    IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON

 In the Matter of the Dependency of M.N.
                                               )        No. 71124-5-1
 STATE OF WASHINGTON,                                                            CO



 DEPARTMENT OF SOCIAL AND                      )        DIVISION ONE
 HEALTH SERVICES,                                                                cr.

                                               )        UNPUBLISHED OPINIO^!
                                               \                                 CO
                      Respondent,

                                                                                 o



 RACHEL NIEHAUS,                                                                 re




                     Appellant.                )        FILED: July 28, 2014


      Appelwick, J. — Rachel Niehaus appeals the order terminating her parental rights

to her daughter, M.N. Niehaus argues that the trial court erred in determining that all

necessary and reasonably available services were provided to her under RCW

13.34.180(d). She also contends that the trial court improperly found that termination was

in M.N.'s best interests. We affirm.

                                          FACTS


      Rachel Niehaus is the biological mother of M.N., born December 22, 2000.

Niehaus also has a biological son, A.N. (DOB 5/11/92), and two other biological

daughters, C.W. (DOB 1/3/95), and A.L. (DOB 11/11/08). Both A.N. and C.W. were

removed from Niehaus's care when they were young.            M.N. and A.L. remained in

Niehaus's care until July 2011

      On July 3, 2011, Niehaus walked in on A.L.'s father, Charles Lee,1 raping M.N.

Niehaus took M.N. away from their apartment to talk to her about what happened, but left

A.L. behind with Lee, because she did not believe Lee would harm his own daughter.

      1 Lee is not M.N.'s biological father.
No. 71124-5-1/2




M.N. told Niehaus that Lee had sexually abused her on multiple occasions, sometimes

when Niehaus was asleep in the next room. Later that night, Niehaus took M.N. to the

hospital and reported the assault.2

      On July 7, 2011, the Department of Social and Health Services (DSHS) filed a

dependency petition for M.N., asserting that there was no parent or guardian available to

care for her.3 DSHS requested continued out-of-home placement for M.N. due to the

alleged sexual abuse by Lee and Niehaus's failure to protect M.N. The dependency

petition stated that, on July 5, 2011, a social worker spoke with fictive kin who had

expressed concern to Niehaus a year prior about Lee having sexual contact with M.N. It

also detailed two incidents with Child Protective Services (CPS), one in 2007 and one in

2008, in which Niehaus was found to have committed negligent treatment or maltreatment

of M.N.


       In 2007, M.N. told Niehaus that she had been sexually abused by Niehaus's

friend's brother. The alleged abuse had occurred a month and a half earlier, but the issue

arose because M.N. had what appeared to be a bladder infection and reported blood in

her urine. A medical professional referred the incident to CPS.

      The 2008 incident was also referred by a medical professional. Niehaus went to

the Providence Intervention Center for a forensic exam after being raped by a man whom

M.N. let into the house. The medical professional reported that Niehaus demonstrated

anger towards M.N. and told M.N., "[l]t's your fault."     M.N. recognized the medical



       2 Lee was ultimately arrested and convicted of rape of a child.
       3 DSHS also filed a dependency petition for A.L., which was granted. Niehaus
later voluntarily relinquished her parental rights to A.L. A.L. is not the subject of this
appeal.
No. 71124-5-1/3




professional, because she had previously been to the center herself for a forensic

examination. While at the center, M.N. repeatedly said she had to go to the bathroom but

couldn't.   As a result, the medical professional feared that M.N. had a urinary tract

infection or, worse, a sexually transmitted disease.

       During the dependency action, M.N. disclosed that she was also previously

sexually assaulted by A.N.—her half-brother—and a man named "Roosevelt." Roosevelt

was someone Niehaus knew and said she trusted. M.N. further reported that Lee sexually

abused A.L.


       M.N. was found to be dependent. She was removed from Niehaus's custody.

       M.N. was placed in Ryther Child Center, a residential mental health treatment

facility for children.   M.N. suffers from chronic mental health conditions such as

posttraumatic stress disorder (PTSD), attention deficit disorder, oppositional defiant

disorder, and severe anxiety. She also displayed aggressive behavior as a child, throwing

a knife at Niehaus at age 2 and kicking Niehaus in the stomach when Niehaus was

pregnant with A.L. M.N. was later transferred to Northwest Children's Home in Idaho for

a brief period before moving to the Child Study and Treatment Center (CSTC), a

psychiatric hospital for children and adolescents in Lakewood, Washington.

       In the meantime, Niehaus participated in a number of State-offered services to

address her parental deficiencies. These included parenting classes, family preservation

services, family voluntary services, parent-child interactive treatment, non-offending

family group therapy, supervised and therapeutic visitations, and individual therapy. The

social worker initially assigned to her case, Serena Bales, observed that Niehaus was
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making progress. In November 2012, DSHS formed a plan to transition M.N. back to

Niehaus's care, beginning with overnight visits.

       M.N. was scheduled for a visit with Niehaus on November 21, 2012.              Bales

accompanied M.N. to Niehaus's home that day. While Bales was there, M.N. became

upset and aggressive with Niehaus. M.N. was upset because Niehaus said that A.N.

might spend Thanksgiving with them, despite the fact that M.N. identified him as a sexual

abuser. M.N. ran outside and up the stairs of the apartment building across the parking

lot. As Bales watched, M.N. climbed over a balcony railing. Bales was very concerned,

because M.N. had a history of discussing and attempting suicide. Bales ran up after M.N.

and tried to restrain her while M.N. punched and bit Bales. When the police arrived, they

handcuffed M.N. and took her to the hospital. Bales went to the emergency room for her

facial injuries from M.N.'s punches.

       On March 28, 2013, DSHS petitioned to terminate Niehaus's parental rights to

M.N. The petition alleged that Niehaus lacked insight into the needs of M.N., was unable

to make safe and protective choices for M.N., and was unable to meet M.N.'s emotional

and developmental needs.      DSHS acknowledged that Niehaus had complied with all

court-ordered services, but stated that there was little likelihood that conditions would be

remedied so M.N. and Niehaus could be reunified in the near future. A voluntary guardian

ad litem (VGAL) was appointed for M.N. on April 3, 2013.

       The termination trial began on October 7, 2013. Niehaus testified on her own

behalf. She acknowledged her past mistakes as a parent, such as allowing dangerous

men around her children and blaming M.N. for the 2008 rape. Niehaus also addressed

her own mental health concerns, including PTSD and depression. She recognized that
No. 71124-5-1/5




DSHS had been involved in her parenting for almost 20 years and that she had requested

out-of-home placement for M.N. in the past. However, she stated that she participated in

classes and counseling, showed progress, and understood her duties as a parent. She

felt that M.N. would be negatively impacted if her parental rights were terminated and

feared for M.N.'s safety.

       M.N. also testified. She expressed the desire to see and talk to Niehaus regularly.

She wanted Niehaus involved in her life because "she means a lot to me and she's helped

me through a lot of stuff." M.N. said if Niehaus's rights were terminated and they were

not allowed to talk, she would feel depressed and sad, and it would be kind of scary.

When asked why she was not living with her mom, she said it was because she was

sexually abused and Niehaus beat her. M.N. said that she would like a "forever home"

with Niehaus, but named two other people—a temporary foster parent and M.N.'s former

preschool teacher—by whom she would also like to be adopted.

       The remaining testimony came from professionals who had evaluated or interacted

with Niehaus and/or M.N.      Niehaus's therapist, Sara Strauss, testified that Niehaus

attended and participated in her therapy. Strauss stated that Niehaus acknowledged her

role in her children's abuse, although she had not admitted that she was 100 percent

accountable.    Strauss observed that Niehaus had the tendency to choose abusive

partners, an area in which she had made progress but where issues still exist.

       Lovenia Warren, a social worker who replaced Bales in December 2012, said that

she believed termination would benefit M.N., because Niehaus's emotions strongly

affected M.N. and prevented M.N.'s wounds from healing. Warren observed that M.N.
No. 71124-5-1/6




struggled with not knowing what would happen with her mother's parental status and

would benefit from the answer to that question, even if it meant termination.

      Warren believed that Niehaus could not distinguish safe and unsafe people. As

an example, she referenced an incident with a man named "Duane."            Duane was a

stranger who came into Niehaus's home during an unsupervised visit with A.L. He stayed

for an hour asking Niehaus to perform oral sex before he grew tired of being denied and

left. Warren concluded that Niehaus was not capable of providing a safe and stable home

or providing for M.N.'s emotional needs.    In addition, Warren believed that M.N. was

adoptable and a very sweet, loving child who was eager to please.

      Jenny Travaille, who took over the case from Warren in May 2013, also testified.

Travaille expressed strong concern about Niehaus's ability to parent, especially Niehaus's

lack of insight into how her own actions impacted her children, her lack of empathy, and

her lack of remorse and responsibility for what happened to her children.        Travaille

identified the "Duane" incident as an example of Niehaus's lack of insight, especially in

light of its similarities to the 2008 rape. Travaille also told an anecdote about Niehaus

demonstrating a lack of empathy:

      [Wjhen [M.N.] first moved to Northwest Children's Home, she went a very
      long time [without seeing Niehaus], it was a big change for her without
      having interaction with her mother. I brought [M.N.] to the office. We
      arranged for there to be a supervised visit. [M.N.] was very excited to see
      her mother, as there is a bond. Her mom was looking at a magazine. Her
      mom did not stand up to greet her child. She responded, "Do not hug me
      too hard."

      Travaille acknowledged that Niehaus loves her children, but thought that there was

a difference between wanting to do something—in this case, be a fit parent—and having

the ability to do it. She said that Niehaus and M.N. have a bond, but one that is not
No. 71124-5-1/7




healthy. She believed that an ongoing relationship with Niehaus was preventing M.N.

from "progressing in her trauma narrative" and that M.N. needed permanence to move

on. Travaille called M.N. a "spectacular" child, whom she thinks is adoptable, but that

continuing her relationship with Niehaus diminishes those prospects.

       Skye Camphouse, who served as M.N.'s therapist at Ryther, also acknowledged

the unhealthy bond between M.N. and Niehaus:

       They're very connected, however, the relationship does present more of
       what you would see in sisters or really close friends versus a mother-
       daughter relationships [sic]. There are not clear boundaries between [M.N.]
       and [Niehaus]. When [Niehaus] did attempt to set boundaries, [M.N.] would
       have a difficult time with that and would escalate.

Camphouse testified that the mother-daughter relationship negatively impacted M.N.

M.N. displayed "parent parentification," where she assumed the role of a parent, not a

child. For example, M.N. often insisted on being part of the adult decision-making process

and would express the need to care for her mother and A.L.

       Camphouse also testified that she originally held family therapy with M.N. and

Niehaus together, but discontinued the joint sessions because they were a significant

stressor to M.N. While M.N. was present, Niehaus would sometimes express her difficulty

staying committed to being M.N.'s parental figure and her desire to relinquish her legal

rights. Camphouse believed that M.N. needed permanence and a very skilled caregiver

and Niehaus had not demonstrated that she could provide those things. Camphouse

concluded that it would initially be very difficult for M.N. if Niehaus's parental rights were

terminated, but that it was still in M.N.'s best interests.

       Kristin Steinmetz, the program director at CSTC, also expressed concern about

M.N.'s need for a skilled, dedicated caregiver. She called M.N.'s long term prognosis
No. 71124-5-1/8




"guarded," given the severity of M.N.'s behavior and emotional instability. However, she

stated that she "can't imagine there'd be any reason" why M.N. would not eventually

transfer to a foster home.

       Psychologist Dr. Christopher Tobey performed a psychological and parenting

evaluation of Niehaus. Based on Niehaus's behavior, such as her reaction to Lee's abuse

and her blaming M.N. for the 2008 rape, Dr. Tobey was concerned that Niehaus could

not keep M.N. safe long-term. He was also worried that Niehaus's behavior was not

improving, noting that the Thanksgiving incident had occurred a year after his evaluation.

       Dr. Tobey felt it was unclear how to proceed. He testified that, when children are

cut off from their biological parents, they can develop fantasies that they are bad or

unloved or that their parents are bad people. However, his concerns with Niehaus were

persistent and he felt that permanence was important in M.N.'s life. He testified that early

permanence allows children to feel safe and develop a sense of self-identity and self-

esteem:


       I mean, it's not uncommon when children experience traumatic insult, that
       their self esteem and self worth is compromised and they don't think
       positively about themselves. Because if my own parent won't care for me,
       who is? And if my only parent doesn't protect me, who will? It's not safe,
       and I am not worth being taken care of, then what is the value that I see in
       me?

He expressed that it was very important for M.N. to be able to move on and develop her

sense of self. However, he recommended that, if Niehaus's rights were terminated, she

should remain involved in M.N.'s life.

       The VGAL did not testify, but her report was offered in lieu of her testimony. The

VGAL observed that all of Niehaus's children demonstrated difficult behaviors at a very




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No. 71124-5-1/9




young age and that Niehaus's "responses all seem the same, when the going gets tough

she wants to give them away." The VGAL recognized that Niehaus received parenting

assistance, but that it did not help:

       Whether Ms. Niehaus is incapable of retaining the skills she learns, or lacks
       the endurance to apply them for any length of time is unknown. What is
       known is that her own behavior has had significant negative impact on all
       four of her children and to this VGAL she seems unwilling or unable to
       accept the responsibility for her actions and their consequences.

The VGAL recommended that Niehaus's rights be terminated.

       The trial court granted DSHS's petition to terminate Niehaus's parental rights to

M.N. Niehaus appeals.

                                        DISCUSSION


       A trial court may order termination of parental rights if (1) the State proves the six

statutory elements of RCW 13.34.180 by clear, cogent, and convincing evidence; and

(2) the trial court finds that termination is in the child's best interests. RCW 13.34.190; ]n

re Dependency of K.S.C.. 137 Wn.2d 918, 925, 976 P.2d 113 (1999). The six statutory

elements of RCW 13.34.180 are as follows:


              (a)     That the child has been found to be a dependent child;
              (b)     That the court has entered a dispositional order pursuant to
       RCW 13.34.130;
            (c)   That the child has been removed or will, at the time of the
       hearing, have been removed from the custody of the parent for a period of
       at least six months pursuant to a finding of dependency;
              (d)     That the services ordered under RCW 13.34.136 have been
       expressly and understandably offered or provided and all necessary
       services, reasonably available, capable of correcting the parental
       deficiencies within the foreseeable future have been expressly and
       understandably offered or provided;
              (e)    That there is little likelihood that conditions will be remedied
       so that the child can be returned to the parent in the near future[; and]
No. 71124-5-1/10


             (f)    That continuation of the parent and child relationship clearly
       diminishes the child's prospects for early integration into a stable and
       permanent home.

       Clear, cogent, and convincing evidence is evidence that shows the ultimate fact at

issue to be highly probable. K.S.C.. 137 Wn.2d at 925. We give deference to the trial

court in weighing the evidence and witness credibility. In re Welfare of Aschauer, 93

Wn.2d 689,695, 611 P.2d 1245(1980). Findings of fact must be supported by substantial

evidence in light of the clear, cogent, and convincing standard. State v. Broadawav, 133

Wn.2d 118, 131, 942 P.2d 363 (1997); In re Dependency of K.N.J.. 171 Wn.2d 568, 577,

257 P.3d 522 (2011). Unchallenged findings of fact are verities on appeal. In re Interest

of J.F.. 109 Wn. App. 718, 722, 37 P.3d 1227 (2001).

  I.   Necessary and Reasonably Available Services

       Niehaus argues that the trial court erred in finding that all necessary and

reasonably available services were provided under RCW 13.34.180(d).4 This is so, she

asserts, because she was not provided a psychiatric evaluation to determine whether

medication would improve her PTSD.

       At trial, Niehaus alleged that the State failed to provide all necessary and

reasonably available services.     However, she argued only that she did not receive

"intensive" parenting classes.5 She did not raise the issue of PTSD medication.



      4 Niehaus argues that the State failed to prove RCW 13.34.180(e) and (f), because
determination of those elements would have been premature without proving RCW
13.34.180(d). Niehaus also assigns error to two corresponding findings of fact: that there
is little likelihood that conditions will be remedied so that the child can be returned to the
mother in the near future and that continuation of the parent-child relationship clearly
diminishes the child's prospect for early integration into a stable and permanent home.
Because we find that all necessary and reasonably available services were provided, it
was not premature for the trial court to find that RCW 13.34.180(e) and (f) were satisfied.
      5 Niehaus does not renew this argument on appeal.

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No. 71124-5-1/11




      Nor did any of the witnesses—who included multiple social workers, a

psychologist, and Niehaus's therapist—address or recommend PTSD medication. At

least one witness, Dr. Tobey, was aware that Niehaus suffered from PTSD and was taking

Prozac. However, after evaluating Niehaus and being in the best position to recommend

a necessary service, he did not suggest an assessment of or change in her medication.

      Niehaus does not dispute that the issue of PTSD medication was not raised below.

Instead, Niehaus argues for the first time on appeal that DSHS had reason to know that

PTSD medication might be a necessary service. As support, she notes that a "basic

internet search" reveals that medication is available and often necessary to treat PTSD.

This evidence is outside the record on review. RAP 9.1(a) (record on review may contain

report of proceedings, clerk's papers, exhibits, and administrative record). Our review is

limited to issues contained in the record. State v. McFarland, 127 Wn.2d 322, 335, 899

P.2d 1251 (1995). We decline to take additional evidence on appeal. RAP9.11.

      The record does not establish that a psychiatric evaluation of Niehaus's PTSD

medication was a necessary service. The trial court did not err infinding that all necessary

and reasonably available services were provided to Niehaus.6

       I.     Child's Best Interests

       Niehaus challenges the trial court's finding that termination was in M.N.'s best

interests. The State must prove by a preponderance of the evidence that termination is

in a child's best interests. RCW 13.34.190(1 )(b); In re Dependency of A.V.D., 62 Wn.


      6 Niehaus also assigns error to the court's finding that additional services would
have been futile. She provides no basis for her assignment of error. We decline to review
it. RAP 10.3(a)(6); Norcon Builders. LLC v. GMP Homes VG. LLC, 161 Wn. App. 474,
486, 254 P.3d 835 (2011) (declining to consider an inadequately briefed argument).

                                                11
No. 71124-5-1/12




App. 562, 571, 815 P.2d 277 (1991). Whether termination is in a child's best interests is

case-specific and must be decided on the facts and circumstances at hand. In reA.V.D.,

62 Wn. App. at 572. The dominant concern is the child's moral, intellectual, and material

welfare. In re Adoption of Lvbbert. 75 Wn.2d 671, 674, 453 P.2d 650 (1969).

       Niehaus first notes that she and M.N. shared a strong bond. Multiple witnesses

testified to this fact. However, the testimony also showed that the bond was unhealthy

and negatively impacted M.N. Camphouse identified their bond as one that resembled

sisters or friends, causing M.N. to prematurely assume a parental role. Travaille testified

that M.N. was unable to move on from her past traumas due to her relationship with

Niehaus. And, Warren stated that M.N. was strongly affected by Niehaus's emotions,

which prevented her from emotionally healing. In this way, the strength of the parent-

child bond was actually detrimental to M.N., rather than beneficial.

       Niehaus further argues that termination is not in M.N.'s best interests, because

M.N. did not have any adoptive prospects and was not capable of integrating into a

permanent home in the near future. While multiple witnesses testified that M.N. is

adoptable, she does not have a prospective adoptive family at this time. And, it is clear

that her road to recovery will be a challenging one. But, this difficult future is a significant

reason why professionals concluded that termination was the right outcome. Camphouse

testified that M.N.'s unstable emotional state leaves her at high risk for revictimization,

meaning that she needs a caregiver with the decision making abilities to ensure that M.N.

is safe. Niehaus has consistently demonstrated that she is unable to do so, instead

continually exposing M.N. to dangerous people and emotionally jarring situations.




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No. 71124-5-1/13



      Finally, Niehaus argues that it was unclear whether M.N. would be helped or

harmed by the termination. Several witnesses acknowledged that termination may be

difficult for M.N. However, Niehaus has significant and chronic parental deficits. She has

exposed her children to dangerous men on multiple occasions. DSHS has been involved

in her parenting since her oldest child was young, and the State has offered her numerous

services including classes and therapy. Niehaus testified that she made progress as a

result of the State-offered services she was offered. Both Strauss, Niehaus's therapist,

and Julie Larsen, a family therapist who worked with Niehaus and A.L., stated that they

had seen some improvement in Niehaus's parenting. But, the testimony overwhelmingly

indicates that this progress is not enough to meet M.N.'s needs.

      While Niehaus clearly loves M.N., she does not consistently treat M.N. with the

discipline and affection of a parent.   Instead, she often demonstrates an inability to

understand or empathize with M.N.'s emotional state.       For example, she was either

unaware or indifferent that M.N. would react poorly to seeing A.N., whom M.N. had

identified as a sexual abuser. And, she has repeatedly expressed in M.N.'s presence

that she cannot or does not want to maintain her role as M.N.'s parental figure.

       It is undisputed that M.N. is a high needs child. The testimony shows that she

requires a dedicated, skilled caregiver, which Niehaus has not demonstrated herself to

be. Moreover, several witnesses testified that M.N. cannot progress in her treatment due

to her relationship with Niehaus and Niehaus's uncertain legal status.

       We respect the gravity of this conclusion and recognize the love that Niehaus has

for M.N. We note that the court left open the possibility that Niehaus could remain in

M.N.'s life, should M.N.'s mental health care providers determine that it is in her


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No. 71124-5-1/14




therapeutic interest. However, in light of Niehaus's inability to provide adequate care for

M.N., we find no error in the trial court's termination of her parental rights.7

       We affirm.




WE CONCUR:




        7 Niehaus assigns error to nine additional findings of fact. She does not identify
the nature of her challenges. We do not consider these findings as verities for the purpose
of our analysis. See J.F.. 109 Wn. App. at 722. However, in the absence of adequate
briefing, we will not review the findings individually. See RAP 10.3(a)(6); Norcon. 161
Wn. App. at 486.
       Even ifwe reviewed the findings, our ultimate conclusion would be the same. Read
together, the challenged findings generally state that Niehaus has significant parental
deficiencies that fail to meet M.N.'s high needs and termination is thus in M.N.'s best
interests. As discussed above, the evidence amply supports these findings.

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