child’s welfare so long as that parent was aware of the Child’s existence
    in utero. See In re Anthony R., No. M2014-01753-COA-R3-PT, 
    2015 WL 3611244
    , at
    *3 (Tenn. Ct. App. June 9, 2015) (“[W]hile the statutory reference to ‘the child’ can
    mean a child in utero, the wanton disregard language of Tenn. Code Ann. § 36-1-
    102(1)(A)(iv) must be construed to require that the [parent] has knowledge of the child at
    the time his actions constituting wanton disregard are taken.”). This Court has previously
    affirmed the termination of a parent’s rights on the statutory ground of wanton disregard
    based upon a mother’s prenatal drug use. See In re C.T.S., 
    156 S.W.3d 18
    , 25 (Tenn. Ct.
    App. 2004) (“It is clear that [the mother] ingested crack cocaine during her pregnancy
    and immediately before the birth of [the child], knowing the effects it would have on her
    child. . . . Such conduct clearly exhibits a wanton disregard for the welfare of the child.”).
    In the instant action, the trial court found by clear and convincing evidence that
    Mother’s actions prior to her incarceration had exhibited wanton disregard for the Child’s
    welfare. The trial court specifically found the following facts regarding this statutory
    ground: “[Mother’s] baby is in the NICU suffering withdrawals and [Mother] was out
    shoplifting, knowing she had outstanding warrants that would certainly result in her
    incarceration!” The evidence adduced at trial supports this finding.
    Not only did Mother use illegal drugs at a time when she knew she was pregnant
    with the Child, the trial court found that Mother was arrested for the criminal offense of
    shoplifting while the Child was in the hospital. We conclude that the evidence regarding
    Mother’s behavior prior to her incarceration, including her prenatal use of illegal drugs
    while aware that she was pregnant and her criminal activity, supports the trial court’s
    determination that the statutory ground of abandonment through wanton disregard was
    - 20 -
    proven by clear and convincing evidence. We affirm the trial court’s reliance on this
    statutory ground for termination.
    C. Failure to Manifest an Ability and Willingness to Assume
    Custody or Financial Responsibility of the Child
    Mother asserts that DCS failed to present clear and convincing evidence to support
    termination of her parental rights pursuant to Tennessee Code Annotated § 36-1-
    113(g)(14) (2017). This subsection, which was added to the statutory framework
    effective July 1, 2016, see 2016 Tenn. Pub. Acts, Ch. 919 § 20 (S.B. 1393), provides as
    an additional ground for termination: 5
    A legal parent or guardian has failed to manifest, by act or omission, an
    ability and willingness to personally assume legal and physical custody or
    financial responsibility of the child, and placing the child in the person’s
    legal and physical custody would pose a risk of substantial harm to the
    physical or psychological welfare of the child.
    Upon our careful review of the record, we determine that the trial court did not err in
    finding that clear and convincing evidence existed to support this statutory ground for
    termination of Mother’s parental rights.
    This Court has recently explained the following with regard to this ground for
    termination of parental rights:
    Essentially, this ground requires DCS to prove two elements by clear and
    convincing evidence. First, DCS must prove that [the parent] failed to
    manifest “an ability and willingness to personally assume legal and
    physical custody or financial responsibility of the child[ren].” Tenn. Code
    Ann. § 36-1-113(g)(14). DCS must then prove that placing the children in
    [the parent’s] “legal and physical custody would pose a risk of substantial
    harm to the physical or psychological welfare of the child[ren].” 
    Id. *** We
    have made the following observations about what constitutes
    “substantial harm”:
    5
    Effective July 1, 2018, Tennessee Code Annotated § 36-1-113(g)(14) has been amended to substitute the
    phrase, “A parent,” in place of “A legal parent.” See 2018 Tenn. Pub. Acts, Ch. 875, § 12 (H.B. 1856).
    - 21 -
    The courts have not undertaken to define the circumstances
    that pose a risk of substantial harm to a child. These
    circumstances are not amenable to precise definition because
    of the variability of human conduct. However, the use of the
    modifier “substantial” indicates two things. First, it connotes
    a real hazard or danger that is not minor, trivial, or
    insignificant. Second, it indicates that the harm must be more
    than a theoretical possibility. While the harm need not be
    inevitable, it must be sufficiently probable to prompt a
    reasonable person to believe that the harm will occur more
    likely than not.
    Ray v. Ray, 
    83 S.W.3d 726
    , 732 (Tenn. Ct. App. 2001) (footnotes omitted).
    In re Maya R., No. E2017-01634-COA-R3-PT, 
    2018 WL 1629930
    , at *7-8 (Tenn. Ct.
    App. Apr. 4, 2018) (additional internal citations omitted). This Court has held that the
    first prong of Tennessee Code Annotated § 36-1-113(g)(14) requires that the petitioner
    prove that a parent has failed to meet the requirement of manifesting both a willingness
    and an ability to assume legal and physical custody of the child or has failed to meet the
    requirement of manifesting both a willingness and an ability to assume financial
    responsibility of the child. In re Amynn K., No. E2017-01866-COA-R3-PT, 
    2018 WL 3058280
    , at *14 (Tenn. Ct. App. June 20, 2018); but see In re Ayden S., No. M2017-
    01185-COA-R3-PT, 
    2018 WL 2447044
    , at *7 (Tenn. Ct. App. May 31, 2018) (reversing
    this ground for termination when parents were unable but willing to assume custody and
    financial responsibility of their children).
    Regarding the first prong in the instant action, the trial court found that DCS had
    proven by clear and convincing evidence that Mother had not manifested an ability and
    willingness to personally assume legal and physical custody of the Child or financial
    responsibility for the Child. Mother was incarcerated throughout the entire proceedings
    to determine dependency and neglect and to terminate her parental rights. Clearly,
    Mother was unable to assume physical or legal custody of or financial responsibility for
    the Child based on her incarceration.
    Regarding willingness, a parent’s actions can demonstrate a lack of willingness to
    assume custody of or financial responsibility for the Child. See In re Keilyn O., No.
    M2017-02386-COA-R3-PT, 
    2018 WL 3208151
    , at *8 (Tenn. Ct. App. June 28, 2018); In
    re Amynn K., No. E2017-01866-COA-R3-PT, 
    2018 WL 3058280
    , at *15 (Tenn. Ct. App.
    June 20, 2018). In the instant action, Mother used illegal drugs during her pregnancy
    such that the Child was born addicted to drugs and suffered withdrawal symptoms
    following her birth. Shortly after the Child’s birth and while the Child remained in the
    hospital, Mother incurred a criminal charge of shoplifting and was arrested on pending
    - 22 -
    warrants from Loudon County. Mother’s actions during her pregnancy and following the
    Child’s birth do not demonstrate willingness by Mother to assume custody of or financial
    responsibility for the Child. Therefore, we agree with the trial court’s conclusion that
    Mother failed to manifest an ability and willingness to personally assume custody of or
    financial responsibility for the Child.
    The second prong of this ground requires DCS to prove by clear and convincing
    evidence that placing the Child in Mother’s legal and physical custody would pose a risk
    of substantial harm to the Child’s physical and psychological welfare. In addition to
    Mother’s prenatal drug use and her criminal activity, Mother has not maintained
    consistent contact with the Child due to her incarceration, and Mother does not have a
    relationship with the Child. Furthermore, since the Child was released from the hospital
    after her birth, she has remained in the same foster home, where she is thriving and her
    needs are being met. The foster parents are the only family the Child has ever known,
    and they wish to adopt the Child.
    The trial court found that DCS had met its burden regarding this prong, and we
    agree. Upon a thorough review of the record, we further determine that the evidence
    does not preponderate against the trial court’s finding that placing the Child into
    Mother’s custody would pose a risk of substantial harm to the Child’s physical and
    psychological welfare. Accordingly, we affirm the trial court’s determination by clear
    and convincing evidence regarding this statutory ground for termination of Mother’s
    parental rights.
    VIII. Best Interest of the Child
    Mother contends that DCS did not present sufficient evidence to support the trial
    court’s finding by clear and convincing evidence that termination of her parental rights
    was in the best interest of the Child. We disagree.
    When a parent has been found to be unfit by establishment of at least one statutory
    ground for termination of parental rights, as here, the interests of parent and child
    diverge, and the focus shifts to what is in the child’s best interest. In re Audrey 
    S., 182 S.W.3d at 877
    ; see also In re Carrington 
    H., 483 S.W.3d at 523
    (“‘The best interests
    analysis is separate from and subsequent to the determination that there is clear and
    convincing evidence of grounds for termination.’” (quoting In re Angela E., 
    303 S.W.3d 240
    , 254 (Tenn. 2010))). Tennessee Code Annotated § 36-1-113(i) (2017) provides a list
    of factors the trial court is to consider when determining if termination of parental rights
    is in a child’s best interest. This list is not exhaustive, and the statute does not require the
    court to find the existence of every factor before concluding that termination is in a
    child’s best interest. See In re Carrington 
    H., 483 S.W.3d at 523
    ; In re Audrey 
    S., 182 S.W.3d at 878
    (“The relevancy and weight to be given each factor depends on the unique
    - 23 -
    facts of each case.”). Furthermore, the best interest of a child must be determined from
    the child’s perspective and not the parent’s. White v. Moody, 
    171 S.W.3d 187
    , 194
    (Tenn. Ct. App. 2004).
    Tennessee Code Annotated § 36-1-113(i) lists the following factors for
    consideration:
    (1)    Whether the parent or guardian has made such an adjustment of
    circumstance, conduct, or conditions as to make it safe and in the
    child’s best interest to be in the home of the parent or guardian;
    (2)    Whether the parent or guardian has failed to effect a lasting
    adjustment after reasonable efforts by available social services
    agencies for such duration of time that lasting adjustment does not
    reasonably appear possible;
    (3)    Whether the parent or guardian has maintained regular visitation or
    other contact with the child;
    (4)    Whether a meaningful relationship has otherwise been established
    between the parent or guardian and the child;
    (5)    The effect a change of caretakers and physical environment is likely
    to have on the child’s emotional, psychological and medical
    condition;
    (6)    Whether the parent or guardian, or other person residing with the
    parent or guardian, has shown brutality, physical, sexual, emotional
    or psychological abuse, or neglect toward the child, or another child
    or adult in the family or household;
    (7)    Whether the physical environment of the parent’s or guardian’s
    home is healthy and safe, whether there is criminal activity in the
    home, or whether there is such use of alcohol, controlled substances
    or controlled substance analogues as may render the parent or
    guardian consistently unable to care for the child in a safe and stable
    manner;
    (8)    Whether the parent’s or guardian’s mental and/or emotional status
    would be detrimental to the child or prevent the parent or guardian
    from effectively providing safe and stable care and supervision for
    the child; or
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    (9)    Whether the parent or guardian has paid child support consistent
    with the child support guidelines promulgated by the department
    pursuant to § 36-5-101.
    As our Supreme Court recently explained regarding the best interest analysis:
    “The best interests analysis is separate from and subsequent to the
    determination that there is clear and convincing evidence of grounds for
    termination.” In re Angela E., 303 S.W.3d [240,] 254 [(Tenn. 2010)].
    When conducting the best interests analysis, courts must consider
    nine statutory factors listed in Tennessee Code Annotated section 36-1-
    113(i). These statutory factors are illustrative, not exclusive, and any party
    to the termination proceeding is free to offer proof of any other factor
    relevant to the best interests analysis. In re Carrington 
    H., 483 S.W.3d at 523
    (citing In re Audrey S., 
    182 S.W.3d 838
    , 878 (Tenn. Ct. App. 2005)).
    Facts considered in the best interests analysis must be proven by “a
    preponderance of the evidence, not by clear and convincing evidence.” In
    re Kaliyah 
    S., 455 S.W.3d at 555
    (citing In re Audrey 
    S., 182 S.W.3d at 861
    ). “After making the underlying factual findings, the trial court should
    then consider the combined weight of those facts to determine whether they
    amount to clear and convincing evidence that termination is in the child’s
    best interest[s].” 
    Id. When considering
    these statutory factors, courts must
    remember that “[t]he child’s best interests [are] viewed from the child’s,
    rather than the parent’s, perspective.” In re Audrey 
    S., 182 S.W.3d at 878
    .
    Indeed, “[a] focus on the perspective of the child is the common theme”
    evident in all of the statutory factors. 
    Id. “[W]hen the
    best interests of the
    child and those of the adults are in conflict, such conflict shall always be
    resolved to favor the rights and the best interests of the child . . . .” Tenn.
    Code Ann. § 36-1-101(d) (2017).
    Ascertaining a child’s best interests involves more than a “rote
    examination” of the statutory factors. In re Audrey 
    S., 182 S.W.3d at 878
    .
    And the best interests analysis consists of more than tallying the number of
    statutory factors weighing in favor of or against termination. White v.
    Moody, 
    171 S.W.3d 187
    , 193-94 (Tenn. Ct. App. 2004). Rather, the facts
    and circumstances of each unique case dictate how weighty and relevant
    each statutory factor is in the context of the case. See In re Audrey 
    S., 182 S.W.3d at 878
    . Simply put, the best interests analysis is and must remain a
    factually intensive undertaking, so as to ensure that every parent receives
    individualized consideration before fundamental parental rights are
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    terminated. In re Carrington 
    H., 483 S.W.3d at 523
    . “[D]epending upon
    the circumstances of a particular child and a particular parent, the
    consideration of one factor may very well dictate the outcome of the
    analysis.” In re Audrey 
    S., 182 S.W.3d at 878
    (citing White v. 
    Moody, 171 S.W.3d at 194
    ). But this does not mean that a court is relieved of the
    obligation of considering all the factors and all the proof. Even if the
    circumstances of a particular case ultimately result in the court ascribing
    more weight—even outcome determinative weight—to a particular
    statutory factor, the court must consider all of the statutory factors, as well
    as any other relevant proof any party offers.
    In re Gabriella D., 
    531 S.W.3d 662
    , 681-82 (Tenn. 2017).
    In the case at bar, the trial court concluded that termination of Mother’s parental
    rights was in the best interest of the Child. We agree with the trial court’s determination.
    Considering the above-listed factors, the trial court found that although whether Mother
    had made any adjustment during her incarceration remained unknown, she had not made
    such an adjustment in her circumstances, conduct, or conditions so as to make it safe for
    the Child to return to her custody. As the trial court noted, Mother had been incarcerated
    during the entire time span that the Child had been in foster care. The trial court thereby
    found that Mother had not maintained regular visitation due to her own conduct and that
    no relationship had been established between Mother and the Child.
    As the trial court also determined, Mother severely abused the Child by ingesting
    illegal drugs during her pregnancy while knowing that she was pregnant and that her
    prenatal drug use could cause harm to the Child. As a consequence of Mother’s prenatal
    drug use, the Child experienced withdrawal symptoms and was diagnosed with Neonatal
    Abstinence Syndrome. The trial court found that upon the Child’s arrival at the foster
    home, the Child had experienced tremors and had difficulty sleeping.
    Additionally, the trial court determined that changing the Child’s caretakers and
    removing her from the foster home, which was the only home she had ever known, was
    likely to have a detrimental effect on the Child’s emotional, psychological, and medical
    condition. The Child had remained in the pre-adoptive foster home since she had been
    discharged from the hospital following her birth. Although generally healthy, the Child
    continued to be monitored by East Tennessee Children’s Hospital through its “Grow
    With Me” program due to her diagnosis of Neonatal Abstinence Syndrome. The Child
    also participated in the “GI for Kids” program due to her reflux issues. Accordingly, the
    foster parents had taken the Child to all her appointments.
    The trial court noted that Mother remained incarcerated and provided no healthy
    and safe physical environment for the Child to return to at that time. Additionally, the
    - 26 -
    trial court determined that Mother had engaged in both criminal activity and the use of
    alcohol or controlled substances that could render Mother consistently unable to care for
    the Child in a safe and stable manner. The trial court made no findings regarding
    Mother’s mental or emotional status, pursuant to factor (8), or whether Mother had paid
    child support, pursuant to factor (9). See Tenn. Code Ann. § 36-1-113(i)(8), (9).
    Ultimately, the trial court concluded that termination of Mother’s parental rights was in
    the best interest of the Child.
    On appeal, Mother argues that the evidence before the trial court was insufficient
    because “there is no evidence in the record concerning how large the foster parents’ home
    is and/or whether it is a large enough home to accommodate seven (7) people.” Although
    the trial court made no findings of fact regarding the physical home where the foster
    family resided, the trial court stated during its oral ruling that the Child was “getting what
    she needs in a loving home with a bunch of other foster siblings.” In its order, the trial
    court also found that the Child was entitled to have a safe, secure, and loving home, that
    she had been in her current foster home since she was released from the hospital, and that
    she had the opportunity to achieve permanency through adoption.
    Foster Mother testified that she and her husband resided in the home with their
    two biological children, the Child, and two other foster children. According to Foster
    Mother, she had become a “stay-at-home mom” to care for the children in her home.
    Foster Mother explained that she was present with the three children all day and that they
    maintained a routine, which included certain times for various activities and a staggered
    nap schedule affording her individual time with each child. Foster Mother opined that
    the Child had been doing “very well” in meeting her developmental milestones, adding
    that Foster Mother and her husband were ready to adopt the Child.
    Ms. Hamilton, the Child’s DCS case manager, also testified that the foster parents
    had been “amazing” and had transported the Child to all of her appointments. According
    to Ms. Hamilton, the Child was “doing fantastic” in the foster home, was well-loved, and
    was developing well. Despite the trial court’s lack of findings regarding the physical
    space where the foster family resided, the record indicates that the Child has remained in
    that home for the duration of her foster care and that the Child is thriving in that
    environment. We find Mother’s argument in this regard to be unavailing.
    Mother further argues that DCS had “made no efforts whatsoever to develop a
    plan to return this child to the Mother once she is released from jail” and that DCS made
    adoption its “sole objective” from the beginning of the case. We note that the trial court
    found in its best interest analysis that DCS had made reasonable efforts toward achieving
    permanency for the Child but not that DCS made reasonable efforts to assist Mother.
    Significantly, this is a case wherein Mother committed severe abuse against the Child due
    to Mother’s prenatal drug use and the Child’s subsequent diagnosis with Neonatal
    - 27 -
    Abstinence Syndrome. As a result of the trial court’s finding of severe child abuse
    against Mother, the trial court during the dependency and neglect proceedings relieved
    DCS of making reasonable efforts to reunite the Child with Mother pursuant to
    Tennessee Code Annotated § 37-1-166(g)(4).
    We emphasize that once statutory grounds for termination have been established,
    the focus in the best interest analysis must remain on the Children. See In re Carrington
    
    H., 483 S.W.3d at 523
    . Although a lack of reasonable efforts in some cases may be
    determinative regarding the best interest analysis, see In re Kaliyah S., 
    455 S.W.3d 533
    ,
    556 (Tenn. 2015), we determine that in this case, a lack of reasonable efforts by DCS to
    assist Mother with reunification did not preclude a finding that termination of her
    parental rights was in the Child’s best interest. See In re Marcell W., No. W2014-02004-
    COA-R3-PT, 
    2015 WL 4484303
    , at *6 (Tenn. Ct. App. July 23, 2015) (affirming the trial
    court’s termination of the parent’s rights after DCS had been relieved of making
    reasonable efforts due to aggravating circumstances). We determine Mother’s argument
    in this regard to be misplaced. Upon consideration of all the factors contained in
    Tennessee Code Annotated § 36-1-113(i) and a thorough review of the record before us,
    we further determine that the evidence in the record is clear and convincing that
    termination of Mother’s parental rights was in the best interest of the Child.
    IX. Conclusion
    For the foregoing reasons, we affirm the trial court’s judgment in all respects,
    including the termination of Mother’s parental rights to the Child. We remand this case
    to the trial court, pursuant to applicable law, for enforcement of the trial court’s judgment
    and collection of costs assessed below. Costs on appeal are assessed to the appellant,
    Melody I.
    _________________________________
    THOMAS R. FRIERSON, II, JUDGE
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