People v. Jeff L. , 379 Ill. App. 3d 353 ( 2008 )


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  •                           NO. 4-06-0998                Filed 2/15/08
    IN THE APPELLATE COURT
    OF ILLINOIS
    FOURTH DISTRICT
    In re: Z.L., a Minor,                      )      Appeal from
    THE PEOPLE OF THE STATE OF ILLINOIS,       )      Circuit Court of
    Petitioner-Appellee,             )      Ford County
    v.                               )      No. 06JA9
    JEFF L. and EMILY L.,                      )
    Respondents-Appellants.          )      Honorable
    )      Stephen R. Pacey,
    )      Judge Presiding.
    JUSTICE MYERSCOUGH delivered the opinion of the court:
    In July 2006, the Ford County State's Attorney filed a
    petition for the adjudication of wardship of respondents Jeff L.
    and Emily L.'s minor child, Z.L. (born April 20, 1999).       The
    trial court denied the petition for failure to show "good cause"
    to alleviate respondents from their parental responsibilities as
    required by section 2-4(d) of the Juvenile Court Act of 1987
    (Act) (705 ILCS 405/2-4(d) (West 2006)).       Respondents appeal,
    arguing they proved good cause.   We agree with respondents and
    reverse and remand.
    I. BACKGROUND
    On July 19, 2006, the Ford County State's Attorney
    filed a petition for adjudication of wardship of Z.L.       The
    petition alleged that Z.L. was a dependent minor pursuant to
    section 2-4(d) of the Act (705 ILCS 405/2-4(d) (West 2006))
    because his parents, with good cause, wished to be relieved of
    all residual parental rights and responsibilities and guardian-
    ship or custody.    Respondents also desired a guardian be ap-
    pointed with the power to consent to adoption.
    Paragraph four alleged in support of "good cause" that
    Z.L. suffers from reactive attachment disorder (RAD) and had
    targeted other children in the home, causing one child to regress
    as a result of Z.L.'s conduct.    Specific allegations in the
    petition included the following:
    "(a) [Z.L.] sneaks into sibling's room
    and causes severe bruising to that sibling.
    (b) [Z.L.] is urinating and defecating
    all over the residence.
    (c) [Z.L.] has thrown a chair at an
    infant.
    (d) [Z.L.] on numerous occasions, sneak-
    ing up behind his siblings and screaming in
    their ears."
    Paragraph five alleged that respondents were in the
    position of being deemed neglectful to the other children in the
    home if Z.L. remained in their home.     The petition alleged that
    due to Z.L.'s RAD, he was unable to "help himself from committing
    aggressive acts against anyone within his reach."
    The trial court appointed a guardian ad litem (GAL),
    who filed a motion to dismiss the State's petition alleging the
    State had failed to allege facts sufficient to show "good cause."
    On July 27, 2006, the trial court denied the motion.
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    The GAL moved to admit documents into the record
    pursuant to Supreme Court Rule 216 (134 Ill. 2d R. 216).      The
    first document was a checklist from Z.L.'s kindergarten teacher
    dated March 31, 2006.   The checklist indicated the teacher had
    been acquainted with Z.L. for almost two years.    It also indi-
    cated Z.L. was one to two years above his grade level.      In an
    area to write additional comments, the report said, "no problems"
    followed by a hand-drawn smiley face.   The report also indicated
    Z.L. "never" had behavior problems.
    The second report was a teacher's report form dated
    April 5, 2006.   It indicated Z.L. was "far above grade level."
    The report further stated:
    "[Z.L.] is a very hardworking student.    He is
    well liked by all of his peers and teachers.
    [Z.L.] is the student that everyone wants to
    be with in a group or as a partner. ***
    [Z.L']'s work is very neat and clean.    His
    seatwork is always above and beyond what is
    expected."
    The report concluded with a review of Z.L's behavior that rated
    Z.L's behavior as high as possible in every single category.        The
    report indicated that, at the request of Z.L.'s parents, he had
    repeated kindergarten and that Z.L. knew the curriculum because
    it was his second year in kindergarten.
    On September 22, 2006, the trial court held a hearing
    on the State's petition.   The court indicated at the beginning of
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    the hearing that Z.L.'s presence had been waived by the parties.
    Over the GAL's objection, the court allowed respondents' attorney
    to question witnesses during the hearing instead of the State's
    Attorney who had filed the petition.
    Respondents first called Chris Cashen, a psycho-thera-
    pist at Carle Clinic (Carle) in Champaign-Urbana, to testify.
    After describing his education, experience, and background in
    counseling, all parties to this case acquiesced in Cashen being
    tendered as an expert.
    Since February 2005, Cashen was part of Z.L.'s treat-
    ment team (which also included Dr. Charles Holly) that provided
    individual and family psycho-therapy to respondents and Z.L.
    Z.L. was six years old when Cashen began treating him. Cashen
    testified Z.L. has been diagnosed according to the Diagnostic and
    Statistical Manual, 4th edition (DSM IV), with RAD and bipolar
    disorder NOS (not otherwise specified).   Cashen described RAD as
    a disorder of bonding.   Characteristics of RAD include children
    who are unable to discriminate in terms of their social interac-
    tions with others.   Cashen said that Z.L. had a number of symp-
    toms characteristic of RAD.   Z.L.'s primary symptom was "acting
    out."   Z.L. deliberately urinated on the floor, on objects, in
    his bedroom, and other places in the house.   Z.L. defecated on
    the floor, on objects, and on his bedroom floor, regardless of
    whether he was wearing a diaper or pull-up underwear.   Cashen
    said, "He would urinate and defecate inappropriately; sometimes
    apparently very deliberately.   It was highly unlikely to be
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    accidental."    Cashen said Z.L. would throw himself on the floor
    and scream sometimes for as much as 45 minutes for no apparent
    reason.    Z.L. would "shrink" from the affectionate touch of his
    parents.    Z.L. frequently lied about mundane, unimportant mat-
    ters.   He would throw himself on the floor and scream, "Don't
    hurt me.    Quit grabbing me.   Quite [sic] choking me" even though
    no one was touching him.
    Cashen made a note on May 25, 2006, that Z.L. would use
    a toy to bait his siblings to come closer, and then he hit,
    pinched, or pushed them.    Z.L. also exhibited unusual food
    behaviors.    He asked for one type of food, but when it was given
    to him he said he did not want it.       Sometimes Z.L. refused to
    eat, and he learned how to vomit at the table "on demand."
    Cashen believes Z.L.'s vomiting at the table improved over time.
    Cashen testified that RAD is very hard to treat and
    that several theories of treatment exist.       Cashen testified that
    no one approach is scientifically demonstrated to be an effective
    treatment for RAD.    One theory is regression therapy in which the
    child must be taken back to an earlier stage of development and
    "reattached."    Cashen gave the example of a 10-year-old boy who
    was cradled like an infant and the parent then allowed him to
    express himself as an infant.    Cashen said he is not familiar
    enough with regression therapy to recommend it.
    Cashen said the treatment he chose was the cognitive
    behavioral approach.    Cashen described this approach as trying to
    get Z.L. to "look at [his] world in an accurate *** way as
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    possible."   Cashen said the theory is that if a person is looking
    at his life accurately, his emotional state will follow.    Cashen
    said respondents were very cooperative in implementing Cashen's
    suggestions for Z.L.'s treatment.    Respondents gave Z.L. timeouts
    for specific behaviors and specific amounts of time.    Cashen said
    respondents were "very consistent" on their follow through.    The
    theory behind using timeouts is that Z.L. would want to rejoin
    the family again when the timeout was over.    However, Z.L. would
    go into a rage when he was placed in timeouts, and Cashen con-
    cluded timeouts were ineffective.    Respondents also learned how
    to react to Z.L. when he was acting out.    Cashen said that, at
    times, Z.L.'s behavior seemed to improve under this approach, but
    no "significant, positive impact" occurred over the course of
    treatment.   Cashen testified that he met with Z.L. once every 2
    to 3 weeks for 18 months.
    Respondents' attorney had the teacher's report filed
    previously by the GAL entered into evidence as respondents'
    exhibit No. 2.   Cashen agreed that the exhibit reflected that
    Z.L. was doing well in school when the report was made.    Cashen
    said that usually a child with RAD will have difficulty in all
    settings, yet it was not unusual for a child with RAD to maintain
    himself in one setting and not another.
    Cashen testified that if Z.L. had bonded with respon-
    dents at all, it was a "very tenuous and fragile" bond.    He said
    that bonding is "one of the most, if not the most, fundamental
    aspects" of human relationships.    Bonding creates feelings of
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    security and protection, especially in young children.    Z.L.'s
    bond with respondents, according to Cashen, had dissipated over
    time.   Cashen stated he had observed Emily with Z.L. and called
    her a "good mom" who appeared to love all her children.    Cashen
    said it was important that Z.L. also form a bond with his sib-
    lings because it is another fundamental relationship group.
    Cashen said Z.L.'s bond with his siblings, if any, was more
    tenuous than Z.L.'s bond with his parents.    Cashen said, "I don't
    believe there was a true bond there."
    Cashen said that Z.L. purposely upset his younger
    sister, G.L.   For example, he whispered to her that the family
    dog was dead and that their parents were lying to her when they
    told her the dog had been given away; or he told G.L. he was
    going to hurt her.    Also, Z.L. stared at the other kids "not in
    the way that little kids get into a staring contest, but in a
    more intimidating way."
    Cashen said, based on everything Z.L. has told him
    regarding his siblings, Z.L. did not have any feelings for them
    one way or another.    During one session with Cashen, Z.L. indi-
    cated he wished to be an only child.    Z.L. told Cashen that he
    loved respondents.    Cashen testified though that he did not
    believe Z.L. had a bond with anyone in his family.    Cashen said
    the probability of Z.L. having a successful life with respondents
    was "next to none."    It was Cashen's opinion that Z.L. would do
    better in a household without other children, although Cashen
    admitted no research suggests whether children with RAD do better
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    in homes with or without other children.    Cashen said placement
    of Z.L. in a home without other children would be in his best
    interests.
    Cashen did not believe Z.L.'s RAD was attributable in
    any way to respondents.   Cashen said the circumstances that cause
    RAD preexisted Z.L.'s involvement with this family.    Z.L. came to
    live with respondents in May 2001 when he was two years old.
    Cashen opined that respondents love Z.L. but had trouble liking
    him.   He believes Z.L.'s behaviors are causing self-loathing in
    respondents.   He said, "[respondents] are in an absolutely
    untenable situation.   The idea of giving up a child is just
    horrible I think to most of us.     It is horrible to [respondents],
    and I think they are in a circumstance [in] which they have a
    terrible choice and a worse one."
    On cross-examination, Cashen said, "[RAD] is a diagno-
    sis with a lot of severity and a lot of possible implications[;]
    and it is one of the diagnoses that we are reluctant to give
    unless we are absolutely sure that is the case."    The GAL asked
    Cashen if Z.L.'s tantrums posed any real type of harm to respon-
    dents or Z.L. other than embarrassment if they occurred in
    public.   Cashen answered "No."
    Cashen said, "In this particular individual case, I
    think that it is possible that the removal of a sibling and/or
    the addition of a sibling may have exacerbated attachment issues.
    Although I do not believe there is a way to ascertain with any
    degree of certainty whether or not that actually is the case."
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    The GAL asked Cashen whether he had knowledge that persons at
    Baby Fold, a multiservice child-welfare agency in Normal, wanted
    to try regression therapy but that respondents refused.     Cashen
    said he was unsure whether Baby Fold had recommended that ther-
    apy.   Cashen said, "There is always another avenue.    There is
    always another treatment for everything."    Cashen testified he
    believed that the cognitive behavior technique he chose was
    "reasonable."   Cashen agreed that some other treatment options
    that were not considered "totally off the wall" were available
    other than the cognitive behavior approach.
    Cashen testified that Z.L. was on "some fairly serious
    prescription medication."    Cashen had no knowledge of any re-
    search suggesting medication could exacerbate RAD.     Cashen,
    however, was not the person prescribing Z.L. the medication.
    Cashen reiterated that Z.L.'s bond with respondents was
    "tenuous at best" and that he did not believe respondents could
    have done anything differently to strengthen that bond.     He said
    the bond between Z.L. and respondents has deteriorated to the
    point it does not exist.    Cashen concluded, saying, "I cannot
    predict with any percentage or statistical likelihood" that Z.L.
    would do better in a household with no other children.     However,
    Cashen said, "[G]iven that right now I see very, very little
    likelihood of any significant improvement, I believe that his
    best chance for success in life is going to be in another setting
    as an only child."
    The trial court asked Cashen whether he could say with
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    a reasonable degree of professional certainty that it would be
    better for Z.L. to live in a household in which he is the only
    child.    Cashen responded that if Z.L. remains with respondents "a
    very difficult situation is going to get worse."    Cashen said
    with reasonable certainty that Z.L.'s best opportunity would be
    in a household with no other children.
    The trial court then asked Cashen whether it was
    possible to diagnose RAD in Z.L. when he first came to live with
    respondents when he was two.   Cashen said it would have been
    difficult because of the developmental characterization of a two-
    year-old, such as his or her inability to verbalize.    However,
    Cashen said some characteristics of RAD may be apparent in a two-
    year-old child, but he would be reluctant to diagnose a two-year-
    old as having RAD.   He said it is extremely difficult to diagnose
    a two-year-old with RAD to a reasonable degree of medical cer-
    tainty.   Cashen agreed with the trial judge that the Department
    of Children and Family Services (DCFS) had no way of knowing of
    Z.L.'s condition when respondents adopted him such as to forewarn
    respondents prior to the placement.
    Cashen told the trial court that approximately 50% of
    his information in exhibit No. 1 came from sources other than his
    meetings with Z.L. and respondents.     He said all of the sessions
    with Z.L., however, were one on one.
    The trial court asked Cashen his opinion of the
    teacher's evaluation form of Z.L. submitted into evidence by the
    GAL.   Cashen said that it was "unusual grading for a lot of
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    children[;] I would be surprised that the average child would be
    regarded as quite literally perfect."   The court recognized that
    the report ranked Z.L. high above grade level, hard working,
    neat, clean, with the absence of any negative behaviors.   The
    court agreed this was an "unusual" evaluation.
    Cashen testified that the Z.L.'s medication was to
    treat his bipolar disorder as there was not a recommended psycho-
    pharmological treatment for RAD.
    Kim Higgins testified next for the State. She is an
    adoption-preservation therapist at Baby Fold.    The State tendered
    Higgins as an expert without objection.   Higgins is an attachment
    and trauma therapist.   She helps adopted families attach to their
    adopted child and helps the adopted child attach to his adopted
    family.   She also connects families to resources and services as
    needed.
    Higgins testified that adoptions fail when families are
    not prepared in advance, lack resources to get the treatment that
    the children need, lack financial resources, or lack community
    resources.   She also said that often, in her experience, adop-
    tions fail when adopted children are diagnosed with RAD.   Higgins
    said her case load primarily consists of children diagnosed with
    RAD.   She said it was the toughest issue she deals with as an
    adoption-preservation specialist.   Although she has seen a fair
    number of children with RAD, Higgins said it is "very rare" in
    the general population.   According to Higgins, "[RAD] is an
    emotional disorder involved with the first two years of life.
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    [Children] were not able to attach to a healthy caregiver, and
    because of that, they have an inability to attach to healthy
    caregivers after that, which results in them having extreme
    behavioral and emotional problems as a way of resisting that
    attachment to their parents."
    Higgins testified that she met with Z.L. in person and
    reviewed some records in an attempt to help respondents.   Respon-
    dents provided her with all the history and documents they had
    received from DCFS.   Higgins testified that she was familiar with
    DCFS records and that Z.L.'s records lacked historical informa-
    tion about his placement in foster care, particularly information
    about the caregivers.   Z.L. never lived with his biological
    parents.   He was removed at birth due to his brother's removal
    for physical abuse.
    Higgins testified that the type of care a child re-
    ceives during his first two years of life is the primary factor
    in determining whether a child has an attachment disorder.     If a
    child receives intermittent and inconsistent care, rather than
    continuous and consistent care, the child will be more likely to
    develop RAD.   Another factor is whether the child had multiple
    caregivers in the first two years of life, in which the child
    became attached to people who came and went.   Also, other factors
    include whether the child's needs were neglected and whether the
    child was subject to any form of abuse, either physical, verbal,
    sexual, or emotional.   Higgins testified that respondent Emily
    told Higgins that Z.L. was placed in a foster home where the
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    mother was obese and unable to physically care for the children
    so three shifts of caregivers came into the home.   One came
    during the day, another at night, and another on the weekend.
    The foster mother's role was to supervise the caregivers.     Z.L.
    lived in this home from birth until he was two.
    Higgins testified that this scenario was important to
    Z.L.'s diagnosis because the primary purpose of a child from
    birth to two is to attach to someone and to learn about himself
    through that attachment.   If there are multiple caregivers,
    Higgins said, the child learns he can trust and attach to no one.
    Therefore, according to Higgins, the child becomes defective in
    his attempts.
    Higgins says that she tries to treat children with RAD,
    but the disorder is difficult to treat.   She agreed that "even
    good parents" are not always successful at treating children with
    RAD.   Higgins described attachment therapy.   One form of attach-
    ment therapy is play therapy, where the children are playing and,
    thus, their anxiety level is low.   This allows parents the
    opportunity to do attachment work such as make eye contact and
    touch the children when the children are not defensive.   Other
    therapy work is talk therapy, where the therapist holds the child
    in her lap and talks to him.   Higgins said attachment between the
    child and therapist is encouraged because it is easier for the
    child to attach to an outside person.   Once the therapist gains
    the child's trust and attachment, the therapist can transfer that
    to the child's parents.
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    Higgins said she encourages families to use time-ins as
    a form of discipline rather than time-outs.     During a time-in,
    the child has to stay with the parent, preferably touching the
    parent by holding the child's hand.      Higgins said children with
    RAD have lengthy tantrums and rages that can range from 30
    minutes to 2 hours.   During these tantrums and rages, Higgins
    encourages parents to stay with their child because children are
    trying to push parents away through their misbehavior.     By
    staying with children during their tantrums, it sends the message
    to the child that the parent will be there for him regardless of
    his misbehavior.
    Higgins said attachment therapy is different from
    cognitive behavioral therapy.    Higgins said attachment therapy
    and cognitive behavioral therapy are the two major forms of
    therapy accepted by therapists as ways to treat children with
    RAD.   Higgins said that only between 20% and 25% of children with
    RAD will improve with any form of therapy.
    Higgins testified that if an adoption fails due to RAD,
    the options become a residential treatment center or a foster
    family.   A residential treatment center is a 24-hour living
    situation for children with RAD where they receive services by
    trained staff, receive intensive therapy, and sometimes attend a
    school that specializes in children with behavioral disorders.
    However, without an individual-care grant, Higgins said the cost
    of residential treatment is cost prohibitive.     Higgins said the
    last known figure she knew was that it cost $800 per day and the
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    average length of treatment was between 18 and 24 months.      To get
    an individual-care grant, the child must be diagnosed with some
    form of psychosis-schizophrenia or bipolar with psychosis.
    Because Z.L. does not have either diagnosis, he does not qualify
    for a grant.    The trial court asked Higgins whether Z.L.'s
    diagnosis of bipolar NOS (not otherwise specified) caused him to
    be ineligible for the grant.    Higgins said Z.L. was ineligible
    because his form of bipolar is not bipolar with psychosis.
    Higgins said that in her experience, children with RAD
    experience more behavior problems when therapy begins before they
    get better.    Higgins said that when other children are in the
    home, therapy is only going to work if there are several support-
    ive people around.    This is because a child with RAD needs
    individual attention.    If respondent Emily were to participate in
    RAD therapy for Z.L., it would take her completely out of the
    lives of her other children, some who were younger than two, and
    put those children at risk of developing RAD.
    Higgins testified that she was aware respondents
    previously had another child in their home named A.L.    A.L. was
    Z.L.'s older brother.    Someone else at Baby Fold provided respon-
    dents with assistance with A.L.    When A.L. and Z.L. were placed
    with respondents, Emily was confined to bedrest due to complica-
    tions with her pregnancy.    Higgins said it was "unusual" to take
    the children out of a seemingly stable environment and place them
    with a mom who is in the hospital and on bedrest.    Higgins said
    that she did not understand why DCFS did not wait until Emily
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    returned home to place A.L. and Z.L. in her home.
    Higgins did not work with A.L., but she did review his
    records.   Higgins said A.L. had "severe behavioral issues."      He
    was violent toward Emily's baby, G.L.      He had thoughts of harming
    G.L and pinching G.L.   A.L. was smearing feces, breaking things,
    and urinating all over the house.    He actively resisted any
    control by respondents and abused Z.L.
    Higgins said respondents sought out services to help
    A.L.   They had A.L. psychologically assessed.     Respondents went
    to RAD specialist Cheryl Palanski.       Respondents took A.L. to day
    treatment at the Pavilion.   He also received psychotropic medica-
    tions.
    Higgins reviewed respondents' exhibit No. 2, the school
    records submitted by the GAL.    Higgins said it was not unusual
    for children with RAD to behave well in school because a teacher
    was not necessarily someone to whom a child needed to attach.
    Also, she said, children with RAD work well in highly structured
    environments and manipulate teachers into getting their needs met
    because they do not have to bond with the teacher.      It also
    happens that children go to psychiatric hospitals and are sent
    home because they do not exhibit any symptoms, but then they go
    home and hurt someone that same day.
    Higgins said that based on her review of the records,
    Z.L. had not bonded with anyone in respondents' family.      Higgins
    said that typically with attachment therapy:
    "There is oftentimes a huge increase in
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    behaviors.    The whole reason they are not
    attaching is because their fear, this core
    belief that they have about themselves that
    they are not good, that they caused people
    not to take good care of them in historical
    terms.    And so, they, they believe[,] they
    have a belief, a distorted belief that if
    they do not attach to somebody and they don't
    allow that person to attach[,] we start to
    force that attachment to happen, they have
    increased behaviors and increase the problems
    to push the parents away, to keep them from
    attaching to them because of that intense
    fear that they have.
    * * *
    [Children with RAD act out because of]
    this misguided belief that, if they can sort
    of control their parents' being angry with
    them, and control their parents not having
    loving feelings toward them, they will be in
    control of what bad things happen to them or
    not."
    On cross-examination, Higgins testified that if Z.L. is
    removed from respondents' home it would reinforce his feelings
    that he cannot bond with someone, but it would not cause those
    feelings in Z.L. because those feelings formed before he was two
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    years old.
    Respondent mother, Emily, testified that she lived in
    Gibson City and was a stay-at-home mom.    Her husband, respondent
    father, Jeff, is a firefighter in Champaign.   They have four
    children: Z.L, seven years old; G.L., five years old; R.L., two
    years old; and F.L., nine months old.   DCFS licensed Emily and
    Jeff to be foster parents after conducting home visits, back-
    ground checks, and requiring Emily and Jeff to complete classes.
    Emily said she and Jeff intended to incorporate an adopted child
    into their family, as well as have biological children of their
    own.   Emily said she was pregnant with G.L. when she received a
    call from DCFS that they would be foster parents.    A few weeks
    later, Emily was hospitalized and confined to bed rest.    Emily
    was hospitalized nine weeks and two days.   After G.L.'s birth,
    G.L. remained in the hospital six weeks.    During this time A.L.
    and Z.L. were placed with Emily and Jeff.
    DCFS told Emily and Jeff that A.L. had been taken into
    foster care and that both he and Z.L. had been in the same foster
    home the entire time they were in DCFS's care.   Emily said DCFS
    told her they were beautiful boys, perfectly normal, and they
    would fit in wonderfully in Emily and Jeff's home.    Emily could
    not recall whether DCFS told her anything about the boys' previ-
    ous foster home other than they could no longer stay there
    because parental rights had been terminated.   Emily could not
    recall if they were told anything regarding the length of time
    the boys had been in that home.   Emily said that DCFS may have
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    informed them of the previous foster's mom's declining health,
    but most of the information she and Jeff obtained came from their
    personal visit to the boys' previous foster home.
    Emily testified that the placement, at first, was fine.
    A.L. seemed to love Emily and Jeff from the first minute he
    arrived.    She said he was "estatic [sic], and all over us."     She
    said Z.L. seemed ambivalent.    Emily said, "We often said he
    seemed to blend in like wallpaper, that there just wasn't any-
    thing that would stand out necessarily."
    Emily said that when her mother was watching the
    children during the time Emily was in the hospital, her mother
    told her there were problems, but her mother was unsure exactly
    what was wrong with them.    Emily decided to wait until she was
    home to interact with the children herself to see if they needed
    services.    The problems were initially only with A.L.   Emily
    informed DCFS about these problems, and DCFS informed her that
    the doctors and treatment she needed could only be provided
    through the State insurance plan, which was not effective until
    the adoptions were complete.
    Emily was home approximately 10 weeks when the adoption
    took place.    Immediately after the adoptions, A.L. began exhibit-
    ing behaviors such as dominating Z.L., frequently hurting Z.L.,
    tackling Z.L., urinating in Z.L.'s mouth and on Z.L.'s bed,
    putting feces in Z.L.'s mouth, smearing feces on the wall, and
    pinching G.L. hard enough to make her bleed.    A.L. pushed Emily
    down the stairs more than once, tried to stab her with a screw he
    - 19 -
    got from taking his dresser apart, broke things continuously, and
    screamed when Emily or Jeff tried to discipline him.    Emily said
    A.L. disassociated to the point his eyes glazed over.   She said
    he masturbated continuously and with objects.   Emily said,
    "[A.L.] tried to hump [G.L.'s] face when she was an infant on
    more than one occasion."
    Emily took A.L. to Dr. Levy.   A.L. received inpatient
    treatment at Pavilion, where he was eventually diagnosed with
    RAD.   Emily said that A.L.'s treatment included medication,
    attachment therapy through Baby Fold, and   treatment from Cheryl
    Polanski, a RAD specialist.
    The treatment at Baby Fold did not work, and A.L.
    became much worse.   In one session with Polansiki, she recorded
    A.L.'s plan to slice G.L.'s throat from one side to the other.
    A.L. demonstrated this on a doll and said how he was going to
    wash the blood.   He said he knew where the knives were, and he
    knew he had to wait until she and Jeff were not around.
    A.L. and Z.L. had been in their home since the end of
    May 2001, and on February 14, 2003, Emily and Jeff sought to end
    the adoption.
    Emily said during the time the adoption termination of
    A.L. was underway, Z.L. continued to be withdrawn.   Emily said
    she believed it was because of A.L.'s dominance and aggression
    toward him.   Emily said that she hoped that with A.L.'s removal,
    Z.L. would feel safe and begin to develop a personality.   Emily
    agreed that the motivation to end the adoption of A.L. was to
    - 20 -
    keep both G.L. and Z.L. safe.
    Emily stated once A.L. left, Z.L. did not stabilize;
    but at first, she and Jeff were excited about this because they
    thought it was Z.L. developing a personality.       Emily said,
    however, once Z.L. began exhibiting a slow progression of behav-
    iors they were determined that it was not RAD and that things
    were fine.   She said she and Jeff had Z.L. seeing doctors and
    working with therapists.   When Z.L. first started exhibiting
    behaviors indicative of RAD, they took him to see Ann Crumpler at
    Baby Fold.   Then they took him to see a psychiatrist, Dr. Beck.
    She said they saw Dr. Beck regularly until the Provena Covenant
    Mental Health Center closed, and at that point they switched to
    Carle.   They started there with Dr. Charles Holly.      Emily said
    she and Jeff were told Dr. Holly was very good.       Then they went
    to see Tom Shannon, a behavioral psychologist recommended by Dr.
    Holly.   Shannon, however, told Emily and Jeff that he did not
    believe Z.L. would get any better.       Unhappy with that comment,
    Emily and Jeff took Z.L. to see Cashen.       Cashen is a colleague of
    both Dr. Holly and Shannon.
    Emily testified that they cooperated with Dr. Beck and
    Dr. Holly.   Emily said over the course of treatment with Dr.
    Holly, Z.L. was on approximately 10 different medications.        At
    Shannon's suggestion, Emily and Jeff tried 1-2-3 Magic, a program
    of behavior modification without corporal punishment.       The
    program did not work with Z.L.    Emily said, if anything, Z.L.
    became worse.   She said he resisted any discipline and instead
    - 21 -
    screamed, threw a fit, growled, and stomped.    Emily said Cashen
    suggested several alternatives to 1-2-3 Magic, but she did not
    recall attachment therapy as being one of them.    Emily said they
    had tried attachment therapy with A.L., and it did not work, so
    they wanted to try something different with Z.L.
    In February 2005, they began seeing Cashen.    Emily was
    pregnant with R.L. at the time.    She said she was cooperative
    with his suggestions.    Some of those suggestions were different
    lengths of time-outs, only giving Z.L. six to seven time-outs
    before he had to go up to his room until the next meal, and
    having Z.L. articulate what he had done wrong and how he could
    improve next time.   Emily said the hope with the time-outs was
    that Z.L. would want to rejoin the family and create a bond.
    However, Z.L. articulated to Emily and Cashen that he preferred
    to stay in his room.    None of Cashen's suggestions worked.
    Emily said the most problematic of Z.L.'s behaviors was
    the continuous fits of rage in which Z.L. screamed for hours and
    only take breaks from exhaustion.    Emily characterized them as
    "blood[-]curdling screams."    Z.L. screamed that Emily and Jeff
    were hurting him and he beat his head against the wall.    He also
    hurt the other children.    Emily said that when Z.L. did so, he
    seemed to feel "justified in it and doesn't see anything wrong
    with it and does not want to stop, and he tells you he will hurt
    them."
    Emily said that Z.L. had hurt G.L., the next oldest
    child during the game of "Red Light, Green Light."    Z.L. appar-
    - 22 -
    ently had told her to stop, and she did not.   Then, Z.L. took a
    broomstick and knocked her off her bike and onto the concrete.
    As a result, she had a bump on her head.   When G.L. came inside
    to tell Emily what happened, Z.L.'s only response was that she
    did not stop when he told her to stop.   Emily said Z.L. had hit
    G.L. on multiple occasions.   He walked up to her while she was
    watching cartoons and punched her in the face.
    Emily said Z.L. had different behavior cycles that
    changed every four to six weeks and that "we revisit them at
    different times throughout the year."    Z.L. went seven or eight
    days hitting G.L. every day; he had hit other children that came
    over to the house, as well as those at school.
    Emily testified Z.L. has also hurt her next oldest
    child, R.L.   Z.L. put his face in R.L.'s and growled and stared
    him down at meals.   Z.L. sneaked up behind R.L. and screamed at
    him.   Emily said Z.L. sneaked into R.L.'s room and punched him
    hard enough to leave bruises on R.L.'s legs.   Z.L. tried to bait
    R.L. closer with a toy and then hit R.L.
    Emily said Z.L. twice tried to hurt her youngest child,
    F.L.   Once, on Easter, Emily's mother and grandmother observed
    Z.L. walk up to F.L. and grab her on the foot and begin squeez-
    ing.   Second, he threw a chair at F.L. while she was in the
    playpen.   The chair bounced off the playpen and onto the floor.
    In response to the GAL's exhibit No. 2, the teacher's
    report, Emily said that Z.L. had problems at school but he was
    usually better behaved at school than he was at home.   Z.L. had
    - 23 -
    significant toilet issues at home.      Emily said Z.L. urinated
    "everywhere," including inside his drawers, on his clean clothes,
    in the laundry room, in clothing baskets, on his carpet, and on
    his bed.   He also defecated and put it behind his dresser and
    tried to hold onto soiled diapers.      Emily said Z.L. had to be put
    in diapers shortly before he turned six.
    Emily recalled a family trip to Sibley where Z.L.
    finished his snow cone and demanded Emily and Jeff buy him
    another one or he was going to destroy G.L.'s snow cone.      Emily
    told him that he could not tell them what to do, but Z.L. grabbed
    G.L.'s snow cone and threw it on the ground.      He then began
    screaming and screamed the entire way back to the car.      Emily
    held his wrists because he would not allow her to hold his hand.
    She turned the air conditioner in the car on and put Z.L. inside
    as she sat outside.    He screamed that she was hurting him and
    causing him to bleed.    Z.L. also frequently screamed in the
    grocery store that she was hurting him.      Cashen had told Emily
    that if she walked away from Z.L. when he did this he would
    eventually get up and rejoin her.
    Emily recalled another incident on Father's Day where
    she had Z.L., G.L., R.L., and F.L. in a bookstore.      R.L. had to
    go to the bathroom, so Emily was going to take all the kids into
    the bathroom.    Z.L. said he did not have to go to the bathroom
    and refused.    She told him to sit in a chair outside the bath-
    room.   A few seconds later, Z.L. urinated on himself and then
    began screaming that his mother was mean to him and did not take
    - 24 -
    him to the bathroom, and so he had to urinate on himself.
    Emily testified that the family belongs to a church,
    but they seldom go because Z.L. tried to "sabotage" anything they
    attempt to do as a family.   Emily said either she went alone or
    with only a couple of the children because there are too many
    problems when they all try to go together.   She said they had
    trouble getting ready on time.   Also, she said that in the van,
    on the way to church, Z.L. would upset G.L. by telling her "all
    kinds of horrible things."   Emily said they also have toilet
    problems while at church and problems sitting in the pews.
    Emily testified they tried to engage Z.L. in sports.
    They tried soccer and she volunteered to coach.   This was before
    Z.L. was diagnosed with RAD.   Z.L. had so many fits that he had
    to be taken off the field.
    Emily testified they had resorted to the use of gates
    to protect the other children.   At first, they were going to use
    an alarm; but because Z.L. liked upsetting everyone, both respon-
    dents and the doctors were concerned he would use the alarms as
    another tool.   The gates did not confine Z.L., but they made a
    loud noise when he leaves, giving them a warning.
    Emily testified that G.L. was so stressed when Z.L. is
    around that she sometimes runs in circles.   G.L. was very nervous
    when Z.L. is coming home from school.    She had a lot of problems
    sleeping and with anxiety, so they took her to their family
    doctor.   G.L. was up five or six times a night and wanted to be
    in the chair in Emily and Jeff's room.   The doctor gradually put
    - 25 -
    her on medicine to help her sleep.      Eventually the doctor raised
    G.L.'s prescription to the highest dosage.      Yet, she still got up
    about twice per night.
    Emily said Z.L. did not like to sit at the dinner table
    with the family and would try to lose privileges anytime they
    went to do a picnic out in the yard.      She said they had a problem
    with him urinating on himself at the table.
    Emily said she did not believe Z.L. had any bond with
    either her, Jeff, or his siblings.      Emily said that once Z.L.
    told her that he loved them but that they did not love him
    because they took him to doctors; she tried to explain that they
    took him to doctors because they did want him and wanted him to
    get better.    Z.L. told her that he should not have to do the
    things she said, like using the toilet.
    Emily testified Z.L. did not seem to care about their
    pets.   She said when he was little he seemed to like Rubin, an
    elderly golden retriever.    She said, "[A]nd the cats outside he
    seemed somewhat to like, but he would kick them quite
    frequently."
    She said that he damaged a lot of property in their
    home.   At one point, they thought they would have to gut his room
    because it was so soaked with urine.      She said the entire up-
    stairs of their home smelled like urine.      Z.L. destroyed his bed
    by pulling planks off the frame and ripping the cover off of his
    box springs.    He tore up his toys, even one toy Emily thought was
    his favorite; he also destroyed the other kids' toys.      He also
    - 26 -
    salivated on his dressers and soaked his blankets in saliva.     She
    said he frequently tore up his own clothing.
    Emily said that she would still be concerned if it was
    one of her biological children acting like Z.L.    She stated:
    "[T]here is no way I could let any child
    destroy our family the way it is being de-
    stroyed currently, by having us all on medi-
    cation and my children scared and problems
    with sleeping, and it's a big strain on our
    marriage, and it makes every inner working of
    a family scenario very strained and diffi-
    cult."
    Even though the evidence offered by the GAL suggested
    Z.L. did well at school, Emily said getting him to go to school
    is difficult.    He screamed the entire time, refused to get
    dressed, refused to go to the bathroom, stood in the driveway
    screaming until the bus left, and she even once put him on the
    bus kicking and screaming in pajamas.    She said she was in-
    structed to make him go to school even if he were having a fit.
    Z.L. has had a lot of problems with stealing.   In
    kindergarten, Emily said his teacher patted him down when he got
    to school and before he left, and Emily patted him down when he
    got home.    She said he got clever about hiding things up his
    sleeve and in his underwear, and he would take her and G.L.'s
    stuff to school and he would take things from school to home.
    Emily said Z.L. lied continuously to the point that he
    - 27 -
    will not tell the truth about what he wants to drink for break-
    fast.   He would say he wanted juice; but when they bring him
    juice, he would say he wanted milk.     However, when they bring him
    milk, he tells them that he already told them he wanted juice.
    He will say he does not have to go to the bathroom when he does.
    She said he can look them straight in the eye and lie without any
    guilt or shame.
    Emily said that she and Jeff set up a diaper exchange
    where they would only give Z.L. a diaper if he turned in his
    dirty one.   Emily said Z.L. refused at times to defecate.   Once
    he kept himself from having a bowel movement for 21 days.    Emily
    and Jeff took him to the doctor's office and tried three separate
    laxatives before they were able to get one to work.    The next day
    he was scheduled to see a colon-rectal specialist.    Z.L. also
    refused to wipe himself and just left feces on himself allowing
    it to fall off throughout the house.    Emily said they had in-
    structed him how to wipe and told him to do so numerous times,
    but he either laughed or said he did not want to wipe.
    Emily said the decision to ask the State's Attorney to
    assist in filing this petition was not an easy one.    She said:
    "This isn't anything any parent wants to do.
    We didn't take the boys so we could get rid
    of them.   We intended on having other chil-
    dren when we took them, and we fully intended
    on having a full blended family.   It is dam-
    aging the very family structure that we have
    - 28 -
    to offer to begin with and finally gets to a
    point where it's like triage; one ship is
    going to sink or one part and what can we
    save and what can we do and there aren't any
    good choices left, but we have an obligation
    as responsible parents to our children just
    as much as we do to [Z.L.], and this decision
    is in the best interest of every member of
    our family."
    Emily said that the increased violence and aggression
    toward the other children convinced them to file the petition.
    She said they were hopeful that if Z.L. was in a home with fewer
    children, he would be able to learn new behavioral patterns for
    himself.   However, Emily said, things in their home digressed so
    quickly that she did not know how they could keep Z.L. along with
    their other children and make the family work.   Emily said she
    and Jeff even talked of separating to run two separate house-
    holds, but decided they could not go through with that idea.
    On cross-examination, Emily testified that DCFS offered
    services; however, she refused because they were already involved
    in their own treatment at the time.    She also said that they were
    not interested in attachment therapy for Z.L. because attachment
    therapy had made A.L.'s behavior worse.   Emily said if Z.L.'s
    behavior worsened, someone would likely end up "very, very much
    hurt."   Emily said when DCFS told her the children were "per-
    fectly normal," she took that to mean that they were healthy,
    - 29 -
    loving, affectionate, and came from a good family.
    Emily testified that they had had foster children in
    their home prior to A.L. and Z.L. who were not as "damaged" as
    A.L. and Z.L.   She said they were not familiar with RAD at the
    time.   The GAL read aloud from Cashen's notes, which stated that
    Cashen was unwilling to state that Z.L. was a clear risk of
    serious physical harm to the other children.   Emily said she
    disagreed, but she understood that the clinical definition of
    "clear risk" is hard to assign to a child.
    Emily admitted she told Dr. Holly that she did not want
    Z.L. held back because that would mean an additional year in
    school and, in turn, an additional year in their home.    Emily
    said they were very depressed when she made the comment.    Z.L.'s
    behaviors were escalating and they were not yet considering
    relinquishing their parental rights.
    Emily said that holding him back was in his best
    interest due to his small size and delayed motor skills.    The GAL
    asked how such a small child could pose a threat.    Emily said
    even though all of the other children are smaller, he was still a
    threat.   She said, "When the threats are physical, you don't have
    to be a huge person to inflict harm on another.   You just have to
    have the will to do it and be in the position to cause it."
    Emily said Z.L. did better academically his second year
    of kindergarten, but socially he was never invited to parties or
    asked over to another's classmate's house to play.    The GAL asked
    why the teacher's report in exhibit No. 2 said everyone wanted to
    - 30 -
    be in Z.L.'s group and his partner.    Emily said she could not
    answer because she was not in the classroom to observe this.
    Emily said in 2006, the second year of kindergarten, Z.L. no
    longer had a problem taking things to and from school.    However,
    Emily believed it was what Cashen had described to her as symptom
    substitution in which his symptoms would change every four to six
    weeks.
    Respondent father, Jeff L., testified as the final
    witness.   Jeff testified that he was a lieutenant with the
    Champaign County fire department full-time and worked at the
    University of Illinois Firefighter Training Facility as a side
    job.   He had been a full-time firefighter for 12 years and a
    teacher at the university for 7.   When asked whether he had
    anything to add regarding Emily's testimony regarding Z.L.'s
    behavioral problems, Jeff said, "I am sure I could spend hours
    easily."   Jeff said he took offense at the insinuation that he
    was an absentee father because he worked long hours.    He said his
    schedule was 24 hours on and then 48 hours off.    He said he
    spends a considerable amount of time with his kids.    He said
    every single night for almost two hours, he and Emily talk about
    how to deal with Z.L.'s behavioral problems.
    Jeff recalled a time recently when he worked on the
    children's playhouse in their backyard for nine hours, six or
    seven of which Z.L. was screaming nonstop.    He said Z.L.'s
    screaming was the constant background noise in the house.      He
    stated, "[I]t bothers me because I love my children very much,
    - 31 -
    and I want to provide them a safe and happy, nurturing home to
    grow up in where at [sic] they bond and that it is a great
    experience for them, and I can't do that."
    Jeff said, "[T]here's this constant background noise of
    horror.    It is like something out of the movies[,] of the
    '[E]xorcist.'"    He said at dinnertime all he can do is turn the
    volume on the television up.      He said it wears on him, and he
    feels it is unhealthy for his other children.      He said the reason
    Z.L. had only been successful at causing physical harm a few
    times is due to the fact that he and Emily work hard to prevent
    him from having the opportunities to cause physical harm to
    others.    Jeff testified Z.L. is constantly supervised in their
    home.
    Jeff said Z.L.'s tantrums in public were frequent.
    Z.L. also vomited at the dinner table.      Jeff said Z.L. found his
    and Emily's rules amusing and refused to accept them.      The only
    rules they gave Z.L. were not to hurt anyone, be nice to people,
    and use the toilet.    However,    Z.L. did not comply.
    Jeff said they do not do family activities because Z.L.
    makes it too difficult.    They no longer go to church or out to
    eat.    He said occasionally they get a babysitter for Z.L., and
    the rest of the family goes out, or he will try to take G.L. or
    R.L. out with just himself.    He said they have never even consid-
    ered vacations because it was too hard to get to Champaign and
    back with Z.L., let alone go anywhere further.      Rarely did the
    family go anywhere on holidays either.      Occasionally extended
    - 32 -
    family visited, but Z.L.'s behavior invariably spiraled out of
    control.
    Jeff said that there was only a mattress on the floor
    of Z.L.'s room.   Z.L. had no other furniture or toys in his room
    because he either destroyed them, urinated on them, or spit all
    over them.   Jeff said Z.L. broke the furniture and tried to use
    it as a weapon against them.   Jeff said they thought about the
    minimalist appearance of his room, but that it was one of
    Cashen's suggestions during therapy, and they decided to follow
    it.
    Jeff said despite the situation, he loved Z.L. dearly;
    however, he believed they could no longer help him in their
    family setting.   His behavior was steadily declining and destroy-
    ing the other children's childhood, especially G.L.'s.   Although
    Jeff acknowledged there may be more solutions for them to try, he
    stated the "water is coming in so fast, and we can't bail it out
    fast enough."   He said he felt the longer he waited the more
    destruction would occur until his family was totally demolished.
    Jeff said that it was "unbearable" and Z.L. would have to move
    out in the near future even if they were not permitted to relin-
    quish their parental rights.
    On cross-examination, Jeff said Z.L. was currently
    living with Jeff's in-laws, Emily's parents.   He would sometimes
    come home on weekends.   Emily's parents live in Decatur.   Jeff
    said Z.L. is having a number of issues in school, refusing to do
    assignments, purposely doing things extremely slowly, and gener-
    - 33 -
    ally trying to control his teacher.     After Z.L.'s grandfather
    told Z.L.'s teacher of his background, Jeff believed the teacher
    had been very empathetic to his situation.     The teacher appar-
    ently tried a reward system where he could receive a small toy,
    and Z.L. said, "I don't need your crap.     I got enough at home."
    Jeff said he believed his in-laws were willing to take Z.L. into
    their home because they could see the destruction the situation
    was causing their family.
    At the conclusion of the testimony, but before closing
    arguments, the trial court informed the parties that it was
    taking the matter under advisement and intended to deliver its
    decision from the bench at a later date.     The trial court stated
    as follows:
    "[T]here is no real dispute here about
    the facts in this case.    I am not speaking
    for [the GAL].    But it does not appear there
    is a whole lot of dispute about the facts.
    There, I suspect, maybe [sic] difference of
    opinions about what constitutes [']good
    cause['] and whether or not good cause has
    been shown."
    Then the trial court asked counsel the following question:
    "Taking all the testimony about the behavior
    of this young man as true, how is this any
    different from some other disability or medi-
    cal condition that a child could have that
    - 34 -
    the parents are not capable of dealing with
    in their own home, in a normal residential
    situation?    How is this any different from
    some other medical or other disabling condi-
    tion that a child could have that a parent--
    having nothing to do with parenting skills--
    is not capable of dealing with in their own
    residence?"
    Following closing arguments, the parties stipulated to
    a temporary order of shelter care for Z.L. because Z.L.'s grand-
    parents, with whom he was living at the time, had immediate plans
    to leave the state.
    On October 20, 2006, in open court, the trial court
    denied respondents' petition.    The trial court acknowledged that
    the dispute in this case was whether "good cause" had been shown.
    The court then stated as follows:
    "I don't think there is any dispute in the
    evidence that the testimony indicates that
    the best interest of this young man would be
    some kind of residential placement or in a
    different home with no other children, but we
    are not at the best[-]interest stage of this
    proceedings.    We are at the adjudicatory[-
    ]hearing stage, and while there is a tendency
    of everybody, including the [c]ourt, to think
    in terms of what is in the best interest of
    - 35 -
    this young man, that's not where we are at
    right now.
    That's the overriding consideration in
    all juvenile cases, what's in the best inter-
    est, but for purposes of this hearing, we are
    not yet to best interest.
    We are to whether or not there is good
    cause shown, and we are not even on [the]
    standard of whether or not the parents have
    used their best efforts.     That's even farther
    down the road.   There isn't any question the
    parents have gone to considerable efforts to
    try to deal with this young man's problem.
    ***
    I empathize with the [respondents] be-
    cause my recollection when this child was
    adopted is that the [respondents] were inter-
    ested in adopting because they wanted to have
    children and were not having a great deal of
    success initially in having children.
    I share that experience with them, in
    that, my wife and I went to some considerable
    effort before we were able to start our fam-
    ily, and one of the results of the use of
    extremely powerful drugs to assist in that
    process is sometimes you get more than you
    - 36 -
    bargain for, and that was when my wife and I
    had four children at one time.
    The point is, is that life is not always
    what we expect or thought or anticipate it
    would be, and I don't mean to unnecessarily
    focus on Mr. Novick [(respondents' attor-
    ney)], but the loss of a child is not what a
    parent expects to happen in the ordinary
    course of things.    I am sure [respondents]
    did not anticipate this set of circumstances
    when they adopted, and I don't mean to mini-
    mize the difficult circumstances in which
    they find themselves.     But the answer to my
    question a month ago has not yet been given.
    The question was [']how was this any
    different from any other unanticipated turn
    of events, some kind of horrendous situation
    involving a child that was beyond the ability
    of the parents to care for or take care of in
    their own home,['] and there was no answer to
    that.
    Life is not always fair.   Sometimes we
    get circumstances that we did not anticipate,
    and I realize the standard is a preponderance
    of the evidence.    But I have read and reread,
    and reread the only case that gives us any
    - 37 -
    particular guidance in this, and that's [In
    re J.M., 
    245 Ill. App. 3d 909
    , 
    613 N.E.2d 1346
    (1993)].     And I believe it does provide
    guidance in this case.      And I mean no--I
    don't    mean to be unkind of or critical to
    the parents, but the other question which I
    have not asked and which I have wrestled with
    and I don't think it is inappropriate for the
    finder of fact to be asking that question and
    that nagging question is: [']If this were a
    natural born child[,] would we be here?[']
    And I am not sure we would.      I am not sure we
    would.
    I do not think that good cause has been
    shown in this case.      I think there are some
    factual differences, but I think this case
    has a great deal of similarity to the In re
    J.M. case.      ***   I am in the position of
    having to objectively evaluate the evidence
    before me and I think this is a little bit
    like J.M.; that if-in J.M. you get the idea
    that, if it were the M.'s child, they would
    be trying to find some solution.
    ***
    ***   There is not good cause."
    The trial court acknowledged that it sensed the rela-
    - 38 -
    tionship between respondents and DCFS was not good based on the
    respondents' belief that DCFS hid Z.L.'s condition from them at
    the time of adoption.    However, the trial court said DCFS's
    failure, if any, likely would not have made a difference based on
    Cashen's testimony that diagnosing RAD in a two-year-old is
    somewhat impossible.    The court denied the State's petition.
    This appeal followed.
    II. ANALYSIS
    A.    Jurisdiction
    As a preliminary matter, this court must address
    whether it has jurisdiction over this appeal.      Respondents, Jeff
    and Emily, filed the notice of appeal.      The State did not file a
    separate notice of appeal; however, it filed a brief in support
    of respondents' position.      In its brief, the State raises the
    issue of whether this court has jurisdiction to consider an
    appeal filed by the parents.      However, the State's brief explic-
    itly states it is not contesting the parents' right to an appeal.
    Moreover, the GAL did not file an appellee brief.
    While the more common posture of these cases pits the
    parents against the State, this case finds the State and parents
    as allies and the GAL as the sole adversary opposing adjudicating
    Z.L. a dependent minor.    However, the caption of this case
    reflects respondents in opposition to the State.      In fact,
    respondents are designated as the appellant in the present action
    and the State as the appellee.      The State's brief, however,
    supports the respondent's argument on appeal.      Therefore, the
    - 39 -
    present situation is one in which both named parties in the case
    are in agreement in advocating reversal of the trial court.     By
    its designation, the State, as appellee, is presumed to have
    received a favorable ruling in the court below.     However, that
    inaccurately portrays the outcome of this case in which the
    State's petition was not granted by the trial court due to the
    GAL's successful opposition to the petition.
    The State cites In re Gustavo H., 
    362 Ill. App. 3d 802
    ,
    
    841 N.E.2d 50
    (2005), in which the First District allowed the
    minors' GAL to appeal the trial court's denial of the State's
    petition.    Respondent parents in Gustavo H. argued that only the
    State has the power to prosecute and appeal petitions for adjudi-
    cation of wardship.    The court in Gustavo H.    held as follows:
    "[T]hough the State has exclusive authority
    in the trial court to prosecute a petition
    brought under the Act, in order to fulfill
    their duty to protect the best interests of
    the minor they represent, the minor's attor-
    ney and [GAL] may appeal, on the minor's
    behalf, a trial court's order regarding a
    petition that they believe is contrary to the
    minor's best interests."    In re Gustavo 
    H., 362 Ill. App. 3d at 812
    , 841 N.E.2d at 58.
    The court in Gustavo H. did not address whether parents have a
    similar right to appeal a trial court's denial of a petition for
    an adjudication of wardship filed by the State, which is the
    - 40 -
    procedural posture of the present appeal.
    Supreme Court Rule 301 states, "Every final judgment of
    a circuit court in a civil case is appealable as of right.      The
    appeal is initiated by filing a notice of appeal."     155 Ill. 2d
    R. 301.   Supreme Court Rule 303(a) states, "[T]he notice of
    appeal must be filed with the clerk of the circuit court within
    30 days after the entry of the final judgment appealed from ***."
    210 Ill. 2d R. 303(a)(1).   The trial court entered its order in
    this case on October 20, 2006.   Respondents appeal filed their
    notice of appeal November 17, 2006.    Therefore, we find the
    appeal was timely filed.
    Further, respondents have a right to appeal based on
    the fact they are parties to this case, and their interests are
    adversely affected by the trial court's ruling.     In St. Mary of
    Nazareth Hospital v. Kuczaj, 
    174 Ill. App. 3d 268
    , 270-71, 
    528 N.E.2d 290
    , 292 (1988), the First District held as follows:
    "Any party to the case may seek appel-
    late review from a final judgment which is
    adverse to his interests, and whether the
    party was actually aggrieved does not deter-
    mine his right to appeal. [Citations.]   Even
    nonparties have standing to appeal provided
    they have a direct, immediate[,] and substan-
    tial interest in the subject matter of the
    litigation which would be prejudiced by the
    judgment or benefit by its reversal. [Cita-
    - 41 -
    tion.]"     
    Kuczaj, 174 Ill. App. 3d at 270-71
    ,
    528 N.E.2d at 292.
    While the trial court's ruling meant Jeff and Emily
    retained their parental rights, the ruling in this case was
    adverse to their interests insomuch as they were seeking the
    trial court's permission to voluntarily relinquish those rights.
    Because the parents were parties to the proceedings in the trial
    court, had a substantial interest in the outcome of those pro-
    ceedings, and that outcome was adverse to their interests, they
    have the right to pursue this appeal.
    B. This Case May Be Decided Without an Appellee Brief
    The GAL, the only opposition to the State's and respon-
    dents' petitions in the trial court, did not file a brief on
    appeal.   However, reversal is not automatic when the party who
    received a favorable ruling in the court below fails to file a
    brief on appeal.     First Capitol Mortgage Corp. v. Talandis
    Construction Corp., 
    63 Ill. 2d 128
    , 131-32, 
    345 N.E.2d 493
    , 494-
    95 (1976).   "[T]he burden remains on the appellant to show
    error."   
    Talandis, 63 Ill. 2d at 132
    , 345 N.E.2d at 495.     How-
    ever, "[a] court of review is not compelled to serve as an
    advocate for an appellee."      In re Marriage of Purcell, 355 Ill.
    App. 3d 851, 855, 
    825 N.E.2d 724
    , 727 (2005).    Also, this court
    is not required to search the record for the purpose of sustain-
    ing the judgment of the trial court, but we may do so if the
    interests of justice so require.     
    Talandis, 63 Ill. 2d at 133
    ,
    345 N.E.2d at 495.
    - 42 -
    We may decide the merits of appellant's arguments on
    appeal where the record is simple, the claimed errors are such
    that they may be decided based on appellant's brief, and the
    record supports our finding in favor of appellant.     Marriage of
    
    Purcell, 355 Ill. App. 3d at 855
    , 825 N.E.2d at 727.     Because
    respondents' and the State's briefs sufficiently present the
    issue for review, we will decide the merits of this appeal from
    the facts and legal arguments before us without the aid of a
    brief from the GAL.   See In re Adoption of G.L.G., 
    307 Ill. App. 3d
    953, 962, 
    718 N.E.2d 360
    , 367 (1999).
    C. Standard of Review
    In this case, the State was required to prove by a
    preponderance of the evidence that respondents had demonstrated
    "good cause" for relinquishing their parental rights to Z.L.,
    thus rendering him a dependent minor.   In re S.W., 
    342 Ill. App. 3d
    445, 450, 
    794 N.E.2d 1037
    , 1041 (2003).     A reviewing court
    affords great deference to the trial court's decision in an
    adjudicatory hearing to determine whether a minor is dependent,
    and that decision will not be disturbed unless it is contrary to
    the manifest weight of the evidence.    In re C.M., 
    351 Ill. App. 3d
    913, 916, 
    815 N.E.2d 49
    , 51 (2004); In re Christopher S., 
    364 Ill. App. 3d 76
    , 86, 
    845 N.E.2d 830
    , 838-39 (2006).     "A circuit
    court's finding is against the manifest weight of the evidence
    only if the opposite conclusion is clearly evident from the
    record."   In re Christopher 
    S., 364 Ill. App. 3d at 86
    , 845
    N.E.2d at 839.   Cases involving an adjudication of neglect and
    - 43 -
    wardship are sui generis and must be decided based on the unique
    facts of the case.     In re Christina M., 
    333 Ill. App. 3d 1030
    ,
    1034, 
    777 N.E.2d 655
    , 659 (2002).    However, "[t]he best interest
    and welfare of the minor is the standard applicable to proceed-
    ings under the Act."    In re S.W., 
    342 Ill. App. 3d
    at 
    450, 794 N.E.2d at 1041
    .
    In the present case, respondents argue that "good
    cause" was shown as a matter of law and the State's petition
    requesting the respondents be relieved of their parental rights
    and Z.L. adjudicated a dependent minor should have been granted.
    The meaning of "good cause," as used in the statute, is reviewed
    de novo.   In re Adoption of L.R.B., 
    278 Ill. App. 3d 1091
    , 1093,
    
    664 N.E.2d 347
    , 348 (1996).
    D. Respondents Showed Good Cause to
    Grant Their Petition for Wardship
    Section 2-4(1)(d) of the Act defines a "dependent
    minor" as a minor "who has a parent *** who with good cause
    wishes to be relieved of all residual parental rights and respon-
    sibilities *** and who desires the appointment of a guardian of
    the person with power to consent to the adoption of the minor."
    (Emphasis added.)    705 ILCS 405/2-4(1)(d) (West 2006).   The Act
    does not define "good cause."
    The trial court's decision relied on the 1993 Second
    District opinion in In re J.M., 
    245 Ill. App. 3d 909
    , 
    613 N.E.2d 1346
    (1993).   In J.M., the Second District addressed whether good
    cause was shown under section 2-4(1)(d) of the statute where the
    parents sought to be relieved of their parental rights as to J.M.
    - 44 -
    and have him adjudicated a dependent minor.
    In J.M., the parents had one natural child of their own
    and one adopted child, J.M.    J.M. was adopted when he was nine
    years old.    Catholic Charities, which facilitated the adoption,
    informed the parents that J.M.'s mother had been neglectful and
    that he had been abused by his mother's paramours.    The parents
    realized some slight behavior problems with J.M. initially, but
    believed they would go away once he acclimated to their family.
    Before the adoption was finalized, the parents took a seminar on
    adopting special-needs children, including children with
    attention-deficit disorder.
    At the suggestion of a social worker, the parents took
    J.M. off his medication and discontinued his counseling.    The
    parents also arranged for J.M. to be enrolled in special-educa-
    tion classes.    J.M. was evaluated by a committee at his new
    school.   The examination concluded that J.M. was well-below grade
    level and that he had attention-deficit disorder and social-
    behavioral difficulties.    The committee suggested J.M. see a
    neurologist.    The parents complied, and later J.M. was trans-
    ferred to a school with special-education classes more suited to
    J.M.'s needs.    The parents spent a lot of time with J.M. teaching
    him how to bathe himself, groom himself, tell time, tie his
    shoes, and ride a bicycle.    J.M.'s adoptive mother also spent
    several hours a day helping J.M. with his math, reading, and
    homework.    J.M. showed improvement in school after the adoption.
    The next year, J.M. went to another new school and
    - 45 -
    began to have problems being "aggressive."   Also that year,
    during a family vacation, J.M. refused to go the bathroom and
    instead urinated all over himself in the van.   This was the first
    in a pattern of incidents where J.M. urinated and defecated on
    himself.   At this time, J.M. began to show less interest in
    talking to his adoptive mother than his adoptive father and
    brother.   J.M. had another psychiatric evaluation, which con-
    cluded that he was emotionally disturbed but that he was neither
    neurologically or genetically disturbed.   The evaluation also
    stated J.M. had problems forming attachments to other people.
    The recommendation was that he be placed in an institutional
    setting until he was able to support himself.
    The State's Attorney filed a petition for wardship of
    J.M., alleging he was neglected because his parents were not
    providing for his education and medical care or that they were
    not providing him food, clothing, or shelter as necessary for his
    well-being.   The parents then filed a counterpetition asking the
    court to relieve them of all residual parental rights to J.M. for
    "good cause" under section 2-4(1)(d) of the Act (Ill. Rev. Stat.
    1991, ch. 37, par. 802-4(1)(d)).
    In J.M., the court acknowledged that the issue of what
    constituted "good cause" under the Act was a matter of first
    impression.   
    J.M., 245 Ill. App. 3d at 922
    , 613 N.E.2d at 1356.
    In J.M., the court held that considering one purpose of the Act
    is "'to preserve and strengthen the minor's family ties whenever
    possible'" 
    (J.M., 254 Ill. App. 3d at 923
    , 613 N.E.2d at 1356,
    - 46 -
    quoting Ill. Rev. Stat. 1991, ch. 37, par. 801-2(1)), "good
    cause" in the context of relinquishing parental rights should
    include an expression by the parents of a "good-faith effort."
    J.M., 245 Ill. App. 3d at 
    923, 613 N.E.2d at 1356
    .      The court in
    J.M. set forth a fact-specific finding that the parents' conduct
    in J.M. did not constitute "good cause" under the statute.     The
    court found that the parents acted in good faith while J.M. was
    in their home, but that they also demonstrated a change in
    "attitude" when they took the advice to place J.M. in an institu-
    tion in hopes of being relieved of parental rights.      J.M., 245
    Ill. App. 3d at 
    923, 613 N.E.2d at 1356
    .   The court found that
    the parents' conduct did not "give the appearance of good faith"
    and that this "undermines their claim" they were acting in J.M.'s
    best interests.
    The trial court's decision in J.M. holds that an
    expression of good faith by the parents is a component of good
    cause; however, the court did not set forth a general definition
    of good cause as it is used in this specific section of the
    statute.   This court is now called upon, as in J.M., to determine
    whether respondents met their burden under the statute of demon-
    strating "good cause."
    "'Good cause' is a matter which our courts
    are routinely called upon to assess in a wide
    variety of contexts.   See, e.g., 705 ILCS
    405/2-4 (West 1992); 735 ILCS 5/15-1701
    (b)(1), (b)(2) (West 1992); 755 ILCS
    - 47 -
    5/28-4(a)(1) (West 1992); 820 ILCS 405/601(A)
    (West 1992); 134 Ill. 2d Rules 104(c),
    105(a), 183, 201(d), 224(b), 306(e), 306(f),
    311, 343(c), 374(a), 609(b), 609(c), 776(c);
    145 Ill. 2d Rules 222(c), 713(h)."   Fields
    Jeep-Eagle, Inc. v. Chrysler Corp., 
    163 Ill. 2d
    462, 482, 
    645 N.E.2d 946
    , 955 (1994).
    While "good cause" has been addressed in other contexts, J.M. is
    the only Illinois case our research revealed that dealt with
    "good cause" in the context of section 2-4(1)(d), which provides
    for parents to relinquish their parental rights under the Act
    (705 ILCS 405/2-4(1)(d) (West 2006)).
    In other contexts under the Adoption Act, courts have
    held differing views on the meaning of "good cause."     In re
    Custody of Townsend, 
    86 Ill. 2d 502
    , 515, 
    427 N.E.2d 1231
    , 1238
    (1981) (in the context of a third-party challenge to an adoption
    proceeding, the court held that the term "good cause" meant a
    reason to overcome the presumption that the natural parent had
    the first and superior right to the custody of his child); In re
    Roger B., 
    85 Ill. App. 3d 1064
    , 1069, 
    407 N.E.2d 884
    , 889 (1980)
    (in the context of determining whether to allow adoption records
    to be unsealed, the court held "good cause" required an analysis
    of several factors, including the need for the genealogical
    information, the nature of the petitioner's request, the age and
    maturity of the adoptee, the proposed use of the information, any
    countervailing considerations, and "serious" consideration of all
    - 48 -
    the parties involved).
    In the case sub judice, the State argues that respon-
    dents worked hard to keep their relationship with Z.L. intact.
    The trial court's comments while rendering its decision also
    recognize respondents' "considerable efforts."    The evidence of
    respondents' continual efforts to seek therapy and participate in
    Z.L.'s treatment demonstrate respondents were not merely trying
    to renege on their adoption commitments to Z.L. or the State.
    Rather, the testimony and evidence show that Jeff and Emily did
    everything they reasonably could in terms of therapy and imple-
    menting treatment tasks.   Moreover, respondents have been told by
    the therapists involved in Z.L.'s case that he is unlikely to
    improve at all if he remains in their home.
    Respondents' testimonies reveal their concern in this
    case is not only for Z.L., but also for their other children
    living in the home.   Parents have a fundamental right to make
    decisions regarding the care, custody, and control of their
    child.    Wickham v. Byrne, 
    199 Ill. 2d 309
    , 316, 
    769 N.E.2d 1
    , 4
    (2002).    If the State interferes with this right, it must comply
    with the principles of due process.     
    Wickham, 199 Ill. 2d at 316
    ,
    769 N.E.2d at 5.   The Act states that parents' rights "shall not
    prevail when the [trial] court determines that it is contrary to
    the health, safety, and best interests of the child."    705 ILCS
    405/1-2(3)(c) (West 2006).   However, given the existence of other
    children in the home for whom respondents are also responsible,
    consideration of the effect Z.L.'s presence has on the other
    - 49 -
    children's health and safety may be considered as additional
    evidence of "good cause."
    The State argues this evidence proves that although the
    Act aims to "strengthen family ties whenever possible," there are
    no ties to strengthen in this case.    We agree.   In the present
    case, unlike J.M., expert testimony revealed Z.L. had no bond
    with respondents and creating or restoring a bond between Z.L.
    and respondents was highly unlikely.    Cashen particularly opined
    Z.L.'s best chance for success in life would be in another
    setting in which he was the only child.    Cashen also opined that
    Z.L. would only get worse if he remained with respondents.
    Higgins also concluded that Z.L. had no bond with respondents.
    Respondents exhausted their possibilities and the
    expert testimony supports the conclusion that Z.L.'s behavior is
    unlikely to improve.   As discussed earlier, respondents' willing-
    ness and cooperation in seeking out and implementing treatment
    show a good-faith effort to sustain a relationship with Z.L.     A
    good-faith effort does not require respondents seek more treat-
    ment.   During the hearing held September 22, 2006, Higgins
    testified that only 20% to 25% of children with RAD respond to
    treatment, and respondents had tried several forms of therapy.
    Higgins stated that the only therapy option left would require
    Emily, respondent mother, to be completely removed from the lives
    of her other children, some who were younger than two.     Further,
    Higgins's and Cashen's testimonies indicate no significant
    studies have shown this type of radical therapy to be more
    - 50 -
    successful than the therapy approaches respondents had been
    trying over the past five years.
    Respondents had Z.L. in their home for 5 1/2 years.
    During that time, they visited numerous doctors and other health
    professionals and implemented various treatment techniques.      None
    of the treatments worked.   Respondents are left with few options,
    and the experts' opinion stated that Z.L. has no bond with them
    at this point and is highly unlikely to ever improve while in
    their care and in their home.
    Moreover, the trial court's comments indicate that it
    recognized that granting the petition would be in the best
    interests of Z.L.   However, because the court did not find
    respondents had shown "good cause," the court concluded that it
    could not reach the consideration of Z.L.'s best interests.
    Z.L.'s situation is devastating to all involved.    Over
    the course of time, Z.L. has not improved; respondents have tried
    nearly everything, and they are now at a point where the progno-
    sis is grim.   While removing Z.L. from respondents' home seems to
    validate his beliefs that he can trust no one, the evidence
    reveals that Z.L.'s condition is likely to deteriorate and worsen
    if he stays in respondents' home.    Emily feared the violence
    would escalate and someone in their home may potentially cause
    one of their family members serious harm.
    This is certainly an untenable situation.    Respondents
    have exhausted their possibilities, and the experts' testimonies
    fully support the conclusion that very little hope exists for the
    - 51 -
    situation to ever improve.   Respondents consistently sought
    treatment and therapy until finally realizing that Z.L.'s best
    hope for recovery is not in their home.    Respondents' continual
    good-faith efforts to seek and implement therapy for Z.L., even
    though such efforts proved unsuccessful, is sufficient to satisfy
    the statute's requirement that respondents' show "good cause."
    III. CONCLUSION
    Therefore, based on the foregoing reasons, we reverse
    the trial court's decision and remand this case with directions
    to enter an order adjudicating Z.L. a dependent minor.
    Reversed; cause remanded with directions.
    McCULLOUGH and TURNER, JJ., concur.
    - 52 -