               IN THE COURT OF APPEALS OF TENNESSEE
                          AT KNOXVILLE
                           Assigned on Briefs May 3, 2016


                             IN RE MALAYA B., ET AL.

                  Appeal from the Juvenile Court for Knox County
                      No. 56196     Timothy E. Irwin, Judge

                         ________________________________

                            No. E2015-01880-COA-R3-PT
                                FILED-MAY 24, 2016
                        _________________________________


This appeal arises from the termination of Mother’s parental rights. Mother’s two
children were removed from Mother on an emergency basis. A court later adjudicated
the children dependent and neglected based on the stipulation of Mother. After the
children had been in State custody for nearly eight months, the Department of Children’s
Services petitioned to terminate Mother’s parental rights. Following a trial, the juvenile
court found that two statutory grounds existed to terminate Mother’s rights—substantial
noncompliance with the permanency plan and persistent conditions. The court also
concluded that the termination of Mother’s parental rights was in the children’s best
interest. Mother appeals, arguing that the evidence was not clear and convincing that
there were statutory grounds for termination or that termination was in the children’s best
interest. We affirm.

  Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Juvenile Court Affirmed

W. NEAL MCBRAYER, J., delivered the opinion of the Court, in which JOHN W.
MCCLARTY and BRANDON O. GIBSON, JJ., joined.

Ben H. Houston II, Knoxville, Tennessee, for the appellant, Jasmine C.B.

Herbert H. Slatery III, Attorney General and Reporter, and Kathryn A. Baker, Assistant
Attorney General, for the appellee, Tennessee Department of Children’s Services.
                                       OPINION

                      I. FACTS AND PROCEDURAL BACKGROUND

       On May 28, 2015, the Tennessee Department of Children’s Services (“DCS”)
received a referral that Jasmine C.B. (“Mother”) was using drugs and not providing
appropriate supervision for her two children, Malaya B., born November 2013, and
Kymani B., born August 2011. Initially unable to locate the children, DCS later learned
that Malaya had been placed with a caretaker, who had taken Malaya to a hospital in
Johnson City, Tennessee, on July 7, 2014. The hospital administered a urine drug screen,
and Malaya tested positive for opiates. DCS found Kymani in Knox County in the care
of the mother of Mother’s girlfriend. When Mother was located, she also tested positive
for opiates.

        The Juvenile Court of Knox County, Tennessee, awarded DCS temporary custody
of the children on July 9. On July 10, DCS petitioned for a finding that the children were
dependent and neglected. At a hearing held the following day, Mother waived the
preliminary hearing, and the juvenile court ordered the children to remain in the custody
of DCS pending an adjudicatory hearing. The court permitted Mother to have supervised
visitation but also ordered that Mother complete an alcohol and drug assessment and a
mental health assessment. Mother was also subject to random drug screens.

        On August 4, 2014, Mother agreed to a family permanency plan, which had as its
goal returning the children to Mother or placing the children with a relative. The plan
identified several objectives for Mother, including becoming drug free and not abusing
alcohol, finding safe and stable housing, obeying the law, and obtaining a legal source of
income. The objectives relating to obeying the law and obtaining legal income stemmed
from Mother’s arrest for prostitution a few days earlier. To accomplish her objectives,
Mother was, among other things, required to complete an alcohol and drug assessment,
follow resulting recommendations, and pass random drug screens. Mother was also
required to complete a mental health assessment, follow resulting recommendations, and
take any medication prescribed.

       By the time she agreed to the permanency plan, Mother realized she needed help.
DCS referred her to an intensive outpatient program at Helen Ross McNabb Center.
Mother completed intake for the program in September, and at a child and family team
meeting on November 14, 2014, Mother reported that she was in the program but wanted
to leave to try other treatment. In actuality, Mother had only attended two or three
sessions, the last one on September 17, 2014.




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       When her case manager learned that Mother was not in treatment, DCS referred
Mother to Health Connect America. Mother did not go. The case manager then took
Mother to Susannah’s House, which provides an intensive outpatient alcohol and drug
treatment program for mothers. DCS also supplied Mother with bus passes so that she
could travel to Susannah’s House on her own. However, Mother only went to a few
appointments.

       The juvenile court held an adjudicatory hearing on the petition for dependency and
neglect on November 24, 2014. At the hearing, Mother stipulated that her children were
dependent and neglected based upon her “substance abuse issues and mental health issues
for which she is in treatment, lack of stable housing, and unresolved criminal matters.”
At an earlier review hearing, the court noted that Mother had been arrested twice since
the children had entered foster care.

       After the adjudicatory hearing and the Thanksgiving holiday, DCS arranged for
Mother to go to Serenity Centers of Tennessee, which provides detoxification, as well as
residential and outpatient substance abuse treatment services. Mother went to Serenity
on December 6, and was enrolled in the program although she reported that she was
pregnant. She left the program midday on December 9, 2014. Although Serenity was
willing to take her back and she agreed to come back, Mother never returned.

       Undaunted by Mother’s earlier failures to seek treatment, DCS made plans for
Mother to have inpatient treatment at Buffalo Valley, Inc., but Mother was required to
call Buffalo Valley first. She did not call. DCS also arranged for Mother to get inpatient
treatment at The New Leaf Recovery Center in Cookeville, Tennessee, and her family
service worker offered to drive her. However, Mother did not go.

        On March 2, 2015, DCS filed a petition to terminate Mother’s parental rights. The
juvenile court held a hearing on the petition on September 3, 2015, at which the DCS
case manager, a representative of the foster care agency, the foster mother, and Mother
testified. In her testimony, Mother stated that, after the petition to terminate was filed,
she began receiving inpatient treatment at Bradford Health Services in Madison,
Alabama. She completed the program on April 21, 2015, but she quickly relapsed and
found herself charged with theft and public intoxication. The new charges violated her
probation, which stemmed from her prior prostitution conviction, so Mother spent thirty
days in jail.

      Mother was released from jail in late May. In June, Mother returned to Bradford,
but fearing Mother was depressed, Mother’s doctor referred her to Health Connect.
Mother scheduled an appointment, but when Health Connect had to reschedule the
appointment, Mother decided to return to Bradford because of the impending court date
on the petition to terminate and she knew she “was running out of time.” Ultimately,
Mother completed a partial day program at Bradford, which she attended from August 3
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to August 11, 2015. On August 12, 2015, Mother transitioned to intensive outpatient
treatment and was still in the program as of the hearing date, having completed eleven out
of thirteen sessions. Mother also testified that she had been sober for nearly fifty days as
of the date of the hearing and that she was receiving monthly Vivitrol injections for her
opioid dependence.

       After hearing the proof, the juvenile court found clear and convincing evidence of
substantial noncompliance with the conditions of the permanency plan and that the
conditions that led to the children’s removal still persist and that other conditions
persisted that could cause the children to be subjected to further abuse and neglect.1 The
court also found clear and convincing evidence that termination of Mother’s parental
rights was in the children’s best interest.

                                         II. ANALYSIS

       Termination of parental rights is one of the most important decisions courts make.
As noted by the United States Supreme Court, “[f]ew consequences of judicial action are
so grave as the severance of natural family ties.” Santosky v. Kramer, 455 U.S. 745, 787
(1982). Terminating 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.” Tenn. Code Ann. § 36-1-113(l)(1) (Supp. 2015).

       A parent has a fundamental right, based in both the federal and State constitutions,
to the care and custody of his or her own child. Stanley v. Illinois, 405 U.S. 645, 651
(1972); In re Angela E., 303 S.W.3d 240, 250 (Tenn. 2010); Nash-Putman v. McCloud,
921 S.W.2d 170, 174-75 (Tenn. 1996); In re Adoption of a Female Child, 896 S.W.2d
546, 547-48 (Tenn. 1995). While fundamental, parental rights are not absolute. The State
may interfere with parental rights, through judicial action, in some limited circumstances.
Santosky, 455 U.S. at 747; In re Angela E., 303 S.W.3d 240, 250 (Tenn. 2010).

        Our Legislature has identified those situations in which the State’s interest in the
welfare of a child justifies interference with a parent’s constitutional rights by setting
forth the grounds upon which termination proceedings may be brought. Tenn. Code Ann.
§ 36-1-113(g). Termination proceedings are statutory, In re Angela E., 303 S.W.3d at
250; Osborn v. Marr, 127 S.W.3d 737, 739 (Tenn. 2004), and parental rights may be
terminated only where a statutory ground exists. Tenn. Code Ann. § 36-1-113(c)(1);
Jones v. Garrett, 92 S.W.3d 835, 838 (Tenn. 2002); In re M.W.A., 980 S.W.2d 620, 622
(Tenn. Ct. App. 1998).

       To terminate parental rights, a court must determine by clear and convincing

       1
           After the close of proof, DCS abandoned its claim that Mother abandoned the children by
willfully failing to support them. See Tenn. Code Ann. §§ 36-1-113(g)(1), -102(1)(A)(i).
                                                4
evidence the existence of a statutory ground for termination and that termination is in the
best interest of the child. Tenn. Code Ann. § 36-1-113(c); In re Valentine, 79 S.W.3d
539, 546 (Tenn. 2002). This heightened burden of proof is one of the safeguards required
by the fundamental rights involved. See Santosky, 455 U.S. at 769. The heightened
burden serves “to minimize the possibility of erroneous decisions that result in an
unwarranted termination of or interference with these rights.” In re Bernard T., 319
S.W.2d 586, 596 (Tenn. 2010). “Clear and convincing evidence enables the fact-finder to
form a firm belief or conviction regarding the truth of the facts, and eliminates any
serious or substantial doubt about the correctness of these factual findings.” Id. at 596
(citations omitted). Unlike the preponderance of the evidence standard, “[e]vidence
satisfying the clear and convincing evidence standard establishes that the truth of the
facts asserted is highly probable.” In re Audrey S., 182 S.W.3d 838, 861 (Tenn. Ct. App.
2005).

       Appellate courts review the trial court’s findings of fact in termination
proceedings de novo on the record and accord these findings a presumption of
correctness unless the evidence preponderates otherwise. Tenn. R. App. P. 13(d); In re
Bernard T., 319 S.W.3d at 596; In re Angela E., 303 S.W.3d at 246. In termination
proceedings, “the reviewing court must then make its own determination regarding
whether the facts, either as found by the trial court or as supported by a preponderance of
the evidence, provide clear and convincing evidence that supports all the elements of the
termination claim.” In re Bernard T., 319 S.W.3d at 596-97. We review the trial court’s
conclusions of law de novo with no presumption of correctness. In re J.C.D., 254
S.W.3d 432, 439 (Tenn. Ct. App. 2007); Presley v. Bennett, 860 S.W.2d 857, 859 (Tenn.
1993). We “review the trial court’s findings as to each ground for termination and as to
whether termination is in the child’s best interests, regardless of whether the parent
challenges these findings on appeal.” In re Carrington H., 483 S.W.3d 507, 525 (Tenn.
2016), petition for cert. filed sub. nom, Vanessa G. v. Tenn. Dep’t of Children’s Servs.,
No. 15-1317 (filed Apr. 22, 2016).

       On appeal, Mother raises three issues. Her first two issues relate to the grounds for
termination. She argues that DCS did not prove by clear and convincing evidence either
substantial noncompliance with the conditions of the permanency plan or persistent
conditions. Her final argument is that DCS did not prove by clear and convincing
evidence that termination of her parental rights was in children’s best interest.

                             A. GROUNDS FOR TERMINATION

       The existence of only one statutory ground is sufficient to support a court’s
termination of parental rights. In re Angela E., 303 S.W.3d at 251. In this case, the
juvenile court relied on two grounds, and Mother challenges both. We address Mother’s
arguments in the context of each ground found by the court.

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        Tennessee Code Annotated § 36-1-113(g)(2) authorizes the termination of parental
rights when “[t]here has been substantial noncompliance by the parent or guardian with
the statement of responsibilities in a permanency plan . . . .” Tenn. Code Ann. § 36-1-
113(g)(2). Before analyzing whether the parent complied with the permanency plan, the
trial court must find that the permanency plan requirements that the parent allegedly
failed to satisfy are “reasonable and related to remedying the conditions which necessitate
foster care placement.” In re Valentine, 79 S.W.3d at 547 (citing Tenn. Code Ann. § 37-
2-403(a)(2)(C)). If the permanency plan requirements are reasonable, the court must then
determine if the parent’s noncompliance was substantial. Id. at 548-49. Substantial
noncompliance is a question of law subject to de novo review. Id. at 548. Mere
noncompliance is not enough to terminate a parent’s rights. Id. Additionally, the
unsatisfied requirement(s) must be important in the plan’s scheme. Id. A “[t]rivial,
minor, or technical” deviation from the permanency plan’s requirements does not qualify
as substantial noncompliance. In re M.J.B., 140 S.W.3d 643, 656 (Tenn. Ct. App. 2004)
(citing In re Valentine, 79 S.W.3d at 548).

       Improvements in compliance are construed in favor of the parent. In re Valentine,
79 S.W.3d at 549 (citing State Dept. of Human Servs. v. Defriece, 937 S.W.2d 954, 961
(Tenn. Ct. App. 1996)). Yet, we must determine compliance in light of the permanency
plan’s important goals:

      In our view, a permanency plan is not simply a list of tasks with boxes to be
      checked off before custody is automatically restored. Rather, it is an
      outline for doing the things that are necessary to achieve the goal of
      permanency in children’s lives. We think that where “return to parent is the
      goal,” parents must complete their responsibilities in a manner that
      demonstrates that they are willing and able to resume caring for their
      children in the long-term, not on a month-to-month basis.

In re V.L.J., No. E2013-02815-COA-R3-PT, 2014 WL 7418250, at *8 (Tenn. Ct. App.
Dec. 30, 2014).

       As an initial matter, Mother argues that the trial court failed to make an explicit
finding that the requirements of the permanency plan were reasonable or that the
requirements were related to remedying the conditions that led to the children’s removal.
We respectfully disagree. In its order, the court found that Mother had “failed to comply
in a substantial manner with those reasonable responsibilities set out in the permanency
plan related to remedying the conditions which necessitate foster care placement.” Prior
to making this finding, the court made findings with respect to each requirement it
deemed both reasonable and related to the conditions that led to the children’s removal.

       Mother next argues that she in fact substantially complied with the requirements of
the permanency plan. Pointing to requirements that she address her substance abuse and
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mental health issues, Mother claims she had adequately addressed those issues by the
time of trial. She also asks us to consider the time required to treat drug addiction.

       We have recognized that sometimes a parent’s efforts to comply with a
permanency plan can be “too little, too late.” See In re A.W., 114 S.W.3d 541, 546-47
(Tenn. Ct. App. 2003). We find that is the situation here. Mother seemed to only pursue
treatment once the petition to terminate her parental rights was filed. Certainly, parents
with drug addictions can “have false starts and set backs, as well as successes and,
regrettably, backsliding,” and we should take that into account. In re M.J.M., Jr., No.
M2004-02377-COA-R3-PT, 2005 WL 873302, at *11 (Tenn. Ct. App. Apr. 14, 2005).
Yet, the proof showed that Mother made no real start to recovery from her addiction until
well after she agreed to the permanency plan. The proof also showed no efforts by
Mother to address her acknowledged mental health issues until after the petition to
terminate was filed.

        We conclude that Mother did not substantially comply with the permanency plan,
and we find the evidence to be clear and convincing on that ground. Although Mother
argues that there were other requirements of the plan where DCS failed to offer clear and
convincing proof of noncompliance, the evidence was clear and convincing that Mother
failed to meet the requirements related to her substance abuse and mental health issues,
and under these facts, her failure to meet those requirements qualified as substantial
noncompliance.

       In addition to substantial noncompliance with the permanency plan, the juvenile
court also relied on a ground for termination of parental rights commonly known as
“persistence of conditions.” See In re Audrey S., 182 S.W.3d at 871. Under Tennessee
Code Annotated § 36-1-113(g)(3), parental rights may be terminated where:

      The child has been removed from the home of the parent or guardian by
      order of a court for a period of six (6) months and:

      (A) The conditions that led to the child’s removal or other conditions that in
      all reasonable probability would cause the child to be subjected to further
      abuse or neglect and that, therefore, prevent the child’s safe return to the
      care of the parent or parents or a guardian or guardians, still persist;

      (B) There is little likelihood that these conditions will be remedied at an
      early date so that the child can be safely returned to the parent or parents or
      guardian or guardians in the near future; and

      (C) The continuation of the parent or guardian and child relationship
      greatly diminishes the child’s chances of early integration into a safe, stable
      and permanent home;
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Tenn. Code Ann. § 36-1-113(g)(3). The goal of the persistence of conditions ground is to
avoid having a child in foster care for a time longer than reasonable for the parent to
demonstrate her ability to provide a safe and caring environment for the child. In re
Arteria H., 326 S.W.3d 167, 178 (Tenn. Ct. App. 2010), overruled on other grounds, In
re Kaliyah S., 455 S.W.3d 533 (Tenn. 2015). Persistence of conditions focuses “on the
results of the parent’s efforts at improvement rather than the mere fact that he or she had
made them.” In re Audrey S., 182 S.W.3d at 874. The question before the court is “the
likelihood that the child can be safely returned to the custody of the [parent], not whether
the child can safely remain in foster care . . . .” In re K.A.H., No. M1999-02079-COA-
R3-CV, 2000 WL 1006959, at *5 (Tenn. Ct. App. July 21, 2000).

        The trial court found that the children had been removed from Mother for at least
six months, and Mother does not contest that finding. Instead Mother argues that she has
either remedied the conditions that lead to her children’s removal by the time of trial or,
to the extent she had not remedied the conditions, the conditions could be remedied at an
early date.

        We conclude that the conditions that led to the children’s removal still persist and
will, in all reasonable probability, prevent the children’s safe return to Mother. The
children were removed from Mother because of her substance abuse and mental health
issues. By the time of trial, by her own admission, Mother had been sober only fifty
days. She had most recently relapsed by using marijuana. Mother was still taking
injections to curb her addiction to opioids. Mother also acknowledged her depression and
bipolar disorder diagnoses but admitted to not taking her medications for those problems.
She testified that she was doing “great” without them. These serious issues prevent the
children’s safe return to Mother’s custody.

       We also conclude there was little likelihood that Mother could remedy her
substance abuse and mental health issues or other conditions that could cause the children
to be subjected to further abuse or neglect in the near future. Mother had made strides by
finally seeking treatment for her addictions, but even so, Mother relapsed in late April
2015 by taking benzodiazepines, a drug unaffected by the Vivitrol she was taking for her
opioid addiction. She relapsed again in late July 2015 by using marijuana. Mother, who
was only 23 years old as of the hearing date, had been using drugs since the age of 18.
The longest period of time she had been sober was when she was pregnant with Kymani;
Mother used opiates every other day while she was pregnant with Malaya. Although we
hope Mother’s current efforts to stay sober are successful, the evidence indicates
Mother’s recovery will take time.

       Mother argues that her mental health issues have been addressed through the drug
treatment program at Bradford. However, Mother never completed her mental health
assessment, and Mother unilaterally decided to stop taking her medication. When asked
                                           8
why, Mother testified that she was “trying to see if I can at least make it without them.”
Even if she could make it without the medications, Mother faced other challenges.

        Mother lacked a home of her own, and she did not have a stable source of legal
income as of the date of the hearing. Mother had a difficult time finding housing because
of her prior prostitution charge and, therefore, moved from place to place. Just before the
hearing, Mother arranged to move in with her cousin, but she was only permitted to stay
there as long as she stayed sober. Since being released from jail in May 2015, Mother
has only worked four days, not including the occasional house cleaning job. Mother
testified that she was starting a new job the day after the hearing, but evidence showed
that her telephone number was still associated with an online advertisement for escort
services.

       Finally, the continuation of a parent-child relationship between Mother and her
children will greatly diminish the chances of an early integration into a permanent home.
Although she may finally be on the correct path toward dealing with her addiction,
Mother still has other issues that will take time to resolve, if she is able to resolve them at
all. Meanwhile, the children are doing well in their foster home, and the foster parents
are prospective adoptive parents. Under these circumstances, terminating Mother’s rights
will clearly give the children the best chance of an early integration into a safe, stable,
and permanent home.

       Because each of the elements of Tennessee Code Annotated § 36-1-113(g)(3)
were established by clear and convincing evidence, the trial court did not err in
concluding that termination of parental rights was also justified on the ground of
persistence of conditions.

                            B. BEST INTEREST OF THE CHILDREN

       The focus of the best interest analysis is on what is best for the child, not what is
best for the parent. In re Marr, 194 S.W.3d 490, 499 (Tenn. Ct. App. 2005); White v.
Moody, 171 S.W.3d 187, 194 (Tenn. Ct. App. 2004). In evaluating whether termination
of parental rights is in a child’s best interest, courts consider a list of non-exclusive
statutory factors. Tenn. Code Ann. § 36-1-113(i). Not every factor enumerated in the
statute applies to every case because the facts of each case can vary widely. See In re
Audrey S., 182 S.W.3d at 878.

       In determining that termination was in the children’s best interest, the trial court
relied on several of the statutory factors. The court found that Mother had “not made
such an adjustment of circumstance, conduct, or conditions as to make it safe and in the
children’s best interest to be in her home.” Although noting that Mother had begun to
address her addiction, the court reasoned that there was “no way to determine at this point
whether her adjustment will be lasting.” Mother had not maintained regular visitation
                                             9
with her children, but the court acknowledged that, since the petition to terminate had
been filed, she had spent time in treatment and in jail. The court also found that a change
in caretakers and physical environment would “have a detrimental effect on the children’s
emotional and psychological condition.”

       The court emphasized Mother’s abuse of one child and the lack of a healthy and
safe environment for the children. Mother admitted that she had taken opiates while
pregnant with Malaya, which the court referred to as “severe abuse.” Although
conceding that the residence of Mother’s cousin might be completely appropriate, the
court found that the children could not count on the residence being available, especially
given that Mother had used illegal drugs within the last two months.

      Finally, the court found Mother’s mental and/or emotional status would be
detrimental to the children. In this regard, the order provides “[t]he Court is leery of
anybody who just quits prescribed psychotropic medication without professional
supervision.”

       After a review of the record on appeal, we find that there was clear and convincing
evidence that termination of Mother’s parental rights is in the children’s best interest.
Like the juvenile court, we recognize the evidence showing that Mother and the children
do have a relationship. However, the existence of a relationship does not outweigh the
other factors favoring termination of the parent-child relationship.

                                    III. CONCLUSION

       We conclude that there is clear and convincing evidence of the statutory grounds
relied upon by the juvenile court to terminate Mother’s parental rights. We also conclude
that there is clear and convincing evidence that termination is in the best interest of the
children. Therefore, we affirm the judgment of the juvenile court.


                                                 _________________________________
                                                 W. NEAL MCBRAYER, JUDGE




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