in the Interest of A.D.M and D.D.M. Jr., Children ( 2016 )


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  • Opinion issued December 20, 2016
    In The
    Court of Appeals
    For The
    First District of Texas
    ————————————
    NO. 01-16-00550-CV
    ———————————
    IN THE INTEREST OF A.D.M. AND D.D.M., JR., Children
    On Appeal from the 314th District Court
    Harris County, Texas
    Trial Court Case No. 2015-03517J
    MEMORANDUM OPINION
    After a bench trial, the trial court terminated the parental rights of a father and
    a mother with respect to their two biological children. The court appointed the Texas
    Department of Family and Protective Services as sole managing conservator of the
    children. The father and mother each separately appealed the termination decree.
    Both parents challenge the sufficiency of the evidence to support the statutory
    grounds for termination. In particular, the father challenges the trial court’s findings
    of endangerment and failure to comply with a court order, see TEX. FAM. CODE
    § 161.001(b)(1)(D), (E), (O), and the mother challenges the trial court’s finding of
    endangerment, see 
    id. § 161.001(b)(1)(E).
    Both parents challenge the sufficiency of
    the evidence to support the trial court’s finding that termination was in the best
    interest of the children. See 
    id. § 161.001(b)(2).
    Because we find the evidence legally and factually sufficient to support the
    termination decree, we affirm.
    Background
    This appeal is brought by D.D.M., the biological father, and C.V.M., the
    biological mother, of two children. The appellants had a daughter, A.D.M., and a
    younger son, D.D.M., Jr. Five months after the boy’s birth, the mother, then 26 years
    old, was voluntarily admitted to West Oaks Hospital for postpartum depression. She
    was upset because she had been having thoughts of harming her two-year-old
    daughter, A.D.M., and then killing herself. Two days later, on May 8, 2015, a referral
    for neglectful supervision was made to Child Protective Services. It indicated that
    due to mental-health issues, the mother could not provide adequate supervision to
    her two children. The referral indicated that the father worked most of the time,
    leaving the mother home alone with the children. It also indicated that the mother
    had another older child who previously had been removed from her custody.
    2
    While the mother was in the hospital, the Department prepared a safety plan
    which required the father to submit to drug and psychological tests and required the
    mother only to have supervised contact with the children upon her release on May
    14, 2015. Although both parents signed the safety plan, they did not abide by its
    conditions. The father did not submit to testing, and the Department received
    information that the mother had been left alone with the children. On June 3, 2015,
    the Department removed the children, alleging that the father allowed them
    unsupervised contact with the mother. When the children entered custody, the
    daughter had a black eye, but otherwise neither child had any special needs. They
    were placed in foster care and eventually moved to a foster home with their older
    sister, E.F.
    The court entered orders establishing the actions necessary for the parents to
    obtain the return of their children. In June 2015, the court ordered the parents “to
    comply with each requirement set out in the Department’s original, or any amended,
    service plan,” and it indicated that failure to do so could “result in the restriction or
    termination of parental rights.” On August 13, 2015, the court entered additional
    temporary orders, which required each parent to do the following: (1) complete a
    substance abuse treatment program if recommended; (2) complete a psychological
    examination and follow all recommendations; (3) participate in counseling which
    may include individual, group, or family therapy sessions; (4) complete parenting
    3
    classes; (5) complete a drug and alcohol assessment and follow all recommendations
    of the drug and alcohol assessment if recommended; (6) complete random drug tests,
    which may include a hair follicle test; (7) remain drug free; (8) refrain from engaging
    in criminal activity; (9) maintain stable housing; (10) maintain stable employment;
    and (11) complete all services outlined in the family plan of service.
    The Department later sought termination of both parents’ parental rights on
    the grounds that the father failed to comply with a court order and endangered the
    children, see TEX. FAM. CODE § 161.001(b)(1)(D), (E), (O), and that the mother
    endangered the children as well. See 
    id. § 161.001(b)(1)(E).
    At trial, the father denied allowing the mother unsupervised access to the
    children upon her release from West Oaks Hospital. He acknowledged, however,
    that when the children were removed, the electricity in his apartment had been
    terminated, the eviction process had begun, and there was a roach infestation. He
    also acknowledged his prior criminal history, which included burglary, and his
    continuing history of drug use. The father admitted using synthetic marijuana prior
    to the Department’s involvement in this case. Test results admitted at trial were
    positive for cocaine and marijuana in June and August 2015, and for synthetic
    marijuana use in June, August, and November 2015.
    The father did not complete all of the services required by the family plan of
    service. He did not complete parenting classes or attend all scheduled visits with his
    4
    children. There was conflicting evidence about whether he completed a
    psychological assessment and a psychosocial-and-drug assessment. The father did
    not provide the Department with proof of income or a lease, although he testified
    that he had a job and was living in a hotel. He testified that he was working for
    “Michael International,” but later he testified that this was not true, and he said he
    was actually self-employed, earning $800–$900 per week shining shoes. He testified
    that he brought books and toys to his children at visits but that he never brought
    formula or diapers, nor did he pay child support, because he was not required to do
    so.
    Before the Department became involved with the children, the father was
    aware that the mother was abusive toward their daughter because he had seen bruises
    and injuries on her. For example, the father testified that the mother had held the girl
    “in a choke hold up against the wall,” and she had thrown and hit her several times,
    including hitting the child’s face. But the father never saw evidence that their infant
    son was abused, and he continued to leave the mother alone with the children.
    The mother testified at trial. She admitted that she used synthetic marijuana
    prior to the Department’s involvement in this case. She also admitted that she had
    relinquished custody of an older daughter after having been charged with
    abandonment or endangerment of a child. In that case, she had left her first child,
    E.F., who then was one year old, alone in her crib for several hours while she went
    5
    to work. She received deferred adjudication for this offense, which she successfully
    completed. She admitted smoking synthetic marijuana in violation of her probation,
    although she did not get caught.
    The mother completed all of the services on the family plan of service, and
    she remained drug-free during the pendency of the case, but the Department
    remained concerned about her failure to address her mental-health problems. She
    had been diagnosed with postpartum depression, borderline personality disorder, and
    bipolar disorder. The mother also had suicidal thoughts before and after the children
    were removed by the Department. She had thoughts of physically harming her
    daughter as well as her husband, whom she believed to be having an affair with a
    neighbor. Although the mother was under a psychiatrist’s care throughout the
    pendency of the case, she did not take her prescribed medication consistently. For at
    least seven months, the mother was not medicated, and she continually denied
    needing medication. The Department’s caseworker was concerned that the mother
    could stop taking her medication in the future, endangering the physical well-being
    of the children if they were returned to her. Yet the mother testified that she “would
    be fine” “even without the medication” because she was divorcing the father.
    At trial, the mother admitted hitting her daughter A.D.M. only one time, and
    she denied having put her in a chokehold, saying it was only a dream. Notes in the
    psychosocial report indicate that the mother admitted such abuse to the psychologist.
    6
    The report quoted the mother as saying that she was “having suicidal and homicidal
    thoughts about her daughter,” “having blackouts” and waking up to find her daughter
    “had bruises all over her body.” The mother reported that she would “snap back from
    the blackouts and attempt to doctor her up.” She also recalled once “slamming” her
    daughter’s face on the ground. In addition, the caseworker described one supervised
    visit when the mother dealt roughly with her daughter after the child had thrown a
    toy and cried, putting her in “time out” and pushing her against a wall.
    The trial court granted the Department’s petition to terminate the parents’
    rights, and both parents appealed.
    Analysis
    The parents challenge the legal and factual sufficiency of the evidence to
    support the trial court’s findings of predicate acts in support of termination and that
    termination was in the best interest of their children.
    Protection of the best interests of the child is the primary focus of the
    termination proceeding in the trial court and our appellate review. See In re A.V.,
    
    113 S.W.3d 355
    , 361 (Tex. 2003). A parent’s right to the care, custody, and control
    of his children is a precious liberty interest protected by the Constitution. See, e.g.,
    Troxel v. Granville, 
    530 U.S. 57
    , 65, 
    120 S. Ct. 2054
    , 2060 (2000); Santosky v.
    Kramer, 
    455 U.S. 745
    , 758–59, 
    102 S. Ct. 1388
    , 1397 (1982). Accordingly,
    termination proceedings are strictly scrutinized on appeal. See Holick v. Smith, 685
    
    7 S.W.2d 18
    , 20 (Tex. 1985). Clear and convincing evidence must support the decision
    to terminate parental rights. In re J.F.C., 
    96 S.W.3d 256
    , 263–64 (Tex. 2002); see
    also 
    Santosky, 455 U.S. at 747
    –48, 102 S. Ct. at 1391–92. Evidence is legally
    sufficient if it is “such that a factfinder could reasonably form a firm belief or
    conviction about the truth of the matter on which the State bears the burden of
    proof.” 
    J.F.C., 96 S.W.3d at 266
    ; see TEX. FAM. CODE § 101.007. We review “the
    evidence in the light most favorable to the judgment,” meaning that we “must
    assume that the factfinder resolved disputed facts in favor of its finding if a
    reasonable factfinder could do so.” 
    J.F.C., 96 S.W.3d at 266
    . “If, after conducting
    its legal sufficiency review of the record evidence, a court determines that no
    reasonable factfinder could form a firm belief or conviction that the matter that must
    be proven is true, then that court must conclude that the evidence is legally
    insufficient.” 
    Id. In a
    factual sufficiency review, we consider the entire record, including
    evidence both supporting and contradicting the finding. See id.; In re C.H., 
    89 S.W.3d 17
    , 25–26 (Tex. 2002). “If, in light of the entire record, the disputed evidence
    that a reasonable factfinder could not have credited in favor of the finding is so
    significant that a factfinder could not reasonably have formed a firm belief or
    conviction, then the evidence is factually insufficient.” 
    J.F.C., 96 S.W.3d at 266
    .
    8
    In proceedings to terminate the parent-child relationship, the Department must
    establish by clear-and-convincing evidence that one or more of the acts or omissions
    listed in Family Code section 161.001(b)(1) occurred and that termination is in the
    best interest of the child. TEX. FAM. CODE § 161.001(b). Both elements must be
    established, and termination may not be based solely on the best interest of the child
    as determined by the trier of fact. Tex. Dep’t of Human Servs. v. Boyd, 
    727 S.W.2d 531
    , 533 (Tex. 1987).
    I.    The father’s appeal
    The father raises four sufficiency issues in his appeal. He contends that the
    evidence is legally and factually insufficient to support the trial court’s findings that
    he committed the predicate acts of endangerment and failing to comply with a court
    order and that termination of his parental rights was in his children’s best interest.
    A.    Predicate finding
    The Department sought termination of the father’s parental rights on grounds
    of endangerment, see TEX. FAM. CODE § 161.001(b)(1)(D), (E), and failure to
    comply with a court order, see 
    id. § 161.001(b)(1)(O).
    “Only one predicate finding”
    under section 161.001(b)(1) “is necessary to support a judgment of termination when
    there is also a finding that termination is in the child’s best interest.” 
    A.V., 113 S.W.3d at 362
    .
    9
    The father argues that the evidence was legally and factually insufficient to
    support termination for failure to comply with a court order because he substantially
    complied with the family plan of service. Subsection O requires clear-and-
    convincing evidence that the parent:
    failed to comply with the provisions of a court order that specifically
    established the actions necessary for the parent to obtain the return of
    the child who has been in the permanent or temporary managing
    conservatorship of the Department of Family and Protective Services
    for not less than nine months as a result of the child’s removal from the
    parent under Chapter 262 for the abuse or neglect of the child.
    TEX. FAM. CODE § 161.001(b)(1)(O); see In re S.M.R., 
    434 S.W.3d 576
    , 582 (Tex.
    2014).
    On appeal, the father does not dispute that: (1) the family plan of service was
    a court order that specifically established the actions necessary for him to obtain
    return of his children; (2) the children had been in the Department’s conservatorship
    for at least nine months; and (3) they were removed due to abuse or neglect. The
    final decree of termination includes these unchallenged fact findings, and we “defer
    to unchallenged findings of fact that are supported by some evidence.” Tenaska
    Energy, Inc. v. Ponderosa Pine Energy, LLC, 
    437 S.W.3d 518
    , 523 (Tex. 2014); see
    McGalliard v. Kuhlmann, 
    722 S.W.2d 694
    , 696 (Tex. 1986).
    The unchallenged findings of fact are supported by some evidence. The trial
    court approved and incorporated the requirements of the family service plan as a
    court order, and it was admitted as an exhibit at trial. Trial was held more than twelve
    10
    months after the Department first assumed managing conservatorship of the
    children. In its “Order for Protection of a Child in an Emergency and Notice of
    Hearing,” the trial court found that the children had been removed pursuant to
    section 262.104 of the Family Code and that there was “a continuing danger to the
    physical health or safety of the children if returned to the parent.”
    The father acknowledges that he did not complete all of the requirements of
    the family plan of service, however, he argues that he substantially complied with
    the plan by working “very hard to stabilize a job and housing.” He argues that the
    Department’s evidence was insufficient to support termination on this predicate
    ground in light of his substantial compliance. The evidence before the trial court was
    conflicting in that regard, and substantial compliance with a court-ordered family
    service plan may be insufficient to avoid termination. See, e.g., In re A.W., No. 01-
    15-01030-CV, 
    2016 WL 3022824
    , at *7 (Tex. App.—Houston [1st Dist.] May 26,
    2016, no pet.) (mem. op.) (citing In re T.T., 
    228 S.W.3d 312
    , 319–20 (Tex. App.—
    Houston [14th Dist.] 2007, pet. denied)).
    The father admitted his failure to complete the required actions on the family
    plan of service, and the evidence supported conclusions that he failed to: complete
    parenting classes, a psychological assessment, and a psychosocial-and-drug
    assessment; attend all scheduled visits with his children; and provide the Department
    with proof of income or a lease. We accordingly find the evidence legally and
    11
    factually sufficient to support the trial court’s finding that the father failed to comply
    with a court order that established the actions necessary for him to obtain the return
    of his children. See TEX. FAM. CODE § 161.001(b)(1)(O).
    B.    Best interest of the children
    A strong presumption exists that a child’s best interests are served by
    maintaining the parent-child relationship. See, e.g., In re G.M., 
    596 S.W.2d 846
    ,
    846–47 (Tex. 1980); In re L.M., 
    104 S.W.3d 642
    , 647 (Tex. App.–Houston [1st
    Dist.] 2003, no pet.). In determining whether termination of a father’s parental rights
    was in the children’s best interest, we consider several nonexclusive factors,
    including (1) the children’s desires, (2) the current and future physical and emotional
    needs of the children, (3) the current and future physical danger to the children,
    (4) the parental abilities of the person seeking custody, (5) whether programs are
    available to assist the person seeking custody in promoting the best interests of the
    children, (6) plans for the children by the person seeking custody, (7) stability of the
    home, (8) acts or omissions of the parent that may indicate that the parent-child
    relationship is improper, and (9) any excuse for acts or omissions of the parent.
    Holley v. Adams, 
    544 S.W.2d 367
    , 371–72 (Tex. 1976). The Department is not
    required to prove all of these factors, and the absence of evidence about some factors
    does not preclude the factfinder from reasonably forming a strong conviction that
    termination is in the children’s best interest. See 
    C.H., 89 S.W.3d at 27
    . Evidence
    12
    establishing one of the predicate acts under section 161.001(b)(1) also may be
    relevant to determining the best interests of the children. See 
    id. at 27–28.
    Several of the Holley factors are neutral in our analysis of this appeal. Neither
    of the children testified, and they are both too young to express their desired
    outcome. The evidence showed that they are placed in a foster home with their
    biological sister, E.F., and they are well-bonded to their foster parents, who wish to
    adopt them. The record is silent as to availability of programs to assist the father in
    promoting the best interests of the children or any excuse for his acts or omissions.
    The father’s plan for the children was for them to live with him in a hotel room
    until he was able to secure more stable housing. Stability of the home has been found
    “to be of paramount importance in a child’s emotional and physical well-being.”
    Quiroz v. Dep’t of Family & Protective Servs., No. 01-08-00548-CV, 
    2009 WL 961935
    , at *10 (Tex. App.—Houston [1st Dist.] April 9, 2009, no pet.) (mem. op.).
    “Without stability,” a parent cannot “provide for the child’s emotional and physical
    needs.” In re C.A.J., 
    122 S.W.3d 888
    , 894 (Tex. App.—Fort Worth 2003, no pet.).
    The father did not provide the Department with a copy of a lease or evidence of
    regular income. Thus, the evidence relating to plans for the children and stability of
    the home supports the court’s finding that termination of the father’s parental rights
    was in the children’s best interest.
    13
    A parent’s drug use also may indicate instability in the home because it
    exposes the children to the possibility that the parent may be impaired or imprisoned.
    See In re A.M., 
    495 S.W.3d 573
    , 579 (Tex. App.—Houston [1st Dist.] 2016, pet.
    denied); P.W. v. Dep’t of Family & Protective Servs., 
    403 S.W.3d 471
    , 479 (Tex.
    App.—Houston [1st Dist.] 2013, pet. dism’d w.o.j.). The father used synthetic
    marijuana prior to Department’s involvement in this case. According to testimony
    and test results admitted at trial, he continued to use illegal drugs while this case was
    pending. He tested positive for cocaine, marijuana, and synthetic marijuana. The
    father’s continued use of illegal drugs not only exposed him to the possibility of
    imprisonment but also jeopardized his continued relationship with his two young
    children.
    In this case, the children were young, having been removed from their parents
    at the approximate ages of two years and six months. Although the children had no
    known special needs by the time of trial, their young age made them vulnerable.
    There was a history of the father failing to protect the daughter from the abusive
    conduct by the mother, even when he was aware that the mother was not able to care
    for the children safely. The father demonstrated an unwillingness to effect positive
    changes within a reasonable period of time by failing to follow through on his family
    plan of service, although he testified that he failed to complete these tasks because
    he was working “very hard to stabilize a job and housing.” Finally, there was no
    14
    evidence that the father demonstrated adequate parenting skills, and some evidence,
    primarily testimony from the mother, that he did not know how to take care of the
    children.
    We conclude that the evidence is both legally and factually sufficient to
    support the trial court’s finding that termination of the father’s parental rights was
    in the best interest of the children. We overrule the father’s third and fourth issues.
    Having found legally and factually sufficient evidence to support one predicate act
    and a finding that termination was in the best interest of the children, we need not
    consider the father’s issues that pertain to the sufficiency of the evidence to support
    the other predicate acts found by the trial court. See 
    A.V., 113 S.W.3d at 362
    ; see
    also TEX. R. APP. P. 47.1.
    II.   The mother’s appeal
    The mother raises two issues on appeal. She contends that the evidence is
    legally and factually insufficient to support the trial court’s finding that she
    committed the predicate act of endangerment and that termination of her parental
    rights was in her children’s best interests.
    A.    Predicate finding
    The Department sought termination of the mother’s parental rights on grounds
    of endangerment. See TEX. FAM. CODE § 161.001(b)(1)(E). The predicate act of
    endangerment as alleged in this case is satisfied if the parent has “engaged in conduct
    15
    or knowingly placed the child with persons who engaged in conduct which
    endangers the physical or emotional well-being of the child.” 
    Id. In this
    context,
    “endanger” means to expose to loss or injury or to jeopardize. 
    Boyd, 727 S.W.2d at 533
    . The term means “more than a threat of metaphysical injury or the possible ill
    effects of a less-than-ideal family environment.” 
    Id. The parent’s
    conduct need not
    occur in the child’s presence, and it may occur “both before and after the child has
    been removed by the Department.” Walker v. Tex. Dep’t of Family & Protective
    Servs., 
    312 S.W.3d 608
    , 617 (Tex. App.—Houston [1st Dist.] 2009, pet. denied).
    Termination under section 161.001(b)(1)(E) must be based on more than a single act
    or omission: a voluntary, deliberate, and conscious course of conduct by the parent
    is required. In re D.T., 
    34 S.W.3d 625
    , 634 (Tex. App.—Fort Worth 2000, pet.
    denied). The parent’s conduct need not be directed at the child and the child need
    not actually suffer injury: the danger to the child’s well-being may be inferred solely
    from the parent’s misconduct. 
    Boyd, 727 S.W.2d at 533
    .
    “Conduct that subjects a child to life of uncertainty and instability endangers
    the child’s physical and emotional well-being.” Jordan v. Dossey, 
    325 S.W.3d 700
    ,
    724 (Tex. App.—Houston [1st Dist.] 2010, pet. denied). Although a parent’s mental
    illness alone is “not grounds for terminating the parent-child relationship,” In re
    T.G.R.-M., 
    404 S.W.3d 7
    , 14 (Tex. App.—Houston [1st Dist.] 2013, no pet.),
    “[u]ntreated mental illness can expose a child to endangerment . . . and is a factor
    16
    the court may consider.” In re S.R., 
    452 S.W.3d 351
    , 363 (Tex. App.—Houston [14th
    Dist.] 2014, pet. denied). For example, a court may consider as evidence of
    endangerment a parent’s failure to take medication prescribed to ameliorate mental
    health issues. See In re O.D.H., No. 14-15-00489-CV, 
    2015 WL 6949771
    , *5–*6
    (Tex. App.—Houston [14th Dist.] Nov. 10, 2015, no pet.) (mem. op.); In re L.L.F.,
    No. 02–11–00485–CV, 
    2012 WL 2923291
    , at *15 (Tex. App.—Fort Worth July 19,
    2012, no pet.) (mem. op.); In re J.I.T.P., 
    99 S.W.3d 841
    , 845 (Tex. App.—Houston
    [14th Dist.] 2003, no pet.).
    A parent’s mental state also “may be considered in determining whether a
    child is endangered if that mental state allows the parent to engage in conduct that
    jeopardizes the physical or emotional well-being of the child.” 
    Jordan, 325 S.W.3d at 723
    (citing 
    J.I.T.P., 99 S.W.3d at 845
    ). Mental illness can support a finding of
    endangerment when the parent experiences suicidal thoughts, plans, or attempts. See
    In re J.T.G., 
    121 S.W.3d 117
    , 126 (Tex. App.—Fort Worth 2003, no pet.); In re
    A.M.C., 
    2 S.W.3d 707
    , 716 (Tex. App.—Waco 1999, no pet.); In re C.D., 
    664 S.W.2d 851
    , 853 (Tex. App.—Fort Worth 1984, no writ). Abusive, violent, or
    criminal conduct by a parent also can produce an environment that endangers the
    well-being of a child. 
    T.G.R.-M., 404 S.W.3d at 14
    . “Evidence that a parent
    previously has engaged in abusive conduct allows an inference that the parent’s
    17
    violent behavior will continue in the future,” even when such conduct was directed
    at a sibling. 
    Id. The mother
    argues that the evidence of endangerment is insufficient in regard
    to evidence of her prior acts of abuse or violence as well as evidence that she refused
    to comply with a medication regimen. The mother testified that the psychosocial
    report quoting her to the effect that she would “slam and hurt” her daughter while
    having a “blackout” and find her daughter with “bruises all over her body” were not
    factual statements, but a recounting of a dream. She also argued that the father’s
    testimony was unreliable to the extent that he said he knew that she had abused the
    daughter because he had seen bruises and injuries on her, and that she had thrown,
    hit, and held the daughter in a chokehold. The mother contended that the father was
    biased because they were going through a contentious divorce, his character for
    truthfulness was impeached by evidence of his prior criminal and bad acts, and by
    other inconsistencies in his testimony. However, the trier of fact is the sole judge of
    the credibility of the witnesses and the weight to give their testimony. See City of
    Keller v. Wilson, 
    168 S.W.3d 802
    , 819 (Tex. 2005); In re K.P., 
    498 S.W.3d 157
    , 171
    (Tex. App.—Houston [1st Dist.] May 26, 2016, pet. denied). As such, it was up to
    the court to resolve credibility issues and inconsistencies in the evidence.
    The mother had been diagnosed with postpartum depression, borderline
    personality disorder, and bipolar disorder, and she had thoughts of physically
    18
    harming her daughter and her husband and of killing herself. These conditions
    caused her, commendably, to seek inpatient mental-health care. In addition, although
    the mother continued to see a psychiatrist throughout the case, she did not take the
    medication required to manage her conditions. She continually denied needing them,
    and she refused to take them for seven months during the pendency of this case. She
    offered various explanations for her failure to follow her medication regimen, but
    the trial court as factfinder was free to reject her explanations. Finally, although the
    mother was taking medication at the time of trial, she testified that she believed she
    would be fine without medication, that she intended to “stop taking it,” and that she
    believed she would be “fine” without medication.
    The mother admitted that she had hit her daughter once before the children
    were removed, but she argues on appeal that this isolated incident was insufficient
    to support an endangerment finding. The trial court as factfinder was entitled to
    believe the father’s testimony that the mother hit and slammed the child more than
    once—evidence that would support a continuing course of conduct and an
    endangerment finding. In addition, it is undisputed that the mother was not taking
    prescription medication at the time she alleged abused or acted violently toward her
    daughter. The mother also admitted to self-medicating with synthetic marijuana
    during that time period.
    19
    Considering the evidence presented at trial, the trial court could have
    concluded that the mother’s abusive and violent conduct, her refusal to treat her
    mental illness with medication for long stretches of time, her history of suicidal
    thoughts and plans as well as thoughts and plans of harming others including her
    daughter, and her continued insistence that she does not need medication amount to
    a voluntary course of conduct by which she has jeopardized the physical and
    emotional well-being of her children. As such, the evidence is both legally and
    factually    sufficient   to   support     the    trial   court’s   findings     under
    section 161.001(b)(1)(E). We overrule the mother’s first issue.
    C.    Best interest of the children
    As with the father, several of the Holley factors are neutral in our analysis of
    this appeal. Neither of the children testified, and they are both too young to express
    their desired outcome. The evidence showed that they are placed in a foster home
    with their biological sister, E.F., and well-bonded to their foster parents, who wish
    to adopt them. The record is silent as to availability of programs to assist the mother
    in promoting the best interests of the children or any excuse for the mother’s acts or
    omissions.
    The mother’s plan for the children was for them to live with her in an
    apartment. She worked at a donut shop from 5:45 a.m. until 11:00 a.m., and she
    planned for them to attend day care during those hours. She denied having anyone
    20
    who could help or support her with the children but she testified, “I have friends that
    I can call to vent to, to talk to my kids, to entertain them through the phone.” She
    testified that she would be fine without medication. This factor is essentially neutral
    in our analysis. Although the mother has a place to stay and a job, the record is not
    well developed as to adequacy of her living arrangements, how much the mother
    earns from her job, and whether the income is sufficient to care her children’s needs
    now and in the future.
    The Holley factor dealing with acts or omissions of the parent weighs in favor
    of termination of the mother’s parental rights. First, she endangered her older child,
    E.F., by leaving her home alone at the age of one while she went to work. She
    subsequently lost or relinquished custody of that child and received deferred-
    adjudication community supervision in connection with the related criminal case.
    In addition, although the mother denies it, there was sufficient evidence to
    show that she physically abused daughter A.D.M. while experiencing postpartum
    depression and other mental-health issues. This evidence included statements made
    to psychologists, testimony from the father, and evidence that the child had a black
    eye when the Department removed the children from the home. Although the mother
    completed the services on her family plan of service, she began her involvement
    with the Department in this case by violating the safety plan which prohibited
    unsupervised contact with her children upon her initial release from West Oaks
    21
    Hospital. She also failed to follow her prescription medication regimen, which put
    her in jeopardy of needing repeated inpatient hospital stays which would remove her
    from the family home and have a destabilizing effect on the children. See Quiroz,
    
    2009 WL 961935
    , at *10 (importance of stability).
    The children in this case were young, both under the age of four at the time of
    trial, and although they had no special needs, their ages made them inherently
    vulnerable. There was a history of the mother behaving in an abusive and assaultive
    manner toward the daughter and of having thoughts of harming her. The mother
    showed a willingness and ability to seek and accept beneficial counseling and agency
    services, except with respect to the circumstance that brought the children into the
    Department’s care in the first place: her mental health. The mother’s parenting skills
    improved, but the caseworker noted that they seemed inconsistent. Although there
    was only one specific incident of concern during supervised visitations, when the
    mother was impatient and rough with the daughter and pushed her into a wall, this
    incident occurred shortly before trial, when she should have learned and grown the
    most.
    Our examination of the Holley factors shows clear-and-convincing support for
    the trial court’s best-interest finding. We conclude that legally and factually
    sufficient evidence supports the trial court’s finding that termination of the mother’s
    22
    parental rights was in the best interest of her children. We overrule the mother’s
    second issue.
    Conclusion
    We affirm the decree of the trial court.
    Michael Massengale
    Justice
    Panel consists of Justices Massengale, Brown, and Huddle.
    23