In the Matter of the Termination of the Parent-Child Relationship of J.S. & H.E., Minor Children, E.S., Mother & G.E., Father v. The Indiana Department of Child Services (mem. dec.) ( 2017 )


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  • MEMORANDUM DECISION                                                           FILED
    Sep 25 2017, 10:32 am
    Pursuant to Ind. Appellate Rule 65(D),
    CLERK
    this Memorandum Decision shall not be                                     Indiana Supreme Court
    Court of Appeals
    regarded as precedent or cited before any                                      and Tax Court
    court except for the purpose of establishing
    the defense of res judicata, collateral
    estoppel, or the law of the case.
    ATTORNEY FOR APPELLANT E.S.                              ATTORNEYS FOR APPELLEE
    Kimberly A. Jackson                                      Curtis T. Hill, Jr.
    Indianapolis, Indiana                                    Attorney General of Indiana
    ATTORNEY FOR APPELLANT G.E.                              James D. Boyer
    Deputy Attorney General
    James A. Edgar
    Indianapolis, Indiana
    J. Edgar Law Offices, Prof. Corp.
    Indianapolis, Indiana
    IN THE
    COURT OF APPEALS OF INDIANA
    In the Matter of the Termination                         September 25, 2017
    of the Parent-Child Relationship                         Court of Appeals Case No.
    of J.S. & H.E., Minor Children,                          49A02-1703-JT-444
    E.S., Mother, & G.E., Father                             Appeal from the Marion Superior
    Appellants-Respondents,                                  Court
    The Honorable Marilyn Moores,
    v.                                               Judge
    The Honorable Larry Bradley,
    The Indiana Department of                                Magistrate
    Child Services,                                          Trial Court Cause Nos.
    Appellee-Petitioner.                                     49D09-1603-JT-231
    49D09-1603-JT-232
    Brown, Judge.
    Court of Appeals of Indiana | Memorandum Decision 49A02-1703-JT-444 |September 25, 2017           Page 1 of 25
    [1]   E.S. (“Mother”) and G.E. (“Father,” and together with Mother, “Parents”)
    appeal the involuntary termination of their parental rights with respect to their
    children J.S. and H.E. (the “Children”). Mother raises one issue and Father
    raises four issues which we consolidate and restate as whether the trial court
    erred in terminating their parental rights. We affirm.
    Facts and Procedural History
    [2]   In February 2014, Mother, who was pregnant at the time, was picked up by an
    ambulance and placed in inpatient service for her behavioral health. On March
    28, 2014, Mother gave birth to J.S. Family case manager Jon Bush (“FCM
    Bush”) was initially assigned to the assessment involving J.S. At some point,
    Mother told FCM Bush that there was a “lack of pre-natal care on her end.”
    Transcript Volume II at 37. On April 1, 2014, DCS filed a verified petition
    alleging J.S. to be a child in need of services (“CHINS”). The petition alleged
    Mother failed to provide J.S. a safe and secure home free from untreated mental
    health concerns, Mother suffers from schizophrenia and demonstrated behavior
    preventing J.S. from being safe in her care, this behavior included threatening
    medical staff and stating that J.S. would be sacrificed, and that Father was the
    alleged father and his whereabouts were unknown. On July 28, 2014, the court
    found J.S. to be a CHINS.
    [3]   On August 27, 2014, the court ordered Mother to become engaged in a home-
    based counseling program, complete a psychological evaluation, meet with
    medical/psychiatric personnel, attend all scheduled parenting time
    appointments, and participate in home-based case management services.
    Court of Appeals of Indiana | Memorandum Decision 49A02-1703-JT-444 |September 25, 2017   Page 2 of 25
    [4]   In March 2015, Mother gave birth to H.E. Father, who suffers from
    schizophrenia, is the father of both J.S. and H.E. That month, DCS filed a
    request for filing of a CHINS petition with respect to H.E., which the court
    granted. On July 15, 2015, the court entered an order stating that it received
    from DCS an Admission and Agreement on Services signed by Parents to
    reflect that H.E. was a CHINS because Parents have an ongoing CHINS case in
    which they had not completed services. That same day, the court ordered
    Parents to participate in services.
    [5]   On March 9, 2016, the court entered an order changing the plan for the
    Children from reunification to adoption and finding that no services were in
    place due to lack of participation, mental health services had been closed for
    lack of participation, Parents had not visited during the reporting period, and
    Parents had never engaged in at least three rounds of referrals for “HBCM and
    HBT.”1 Petitioner’s Exhibit 3.
    [6]   On March 22, 2016, DCS filed a verified petition for the involuntary
    termination of the parent-child relationship between the Children and Parents.
    On January 30, 2017, the court held an evidentiary hearing. FCM Bush, Tanya
    Edwards, a home-based caseworker, Emily Sabau, a therapist, Krista Caughey,
    a DCS family case manager supervisor, Kirk Toles, a recovery clinician,
    1
    “HBCM and HBT” appear to refer to home-based case management and home-based therapy as the court
    entered other orders listing “HOME BASED THERAPY” and “HOME BASED CASE MANAGEMENT.”
    See Petitioner’s Exhibits 7, 24, 30.
    Court of Appeals of Indiana | Memorandum Decision 49A02-1703-JT-444 |September 25, 2017   Page 3 of 25
    Charles Kelly, Father’s case manager and recovery clinician, family case
    manager Shanna Jaggers (“FCM Jaggers”), guardian ad litem Lashonda
    Wilson (“GAL Wilson”), and family case manager Constance Bowlick (“FCM
    Bowlick”) testified.
    [7]   On February 7, 2017, the court granted the petition to terminate Parents’
    parent-child relationship. Specifically, the court’s order states:
    Upon evidence presented, the Court now finds by clear and
    convincing evidence:
    *****
    15. Multiple service referrals were made for the parents
    including at least five referrals for therapy, six for case
    management, and eight referrals for parenting time.
    16. The parents were inconsistent in therapy and parenting time,
    leading to the close of those services due to a lack of
    participation.
    17. [Mother] was diagnosed with schizophrenia early in life.
    She does not believe she has a mental illness, and reluctantly
    allows medication to be administered intramuscularly but only to
    comply with a court ordered commitment. She was in need of an
    injection on the day of trial.
    18. [Mother] does not feel she needs mental health medication
    and does not like the way it makes her feel.
    19. [Mother] needed a lot of assistance with her children during
    parenting time. Visit facilitator Tanya Edwards worked with
    [Mother] for six months and felt that [Mother] would always
    need supervision in her parenting.
    Court of Appeals of Indiana | Memorandum Decision 49A02-1703-JT-444 |September 25, 2017   Page 4 of 25
    20. On medication, [Mother] still exhibited paranoid ideations
    including an ongoing belief of unseen cameras and recorders in
    her home and other places, and has auditory hallucinations.
    21. [Mother] has shown aggressive behavior and had tried to
    “cleanse” her mental health clinic by setting it on fire.
    22. Kirk Toles has been working with [Mother] as a recovery
    clinician for several years. He described her behavior as erratic
    all the time and fears for her safety as a result of poor judgment.
    23. Evidencing her lack of insight is her belief that she does not
    need services, and thought she would receive her children back at
    the April 2016 Initial Hearing in this termination case.
    24. [Father] also carries a diagnosis of suffering from
    schizophrenia. He is lower in his functioning than [Mother] who
    he relies on for help with activities of daily living.
    25. [Father] was observed as being inappropriate in his
    interactions with the children during parenting time, and he
    sleeps a lot.
    26. [Father’s] recovery clinician for the past five or six years
    describes him as making poor choices and having poor decision
    making, even on medication.
    27. [Father] has recently been admitted inpatient for treatment.
    28. [Mother] and [Father] receive disability income. Gallahue
    Mental Health is the couple’s payee, although [Mother] feels they
    are stealing from her.
    29. The parents are presently in need of a stove and bed.
    30. [J.S.] and [H.E.] are placed together with their maternal aunt
    and uncle. This placement is preadoptive.
    31. The children were placed in their present relative care at
    young ages. They have never resided with their parents.
    Court of Appeals of Indiana | Memorandum Decision 49A02-1703-JT-444 |September 25, 2017   Page 5 of 25
    32. The children have been observed as being healthy and
    happy, and bonded with their caregivers.
    33. The children are developmentally on target.
    34. The children’s plan for permanency was changed from
    reunification to adoption on March 9, 2016.
    35. The continuation of the parent-child relationship poses a
    threat to the children’s well-being. Parents have a very hard time
    maintaining themselves and would not be able to safely and
    appropriately care for [J.S.] and [H.E.]. It is unlikely that they
    could meet the children’s needs, including emotional and
    educational. Termination of the parent-child relationship would
    allow the children not to be traumatically removed from the only
    home they have known, but allow them to be adopted and made
    a permanent part of the family.
    36. There is a reasonable probability that the conditions that
    resulted in the children’s removal and continued placement
    outside the home will not be remedied by their parents. [Parents]
    have been referred services on a number of occasions but have
    not overcome conditions due to inconsistency. Unfortunately,
    the parents’ mental health issues, and the denial of those issues,
    would also remain a barrier to remedying conditions.
    37. Termination of the parent-child relationship is in the best
    interests of the children. Termination would allow them to be
    adopted into a safe, stable and permanent home where they can
    continue to develop.
    38. There exists a satisfactory plan for the future care and
    treatment of the children, that being adoption.
    39. Given the parents’ participation, safety concerns, and the
    current safe and stable home, the children’s Guardian ad Litem
    agrees with the permanency plan of IDCS.
    Court of Appeals of Indiana | Memorandum Decision 49A02-1703-JT-444 |September 25, 2017   Page 6 of 25
    IT IS THEREFORE ORDERED, ADJUDGED AND
    DECREED that the parent-child relationship between [J.S.] and
    [H.E.] and their parents [Mother] and [Father] is hereby
    terminated.
    Mother’s Appendix Volume II at 33-35.
    Discussion
    [8]   The issue is whether the trial court erred in terminating Parents’ rights. Mother
    argues that the court based its conclusions on evidence of her actions while
    engaged in services provided by DCS which did not comply with the Americans
    with Disabilities Act (“ADA”). Mother points out that she told Caughey that
    she had negative feelings toward Gallahue and yet Caughey chose Gallahue to
    provide home-based therapy and case management services. She also asserts
    that Caughey did not determine whether Sabau, the therapist at Gallahue, had
    any experience or education relating to mentally ill persons or whether Sabau
    was licensed to treat persons with mental disorders. She argues that Sabau’s
    recommendation for specialized treatment was rejected by DCS. Mother also
    asserts that providing her with consistent transportation would have been a
    reasonable modification seemingly required by the ADA to ensure she was able
    to participate effectively in services despite her mental illness. She
    acknowledges that “Indiana courts historically have refused to allow a parent to
    raise a claim under the ADA as a defense to the termination of parental rights.”
    Mother’s Brief at 23 (citing Stone v. Daviess Cty. Div. of Children & Family Servs.,
    
    656 N.E.2d 824
    (Ind. Ct. App. 1995), trans. denied). Mother also points to a
    2016 opinion dissenting to the denial of transfer, N.C. v. Ind. Dep’t Of Child
    Court of Appeals of Indiana | Memorandum Decision 49A02-1703-JT-444 |September 25, 2017   Page 7 of 25
    Servs., 
    74 N.E.3d 1203
    (Ind. 2016) (David, J., dissenting from denial of petition
    to transfer).
    [9]    Father argues that DCS denied him equal protection and due process of law in
    the provision of services. He contends that DCS ensured his failure in its
    provision of parenting time by not allowing him to hold H.E. due to a fear that
    he would fall asleep and that the possibility of him falling asleep while holding
    H.E. did not present a grave risk. He asserts that DCS failed to give him notice
    of meetings, that DCS stopped following the court’s plan for reunification in
    November 2015, and that DCS violated the ADA by providing inappropriate
    services and by counting the side effect of his medication against his progress in
    services.
    [10]   Parents also assert that the evidence and findings do not support the
    conclusions that continuation of the parent-child relationship poses a threat to
    the Children’s well-being, there is a reasonable probability that the conditions
    which resulted in the Children’s removal and continued placement outside the
    home will not be remedied, and termination of the parent-child relationship is
    in the best interests of the Children.
    [11]   DCS maintains that Parents’ arguments that DCS failed to comply with the
    ADA and Father’s arguments that DCS denied him equal protection and due
    process are waived and misplaced. DCS also argues that the unchallenged
    findings of fact support its judgment and that Parents’ challenges are a request
    to reweigh the evidence.
    Court of Appeals of Indiana | Memorandum Decision 49A02-1703-JT-444 |September 25, 2017   Page 8 of 25
    A. ADA and Due Process
    [12]   Even assuming Parents did not waive this issue, we cannot say that reversal is
    required. “Congress enacted the ADA to eliminate discrimination and create
    causes of action for qualified people who have faced discrimination.” N.C. v.
    Ind. Dep’t of Child Servs., 
    56 N.E.3d 65
    , 69 (Ind. Ct. App. 2016) (citing 42 U.S.C.
    § 12101(b)), trans. denied. The ADA provides in part: “[N]o qualified individual
    with a disability shall, by reason of such disability, be excluded from
    participation in or be denied the benefits of the services, programs, or activities
    of a public entity, or be subjected to discrimination by any such entity.” 42
    U.S.C. § 12132. “The ADA requires that the public entity make ‘reasonable
    accommodation’ to allow the disabled person to receive the services or to
    participate in the public entity’s programs.” 
    N.C., 56 N.E.3d at 69-70
    (quoting
    28 C.F.R. § 35.130(b)(7)).
    [13]   In Stone v. Daviess Cty. Div. of Children & Family Servs., 
    656 N.E.2d 824
    (Ind. Ct.
    App. 1995), trans. denied, we addressed whether the ADA requires that prior to
    termination of parental rights DCS must establish it has made reasonable
    accommodation in providing services for the special needs of disabled parents.
    We reasoned that if our termination statute required that services be provided to
    all parents prior to the termination of parental rights, under the doctrine of
    preemption an ADA violation by DCS in fulfilling that statutory duty would
    provide grounds for attacking a termination pursuant to that 
    statute. 656 N.E.2d at 830
    . We held that the parents’ discrimination claim could not serve
    as a basis to attack the termination order itself because such services are not
    Court of Appeals of Indiana | Memorandum Decision 49A02-1703-JT-444 |September 25, 2017   Page 9 of 25
    required in Indiana. 
    Id. We went
    on to state that, “[a]side from the operation
    of our termination statute, once the agency opts to provide services during the
    CHINS proceedings to assist parents in improving parental skills, the provision
    of those services must be in compliance with the ADA.” 
    Id. We also
    stated
    that “any alleged noncompliance with the ADA by [DCS] in the provision of
    services in the CHINS proceedings would be a matter separate and distinct
    from the operation of our termination statute.” 
    Id. We held
    that, even if the
    parents could bring their discrimination claim during the termination
    proceedings, the intent of the ADA is merely to ensure that disabled individuals
    are not denied the benefits of services provided by the public entity, and that the
    DCS reasonably accommodated the parents’ disability. 
    Id. at 830-831.
    [14]   We recently addressed whether the ADA applies in termination proceedings in
    N.C. We held that it was well-settled under Stone that the ADA does not apply
    in termination proceedings. 
    N.C., 56 N.E.3d at 69
    . We declined to abandon
    the holding in Stone regarding the ADA’s application in termination of parental
    rights proceedings. 
    Id. at 70-71.
    We also addressed the father’s argument that
    he should be entitled to use DCS’s alleged failure to comply with the ADA as a
    defense to the termination of his parental rights, waiver notwithstanding. 
    Id. at 69.
    [15]   In his dissent from the denial of transfer, Justice David wrote that “if DCS
    would be required to comply with the ADA when it provides mandatory
    services and failure to do so could be a defense to a termination action, then
    when DCS uses its discretion to provide services, it must also comply with the
    Court of Appeals of Indiana | Memorandum Decision 49A02-1703-JT-444 |September 25, 2017   Page 10 of 25
    ADA, and accordingly, a disabled parent could raise failure to comply as a
    defense to a termination action.” N.C. v. Ind. Dep’t Of Child Servs., 
    74 N.E.3d 1203
    , 1204 (David, J., dissenting from denial of petition to transfer). Justice
    David agreed with certain portions of Stone. 
    Id. at 1204-1205.
    He then stated:
    However, despite the Stone court acknowledging the fact that if
    DCS was required to provide services, it would have to comply
    with the ADA and non-compliance could be used as a grounds
    for challenging termination of a disabled parents’ parental rights,
    and also acknowledging that to the extent that DCS provides
    discretionary services, it must comply with the ADA in the
    provision of those services, it nevertheless concluded that: “any
    alleged noncompliance with the ADA by [DCS] in the provision
    of services . . . would be a matter separate and distinct from the
    operation of our termination statute.” 
    [Stone, 656 N.E.2d at 830
    ]. It is this portion of Stone that I believe needs to be
    overruled.
    
    Id. at 1205.
    He concluded that he would hold that a disabled parent may use
    non-compliance with the ADA as a defense to the termination of his or her
    parental rights where DCS has provided discretionary services, but failed to
    provide reasonable accommodations to a disabled parent. 2 
    Id. [16] Even
    assuming that Parents could assert non-compliance with the ADA as a
    defense to the termination of their parental rights in these circumstances, we
    cannot say that reversal is warranted. The intent of the ADA is to ensure
    2
    Justice Rucker concurred in Justice David’s dissent.
    Court of Appeals of Indiana | Memorandum Decision 49A02-1703-JT-444 |September 25, 2017   Page 11 of 25
    disabled individuals are not denied the benefits provided by a public entity.
    
    N.C., 56 N.E.3d at 70
    (citing 42 U.S.C. § 12101(b)). If the ADA applied to
    termination of parental rights proceedings, DCS would be required to
    reasonably accommodate Parents’ disabilities. See 
    id. [17] To
    the extent Parents assert that certain individuals working with them did not
    have proper training, we disagree. The individuals who ew~!worked with
    Mother and Father testified regarding their training. On cross-examination,
    therapist Sabau indicated that she did not have any specialized training for
    working with individuals who have a diagnosis of schizophrenia, and she
    testified that she researched schizophrenia when she received the referral and
    that she had a general understanding of the symptoms and capabilities of the
    diagnosis based on her research and educational background which included a
    master’s degree in social work and a bachelor’s degree in psychology. She also
    testified that she received regular supervision from a clinically licensed social
    worker as well as continuing education classes and trainings.
    [18]   Kelly, Father’s case manager and recovery clinician, testified that, while he was
    not contracted through DCS, he received specialized training to work with
    individuals with mental illness, they have several trainings throughout the year,
    he had completed several virtual reality trainings on people who are diagnosed
    with schizophrenia, and he had learned to identify symptoms or common
    behavior patterns associated with schizophrenia. He also stated that he had
    been in the field about fifteen years and worked at Midtown mental health with
    adults and then Gallahue.
    Court of Appeals of Indiana | Memorandum Decision 49A02-1703-JT-444 |September 25, 2017   Page 12 of 25
    [19]   Caughey, the family case manager supervisor, testified that she had a bachelor’s
    degree in psychology and was pursuing a master’s degree in social work.
    During cross-examination of Caughey, Mother’s counsel asked: “Services, that
    based on your testimony, are not sure the providers knew exactly what they,
    based on your testimony, the providers had the appropriate qualifications to
    work with [Mother,] correct?” Transcript Volume II at 138. Caughey
    answered: “Again, from a DCS perspective, I believe that they did have the
    appropriate qualifications based on what our service standards require.” 
    Id. [20] FCM
    Jaggers testified that she received training on mental health during
    “Cohort training.” 
    Id. at 209.
    When asked if she had any training specifically
    on working with individuals diagnosed with schizophrenia, she testified: “In
    Cohort they cover it, but I have not taken a specific course on it.” 
    Id. at 210.
    FCM Bowlick testified that she received twelve weeks of training to become a
    family case manager and receives ongoing training. Edwards, the home-based
    case worker, testified that she had a bachelor’s degree in psychology and had
    received ongoing training through her company for the three years she had been
    in her position.
    [21]   Caughey testified that she was in regular contact with Toles, a recovery
    clinician who managed Mother’s mental illness. Toles testified that he had
    specialized training for his job. When asked what kind of training, Toles
    answered: “We go through trainings; everything from ethics to basically
    knowing about her illness, how to treat it, how to teach her how to manage it.”
    
    Id. at 144.
    He also testified that he had certifications regarding those
    Court of Appeals of Indiana | Memorandum Decision 49A02-1703-JT-444 |September 25, 2017   Page 13 of 25
    treatments, receives ongoing continuing education, works with a doctor and a
    team of people in his work as a recovery clinician, and that Mother saw a
    doctor.
    [22]   As for the referrals to Gallahue, Caughey, the family case manager supervisor,
    discussed this issue. While Caughey testified that Mother told her that she had
    a serious conflict or a serious personal feeling toward Gallahue, when asked
    why she referred Mother to additional referrals at Gallahue, Caughey
    answered:
    Because [Mother] had not been successful in the other two
    locations and they had difficulty reaching her, and I felt like if we
    put the referral at Gallahue, she would have more success with
    being able to coordinate with Mr. Toles. Since she was going to
    Gallahue on a bi-weekly basis that she may have more – they
    would have additional access to her. She could have a change
    [sic] to be more successful.
    
    Id. at 140.
    The following exchange also occurred:
    [Mother’s Counsel]: You believe that she would be more
    successful working with an agency who she expressly told you
    that she had a serious problem with.
    [Caughey]: I felt like she would be more successful with an
    agency that was able to contact her and locate her. Then once
    she engaged with the therapist, case manager there, that would
    be a different person for Mr. Toles that I was hopeful that they
    would be able build [sic] a relationship.
    Court of Appeals of Indiana | Memorandum Decision 49A02-1703-JT-444 |September 25, 2017   Page 14 of 25
    
    Id. Caughey also
    testified that she tried other providers but “it wasn’t
    successful” because Mother did not respond. 
    Id. at 141.
    Specifically, Mother
    attended one appointment with Dockside, but then did not attend any
    additional appointments and did not respond to the case manager to participate
    at Dockside. Toles who worked at Gallahue testified that Mother “will fire
    [him] every now and then. Then she will say, where is he at? I want him
    back.” 
    Id. at 166.
    [23]   The record also reveals that accommodations were made. Edwards, the home-
    based caseworker, testified that her agency tried to make accommodations to
    schedule around Parents’ work schedule. As to transportation, Edwards
    testified that she provided some transportation for Parents to see the Children.
    Caughey testified that she made bus pass referrals. She also testified: “Mother
    reported that she didn’t have access to a vehicle. Mr. Toles would be, was
    available to her to transport her to appointments. That was provided to her as
    an option for all of her appointments that we had set-up or discussed, and also
    bus passes were provided.” 
    Id. at 142.
    Caughey testified that Mother gave the
    bus passes to her family members and was “not using them for herself.” 
    Id. We cannot
    say that DCS failed to provide reasonable accommodations to
    Parents or violated the ADA.
    [24]   To the extent Father asserts that his due process rights were violated with
    respect to the effect of his sleepiness, we observe that Caughey testified that she
    believed Father’s recovery clinician reported that the medication should not be
    making Father that sleepy and that “it was more of a life style that he was
    Court of Appeals of Indiana | Memorandum Decision 49A02-1703-JT-444 |September 25, 2017   Page 15 of 25
    staying up to [sic] late, especially and then he was sleepy during the day.” 
    Id. at 119.
    With respect to Father’s assertion that DCS failed to give him notice of
    meetings, the record reveals that DCS attempted to contact Parents on multiple
    occasions as more fully detailed below. We cannot say that Father’s due
    process rights were violated.
    B. Sufficiency
    [25]   In order to terminate a parent-child relationship, DCS is required to allege and
    prove, among other things:
    (B) that one (1) of the following is true:
    (i) There is a reasonable probability that the conditions
    that resulted in the child’s removal or the reasons for
    placement outside the home of the parents will not be
    remedied.
    (ii) There is a reasonable probability that the continuation
    of the parent-child relationship poses a threat to the well-
    being of the child.
    (iii) The child has, on two (2) separate occasions, been
    adjudicated a child in need of services;
    (C) that termination is in the best interests of the child; and
    (D) that there is a satisfactory plan for the care and treatment of
    the child.
    Ind. Code § 31-35-2-4(b)(2). If the court finds that the allegations in a petition
    described in Ind. Code § 31-35-2-4 are true, the court shall terminate the parent-
    child relationship. See Ind. Code § 31-35-2-8(a).
    Court of Appeals of Indiana | Memorandum Decision 49A02-1703-JT-444 |September 25, 2017   Page 16 of 25
    [26]   The State’s burden of proof for establishing the allegations in termination cases
    “is one of ‘clear and convincing evidence.’” In re G.Y., 
    904 N.E.2d 1257
    , 1260-
    1261 (Ind. 2009) (quoting Ind. Code § 31-37-14-2), reh’g denied. This is “a
    ‘heightened burden of proof’ reflecting termination’s ‘serious social
    consequences.’” In re E.M., 
    4 N.E.3d 636
    , 642 (Ind. 2014) (quoting In re 
    G.Y., 904 N.E.2d at 1260-1261
    , 1260 n.1). “But weighing the evidence under that
    heightened standard is the trial court’s prerogative—in contrast to our well-
    settled, highly deferential standard of review.” 
    Id. We do
    not reweigh the
    evidence or determine the credibility of witnesses, but consider only the
    evidence that supports the judgment and the reasonable inferences to be drawn
    from the evidence. 
    Id. We confine
    our review to two steps: whether the
    evidence clearly and convincingly supports the findings, and then whether the
    findings clearly and convincingly support the judgment. 
    Id. [27] This
    review is not a license to reweigh the evidence. 
    Id. “[W]e do
    not
    independently determine whether that heightened standard is met, as we would
    under the ‘constitutional harmless error standard,’ which requires the reviewing
    court itself to ‘be sufficiently confident to declare the error harmless beyond a
    reasonable doubt.’” 
    Id. (quoting Harden
    v. State, 
    576 N.E.2d 590
    , 593 (Ind.
    1991) (citing Chapman v. California, 
    386 U.S. 18
    , 
    87 S. Ct. 824
    (1967))). “Our
    review must ‘give “due regard” to the trial court’s opportunity to judge the
    credibility of the witnesses firsthand,’ and ‘not set aside [its] findings or
    judgment unless clearly erroneous.’” 
    Id. (quoting K.T.K.
    v. Ind. Dep’t of Child
    Servs., Dearborn Cty. Office, 
    989 N.E.2d 1225
    , 1229 (Ind. 2013) (citing Ind. Trial
    Court of Appeals of Indiana | Memorandum Decision 49A02-1703-JT-444 |September 25, 2017   Page 17 of 25
    Rule 52(A))). “Because a case that seems close on a ‘dry record’ may have been
    much more clear-cut in person, we must be careful not to substitute our
    judgment for the trial court when reviewing the sufficiency of the evidence.” 
    Id. at 640.
    1. Remedy of Conditions
    [28]   We note that the involuntary termination statute is written in the disjunctive
    and requires proof of only one of the circumstances listed in Ind. Code § 31-35-
    2-4(b)(2)(B). Because we find it to be dispositive under the facts of this case, we
    limit our review to whether DCS established that there was a reasonable
    probability that the conditions resulting in the removal or reasons for placement
    of the Children outside the home will not be remedied. See Ind. Code § 31-35-2-
    4(b)(2)(B)(i).
    [29]   In determining whether the conditions that resulted in the Children’s removal
    will not be remedied, we engage in a two-step analysis. 
    E.M., 4 N.E.3d at 642
    -
    643. First, we identify the conditions that led to removal, and second, we
    determine whether there is a reasonable probability that those conditions will
    not be remedied. 
    Id. at 643.
    In the second step, the trial court must judge a
    parent’s fitness as of the time of the termination proceeding, taking into
    consideration evidence of changed conditions, balancing a parent’s recent
    improvements against habitual patterns of conduct to determine whether there
    is a substantial probability of future neglect or deprivation. 
    Id. We entrust
    that
    delicate balance to the trial court, which has discretion to weigh a parent’s prior
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    history more heavily than efforts made only shortly before termination. 
    Id. Requiring trial
    courts to give due regard to changed conditions does not
    preclude them from finding that a parent’s past behavior is the best predictor of
    future behavior. 
    Id. [30] “The
    statute does not simply focus on the initial basis for a child’s removal for
    purposes of determining whether a parent’s rights should be terminated, but
    also those bases resulting in the continued placement outside the home.” In re
    N.Q., 
    996 N.E.2d 385
    , 392 (Ind. Ct. App. 2013) (citation and internal quotation
    marks omitted). A court may consider evidence of a parent’s prior criminal
    history, history of neglect, failure to provide support, lack of adequate housing
    and employment, and the services offered by DCS and the parent’s response to
    those services, and, where there are only temporary improvements and the
    pattern of conduct shows no overall progress, the court might reasonably find
    that under the circumstances the problematic situation will not improve. 
    Id. [31] To
    the extent Parents do not challenge the court’s findings of fact, these
    unchallenged facts stand as proven. See In re B.R., 
    875 N.E.2d 369
    , 373 (Ind.
    Ct. App. 2007) (failure to challenge findings by the trial court resulted in waiver
    of the argument that the findings were clearly erroneous), trans. denied. Mother
    concedes that she has a mental illness, and Father acknowledges that he and
    Mother suffer from schizophrenia. Mother acknowledges that she was
    hospitalized for mental illness and was under an involuntary commitment at the
    time of the termination hearing.
    Court of Appeals of Indiana | Memorandum Decision 49A02-1703-JT-444 |September 25, 2017   Page 19 of 25
    [32]   The record supports the trial court’s finding that Parents were inconsistent in
    therapy and parenting time leading to the close of the services due to a lack of
    participation. Edwards testified that she supervised Parents’ visits with the
    Children from May 2015 to December 2015, that “[w]hen it started it was three
    visits, and then it went to two visits,” then Parents began to miss visits, and
    “[e]ventually it dwindled down to no visits.” Transcript Volume II at 43.
    Edwards testified that Parents had approximately seven “no call, no show
    visits.” 
    Id. at 56.
    Sabau testified that Parents “had about two no-shows, maybe
    three and one cancellation.” 
    Id. at 77.
    FCM Jaggers, who was assigned the
    case from November 2015 to October 2016, testified that she attempted to
    contact Parents several times via phone, would mail them information,
    attempted to text them, and worked with the resource family to find their
    current locations. She testified that Parents “really never returned phone calls”
    and she was unable to meet them and did not physically meet them until a
    hearing in March 2016. 
    Id. at 200.
    FCM Bowlick, who was assigned the case
    in October 2016, attempted to call Parents three times, left voicemails, and went
    to the home but was unsuccessful in contacting Parents. FCM Bowlick tried
    calling Parents a few times in November and December and left voicemails.
    On December 19, 2016, Mother called FCM Bowlick and told FCM Bowlick
    that she had been working with Gallahue, that she discontinued services with
    another provider because “they were making her husband do things, that he
    shouldn’t have been doing.” 
    Id. at 237.
    FCM Bowlick asked Mother to
    provide an address, but Mother was “just not responsive.” 
    Id. at 242.
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    [33]   Edwards testified that Parents would come extremely early or late to visit, “they
    were not all the way there,” and “they seemed a little bit confused.” 
    Id. at 45.
    She testified that Father showed up two or three times on days when visits were
    not scheduled. When Edwards talked to Father about showing up on such
    days, Father said he “had started getting kind of cloudy.” 
    Id. at 49.
    Sabau
    testified that she had very few discussions with Father and he was either
    sleeping or in and out of the house during the visits. Father also called the
    Children derogatory names including that they were ugly and stupid, which
    was upsetting to Edwards and the Children. During one visit, Father played
    “boogey man” with J.S., who became very frightened and “just screamed and
    squirmed until she was taken from him and held and told it was . . . going to be
    okay.” 
    Id. at 50.
    [34]   Edwards observed that Mother tried to handle the Children at the same time,
    but she was unable to do it properly, became frustrated and overwhelmed, and
    would take a break, and that Edwards would take care of the children.
    Edwards also observed that Parents were fine serving the Children cold foods,
    but she would have to monitor Parents if they were cooking anything because
    they would heat the foods too much including melting a package in the
    microwave. When asked to describe Parents’ progress throughout the whole
    time she met with them and if they made progress, Edwards testified: “No. I
    don’t think they made progress.” 
    Id. at 61.
    FCM Bowlick testified that DCS
    was recommending adoption because none of the services had been completed.
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    [35]   As for Parents’ mental illness, Sabau testified that Mother told her she was
    hearing voices, thought there were tape recorders around, attributed the voices
    to ISIS, thought ISIS had tape recorders in her house and was listening to her
    and watching her, and that she heard the voices at home and on the bus. Sabau
    testified that she was concerned Mother’s symptoms were worsening and that
    she had some concerns regarding safety. Toles testified that it is challenging
    trying to make Mother understand that her schizophrenia and symptoms are
    real. Caughey, FCM Bush, and Sabau also testified to Mother’s disagreement
    with her diagnosis. Toles testified that he had never seen Mother “truly
    complying all the time” with her medications. 
    Id. at 155.
    When asked whether
    he had observed erratic behavior when working with Mother during the past six
    months, Toles answered: “Yes, that happens all the time.” 
    Id. He stated
    that
    Mother loves her daughter “[b]ut she can’t take care of her in the way that she
    needs to,” “[s]he just can’t . . . [b]ecause mentally, she can’t do it, she can’t.”
    
    Id. at 162.
    [36]   Kelly, Father’s case manager and recovery clinician, testified that Father does
    not believe that he has mental illness and that he has tried to inform Father that
    he is actually diagnosed with schizophrenia. He also testified that when Father
    is decompensating, he thinks that he has super powers, will say he does not
    need the medicine because he has his “own spirits within himself,” and
    becomes paranoid. 
    Id. at 177.
    He also testified that Father was outside in the
    nude, which was a common symptom Father exhibited, prior to his last
    admission to the hospital. Kelly also testified that Father can become
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    delusional and described his decision making as poor. When asked what erratic
    behavior he had observed in the past six months with Father, Kelly testified that
    Father had been discharged twice from the hospital when he should not have
    been and that “when he came out he still had that I’m mad at the world
    attitude, beat people up.” 
    Id. at 184.
    Kelly testified that he had never
    recommended that the Children be placed back in Parents’ care because Father
    has an issue with trying to maintain himself. He testified that Father will take
    his medicine, has stated that he does not want to take his medicine because he
    “doesn’t feel like he needs it,” and says “he has a spirit within that he doesn’t
    need the medication.” 
    Id. at 179.
    He testified that he thought “without
    prompting [Father] wouldn’t take” medication, and that “with prompts he
    would.” 
    Id. at 182.
    Toles testified that Father’s symptoms are “pretty severe”
    and that he “has been having a lot of problems with his psychosis.” 
    Id. at 147.
    [37]   Based upon the court’s findings and the record, we conclude that clear and
    convincing evidence supports the trial court’s determination that there is a
    reasonable probability that the conditions leading to the Children’s removal will
    not be remedied. See In re A.H., 
    832 N.E.2d 563
    , 570 (Ind. Ct. App. 2005)
    (concluding that the trial court properly terminated the parent-child relationship
    where a parent with mental health impairment participated in but failed to
    benefit from services).
    2. Best Interests
    Court of Appeals of Indiana | Memorandum Decision 49A02-1703-JT-444 |September 25, 2017   Page 23 of 25
    [38]   We next consider Parents’ assertion that DCS failed to demonstrate that
    termination of their parental rights was in the Children’s best interests. In
    determining what is in the best interests of a child, the trial court is required to
    look beyond the factors identified by DCS and to the totality of the evidence.
    McBride v. Monroe Cty. Office of Family & Children, 
    798 N.E.2d 185
    , 203 (Ind. Ct.
    App. 2003). In so doing, the court must subordinate the interests of the parent
    to those of the children. 
    Id. Children have
    a paramount need for permanency
    which the Indiana Supreme Court has called a central consideration in
    determining the child’s best interests, and the Court has stated that children
    cannot wait indefinitely for their parents to work toward preservation or
    reunification, and courts need not wait until the child is irreversibly harmed
    such that the child’s physical, mental, and social development is permanently
    impaired before terminating the parent-child relationship. In re 
    E.M., 4 N.E.3d at 647-648
    . However, “focusing on permanency, standing alone, would
    impermissibly invert the best-interests inquiry . . . .” 
    Id. at 648.
    Recommendations of the case manager and court-appointed advocate, in
    addition to evidence that the conditions resulting in removal will not be
    remedied, are sufficient to show by clear and convincing evidence that
    termination is in the child’s best interests. In re A.S., 
    17 N.E.3d 994
    , 1005 (Ind.
    Ct. App. 2014), trans. denied.
    [39]   FCM Jaggers testified that Parents did not participate in services, that DCS felt
    that the rights of Parents needed to be terminated, and she felt that returning the
    Children to Parents’ care would put the Children’s safety at risk. GAL Wilson
    Court of Appeals of Indiana | Memorandum Decision 49A02-1703-JT-444 |September 25, 2017   Page 24 of 25
    testified that she believed adoption was in the Children’s best interest and that
    “[b]ecause they are so young, and they have been in that home for that long,
    the information that I have received, is that they, as far as the parent’s visitation
    and contact with them, they don’t really have a bond.” Transcript Volume II at
    226. She also testified that “[t]here is no bond between the children and
    [Mother and Father]. They don’t recognize them as their parents.” 
    Id. at 227.
    GAL Wilson testified that Parents have not proven that they can parent in two
    years and that it was not fair to the Children to “have their life, prolonged and
    in limbo . . . .” 
    Id. at 227.
    When asked what continued safety concerns she
    had, she testified that she was concerned with Parents’ mental health. FCM
    Bowlick testified that she believed that termination of the parental rights was in
    the best interests of the Children.
    [40]   Based on the testimony, as well as the totality of the evidence in the record and
    set forth in the court’s termination order, we conclude that the determination
    that termination is in the best interests of the Children is supported by clear and
    convincing evidence.
    Conclusion
    [41]   We conclude that the trial court’s judgment terminating the parental rights of
    Parents is supported by clear and convincing evidence. We find no error and
    affirm.
    [42]   Affirmed.
    Najam, J., and Kirsch, J., concur.
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