                                                                      .(• h i" •; L,




                                                                2015 KA3-9 AM 9: ^




 IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON

In the Matter of the Dependency
of:                                             No. 71354-0-1
                                                (consolidated with 71355-8-1,
Dv.R.,                                          71356-6-1, 71357-4-1, 71358-2-1,
DOB: 2/22/08,                                   71359-1-1)

Dn.R.,                                          DIVISION ONE
DOB: 5/17/06,

F.R.,
DOB: 8/13/04,

                    Minor Children.


LAN TRAN,                                       UNPUBLISHED OPINION

                    Appellant,                  FILED: March 9, 2015




STATE OF WASHINGTON,
DEPARTMENT OF SOCIAL AND
HEALTH SERVICES,

                    Respondent.



      Becker, J. — Lan Tran appeals from the order terminating her parental

rights to her three sons. She contends that the Department of Social and Health
Services (DSHS) should have provided trauma focused cognitive behavioral
therapy (TFCBT) for two of the children. Because substantial evidence supports
the trial court's determination that DSHS offered or provided all services
No. 71354-0-1/2




reasonably available and capable of correcting Tran's parental deficiencies, we

affirm.

          Lan Tran is the mother of three sons, FR, DnR, and DvR, who were nine,

seven, and five at the time of the termination trial in October 2013. Frank

Rudolph, the boys' father, pleaded guilty to assaulting Tran and FR, and the

couple divorced in 2009. The court terminated Rudolph's parental rights in April

2013. Tran also has two older sons, who were not parties to the dependency or

termination proceedings.

          In 2011, Tran remarried and had a daughter, KN, with her new husband.

KN was the subject of an agreed dependency proceeding, but the court

eventually dismissed the dependency and returned KN to her parents' home.

          Tran has assigned error to only two of the trial court's extensive findings of

fact. The unchallenged findings are verities on appeal. In re Dependency of

J.A.F., 168 Wn. App. 653, 667, 278 P.3d 673 (2012).

          Beginning in 2009, Child Protective Services (CPS) investigated a series

of reports that Tran was leaving FR, DnR, and DvR unsupervised in dangerous

situations. CPS determined that Tran had repeatedly left the three boys with

neighbors, occasionally with insufficient food, diapers, or clothing. She

sometimes failed to pick them up at the appointed time. Tran acknowledged that

on one occasion, she left the children with others for more than 24 hours, while

she remained sick in her own apartment. Later, Tran began sending the children

to day care. But she repeatedly picked them up late and left them for more than

the allowed 10 hours per day.
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       In September 2009, CPS investigated a referral that the two oldest boys

were outside unsupervised on an apartment balcony. Upon arrival, the CPS

worker discovered that the three boys were in the care of a 12-year-old

babysitter, who said that the older boys would not listen to her. The apartment

manager reported that he had seen the boys hanging over the balcony.

       DSHS offered Tran a safety plan and referrals for various services,

including mental health and domestic violence counseling, family preservation

services, day care, and public health nurse services.

       On March 12, 2010, Tran entered into an agreed dependency and

disposition for the three boys. As part of the disposition, Tran agreed to

participate in family preservation services and follow any recommendations,

continue weekly mental health counseling and follow treatment

recommendations, participate in domestic violence victims counseling services,

obtain a psychological evaluation with parenting component, and follow an

action/safety plan that specified, among other things, procedures she should

follow when leaving the children with DSHS approved neighbors.

       Dr. Joanne Solchany conducted Tran's psychological evaluation and

assessed her interaction with FR, DnR, and DvR. She diagnosed Tran with

dysthymic disorder, characterized by a pervasive depressed mood, persistent

low energy, fatigue, low self-esteem, difficulty making decisions, and difficulty in

caring for herself and the children without the help of others. After observing the

three boys together, Dr. Solchany noted that "together [they] create a demanding
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environment and then none of their individual needs gets the attention they

deserve and need."

       Dr. Solchany acknowledged that Tran seemed to love her children and

want the best for them. She concluded, however, that Tran's depressed mood

and low energy levels left her overwhelmed and frustrated by her inability to

attend to the demanding behavioral and emotional needs of the three active

children. Dr. Solchany recommended that Tran be evaluated for antidepressant

medication, engage a parenting coach, and seek regular overnight "respite" from

the three boys. Dr. Solchany concluded that at least one of the children would

suffer serious or dangerous consequences from their behavioral and emotional

issues unless Tran developed adequate parenting skills.

       In March 2011, Tran remarried, and in July 2011, she gave birth to her

daughter KN. Although Tran generally participated in the required services, she

continued to leave the boys in potentially dangerous situations, including

dropping FR off at school up to 90 minutes before school started in the morning.

She continued to be late in picking up the boys from day care and, on at least

one occasion, left them overnight. In March 2011, FR returned home from

school to find the door to his apartment locked. FR went to the apartment

business center and was eventually transported to day care.

       On April 4, 2011, the court granted DSHS's petition to remove the three

boys from Tran's home. The boys moved into a foster home, where they have

remained throughout the dependency and termination proceedings. Following

the boys' removal, Tran has participated in twice-weekly supervised visits. But
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she has failed to make sufficient progress to increase the frequency of the visits,

which have generally remained chaotic as a result of Tran's inability to interact

with the boys or impose consistent discipline.

       Therapist Cassandra Ellsworth performed a mental health assessment of

the children. She diagnosed all three with posttraumatic stress disorder (PTSD).

In addition, DvR suffered from separation anxiety and dissociative disorder.

Symptoms included aggressive behaviors, poor sleeping and eating habits, and

an inability to concentrate.

       DSHS filed petitions seeking to terminate Tran's parental rights on

February 8, 2013. Following a 12-day trial, the trial court entered orders

terminating her parental rights to FR, DnR, and DvR on December 2, 2013.

       To prevail in a petition to terminate parental rights, the State must prove

the six statutory elements of RCW 13.34.180(1) by clear, cogent, and convincing

evidence:


               (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. . . .
No. 71354-0-1/6



               (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 exists when the ultimate fact in issue is

shown by the evidence to be 'highly probable.'" In re Dependency of K.R., 128

Wn.2d 129, 141, 904 P.2d 1132 (1995) (internal quotation marks omitted),

quoting In re Seqo, 82 Wn.2d 736, 739, 513 P.2d 831 (1973). The deference

accorded the trial court's advantage of having observed the witnesses is

"particularly important in deprivation hearings." In re Welfare of Hall, 99 Wn.2d

842, 849, 664 P.2d 1245 (1983).

       In addition to establishing the statutory elements of RCW 13.34.180(1),

the State must also prove, by a preponderance of the evidence, that termination

is in the best interests of the child. RCW 13.34.190(2).

       On appeal, it is undisputed that sufficient evidence supports the trial

court's determinations that FR, DnR, and DvR were found to be dependent, that

the court entered the appropriate dispositional orders, that the boys were

removed from Tran's custody for at least six months following the dependency

findings, that there is little likelihood that conditions will remedied so that the

children can return to Tran in the near future, that continuation of the parent-child

relationship clearly diminishes the children's prospects for early integration into a

stable and permanent home, and that termination is in the children's best

interests. Nor has Tran challenged the court's findings that she is currently unfit

to parent the three children and that despite Tran's participation in court-ordered
No. 71354-0-1/7



services for four years, she has failed to make any meaningful progress in

correcting those deficiencies.

       Rather, Tran contends that DSHS failed to satisfy its burden of providing

all necessary services under RCW 13.34.180(1)(d) because it did not refer FR

and DnR for "trauma focused cognitive behavioral therapy," despite the

recommendation of the Foster Care Assessment evaluator. She argues that

TFCBT could have helped the two older boys eliminate or reduce some of their

behavioral and emotional problems, which in turn, would have reduced the level

of chaos during Tran's visits with the children. Tran claims that had the boys

participated in TFCBT, she would have felt less overwhelmed and been "more

receptive" to correcting her deficiencies through parenting services.

       Tran's arguments rest on the recommendation of social worker Anthony

Kliment, the Foster Care Assessment Program (FCAP) evaluator. Kliment

completed a standard FCAP evaluation of FR, DnR, and DvR in December 2012.

A standard FCAP evaluation focuses on the specific needs of a child in foster

care and attempts to determine what will assist the child to thrive in his or her

current setting. Kliment did not undertake a reunification FCAP evaluation.

       Kliment recommended that all three boys remain in their current foster

placement and that FR and DnR receive mental health counseling. In particular,

Kliment recommended that FR and DnR receive TFCBT, which he characterized

as clinically proven to be effective in cases involving trauma, abuse, and neglect.

DSHS did not refer the boys for TFCBT.



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       Cassandra Ellsworth, who provided counseling for both FR and DvR,

stated that TFCBT usually involves "ten to twelve sessions and is heavily focused

on creating coping skills for the client and walking through a trauma narrative and

successfully decreasing their triggers until they are no longer symptomatic of

trauma." Kliment believed that TFCBT could alleviate the boys' symptoms of

PTSD, such as sleep difficulties, difficulties in concentrating, behavior issues,

and problems involving acting out and avoidance.

       Ellsworth, who was FR's first therapist and a certified TFCBT provider,

attempted to use "the very beginning pieces" of TFCBT in her sessions, such as

persuading FR to identify and discuss the underlying trauma. But FR was not

receptive to the techniques. Therapist Christina Hanson, who was not certified

for TFCBT, provided counseling services to FR after Ellsworth. Hanson testified

that TFCBT might have, although "not necessarily," facilitated the boys in

reaching their treatment goals more quickly had she been a certified provider at

the time. Dr. Solchany acknowledged that TFCBT was "definitely a good mode

of treatment" and very effective in certain cases but stressed that it was not the

only method for treating PTSD in children.

       Even ifTFCBT was an appropriate method of treatment for FR and DnR,

nothing in the record suggests that successful treatment would have had any

effect on Tran's ability to correct her parental deficiencies.

       Although all three boys were still participating in therapy at the time of the

termination trial, they had all made substantial progress and met significant


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No. 71354-0-1/9



treatment goals without TFCBT. The sleep and food related problems were

generally resolved, and all three boys were doing relatively well in school. The

court-appointed special advocate (CASA) testified that the boys' behavior in their

foster home had improved to the point that they were not experiencing any

particular difficulties.

        Nonetheless, despite more than two years of twice-weekly supervised

visits, Tran failed to demonstrate any significant progress in her ability to provide

structure or discipline during the visits or interact in a positive manner with the

children. Connie Lewis, who supervised the visits, testified that the visits

remained "very chaotic for the most part." Tran often remained passive and

unwilling or unable to take control of the changing circumstances. Lewis would

sometimes have to step in and help control the children or end the visit.

       Moreover, Tran's parental deficiencies involved more than her difficulties

in controlling and interacting with the children during the visits. The evidence

also established Tran's profound inability to recognize the consequences of her

chronic neglect of the boys and her failure to supervise them, her inability to

recognize or respond to their special needs, her failure to apply the lessons of

numerous parent-coaching sessions, her failure to recognize the dangers posed

by continuing abusive relationships, and uncertainties about the strength of her

support network. Lewis, the CASA, and social workers agreed that Tran would

not be able to safely parent the three boys, in addition to her daughter KN,

without supervision. The trial court's finding that the boys' return to Tran's
No. 71354-0-1/10



unstructured care would likely result "in regression and exacerbation" of their

previous symptoms is unchallenged.

      Given the undisputed severity of Tran's parental deficiencies and her

failure to make any meaningful progress despite four years of services, nothing in

the record supports an inference that FR's and DnR's participation in TFCBT

would have facilitated Tran in correcting her parental deficiencies. Substantial

evidence supports the trial court's determination that all services reasonably

available and capable of correcting Tran's parental deficiencies were offered or

provided.

       Affirmed.




WE CONCUR:



                                                                      J .




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