In re Interest of Jessalina M. , 32 Neb. Ct. App. 98 ( 2023 )


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    IN RE INTEREST OF JESSALINA M.
    Cite as 
    32 Neb. App. 98
    In re Interest of Jessalina M.,
    a child under 18 years of age.
    State of Nebraska, appellee, v.
    Samantha M., appellant.
    ___ N.W.2d ___
    Filed July 18, 2023.    No. A-22-678.
    1. Juvenile Courts: Appeal and Error. An appellate court reviews juve-
    nile cases de novo on the record and reaches its conclusions indepen-
    dently of the findings made by the juvenile court below.
    2. Juvenile Courts: Evidence: Appeal and Error. When the evidence is
    in conflict, an appellate court may consider and give weight to the fact
    that the juvenile court observed the witnesses and accepted one version
    of the facts over another.
    3. Parental Rights: Proof. 
    Neb. Rev. Stat. § 43-292
    (7) (Reissue 2016)
    operates mechanically and, unlike the other subsections of the statute,
    does not require the State to adduce evidence of any specific fault on the
    part of a parent.
    4. Parental Rights: Time. The filing of the petition, supplemental peti-
    tion, or motion to terminate parental rights is the triggering event for
    the 22-month look-back period described in 
    Neb. Rev. Stat. § 43-292
    (7)
    (Reissue 2016).
    5. Parental Rights: Proof. Under 
    Neb. Rev. Stat. § 43-292
     (Reissue
    2016), once the State shows that statutory grounds for termination of
    parental rights exist, the State must then show that termination is in the
    best interests of the child.
    6. Parental Rights: Presumptions: Proof. A child’s best interests are
    presumed to be served by having a relationship with his or her parent.
    This presumption is overcome only when the State has proved that the
    parent is unfit.
    7. Parental Rights: Statutes: Words and Phrases. Although the
    term “unfitness” is not expressly stated in 
    Neb. Rev. Stat. § 43-292
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    (Reissue 2016), it derives from the fault and neglect subsections of that
    statute and from an assessment of the child’s best interests.
    8. Parental Rights. Where a parent is unable or unwilling to rehabilitate
    himself or herself within a reasonable period of time, the child’s best
    interests require termination of parental rights.
    Appeal from the County Court for Cheyenne County:
    Russell W. Harford, Judge. Affirmed.
    Gregory A. Rosen for appellant.
    Amber Horn, Chief Deputy Cheyenne County Attorney, for
    appellee.
    Audrey M. Long, guardian ad litem.
    Riedmann, Bishop, and Arterburn, Judges.
    Bishop, Judge.
    I. INTRODUCTION
    Samantha M. appeals the order of the county court for
    Cheyenne County, sitting as a juvenile court, terminating her
    parental rights to her daughter, Jessalina M. We affirm.
    II. BACKGROUND
    1. Procedural Background
    Samantha is the mother of Jessalina, born in September
    2020. Jose M. is Jessalina’s father. Jose was part of the juve-
    nile proceedings below, but he made significant progress on his
    case plan and was able to be reunified with Jessalina. Because
    Jose is not part of this appeal, he will only be discussed
    as necessary.
    Jessalina was removed from Samantha’s care shortly after
    Jessalina’s birth due to concerns about the child’s well-being.
    Hospital staff had been concerned about Samantha’s behav-
    iors, which included yelling and screaming at staff; her initial
    refusal to sign a treatment order for Jessalina; and Samantha’s
    history of mental health issues. Additionally, Samantha previ-
    ously had her parental rights terminated to her son, Noah C.,
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    in August 2019, and that termination was affirmed on appeal.
    See In re Interest of Noah C., 
    306 Neb. 359
    , 
    945 N.W.2d 143
    (2020). Jose is not Noah’s father. Because Noah is not part of
    this appeal, he will only be discussed as necessary.
    (a) Lincoln County Proceedings
    On September 10, 2020, the State filed a petition in the
    county court for Lincoln County, sitting as a juvenile court,
    alleging that Jessalina was a child within the meaning of 
    Neb. Rev. Stat. § 43-247
    (3)(a) (Reissue 2016) because she was in
    a situation dangerous to life or limb or injurious to her health
    or morals. That same day, the juvenile court entered an “Order
    of Detention” giving temporary custody of Jessalina to the
    Nebraska Department of Health and Human Services (DHHS).
    Jessalina was placed in foster care, where she remained until
    on or about January 10, 2022, at which time she was placed
    with her father, who by that time had made significant progress
    on his case plan.
    On September 14, 2020, the juvenile court appointed coun-
    sel to represent Samantha, and a guardian ad litem (GAL) for
    Jessalina. After a motion by the State noting Samantha’s his-
    tory of mental health issues, the court also appointed a GAL
    for Samantha.
    On October 13, 2020, Jessalina was adjudicated to be a child
    within the meaning of § 43-247(3)(a) based on her father’s
    answer of “no contest” to the allegations in the petition.
    Following a disposition hearing on November 24, the juvenile
    court adopted the DHHS case plan of November 17 and all
    parties were ordered to comply with the terms of that plan; the
    terms related to Jose and Jessalina, not Samantha.
    On January 6, 2021, Samantha entered her “[n]o contest”
    answer to the allegations in the petition, and Jessalina was
    once again adjudicated to be a child within the meaning of
    § 43-247(3)(a).
    Following a disposition hearing on February 24, 2021,
    the juvenile court adopted the DHHS case plan of February
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    17 and ordered all parties to comply with the terms of the
    respective plan. By a separate journal entry and order entered
    on March 8, the juvenile court ordered that a concurrent plan
    of adoption be redacted from the February 17 case plan.
    The February 17, 2021, case plan set forth three goals and
    numerous strategies to achieve those goals. The first goal
    was for Samantha to “provide a safe and healthy environ-
    ment for her child that promotes emotional and physical well
    being on a consistent ongoing basis.” The strategies set forth
    for Samantha were to work on her parenting skills to meet
    Jessalina’s needs on an ongoing basis; respond to Jessalina’s
    needs on cue and without prompt; learn to control her anger
    and not yell around Jessalina and demonstrate that on an
    ongoing basis, as well as learn to be open to family support
    giving her “attitude checks” and to be open to follow feed-
    back regarding why an attitude check was called; work with
    service providers to understand Jessalina’s needs and how to
    meet them and demonstrate the ability to do that on an ongo-
    ing basis; attend visits as scheduled and not have them ended
    due to becoming upset, threatening others, or not meeting the
    needs of the child, and to communicate with family support
    if she was running late; cooperate in assessments requested
    regarding her mental health and/or parenting and sign releases
    to provide DHHS information regarding the assessments; and
    utilize appropriate coping skills gained in counseling when
    dealing with any stressors.
    The second goal was for Samantha to “manage her anxiet-
    ies, trauma, and mental health as evidenced by attending her
    medical appointments, managing her moods, handling stress-
    ful situations, communicating effectively, and participating
    in everyday activities.” The strategies set forth for Samantha
    were to sign releases for DHHS to “any and all doctors or
    service providers that she [was] working with regarding her
    mental health, medication management, and neurologist”; par-
    ticipate in a psychological evaluation and follow the recom-
    mendations; find and maintain employment to provide for
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    herself and her daughter; maintain suitable housing for herself
    and her daughter; take her medications as prescribed and
    attend her medication management appointments; learn what
    her diagnosis is and how it affects her on a day-to-day basis,
    as well as how it affects her parenting; work with her service
    providers to learn how to manage her mental health to par-
    ent her child, meeting her emotional and physical well-being,
    and demonstrate that ability consistently for a minimum of 6
    months; and control her emotions and communicate rationally
    without yelling and becoming verbally aggressive.
    The third goal was for Jessalina to “have a safe and stable
    home provided for her where her physical and emotional needs
    are consistently met.” The strategies set forth for Samantha
    were to attend visits with Jessalina and meet her physical and
    emotional needs during the visits, obtain employment to pro-
    vide for Jessalina’s needs, and maintain suitable housing.
    The goals and strategies from the February 2021 case plan
    remained the same throughout the entirety of this case.
    On April 29, 2021, Samantha’s counsel filed a motion to
    withdraw, stating that “[Samantha] has expressed that she
    would like different representation, and there has been a break
    down in the attorney-client relationship.” At a hearing on May
    4, counsel stated that Samantha expressed a desire for different
    or more effective representation. Samantha’s GAL stated that
    Samantha was getting excellent counsel and that it would not
    be in Samantha’s best interests to allow counsel to withdraw.
    Following the hearing, the juvenile court denied counsel’s
    motion to withdraw, but it did appoint cocounsel to repre-
    sent Samantha.
    A review hearing was held on May 11, 2021. Samantha
    objected to DHHS’ May 4 court report and case plan, which
    once again included a concurrent plan for adoption. An eviden-
    tiary hearing was set for June 30.
    On June 17, 2021, Jessalina’s GAL filed a motion to
    transfer the case to Cheyenne County pursuant to 
    Neb. Rev. Stat. § 43-282
     (Reissue 2016). The GAL alleged that
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    Samantha moved to North Platte, Nebraska (Lincoln County),
    from Sidney, Nebraska (Cheyenne County), shortly before
    Jessalina’s birth; Jessalina was born in North Platte in
    September 2020, and the juvenile petition was filed in Lincoln
    County on September 10; Jessalina’s foster parents (with
    whom she was placed the day she was released from the hos-
    pital after her birth) lived in Sidney; Jose had always lived in
    Sidney; Samantha and Jose had a divorce action pending in
    Cheyenne County; all visits by both parents occurred at loca-
    tions outside of Lincoln County, with a majority occurring
    in Sidney; all witnesses who had been directly involved with
    Jessalina for any hearing occurring in this matter, with the
    exception of Samantha, were located in either Keith County
    or Cheyenne County; and Cheyenne County was the most
    convenient forum. The notice of hearing stated that the motion
    would be heard on June 22.
    On June 18, 2021, Samantha filed a motion to continue
    the hearing on the GAL’s motion to transfer. Samantha stated
    in part that she was currently awaiting a contested hearing
    scheduled for June 30 concerning her objections to a case plan
    that was offered at a hearing on May 11. She claimed that she
    would be
    unduly prejudiced by a decision to transfer this case at
    any time but she will be severely prejudiced by having
    the motion heard and potentially decided prior to her
    previously scheduled hearing on June 30, 2021[,] which
    could result in a continuance of that hearing and new
    counsel being appointed in the county the case is trans-
    ferred to.
    Following a hearing on June 22, 2021, the juvenile court, on
    its own motion, postponed the contested court report and case
    plan hearing scheduled for June 30, and stated that the con-
    tested motion to transfer would be heard that day instead.
    At the June 30, 2021, hearing on the motion to transfer,
    the juvenile court stated that Jessalina’s GAL was excused
    from the hearing but was authorized to present evidence by
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    affidavit. Exhibits were then received, and arguments were
    made. We will set forth the details as necessary later in our
    analysis. The juvenile court entered its order on July 2, trans-
    ferring the matter to Cheyenne County; it also deferred the
    contested review hearing on the May 4 court report and case
    plan to Cheyenne County.
    (b) Cheyenne County Proceedings
    On August 13, 2021, the county court for Cheyenne County,
    sitting as a juvenile court, set Samantha’s objection to the May
    4 court report and case plan for hearing on September 21.
    On September 7, 2021, Samantha’s court-appointed counsel
    in Cheyenne County filed a motion to withdraw, stating that
    she had been “fired” by Samantha, who felt counsel was inef-
    fective and not representing her properly. The juvenile court
    granted the motion and appointed new counsel the same day.
    Following the hearing on Samantha’s objection to the May
    4, 2021, DHHS court report and case plan, the juvenile court
    entered an order on September 27, modifying the May 4 report
    “to eliminate Adoption as an alternative to reunification at
    this time” and approving the court report and case plan “as
    modified.” The goals and strategies for Samantha otherwise
    remained the same.
    On October 22, 2021, the juvenile court granted Samantha’s
    motion to hire an expert in psychology to assess whether
    her mental health needs rose to a level of disability that may
    require special accommodations; Dr. Gage Stermensky was to
    be the expert. On November 2, Jessalina’s GAL filed a motion
    to update Samantha’s psychological evaluation, noting that
    it had been a year since Samantha’s previous psychological
    evaluation. Following a hearing, the court granted the GAL’s
    motion and ordered Samantha to obtain an updated psycho-
    logical evaluation by Dr. Stermensky, with the results to be
    provided to the parties, except the father and his attorney.
    Samantha was also ordered to sign all psychological and medi-
    cal releases.
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    On November 30, 2021, the juvenile court approved the
    November 2 court report and case plan over Samantha’s
    objections. The goals and strategies for Samantha remained
    the same.
    On January 14, 2022, the State and Jessalina’s GAL filed
    an emergency motion to suspend visitations with Samantha
    and Jessalina. The motion alleged as follows: Since the end
    of December 2021, Samantha refused to participate in visits.
    A safety threat existed for Jessalina and “FSWs” (family
    support workers) to provide coverage of Samantha’s visits
    because (1) at the last visit in December, law enforcement
    was summoned due to Samantha’s behavior, including her
    refusal to return Jessalina to the family support provider and
    physically restraining Jessalina when the visit was ended;
    (2) Samantha had a friend stalk a family support worker and
    then verbally threaten the present worker, including threats of
    physical harm; (3) the family support worker resigned from
    the case due to Samantha’s threats and behaviors; and (4) this
    was the fourth family support worker to terminate services
    with Samantha due to her behaviors. Following a hearing,
    the juvenile court entered an order on February 2, 2020,
    granting the motion to suspend visits and stating that no fur-
    ther in-person visitations would be provided until Samantha
    submitted to an evaluation by Dr. Stermensky and his report
    was filed with the court; pending the evaluation and receipt
    of the report, Samantha was to be provided video visitation
    with Jessalina.
    On February 14, 2022, Samantha filed a motion to recon-
    sider that, in part, sought a different psychologist to complete
    her updated psychological evaluation, because Dr. Stermensky
    had previously completed Jose’s evaluation “and this causes
    concern given the relationship between the two parties.”
    Following a hearing, the juvenile court granted Samantha’s
    request to have an updated psychological evaluation by a
    licensed psychologist other than Dr. Stermensky, because of
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    the potential conflict of interest. The court said, “It makes the
    most sense to the Court that Dr. Kimzey . . . do the updated
    evaluation because he did the first psychological evaluation,”
    but that Samantha and her counsel could choose a psychologist
    from a specified list.
    On March 25, 2022, the State and Jessalina’s GAL filed
    a “[c]omplaint” to terminate Samantha’s parental rights to
    Jessalina pursuant to 
    Neb. Rev. Stat. § 43-292
    (2), (3), (5), (6),
    and (7) (Reissue 2016). The motion alleged that Samantha
    substantially and continuously or repeatedly neglected and
    refused to give Jessalina necessary parental care and protec-
    tion; Samantha, being financially able, willfully neglected to
    provide Jessalina with the necessary subsistence, education,
    or other care necessary for her health, morals, or welfare or
    neglected to pay for such subsistence, education, or other
    care when legal custody of Jessalina was lodged with oth-
    ers and such payment ordered by the court; Samantha was
    unable to discharge parental responsibilities because of men-
    tal illness or mental deficiency, and there were reasonable
    grounds to believe that such condition would continue for a
    prolonged indeterminate period; reasonable efforts to preserve
    and reunify the family failed to correct the conditions leading
    to the adjudication of the child under § 43-247(3)(a); Jessalina
    had been in an out-of-home placement for 15 or more months
    of the most recent 22 months; and termination of Samantha’s
    parental rights was in the best interests of the child.
    2. Parental Termination Hearing
    The parental termination hearing was held on July 20 and
    August 12 and 19, 2022. Samantha was allowed to appear vir-
    tually; she was always represented by counsel, who appeared
    personally, as did Samantha’s GAL. The State called several
    witnesses to testify, and numerous exhibits were received into
    evidence. Samantha did not testify, but two witnesses testified
    on her behalf.
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    (a) Prior Parental Termination
    Sonya Oliverius, a DHHS child family services supervi-
    sor, testified that she was the one who removed Noah from
    Samantha’s care in December 2017 and then supervised that
    case for its entirety. Noah was 4 or 5 years old at the time
    of his removal. DHHS ultimately recommended terminating
    Samantha’s parental rights. Oliverius stated, “We had worked
    a case with [Samantha] for quite some time with case plan
    goals,” but “[w]e were not able to make enough progress
    with [her] in regards to mostly her mental health,” “[a]nd so
    we did not feel that she could provide a safe and emotionally
    stable environment for Noah.” DHHS never knew exactly what
    Samantha was diagnosed with, but she “sporadically talked
    about different things, PTSD being one of the biggest concerns
    that had been brought up.” Samantha would not sign releases
    for anything from the past and never completed requested
    psychological evaluations. She also did not complete a parent-
    ing capacity assessment. Samantha “questioned anyone and
    everyone that was, essentially, on her case,” and it got to the
    point where there was not a visitation provider who wanted to
    work with her.
    During Noah’s case, his father (not Jose) reported to DHHS
    that he was concerned with continuing his involvement with
    Noah due to actions by Samantha, including concerns of false
    allegations of domestic violence, and that he almost lost his
    job because Samantha showed up at his work. Samantha and
    Noah’s father ultimately had their parental rights terminated in
    August 2019.
    (b) September 2020 Removal of Jessalina
    Jenna Odell is a child and family services specialist with
    DHHS in North Platte and does initial assessments. Odell
    testified that when Jessalina was born in September 2020,
    there were concerns about Samantha’s behavior at the hos-
    pital, as well as her mental health; the doctor who over-
    saw Samantha’s prenatal care and delivered Jessalina was
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    concerned about Jessalina leaving the hospital with Samantha
    and thought Samantha needed a “psych eval.” Hospital prog-
    ress notes indicate that Samantha was “yelling and screaming
    at staff as well as initially refusing to sign consent to treat the
    infant” (she later signed the consent), she was “easily frus-
    trated,” and there was a lack of information on where an older
    sibling was located; thus, a report was made to the “abuse and
    neglect hotline.”
    Odell met Samantha at the hospital on September 9 and
    10, 2020. Odell said Samantha was “dismissive like nothing’s
    wrong” and she accused nurses of “lying about stuff” on a
    few occasions. Samantha told Odell that she was not currently
    participating in counseling; she said she had done so with
    Noah, but it did not help. Samantha was taking medication
    as prescribed by her physician for her mental health, some of
    which had to be changed or withheld during pregnancy but
    resumed following Jessalina’s birth. Samantha talked about
    the domestic violence between Jose and her and stated that
    was the reason she had moved to North Platte. Samantha
    would not allow Odell to do a walk-through of her home or
    even give Odell her address because “she was very paranoid
    that somebody would get the address and give it to [Jose].”
    Additionally, Samantha would not give Odell the names of
    her friends who were her support persons so that Odell could
    speak with them. According to Odell, Samantha “scored high”
    on a risk assessment tool and it did not seem like she had
    addressed concerns since Noah’s case the year prior. Odell
    spoke to Jose over the phone on September 9 and 10, and
    he was concerned for Jessalina. He told Odell that there was
    a current protection order that Samantha had against him,
    but that he had never assaulted Samantha and that she was
    the aggressor.
    Odell stated that Jessalina was made a state ward on
    September 10, 2020, and placed in a kinship foster home in
    Sidney where Noah lived. Odell did a referral for Samantha
    and Jose to have supervised visitation with Jessalina and
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    provided Samantha with gas and hotel vouchers as well.
    Samantha’s referral was for 25 hours of supervised visitation
    with Family 4ward in Sidney. Odell transferred the case to a
    specialist in October.
    (c) Caseworker October 2020
    Through August 2022
    Catherine Ruiz is a DHHS child and family services spe-
    cialist who was the caseworker on this case from October
    2020 through the parental termination hearings. She described
    Samantha’s inability to meet Noah’s needs, and when asked if
    Samantha’s mental health was an issue in Noah’s case, Ruiz
    responded, “Yes.” According to Ruiz, Jessalina was removed
    from parental care on September 10, 2020, and was placed
    with her father in January 2022; Jessalina has never been
    placed back with Samantha. Samantha’s visits with Jessalina
    were supervised for the entire case.
    Ruiz testified that Samantha was court-ordered to undergo
    a psychological evaluation in this case. She completed an
    evaluation with “Dr. Kimzey, PhD.” in November 2020. The
    evaluation indicates that Samantha reported that the assessment
    was not court ordered. She was diagnosed with “Attention-
    deficit/hyperactivity disorder, Combined presentation,”
    “Posttraumatic stress disorder,” and “Generalized anxiety dis-
    order.” It was also noted that an alternative diagnosis was
    being considered, “Rule Out: Unspecified Bipolar Disorder.”
    Outpatient counseling was recommended, as well as a psy-
    chiatric medical consultation. Ruiz testified that the submitted
    exhibit contained only a portion of Dr. Kimzey’s report, as
    that was all that was provided to DHSS because “Samantha
    did not want us to know about her trauma” or “previous his-
    tory.” Ruiz did not believe that any of the information related
    to the psychological evaluation was comprehensive enough to
    be valid, and she was concerned that all the information pro-
    vided to Dr. Kimzey came solely from Samantha; Ruiz did not
    believe that Samantha was an accurate reporter. Later in the
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    case, Samantha was ordered to obtain an updated evaluation,
    but, to Ruiz’ knowledge, Samantha had not done so by the
    time of the termination hearing.
    The DHHS case plan goals and strategies, as set forth
    previously, were adopted by the juvenile court and remained
    the same throughout the entirety of the case. According to
    exhibits received into evidence, DHHS provided numerous
    services to Samantha, including family support with two dif-
    ferent agencies, supervised visitation with three different
    agencies, makeup visitation, “Zoom” visits, home visits, case
    management, team meetings, medical consultations, urgent
    needs assessment, counseling, psychological evaluations, hotel
    vouchers, gas vouchers, and transportation. Ruiz stated that
    Samantha did not utilize all the services provided to her, and
    it inhibited her ability to achieve reunification. Samantha had
    attended parenting classes early in the case.
    Ruiz said that DHHS also tried to help Samantha with time
    management, provided her with a watch, talked to her about
    using “apps” on her phone, switched visitation times to be
    later in the day, and extended how late she could be for a
    visit. DHHS accommodated Samantha’s dog, which she said
    would indicate to her when she was going to have a seizure, as
    Samantha reported having epilepsy. DHHS also accommodated
    Samantha with breaks to help her with her anxiety.
    Ruiz was questioned about Samantha’s progress on the
    DHHS case plan goals and strategies. Samantha was supposed
    to attend visits as scheduled, communicate with family sup-
    port if she was running late, and not have visits ended due to
    becoming upset, threatening others, or not meeting the needs
    of the child. Ruiz stated Samantha’s progress was “minimal,”
    because she was not attending visits on a regular basis and
    communicating with workers was an issue. When asked if
    Samantha made sufficient progress on the goals in order to
    reunify with Jessalina, Ruiz said, “No.”
    When Samantha had visits, she provided for Jessalina’s
    physical needs, “but due to the inconsistencies of visitation
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    that was a problem.” There was minimal progress on respond-
    ing to Jessalina’s needs on cue without a prompt because
    Samantha had a hard time understanding Jessalina’s cues.
    Samantha was supposed to learn to control her anger and not
    yell around Jessalina, and she was supposed to be open to
    family support workers giving her attitude checks. But again,
    there was minimal progress because Samantha did not want
    family support workers to give her any feedback and when
    they gave her an attitude check, she would get upset. There
    was an incident in December 2021 when law enforcement
    was called and Samantha was yelling while holding Jessalina.
    Samantha did not want to take any direction from provid-
    ers and “didn’t want anybody else to tell her what to do”;
    this inhibited her ability to learn and apply new parenting
    skills. Ruiz stated that Samantha attended counseling, but if
    Samantha became upset, “she would just explode as opposed
    to trying to use some of the coping skills she claimed to be
    gaining during counseling.”
    In her case plan, Samantha was supposed to work with her
    service providers to learn how to manage her mental health,
    to parent her child to meet her emotional and physical well-
    being, and to demonstrate that ability consistently for a mini-
    mum of 6 months. Ruiz stated that DHHS did not have any
    information on whether Samantha was doing these things, and
    thus her progress was “minimal.” Ruiz said that Samantha
    signed a limited release for her counselor to provide dates
    of appointments attended and recommendations. But when
    DHHS reached out to the counselor, DHHS was not given
    information on recommendations because the counselor said
    that Samantha did not want her to provide that information.
    Samantha was supposed to sign releases for DHHS to doc-
    tors or service providers she was working with regarding her
    “mental health, medication management, and neurologist,”
    but Ruiz stated that “we had limited releases, so we still
    didn’t have much information.” DHHS knew that Samantha
    took medication and carried it with her, but “[w]e didn’t
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    know what was prescribed or if she was regularly seeing her
    medication management doctor.” Samantha was supposed to
    learn what her diagnosis was and how it affected her on a
    day-to-day basis, as well as how it affected her parenting, but
    Samantha’s progress was minimal in that she said she had “a
    lot of trauma and triggers,” but made “it a responsibility for
    everybody else to walk on eggshells” as opposed to her “tak-
    ing accountability for her own trauma and triggers.”
    According to Ruiz, Samantha’s progress was also “mini-
    mal” regarding controlling her emotions and communicating
    rationally without yelling or becoming verbally abusive. Ruiz
    explained that “we would constantly get rude [and vulgar]
    e-mails and text messages from her when things were not
    going her way or she was upset about something.” Samantha
    yelled and became verbally aggressive in phone calls, team
    meetings, and court hearings.
    As for maintaining employment, Ruiz said, “I know
    Samantha had a job, and then she didn’t have a job,” and then
    “she wouldn’t report anything to [DHHS], so we weren’t sure
    whether she had a job or not.” Samantha did have suitable
    housing in North Platte.
    Ruiz never felt that it would be safe for Samantha to have
    unsupervised visits with Jessalina due to Samantha’s mental
    health not being addressed, and when attempting to address it
    with Samantha, “she would just become very upset” and say
    that there were “other factors that were causing her to be this
    way and that we just didn’t understand and that we . . . didn’t
    know our jobs.”
    Ruiz testified that Samantha worked with several differ-
    ent providers in this case but did not maintain relationships
    with any of them. Samantha went through three different
    visitation companies, family support was provided by two
    different companies, and she had a family coach/community
    support. According to Ruiz, the providers left the case because
    Samantha was rude to them either in person or via text or
    email, and because “overall it was just draining for them,
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    and nobody wanted to work with her.” Ruiz and her supervi-
    sor also received rude emails from Samantha who called them
    names and said they were kidnappers.
    Supervised visits changed locations several times to accom-
    modate Samantha. Ruiz stated that supervised visits initially
    occurred 3 or 4 days each week in Sidney, and Samantha
    would stay in a hotel. But then in March 2021, Samantha
    obtained a letter from her counselor stating that Sidney was
    a trigger for Samantha due to trauma. Samantha wanted the
    visits to happen in North Platte so that she would not have to
    travel, but DHHS was concerned that Jessalina would have
    to travel that much (4 hours round trip). Visits were subse-
    quently changed so that they occurred in Chappell, Nebraska,
    and Ogallala, Nebraska. However, Samantha was not consist­
    ent with her visits in Ogallala, and DHHS was losing provid-
    ers. Samantha started getting scheduled for one of her visits
    each week in North Platte beginning in July, but Samantha
    did not like the office location of the North Platte visits and
    missed a lot of those visits, meaning that Jessalina was trav-
    eling for visits that did not occur. Visits went back to being
    solely in Ogallala in December.
    Ruiz did not believe there was a beneficial relationship
    between Samantha and Jessalina. Ruiz acknowledged that
    Jessalina was a happy child and was even happy at visits
    with Samantha. Ruiz did not question the fact that Samantha
    loved Jessalina but said that Jessalina was “not gaining any-
    thing” from the relationship. When Samantha was having an
    in-person visit, there was some improvement in her parenting
    skills, and she enjoyed reading to Jessalina. But redirection
    continued to be a problem, something that was also a problem
    in Noah’s case. Samantha’s attendance at visits was not con-
    sistent, and for several months, Samantha had been limited to
    virtual visits due to the lack of an updated psychological eval-
    uation. Ruiz believed there was a risk of harm to Jessalina if
    Samantha had continued contact with her, because Jessalina’s
    needs would not be met. Ruiz stated, “[I]t has been about
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    Samantha this whole time . . . . It’s always been about her and
    whether things benefit her.” Ruiz worried that Jessalina would
    not get her needs met if Samantha was “upset with a provider
    or something was said that she did not like.” Ruiz supported
    terminating Samantha’s parental rights to Jessalina because “it
    would allow Jessalina to have the permanency she deserves,”
    and Ruiz believed that termination of Samantha’s parental
    rights was in Jessalina’s best interests.
    (d) Visitation Providers
    (i) September 2020 to February 2021
    Janet Vath is the “COO” of Family 4ward, a company that
    contracts with the State to provide supervised visitation and
    family support. Vath testified that Family 4ward started visits
    with Samantha and Jessalina when the child was 2 or 3 days
    old and continued to do so for 6 to 8 months. Samantha trav-
    eled to Sidney 3 or 4 days per week for visits and each visit
    was 7 or 8 hours long. Vath personally supervised some of the
    visits when “Samantha would allow me to do them,” but if
    Vath made a decision to cancel a visit if Samantha was late,
    “then [Samantha] would get mad at me, and then she wouldn’t
    want to see me for a while.” Several different visitation work-
    ers were assigned to this case because “Samantha was very
    difficult to get along with”; she would work with someone for
    a while and then would get mad at that worker, so a different
    worker would be assigned. Vath testified that “when I finally
    gave the case back, my providers were all threatening to quit
    . . . if they had to do any more visits with Samantha.” Vath
    stated that her company had previously provided supervised
    visitation and family support to Samantha in Noah’s case, but
    “it ended up kind of not in a very good situation” for the same
    reasons—she was difficult to work with and workers did not
    want to work with her anymore.
    Vath testified that initially Samantha did a “really good
    job” in Jessalina’s case, but as time went on she “started in
    her old behaviors, her old patterns.” Vath tried to address
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    the situation with Samantha, but Samantha “would just blow
    up.” When Jessalina was 3 or 4 months old, Samantha would
    talk about how pizza was Jessalina’s favorite meal; at 6 months
    old, Samantha was going to let Jessalina go down the stairs
    in the playpen; Samantha did not want anybody to watch her
    give Jessalina a bath; when Jessalina would not go to sleep,
    Samantha would get irritated with her and just tell her, at 6
    months old, “you need to go to sleep.” Samantha would not
    take redirection, and the workers never knew if she was going
    to get mad, because “she could go from zero to ten in two
    seconds.” When Samantha was told something that she did not
    want to hear, she could become explosive.
    Vath stated that during one visit, Samantha got mad and
    would not hand Jessalina over to the worker, and Family
    4ward’s “CEO” was called. The whole time that Samantha was
    on the phone with the “CEO,” the worker was on the phone
    with Vath. The worker was concerned because Samantha kept
    “kicking and hitting at [her] dog” while holding Jessalina.
    There were other visits when Samantha got mad and would
    “go out and kick the dog,” or “hit the dog.” Toward the end of
    Family 4ward’s time on the case, the company sent two visita-
    tion workers to visits.
    Vath agreed that Samantha could be a good mother who
    was attentive and who communicated and interacted with her
    child. However, Samantha could also be distant, sitting and
    watching her child, but not interacting with her. Visitation
    notes from Family 4ward for December 2020 through February
    2021 revealed the following: Samantha often focused on things
    other than Jessalina and got upset with workers; she was
    negative toward people who tried to help her and focused
    her energy on being angry rather than accepting assistance
    (e.g., getting help with setting up an account to apply for food
    stamps); and she would not regulate her emotions. The visita-
    tion notes also indicated that when Jessalina was 3 months
    old, Samantha once yelled at her for spitting up, was angry
    that Jessalina would not respond when asked what the green
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    stripe on her diaper meant, and thought that Jessalina should
    already be walking. When Jessalina was 4 months old,
    Samantha was trying to teach her how to meditate and got frus-
    trated when she cried or would not sleep when she was “‘sup-
    posed to.’” The visitation reports also noted that it appeared
    Samantha wanted Jessalina to thrive and grow, would feed and
    change her, and would hold and talk to her.
    (ii) June to November 2021
    According to Sarah Jones, deputy programs director at
    Independence Rising, the company supervised Samantha’s
    visits with Jessalina from June through November 2021.
    Samantha asked that the company’s first supervision worker
    be removed, so a second worker was assigned. The com-
    pany ultimately chose to end services with Samantha due to
    “numerous no-shows from Samantha” and inappropriate ways
    that Samantha would speak to workers. Jones testified that
    Samantha used “[v]ery volatile language, a lot of swearing,
    screaming at us on the phone.” Jones explained that Samantha
    was upset because “she was more than 15 minutes late to her
    visit, so the visit was ended, and that she thought that we . . .
    should be held in contempt of court.”
    Jones sent an email to DHHS on December 3, 2021,
    informing DHHS of the reasons why the company was no
    longer willing to supervise Samantha’s visits. Samantha was
    to receive 18 hours of supervised visitation each week. She
    “no showed” for two visits in June, six in July, one in August,
    four in September, four in October, and two in November—
    these “no shows” did not include visits where Samantha
    canceled or failed to confirm in advance as required. Jones’
    email also stated that the “biggest issue” was “Samantha’s
    demeanor and attitude toward supervisory staff, as well as
    the family support workers”; numerous workers refused to
    work with Samantha because of “the behavior, harassment,
    and profanity that they constantly receive”; and workers “had
    to actually block Samantha’s number/email address as the
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    messages would continue all day and night.” The company
    did not feel that it was in the interests of its employees to
    subject them to Samantha’s behavior.
    The visitation notes from Independence Rising show that
    Samantha fed, changed, and played appropriately with Jessalina
    during visits. However, on cross-examination, Jones stated that
    when Samantha would no-show on her visits, it was “very
    hard on Jessalina having been transported all that way” to then
    have no visit. Also, one worker mentioned multiple times that
    any time she would help to redirect Samantha, she was fearful
    of the response she would get, and the worker also got emails
    from Samantha at 4 a.m. that were difficult for the worker.
    Jones herself received inappropriate emails from Samantha
    outside of visits.
    (iii) December 2021 to
    January 2022 Visitation
    A new visitation provider was utilized in December 2021,
    and Samantha attended a majority of her visits, although she
    was late on several occasions. Ruiz acknowledged being con-
    tacted by Samantha’s counsel, who had concerns about the
    relationship between the male visitation worker and Samantha
    and thought that maybe they were “getting along a little too
    well.” Then on December 27, Samantha called law enforce-
    ment during her visit; along with a police officer, two “CFS”
    workers also went to the location of the visit. According to
    Ruiz, Samantha was holding Jessalina and putting her in
    an unsafe situation when the workers were trying to take
    Jessalina so law enforcement could continue their investiga-
    tion. The police officer did not arrest anyone. Ruiz acknowl-
    edged that the visitation worker and Samantha gave different
    versions of what transpired during the visit. After that visit,
    Ruiz arranged for a different visitation worker to super-
    vise the visits. Exhibits received into evidence show that
    Samantha attended another visit in December with a new
    supervision worker, but in January 2022, she missed all six of
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    her scheduled visits through January 12; she failed to confirm
    four of those visits, confirmed but failed to show for another
    visit, and canceled due to illness for the other visit.
    (iv) February 2022 Change
    to Video Visits
    On February 2, 2022, the juvenile court entered an order
    for video visits only. Ruiz testified that the court ordered all
    visits to occur virtually because of Samantha’s “no-shows”
    and because she had not updated her psychological evaluation.
    Video visits were scheduled to occur three times each week
    for 15 minutes per visit. Samantha missed all 10 of her sched-
    uled visits for February 2022 because she failed to confirm; in
    March, she missed her first video visits, but then attended 6
    of her 8 remaining visits scheduled that month; in April, she
    attended 8 out of 13 scheduled visits; in May, she attended 10
    out of 13 scheduled visits; and in June, she attended 11 out
    of 13 scheduled visits. During the termination trial, Samantha
    attended only three out of eight scheduled visits between the
    July 20 and August 12 hearing dates, and she missed both of
    her scheduled visits between the August 12 and 19 hearing
    dates. According to Ruiz, Samantha could have reestablished
    in-person visits at any point by completing an updated psy-
    chological evaluation, and Ruiz believed Samantha’s failure
    to do so was an indication of her unwillingness to work on the
    case plan goals.
    (e) Jessalina’s Father
    Jose testified that his divorce from Samantha was finalized
    in 2021 and that Jessalina was placed with him in the middle
    of January 2022. Samantha sent messages to Jose asking him
    to let her see Jessalina without DHHS’ knowledge, but he did
    not respond. Jose said that Samantha also sent him threatening
    text messages saying that she was “going to explode me up”
    and that she was coming after Jessalina. Jose was concerned
    about the messages because Jessalina was with him all the
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    time. He supported terminating Samantha’s parental rights
    to Jessalina.
    We note that during Jose’s testimony, Samantha repeatedly
    interrupted. The juvenile court informed her that if she con-
    tinued to interrupt, she would be excluded from the hearing.
    Samantha told the judge that she could not be excluded from
    her own hearing and that the judge was allowing people to lie
    on the stand. The court informed Samantha that she could be
    excluded if she interrupted and that she had two attorneys rep-
    resenting her with whom she could visit. When Jose continued
    a response, Samantha interrupted again and told him to “shut
    [his] mouth.” The court asked Samantha’s GAL if she wanted
    to visit with Samantha and to suggest that she not interrupt
    anymore. Samantha said, “No, I don’t need suggestion. I am
    tired of dealing with the false allegations . . . that constantly
    — like, I am tired of it.” Her counsel asked if there was a way
    for the moderator to mute Samantha on “Zoom,” and the clerk
    informed the court that the moderator had been muting her, but
    that Samantha was unmuting herself.
    Jose was asked what his concerns were if the juvenile court
    did not terminate Samantha’s parental rights. He responded,
    “[A]s you can see just a few minutes ago, just outbursts
    and whatnot.” Jose stated that Samantha did not abide by
    anybody’s rules except her own. During his marriage to
    Samantha, she said that Noah was no longer with her because
    “they kidnapped him for no reason.” She also accused Jose
    of kidnapping Jessalina. Samantha “manipulates situations
    and scenarios.”
    (f) Samantha’s Witnesses
    Kourtney Sabala, a psychiatric mental health nurse practi-
    tioner, was called as a witness for Samantha. Sabala testified
    that Samantha has been her patient since January 2021, and
    Sabala provides medication management for her. According to
    Sabala, Samantha was diagnosed with “attention hyperactive
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    deficit disorder,” post-traumatic stress disorder, and major
    depressive disorder; she has one medication for “ADHD,” and
    a second medication helps treat the other diagnoses. Sabala
    received regular requests for Samantha’s medication to be
    refilled, and Samantha appeared for followup appointments.
    Sabala had not diagnosed Samantha with bipolar disorder.
    Sandra Raney was also called as a witness for Samantha.
    Raney testified that she has a master of arts degree in coun-
    seling and a master’s degree in addictions counseling; is an
    addictions alcohol and drug counselor; and is a licensed men-
    tal health professional, a certified professional counselor, a
    certified anger resolution therapist, and a clinically certified
    trauma professional. Raney never met Samantha or Jessalina.
    Raney reviewed Dr. Kimzey’s evaluation, visitation notes from
    January and September 2021, and some of the exhibits in
    the record.
    What stood out for Raney was that Samantha was very
    attentive to Jessalina, and when Samantha was emotionally
    dysregulated, she separated herself from the child “which
    was insightful on her part”; additionally, it was not reported
    that Samantha had become aggressive with Jessalina. When
    asked if 15-minute video visits were actually meaningful,
    Raney replied, “[T]hey are conversating,” and “[t]hat is a
    very meaningful thing.” If Samantha is missing visits because
    she overslept, it could be an issue with medications throwing
    off her sleep schedule; on cross-examination, Raney agreed
    that if sleep had been an issue for 2 years, it was fair to say
    that it was not being treated. Raney did not believe it was
    appropriate to say that Jessalina would be hurt by a relation-
    ship with Samantha until there was more information, and
    she believed that an evaluation of the parent-child interac-
    tion and attachments would be helpful. For Samantha and
    Jessalina to continue having a relationship even if Jose has
    the child, Samantha needs to do medication management and
    counseling, as well as prove she is taking care of herself as
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    demonstrated by her behaviors. Raney said, “So [Jose] needs
    to be able to see that by [Samantha’s] behavior it is safe to
    allow the daughter to have short windows of opportunities
    or visits.”
    On cross-examination, Raney stated that Samantha “needs
    to get the mental health addressed . . . to continue to have
    the relationship with the daughter, but I don’t believe it’s
    fair to terminate her rights because of her mental health.”
    Raney acknowledged that it would be important informa-
    tion if Samantha was ordered to do an updated psychological
    evaluation and refused to do so, and if she was ordered to do
    counseling and provide those records for verification. When
    asked if failing to do those things indicated that Samantha
    was not willing to address her mental health, Raney replied,
    “It’s showing that she’s afraid.” When asked if it would be a
    problem if Samantha refused, screaming and yelling, to turn
    Jessalina over to law enforcement, Raney responded, “When
    you don’t understand the effects of trauma and the response,
    what we have is minimal information because also what I’ve
    heard is there’s possibilities that she has a deeper mental
    health issue that’s going on,” so “I can also see her being
    protective of the child because she feels there’s a threat.”
    When asked if she would expect some sort of improvement to
    be evident after 5 years with state aid and multiple agencies,
    Raney said, “Yes.”
    3. Juvenile Court’s Decision
    In a journal entry and order entered on August 29, 2022,
    the juvenile court found by clear and convincing evidence that
    statutory grounds for termination of Samantha’s parental rights
    existed pursuant to § 43-292(2), (3), (5), (6), and (7). The court
    also found that Samantha was an unfit parent and that termi-
    nation of her parental rights was in the child’s best interests.
    Accordingly, the court terminated Samantha’s parental rights
    to Jessalina.
    Samantha appeals.
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    III. ASSIGNMENTS OF ERROR
    Samantha assigns, consolidated and restated, as follows:
    That in the county court for Lincoln County, (1) her con-
    stitutional rights were violated and the court erred when it
    transferred this juvenile case from its original jurisdiction to
    another jurisdiction, because the court denied her a meaning-
    ful opportunity to cross-examine witnesses when the GAL
    was excused from the hearing and because the court dismissed
    her court-appointed attorneys before a hearing or ruling on a
    previously scheduled contested hearing on her objection to
    a DHHS court report and case plan. That the county court for
    Cheyenne County erred (2) in finding that grounds for ter-
    minating her parental rights existed pursuant to § 43-292(2),
    (3), (5), (6), and (7); and (3) in finding that she was unfit
    and that terminating her parental rights was in Jessalina’s
    best interests.
    IV. STANDARD OF REVIEW
    [1,2] An appellate court reviews juvenile cases de novo
    on the record and reaches its conclusions independently of
    the findings made by the juvenile court below. In re Interest
    of Mateo L. et al., 
    309 Neb. 565
    , 
    961 N.W.2d 516
     (2021).
    However, when the evidence is in conflict, an appellate court
    may consider and give weight to the fact that the juvenile
    court observed the witnesses and accepted one version of the
    facts over another. 
    Id.
    V. ANALYSIS
    1. Transfer to Cheyenne County
    Samantha argues that her “Due Process and Constitutional
    rights were violated, and the trial court erred when the Lincoln
    County Court transferred this Juvenile case from its origi-
    nal jurisdiction.” Brief for appellant at 17. Specifically, that
    “[t]he court dismissed Samantha’s court appointed attorneys
    and denied Samantha’s meaningful opportunity to confront
    accusers or cross examine witnesses, before hearing or ruling
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    on a previously scheduled contested hearing on Samantha’s
    Objection” to a DHHS court report and case plan. 
    Id.
    (a) Principles of Law
    Section 43-282 states in relevant part:
    If a petition alleging a juvenile to be within the
    jurisdiction of the Nebraska Juvenile Code is filed in a
    county other than the county where the juvenile is pres-
    ently living or domiciled, the court, at any time after
    adjudication and prior to final termination of jurisdic-
    tion, may transfer the proceedings to the county where
    the juvenile lives or is domiciled and the court having
    juvenile court jurisdiction therein shall thereafter have
    sole charge of such proceedings and full authority to
    enter any order it could have entered had the adjudica-
    tion occurred therein.
    See, also, In re Interest of Jeremy U. et al., 
    304 Neb. 734
    ,
    
    936 N.W.2d 733
     (2020) (§ 43-282 allows proceedings to be
    transferred, after adjudication, to county where juvenile lives
    or is domiciled); In re Interest of Tegan V., 
    18 Neb. App. 857
    ,
    
    794 N.W.2d 190
     (2011) (§ 43-282 allows adjudication pro-
    ceeding to be filed in any county and allows for discretionary
    transfer, after adjudication, to county where juvenile is living
    or domiciled).
    (b) Procedural Background
    On June 17, 2021, several months after Jessalina was
    adjudicated, her GAL filed a motion to transfer the case to
    Cheyenne County pursuant to § 43-282. The contents of the
    motion and Samantha’s response were set forth earlier in
    this opinion.
    At the June 30, 2021, hearing on the motion to transfer, the
    juvenile court stated that although the strict rules of evidence
    did not apply and it was a discretionary matter for the court
    under § 43-282, it would receive evidence. The court also
    stated that Jessalina’s GAL was excused from the hearing but
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    was authorized to present evidence by affidavit; that affida-
    vit was received into evidence without objection. The affi-
    davit reiterated the reasons set forth in the GAL’s motion
    to transfer regarding the location of all relevant persons;
    that all visitations occurred outside of Lincoln County, with
    the majority occurring in Cheyenne County; Samantha had a
    recently expired domestic abuse protection order against Jose
    in Cheyenne County; Samantha and Jose had a divorce pro-
    ceeding pending in Cheyenne County; the May 4, 2021, DHHS
    court report set forth the history of the case and showed the
    lack of meaningful contact with Lincoln County; and Jose had
    progressed significantly toward reunification with Jessalina as
    compared to Samantha and “placement should occur with him
    as the case closes down.” Numerous exhibits were attached to
    the affidavit.
    A report from Samantha’s GAL was also received into evi-
    dence. This report stated that Samantha lived in North Platte,
    where she had moved while pregnant with Jessalina because
    Jose was physically abusive; her therapist and doctors were in
    North Platte; she was already required to travel for visits with
    Jessalina, and such travel interfered with Samantha’s mental
    health and her ability to look for employment; and the travel
    created obstacles to her ability to parent. Also received into
    evidence was a March 18, 2021, letter from Samantha’s thera-
    pist recommending that Samantha’s visitations be held outside
    of Sidney because of trauma Samantha experienced there; the
    trauma led to a diagnosis of post-traumatic stress disorder,
    and putting Samantha near the place her trauma occurred was
    not in her best interests. A visitation schedule showed that
    Samantha was scheduled to have visits in Ogallala and North
    Platte. Upon inquiry by the juvenile court, Samantha’s coun-
    sel confirmed that none of Samantha’s visits were occurring
    in Sidney.
    The State argued that it was in favor of a transfer to
    Sidney because in Sidney they have “a lengthy back-
    ground” with Samantha and terminated her parental rights
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    previously, witnesses testifying on behalf of the State would
    primarily be in the Sidney area if there was a parental termi-
    nation, Jessalina had been in Sidney the “entire time” except
    for a few days, and Jessalina’s father was in Sidney. DHHS
    concurred and also requested that the case be transferred to
    Cheyenne County. DHHS noted that the case manager and
    supervisor for the case would remain the same, so there would
    not be any interruption in case management. Jose’s counsel
    stated that Jose agreed with the transfer.
    Samantha’s GAL argued that it appeared that the reason for
    seeking a transfer was to immediately file for a termination of
    Samantha’s parental rights. Her GAL added that “it’s certainly
    clear to anybody who’s participated that Samantha has been
    frustrated and angry at times,” and “it is also no secret that
    she has some mental health issues,” specifically post-traumatic
    stress disorder and “ADHD.” But “rather than aiding her, it
    has . . . been like a hammer against her.” Traveling for all of
    her visits “posed a serious problem” (e.g., holding a job and
    being on time for visits).
    Samantha’s attorney was “concerned about the timing of
    this being solely an effort to get this somewhere where some-
    one will do something to terminate [Samantha’s] rights.”
    Counsel argued that Samantha’s caseworker, other providers,
    and her appointed attorneys that she had for 8 months would
    change if the case were transferred to Cheyenne County. As
    for witnesses, Samantha’s psychiatrist, therapist, and physi-
    cian were “here,” she had support workers in North Platte,
    and her caseworker’s supervisor was in North Platte. Counsel
    argued that a transfer would further delay a hearing on
    Samantha’s objection to the May 4, 2021, case plan. Counsel
    stated, “I think that if ever there was an appropriate time to
    transfer this case it was immediately following the adjudi-
    cation,” and “[i]t’s not now” as it would be prejudicial to
    Samantha, not to mention costly to the judicial system and
    inefficient. Counsel said that she “just can’t see the need
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    to transfer” this case and that “[i]t’s completely within the
    court’s discretion.”
    The juvenile court entered its order on July 2, 2021, trans-
    ferring the matter to Cheyenne County. The court noted that
    Jessalina had lived in Cheyenne County since September 2020
    and that the proceedings had transitioned past the adjudi-
    cation phase for both parents. All parties except Samantha
    “have joined in or agreed to the [GAL’s] request to transfer
    jurisdiction,” and the GAL’s affidavit “points out that the
    transfer would be in the best interest of the minor for a vari-
    ety of reasons.” The court stated, “It should be noted that if a
    transfer would take place, virtually no interruption of services
    will occur, nor will the mother’s visitation be disrupted.” The
    court did “not disagree that the mother suffers from serious
    mental health issues and that special care must be taken if a
    transfer were granted to accommodate her needs”; “[h]owever,
    the issue isn’t whether the transfer of this Court’s jurisdiction
    is in the best interest of the mother but the best interest of
    the child.” The court said that Samantha’s concerns could be
    accommodated by virtual court appearances if medically nec-
    essary and continued visitations outside of Sidney. The court
    also deferred the contested review hearing on the court report
    and case plan.
    (c) Transfer Was Proper
    Initially, we note that Samantha claims that “[b]ecause the
    trial court excused Jessalina’s GAL [from the transfer hearing],
    Samantha could not confront her accuser.” Brief for appel-
    lant at 21. However, at the transfer hearing, Samantha neither
    objected to the GAL being excused nor the receipt of the
    GAL’s affidavit into evidence; she therefore waived any argu-
    ment regarding her right to confront the GAL. And regardless,
    Samantha’s GAL, as well as Samantha’s attorney, made numer-
    ous arguments to counter the points made by Jessalina’s GAL
    in support of transferring the case.
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    Samantha also contends that the transfer was prejudicial to
    her because it caused a delay in the contested hearing regard-
    ing DHHS’ May 4, 2021, court report and case plan. However,
    Samantha continued to be provided with services and visita-
    tion until the contested hearing was held in Cheyenne County
    on September 21, 2021. At the hearing, Samantha’s lawyer
    asked the court not to adopt the May 4 plan and to have DHHS
    rewrite the case plan to leave out the adoption language and to
    acknowledge “things” that Samantha had done.
    Samantha’s GAL also said the “adoption” language (con-
    current plan) should be redacted. Jessalina’s GAL asked the
    court to adopt the plan, but understood the plan was now 4
    months old and needed an update, and suggested they come
    back in 30 days. The State said it was “not entirely sure what
    the objection was” other than the concurrent plan of adoption.
    Following the hearing, the juvenile court modified the DHHS
    court report and case plan “to eliminate Adoption as an alterna-
    tive to reunification at this time,” and approved the court report
    and case plan “as modified.”
    It appears that Samantha’s objection to the case plan dated
    May 4, 2021, was the language concerning an alternative plan
    of adoption, and that language was “eliminated” by the juvenile
    court as requested. The May 4 DHHS case plan contained iden-
    tical case plan goals and strategies for Samantha as appeared in
    the February 17 plan; the only difference was that the May plan
    contained updates on Samantha’s progress. Additionally, the
    subsequent case plan dated November 2, 2021, was approved
    by the court on November 30 over Samantha’s objections. The
    November 2 plan once again contained identical case plan
    goals and strategies for Samantha as appeared in the previous
    plans, with the only difference being updated progress notes.
    Given the foregoing, we fail to see how Samantha’s rights were
    violated or how she was prejudiced by the transfer of the case
    to Cheyenne County. We find no error in the juvenile court’s
    decision to transfer the case.
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    2. Statutory Grounds
    for Termination
    The State and Jessalina’s GAL sought to terminate
    Samantha’s parental rights to Jessalina under § 43-292(2), (3),
    (5), (6), and (7). The juvenile court found that all five of those
    grounds existed by clear and convincing evidence.
    [3] Section 43-292(7) allows for termination when “[t]he
    juvenile has been in an out-of-home placement for fifteen or
    more months of the most recent twenty-two months.” By the
    plain and ordinary meaning of the language in § 43-292(7),
    there are no exceptions to the condition of 15 out of 22 months’
    out-of-home placement. In re Interest of Mateo L. et al., 
    309 Neb. 565
    , 
    961 N.W.2d 516
     (2021). Section 43-292(7) operates
    mechanically and, unlike the other subsections of the statute,
    does not require the State to adduce evidence of any specific
    fault on the part of a parent. In re Interest of Mateo L. et al.,
    supra. In other words, if the period of 15 out of 22 months
    is met, § 43-292(7) is met. See In re Interest of Mateo L. et
    al., supra.
    [4] Section § 43-292(7) does not specifically provide a
    triggering event for when the 22-month look-back period
    should commence. Compare § 43-292(1) (termination of
    parental rights allowed when parents have abandoned juvenile
    for 6 months or more immediately prior to filing of peti-
    tion). Notably, however, to terminate parental rights under
    § 43-292(7), it must be alleged in the petition or motion to
    terminate parental rights that the juvenile has been in an out-
    of-home placement for 15 or more months of the most recent
    22 months. See 
    Neb. Rev. Stat. § 43-291
     (Reissue 2016)
    (facts alleging grounds for termination of parental rights set
    forth in original petition, supplemental petition, or motion
    for termination of parental rights). Thus, the logical conclu-
    sion is that the filing of the petition, supplemental petition,
    or motion to terminate parental rights is the triggering event
    for the 22-month look-back period described in § 43-292(7).
    See, also, 
    Neb. Rev. Stat. § 43-292.02
     (Cum. Supp. 2022)
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    (petition shall be filed on behalf of State to terminate paren-
    tal rights of juvenile’s parents if juvenile has been in foster
    care under responsibility of State for 15 or more months of
    most recent 22 months; exceptions provided). The Nebraska
    Supreme Court has also used the filing date of the petition
    when considering § 43-292(7). See, In re Interest of Nicole
    M., 
    287 Neb. 685
    , 
    844 N.W.2d 65
     (2014) (at time State filed
    to terminate parental rights, children had been in out-of-home
    placement for over 21 months; sufficient evidence under
    § 43-292(7)); In re Interest of Shelby L., 
    270 Neb. 150
    , 
    699 N.W.2d 392
     (2005) (child in continuous out-of-home place-
    ment for 15 months 12 days when termination petition filed;
    if this were only ground for termination, only question would
    be whether termination was in child’s best interests).
    Jessalina was removed from Samantha’s care and custody
    on September 10, 2020, while she was still in the hospital
    after her birth, and Jessalina never returned to Samantha’s
    home. Jessalina was placed with her father on January 10,
    2022. Assuming without deciding that the time Jessalina was
    placed with her father did not count as an out-of-home place-
    ment for purposes of § 43-292(7), Jessalina had been in an
    out-of-home placement for 16 months from September 10,
    2020, until January 10, 2022. The “complaint” to terminate
    Samantha’s parental rights was filed on March 25, 2022.
    Therefore, the 22-month look-back period would run from
    May 25, 2020, to March 25, 2022, which includes the 16
    months of out-of-home placement from the time of Jessalina’s
    removal until she was placed with her father. Further, even
    when looking back at the most recent 22 months preceding
    the July 20, 2022, commencement of the parental termination
    hearing (September 20, 2020, to July 20, 2022), Jessalina had
    been in an out-of-home placement for 15 of those 22 months
    as of December 20, 2021.
    The State has shown clearly and convincingly that
    § 43-292(7) exists as a statutory basis for terminating the
    parental rights of Samantha. And since any one of the bases
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    for termination codified in § 43-292 can serve as the basis for
    termination, we need not consider the sufficiency of the evi-
    dence concerning any other statutory basis for termination. In
    re Interest of Mateo L. et al., 
    309 Neb. 565
    , 
    961 N.W.2d 516
    (2021). We next consider whether termination is in the child’s
    best interests.
    3. Best Interests and Unfitness
    [5-7] Under § 43-292, once the State shows that statutory
    grounds for termination of parental rights exist, the State must
    then show that termination is in the best interests of the child.
    In re Interest of Ryder J., 
    283 Neb. 318
    , 
    809 N.W.2d 255
    (2012). A child’s best interests are presumed to be served by
    having a relationship with his or her parent. In re Interest of
    Leyton C. & Landyn C., 
    307 Neb. 529
    , 
    949 N.W.2d 773
     (2020).
    This presumption is overcome only when the State has proved
    that the parent is unfit. 
    Id.
     Although the term “unfitness” is
    not expressly stated in § 43-292, the Nebraska Supreme Court
    has said that it derives from the fault and neglect subsections
    of that statute and from an assessment of the child’s best inter-
    ests. In re Interest of Mateo L. et al., supra. In the context of
    the constitutionally protected relationship between a parent
    and a child, parental unfitness means a personal deficiency
    or incapacity which has prevented, or will probably prevent,
    performance of a reasonable parental obligation in child rear-
    ing and which has caused, or probably will result in, detriment
    to a child’s well-being. In re Interest of Leyton C. & Landyn
    C., supra. The best interests analysis and the parental fitness
    analysis are separate inquiries, but each examines essentially
    the same underlying facts as the other. Id. We have previously
    set forth the evidence presented at the termination hearing, and
    we will not recount it again here.
    Notably, the same issues that were present in the previ-
    ous case with Noah were again present here in that Samantha
    failed to address her mental health issues and failed to
    make progress on case plans. In the current case, DHHS
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    provided numerous services to Samantha, including family
    support with two different agencies, supervised visitation with
    three different agencies, makeup visitation, “Zoom” visits,
    home visits, case management, team meetings, hotel vouchers,
    gas vouchers, transportation, and assistance with time manage-
    ment; she failed to utilize all of the services provided to her.
    Additionally, Samantha failed to sign releases for DHHS to
    access counseling and medical records, DHHS was only pro-
    vided a partial copy of Dr. Kimzey’s evaluation, and Samantha
    failed to complete an updated evaluation; all of these things
    inhibited DHHS’ ability to help Samantha. Samantha’s failure
    to utilize or engage in services, and her failure or inability to
    work with the providers who were trying to help her, inhibited
    her ability to reunify with Jessalina.
    While Samantha’s visits with Jessalina were generally good
    when they occurred, they did not occur consistently. She
    even missed visits that were to occur in North Platte and
    would not have required her to travel. And Samantha never
    progressed beyond supervised visitation. Jessalina had been
    out of Samantha’s care for 22 months at the time the termi-
    nation hearing commenced in July 2022. Samantha had not
    seen Jessalina in person since January, and from February to
    August, they only had three 15-minute video visits scheduled
    each week, because Samantha had not obtained an updated
    psychological evaluation. Samantha missed many of the video
    visits, as described previously.
    [8] “Children cannot, and should not, be suspended in
    foster care or be made to await uncertain parental maturity.”
    In re Interest of Walter W., 
    274 Neb. 859
    , 872, 
    744 N.W.2d 55
    , 65 (2008). And where a parent is unable or unwilling to
    rehabilitate himself or herself within a reasonable time, the
    best interests of the child require termination of the parental
    rights. In re Interest of Ryder J., 
    supra.
     The State proved
    that Samantha was unfit, meaning that she has a personal
    deficiency or incapacity which has prevented, or will pre-
    vent, performance of a reasonable parental obligation in child
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    rearing and which has caused, or probably will result in, detri-
    ment to the child’s well-being. See In re Interest of Leyton C.
    & Landyn C., supra. We further find that there is clear and
    convincing evidence that it is in Jessalina’s best interests to
    terminate Samantha’s parental rights.
    VI. CONCLUSION
    For the reasons stated above, we affirm the order of the juve-
    nile court terminating Samantha’s parental rights to Jessalina.
    Affirmed.