In the Matter of: Q.J., Jr., Q.J., Bre.J., Ba.J., Bri.J., and Bro.J., Children in Need of Services, Q.J., Sr. (Father) v. Indiana Department of Child Services , 92 N.E.3d 1092 ( 2018 )


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  •                                                                               FILED
    Jan 17 2018, 7:49 am
    CLERK
    Indiana Supreme Court
    Court of Appeals
    and Tax Court
    ATTORNEY FOR APPELLANT                                     ATTORNEYS FOR APPELLEE
    Trenna S. Parker                                           Curtis T. Hill, Jr.
    Trenna S. Parker Law Office, P.C.                          Attorney General of Indiana
    Noblesville, Indiana
    David E. Corey
    Deputy Attorney General
    Indianapolis, Indiana
    IN THE
    COURT OF APPEALS OF INDIANA
    In the Matter of: Q.J., Jr., Q.J.,                         January 17, 2018
    Bre.J., Ba.J., Bri.J., and Bro.J.,                         Court of Appeals Case No.
    Children in Need of Services,                              29A04-1706-JC-1482
    Q.J., Sr. (Father),                                        Appeal from the Hamilton
    Superior Court
    Appellant-Respondent,
    The Honorable Todd L. Ruetz,
    v.                                                 Magistrate
    The Honorable Steven R. Nation,
    Indiana Department of Child                                Judge
    Services,                                                  Trial Court Cause Nos.
    29D01-1608-JC-1036
    Appellee-Petitioner.
    29D01-1608-JC-1037
    29D01-1608-JC-1039
    29D01-1608-JC-1040
    29D01-1608-JC-1041
    29D01-1608-JC-1042
    Najam, Judge.
    Court of Appeals of Indiana | Opinion 29A04-1706-JC-1482 | January 17, 2018                       Page 1 of 25
    Statement of the Case
    [1]   Q.J., Sr. (“Father”) appeals the trial court’s adjudication of his six minor
    children as children in need of services (“CHINS”).1 The Children are: Q.J.,
    Jr., born September 11, 2001; Q.J., born December 28, 2002; Bre.J., born May
    19, 2005; Ba.J., born December 31, 2008; Bri.J., born June 25, 2011; and
    Bro.J., born May 17, 2013, (“the Children”).2 Father raises four issues for our
    review, which we restate as the following three issues:
    1.       Whether the trial court abused its discretion when it
    allowed Dr. Demetris to testify as to statements Q.J., Jr.
    had made to her during her examination of him.
    2.       Whether there was sufficient evidence to support the trial
    court’s adjudication of the Children as CHINS.
    3.       Whether Father was denied the effective assistance of
    counsel.
    [2]   We affirm.
    Facts and Procedural History
    [3]   On August 24, 2016, Q.J., Jr., who was fourteen years old, ran away from
    home. Father and B.J. (“Mother”) filed a report with the Carmel Police
    Department. Officer Blake Lytle responded to the call and first observed Q.J.,
    1
    The Children’s mother does not participate in this appeal.
    2
    Q.J., Jr. and Q.J. are both males and will be referred to collectively as “the Boys.” Bre.J., Ba.J., Bri.J., and
    Bro.J. are females and will be referred to collectively as “the Girls.”
    Court of Appeals of Indiana | Opinion 29A04-1706-JC-1482 | January 17, 2018                          Page 2 of 25
    Jr. that night wearing a black shirt and blue boxers. When Q.J., Jr. saw Officer
    Lytle, he ran. Q.J., Jr. eluded officers until the next morning. On August 25,
    officers located Q.J., Jr. and discovered that he had slept under a box in the
    woods. Q.J., Jr. had two stolen backpacks with him that were filled with stolen
    food. Officer Lytle was present when officers located Q.J., Jr. Officer Lytle
    observed Q.J., Jr. limping, so he arranged for a medic to examine him. Officer
    Lytle thought that Q.J., Jr. appeared skinny and he was concerned that Q.J., Jr.
    was being abused, so he notified his supervisor in order to have a detective
    interview Q.J., Jr. While the medics examined him, Q.J., Jr. told Officer Lytle
    that “things were going on at home.” Tr. Vol. III at 35.
    [4]   Master Patrolman David Vanderbeck was also on the scene when officers
    located Q.J., Jr. Officer Vanderbeck was shocked by Q.J., Jr.’s appearance. He
    observed that Q.J., Jr. was “just like skin and bones. He was really small.” 
    Id. at 18.
    Officer Vanderbeck was concerned about Q.J., Jr.’s health and well-
    being, so he also called the fire department to have the medics examine him.
    When Officer Vanderbeck asked Q.J., Jr. why he ran away, Q.J., Jr. got “all
    teary-eyed and stuff” and said he “was too scared to tell [Officer Vanderbeck]
    because his mom and dad would find out what he told [Officer Vanderbeck].”
    
    Id. at 19.
    Officer Vanderbeck suggested to Sergeant Brady Myers that their
    investigation division be notified about the situation. Sergeant Myers contacted
    Detective Nancy Zellers. Officer Vanderbeck then transported Q.J., Jr. to the
    police station.
    Court of Appeals of Indiana | Opinion 29A04-1706-JC-1482 | January 17, 2018   Page 3 of 25
    [5]   After Q.J., Jr. arrived at the police station, Detective Zellers conducted a
    forensic interview of him. During the interview, Q.J., Jr. described abuse he
    and his siblings endured at home. He said that there were cameras set up in the
    home to monitor their behavior and that they were denied ready access to food,
    which was kept in the master bedroom closet. Q.J., Jr. also said that he was
    being abused and that “food was being withheld and that he was being beaten.”
    Tr. Vol. II at 243. Detective Zellers stated that Q.J., Jr. “did not have the
    appearance of being a well-nourished child.” 
    Id. [6] At
    the police station, Detective Zellers spoke with Mother. Mother told
    Detective Zellers that “she was frustrated, that . . . [Q.J., Jr.] was ruining their
    lives.” 
    Id. at 225.
    She further said that Q.J., Jr. “was evil, he was a liar, he was
    a kleptomaniac because he stole food from their pantry, he stole food from
    dumpsters and ate it.” 
    Id. Based on
    Mother’s description of the events,
    Detective Zellers became concerned that Q.J., Jr. was being neglected and
    abused. Detective Zellers determined that Q.J., Jr. should be taken to the
    hospital because “he did not look well. He appeared emaciated and just did not
    look well, sunken eyes.” 
    Id. at 224-25.
    [7]   Detective Zellers obtained a search warrant for Mother and Father’s home to
    corroborate Q.J., Jr.’s statements. Detective Zellers executed the search
    warrant on the evening of August 25 and found cameras in the home, but there
    were no stored images. Another officer determined that there was food in the
    master closet.
    Court of Appeals of Indiana | Opinion 29A04-1706-JC-1482 | January 17, 2018   Page 4 of 25
    [8]   Peyton Lill, a Family Case Manager (“FCM”) with the Indiana Department of
    Child Services (“DCS”), was assigned to investigate the safety and well-being of
    the Children after she received a report that Q.J., Jr. had run away and that
    there was physical abuse. Lill went to the police station and interviewed Q.J.,
    Jr. On August 27 at approximately 3:00 P.M., Lill was able to speak with all of
    the Children except Q.J., Jr. All five of them said they had not yet eaten on
    that day.
    [9]   After Zellers and Lill interviewed Q.J., Jr., he was transported to the hospital
    and admitted. On August 26, Doctor Cortney Demetris evaluated him. Dr.
    Demetris was concerned about Q.J., Jr.’s “weight and malnutrition as well as
    some injuries and some lab abnormalities.” 
    Id. at 96.
    Dr. Demetris’ initial
    concern was that Q.J., Jr. was malnourished because “he was so underweight
    and he was so small for his age and he had laboratory findings that were
    consistent with malnourishment.” 
    Id. at 99.
    When he was admitted to the
    hospital, Q.J., Jr. weighed approximately seventy-two pounds. Dr. Demetris
    reviewed the results of laboratory work that had been done on Q.J., Jr. Dr.
    Demetris found that Q.J., Jr. had “an elevated CPK[,] which is an enzyme that
    is released from the muscle if there’s time when the muscle is damaged or
    stressed. He also had a very low prealbumin[,] which is a marker for nutritional
    status, specifically as it relates to proteins and protein malnutrition.” 
    Id. at 107.
    In addition to her concerns about malnourishment, Dr. Demetris also observed
    an abrasion on Q.J., Jr.’s chin; some tenderness and swelling on his ankle; and
    Court of Appeals of Indiana | Opinion 29A04-1706-JC-1482 | January 17, 2018   Page 5 of 25
    some bruising over his lower back, the top of his buttocks, on one of his hips,
    and on his chest.
    [10]   On August 26, and on two other occasions, Dr. Demetris spoke with Mother
    about Q.J., Jr. Mother stated that Q.J., Jr. would eat fruit for breakfast, a
    Lunchable or leftovers with some chips for lunch, and a homecooked meal or
    dinner out with the family for dinner. Mother further stated that Q.J., Jr.
    would frequently steal and exhibit other difficult behaviors and that she “was
    going to provide him with the kind of basic three meals a day and he would not
    be allowed to have any extra as a result of negative consequences for these
    behaviors that he was exhibiting.” 
    Id. at 119.
    Mother told Dr. Demetris that
    Q.J., Jr. would steal food and eat food out of trash cans. She said that he
    would also steal nonfood items like protein powder from Mother’s purse. Dr.
    Demetris asked Mother if, based on his degree of malnutrition, Mother felt he
    was stealing food because he was starving. Mother said she “felt that [Q.J., Jr.]
    was getting enough food each day[.]” 
    Id. at 121.
    Mother said she was not
    going to give him any extras beyond three meals a day, which Mother said is
    “the minimum she was required to provide him as his parent[.]” 
    Id. at 122.
    Mother also told Dr. Demetris that the Children can have extra food if they
    speak up about their siblings’ misbehaviors. Dr. Demetris was concerned about
    Q.J., Jr.’s siblings “based on the history that was provided to me by [Q.J., Jr.]
    and his mother.” 
    Id. at 128.
    Dr. Demetris recommended that the other
    children be evaluated to determine if they were malnourished or if they had any
    injuries consistent with physical abuse.
    Court of Appeals of Indiana | Opinion 29A04-1706-JC-1482 | January 17, 2018   Page 6 of 25
    [11]   A few days later, Dr. Demetris examined Q.J., Jr.’s brother, Q.J., who was
    thirteen years old. When Dr. Demetris examined Q.J., he had already been
    admitted to the hospital because of malnutrition. Dr. Demetris was concerned
    about Q.J.’s weight. She was also able to observe bruising on the lower part of
    his back and scratches around his ankles or lower extremities. Dr. Demetris
    examined Q.J. and ran tests, but she was not able to speak with Q.J.’s parents
    because they were unavailable. Q.J. provided Dr. Demetris with very little
    history. However, based on Q.J., Jr.’s history and the statements Mother made
    to Dr. Demetris at the time Dr. Demetris examined Q.J., Jr., Dr. Demetris was
    concerned about Q.J. Q.J. did not specifically talk to Dr. Demetris about
    exercise, but Q.J. told the admitting team that his exercise involved “several
    hundred repetitions of certain exercise movements and lasting several hours.”
    
    Id. at 139.
    Dr. Demetris ran diagnostic tests on Q.J. Q.J.’s prealbumin levels
    were on “the low end of normal, being 18 in our lab, 18 being the low end of
    normal, 17 being considered abnormal, and his was 18.” 
    Id. He also
    had
    elevated liver function tests and low Vitamin D levels. Based on the tests, Dr.
    Demetris diagnosed Q.J. with moderate to severe malnutrition with no
    underlying medical condition that could explain it. Dr. Demetris was also
    concerned about the bruises she found on Q.J. based on the history provided by
    Q.J., Jr. Q.J. was discharged from the hospital after a few days. On September
    14, Q.J., Jr. was discharged from the hospital after Dr. Demetris saw significant
    improvement in his weight. On that date, he weighed eighty-seven pounds and
    twelve ounces.
    Court of Appeals of Indiana | Opinion 29A04-1706-JC-1482 | January 17, 2018   Page 7 of 25
    [12]   In the meantime, on August 30, 2016, DCS filed CHINS petitions for each of
    the Children. On that same day, the trial court held a detention hearing. After
    the hearing, the trial court found that Q.J., Jr. should continue to remain
    outside of Mother and Father’s home, and the trial court ordered the removal of
    the five other children. Also on August 30, the State charged both Mother and
    Father with two counts of neglect of a dependent, as Level 6 felonies, based on
    the Boys’ malnutrition. The State later added a third charge against Mother
    and Father for neglect of a dependent resulting in bodily injury, as a Level 5
    felony, due to Q.J., Jr.’s severe malnutrition.
    [13]   On November 17, Dr. Sarah Szerlong conducted a clinical interview and
    assessment of Bre.J. and Ba.J. After the assessments, Dr. Szerlong completed a
    report for each of the girls. In her report for Bre.J., Dr. Szerlong wrote that
    Bre.J. had reported that “her parents would make her brothers, [Q.J., Jr. and
    Q.J.,] work ‘really hard and do chores until 4 in the morning.’” Ex. at 108.
    She had further stated that “her parents would sometimes make her brother run
    around outside and would smack him up on the head.” 
    Id. Further, Bre.J.
    reported that her father “becomes angry easily and has a history of smacking
    her brother.” 
    Id. Bre.J. had
    also reported “witnessing her father hit her
    brothers and engage in corporal punishment, and witnessing verbal arguments
    between her parents.” 
    Id. at 113.
    In her report for Ba.J., Dr. Szerlong reported
    that Ba.J. had “shared that her parents have a history of domestic disputes, one
    where her mother reportedly held a knife and scissors up to her father’s neck.
    She acknowledged feeling fearful when witnessing this and other domestic
    Court of Appeals of Indiana | Opinion 29A04-1706-JC-1482 | January 17, 2018   Page 8 of 25
    violence between her parents.” 
    Id. at 118.
    Ba.J. had also reported that Father
    “has ‘whooped’ her on several occasions.” 
    Id. Ba.J. had
    “reported incidents of
    domestic violence between her parents occurred multiple times.” 
    Id. at 119.
    Ba.J. had also “stated she has seen her mother attempt to kill her brother, [Q.J.,
    Jr.].” 
    Id. at 122.
    Dr. Szerlong’s report indicated that “[Ba.J.] is struggling with
    a variety of depression, anxiety, and trauma[-]related symptoms.” 
    Id. at 125.
    [14]   In January 2017, Mother requested an independent medical examination of
    Q.J., Jr. and Q.J. Dr. Amanda Beach examined Q.J. on January 23, and she
    examined Q.J., Jr. on January 25. For her appointment with Q.J., Jr., Dr.
    Beach did a complete physical examination and reviewed the discharge notes
    from the hospital. By the time Dr. Beach examined Q.J., Jr. in January, he had
    gained thirty-one pounds and had grown two inches since he was discharged
    from the hospital. When Dr. Beach examined Q.J. in January, he had gained
    six pounds since he was discharged from the hospital.
    [15]   On March 3 and March 7, 2017, the trial court held a fact-finding hearing on
    the CHINS petitions. As a preliminary matter, DCS moved to admit the
    clinical interview assessments for Bre.J. and Ba.J. Both Mother and Father
    stated that they did not object, and the trial court admitted the assessments as
    evidence. During the hearing, DCS presented as evidence the testimony of
    Officer Lytle; Officer Vanderbeck; Detective Zellers; Dr. Demetris; Dr. Beach;
    Emily Sabau, Q.J., Jr.’s therapist; Lill; FCM Amanda O’Connell; Bertha Push,
    the therapist for Bre.J. and Ba.J,; and Robin Allen, the therapist for Bri.J. and
    Bro.J.
    Court of Appeals of Indiana | Opinion 29A04-1706-JC-1482 | January 17, 2018   Page 9 of 25
    [16]   Dr. Demetris testified during the hearing about her examination and diagnosis
    of Q.J., Jr. The attorney for DCS asked Dr. Demetris what Q.J., Jr. said was
    the cause for his malnourishment. Father objected on hearsay grounds, but the
    trial court overruled his objection. Dr. Demetris testified that she did not
    specifically ask Q.J., Jr. what had caused his malnourishment but, instead,
    asked questions about what he ate and what he was offered, but “he gave a
    history of a fairly limited amount of food availab[le] to him.” Tr. Vol. II at 97.
    Dr. Demetris further testified that Q.J., Jr. “advised that he was restricted from
    having access to food as a form of punishment” and “that he would be
    restricted from having lunch, for example, if he was in trouble on that day.” 
    Id. Dr. Demetris
    further testified that Mother gave a history about the amount of
    food that Q.J., Jr. was provided that was very similar to the history Q.J., Jr.
    gave.
    [17]   Dr. Demetris testified that, at almost fifteen years old, Q.J., Jr. weighed
    approximately seventy-two pounds. She testified that the “average weight for a
    child of that age is closer to approximately, maybe 130 to 140 pounds.” 
    Id. at 108.
    She also testified that, based on the history Q.J., Jr. gave her regarding his
    food intake, she concluded that he was eating “less than 50 percent of what was
    calculated as would be what he would need for his calories for growth.” 
    Id. at 113-14.
    She further testified that she “was not able to find any underlying
    medical condition that would explain his malnourishment.” 
    Id. at 114.
    Dr.
    Demetris testified that “it would take weeks to months for [Q.J., Jr.] to have
    that degree of malnourishment.” 
    Id. at 115.
    She further stated that “he would
    Court of Appeals of Indiana | Opinion 29A04-1706-JC-1482 | January 17, 2018   Page 10 of 25
    be at risk for significant negative health complications, including death, if he
    continued to have that degree of malnutrition in the comings weeks to months.”
    
    Id. Dr. Demetris
    testified that Mother did not believe Q.J., Jr. was
    malnourished, even after Dr. Demetris spoke with her “at some length, making
    an attempt to help her understand why it was my medical diagnosis that he had
    severe malnutrition[.]” 
    Id. at 125.
    [18]   Dr. Demetris testified regarding her examination and diagnosis of Q.J. She
    testified that when Q.J. was admitted to the hospital, he was significantly below
    the growth chart for his weight and he was in the 50th percentile for height.
    She testified that Q.J.’s level of malnutrition “would have taken at least weeks
    to months.” 
    Id. at 140.
    She further testified that had “he continued to have that
    degree of malnutrition he was at risk for medical complications, including
    death[,] in the weeks to months in the future.” 
    Id. She also
    testified that the
    malnutrition and the bruises to the back “would not normally be present
    without an act or omission by the parents.” 
    Id. at 141.
    However, she testified
    that she could not say for certain that the bruises and scrapes were caused by
    Mother or Father. Q.J. weighed sixty-two pounds on August 30, 2016. On
    January 23, 2017, he weighed sixty-eight pounds and 6.4 ounces.
    [19]   DCS also presented the testimony of Lill, a FCM. Lill testified that Mother had
    stated that Q.J., Jr. had ruined their lives. Lill further testified that Mother had
    “stated they use exercise as a discipline method. They take away snacks. And
    at the time they were taking away his clothes. They thought that it was a good
    punishment so that he wouldn’t run away. He was only allowed to wear his
    Court of Appeals of Indiana | Opinion 29A04-1706-JC-1482 | January 17, 2018   Page 11 of 25
    underwear.” Tr. Vol. III at 61. Lill testified that she did not recommend
    returning the Children to the care of Mother and Father “[b]ased on everything
    that [Q.J., Jr.] was telling me, how severely malnourished [Q.J.] and [Q.J., Jr.]
    were, the physical abuse, and the marks and bruises on both children, the
    behaviors of the other children, and specifically the children, what they had to
    say about [Q.J., Jr.], they all called him evil and they hated him, etcetera.” 
    Id. at 86.
    In regards to the Girls, Lill testified as to what made her decide that they
    should not go back to their parents. She stated:
    So we’ll start with [Bri.J.]. She called . . . [Q.J., Jr.] evil multiple
    times in [her forensic interview]. She stated, and she’s five. And
    she stated that the eating situation and that [Q.J., Jr.] wasn’t
    allowed to eat with them and [Q.J., Jr.] actually had to eat
    upstairs so that he wouldn’t steal their food. And that shocked
    me because it was a five-year-old. [Bre.J.] said the same thing.
    She mentioned all the discipline that the parents made [Q.J., Jr.]
    do and her and [Q.J.]. She also talked about the food restrictions
    and them stealing food. And [Ba.J.], she mentioned how awful
    [Q.J., Jr.] was and the discipline and stuff like that so.
    
    Id. at 89-90.
    [20]   Amanda O’Connell also testified. She was the FCM who was assigned to the
    case at the end of December 2016. O’Connell testified that she had
    recommended services, including home-based therapy for both parents,
    psychological evaluation for both parents, and Father Engagement for Father.
    However, those referrals were discharged due to noncompliance. She testified
    that she was not able to recommend that the Children return to the care of their
    Court of Appeals of Indiana | Opinion 29A04-1706-JC-1482 | January 17, 2018   Page 12 of 25
    parents out of concerns for their safety. She testified that “for the safety of the
    children the parents will need to engage in services. The children need to
    continue with their therapy to address their trauma.” 
    Id. at 120.
    [21]   Bertha Rush is a home-based therapist who has worked with Bre.J. and Ba.J.,
    who are eleven and eight years old, since the end of October 2016. She also
    testified at the fact-finding hearing. She testified that she works with Bre.J. and
    Ba.J. to address “some trauma that’s been reported to me by the girls.” 
    Id. at 127.
    Rush testified that she would not recommend that Bre.J. and Ba.J. return
    to the care of their parents because “they still have quite a bit to work through.
    It’s also been told to me by one of the girls that they’re not ready to go home
    yet.” 
    Id. at 129.
    [22]   Finally, DCS presented the testimony of Robin Allen. Allen is a home-based
    therapist who has worked with Bri.J., and Bro.J., who are five and three years
    old, since early November 2016. Allen testified that she would not recommend
    that Bri. J. and Bro.J. return to the care of their parents at this time. She further
    testified that Bro.J. “talk[s] about being afraid of visits and going home, things
    like that.” 
    Id. at 143.
    [23]   Father presented the testimony of William Ellery. Ellery coaches Little League
    baseball for Carmel Dad’s Club, and Q.J. was on his team in the spring of 2015.
    Ellery testified that “the relationship with [Q.J.] and his dad was just, it was
    always good.” 
    Id. at 46.
    He further testified that the relationship between Q.J.
    and Father was always positive and that there was a lot of interaction between
    Court of Appeals of Indiana | Opinion 29A04-1706-JC-1482 | January 17, 2018   Page 13 of 25
    Father, Q.J., and Q.J., Jr. that Ellery said was “a really nice family situation to
    see.” 
    Id. at 47.
    Neither Mother nor Father testified. On March 28, 2017, the
    trial court entered its orders, which contained findings and conclusions and
    which adjudicated the Children to be CHINS. This appeal ensued.
    Discussion and Decision
    Issue One: Testimony of Dr. Demetris
    [24]   Father first contends that the trial court abused its discretion when it allowed
    Dr. Demetris to testify about the statements Q.J., Jr. made to her regarding the
    source of his bruises and malnutrition because the statements were hearsay. A
    trial court’s decision regarding the admission of evidence is squarely within that
    court’s discretion, and we afford it great deference on appeal. VanPatten v. State,
    
    986 N.E.2d 255
    , 260 (Ind. 2013). We will not reverse such a decision unless it
    is clearly contrary to the logic and effect of the facts and circumstances of the
    case or misinterprets the law. 
    Id. A hearsay
    statement is one that is not made
    by the declarant while testifying at the trial or hearing and that is offered to
    prove the truth of the matter asserted. Ind. Evidence Rule 801(c). Hearsay
    statements are generally not admissible unless they fall within an exception
    outlined in the Indiana Rules of Evidence. Evid. R. 802.
    [25]   Indiana Evidence Rule 803(4) permits statements made for the purpose of
    medical diagnosis or treatment to be admitted into evidence. The rule requires
    that the “statements must be ‘made by persons who are seeking medical
    diagnosis or treatment and describing medical history, or past or present
    Court of Appeals of Indiana | Opinion 29A04-1706-JC-1482 | January 17, 2018   Page 14 of 25
    symptoms, pain, sensations, or the inception or general character of the cause
    or external source thereof insofar as reasonably pertinent to diagnosis or
    treatment.’” 
    VanPatten, 986 N.E.2d at 260
    (quoting Evid. R. 803(4)). The
    “exception is grounded in a belief that the declarant’s self-interest in obtaining
    proper medical treatment makes such a statement reliable enough for admission
    at trial[.]” 
    Id. This belief
    of reliability, though, necessitates a two-step analysis
    for admission under Rule 803(4): First, “is the declarant
    motivated to provide truthful information in order to promote
    diagnosis and treatment,” and second, “is the content of the
    statement such that an expert in the field would reasonably rely
    on it in rendering diagnosis or treatment.”
    
    Id. (quoting McClain
    v. State, 
    675 N.E.2d 329
    , 331 (Ind. 1996)).
    [26]   Father specifically contends that Q.J., Jr.’s statements to Dr. Demetris were
    hearsay because “the record is devoid of testimony to establish that Q.J.[,] Jr.
    knew that he was talking to a professional for the purposes of making a
    diagnosis” and because “it is not readily apparent that Q.J.[,] Jr. was motivated
    to tell the truth.” Appellant’s Br. at 14. To support his contention, Father relies
    on Bartrum v. Grant County Office of Family and Children (In re W.B.), 
    772 N.E.2d 522
    (Ind. Ct. App. 2002). In that case, the trial court admitted statements that
    children had made to their therapists under Indiana Evidence Rule 803(4). On
    appeal, this Court concluded that the statements made by the children met the
    second prong of the test found in McClain, but we held that the record was
    “devoid of any evidence . . . that the children, in making these statements, were
    Court of Appeals of Indiana | Opinion 29A04-1706-JC-1482 | January 17, 2018   Page 15 of 25
    ‘motivated to provide truthful information in order to promote diagnosis and
    treatment.’” 
    Id. at 533
    (quoting 
    McClain, 675 N.E.2d at 331
    ). In particular, we
    observed that the testimony of the children’s therapist “clearly portrayed the
    young children as mentally and emotionally incompetent, and no doubt totally
    unaware of [the doctor’s] professional purpose.” 
    Id. Further, we
    stated:
    “Where that inference is not obvious, as in this case involving a young child
    brought to treatment by someone else, there must be evidence that the declarant
    understood the professional’s role in order to trigger the motivation to provide
    truthful information.” 
    Id. (quoting McClain
    , 675 N.E.2d at 331) (emphasis
    added). Thus, we held that the doctor’s testimony did not meet the first prong
    of the test.
    [27]   In the present case, Father asserts that, like in In re W.B., the “record is devoid
    of testimony to establish that Q.J.[,] Jr. knew that he was talking to a
    professional for the purposes of making a diagnosis or treatment.” Appellant’s
    Br. at 14. But in In re W.B., the children who made the statements to the
    therapist were young. The oldest child in that case was five years old when the
    children were determined to be CHINS. Further, the record contained evidence
    that the children were mentally incompetent. Because the children were young
    and otherwise mentally incompetent, we held that the inference that they were
    motivated to provide truthful information in order to promote diagnosis and
    treatment was not obvious. 
    Id. [28] In
    contrast, here, Q.J., Jr. was not a young child. Q.J., Jr. made his statements
    to Dr. Demetris while he was in the hospital on August 25, 2016, which was
    Court of Appeals of Indiana | Opinion 29A04-1706-JC-1482 | January 17, 2018   Page 16 of 25
    approximately three weeks prior to his fifteenth birthday. Based on Q.J., Jr.’s
    age and the fact that he made the statements to a doctor while in a hospital, the
    inference that he knew he was talking to a medical professional and that he was
    motivated to provide truthful information is obvious. Therefore, Dr. Demetris’
    testimony about Q.J., Jr.’s statements fell within the hearsay exception under
    Evidence Rule 803(4), and the trial court did not abuse its discretion when it
    admitted those statements.
    Issue Two: Sufficiency of the Evidence
    [29]   Father next contends that there was insufficient evidence to sustain the trial
    court’s determination that the Children are CHINS. Our Supreme Court has
    recently reiterated our standard of review.
    When reviewing a trial court’s CHINS determination, we do not
    reweigh evidence or judge witness credibility. In re S.D., 
    2 N.E.3d 1283
    , 1286 (Ind. 2014). “Instead, we consider only the
    evidence that supports the trial court’s decision and [the]
    reasonable inferences drawn therefrom.” 
    Id. at 1287
    (citation,
    brackets, and internal quotation marks omitted). When a trial
    court supplements a CHINS judgment with findings of fact and
    conclusions law, we apply a two-tiered standard of review. We
    consider, first, “whether the evidence supports the findings” and,
    second, “whether the findings support the judgment.” 
    Id. (citation omitted).
    We will reverse a CHINS determination only
    if it was clearly erroneous. In re K.D., 
    962 N.E.2d 1249
    , 1253
    (Ind. 2012). A decision is clearly erroneous if the record facts do
    not support the findings or “if it applies the wrong legal standard
    to properly found facts.” Yanoff v. Muncy, 
    688 N.E.2d 1259
    , 1262
    (Ind. 1997) (citation omitted).
    Court of Appeals of Indiana | Opinion 29A04-1706-JC-1482 | January 17, 2018   Page 17 of 25
    Gr.J. and J.J. v. Ind. Dep’t. of Child Serv. (In re D.J.), 
    68 N.E.3d 574
    , 577-78 (Ind.
    2017) (alterations in original).
    The Boys
    [30]   Father asserts that “it was erroneous to find that there was sufficient evidence to
    find that Father either physically abused or malnourished the children.”
    Appellant’s Br. at 17. DCS alleged that the Boys were CHINS pursuant to
    Indiana Code Section 31-34-1-1, which provides that a child is a child in need
    of services if, before the child becomes eighteen years of age: (1) the child’s
    physical or mental condition is seriously impaired or seriously endangered as a
    result of the inability, refusal, or neglect of the child’s parent, guardian, or
    custodian to supply the child with necessary food, clothing, shelter, medical
    care, education, or supervision; and (2) the child needs care, treatment, or
    rehabilitation that: (A) the child is not receiving; and (B) is unlikely to be
    provided or accepted without the coercive intervention of the court. Our
    Supreme Court has interpreted this provision to require “three basic elements:
    that the parent’s actions or inactions have seriously endangered the child, that
    the child’s needs are unmet, and (perhaps most critically) that those needs are
    unlikely to be met without State coercion.” J.B. v. Ind. Dep’t. of Child. Serv. (In re
    S.D.), 
    2 N.E.3d 1283
    , 1287 (Ind. 2014).
    [31]   We agree with DCS that the evidence most favorable to the trial court’s
    findings supports its conclusion that the Boys were CHINS pursuant to Indiana
    Code Section 31-34-1-1. DCS introduced the following evidence at the fact-
    finding hearing:
    Court of Appeals of Indiana | Opinion 29A04-1706-JC-1482 | January 17, 2018   Page 18 of 25
    • Officer Lytle’s testimony that Q.J., Jr. had two backpacks full of stolen
    food and that he was very skinny when officers found him.
    • Officer Vanderbeck’s testimony that Q.J., Jr. looked like he just stepped
    out of a World War II prison camp.
    • Detective Zellers’ testimony to the following:
    • Q.J., Jr. said that food was being withheld.
    • Q.J., Jr. did not have the appearance of being a well-nourished child
    and he appeared emaciated.
    • Mother told her that Q.J., Jr. was ruining their lives and that he was a
    kleptomaniac because he stole food from their pantry and from
    dumpsters.
    • Dr. Demetris’ testimony to the following about Q.J., Jr.:
    • He was underweight, he was small for his age, and he had laboratory
    findings that were consistent with malnourishment.
    • He weighed only seventy-two pounds while the average weight for a
    child of that age is approximately 130 to 140 pounds.
    • He said that he was restricted from having access to food as a form of
    punishment.
    • Mother gave a history about the amount of food that Q.J., Jr. was
    provided that was very similar to the history Q.J., Jr. gave.
    • Mother stated that Q.J., Jr. would steal food and eat food out of trash
    cans.
    • She could not find any underlying medical condition that would
    explain his malnourishment, that it would take weeks to months for
    him to have that degree of malnourishment, and that he would be at
    risk for significant negative health complications if he continued to
    have that degree of malnutrition in the near future.
    • Mother did not believe Q.J., Jr. was malnourished, even after Dr.
    Demetris spoke with her at length in an attempt to help her
    understand why it was her medical diagnosis that he had severe
    malnutrition.
    • Dr. Demetris’ testimony to the following about Q.J.:
    • He had also been admitted to the hospital for malnutrition.
    • His prealbumin levels were on the low end of normal, and he had
    elevated liver functions tests and low Vitamin D levels.
    Court of Appeals of Indiana | Opinion 29A04-1706-JC-1482 | January 17, 2018   Page 19 of 25
    • It would have taken at least weeks to months to have his degree of
    malnutrition, there was no underlying medical condition that could
    explain Q.J.’s malnutrition, he would be at risk for medical
    complications in the near future if he continued to have that degree of
    malnutrition.
    •   Dr. Beach’s testimony that she agreed with Q.J., Jr.’s diagnosis of
    malnutrition because his body mass index was less than 1st percentile
    and because his labs were low.
    •   Dr. Beach’s testimony that she agreed with Q.J.’s diagnosis of
    malnutrition because his body mass index was less than the 1st
    percentile.
    •   Sabau’s testimony that Q.J., Jr. has been diagnosed with post-traumatic
    stress disorder and that he told her that he was forced to walk around the
    house in nothing but underwear, forced to exercise all day, hardly ever
    got to eat, and that he was punished if he tried to steal food from
    somewhere in the house.
    •   Lill’s testimony to the following:
    • When she spoke with the five Children on August 27, they said they
    had not yet eaten that day.
    • Mother stated that Q.J., Jr. had ruined their lives and Mother talked
    about how they discipline Q.J., Jr. using exercise, taking away snacks,
    and taking away his clothes so he was only allowed to wear his
    underwear.
    • Q.J., Jr. he was supposed to be 15 years old soon and he looked like a
    9-year-old, he was sickly looking, and he had bruises along his spine.
    • Q.J. was so thin you could see his bones and his eyes were all sunken
    in and red. He also had similar bruises to Q.J., Jr.
    [32]   That evidence demonstrates that the Boys had been deprived of food to the
    point of severe malnourishment. That evidence shows that the parent’s actions
    or inactions have seriously endangered the Boys, that the Boys’ needs are
    unmet, and that those needs are unlikely to be met without State coercion. See
    In re 
    S.D., 2 N.E.3d at 1287
    . We therefore hold that sufficient evidence
    Court of Appeals of Indiana | Opinion 29A04-1706-JC-1482 | January 17, 2018   Page 20 of 25
    supports the trial court’s findings, and its findings support its conclusions with
    respect to Indiana Code Section 31-34-1-1. 3
    [33]   Father also asserts that the trial court erred when it relied on Dr. Demetris’
    testimony that Q.J., Jr. and Q.J. were malnourished and had been physically
    abused. This is simply a request that we reweigh the evidence which we cannot
    do. See In re 
    D.J., 68 N.E.3d at 577
    .4
    The Girls
    [34]   Father also asserts that the court erred when it found that the Girls are CHINS
    because there was insufficient evidence to show “that their physical and
    emotional conditions were seriously impaired or seriously endangered by their
    exposure to their parents and home life.” Appellant’s Br. at 28. He further
    asserts that DCS’ witnesses could only testify as to “what could happen to the
    four female children, rather than testifying to existing neglect or physical
    abuse.” 
    Id. (emphasis in
    original).
    3
    The trial court also adjudicated the Boys to be CHINS pursuant to Indiana Code Section 31-34-1-2.
    Because we hold that there is sufficient evidence to support the trial court’s adjudication of the Boys as
    CHINS pursuant to Indiana Code Section 31-34-1-1, we need not decide whether there was sufficient
    evidence to support the trial court’s finding that the Boys are CHINS under Indiana Code Section 31-34-1-2.
    4
    Father also contends that Dr. Demetris erred in relying on statements that Q.J., Jr. made to her when she
    determined that Q.J., Jr. was only receiving fifty percent of his recommended caloric intake. Father asserts
    that it was error for her to rely on the statements because Q.J., Jr. was unable to provide specific portion sizes
    and because there would be some error in the calculation. However, it is clear from the record that Dr.
    Demetris did not only rely on Q.J., Jr.’s statements. Dr. Demetris also spoke with Mother who gave a
    similar history regarding the amount of food Q.J., Jr. ate. Dr. Demetris also reviewed the laboratory data,
    which supported her diagnosis of malnutrition.
    Court of Appeals of Indiana | Opinion 29A04-1706-JC-1482 | January 17, 2018                         Page 21 of 25
    [35]   DCS alleged that the Girls were CHINS pursuant to Indiana Code Section 31-
    34-1-1, which again requires that the parent’s actions or inactions have seriously
    endangered the child, that the child’s needs are unmet, and that those needs are
    unlikely to be met without State coercion. See In re 
    S.D., 2 N.E.3d at 1287
    .
    [36]   We agree with DCS that the evidence most favorable to the trial court’s
    findings supports its conclusion that the Girls were CHINS pursuant to Indiana
    Code Section 31-34-1-1. DCS introduced the following evidence at the fact-
    finding hearing:
    • The clinical interview and assessment of Bre.J., in which Bre.J. reported
    that her parents make her brothers work hard and do chores until 4:00
    A.M., that Father has a history of smacking her brother, that she has
    witnessed Father hit her brother, and that she has witnessed verbal
    arguments between Mother and Father.
    • The clinical interview and assessment of Ba.J., in which Ba.J. reported
    that her parents have a history of domestic disputes, including one
    incident where her mother reportedly held a knife and scissors up to her
    father’s neck; that she is fearful when she witnesses the domestic violence
    between her parents; that Father has whooped her on several occasions;
    that she has seen Mother attempt to kill Q.J., Jr.; and that she is
    struggling with depression, anxiety, and trauma-related symptoms.
    • Lill’s testimony to the following:
    • When she spoke with five of the Children on August 27 at 3:00 PM,
    they said they had not yet eaten that day.
    • Bre.J. said she had been getting whooped.
    • Rush’s testimony that:
    • She works with Bre.J. and Ba. J. to address trauma that the two girls
    have reported to her.
    • The two girls told her they were not ready to go home.
    • Bre.J. reported that there were some very physical punishments and
    that food was removed as a punishment.
    Court of Appeals of Indiana | Opinion 29A04-1706-JC-1482 | January 17, 2018   Page 22 of 25
    • Bre.J. said there was a lot of arguing in the home.
    • Bre.J. and Ba.J. told her that their siblings were deprived of food and
    that there was physical abuse.
    • Bre.J. and Ba.J. both said that they were encouraged to participate in
    the physical abuse of a sibling when that sibling was in trouble.
    • Allen’s testimony that Bro.J. is afraid of visits and of going home.
    [37]   Thus, the evidence most favorable to the trial court’s findings shows that at
    least two of the Girls have been physically abused, that all of the Girls have
    been exposed to domestic violence between Mother and Father that has
    occurred in the home, that the Girls were exposed to the abuse and extreme
    punishment of the Boys, and that the Girls were encouraged to participate in
    the violence against a sibling when that sibling was in trouble. The evidence
    supports the trial court’s findings that the parent’s actions or inactions have
    seriously endangered the Girls, that the Girls’ needs are unmet, and that those
    needs are unlikely to be met without State coercion. See In re 
    S.D., 2 N.E.3d at 1287
    . And those findings support the trial court’s judgment. In light of the
    evidence most favorable to the judgment, we cannot say that the trial court’s
    adjudication of the Girls as CHINS is clearly erroneous.5
    5
    In its brief on appeal and in its appendix, DCS provided evidence that Father pleaded guilty to one count
    of neglect of a dependent, as a Level 6 felony, and one count of neglect of dependent resulting in bodily
    injury, as a Level 5 felony. DCS argues that “[t]he Indiana Supreme Court and this Court ha[ve] held that
    parties are required to let this Court know of ‘post-judgment events which may affect the outcome of a
    pending appeal.’” Appellee’s Br. at 33 (quoting In re C.B.M., 
    992 N.E.2d 687
    , 693 (Ind. 2013)). And DCS
    asserts that Father’s guilty plea would affect the outcome of his appeal because it contradicts Father’s
    argument that there is insufficient evidence to support the trial court’s finding that the Children are CHINS.
    In his reply brief, Father claims DCS’ inclusion of his guilty plea was improper because it was not part of the
    record on appeal, DCS failed to file the proper motions to bring the additional evidence before this Court,
    and because the inclusion does not render his appeal moot. However, the error, if any, in the inclusion of
    Court of Appeals of Indiana | Opinion 29A04-1706-JC-1482 | January 17, 2018                       Page 23 of 25
    Issue Four: Effective Assistance of Counsel
    [38]   Finally, Father asserts that he was denied the effective assistance of counsel.
    Specifically, he claims that, following the CHINS determinations, his court-
    appointed counsel should have filed a motion for relief from judgment under
    Indiana Trial Rule 60(B)(2) because the psychological evaluation of Q.J. was
    not conducted until June 9, 2017, and the report was not filed with the trial
    court until August 14, 2017, almost five months after the trial court issued its
    order that adjudicated the Children to be CHINS on March 28, 2017.
    [39]   Indiana Code Section 31-34-4-6 entitles Father to an attorney at each court
    proceeding on a CHINS petition. But Father was represented by counsel in the
    trial court at each proceeding on the CHINS petitions. And Father has not
    directed us to any case law that says that that statute creates a cause of action
    for ineffective assistance of counsel in a CHINS proceeding, or under what
    standard such a claim might be determined.
    [40]   In any event, we need not decide whether this claim is available to him for the
    purposes of this appeal because we conclude that, had his attorney filed a
    motion for relief from judgment, it would not have been successful. Indiana
    Trial Rule 60(B)(2) provides relief from judgment for newly discovered
    evidence. “Relief from judgment based on newly discovered evidence requires
    a showing that the newly discovered evidence is material, is not merely
    Father’s guilty plea is harmless. As discussed above, there is ample evidence in the record to support the trial
    court’s findings that the Children are CHINS without considering Father’s guilty plea.
    Court of Appeals of Indiana | Opinion 29A04-1706-JC-1482 | January 17, 2018                       Page 24 of 25
    cumulative or impeaching, was not discoverable by due diligence, and would
    reasonably and probably alter the result.” Outback Steakhouse of Fla., Inc. v.
    Markley, 
    856 N.E.2d 65
    , 85 (Ind. 2006) (emphasis added).
    [41]   Father asserts that some of the statements Q.J. made in his psychological
    evaluation “are in direct contrast to the testimony of Dr. Demetris regarding
    statements made by Q.J.[,] Jr.” Appellant’s Br. at 30. In essence, Father claims
    that Q.J.’s psychological evaluation could be used to impeach Dr. Demetris.
    Because the newly discovered evidence would merely be impeaching, Father
    would not have been entitled to relief from judgment. See Outback 
    Steakhouse, 856 N.E.2d at 85
    . Because a Trial Rule 60(B)(2) motion would have failed, he
    cannot show that he was denied the effective assistance of counsel.
    [42]   In sum, we hold as follows: the trial court did not abuse its discretion when it
    allowed Dr. Demetris to testify about the statements Q.J., Jr. made to her
    regarding the source of his bruises and malnutrition; there was sufficient
    evidence to support the trial court’s finding that the Children are CHINS; and
    Father was not denied the effective assistance of counsel. As such, we affirm
    the trial court’s adjudication of the Children as CHINS.
    [43]   Affirmed.
    Mathias, J., and Barnes, J., concur.
    Court of Appeals of Indiana | Opinion 29A04-1706-JC-1482 | January 17, 2018   Page 25 of 25
    

Document Info

Docket Number: 29A04-1706-JC-1482

Citation Numbers: 92 N.E.3d 1092

Judges: Najam

Filed Date: 1/17/2018

Precedential Status: Precedential

Modified Date: 10/19/2024