DCPP VS. E.W. AND R.A. IN THE MATTER OF THE GUARDIANSHIP OF B.W. (FG-09-0101-17, HUDSON COUNTY AND STATEWIDE) (RECORD IMPOUNDED) ( 2018 )


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  •                              RECORD IMPOUNDED
    NOT FOR PUBLICATION WITHOUT THE
    APPROVAL OF THE APPELLATE DIVISION
    This opinion shall not "constitute precedent or be binding upon any court."
    Although it is posted on the internet, this opinion is binding only on the
    parties in the case and its use in other cases is limited. R. 1:36-3.
    SUPERIOR COURT OF NEW JERSEY
    APPELLATE DIVISION
    DOCKET NO. A-3241-16T2
    NEW JERSEY DIVISION OF CHILD
    PROTECTION AND PERMANENCY,
    Plaintiff-Respondent,
    v.
    E.W.,
    Defendant-Appellant,
    and
    R.A.,
    Defendant.
    __________________________________
    IN THE MATTER OF THE GUARDIANSHIP
    OF B.W., a Minor.
    __________________________________
    Argued May 22, 2018 – Decided July 12, 2018
    Before Judges Yannotti, Mawla and DeAlmeida.
    On appeal from Superior Court of New Jersey,
    Chancery Division, Family Part, Hudson County,
    Docket No. FG-09-0101-17.
    Mary Potter, Designated Counsel, argued the
    cause for appellant (Joseph E. Krakora, Public
    Defender, attorney; T. Gary Mitchell, Deputy
    Public Defender, of counsel and on the briefs;
    Joel   Marasco,   Assistant    Deputy   Public
    Defender, of counsel; Mary Potter, on the
    briefs).
    Julie B. Colonna, Deputy Attorney General,
    argued the cause for respondent (Gurbir S.
    Grewal, Attorney General, attorney; Jason W.
    Rockwell, Assistant Attorney General, of
    counsel; Julie B. Colonna, on the brief).
    Noel C. Devlin, Assistant Deputy Public
    Defender, argued the cause for minor (Joseph
    E. Krakora, Public Defender, Law Guardian,
    attorney; Noel C. Devlin and M. Alexis
    Pollock, of counsel and on the brief).
    PER CURIAM
    Defendant E.W. appeals a judgment terminating her parental
    rights to her daughter B.W.    We affirm.
    I.
    The following facts are taken from the trial record.                 The
    Division of Child Protection and Permanency (the Division or DCPP)
    first became involved with E.W. when she was a minor. At seventeen
    years old, E.W. began using phencyclidine (PCP), and despite the
    Division's   repeated   attempts   to   assist   her,   E.W.   has     never
    addressed her addiction.    From 2005 to 2015, E.W. gave birth to
    six children, the first when she was nineteen years old.         Five of
    her children tested positive for PCP at birth.          E.W.'s first two
    children are in the care of her sister following entry of a
    judgment of kinship legal guardianship.          E.W.'s parental rights
    to her remaining four children, including B.W., the child at issue
    2                                 A-3241-16T2
    in     this   appeal,   were    involuntarily      terminated     in    judicial
    proceedings initiated by DCPP.            During the process of removal of
    E.W.'s children, the Division repeatedly referred her to substance
    abuse assessments and treatment programs.                 She failed to comply
    with all Division recommendations and treatment referrals.                    E.W.
    also    experienced     periods      of   psychiatric     hospitalization,       is
    homeless,     unemployed,      and    involved   in   a    physically    abusive
    relationship.
    B.W. was born in September 2015.          She tested positive for PCP
    at birth, and in the days following, developed withdrawal symptoms
    including shaking, vomiting, sneezing, and a poor appetite.                    The
    child was hospitalized in the intensive care unit for three days.
    E.W. also tested positive for PCP at B.W.'s birth.                      Hospital
    personnel reported the positive test results to DCPP. In addition,
    DCPP was informed that E.W. had reported to the hospital in August
    2015, shortly before B.W.'s birth, believing she was in labor.
    E.W. tested positive for PCP at that time.
    A Division worker went to the hospital to interview E.W. the
    day after the referral.        E.W. was hostile and threatened to punch
    a hospital social worker for contacting the Division.                  She denied
    PCP use, claiming that she tested positive for the drug because
    she had been around people smoking PCP, but was not using it
    3                               A-3241-16T2
    herself.    When confronted with the August 2015 test results, E.W.
    could not explain why she was positive for PCP at that time.
    E.W. denied that she had mental health issues.                She claimed
    that her psychiatric hospitalizations were due to bad reactions
    to PCP and not mental illness.       She agreed, however, to attend the
    Mommy and Me Program, and other outpatient services.
    E.W. identified R.A. as the father of B.W.           E.W. and R.A. had
    an approximately seven-year relationship with multiple episodes
    of domestic violence.         E.W. obtained three temporary restraining
    orders     against    R.A.,   none   of    which   she   pursued    to     final
    disposition.         E.W. alleged that R.A. fractured her ribs and
    "busted" her lip.       E.W. stated that she was unemployed, survives
    on monthly disability benefits, and was living on the couch of a
    relative.     She acknowledged having been convicted of aggravated
    assault, and having served a one-year sentence for that offense.
    On September 18, 2015, the Division effectuated a Dodd removal
    of B.W. from E.W.'s custody.1             E.W. could identify no relative
    willing to serve as a caregiver to B.W.            The Division contacted
    the caregivers of B.W.'s siblings, who declined to be considered
    as a placement resource for the child.             B.W. was placed with a
    1
    A "Dodd removal" refers to the emergency removal of a child from
    a parent's custody without a court order pursuant to N.J.S.A. 9:6-
    8.21 to -8.82, known as the Dodd Act. N.J. Div. of Youth & Family
    Servs. v. P.W.R., 
    205 N.J. 17
    , 26 n.11 (2011).
    4                                  A-3241-16T2
    resource parent, P.J., who is committed to adopting B.W.              The
    removal was based upon E.W.'s substance abuse, mental health
    issues, history of domestic violence with R.A., and unstable
    housing.   The Division determined that E.W. was unable to provide
    stability, protection, and nurturance to B.W.      After the removal,
    DCPP provided E.W. with referrals for substance abuse and mental
    health treatment, including a substance abuse program at Straight
    and Narrow.   E.W. did not participate in these services.
    On September 22, 2015, the Division filed a verified complaint
    in the Chancery Division pursuant to N.J.S.A. 30:4C-12 against
    E.W. and R.A. for custody of B.W.2      On the same day, the trial
    court continued DCPP's custody of B.W., and her placement in P.J.'s
    resource home.    The court found that B.W.'s emergent removal was
    appropriate, and that it would be contrary to her welfare to return
    her to E.W.'s care.      The court ordered E.W. and R.A. to comply
    with substance abuse evaluations and treatment and to undergo
    psychological    evaluations.   The   parents   were   granted   liberal
    supervised visitation.
    2
    The Division also filed a complaint alleging pursuant to N.J.S.A.
    9:6-8.21 that E.W. and R.A. abused and neglected B.W. R.A. could
    not be located or served with the complaint alleging abuse and
    neglect. On March 15, 2016, the trial court found that E.W. abused
    and neglected B.W. by failing to remediate her drug abuse,
    resulting in the child testing positive for PCP at birth.       On
    October 30, 2017, this court affirmed the trial court's decision.
    5                              A-3241-16T2
    In October 2015, E.W. attended a substance abuse assessment.
    She acknowledged first using PCP when she was seventeen years old,
    and that at the time of the assessment she was using the drug
    daily.    Although E.W. claimed to have participated in several drug
    treatment programs, she could not provide any details of her drug
    treatment history.    She was recommended for the clinically managed
    high-intensity residential substance abuse program at Straight and
    Narrow.    A Division caseworker gave E.W. referral forms for the
    program five times.    E.W. failed to attend the program.
    In November 2015, the Division arranged for weekly supervised
    visits between E.W. and B.W.      E.W. was notified by mail of the
    visitation schedule, but attended only one visit.      In addition,
    E.W. was referred to a substance abuse assessment to identify
    treatment options.     E.W. failed to attend the assessment.      She
    remained unemployed, homeless, and living with friends.
    On November 17, 2015, the trial court heard DCPP's motion to
    be relieved of its obligation to make reasonable efforts to reunite
    E.W. and B.W. under N.J.S.A. 30:4C-11.3(c) because E.W.'s parental
    rights to her other children had been terminated.       E.W. tested
    positive for PCP in a test administered on the date of the hearing.
    On January 4, 2016, the trial court granted the motion.
    E.W.'s motion for reconsideration was denied on February 10, 2016.
    6                          A-3241-16T2
    Despite having been relieved of its statutory obligation to
    make    reasonable   efforts    at   reunification,      DCPP     continued    to
    provide services to E.W.        The Division assisted E.W. with seeking
    public assistance, referred her to therapeutic visitation through
    Catholic    Charities,    and    arranged    an     appointment    to   have    a
    psychological evaluation with Dr. Karen Wells.                  Dr. Wells had
    evaluated E.W. in 2014, during E.W.'s incarceration at the Mercer
    County jail on an assault charge.                The Division gave E.W. bus
    passes to provide transportation to various services.              E.W. failed
    to attend any of these services or to see Dr. Wells.
    In January 2016, E.W. began weekly supervised visits with
    B.W. at the Urban League.       The visits terminated in February after
    E.W. missed two consecutive visits.              The Division referred E.W.
    for therapeutic supervised visitation, but she failed to contact
    the Division to initiate those visits.              E.W. did not visit B.W.
    from February 16, 2016 through June 2016.
    Prior to a February 4, 2016 court hearing, E.W. claimed that
    she had not been using drugs and agreed to submit to a urine
    screen, to comply with a substance abuse assessment, participate
    in     mental   health   counseling,       and    undergo   a   psychological
    evaluation by Dr. Wells.         She later refused to attend the drug
    screen because her tooth was hurting, and failed to attend several
    scheduled substance abuse assessment appointments.                The Division
    7                                A-3241-16T2
    gave E.W. contact information for mental health services at a
    local hospital.        She did not enroll in those services.
    Despite being informed of and agreeing to a March 17, 2016
    psychological evaluation by Dr. Wells, E.W. failed to attend.                          She
    also failed to attend three rescheduled dates for the evaluation.
    Because E.W. did not participate in an evaluation, Dr. Wells was
    unable to update the report she completed in September 2014.
    On     March    31,   2016,    the    court    approved         the    Division's
    permanency plan to terminate E.W.'s parental rights, followed by
    adoption of B.W. by her resource parent.                 The court found that it
    was unsafe to return B.W. to E.W. because E.W. failed to complete
    substance abuse treatment or comply with the services recommended
    by   DCPP.      The     court   determined        that   the   Division        provided
    reasonable efforts to reunite E.W. and B.W., including visitations
    with the child, exploring relatives for placement of B.W., drug
    abuse assessment and treatment options, family team meetings,
    psychological         evaluation     appointments,         and        mental        health
    counseling.          E.W.   failed   to    take   advantage      of    any     of   those
    reunification efforts.
    In June 2016, the Division referred E.W. for therapeutic
    supervised visitation with Catholic Charities.                         After missing
    several intake appointments, E.W.'s visits with B.W. began in
    August.    Catholic Charities terminated E.W.'s visitation after the
    8                                    A-3241-16T2
    second visit because she became irate and threatened staff when
    she arrived late for a visit.           She did not contact the Division
    to   arrange   for   visits     with   B.W.     for   the   remainder     of      the
    guardianship action.
    On July 11, 2016, DCPP filed for guardianship of B.W.                    At an
    August 18, 2016 hearing, E.W. did not appear, but was represented
    by counsel.      The court ordered her to attend psychological and
    bonding evaluations, and a substance abuse assessment.                  The court
    granted E.W. weekly supervised visitation with B.W.
    On July 21, 2016, E.W. submitted to a drug screen. She tested
    positive   for    PCP.    She    agreed    to    attend     a    substance     abuse
    assessment.      Although the Division provided E.W. with a bus pass,
    she failed to appear for the assessment.
    In August 2016, the Division provided E.W. with resources for
    welfare benefits, shelters, and food pantries.                  A Division social
    worker offered to assist E.W. in identifying an appropriate mental
    health program.      On August 10, 2016, E.W. was handed information
    concerning     Project   Home,   which     provides    wraparound      services,
    including housing, and mental health and substance abuse treatment
    for women and their children.          E.W. did not contact the program.
    On October 3, 2016, Dr. Wells conducted a bonding evaluation
    between P.J., the resource parent, and then-one-year-old B.W.                     Dr.
    Wells concluded to a reasonable degree of psychological certainty
    9                                     A-3241-16T2
    that B.W. was securely bonded to the resource parent and viewed
    her as her psychological parent.
    On October 13, 2016, the court ordered E.W. to comply with
    the previously offered services, as well as therapeutic visitation
    with B.W.    E.W. did not comply with the court's order.   The trial
    court drew a negative inference from E.W.'s refusal to comply with
    an instant drug screen.
    On November 2, 2016, the court again ordered E.W. to comply
    with services, including counseling and therapy.       E.W. did not
    comply with the court's order.        In November 2016, DCPP offered
    E.W. assistance with contacting mental health service providers
    because she had not engaged in any mental health treatment, but
    she did not show up for her appointment at the Division.         E.W.
    submitted to a substance abuse evaluation, and tested positive for
    PCP.     She was then recommended for intensive outpatient drug
    treatment.    She failed to attend the program.
    Because E.W. had not visited B.W. since August 2016, the
    Division attempted to arrange for a parent mentor for E.W.       That
    effort was unsuccessful because of E.W.'s lack of participation.
    On January 20, 2017, ten days before the scheduled start of
    the guardianship trial, E.W. moved for a postponement based on
    various constitutional arguments, including that the court should
    not order a termination of her parental rights absent proof beyond
    10                          A-3241-16T2
    a reasonable doubt that such relief is warranted.               E.W. also
    requested additional time to comply with services.              The court
    rejected one legal argument raised by E.W., reserved decision on
    the remainder, and denied E.W.'s motion to postpone the trial.
    The guardianship trial occurred over the course of three days
    in January and March 2017.      DCPP presented documentary evidence,
    and testimony from Dr. Wells, who was accepted as an expert in
    psychology, Elizabeth Rosa, a Division adoption caseworker, and
    B.W.'s resource parent.    E.W. did not call witnesses.        B.W.'s law
    guardian supported termination of E.W.'s parental rights.
    Dr.   Wells   testified   with   respect   to   her   September   2014
    psychological evaluation of E.W., as well as her opinion regarding
    E.W.'s current parental capacity.       Dr. Wells testified that E.W.
    posed a risk to B.W. because she had not addressed her addiction
    to PCP, or her mental health issues, and had not stabilized her
    housing or employment.     The doctor testified that E.W.'s use of
    PCP was likely to impair her parenting judgment and aggravated
    what likely was E.W.'s undiagnosed bipolar disorder.            Dr. Wells
    opined that E.W.'s prognosis for overcoming drug addiction was
    poor, chiefly because she does not view her use of PCP as a
    problem.   E.W. told Dr. Wells that she enjoys using the drug.
    Dr. Wells also opined to a reasonable degree of psychological
    certainty that, in light of their limited interaction since B.W.'s
    11                               A-3241-16T2
    birth, the child would not incur harm if E.W.'s parental rights
    were severed.   She opined that B.W. would experience severe and
    enduring harm if she were to be removed from P.J.'s care, and
    would regress behaviorally because she had bonded to her resource
    parent.   Dr. Wells acknowledged that due to B.W.'s age, she would
    be capable of bonding to another caretaker, but added that E.W.
    was not suitable as a caretaker for B.W.
    P.J. testified that she was committed to adopting B.W.     Since
    she was given custody of B.W., she had allowed and facilitated
    contact between E.W. and B.W. by permitting E.W. to call for
    updates on the child, attend B.W.'s doctor's appointments, and
    participate when B.W.'s ears were pierced. However, P.J. testified
    that E.W. began behaving inappropriately and threatening her.        As
    a result, by November 2015, P.J. no longer permitted E.W. to have
    contact with B.W. in the resource home.
    On March 16, 2017, Judge Bernadette N. DeCastro issued a
    detailed written decision rejecting the other legal issues raised
    in E.W.'s pretrial motions, and concluding that the Division
    proved, by clear and convincing evidence, the statutory prongs for
    termination of E.W.'s parental rights. The court issued a separate
    written opinion rejecting E.W.'s argument that application of the
    clear and convincing evidence standard violated her constitutional
    rights to due process and equal protection.   The court entered a
    12                            A-3241-16T2
    judgment terminating E.W.'s parental rights to B.W.       This appeal
    followed.    B.W.'s   law   guardian   supports   the   trial   court's
    judgment.3
    II.
    Our scope of review on appeal from an order terminating
    parental rights is limited.    N.J. Div. of Youth & Family Servs.
    v. G.L., 
    191 N.J. 596
    , 605 (2007) (citing In re Guardianship of
    J.N.H., 
    172 N.J. 440
    , 472 (2002)).     We will uphold a trial judge's
    factfindings if they are "supported by adequate, substantial, and
    credible evidence."   N.J. Div. of Youth & Family Servs. v. R.G.,
    
    217 N.J. 527
    , 552 (2014) (citing N.J. Div. of Youth & Family Servs.
    v. E.P., 
    196 N.J. 88
    , 104 (2008)).      No deference is given to the
    court's "interpretation of the law" which is reviewed de novo.
    D.W. v. R.W., 
    212 N.J. 232
    , 245-46 (2012) (citing N.J. Div. of
    Youth & Family Servs. v. I.S., 
    202 N.J. 145
    , 183 (2010); Balsamides
    v. Protameen Chems., 
    160 N.J. 352
    , 372 (1999)).
    "We accord deference to factfindings of the family court
    because it has the superior ability to gauge the credibility of
    the witnesses who testify before it and because it possesses
    3
    R.A. appeared telephonically on October 16, 2016, for a hearing.
    He acknowledged service of the guardianship complaint and was
    assigned counsel. He did not appear at any other court hearing,
    including the trial, and denied paternity of B.W. R.A. did not
    appear for scheduled paternity tests. The court terminated R.A.'s
    parental rights to B.W. on March 16, 2017. He did not appeal.
    13                             A-3241-16T2
    special expertise in matters related to the family."          N.J. Div.
    of Youth & Family Servs. v. F.M., 
    211 N.J. 420
    , 448 (2014) (citing
    Cesare v. Cesare, 
    154 N.J. 394
    , 413 (1998)).    "Only when the trial
    court's conclusions are so 'clearly mistaken' or 'wide of the
    mark' should an appellate court intervene and make its own findings
    to ensure that there is not a denial of justice."         E.P., 
    196 N.J. at 104
     (quoting G.L., 
    191 N.J. at 605
    ).     We also accord deference
    to the judge's credibility determinations "based upon his or her
    opportunity to see and hear the witnesses."     N.J. Div. of Youth &
    Family Servs. v. R.L., 
    388 N.J. Super. 81
    , 88 (App. Div. 2006)
    (citing Cesare, 
    154 N.J. at 411-13
    ).
    When terminating parental rights, the court focuses on the
    "best interests of the child standard" and may grant a petition
    when the four prongs set forth in N.J.S.A. 30:4C-15.1(a) are
    established by clear and convincing evidence.        In re Guardianship
    of K.H.O., 
    161 N.J. 337
    , 347-48 (1999).             "The four criteria
    enumerated in the best interests standard are not discrete and
    separate; they relate to and overlap with one another to provide
    a   comprehensive    standard   that   identifies     a   child's    best
    interests."     
    Id. at 348
    .
    N.J.S.A. 30:4C-15.1(a) requires the Division to prove:
    (1)    The   child's    safety,   health,    or
    development has been or will continue to
    14                              A-3241-16T2
    be    endangered        by   the      parental
    relationship;
    (2)    The parent is unwilling or unable to
    eliminate the harm facing the child or
    is unable or unwilling to provide a safe
    and stable home for the child and the
    delay of permanent placement will add to
    the harm. Such harm may include evidence
    that separating the child from his
    resource family parents would cause
    serious   and  enduring   emotional   or
    psychological harm to the child;
    (3)    The division has made reasonable efforts
    to provide services to help the parent
    correct the circumstances which led to
    the child's placement outside the home
    and the court has considered alternatives
    to termination of parental rights; and
    (4)    Termination of parental rights will not
    do more harm than good.
    A.
    Before   addressing    the   trial    court's   findings      under   the
    statutory factors, we consider E.W.'s contention that this court
    should   depart    from   longstanding     precedents    and   require     the
    Division to prove each element of the statutory best interests of
    the child test beyond a reasonable doubt.               E.W. contends that
    application of the clear and convincing evidence standard, which
    has been used in parental rights termination matters in this State
    for decades, violates her due process rights.            In addition, E.W.
    argues that application of the clear and convincing evidence
    standard violates her right to equal protection because the Indian
    15                               A-3241-16T2
    Child Welfare Act (ICWA), 
    25 U.S.C. §§ 1901-1963
    , requires that a
    state court apply the beyond a reasonable doubt standard to the
    termination of parent rights to Indian children.               B.W. is not
    Indian.     Thus, E.W. argues, she is being denied the greater
    protection afforded under the ICWA because of her child's race.
    We find E.W.'s arguments to lack legal support.
    In Santosky v. Kramer, 
    455 U.S. 745
    , 747-48 (1982), the United
    States    Supreme   Court   held   that   "[b]efore   a   State   may     sever
    completely and irrevocably the rights of parents in their natural
    child, due process requires that the State support its allegations
    by at least clear and convincing evidence."           The Court held that
    the clear and convincing evidence standard "adequately conveys to
    the factfinder the level of subjective certainty about his [or
    her] factual conclusions necessary to satisfy due process."                  
    Id. at 769
    .    While a State is free to apply a stricter evidentiary
    standard, the "determination of the precise burden equal to or
    greater than that standard is a matter of state law properly left
    to state legislatures and state courts."         
    Id. at 770
    .
    Four years later, our Supreme Court cited Santosky when
    discussing the burden of proof applicable to parental termination
    claims:
    As to the burden of proof, in Santosky v.
    Kramer, . . . the United States Supreme Court
    held that the Fourteenth Amendment requires
    16                                  A-3241-16T2
    application of at least a "clear and
    convincing" standard of proof to a state's
    parental-rights-termination proceeding.    In
    reaching this conclusion, the Court noted its
    historical   recognition  that   freedom   of
    personal choice in matters of family life is
    a fundamental liberty interest protected by
    the Fourteenth Amendment.
    [N.J. Div. of Youth & Family Servs. v. A.W.,
    
    103 N.J. 591
    , 611-12 (1986) (citations
    omitted).]
    For proceedings in this State, the Court held, "[t]he correct
    standard is 'clear and convincing' proof.       It is the standard that
    our courts have followed."     
    Id.
     at 612 (citing In re Guardianship
    of R., 
    155 N.J. Super. 186
    , 193 (App. Div. 1977) ("Division has
    the   burden   of   establishing   [the]   grounds   for   termination    of
    parental rights by clear and convincing evidence.")).
    Since the holding in A.W. more than thirty years ago, the
    Court has not altered its unequivocal holding.               Nor has the
    legislature changed the standard of proof, either when it codified
    the best interests of the child test, L. 1991, c. 275, § 7, or at
    any time in the decades that followed.        We are, therefore, bound
    by the Supreme Court's holding in A.W. applying the clear and
    convincing evidence standard to the Division's proofs. Lake Valley
    Assocs., LLC v. Twp. of Pemberton, 
    411 N.J. Super. 501
    , 507 (App.
    Div. 2010) ("Because we are an intermediate appellate court, we
    17                             A-3241-16T2
    are bound to follow the law as it has been expressed by a majority
    of the members of our Supreme Court.").
    Only the Supreme Court can decide whether to depart from its
    holding in A.W.   We do not, therefore, express an opinion on the
    numerous arguments raised by E.W. advocating the position that the
    beyond a reasonable doubt standard is appropriate for termination
    of parental rights claims.
    Nor do we find merit in E.W.'s argument that application of
    the clear and convincing evidence standard to the Division's
    application to terminate her parental rights deprives her of equal
    protection.   The ICWA was enacted pursuant to the Congress's
    constitutional authority to regulate commerce with Indian tribes,
    U.S. Const. art. I, § 8, cl. 3, to address "an alarmingly high
    percentage of Indian families . . . broken up by the removal,
    often unwarranted, of their children" by nontribal agencies.       
    25 U.S.C. §§ 1901
     (1) and (4).     When enacting the statute, Congress
    found that
    it is the policy of this Nation to protect the
    best interests of Indian children and to
    promote the stability and security of Indian
    tribes and families by the establishment of
    minimum Federal standards for the removal of
    Indian children from their families . . . .
    [
    25 U.S.C. § 1902
    .]
    18                         A-3241-16T2
    The Act provides that in state court proceedings involving
    termination of parental rights to an Indian child, the state court,
    in the absence of good cause to the contrary, shall transfer such
    proceeding to the appropriate tribal court, unless either parent
    objects.   
    25 U.S.C. § 1911
    (b).       A tribal court may decline to
    accept the transfer.    
    Ibid.
       In those instances in which a state
    court retains jurisdiction,
    [n]o termination of parental rights may be
    ordered in such proceeding in the absence of
    a determination, supported by evidence beyond
    a reasonable doubt, including testimony of
    qualified expert witnesses, that the continued
    custody of the child by the parent or Indian
    custodian is likely to result in serious
    emotional or physical damage to the child.
    [
    25 U.S.C. § 1912
    (f).]
    We begin our analysis of E.W.'s argument with the observation
    that the ICWA was enacted in 1978, prior to the holdings in
    Santosky and A.W.      The Court in Santosky, after surveying the
    varying evidentiary standard applied in the states, noted that the
    "only analogous federal statute of which we are aware permits
    termination of parental rights solely upon 'evidence beyond a
    reasonable doubt.'"    
    455 U.S. at
    749-50 (citing ICWA).    The Court
    addressed the statute when it explained the rationale for not
    mandating a beyond a reasonable doubt standard:
    [a]lthough   Congress  found   a  "beyond   a
    reasonable doubt" standard proper in one type
    19                           A-3241-16T2
    of parental rights termination case, another
    legislative body might well conclude that a
    reasonable-doubt standard would erect an
    unreasonable barrier to state efforts to free
    permanently neglected children for adoption.
    [Santosky, 
    455 U.S. at 769
    .]
    The Santosky Court clearly was aware of the higher standard
    applicable to the termination of parental rights to Indian children
    when it held that the Constitution permitted application of the
    clear and convincing evidence standard to the parents of non-
    Indian children in those states that decide to apply the lower
    standard.    This rationale was, in effect, adopted by our Supreme
    Court in A.W., when after the opinion in Santosky was issued,
    unequivocally held that the proper standard in our State is clear
    and convincing evidence.
    Moreover,    there   is   ample   precedent   establishing    the
    constitutionality of the ICWA in the face of an equal protection
    challenge.    As the Oregon Court of Appeals succinctly held when
    rejecting a constitutional challenge to the statute, "[t]he United
    States Supreme Court has consistently rejected claims that laws
    that treat Indians as a distinct class violate equal protection.
    Traditional equal protection analysis cannot be applied."         In re
    Angus, 
    655 P.2d 208
    , 213 (Or. App. 1983) (citing Washington v.
    Confederated Bands and Tribes of the Yakima Indian Nation, 
    439 U.S. 463
     (1979), Delaware Tribal Bus. Comm. v. Weeks, 
    430 U.S. 73
    20                          A-3241-16T2
    (1977), United State v. Antelope, 
    430 U.S. 641
     (1977), Fisher v.
    Dist. Court, 
    424 U.S. 382
     (1976), Morton v. Mancari, 
    417 U.S. 535
    (1974)).   In Morton, the Court held:
    [l]iterally every piece of legislation dealing
    with Indian tribes and reservations, and
    certainly all legislation dealing with the
    [Bureau of Indian Affairs], single out for
    special treatment a constituency of tribal
    Indians living on or near reservations.     If
    these   laws,    derived    from    historical
    relationships and explicitly designed to help
    only Indians, were deemed invidious racial
    discrimination, an entire Title of the United
    States Code (25 USC) would be effectively
    erased and the solemn commitment of the
    Government toward the Indians would be
    jeopardized.
    [
    417 U.S. at 552
    .]
    In upholding a law granting Indians a hiring preference, the
    Morton Court held that "[t]he preference, as applied is granted
    to Indians not as a discrete racial group, but, rather, as members
    of quasi-sovereign tribal entities . . . ."      
    Id. at 554
    .   "As long
    as the special treatment can be tied rationally to the fulfillment
    of   Congress'   unique   obligation    toward   the   Indians,      such
    legislative judgments will not be disturbed."      
    Id. at 555
    .
    The Angus court, after reviewing these precedents held the
    "protection of the integrity of Indian families to be a permissible
    goal that is rationally tied to the fulfillment of Congress' unique
    guardianship obligation toward the Indians and that the ICWA is
    21                               A-3241-16T2
    therefore    not    unconstitutional."       655    P.2d    at    213   (footnote
    omitted).    We agree.      E.W. has not established an equal protection
    violation.
    B.
    E.W. argued that the trial court erred in its findings on the
    four prongs set forth in N.J.S.A. 30:4C-15.1(a).                 After reviewing
    these arguments in light of the record and applicable legal
    principles,    we     are   convinced    there    is   substantial       credible
    evidence supporting the trial judge's findings of fact and legal
    conclusion that it was in B.W.'s best interests to terminate E.W.'s
    parental rights.       We address the four statutory prongs in turn.
    1.    Prong One.
    The first prong of the best interests of the child standard
    requires the Division to establish that "[t]he child's safety,
    health, or development has been or will continue to be endangered
    by   the   parental    relationship[.]"          N.J.S.A.   30:4C-15.1(a)(1).
    "[T]he Division must prove harm that 'threatens the child's health
    and will likely have continuing deleterious effects on the child.'"
    N.J. Div. of Youth & Family Servs. v. A.L., 
    213 N.J. 1
    , 25 (2013)
    (quoting K.H.O., 
    161 N.J. at 352
    ).
    The harm need not be physical, as "[s]erious and lasting
    emotional or psychological harm to children as the result of the
    action or inaction of their biological parents can constitute
    22                                A-3241-16T2
    injury sufficient to authorize a termination of parental rights."
    In re Guardianship of K.L.F., 
    129 N.J. 32
    , 44 (1992) (citing In
    re Guardianship of J.C., 
    129 N.J. 1
    , 18 (1992)).   The focus of the
    harm is not on any isolated incident, but rather "the focus is on
    the effect of harms arising from the parent-child relationship
    over time on the child's health and development."      K.H.O., 
    161 N.J. at 348
    .   "Moreover, '[c]ourts need not wait to act until a
    child is actually irreparably harmed by parental inattention or
    neglect.'"   Div. of Child Prot. & Perm. v. E.D.-O., 
    223 N.J. 166
    ,
    178 (2015) (alteration in original) (quoting In re Guardianship
    of DMH, 
    161 N.J. 365
    , 383 (1999)).
    The harm may be established by "a delay in establishing a
    stable and permanent home . . . ."      DMH, 161 N.J. at 383.      "A
    parent's withdrawal of . . . solicitude, nurture, and care for an
    extended period of time is in itself a harm that endangers the
    health and development of the child."   Id. at 379 (citing K.H.O.,
    161 N.J. at 352-54).   Additionally, a parent's "persistent failure
    to perform any parenting functions and to provide . . . support
    for [the child] . . . constitutes a parental harm to that child
    arising out of the parental relationship [that is] cognizable
    under N.J.S.A. 30:4C-15.1(a)(1) and (2)."   Id. at 380.
    E.W. argues that the Division presented no evidence that B.W.
    suffered harm caused by E.W.    Although apparently conceding that
    23                          A-3241-16T2
    B.W. tested positive for PCP at birth due to her mother's ingestion
    of the drug, E.W. argues that the Division relied on hearsay
    evidence to establish that B.W. suffered withdrawal symptoms from
    the PCP exposure.     In addition, E.W. argues that the record
    contains no evidence B.W. suffered any lasting medical harm as a
    result of her mother's drug use while pregnant with the child.
    The judge concluded the first prong was established because
    the child was harmed by E.W.'s inability to provide a safe and
    stable home for any of her children since 2006, her failure to
    address her significant and longstanding drug addiction, and the
    deterioration in her behavior caused by her drug abuse.   The court
    based her finding on the last point on E.W.'s erratic behavior and
    the threats that she made to a Division caseworker.       The court
    also noted that because of E.W.'s drug use, B.W. has spent nearly
    her entire life in foster care, which is itself a harm to the
    child.   In addition, relying on the expert opinion of Dr. Wells,
    the court concluded that E.W.'s continued drug use and possible
    undiagnosed bipolar disorder harmed B.W. by depriving her of
    stability and nurture from E.W.
    We agree.   The record clearly and convincingly demonstrates
    that B.W. tested positive for PCP at birth, and that E.W. tested
    positive for PCP in August 2015 while pregnant with B.W.         The
    record shows that the exposure of B.W. to PCP harmed the child.
    24                           A-3241-16T2
    There is substantial evidence showing that the child spent the
    earliest days of her life in withdrawal.            However, the judge's
    findings on prong one were not based solely on the child's exposure
    to   the   drug.   The   record   also   supports    the   trial   court's
    determination that E.W.'s drug use, and failure to provide a
    stable, nurturing, and secure home for B.W. caused the child harm
    for the duration of her life.
    E.W. took no steps to address her addiction to PCP, which has
    been present her entire adult life.       She did not visit the child
    with any regularity, depriving her of love, nurture, and emotional
    support.    She did not arrange for stable housing for the child.
    Nor did she secure employment to provide financially for B.W.             In
    effect, E.W. abandoned her child shortly after B.W. was born.
    Accordingly, there was substantial credible evidence in the
    record to support the trial judge's finding E.W. endangered B.W.'s
    safety, health, or development, and that the child would continue
    to be endangered by E.W.'s actions.
    2.    Prong Two.
    "The second prong, in many ways, addresses considerations
    touched on in prong one."     F.M., 211 N.J. at 451.        The focus is
    on parental unfitness.    K.H.O., 161 N.J. at 352; DMH, 161 N.J. at
    378-79.    In considering this prong, the court should determine
    whether it is reasonably foreseeable that the parent can cease to
    25                               A-3241-16T2
    inflict harm upon the child.           A.W., 
    103 N.J. at 607
    .         The second
    prong may be satisfied
    by indications of parental dereliction and
    irresponsibility,   such   as   the   parent's
    continued or recurrent drug abuse, the
    inability to provide a stable and protective
    home, the withholding of parental attention
    and care, and the diversion of family
    resources in order to support a drug habit,
    with the resultant neglect and lack of nurture
    for the child.
    [K.H.O., 161 N.J. at 353.]
    "Prong   two     may   also   be   satisfied   if    'the   child   will    suffer
    substantially from a lack of . . . a permanent placement and from
    the disruption of [the] bond with foster parents.'"                    F.M., 211
    N.J. at 451 (alteration in original) (quoting K.H.O., 161 N.J. at
    363).
    The trial judge found that E.W. is unwilling or unable to
    correct the harms that resulted in B.W.'s removal from her custody.
    The court noted that E.W. had demonstrated no improvement from the
    time that Dr. Wells evaluated her in 2014.             She continued to abuse
    PCP.     E.W. had not secured stable housing or employment.                     She
    remained in a physically abusive relationship with the man she
    identified as B.W.'s father.           The court concluded that E.W. was
    unable    to    provide   a    safe   and   stable   home   for     B.W.   in   the
    foreseeable future.           The judge also concluded that any further
    delay in permanency for B.W. would add to the child's harm.
    26                                  A-3241-16T2
    In   addition,   the   trial    court,    relying    on   the   bonding
    evaluation conducted by Dr. Wells of B.W. and P.J., concluded that
    the child was securely bonded to P.J., who was affectionate and
    attentive to the child.       The court concluded that B.W. views P.J.
    as her psychological parent.      While the court recognized that B.W.
    might form a bond with a new caregiver, the judge concluded that
    to do so, the new caregiver would have to capable of parenting
    effectively.     The court concluded that E.W. was not in a position
    to be an effective and appropriate caregiver to B.W.                 Thus, the
    court concluded, severing the bond between B.W. and P.J. would be
    detrimental to the child.         For these reasons, the trial court
    concluded that the second prong of the best interests test was
    met.
    Our review of the record lead us to conclude that there is
    sufficient     credible     evidence    supporting    the    trial     court's
    conclusion that the Division satisfied the second prong of the
    best interests of the child test by clear and convincing evidence.
    3.    Prong Three.
    Under prong three, the trial court must consider whether "the
    [D]ivision . . . made reasonable efforts to provide services to
    help the parent correct the circumstances which led to the child's
    placement outside the home . . . ."             N.J.S.A. 30:4C-15.1(a)(3).
    The Division's efforts must be analyzed "with reference to the
    27                              A-3241-16T2
    circumstances of the individual case[,]" including the parent's
    degree of participation.    DMH, 161 N.J. at 390.
    N.J.S.A. 30:4C-15.1(c) defines reasonable efforts as those
    reasonable "attempts by an agency authorized by the [D]ivision to
    assist the parents in remedying the circumstances and conditions
    that led to the placement of the child and in reinforcing the
    family   structure[.]"     The   statute      sets    forth    examples    of
    "reasonable attempts," including but not limited to:
    (1)   consultation and cooperation with             the
    parent   in   developing a  plan              for
    appropriate services;
    (2)   providing services that have been agreed
    upon, to the family, in order to further
    the goal of family reunification;
    (3)   informing the parent at appropriate
    intervals of the child's progress,
    development, and health; and
    (4)   facilitating appropriate visitation.
    [Ibid.]
    E.W. argues the Division failed to prove its reasonable
    efforts to reunify her with B.W.      According to E.W., the Division
    merely   gave   E.W.   information    about    drug    abuse     assessment
    evaluations, and treatment options, and offered to meet with her
    only once to assist E.W. to make phone calls to treatment programs.
    E.W. does not identify what further steps she believes DCPP should
    have taken, except to argue that E.W.'s caseworker could have
    28                                 A-3241-16T2
    traveled to E.W.'s home to try to convince her to enroll in a drug
    treatment program.   In addition, E.W. argues that the trial court
    should have given her additional time to address her PCP addiction.
    The trial court, relying on the extensive attempts by the
    Division to engage E.W. in meaningful substance abuse treatment,
    and E.W.'s persistent refusal to enroll in a treatment program,
    found that the Division produced clear and convincing evidence
    that it satisfied the third prong of the best interests of the
    child test.   In addition, the court found that E.W. was not likely
    to resolve her substance abuse issue in the near future.
    Our review of the record lead us to conclude that substantial
    credible evidence supports the trial court's determination with
    respect to the Division's reasonable efforts to avoid termination
    of E.W.'s parental rights.4   Also, nothing in the record suggests
    that E.W. would be in a position to be a suitable parent to B.W.
    were she given additional time to address her drug addiction.
    4.   Prong Four.
    The fourth prong of the best interests of the child test
    requires the Division to show "[t]ermination of parental rights
    will not do more harm than good."       N.J.S.A. 30:4C-15.1(a)(4).
    4
    As noted above, although the trial court relieved the Division
    of its obligation to make reasonable efforts at reunification, the
    agency continued to make such efforts up to the date of trial.
    29                          A-3241-16T2
    Termination of parental rights poses a risk to children due to the
    severing of the relationship with their natural parent, but it is
    based "'on the paramount need the children have for permanent and
    defined parent-child relationships.'"          K.H.O., 161 N.J. at 355
    (quoting J.C., 129 N.J. at 26).
    Thus, "the fourth prong of the best interests standard [does
    not] require a showing that no harm will befall the child as a
    result of the severing of biological ties."         K.H.O., 161 N.J. at
    355.    Prong four "serves as a fail-safe against termination even
    where the remaining standards have been met."         G.L., 
    191 N.J. at 609
    .     "[T]he question to be addressed under [prong four] is
    whether, after considering and balancing the two relationships,
    the child[ren] will suffer a greater harm from the termination of
    ties with [their] natural parents than from permanent disruption
    of [their] relationship with [their] foster parents."             I.S., 
    202 N.J. at 181
     (quoting J.N.H., 
    172 N.J. at 478
    ).
    Generally, to prove the fourth prong, the Division "'should
    offer testimony of a well qualified expert who has had full
    opportunity   to   make   a   comprehensive,   objective,   and    informed
    evaluation of the child's relationship with both the natural
    parents and the foster parents.'"        F.M., 211 N.J. at 453 (quoting
    N.J. Div. of Youth & Family Servs. v. M.M., 
    189 N.J. 261
    , 281
    (2007)); See R.G., 217 N.J. at 564 (finding the Division's position
    30                              A-3241-16T2
    lacked support because "no bonding evaluation was conducted");
    N.J. Div. of Youth & Family Servs. v. A.R., 
    405 N.J. Super. 418
    ,
    432 (App. Div. 2009) (affirming an order denying the termination
    of parental rights in cases where no bonding evaluation was
    conducted).   The lack of a bonding evaluation is not fatal where
    termination "was not predicated upon bonding, but rather reflected
    [the child's] need for permanency and [the parent's] inability to
    care for him in the foreseeable future."           N.J. Div. of Youth &
    Family Servs. v. B.G.S., 
    291 N.J. Super. 582
    , 593 (App. Div. 1996).
    Here, the trial court relied on the expert testimony of Dr.
    Wells regarding the strong bond that developed between B.W. and
    her resource parent who is committed to adopting her.                  B.W.
    considers   P.J.   to   be   her   parent.   Dr.   Wells   testified   that
    termination of that bond would harm B.W.            While B.W. is young
    enough to form a new parental bond with an appropriate caregiver,
    Dr. Wells opined E.W. is not likely to be a reasonable caregiver
    for B.W. at any point in the foreseeable future.           The trial court
    found this opinion to be credible, and concluded that terminating
    the bond between B.W and P.J. would cause "acute" harm to the
    child.
    E.W. offered no conflicting expert testimony, and did not
    appear for an evaluation of her bond with B.W., an infant who she
    did not visit for many months before the trial, leaving the
    31                            A-3241-16T2
    testimony    of   Dr.   Wells,       in   the     words    of   the   trial    court,
    "uncontroverted."        The    expert         testimony   provides    substantial
    credible    evidence    for    the    trial      court's    conclusion    that     the
    Division established the fourth prong of the best interests of the
    child test by clear and convincing evidence.
    Affirmed.
    32                                  A-3241-16T2