In Re Carrington H. ( 2016 )


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  •                    IN THE SUPREME COURT OF TENNESSEE
    AT NASHVILLE
    May 28, 2015 Session1
    IN RE CARRINGTON H. ET AL.
    Appeal by Permission from the Court of Appeals, Middle Section
    Juvenile Court for Maury County
    No. 90576, 90577    George L. Lovell, Judge
    _____________________________
    No. M2014-00453-SC-R11-PT – Filed January 29, 2016
    _____________________________
    We granted review in this case to decide (1) whether an indigent parent‘s right to
    appointed counsel in a parental termination proceeding includes the right to challenge an
    order terminating parental rights based on ineffective assistance of trial and appellate
    counsel; and (2) whether the Court of Appeals must review any ground the trial court
    relied on to terminate parental rights when a parent fails to raise all grounds for
    termination on appeal.        We hold that parents are constitutionally entitled to
    fundamentally fair procedures in parental termination proceedings. Nevertheless, this
    constitutional mandate does not require us to adopt a procedure by which parents may
    collaterally attack orders terminating parental rights based on ineffective assistance of
    counsel. Additionally, we hold that appellate courts must review a trial court‘s findings
    regarding all grounds for termination and whether termination is in a child‘s best
    interests, even if a parent fails to challenge these findings on appeal. Having reviewed
    the record on appeal in accordance with these holdings, we affirm the trial court‘s
    judgment terminating the mother‘s parental rights.
    Tenn. R. App. P. 11 Appeal by Permission; Judgment of the Court of Appeals
    Affirmed
    CORNELIA A. CLARK, delivered the opinion of the Court, in which JEFFREY S. BIVINS and
    HOLLY KIRBY, JJ., joined. SHARON G. LEE, C.J., with whom GARY R. WADE, J., joins,
    concurring and dissenting.
    1
    We heard oral argument in this case on May 28, 2015, on the campus of Lipscomb University in
    Nashville, Tennessee, as a part of the American Legion Auxiliary‘s Volunteer Girls State S.C.A.L.E.S.
    (Supreme Court Advancing Legal Education for Students) project.
    Rebecca McKelvey Castañeda (discretionary appeal), Nashville, Tennessee, and Mark A.
    Free (appeal as of right and at trial), Columbia, Tennessee, for the appellant, Vanessa G.
    Herbert Slatery III, Attorney General and Reporter; Andrée S. Blumstein, Solicitor
    General; Mary Byrd Ferrara, Assistant Attorney General; and C. Nicholas Fossett,
    Assistant General Counsel, for the appellee, Tennessee Department of Children‘s
    Services.
    OPINION
    I.      Factual and Procedural Background
    This appeal arises from a petition to terminate the parental rights of Vanessa G.
    (―Mother‖) to her minor child Carrington. By the time the Tennessee Department of
    Children‘s Services (―DCS‖) filed the petition on October 24, 2013, it had been providing
    services to Carrington‘s family for ten years.2 Mother‘s entire history with DCS is not
    included in the record on appeal, but the record on appeal establishes the following
    factual background.
    Mother gave birth to six children between 1996 and 2004. Carrington, the sixth
    child, was born November 24, 2004. About seven months before Carrington‘s birth,
    Mother and Father were the subjects of a dependency and neglect action in the Juvenile
    Court for Lewis County.3 With the assistance of their attorney, Mother and Father
    waived their right to an adjudicatory hearing and consented to a finding that their five
    children were dependent and neglected and that their home was in such a condition as to
    make it unsafe and unsanitary for the children to reside there. The Juvenile Court
    awarded temporary custody of the children to DCS but physically placed the children
    with Mother and Father. The Juvenile Court ordered Mother to continue with mental
    health treatment and directed both parents to continue with domestic counseling as
    needed, to cooperate with DCS, and to comply with the permanency plan.
    2
    DCS‘s initial petition sought to terminate the parental rights of Carrington‘s father, Christopher
    H. (―Father‖), as well, and sought to terminate both parents‘ rights to Carrington‘s brother, Charles. On
    the day of trial, December 20, 2013, DCS removed Charles from the petition, because he was within four
    months of attaining majority, and voluntarily dismissed the petition against Father based on his stated
    intention to surrender his parental rights to Carrington upon the final termination of Mother‘s parental
    rights.
    3
    The Juvenile Court for Maury County adjudicated the termination petition. For simplicity,
    ―Juvenile Court‖ is used to refer to the Juvenile Court for both Lewis and Maury Counties.
    -2-
    On December 2, 2005, when Carrington was nearly thirteen months old, the
    Juvenile Court ordered all six children removed from their parents‘ custody through an
    emergency removal process and placed them in the temporary custody of their maternal
    grandmother and aunt. After a hearing, the Juvenile Court, on January 10, 2006, ordered
    the children to continue residing temporarily with their maternal grandmother and aunt
    but also granted each parent four hours supervised weekly visitation with the children.
    The adjudicatory hearing was scheduled for February 9, 2006, but the record on appeal
    does not include the transcript of, or order from, that proceeding.
    The record on appeal reflects that a hearing occurred on April 7, 2006, and the
    Juvenile Court placed the children on a ninety-day trial home visit with Father. Mother,
    by then divorced from Father, received visitation with the four oldest children every
    weekend and visitation on alternate weekends with the two youngest children, Brighton,
    nearly three years old, and Carrington, almost eighteen months old. Mother‘s visitation
    was contingent upon a favorable home study by DCS.
    On May 5, 2006, for reasons not apparent from the record, the Juvenile Court
    suspended Mother‘s visitation with Carrington and Brighton but reinstated her visitation
    a month later. Nevertheless, the Juvenile Court noted that ―there [were] issues
    concerning [Mother] that concern[ed] the [Juvenile] Court and if not addressed, could
    lead to severe limitations as to visitation.‖
    About fourteen months later, on July 13, 2007, DCS filed a dependency and
    neglect petition against Mother in the Juvenile Court for Maury County. DCS sought by
    the petition to terminate Mother‘s visitation privileges and to continue custody of the
    children with Father. DCS filed the petition after receiving a referral alleging sexual
    abuse and after the four oldest children disclosed during forensic interviews that Mother
    would ―masturbate in front of them.‖ Following a hearing on July 23, 2007, the Juvenile
    Court, by an August 10, 2007 order, suspended Mother‘s visitation pending the
    adjudicatory hearing on DCS‘s petition, which the Juvenile Court scheduled for
    August 27, 2007.
    The adjudicatory hearing did not actually commence, however, until February 15,
    2008, at which time Mother, upon the advice of her appointed counsel and in open court,
    ―waived her right to an adjudicatory hearing.‖ The Juvenile Court entered its orders on
    March 27, 2008, and upon the requests of counsel for DCS and Father, included findings
    that the allegations of the petition had been established by clear and convincing evidence
    and that the children were dependent and neglected because: (1) Mother, by reason of
    cruelty, mental incapacity, immorality, or depravity was unfit to properly care for them;
    (2) the children were in such condition of want or suffering or under such improper
    guardianship or control as to injure or endanger their morals or health; and (3) the
    children were suffering abuse or neglect. See Tenn. Code Ann. § 37-1-102(b)(12)(B),
    -3-
    (F), (G) (2014).4 The Juvenile Court refused to reinstate Mother‘s visitation with the
    children and ordered them to remain in the legal and physical custody of Father. The
    Juvenile Court deemed its March 27, 2008 order ―the final determination as to the claims
    that the children are dependent and neglected for the reasons set out above‖ and
    ―advised‖ the parties that the order could ―be appealed for trial de novo in the Maury
    County Circuit Court by filing a notice of appeal within ten (10) days at the office of the
    Clerk of the Maury County Juvenile Court.‖ The record on appeal does not indicate that
    Mother appealed the Juvenile Court‘s March 27, 2008 order.
    On November 17, 2009, the Juvenile Court held a review hearing. After hearing
    testimony from DCS and CASA representatives, the Juvenile Court again kept in place its
    order suspending Mother‘s visitation with the children.
    On December 21, 2009, DCS filed a petition in the Juvenile Court for Maury
    County, seeking removal of the children from Father‘s home and alleging that the
    children were dependent and neglected based upon Father having physically abused five-
    year-old Carrington by beating and striking him. By an order entered the same day, the
    Juvenile Court awarded DCS temporary custody of the children.
    About three months later, on February 18, 2010, the Juvenile Court ruled that
    Mother would ―have no visitation or contact with the children until the children, on their
    own volition, request[ed] such visitation, and then only with the guidance and facilitation
    of the children‘s treating professionals.‖ Regarding Father, the Juvenile Court ruled that
    if he failed to comply with the requirements set forth for him, either DCS or the
    children‘s guardian ad litem ―should file the appropriate motions or petitions with the
    Juvenile Court to assure the children have permanency in this matter.‖
    Eight days later, on February 26, 2010, DCS provided Mother with a document
    titled ―Criteria and Procedures for Termination of Parental Rights‖ and reviewed the
    contents of the document with Mother. Mother signed the document, acknowledging that
    she had received it along with an explanation of its contents.
    On September 20 and 28, 2011, Mother and her appointed counsel participated in
    the development of family permanency plans. As relevant to Carrington, these
    permanency plans described the concerns regarding Mother as: (1) ―a history of mental
    health instability and abuse of prescription medication‖; (2) ―sexually inappropriate
    [conduct] with her children‖; and (3) ―a history of environmental neglect and unsafe
    4
    Unless the language of the statute has changed since the filing of the petition to terminate
    Mother‘s parental rights, citations in this opinion shall refer to the current version of the statute.
    -4-
    housing.‖ The enumerated goals and actions for Mother were: (1) taking her medications
    as prescribed by her treating professional; (2) providing documentation to DCS of her
    prescriptions and providers and the pharmacy used for her prescriptions; (3) submitting to
    random drug screens; (4) asking her mental health provider to furnish an assessment of
    her emotional ability to parent her children; and (5) providing DCS with a plan for the
    children in the event she experienced a seizure or a blackout, such as she had previously
    reported experiencing.
    As to the three oldest children only, the permanency plans required Mother to: (1)
    overcome her denial of sex abuse and acknowledge it verbally or in writing to a
    professional counselor; (2) cooperate with her treating professional and the children‘s
    treating professionals to ensure appropriate boundaries were implemented and understood
    and to address the possibility of parental alienation; (3) ensure that no inappropriate
    sexual materials, books, magazines, pictures, or videos were around the children; (4)
    provide clean and clutter-free housing with enough space and furniture for the children;
    (5) provide DCS with six consecutive months of paid rental and utility receipts as proof
    of stability; and (6) provide proof of legal income sufficient for her family‘s needs.
    Mother was expected to satisfy these goals by January 2012.
    On October 14, 2011, the Juvenile Court entered a final order on DCS‘s
    December 21, 2009 dependency and neglect petition against Father. The Juvenile Court
    found that Father had abused Carrington in December 2009, and that Carrington had
    suffered a swollen and bruised nose and bruises on his stomach, sides, legs, ankles, and
    arm.5 The Juvenile Court found by clear and convincing evidence that, as to Carrington,
    Father‘s actions constituted abuse, but not severe abuse, under the relevant statutes. As
    to the other children, the Juvenile Court found that Father‘s actions threatened their
    health by subjecting them to inappropriate discipline and threatened their morals because
    Father had lied about his own actions and had coached the children to lie to the
    authorities about his actions. See Tenn. Code Ann. § 37-1-102(b)(12)(B), (F), and (G).
    Based on these findings, the Juvenile Court concluded that the children were dependent
    and neglected and ordered them to remain in DCS custody.
    In so ruling, the Juvenile Court reviewed the history of the case. The Juvenile
    Court emphasized that the children had already been adjudicated dependent and
    neglected as to Mother because she ―would discipline the children by dressing in a
    5
    Father was charged with aggravated child abuse for inflicting these injuries but eventually
    pleaded guilty to child abuse, for which he received a three-year sentence, suspended upon service of
    three years‘ supervised probation.
    -5-
    negligee and masturbating in front of them, then putting her fingers under their nose[s] or
    into their mouth[s].‖ The Juvenile Court noted that the children ―[had] been in numerous
    foster home placements‖ and had been ―to innumerable interviews by DCS in two
    counties for several incidents, by police involving the abuse by Father, and by mental
    health assessors, counselors, and therapists.‖ The Juvenile Court described the children
    as having ―been through the wringer‖ and stated that the matter had begun ―as a situation
    . . . with a Mother who had serious mental problems, beside[s] trying to raise six children,
    and a Father who was not as engaged as he should have been in the day-to-day care of the
    children.‖ The Juvenile Court found that DCS had made ―not only reasonable efforts, but
    Herculean efforts,‖ to rectify the situation and had provided or offered services to the
    children and parents for many years.
    At a permanency hearing a month later, on November 7, 2011, Mother‘s appointed
    counsel orally moved the Juvenile Court to grant Mother visitation with the children.
    The Juvenile Court scheduled a hearing on the motion for December 19, 2011. The
    record on appeal does not include, however, any further orders or information regarding
    the disposition of Mother‘s motion, any hearing on the motion, or any other court
    proceeding in the dependency and neglect actions against Mother and Father.
    By the time DCS filed the October 24, 2013 petition to terminate parental rights
    from which this appeal arises, Mother had been without the physical custody of the
    children since December 2005, almost eight years, and without visitation privileges since
    July 2007, although the Juvenile Court had approved her having supervised visitation if
    any of the children requested it. In its petition, DCS alleged that the following three
    grounds supported termination of Mother‘s parental rights: (1) substantial noncompliance
    with the permanency plan;6 (2) the persistence of the conditions that led to the removal of
    Carrington;7 and (3) mental incompetence.8
    6
    Tennessee Code Annotated section 36-1-113(g)(2) (2015 Supp.) provides that ―substantial
    noncompliance by the parent . . . with the statement of responsibilities in a permanency plan‖ is a ground
    for termination of parental rights. Another statute provides:
    Substantial noncompliance by the parent with the statement of responsibilities
    provides grounds for the termination of parental rights, notwithstanding other statutory
    provisions for termination of parental rights, and notwithstanding the failure of the parent
    to sign or to agree to such statement if the court finds the parent was informed of its
    contents, and that the requirements of the statement are reasonable and are related to
    remedying the conditions that necessitate foster care placement. The permanency plan
    shall not require the parent to obtain employment if such parent has sufficient resources
    from other means to care for the child, and shall not require the parent to provide the
    child with the child‘s own bedroom unless specific safety or medical reasons exist that
    would make bedroom placement of the child with another child unsafe.
    (continued…)
    -6-
    On December 20, 2013, the Juvenile Court for Maury County held a hearing on
    the petition. Four attorneys were present at the hearing, including Mother‘s appointed
    counsel, Father‘s appointed counsel, Carrington‘s guardian ad litem, and the attorney for
    DCS. Of the four attorneys, only Mother‘s appointed counsel presented opening
    statements. Mother‘s appointed attorney asked the Juvenile Court not to rely upon the
    2005 order depriving Mother of custody of her children as a basis for establishing
    persistence of conditions. He argued that Mother‘s failure to pay child support for
    (…continued)
    Tenn. Code Ann. § 37-2-403(a)(2)(C) (2014).
    7
    Persistence of the conditions that led to the child‘s removal from a parent‘s home is grounds for
    termination where:
    (3) The child has been removed from the home of the parent or guardian by order of a
    court for a period of six (6) months and:
    (A) The conditions that led to the child‘s removal or other conditions that in all
    reasonable probability would cause the child to be subjected to further abuse or
    neglect and that, therefore, prevent the child‘s safe return to the care of the parent
    or parents or the guardian or guardians, still persist;
    (B) There is little likelihood that these conditions will be remedied at an early
    date so that the child can be safely returned to the parent or parents or the
    guardian or guardians in the near future; and
    (C) The continuation of the parent or guardian and child relationship greatly
    diminishes the child‘s chances of early integration into a safe, stable and
    permanent home[.]
    Tenn. Code Ann. § 36-1-113(g)(3).
    8
    Termination of parental rights is permissible if clear and convincing evidence establishes that:
    (i) The parent or guardian of the child is incompetent to adequately provide for
    the further care and supervision of the child because the parent‘s or guardian‘s
    mental condition is presently so impaired and is so likely to remain so that it is
    unlikely that the parent or guardian will be able to assume or resume the care of
    and responsibility for the child in the near future; and
    (ii) That termination of parental or guardian rights is in the best interest[s] of the
    child[.]
    Tenn. Code Ann. § 36-1-113(g)(8)(B).
    -7-
    Carrington and to visit Carrington were the results of her having income only from
    disability benefits and of court orders that prevented her from visiting with the children.
    DCS presented the testimony of four witnesses and introduced a number of
    exhibits, including the September 20 and 28, 2011 permanency plans. Although Mother
    presented no other evidence, her appointed counsel cross-examined each DCS witness.
    Tabitha Smith, a counselor service worker for the Department of Human Services,
    testified as to Mother‘s compliance with the permanency plans. Ms. Smith first became
    involved with the case in 2009, after the children were removed from Father‘s home.
    According to Ms. Smith, Mother had attempted to comply with many of the requirements
    of the permanency plans but had not complied fully. In particular, Ms. Smith testified
    that Mother had failed to: (1) submit to and pass random drug testing; (2) provide an
    opinion from a mental health professional that she is emotionally capable of parenting her
    children; (3) provide proof of six consecutive months of paid rent and utilities; (4)
    provide DCS with proof that she receives legal income sufficient to support her family;
    (5) provide DCS with a safety plan for what would happen with the children should she
    have a seizure; (6) provide sufficient space and beds in her home for the minor children;
    and (7) acknowledge to a counselor that the children had been sexually and physically
    abused. Ms. Smith agreed that Mother had attended 95% of her scheduled meetings, but
    she stated that Mother had behaved erratically at the meetings. On one such occasion,
    Ms. Smith had driven Mother to a local hospital after the meeting because Mother‘s
    speech was slurred and her behavior erratic.
    In response to cross-examination questions from Mother‘s appointed attorney, Ms.
    Smith acknowledged that she had asked Mother to submit to random drug testing on only
    three occasions and had not asked Mother to submit a urine sample for drug testing since
    2011—two years before the hearing. Ms. Smith agreed that Mother had been receiving
    Social Security disability benefits since 2008, and she conceded that Mother could have
    advised DCS of the amount of her disability income before Ms. Smith became involved
    in the case. To Ms. Smith‘s knowledge, Mother had no outstanding debts to suggest that
    Mother‘s disability income would be insufficient to enable Mother to provide for her
    family‘s basic needs. When asked about her testimony that Mother‘s home lacked
    adequate space and bedding for the children, Ms. Smith acknowledged that she had not
    been inside Mother‘s home since the spring of 2012, more than a year before the hearing.
    When asked about her testimony that Mother had failed to provide the opinion of a
    mental health expert regarding her emotional capacity to parent the children, Ms. Smith
    agreed that Mother had provided DCS with a medical release and authorization to contact
    her service providers directly to obtain Mother‘s records. Ms. Smith conceded that DCS
    had provided Mother‘s mental health counseling services and could have contacted
    Mother‘s service providers directly. Indeed, Ms. Smith confirmed that DCS actually had
    asked one of Mother‘s providers to furnish an opinion on her emotional parenting
    -8-
    capability. With regard to the requirement that Mother acknowledge sexual abuse, Ms.
    Smith agreed that Mother‘s psychosexual evaluation, conducted on March 5, 2009,
    ―indicated that [Mother] produced a valid test result which demonstrated no sexual
    pathology even upon recent resubmission of the test.‖
    Elysse Beasley, a psychotherapist and licensed senior psychological examiner and
    professional counselor, testified for DCS as an expert in the fields of psychology and
    psychological examination. Ms. Beasley, who had conducted Mother‘s March 5, 2009
    psychosexual evaluation and Mother‘s July 2, 2013 psychological evaluation,
    authenticated and submitted copies of her evaluation reports.
    According to Ms. Beasley, the purpose of the July 2, 2013 evaluation was to
    determine whether Mother‘s psychological condition would permit her to care for her
    children safely. Ms. Beasley‘s evaluation of Mother consisted of a clinical interview, a
    clinical mental status examination, review of reports of Mother‘s earlier evaluations,
    review of documents DCS provided, and the administration of numerous psychological
    tests, including the Minnesota Multiphasic Personality Inventory-2, Millon Clinical
    Multi-Axial Inventory-III, Adult Adolescent Parenting Inventory-2, and Substance Abuse
    Subtle Screening Inventory-3.
    From the clinical interview and review of Mother‘s medical records, Ms. Beasley
    learned that Mother had been hospitalized in November 2006 for eight days for treatment
    of depression and anxiety. In 2009, Mother received inpatient treatment at Rolling Hills
    Psychiatric Hospital and Cumberland Heights. In 2011, Mother was hospitalized for six
    days at Vanderbilt University Medical Center, after a friend reported that Mother had
    been carrying around razor blades and threatening to harm herself. During the 2011
    hospitalization, Mother was diagnosed with Bipolar II Disorder, Post Traumatic Stress
    Disorder, Sedative, Hypnotic, or Anxiolytic Dependence, and Opioid Abuse, with
    underlying Borderline Personality Disorder. In September 2012, Mother was again
    hospitalized at Rolling Hills Psychiatric Hospital for seventeen days and was treated for
    polysubstance dependence, depression, suicidal ideation, and Xanax abuse.
    Ms. Beasley concluded, based on the clinical interview and Mother‘s test results,
    that Mother has poor insight, poor impulse control, and widely shifting mood swings.
    Ms. Beasley opined that Mother suffers from post-traumatic stress disorder, caused by an
    abusive relationship and the anxiety and nightmares associated with reliving the trauma.
    Ms. Beasley also noted Mother‘s well-documented history of drug abuse and her Axis II
    diagnosis of histrionic personality disorder. Histrionic personality disorder, Ms. Beasley
    explained, is characterized by intense unstable relationships, dramatic behavior, and a
    need to be noticed, which results in exaggeration, attention seeking, rapidly shifting
    emotions, gullibility, rash decision-making, and suicide attempts. Ms. Beasley explained
    that, like all personality disorders, histrionic personality disorder is a longstanding and
    -9-
    very entrenched personality characteristic ―that tends to be very, very, very difficult to
    treat.‖ Mother‘s histrionic personality disorder, Ms. Beasley opined, has become a ―very
    ingrained part of who she is and how she operates, and there are no medications for
    treating personality disorders, although medications might help with bouts of
    depression.‖
    Ms. Beasley explained that Mother‘s Global Assessment of Functioning results
    indicated that Mother‘s mental health moderately interferes with her ability to function on
    a day-to-day basis and that she has suicidal ideations. Ms. Beasley noted as well that
    Mother‘s Substance Abuse Subtle Screening Inventory produced unreliable results.
    Although Mother denied alcohol or drug usage in the six months prior to the screening,
    Mother‘s high defensiveness and high supplemental-addiction-measure scores indicated
    that she was trying to minimize evidence of personal problems and that she had given
    answers similar to those given by defensive persons with substance abuse disorders.
    Ms. Beasley opined within a reasonable degree of professional certainty that
    Mother is neither competent nor able to provide for or fully care for Carrington due to her
    mental condition. Although Mother had been in treatment to address her substance abuse
    problems, Ms. Beasley concluded that very little had changed in Mother‘s emotions,
    depression, anger, or method of handling these issues since Ms. Beasley evaluated
    Mother in 2009. Ms. Beasley pointed out that, even without the stress of caring for the
    children, Mother had been hospitalized multiple times between 2006 and 2012 and was
    still experiencing stress-related difficulties in 2013. Ms. Beasley emphasized that the
    hospitalizations were merely the culmination of Mother‘s problems, and she opined that
    Mother would have had ―all kinds of symptoms and inabilities to function prior to the
    hospitalization[s].‖ Ms. Beasley testified that all of Mother‘s symptoms were present
    both in 2009 and at the time of the July 2013 evaluation and were unlikely to resolve in
    the near future. Ms. Beasley explained:
    [Mother] has little psychological insight. She is defensive and
    reluctant to engage in self-exploration. Additionally, she has little
    motivation to change her behavior since she blames others for the situation
    in which she finds herself. Long-term commitment to therapy is required
    before [Mother‘s] personality would substantially change. However,
    individuals with her profile often terminate treatment early. At this point in
    time, [Mother] does not have the physical and emotional well-being to
    safely care for her six children and past therapy efforts from 2005 to the
    current time have proven unsuccessful in providing long term improvement
    in her psychological functioning.
    According to Ms. Beasley, the more stress Mother is under, ―the more reduced her
    ability to function becomes.‖ After Ms. Beasley explained that her opinions were aimed
    - 10 -
    at answering the question of whether Mother has the emotional capacity to parent a
    normal child, counsel for DCS asked whether Mother has the emotional capacity to
    parent a child with ―a behavioral problem or disorder that result[s] in periodic outbursts
    of anger, demonstrated by kicking and screaming, refusing to listen to or take instruction,
    sort of an oppositional defiance to being told what to do, when to do it, and how to do it.‖
    To this question, Ms. Beasley responded, ―[T]hat sort of child would be difficult to
    manage even for somebody, you know, who was not suffering from any of this.‖
    Although Ms. Beasley did not view Mother as posing a risk of physical abuse to the
    child, she opined that Mother would pose a risk of emotional abuse to the child.
    Mother‘s appointed counsel cross-examined Ms. Beasley, focusing on the
    conclusion in Ms. Beasley‘s 2009 psychosexual evaluation report that Mother had
    produced a valid test and that, while it could not be stated that Mother was not culpable
    of a sexual offense, there was no sexual pathology to support an inference of culpability.
    Mother‘s appointed counsel also questioned Ms. Beasley regarding the telephone call she
    had received from a DCS employee after submitting her 2009 evaluation report to DCS.
    According to Ms. Beasley, the DCS employee stated that her boss was not happy with the
    report and asked Ms. Beasley whether DCS could send her additional information about
    the case to review, in the event it might change the results of her evaluation report. Ms.
    Beasley testified that she informed the DCS employee that additional information would
    not change the facts or the results of the evaluation. Nevertheless, Ms. Beasley decided
    to resubmit the raw test data, but the results of the evaluation did not change. Ms.
    Beasley agreed that, after the 2009 evaluation, she had recommended family therapy with
    Mother, ―with the goal of working towards supervised visitation.‖ Mother‘s appointed
    counsel then asked Ms. Beasley her opinion of the Juvenile Court‘s 2009 decision to
    deny Mother visitation with the children, unless the children requested visitation with
    Mother. Ms. Beasley responded that, at the time of the decision, the children ranged in
    age from five to twelve years old, and that, in her opinion, ―[i]t should not have been left
    up to the children . . . whether or not they should see a parent or not see a parent.‖ In
    response to further cross-examination questioning, Ms. Beasley opined that some attempt
    should have been made ―towards visitation and some sort of reconciliation with
    [Mother].‖
    Leslie Ross also testified for DCS. Ms. Ross was an outpatient therapist at
    Centerstone, one of Mother‘s mental health service providers. Ms. Ross treated Mother
    in 2012 for depression, post-traumatic stress disorder, issues concerning visitation with
    her children, and medication. During this time, Ms. Ross ordinarily counseled with
    Mother once per week, but not less than once per month. In January 2013, Centerstone
    asked Mother to sign a behavior contract due to ongoing problems. The contract required
    Mother, among other things, to see a particular staff member who would prescribe
    clinically appropriate medications but who would not prescribe Ativan as Mother
    requested. The contract also required Mother to refrain from: (1) sending emails to
    - 11 -
    Centerstone staff; (2) calling Centerstone several times each day demanding to speak to
    staff members; (3) using inappropriate language and/or threatening language with her
    case manager; and (4) using verbally aggressive or inappropriate language, including
    yelling, name calling, and cursing, toward Centerstone staff and other patients. When
    Mother refused to sign the agreement, Centerstone refused to continue providing Mother
    with services.
    On cross-examination, Mother‘s appointed counsel elicited testimony from Ms.
    Ross that, prior to the problems that culminated in Centerstone presenting Mother with
    the behavior contract in 2013, Mother had received treatment at Centerstone for more
    than ten years without incident.
    Richard Walker, a clinical social worker at Centerstone, also testified for DCS as
    an expert witness in social work and child therapy. Mr. Walker explained that Carrington
    had been diagnosed with reactive attachment disorder and oppositional defiant disorder.9
    According to Mr. Walker, reactive attachment disorder usually arises in young children
    when their patterns of attachment are disrupted, causing them to have problems forming
    and sustaining attachments. Mr. Walker stated that Carrington‘s behavioral problems are
    atypical. For the most part, Carrington functions as a normal child but becomes
    unmanageable when he is upset. During these periods, Carrington refuses to cooperate
    with anyone, and unless he is physically restrained, Carrington kicks, screams, bites,
    throws things, and attacks other children and anyone else who tries to direct him.
    According to Mr. Walker, these episodes of Carrington losing control coincide with
    impending moves. As an example, Dr. Walker explained that in 2011, when Carrington
    was moved from one home to another home, his foster parents had difficulty controlling
    his behavior. Carrington would alternate between clinging to his foster parents and
    becoming oppositional and combative. At the time of the hearing, Mr. Walker was
    treating Carrington with talk and play therapy, counseling him on cooperating with
    others, and teaching him skills for building friendships and getting along with other
    people. Mr. Walker opined that a permanent and stable living arrangement in a nurturing
    home, where the attachments do not break, even when Carrington becomes upset, is
    critical to Carrington‘s well being. Placing Carrington with a parent with histrionic
    personality disorder would be almost the exact opposite of the home environment that he
    needs, according to Mr. Walker, because a parent with histrionic personality disorder
    would be unable to provide the stable home environment Carrington needs. Mr. Walker
    explained that, although visitation with a parent with histrionic personality disorder
    would be disruptive for Carrington, the disruption would be more limited because
    9
    Carrington had also been diagnosed with attention deficit disorder, but Mr. Walker disagreed
    with this diagnosis.
    - 12 -
    exposure to the parent‘s unstable behavior patterns and emotions would be periodic rather
    than constant.
    On cross-examination by Mother‘s appointed attorney, Mr. Walker agreed that he
    had been aware of the 2009 order giving the children the choice of whether to visit with
    Mother. When asked his opinion of this arrangement, Mr. Walker stated that he would
    have favored an approach ―where the children were not the ones who made th[e]
    decision‖ and ―[which] involved periodic visits with [Mother] and, in this case, under
    close supervision.‖
    Mother did not present any additional proof. In closing argument, Mother‘s
    appointed counsel contended that DCS had failed to carry its burden of establishing any
    of the alleged grounds for termination by clear and convincing evidence. He also argued
    that Mother was not at fault for the 2009 order allowing the children to make the decision
    on whether to visit with her, and that, because Mother had not been allowed to visit with
    Carrington, the proof regarding her inability to parent was purely speculative. He
    asserted that DCS had put aside Mother‘s case while it pursued the abuse charges against
    Father and had failed to make any effort to reunify Mother with Carrington.
    In his closing argument, Carrington‘s guardian ad litem described the case as
    ―probably the saddest‖ with which any of the lawyers involved had ever dealt.
    Nevertheless, he asked the Juvenile Court to terminate Mother‘s parental rights,
    explaining that ―with the histrionic personality disorder and all the other sad issues that
    [Mother] has had to deal with in her life,‖ Mother lacks the capacity to parent a difficult
    child, like Carrington, and her mental status would be detrimental to him.
    At the conclusion of the December 20, 2013 hearing, the Juvenile Court took the
    matter under advisement and issued its final order on February 27, 2014, terminating
    Mother‘s parental rights to Carrington.10 The Juvenile Court found by clear and
    convincing evidence that (1) Mother had failed to substantially comply with the
    requirements of the permanency plan; (2) Carrington had been removed from Mother‘s
    home by court order for more than six months, and the conditions that led to Carrington‘s
    removal still persisted, and there was little likelihood that these conditions would be
    remedied at an early date so that Carrington could safely return to Mother in the near
    future, and the continuation of the parent-child relationship greatly diminished
    Carrington‘s chances of early integration into a safe, stable, and permanent home; (3)
    10
    On January 30, 2014, DCS filed a motion to ascertain the status of the Juvenile Court‘s
    decision. See Tenn. Code Ann. § 36-1-113(k) (requiring trial courts to render decisions within thirty days
    of the conclusion of a hearing on a petition to terminate parental rights).
    - 13 -
    Mother was incompetent to adequately provide for the further care and supervision of
    Carrington and it was unlikely that Mother would be able to assume or resume the care of
    and responsibility for Carrington in the near future; and (4) termination of Mother‘s
    parental rights was in Carrington‘s best interest.
    Mother appealed from the trial court‘s judgment terminating her parental rights.11
    On appeal, Mother‘s appointed attorney argued that the Juvenile Court erred in finding
    clear and convincing evidence to establish the termination grounds of substantial
    noncompliance and persistence of conditions. Appointed counsel also argued that the
    trial court erred by finding clear and convincing evidence that termination of Mother‘s
    parental rights was in Carrington‘s best interests. Appointed counsel did not appeal the
    trial court‘s finding that Mother lacked the mental competency to provide for
    Carrington‘s care and supervision.
    On October 21, 2014, the Court of Appeals affirmed the trial court‘s judgment but
    declined to review any of Mother‘s challenges to the trial court‘s grounds for termination.
    In re Carrington H., No. M2014-00453-COA-R3-PT, 
    2014 WL 5390572
    , at *5 (Tenn. Ct.
    App. Oct. 21, 2014). The intermediate appellate court reasoned that, because Mother had
    not appealed the trial court‘s finding she lacked the mental competency to parent
    Carrington, the trial court‘s finding on that ground was final and furnished a sufficient
    basis for the appellate court to affirm the trial court‘s decision terminating Mother‘s
    parental rights. The Court of Appeals affirmed the trial court‘s finding that DCS offered
    clear and convincing evidence to establish that termination of Mother‘s parental rights
    was in Carrington‘s best interests. 
    Id. at *8.
    On November 5, 2014, the Court of Appeals
    granted appointed counsel‘s motion to withdraw as counsel for Mother.
    Thereafter, Mother, proceeding pro se, timely filed an application for permission
    to appeal in this Court. She asserted that her appointed counsel‘s representation was
    inadequate and deprived her of the right to counsel statutorily guaranteed to indigent
    parents in termination proceedings. Specifically, Mother asserted that she had been
    prejudiced by appointed counsel‘s deficient representation during the 2008 dependency
    and neglect proceeding and during the parental termination trial and appeal. Mother also
    11
    On the same day that DCS filed the motion to ascertain status, January 30, 2014, Mother‘s
    attorney filed a motion requesting to be relieved as appointed counsel for Mother. Appointed counsel
    alleged that he had represented Mother since 2007 and proposed ―that a ‗fresh perspective‘ would best
    serve Mother‘s interests in the event that an appeal, as of right, is taken from the ruling of this court.‖
    The record does not reflect that the Juvenile Court ruled on the motion. Having not been relieved,
    appointed counsel filed a notice of appeal on Mother‘s behalf and represented her before the Court of
    Appeals.
    - 14 -
    asserted that the Court of Appeals erred by declining to review the sufficiency of the
    evidence to support the Juvenile Court‘s findings regarding the grounds for termination.
    We granted Mother‘s pro se application for permission to appeal and appointed
    new counsel to represent her before this Court. In re Carrington H., No. M2014-00453-
    SC-R11-PT (Tenn. Jan. 28, 2015) (order granting pro se application, appointing counsel,
    and setting out issues of particular interest).12 We also directed the parties to address the
    following issues:
    (1)   Whether the right to counsel in a termination of parental
    rights proceeding includes the right to the effective assistance of counsel;
    and
    (2)     If so, what procedure and standard should the Court adopt to
    review that claim?
    II. Analysis
    A. Standards Governing Parental Termination Trial Proceedings
    A parent‘s right to the care and custody of her child is among the oldest of the
    judicially recognized fundamental liberty interests protected by the Due Process Clauses
    of the federal and state constitutions.13 Troxel v. Granville, 
    530 U.S. 57
    , 65 (2000);
    Stanley v. Illinois, 
    405 U.S. 645
    , 651 (1972); In re Angela E., 
    303 S.W.3d 240
    , 250
    (Tenn. 2010); In re Adoption of Female Child, 
    896 S.W.2d 546
    , 547-48 (Tenn. 1995);
    Hawk v. Hawk, 
    855 S.W.2d 573
    , 578-79 (Tenn. 1993). But parental rights, although
    fundamental and constitutionally protected, are not absolute. In re Angela 
    E., 303 S.W.3d at 250
    . ―‗[T]he [S]tate as parens patriae has a special duty to protect
    minors . . . .‘ Tennessee law, thus, upholds the [S]tate‘s authority as parens patriae when
    interference with parenting is necessary to prevent serious harm to a child.‖ 
    Hawk, 855 S.W.2d at 580
    (quoting In re Hamilton, 
    657 S.W.2d 425
    , 429 (Tenn. Ct. App. 1983)); see
    also Santosky v. Kramer, 
    455 U.S. 745
    , 747 (1982); In re Angela 
    E., 303 S.W.3d at 250
    .
    12
    The Court is grateful to attorney Rebecca McKelvey Castañeda of the law firm of Stites &
    Harbison, PLLC, for providing Mother with outstanding representation in this appeal.
    13
    U.S. Const. amend. XIV § 1 (―[N]or shall any State deprive any person of life, liberty, or
    property, without due process of law . . . .‖). Similarly, article 1, section 8 of the Tennessee Constitution
    states ―[t]hat no man shall be taken or imprisoned, or disseized of his freehold, liberties or privileges, or
    outlawed, or exiled, or in any manner destroyed or deprived of his life, liberty or property, but by the
    judgment of his peers or the law of the land.‖
    - 15 -
    ―When the State initiates a parental rights termination proceeding, it seeks not merely to
    infringe that fundamental liberty interest, but to end it.‖ 
    Santosky, 455 U.S. at 759
    .
    ―Few consequences of judicial action are so grave as the severance of natural family
    ties.‖ 
    Id. at 787;
    see also M.L.B. v. S.L.J., 
    519 U.S. 102
    , 119 (1996). The parental rights
    at stake are ―far more precious than any property right.‖ 
    Santosky, 455 U.S. at 758-59
    .
    Termination of parental rights has the legal effect of reducing the parent to the role of a
    complete stranger and of ―severing forever all legal rights and obligations of the parent or
    guardian of the child.‖ Tenn. Code Ann. § 36-1-113(l)(1); see also 
    Santosky, 455 U.S. at 759
    (recognizing that a decision terminating parental rights is ―final and irrevocable‖). In
    light of the interests and consequences at stake, parents are constitutionally entitled to
    ―fundamentally fair procedures‖ in termination proceedings. 
    Santosky, 455 U.S. at 754
    ;
    see also Lassiter v. Dep‘t of Soc. Servs. of Durham Cnty., N.C., 
    452 U.S. 18
    , 27 (1981)
    (discussing the due process right of parents to fundamentally fair procedures).
    Among the constitutionally mandated ―fundamentally fair procedures‖ is a
    heightened standard of proof—clear and convincing evidence. 
    Santosky, 455 U.S. at 769
    . This standard minimizes the risk of unnecessary or erroneous governmental
    interference with fundamental parental rights. Id.; In re Bernard T., 
    319 S.W.3d 586
    , 596
    (Tenn. 2010). ―Clear and convincing evidence enables the fact-finder to form a firm
    belief or conviction regarding the truth of the facts, and eliminates any serious or
    substantial doubt about the correctness of these factual findings.‖ In re Bernard 
    T., 319 S.W.3d at 596
    (citations omitted). The clear-and-convincing-evidence standard ensures
    that the facts are established as highly probable, rather than as simply more probable than
    not. In re Audrey S., 
    182 S.W.3d 838
    , 861 (Tenn. Ct. App. 2005); In re M.A.R., 
    183 S.W.3d 652
    , 660 (Tenn. Ct. App. 2005).
    Tennessee statutes governing parental termination proceedings incorporate this
    constitutionally mandated standard of proof. Tennessee Code Annotated section 36-1-
    113(c) provides:
    Termination of parental or guardianship rights must be based upon:
    (1) A finding by the court by clear and convincing
    evidence that the grounds for termination of parental or
    guardianship rights have been established; and
    (2) That termination of the parent‘s or guardian‘s
    rights is in the best interests of the child.
    - 16 -
    This statute requires the State to establish by clear and convincing proof that at least one
    of the enumerated statutory grounds14 for termination exists and that termination is in the
    child‘s best interests. In re Angela 
    E., 303 S.W.3d at 250
    ; In re F.R.R., III, 
    193 S.W.3d 528
    , 530 (Tenn. 2006); In re Valentine, 
    79 S.W.3d 539
    , 546 (Tenn. 2002). ―The best
    interests analysis is separate from and subsequent to the determination that there is clear
    and convincing evidence of grounds for termination.‖ In re Angela 
    E., 303 S.W.3d at 254
    . Although several factors relevant to the best interests analysis are statutorily
    enumerated,15 the list is illustrative, not exclusive. The parties are free to offer proof of
    other relevant factors. In re Audrey 
    S., 182 S.W.3d at 878
    . The trial court must then
    determine whether the combined weight of the facts ―amount[s] to clear and convincing
    evidence that termination is in the child‘s best interest.‖ In re Kaliyah S., 
    455 S.W.3d 533
    , 555 (Tenn. 2015). These requirements ensure that each parent receives the
    constitutionally required ―individualized determination that a parent is either unfit or will
    cause substantial harm to his or her child before the fundamental right to the care and
    custody of the child can be taken away.‖ In re Swanson, 
    2 S.W.3d 180
    , 188 (Tenn.
    1999).
    Furthermore, other statutes impose certain requirements upon trial courts hearing
    termination petitions. A trial court must ―ensure that the hearing on the petition takes
    place within six (6) months of the date that the petition is filed, unless the court
    determines an extension is in the best interests of the child.‖ Tenn. Code Ann. § 36-1-
    113(k). A trial court must ―enter an order that makes specific findings of fact and
    conclusions of law within thirty (30) days of the conclusion of the hearing.‖ 
    Id. This portion
    of the statute requires a trial court to make ―findings of fact and conclusions of
    law as to whether clear and convincing evidence establishes the existence of each of the
    grounds asserted for terminating [parental] rights.‖ In re Angela 
    E., 303 S.W.3d at 255
    .
    ―Should the trial court conclude that clear and convincing evidence of ground(s) for
    termination does exist, then the trial court must also make a written finding whether clear
    and convincing evidence establishes that termination of [parental] rights is in the [child‘s]
    best interests.‖ 
    Id. If the
    trial court‘s best interests analysis ―is based on additional
    factual findings besides the ones made in conjunction with the grounds for termination,
    the trial court must also include these findings in the written order.‖ 
    Id. Appellate courts
    ―may not conduct de novo review of the termination decision in the absence of such
    findings.‖ 
    Id. (citing Adoption
    Place, Inc. v. Doe, 
    273 S.W.3d 142
    , 151 & n. 15 (Tenn.
    Ct. App. 2007)).
    14
    Tenn. Code Ann. § 36-1-113(g)(1)-(13).
    15
    Tenn. Code Ann. § 36-1-113(i).
    - 17 -
    B. Standards of Appellate Review
    An appellate court reviews a trial court‘s findings of fact in termination
    proceedings using the standard of review in Tenn. R. App. P. 13(d). In re Bernard 
    T., 319 S.W.3d at 596
    ; In re Angela 
    E., 303 S.W.3d at 246
    . Under Rule 13(d), appellate
    courts review factual findings de novo on the record and accord these findings a
    presumption of correctness unless the evidence preponderates otherwise. In re Bernard
    
    T., 319 S.W.3d at 596
    ; In re M.L.P., 
    281 S.W.3d 387
    , 393 (Tenn. 2009); In re Adoption
    of A.M.H., 
    215 S.W.3d 793
    , 809 (Tenn. 2007). In light of the heightened burden of
    proof in termination proceedings, however, the reviewing court must make its own
    determination as to whether the facts, either as found by the trial court or as supported by
    a preponderance of the evidence, amount to clear and convincing evidence of the
    elements necessary to terminate parental rights. In re Bernard 
    T., 319 S.W.3d at 596
    -97.
    The trial court‘s ruling that the evidence sufficiently supports termination of parental
    rights is a conclusion of law, which appellate courts review de novo with no presumption
    of correctness. In re 
    M.L.P., 281 S.W.3d at 393
    (quoting In re Adoption of 
    A.M.H., 215 S.W.3d at 810
    ). Additionally, all other questions of law in parental termination appeals,
    as in other appeals, are reviewed de novo with no presumption of correctness. In re
    Angela 
    E., 303 S.W.3d at 246
    .
    C. Scope of Appellate Review
    The Court of Appeals declined to consider Mother‘s challenges to two of the three
    grounds on which the trial court based its decision to terminate her parental rights. In re
    Carrington H., 
    2014 WL 5390572
    , at *5. The Court of Appeals reasoned that because
    Mother failed to challenge the third ground for termination, mental incompetency, the
    trial court‘s finding on that ground became final and is sufficient to support the trial
    court‘s decision terminating Mother‘s parental rights. 
    Id. DCS agrees
    with the Court of
    Appeals‘ reasoning and asks us to affirm its ruling on this issue.
    The Court of Appeals has disagreed on the scope of review in parental termination
    appeals. Some panels have declined to address any of the grounds for termination where
    a parent appeals fewer than all of the grounds relied on by the trial court for termination
    or only appeals the trial court‘s decision as to the child‘s best interests. See In re Patrick
    J., No. M2014-00728-COA-R3-PT, 
    2014 WL 7366946
    , at *1 (Tenn. Ct. App. Dec. 23,
    2014); In re Alexis L., No. M2013-01814-COA-R3-PT, 
    2014 WL 1778261
    , at *1 (Tenn.
    Ct. App. Apr. 30, 2014); In re Kyla P., No. M2013-02205-COA-R3-PT, 
    2014 WL 4217412
    , at *3 (Tenn. Ct. App. Aug. 26, 2014); In re A.T.S., No. M2004-01904-COA-
    R3-PT, 
    2005 WL 229905
    , at *3 (Tenn. Ct. App. Jan. 28, 2005). At least one panel has
    held that when a parent appeals only the trial court‘s decision on the child‘s best interests,
    the Court of Appeals has a duty to examine the record to determine whether the evidence
    is sufficient to prove by clear and convincing evidence at least one of the grounds for
    - 18 -
    termination. In re Jason C.H., No. M2010-02129-COA-R3-PT, 
    2011 WL 917389
    , at *4
    (Tenn. Ct. App. Mar. 16, 2011). At least one other panel has held that all grounds relied
    on by the trial court to terminate parental rights should be reviewed, even though all of
    the grounds were not raised on appeal. In re Robert D., No. E2013-00740-COA-R3-PT,
    
    2014 WL 201621
    , at *11 (Tenn. Ct. App. Jan. 17, 2014). Other panels have exercised the
    discretion Tennessee Rule of Appellate Procedure 13 provides to review the trial court‘s
    determination of the child‘s best interests even though the parent did not raise that issue
    on appeal, citing the gravity of the consequences of terminating parental rights. In re
    Brittany D., No. M2015-00179-COA-R3-PT, 
    2015 WL 5276169
    , at *7 (Tenn. Ct. App.
    Sept. 9, 2015); In re Justin K., No. M2012-01779-COA-R3-PT, 
    2013 WL 1282009
    , at *8
    n.6 (Tenn. Ct. App. Mar. 27, 2013).
    Although this issue has not previously been squarely presented to this Court, we
    commented upon it in In re Angela E. There, after holding that trial courts are obligated
    to make factual findings on each ground alleged for termination, we stated:
    Consistent with the same policies—that is, the importance of
    permanently placing children and the just, speedy resolution of cases—the
    Court of Appeals should likewise review the trial court‘s findings of fact
    and conclusions of law as to each ground for termination, even though the
    statute only requires the finding of one ground to justify terminating
    parental rights. The Court of Appeals‘ thorough review of all grounds
    decided by the trial court will prevent unnecessary remands of cases that we
    hear in this 
    Court. 303 S.W.3d at 251
    n.14 (citations omitted). DCS argues that the foregoing language
    does not require the Court of Appeals to review every ground for termination of parental
    rights, regardless of whether the issue has been raised on appeal, because issues not
    raised on appeal cannot be raised in this Court. DCS also maintains that imposing such a
    requirement would have the effect of encouraging ―counsel to raise frivolous issues on
    appeal in termination proceedings‖ and ―would operate against the child‘s interest in
    prompt resolution of the termination proceeding.‖
    We certainly have no desire to encourage attorneys to raise frivolous issues in any
    appeal. Nor do we wish to prolong the resolution of parental termination proceedings.
    But we fail to see how requiring the Court of Appeals to review thoroughly the trial
    court‘s findings as to each ground for termination and as to whether termination is in the
    child‘s best interests would produce either of these undesirable results. To the contrary,
    requiring this review will ensure that fundamental parental rights are not terminated
    except upon sufficient proof, proper findings, and fundamentally fair procedures.
    Requiring this review should not prolong any appeal already pending before the Court of
    Appeals by any measurable degree and has the potential to reduce the number of
    - 19 -
    applications for permission to appeal filed in this Court. This will, in turn, advance the
    important goal of concluding parental termination litigation as rapidly as possible
    ―consistent with fairness.‖ 
    Lassiter, 452 U.S. at 32
    ; In re D.L.B., 
    118 S.W.3d 360
    , 367
    (Tenn. 2003) (discussing the rationale for requiring trial courts to make findings on each
    ground and recognizing the importance of establishing permanent placements for
    children).
    Although DCS is correct that issues not raised in the Court of Appeals generally
    will not be considered by this Court, there are exceptions to this general rule. Indeed, we
    recognized recently that ―Rules 13(b) and 36(a) of the Tennessee Rules of Appellate
    Procedure, considered together, give appellate courts considerable discretion to consider
    issues that have not been properly presented in order to achieve fairness and justice.‖ In
    re 
    Kaliyah, 455 S.W.3d at 540
    (footnote omitted). We exercised this discretion in that
    case to consider an issue that DCS had not raised in either the trial court or the Court of
    Appeals. 
    Id. DCS‘s argument
    on this point is unpersuasive. Therefore, consistent with
    our statement in In re Angela E., we hold that in an appeal from an order terminating
    parental rights the Court of Appeals must review the trial court‘s findings as to each
    ground for termination and as to whether termination is in the child‘s best interests,
    regardless of whether the parent challenges these findings on 
    appeal.16 303 S.W.3d at 251
    n.14.
    In the interest of finally resolving this already protracted appeal as expeditiously
    as possible, we will review the trial court‘s findings, rather than remand to the Court of
    Appeals to do so. Before undertaking that review, however, we next consider Mother‘s
    assertion that her statutory right to appointed counsel necessarily includes the right to
    effective assistance of counsel and the right to a procedure by which she may attack the
    judgment terminating her parental rights based on ineffective assistance of counsel.
    D. Effective Assistance of Counsel in Parental Termination Proceedings
    Our analysis of this issue necessarily begins with Lassiter, in which the United
    States Supreme Court, in a five-to-four decision, held that the Due Process Clause of the
    Fourteenth Amendment does not require States to appoint counsel for parents in every
    parental termination 
    proceeding. 452 U.S. at 24
    . The Lassiter Court acknowledged that,
    although ―‗due process‘ has never been, and perhaps can never be, precisely defined,‖ it
    should be understood as expressing ―the requirement of ‗fundamental fairness,‘ a
    requirement whose meaning can be as opaque as its importance is lofty.‖ 
    Id. Discerning 16
                To aid in fulfilling this obligation, the Court of Appeals may adopt a rule requiring parents to
    brief these issues in every appeal.
    - 20 -
    ―what ‗fundamental fairness‘ consists of in a particular situation,‖ the Court explained, is
    ―an uncertain enterprise‖ that may be accomplished ―by first considering any relevant
    precedents and then by assessing the several interests that are at stake.‖ 
    Id. at 24-25.
    With respect to the right to appointed counsel, the Court concluded that its prior ―relevant
    precedents‖ had defined ―fundamental fairness‖ as establishing ―the presumption that an
    indigent litigant has a right to appointed counsel only when, if he loses, he may be
    deprived of his physical liberty.‖ 
    Id. at 26-27
    (emphasis added). The Lassiter Court then
    utilized the three factors enunciated in Mathews v. Eldridge, 
    424 U.S. 319
    , 335 (1976), to
    analyze whether due process requires appointed counsel when there is no potential
    deprivation of physical liberty but when parental rights are at stake. 
    Lassiter, 452 U.S. at 31
    .
    The Court weighed the three Mathews factors—(1) the private interests at stake;
    (2) the risk of an erroneous decision; and (3) the government‘s interest—against the
    presumption that there is no right to appointed counsel in the absence of a potential loss
    of physical liberty. 
    Id. The Court
    reiterated ―that a parent‘s desire for and right to ‗the
    companionship, care, custody and management of his or her children‘ is an important
    interest that ‗undeniably warrants deference and, absent a powerful countervailing
    interest, protection.‘‖ 
    Id. at 27
    (quoting 
    Stanley, 405 U.S. at 651
    ). The Court pointed out
    that, where the State prevails in a parental termination proceeding, ―it will have worked a
    unique kind of deprivation,‖ and that ―[a] parent‘s interest in the accuracy and justice of
    the decision to terminate his or her parental status is, therefore a commanding one.‖ 
    Id. (footnote omitted).
    The Court emphasized that the State has an ―urgent interest in the
    welfare [of children]‖ and ―in an accurate and just decision.‖ 
    Id. While the
    State also
    has a legitimate financial interest in limiting the expenses of termination proceedings, the
    Court described that interest as minimal. 
    Id. at 28.
    The State‘s interests, the Court
    recognized, ―may perhaps best be served by a hearing in which both the parent and the
    State acting for the child are represented by counsel, without whom the contest of
    interests may become unwholesomely unequal.‖ 
    Id. As to
    the final factor, the Court
    described the procedures in place in North Carolina, where the Lassiter case originated,
    noted that most parental termination proceedings do not involve ―the evidentiary
    problems peculiar to criminal trials,‖ and observed that ―the standards for termination are
    not complicated.‖ 
    Id. at 29.
    Nevertheless, the Court recognized that termination
    proceedings may involve medical and psychiatric evidence and that parents often have
    little education and are ―distress[ed] and disorient[ed]‖ by the process. 
    Id. at 30.
    Ultimately, however, the Court concluded that the combined weight of the parent‘s
    interests, the government‘s interests, and the risk of erroneous deprivation was
    insufficient to ―lead to the conclusion that the Due Process Clause requires the
    appointment of counsel [as a matter of course] when a State seeks to terminate an
    indigent‘s parental status.‖ 
    Id. at 31.
    Rather, the Lassiter Court held that the question of
    whether Due Process requires the appointment of counsel in parental termination
    proceedings must be answered on a case-by-case basis. 
    Id. at 32.
    Appointed counsel is
    - 21 -
    constitutionally required in parental termination cases only where the trial court‘s
    assessment of such factors as the complexity of the proceeding and the capacity of the
    uncounseled parent indicates an appointment is necessary. 
    Id. at 27
    -32; see also State ex
    rel. T.H. by H.H. v. Min, 
    802 S.W.2d 625
    , 626 (Tenn. Ct. App. 1990) (explaining that a
    parent has no absolute constitutional right to appointment of counsel in termination
    proceedings under the state or federal constitutions and discussing the factors that should
    be considered to determine if appointment of counsel is warranted in a particular case).
    The Lassiter Court recognized that its holding represented a ―minimally tolerable‖
    constitutional standard and that ―wise public policy‖ may counsel in favor of a more
    protective 
    standard. 452 U.S. at 33
    . The Supreme Court has not revisited the question of
    appointed counsel in parental termination proceedings in the more than thirty years since
    Lassiter was decided. This may be because almost all States now provide appointed
    counsel in every parental termination case, either by statute, constitutional provision, or
    court rule, and do not condition the appointment of counsel on the outcome of the case-
    by-case balancing test adopted in Lassiter.17 See Susan Calkins, Ineffective Assistance of
    Counsel in Parental-Rights Termination Cases: The Challenge for Appellate Courts, 6 J.
    App. Prac. & Process 179, 193 (2004).
    Tennessee joined this majority in 2009. Rather than incur the time and expense of
    litigating the right to appointed counsel in each case under the Lassiter balancing test,
    Tennessee statutorily provides the right to appointed counsel for indigent parents in every
    parental termination proceeding. Tenn. Code Ann. § 37-1-126(a)(2)(B)(ii) (2014);18
    Tenn. Sup. Ct. R. 13, § 1 (c), (d)(2)(B);19 Tenn. R. Juv. P. 39(e)(2).20 Tennessee‘s
    17
    Even when Lassiter was decided, thirty-three States and the District of Columbia already
    provided for the appointment of counsel in parental termination cases. 
    Lassiter, 452 U.S. at 34
    .
    18
    ―A parent is entitled to representation by legal counsel at all stages of [a] proceeding . . .
    involving . . . [t]ermination of parental rights . . . .‖ Tenn. Code Ann. § 37-1-126(a)(2)(B)(ii).
    19
    Tennessee Supreme Court Rule 13, section 1, provides in pertinent part:
    (c) All general sessions, juvenile, trial, and appellate courts shall appoint counsel to
    represent indigent defendants and other parties who have a constitutional or statutory
    right to representation . . . according to the procedures and standards set forth in this rule.
    ....
    (d) . . . (2) In the following proceedings, and in all other proceedings where required by
    law, the court or appointing authority shall advise any party without counsel of the right
    to be represented throughout the case by counsel and that counsel will be appointed if the
    (continued…)
    - 22 -
    statutory right to counsel is not disputed, and it is also undisputed that Mother was
    represented by appointed counsel in this matter. Instead, Mother asks us to go a step
    further and hold that the statutory right to appointed counsel includes, in every case, the
    right to challenge a judgment terminating parental rights based on ineffective assistance
    of counsel after the appellate court has rendered its decision on a parent‘s appeal as of
    right from the judgment terminating parental rights. Mother suggests that the parent
    should be given a specific period of time, ―akin to a time to appeal,‖ to raise the claim of
    ineffective assistance to the appellate court. Mother asserts that ―[t]he appellate court—
    being the court having most recently reviewed the record and then rendered a decision on
    that record—would actually be in the most timely position to opine on whether the
    parent‘s court-appointed counsel was ineffective or not, based on the face of the record.‖
    Mother suggests that ―[t]he appellate court could then either decide the claim based on
    the record or remand the case for an evidentiary hearing (to take place within a time
    limit) on the issue of whether there was ineffective assistance of counsel, with
    instructions that if the trial court finds there was ineffective assistance, then the
    termination of parental rights must be vacated.‖
    DCS responds that the statutory right to counsel does not give rise to a separate
    right of effective assistance of counsel and a right to mount collateral attacks on
    judgments terminating parental rights in every case. DCS concedes, however, that if a
    parent is constitutionally entitled to the appointment of counsel based on the Lassiter
    balancing test, the parent is also entitled to the effective assistance of counsel. To
    promote expedited review of termination cases, DCS urges this Court to require parents
    to raise ineffective assistance of counsel claims by motions filed prior to briefing in
    (…continued)
    party is indigent and, except as provided in (C) and (D) below, requests appointment of
    counsel.
    ....
    (B) Cases under Titles 36 and 37 of the Tennessee Code Annotated
    involving allegations against parents that could result in finding a child
    dependent or neglected or in terminating parental rights;
    Tenn. Sup. Ct. R. 13, § 1(c), (d)(2)(B).
    20
    ―[A]ny party who appears without an attorney shall be informed of the right to an attorney, and
    in the case of an indigent respondent[,] an attorney shall be appointed pursuant to Tennessee Supreme
    Court Rule 13[.]‖ Tenn. R. Juv. P. 39(e)(2).
    - 23 -
    appeals as of right from orders terminating parental rights. See In re R.E.S., 
    978 A.2d 182
    (D.C. Ct. App. 2009). According to DCS, under this procedure, the Court of Appeals
    would either rule on the motion in an expedited fashion when the record permits, or if the
    record is not sufficient, would remand to the trial court for development of a sufficient
    record while the rest of the appeal proceeds. In light of the importance of providing
    permanency for children, DCS asserts that remands would occur ―only when absolutely
    necessary to satisfy minimum standards of due process, and under strict instructions and
    time limits from the Court of Appeals.‖ Finally, to ensure the appellate process is not
    protracted, DCS suggests that no discretionary appeals should be permitted after the issue
    of ineffective assistance of counsel is resolved on direct appeal. For purposes of this
    appeal, DCS presumes that Mother was constitutionally entitled to appointed counsel and
    therefore was entitled to the effective assistance of counsel. Nevertheless, DCS argues
    that Mother‘s appointed counsel provided effective representation and that she is not
    entitled to relief from the judgment terminating her parental rights.
    DCS‘s argument that the right of effective assistance of counsel arises only if the
    parent has a constitutional right to counsel under Lassiter is consistent with decisions
    interpreting the Sixth Amendment21 right to counsel. The United States Supreme Court
    has held that, in the absence of a Sixth Amendment right to counsel, there is no
    constitutional right to effective assistance of counsel, even in proceedings where counsel
    is appointed by the court. Pennsylvania v. Finley, 
    481 U.S. 551
    , 554-55 (1987) (holding
    that there is no right to counsel or effective assistance of counsel in post-conviction
    proceedings); Wainwright v. Torna, 
    455 U.S. 586
    , 588 (1982) (stating that because there
    is no constitutional right to counsel for discretionary appeals, there is no right to effective
    assistance of counsel in such appeals); Ross v. Moffitt, 
    417 U.S. 600
    , 610 (1974)
    (holding that there is no constitutional right to appointed counsel for discretionary
    appeals). We note as well that, just one year after Lassiter, the United States Supreme
    Court held that parents cannot use the federal writ of habeas corpus to mount collateral
    attacks on state judgments terminating their parental rights. Lehman v. Lycoming Cnty.
    Children‘s Servs. Agency, 
    458 U.S. 502
    , 511 (1982).22
    21
    U.S. Const. amend. VI (―In all criminal prosecutions, the accused shall enjoy the right to a
    speedy and public trial, by an impartial jury of the State and district wherein the crime shall have been
    committed . . . and to be informed of the nature and cause of the accusation; to be confronted with the
    witnesses against him; to have compulsory process for obtaining witnesses in his favor, and to have the
    Assistance of Counsel for his defense.‖).
    22
    Although the jurisdiction of this Court is appellate only, the dissenting justices examine the
    record and make factual findings to support their assertion that Mother is constitutionally entitled to
    counsel under Lassiter. The dissenting justices then assert that we have erred by relying on precedent that
    recognizes the right to effective assistance of counsel arises only if a party has a constitutional right to
    counsel. It is true that DCS conceded for purposes of this appeal that Mother had a constitutional right to
    counsel under Lassiter; however, the trial court held no hearing and made no factual findings on this
    (continued…)
    - 24 -
    Likewise, this Court has declined to recognize a right to effective assistance of
    counsel in the absence of a constitutional right to appointed counsel.23 See Frazier v.
    State, 
    303 S.W.3d 674
    , 680 (Tenn. 2010) (―[T]here is no constitutional entitlement to the
    effective assistance of counsel in a post-conviction proceeding. There is a statutory right
    to counsel. This statutory right does not, however, serve as a basis for relief on a claim of
    ineffective assistance of counsel in a post-conviction proceeding and does not include the
    full panoply of procedural protection that the Tennessee Constitution requires be given to
    defendants who are in a fundamentally different position at trial and on first appeal as of
    right.‖ (internal quotation marks omitted)); Leslie v. State, 
    36 S.W.3d 34
    , 38 (Tenn.
    2000) (recognizing that, although post-conviction petitioners have a statutory right to
    counsel upon filing a petition that states a colorable claim, post-conviction petitioners
    have neither a constitutional right to counsel nor a constitutional right to effective
    assistance of counsel).24
    (…continued)
    issue. Nevertheless, even assuming Lassiter provides Mother with a constitutional right to counsel,
    nothing in Lassiter requires state courts to import criminal law concepts of ineffective assistance of
    counsel or to assess counsel‘s performance by standards developed in the criminal law context. Instead,
    Lassiter requires state courts to ensure that parents receive fundamentally fair procedures.
    23
    The Tennessee Constitution also provides a right to counsel in criminal cases. Tenn. Const.
    art. I, § 9 (―That in all criminal prosecutions, the accused hath the right to be heard by himself and his
    counsel . . . .‖).
    24
    The dissenting justices argue that parental termination proceedings and post-conviction
    proceedings are factually distinct and should be viewed differently. We disagree. First, factual
    distinctions, assuming they exist, in no way alter the well-settled legal principle that a litigant has no
    constitutional right to effective assistance of counsel in the absence of a constitutional right to counsel.
    Moreover, the assertion that a parental termination proceeding is a parent‘s ―first opportunity to defend
    herself in court against charges brought by the State, which could forever sever the relationship with her
    child‖ is simply incorrect. The facts of this case illustrate the fallacy of this assertion. Mother‘s parental
    rights were terminated based upon persistence of conditions, substantial noncompliance with a
    permanency plan, and mental incompetence. DCS had provided Mother with services aimed at rectifying
    the issues that ultimately resulted in the termination of her parental rights for ten years before filing the
    petition to terminate. Many court proceedings were held during this time. Indeed, in an order entered
    after one such proceeding but two years before DCS filed the termination petition, the Juvenile Court
    found that DCS had made ―not only reasonable efforts, but Herculean efforts.‖ In the vast majority of
    parental termination cases, a parent has multiple opportunities to correct the issues that ultimately result in
    the termination of parental rights long before the parent is called upon to defend against a termination
    petition.
    - 25 -
    As Mother correctly points out, however, most States have held that the right to
    counsel in parental termination cases, regardless of its basis, includes the right to
    effective assistance of counsel.25 
    Calkins, supra, at 199
    . Nevertheless, ―[m]ost of the
    [S]tates that have grounded an ineffectiveness claim on a statutory right to counsel have
    ignored the proposition that there is no right to effective counsel unless it is a
    constitutional right.‖ 
    Id. at 197.
         Many of these state courts have opined that the
    statutory right to counsel is meaningless unless it includes the right to effective assistance
    of counsel, which these courts have defined as the right to challenge the judgment
    terminating parental rights based on counsel‘s ineffectiveness. Id.26
    25
    See, e.g., S.C.D. v. Etowah Cnty. Dep‘t of Human Res., 
    841 So. 2d 277
    , 279 (Ala. Civ. App.
    2002) (quoting Crews v. Houston Cnty. Dep‘t of Pensions & Sec., 
    358 So. 2d 451
    , 455 (Ala. Civ. App.
    1978)); Chloe W. v. Dep‘t of Health & Soc. Servs., Office of Children‘s Servs., 
    336 P.3d 1258
    , 1265
    (Alaska 2014); Jones v. Ark. Dep‘t of Human Servs., 
    205 S.W.3d 778
    , 794 (Ark. 2005); In re Darlice C.,
    
    129 Cal. Rptr. 2d 472
    , 475 (Cal. Ct. App. 2003); People ex rel. C.H., 
    166 P.3d 288
    , 290 (Colo. App.
    2007); State v. Anonymous, 
    425 A.2d 939
    , 943 (Conn. 1979); In re 
    R.E.S., 978 A.2d at 189
    ; J.B. v. Fla.
    Dep‘t of Children and Families, 
    170 So. 3d 780
    , 790 (Fla. 2015); In re A.R.A.S., 
    629 S.E.2d 822
    , 825 (Ga.
    Ct. App. 2006); In re RGB, 
    229 P.3d 1066
    , 1090 (Haw. 2010); In re M.F., 
    762 N.E.2d 701
    , 709 (Ill. App.
    Ct. 2002); In re A.R.S., 
    480 N.W.2d 888
    , 891 (Iowa 1992) (citing In re D.W., 
    385 N.W.2d 570
    , 579
    (Iowa 1986)); In re Rushing, 
    684 P.2d 445
    , 448-49 (Kan. Ct. App. 1984); In re Adoption/Guardianship of
    Chaden M., 
    30 A.3d 935
    , 942 (Md. 2011); In re Adoption of Azziza, 
    931 N.E.2d 472
    , 477 (Mass. App.
    Ct. 2010) (citing In re Stephen, 
    514 N.E.2d 1087
    , 1090-91 (Mass. 1987)); In re Trowbridge, 
    401 N.W.2d 65
    , 66 (Mich. Ct. App. 1986); In re J.C., Jr., 
    781 S.W.2d 226
    , 228 (Mo. Ct. App. 1989); In re A.S., 
    87 P.3d 408
    , 412-13 (Mont. 2004); In re Guardianship of A.W., 
    929 A.2d 1034
    , 1037 (N.J. 2007); In re
    Jessica F., 
    974 P.2d 158
    , 162 (N.M. Ct. App. 1998); In re Elijah D., 
    902 N.Y.S.2d 736
    , 736 (N.Y. App.
    Div. 2010); In re S.C.R., 
    679 S.E.2d 905
    , 909 (N.C. Ct. App. 2009); In re K.L., 
    751 N.W.2d 677
    , 685
    (N.D. 2008); In re Wingo, 
    758 N.E.2d 780
    , 791 (Ohio Ct. App. 2001); In re D.D.F., 
    801 P.2d 703
    , 707
    (Okla. 1990); In re Geist, 
    796 P.2d 1193
    , 1200 (Or. 1990); In re Adoption of T.M.F., 
    573 A.2d 1035
    ,
    1040 (Pa. Super. Ct. 1990); In re Bryce T., 
    764 A.2d 718
    , 722 (R.I. 2001); In re M.S., 
    115 S.W.3d 534
    ,
    544 (Tex. 2003); In re E.H., 
    880 P.2d 11
    , 13 (Utah Ct. App. 1994); In re Moseley, 
    660 P.2d 315
    , 318
    (Wash. Ct. App. 1983); In re M.D.(S)., 
    485 N.W.2d 52
    , 55 (Wis. 1992). But see In re Azia B., 
    626 N.W.2d 602
    , 612 (Neb. App. 2001) (declining to recognize a claim of ineffective assistance for parental
    termination cases).
    26
    The dissenting justices adopt this approach, stating that, ―providing counsel for an indigent
    parent but not requiring counsel to render effective representation is an empty gesture‖ and opining that
    fairness cannot be assured ―without requiring the parent‘s lawyer to be effective[.]‖ What they apparently
    fail to recognize is that our refusal to allow parents to repeatedly challenge orders terminating their rights
    through ineffectiveness claims does not at all negate the ethical obligations all lawyers have to ―provide
    competent representation to a client,‖ which ―requires the legal knowledge, skill, thoroughness, and
    preparation reasonably necessary for the representation‖ and to ―act with reasonable diligence and
    promptness in representing a client.‖ Tenn. Sup. Ct. R. 8, RPC 1.1, 1.3. These ethical obligations apply
    in all cases, including civil cases and other quasi-criminal cases, such as post-conviction proceedings, in
    which litigants have no constitutional right to counsel and therefore cannot assert claims of ineffective
    assistance of counsel against their lawyers. Lawyers in such cases daily provide invaluable services,
    often on a pro bono basis, to litigants all across this State. We are convinced that lawyers (in general)
    take their ethical obligations seriously and endeavor to fulfill them, even in cases where litigants have no
    (continued…)
    - 26 -
    Courts that have recognized a parent‘s right to claim ineffective assistance of
    counsel are by no means uniform, however, on the procedure by which such claims
    should be raised. Some courts allow such claims to be raised in post-trial motions,27
    while other courts allow such claims to be raised on direct appeal,28 and still other courts
    authorize raising the issue in a petition for habeas corpus.29
    Courts are also divided on the standard by which such claims should be evaluated.
    A majority of jurisdictions have adopted an adaptation of the Strickland v. Washington,
    
    466 U.S. 668
    , 687 (1984) standard.30 A minority of jurisdictions utilize a fundamental
    (…continued)
    right to assert ineffective assistance of counsel claims. Thus, we must strenuously disagree with the
    dissenting justices‘ assertion that providing counsel in cases where litigants have no right to assert
    ineffectiveness claims is an ―empty gesture.‖ We also very much take issue with the dissenting justices‘
    assertion that fairness cannot be assured in parental termination proceedings unless parents are allowed to
    bring claims of ineffective assistance of counsel against their attorneys. Were this assertion accurate,
    fairness could not be assured in any civil or quasi-criminal case which does not include a constitutional
    right to effective assistance of counsel. Fairness in judicial proceedings does not hinge upon a litigant‘s
    right to assert an ineffective assistance claim. Indeed, as detailed hereinafter, in Tennessee numerous
    procedures are in place to ensure that parents receive the fundamentally fair procedures to which they are
    constitutionally entitled in parental termination cases.
    27
    See, e.g., S.E. v. J.D.G., 
    869 So. 2d 1177
    , 1179 (Ala. Civ. App. 2003); 
    J.B., 170 So. 3d at 794
    (adopting an interim procedure whereby ―a parent—without assistance of appointed counsel—shall have
    twenty . . . days after the termination judgment issues within which to file a motion in the trial court
    alleging claims of ineffective assistance of counsel‖); 
    Jones, 205 S.W.3d at 794-95
    (declining to consider
    a claim of ineffective assistance of counsel on appeal because the issue was not first raised in the trial
    court); In re J.M.S., 
    43 S.W.3d 60
    , 64 (Tex. Ct. App. 2001) (allowing ineffectiveness claims to be raised
    either in a motion for new trial or on direct appeal, but noting the difficulties inherent in not first raising
    the issue to the trial court and developing the record).
    28
    See, e.g., In re Guardianship of 
    A.W., 929 A.2d at 1040
    ; In re 
    Geist, 796 P.2d at 1201
    ; Chloe
    
    W., 336 P.3d at 1266
    ; People ex rel. 
    C.H., 166 P.3d at 291
    ; In re 
    R.E.S., 978 A.2d at 193
    ; In re
    Termination of Parental Rights of James 
    W.H., 849 P.2d at 1079
    (N.M. Ct. App. 1993); 
    T.L., 751 N.W.2d at 685
    ; In re Adoption of 
    T.M.F., 573 A.2d at 1043
    ; In re 
    J.M.S., 43 S.W.3d at 64
    .
    29
    See, e.g., In re Darlice 
    C., 129 Cal. Rptr. 2d at 475
    .
    30
    See, e.g., 
    Jones, 205 S.W.3d at 794
    ; In re V.M.R., 
    768 P.2d 1268
    , 1270 (Colo. App. 1989); In
    re A.H.P., 
    500 S.E.2d 418
    , 422 (Ga. Ct. App. 1998); In re R.G., 
    518 N.E.2d 691
    , 700-01 (Ill. App. Ct.
    1988); In re 
    D.W., 385 N.W.2d at 579
    ; In re Guardianship of 
    A.W., 929 A.2d at 1038
    ; In re 
    K.L., 751 N.W.2d at 685
    ; Jones v. Lucas Cnty. Children Servs. Bd., 
    546 N.E.2d 471
    , 473 (Ohio Ct. App. 1988); In
    re N.L., 
    347 P.3d 301
    , 304 (Okla. Civ. App. 2014); In re 
    E.H., 880 P.2d at 13
    ; cf. Chloe 
    W., 336 P.3d at 1265
    ; In re Christina P., 
    220 Cal. Rptr. 525
    , 129-30 (Cal. Ct. App. 1985); In re Zen T., 
    88 A.3d 1286
    ,
    1288-89 (Conn. App. Ct. 2014); In re Adoption of 
    Azziza, 931 N.E.2d at 477
    ; In re C.R., 646 N.W.2d
    (continued…)
    - 27 -
    fairness test, which inquires whether the alleged deficiencies on the part of a parent‘s
    attorney resulted in a fundamentally unfair parental termination proceeding. 
    Calkins, supra, at 216-17
    . The fundamental fairness standard hues closely to the doctrinal basis
    from which the right to appointed counsel in parental termination proceedings arises–Due
    Process. It is also more flexible than the Strickland standard, allowing for such
    procedural protections as a particular situation demands, and it considers the totality of
    the circumstances of the proceeding. See In re 
    Geist, 796 P.2d at 1203
    ; In re 
    RGB, 229 P.3d at 1090-91
    (―[T]he proper inquiry . . . is whether the proceedings were
    fundamentally unfair as a result of counsel‘s incompetence.‖); In re Adoption of 
    T.M.F., 573 A.2d at 1044
    (same); cf. 
    S.C.D., 841 So. 2d at 279-80
    (―[T]he test in cases of this
    type is whether an examination of the entire record demonstrates that the complaining
    party was afforded a fair trial.‖).
    This Court has not previously decided whether parents have a right to attack a
    judgment terminating parental rights based on ineffective assistance of counsel.
    Although the Court of Appeals has not recognized such a right, see In re Grayson H., No.
    E2013-01881-COA-R3-PT, 
    2014 WL 1464265
    , at *13 (Tenn. Ct. App. Apr. 14, 2014)
    (no perm. app. filed), the intermediate appellate court has addressed claims challenging
    the effectiveness of appointed counsel‘s representation by reviewing the appellate record.
    In the cases reviewed by the Court of Appeals, the record on appeal contained clear proof
    either that appointed counsel had effectively represented the parent or that appointed
    counsel had been absent from key portions of the termination proceeding and therefore
    deprived the parent of the statutory right to appointed counsel. See, e.g., In re Grayson
    H., 
    2014 WL 1464265
    , at *10-11; In re M.H., No. M2005-00117-COA-R3-PT, 
    2005 WL 3273073
    , at *7-8 (Tenn. Ct. App. Dec. 2, 2005) (no perm. app. filed); In re S.D., No.
    M2003-02672-COA-R3-PT, 
    2005 WL 831595
    , at *14-15 (Tenn. Ct. App. Apr. 8, 2005)
    (no perm. app. filed); In re M.E., No. M2003-00859-COA-R3-PT, 
    2004 WL 1838179
    , at
    *15 (Tenn. Ct. App. Aug. 16, 2004), perm. app. denied (Tenn. Nov. 8, 2004).
    Furthermore, no Tennessee statute provides a procedure, comparable to post-
    conviction procedures, by which parents may attack judgments terminating parental
    rights based on ineffective assistance of counsel. Rather, a Tennessee statute of repose
    provides that, if an order terminating parental rights is affirmed on appeal, the order is
    binding and shall not, ―for any reason,‖ ―be overturned by any court or collaterally
    attacked by any person after one (1) year from the date of the entry of the final order of
    (…continued)
    506, 513 (Mich. Ct. App. 2002), overruled on other grounds by In re Sanders, 
    852 N.W.2d 524
    (Mich.
    2014); In re Michael C., 
    920 N.Y.S.2d 502
    , 503 (N.Y. App. Div. 2011); In re 
    S.C.R., 679 S.E.2d at 909
    .
    - 28 -
    termination.‖ Tenn. Code Ann. § 36-1-113(q). After carefully considering this issue,
    ―[w]e conclude that transporting the structure of the criminal law, featuring as it does the
    opportunity for repeated re-examination of the original court judgment through
    ineffectiveness claims and post-conviction processes, has the potential for doing serious
    harm to children whose lives have by definition already been very difficult.‖ Baker v.
    Marion Cnty. Office of Family & Children, 
    810 N.E.2d 1035
    , 1038-39 (Ind. 2004).
    Due process unquestionably requires States to provide parents with fundamentally
    fair procedures, but it does not require States to ignore the other interests at stake in
    parental termination proceedings. The State has both the right and the responsibility to
    protect children. ―The State‘s interest in finality is unusually strong in child-custody
    disputes . . . . It is undisputed that children require secure, stable, long-term, continuous
    relationships with their parents or foster parents.‖ 
    Lehman, 458 U.S. at 513
    . In criminal
    cases, the burdens resulting from extended, collateral attacks on convictions are justified
    because the complete deprivation of personal liberty ―demands a thorough search for the
    innocent.‖ 
    Baker, 810 N.E.2d at 1040
    ; see also 
    Lehman, 458 U.S. at 515-16
    (stating that
    ―[t]he considerations in a child-custody case are quite different‖ from other cases
    involving habeas corpus and reserving habeas corpus for ―those instances in which the
    federal interest in individual liberty‖ is so strong as to outweigh a state‘s interest in
    finality). In parental termination proceedings, the burdens of extended litigation fall most
    heavily upon children—those most vulnerable and most in need of protection, stability,
    and expeditious finality. 
    Baker, 810 N.E.2d at 1040
    . ―There is little that can be as
    detrimental to a child‘s sound development as uncertainty over whether he is to remain in
    his current ‗home,‘ under the care of his parents or foster parents, especially when such
    uncertainty is prolonged.‖ 
    Lehman, 458 U.S. at 513
    –14. ―Due to the immeasurable
    damage a child may suffer amidst the uncertainty that comes with such collateral attacks,
    it is in the child‘s best interest and overall well[-]being to limit the potential for years of
    litigation and instability.‖ 
    Baker, 810 N.E.2d at 1040
    .
    By refusing to import criminal law post-conviction type remedies, we do not at all
    disregard the well-established constitutional principle precluding the termination of
    parental rights except upon fundamentally fair procedures. But this constitutional
    mandate can be achieved without compromising the interests of children in permanency
    and safety. ―By its very nature, ‗due process negates any concept of inflexible
    procedures universally applicable to every imaginable situation.‘‖ Heyne v. Metro.
    Nashville Bd. of Pub. Educ., 
    380 S.W.3d 715
    , 732 (Tenn. 2012) (quoting Cafeteria &
    Rest. Workers Union, Local 473 AFL-CIO v. McElroy, 
    367 U.S. 886
    , 895 (1961)).
    Tennessee court rules, statutes, and decisional law are already replete with procedures,
    some previously described herein, designed to ensure that parents receive fundamentally
    fair parental termination proceedings.
    - 29 -
    A review of some of the existing procedures illustrates this point. Under
    Tennessee statutes, parental termination is a last resort, and usually sought only after
    reasonable efforts have been made to reunify parents with children. See In re 
    Kaliyah, 455 S.W.3d at 553
    (citing Tenn. Code Ann. § 36-1-113(h)(2)(C)); Tenn. Code Ann. § 37-
    1-166 (2014). This case illustrates the point. Here, in an order filed before DCS
    instituted termination proceedings, the Juvenile Court stated that DCS had made
    ―Herculean‖ efforts to rectify the problems that led to Carrington‘s removal. The
    grounds for termination are statutorily defined and circumscribed, and parents receive
    notice of the particular grounds on which the State is relying for termination and an
    opportunity to contest those grounds. Tenn. Code Ann. § 36-1-113(d), (e), (g); Tenn. R.
    Juv. P. 39(a)-(b); see also Cleveland Bd. of Educ. v. Loudermill, 
    470 U.S. 532
    , 546
    (1985) (stating that two ―essential requirements of due process . . . are notice and an
    opportunity to respond . . . either in person or in writing, why proposed action should not
    be taken‖); 
    Heyne, 380 S.W.3d at 732
    (stating that notice and an opportunity to be heard
    in a meaningful time and manner are fundamental elements of due process). Indigent
    parents are provided appointed counsel, and appointed attorneys are ethically obligated to
    represent parents competently and diligently. Tenn. Sup. Ct. R. 8, RPC 1.1, 1.3. In
    addition to attorneys appointed for parents, the trial court also appoints an attorney as
    guardian ad litem for children in parental termination proceedings. See Tenn. R. Juv. P.
    39(d) (stating that appointment of a guardian ad litem in a juvenile court parental
    termination proceeding shall be pursuant to Tenn. Code Ann. § 37-1-149(a) (2014));
    Tenn. R. Civ. P. 17.03 (discussing the appointment of guardians ad litem in circuit or
    chancery courts in all civil actions and in other courts exercising circuit or chancery
    jurisdiction); In re Adoption of D.P.E., No. E2005-02865-COA-R3-PT, 
    2006 WL 2417578
    , at *2 (Tenn. Ct. App. Aug. 22, 2006) (interpreting Tenn. Sup. Ct. R. 13 §
    1(d)(2)(D) as requiring the appointment of guardians ad litem in contested parental
    termination proceedings); In re T.B.L., No. M2005-02413-COA-R3-PT, 
    2006 WL 1521122
    , at *2 (Tenn. Ct. App. June 2, 2006) (holding that the chancery court had an
    obligation to appoint a guardian ad litem, even in the absence of a request, where the
    petition was contested); see also Newsome v. Porter, No. M2011-02226-COA-R3-PT,
    
    2012 WL 760792
    , at *2 (Tenn. Ct. App. Mar. 7, 2012) (citing other Court of Appeals‘
    decisions interpreting Rule 13 as requiring appointment of a guardian ad litem in parental
    termination proceedings). A guardian ad litem is responsible for advocating for the
    child‘s best interests and may take a position independent of and opposed to DCS on
    whether termination is in the child‘s best interests. In re Adoption of D.P.E., 
    2006 WL 2417578
    , at *3. The guardian ad litem must ―undertake any and all legally sanctioned
    actions consistent with [e]nsuring that the child‘s best interests are protected . . . .
    [including], among other things, interview[ing] the other parties and witnesses,
    review[ing] pertinent records, and fil[ing] and respond[ing] to pleadings on the child‘s
    behalf.‖ 
    Id. - 30
    -
    The accuracy and fairness of parental termination proceedings are enhanced by the
    elevated standard of proof and by judicial involvement that is more intensive than in
    other cases. Fair and impartial judges, aware of the interests at stake and knowledgeable
    of the law, are the fact finders in parental termination proceedings. See Moncier v. Bd. of
    Prof‘l Responsibility, 
    406 S.W.3d 139
    , 161 (Tenn. 2013) (recognizing that ―[a] basic
    requirement of due process is a fair trial before a fair tribunal‖). While a trial judge must
    depend on the litigants to present the evidence of grounds and defenses, the judge is not
    limited to the parties‘ presentations and may require more evidence, investigation,
    evaluations, or expert testimony when she determines that more is necessary to resolve
    the issues at stake. Tenn. R. Juv. P. 39 (e)(3)-(4).
    As already noted, before parental rights may be terminated, the State must prove at
    least one statutory ground for termination by clear and convincing evidence and that
    terminating parental rights is in the child‘s best interests. Tenn. Code Ann. § 36-1-
    113(c). Although some factors relevant to the best interests analysis are statutorily
    enumerated, the list is illustrative not exclusive. 
    Id. § 36-1-113(i).
    Parties may introduce
    proof of any fact relevant to the child‘s best interests, including proof about DCS‘s
    reasonable efforts, or lack thereof, to reunite the child with the parent. Facts relevant to a
    child‘s best interests need only be established by a preponderance of the evidence,
    although DCS must establish that the combined weight of the proven facts amounts to
    clear and convincing evidence that termination is in the child‘s best interests. In re
    
    Kaliyah, 455 S.W.3d at 555
    .
    As previously discussed, trial courts must make specific written findings on each
    and every ground alleged for termination and findings on the factors relevant to the
    child‘s best interests. Appellate review of parental termination cases is expedited. Tenn.
    R. App. P. 8A. Indigent parents are entitled to a record at state expense complete enough
    to allow fair appellate consideration of parents‘ claims. 
    M.L.B., 519 U.S. at 128
    ; In re
    Austin C., No. M2013-02147-COA-R3-PT, 
    2014 WL 4261178
    , at *6 (Tenn. Ct. App.,
    Aug. 27, 2014). Indigent parents are provided appointed counsel on appeal. Tenn. Code
    Ann. § 37-1-126(a)(2)(B)(ii) (2014). Finally, our holding in this appeal makes clear that
    appellate courts must review the trial court‘s findings as to each ground for termination
    and as to whether termination is in the child‘s best interests. Given these existing
    procedural safeguards, we decline to hold that securing the constitutional right of parents
    to fundamentally fair procedures requires adoption of an additional procedure,
    subsequent to or separate from an appeal as of right, by which parents may attack the
    judgment terminating parental rights based upon ineffective assistance of appointed
    counsel.
    Moreover, our independent review of the record on appeal refutes Mother‘s
    assertion that her counsel‘s representation denied her a fundamentally fair proceeding.
    To the contrary, the record illustrates that counsel actively represented Mother at the
    termination proceeding. As mentioned in the factual summary, appointed counsel was
    - 31 -
    the only attorney to offer an opening statement. Additionally, appointed counsel cross-
    examined each witness and pursued the reasonable strategy of showing that Mother had
    no relationship with Carrington because the trial court had denied her visitation with him
    and because DCS had failed to make reasonable efforts at reunification. At the time of
    the 2013 termination proceeding, some appellate decisions had required the State to
    prove reasonable efforts as a condition precedent to terminating parental rights. In re
    
    Kaliyah, 455 S.W.3d at 535
    (discussing and overruling those prior decisions). Therefore,
    appointed counsel‘s strategy of showing that DCS had failed to make reasonable efforts
    was designed to defeat DCS‘s petition to terminate her parental rights.
    Appointed counsel also attempted through cross-examination to undermine DCS‘s
    proof regarding the grounds for termination. Appointed counsel asked questions on
    cross-examination designed to show that Mother had substantially complied with the
    permanency plan, that Mother had corrected at least some of the conditions that led to
    Carrington‘s removal, and that Mother had participated in mental health treatment
    without incident for some period of time.
    Although Mother complains of appointed counsel‘s failure to file an answer to the
    termination petition, we note that an answer need not be filed. Tenn. R. Juv. P. 39(c)
    (requiring a respondent to appear personally or file a written answer). Additionally, by
    not filing an answer, appointed counsel avoided admitting or denying each allegation of
    the petition, which may actually have aided Mother, but which was, in any event, a
    reasonable choice. 
    Id. Mother also
    complains of appointed counsel‘s failure to conduct
    discovery; however, she fails to explain how this decision denied her a fundamentally fair
    proceeding. Appointed counsel had represented Mother since 2007 and, therefore,
    already had access to all the information about the case amassed during those six years.
    Indeed, the record reflects that appointed counsel participated in formulating the
    permanency plans. Mother also faults appointed counsel for not filing a witness list in
    Maury County Juvenile Court, but she fails to identify a court rule requiring the filing of
    such a list, nor does she explain how appointed counsel‘s failure to file such a list denied
    her a fundamentally fair proceeding. Mother also complains that appointed counsel did
    not call witnesses; however, as already explained, the record reflects that counsel‘s
    strategy was to attack DCS‘s case by cross-examining DCS‘s witnesses. This strategy
    led to counsel eliciting testimony from DCS‘s mental health expert witnesses which was
    favorable to his argument that DCS had not made reasonable efforts and that the trial
    court‘s order denying Mother visitation had prevented her from establishing a
    relationship with Carrington. In summary, a review of the record on appeal convinces us
    that appointed counsel‘s representation did not deprive Mother of a fundamentally fair
    parental termination proceeding.
    We also decline to address Mother‘s assertion that she is entitled to relief from the
    judgment terminating her parental rights based on appointed counsel‘s inadequate
    representation in the 2008 dependency and neglect proceeding. Dependency and neglect
    - 32 -
    proceedings are separate and distinct from proceedings to terminate parental rights. See
    In re M.J.B., 
    140 S.W.3d 643
    , 651 (Tenn. Ct. App. 2004), perm. app. denied (Tenn. July
    1, 2004) (―A termination of parental rights proceeding is not simply a continuation of a
    dependent-neglect proceeding. It is a new and separate proceeding involving different
    goals and remedies, different evidentiary standards, and different avenues for appeal.‖);
    In re L.A.J., III, No. W2007-00926-COA-R3-PT, 
    2007 WL 3379785
    , at *6 (Tenn. Ct.
    App. Nov. 15, 2007) (declining to set aside a termination order based on the failure to
    appoint counsel for Father in a dependency and neglect proceeding). This appeal arises
    from and involves only the termination proceeding; therefore, any assertion regarding
    counsel‘s allegedly deficient representation in the earlier dependency and neglect
    proceeding is not properly before us in this appeal.
    We now turn our attention to reviewing the trial court‘s findings on the grounds
    for termination and the child‘s best interests.
    E. Review of Trial Court’s Findings
    The trial court found that DCS had offered clear and convincing proof of three
    grounds supporting termination of Mother‘s parental rights: (1) substantial
    noncompliance with the permanency plan; (2) persistence of the conditions that led to the
    removal of Carrington; and (3) mental incompetence.       We review the trial court‘s
    findings as to each ground.
    1. Substantial Noncompliance
    A parent‘s rights may be terminated for her substantial noncompliance with the
    responsibilities contained in a permanency plan, Tenn. Code Ann. § 36-1-113(g)(2), so
    long as the plan requirements are ―reasonable and related to remedying the conditions
    which necessitate[d] foster care placement.‖ In re Valentine, 
    79 S.W.3d 539
    , 547 (Tenn.
    2002). Determining whether a parent has substantially complied with a permanency plan
    involves more than merely counting up the tasks in the plan to determine whether a
    certain number have been completed and ―going through the motions‖ does not constitute
    substantial compliance. 
    Id. The trial
    court found that Mother ―ha[d] failed to comply in
    a substantial manner with those reasonable responsibilities set out in the foster care plans
    related to remedying the conditions which necessitate[d] foster care placement.‖
    Specifically, the trial court found that Mother had failed to comply substantially with the
    requirements that she submit to random drug screens, take her medication as prescribed
    by treating professionals, and continue with mental health services. DCS offered proof to
    show that Mother had failed to submit to random drug tests, that she had not taken
    medications as prescribed by treating professionals and had been hospitalized in 2011 and
    2012 to receive treatment for opioid abuse, polysubstance dependence, and Xanax abuse,
    and that her mental health services had been terminated in January 2013 because Mother
    refused to sign a behavior contract requiring her, among other things, to counsel with a
    - 33 -
    particular staff member who would prescribe appropriate medications and would not
    prescribe the medication Mother requested. Although DCS had not asked Mother to
    submit to random drug testing during the two years prior to the termination hearing, the
    record contains clear and convincing proof to support the trial court‘s findings regarding
    Mother‘s substantial noncompliance.
    2. Persistence of Conditions
    Parental rights may be terminated for persistence of conditions when:
    (g)(3) [t]he child has been removed from the home of the parent . . .
    by order of a court for a period of six (6) months and:
    (A) The conditions that led to the child‘s removal or
    other conditions that in all reasonable probability would cause
    the child to be subjected to further abuse or neglect and that,
    therefore, prevent the child‘s safe return to the care of the
    parent . . . still persist;
    (B) There is little likelihood that these conditions will
    be remedied at an early date so that the child can be safely
    returned to the parent . . . in the near future; and
    (C) The continuation of the parent . . . and child
    relationship greatly diminishes the child‘s chances of early
    integration into a safe, stable and permanent home.
    Tenn. Code Ann. § 36-1-113(g)(3). It is undisputed that Carrington had been removed
    from Mother‘s custody by court order for more than six months at the time of the
    termination hearing. In fact, Carrington was removed from Mother‘s custody in
    December 2005, and according to the trial court‘s finding in the order terminating her
    parental rights, Mother had not been in contact with Carrington since 2012, a year before
    the termination proceeding. The record reflects that Mother‘s behavioral problems
    stemming from her histrionic personality disorder were among the conditions that
    resulted in Carrington‘s removal from her custody. Elysse Beasley, senior psychological
    examiner and licensed professional counselor, testified about Mother‘s behavioral
    problems. The trial court found Ms. Beasley to be a credible witness. Ms. Beasley
    opined that Mother‘s behavioral problems had not improved and were unlikely to
    improve sufficiently in the near future to make it safe for Carrington to return to her care.
    As the trial court also pointed out, another mental health professional, Carrington‘s
    counselor, testified that placing Carrington in the care of a person with the same mental
    health and behavioral disorders as Mother would be ―the exact opposite of what the child
    needs.‖ The trial court noted that Mother had no ―relationship of any kind with
    - 34 -
    Carrington.‖ The record fully supports the trial court‘s finding that DCS proved the
    ground of persistence of conditions by clear and convincing evidence.
    3. Mental Incompetence
    The final statutory ground the trial court relied upon to terminate Mother‘s
    parental rights is as follows:
    The parent . . . of the child is incompetent to adequately provide for
    the further care and supervision of the child because the parent‘s . . . mental
    condition is presently so impaired and is so likely to remain so that it is
    unlikely that the parent . . . will be able to assume or resume the care of and
    responsibility for the child in the near future.
    Tenn. Code Ann. § 36-1-113(g)(8)(B)(i). DCS offered proof to show that Mother‘s
    mental condition had been impaired for more than six years and was not likely to
    improve in a short time, even with continued therapy and medication. Mother had been
    hospitalized on a number of occasions to obtain treatment for mental health issues and
    substance abuse issues. The mental health experts testified that Mother‘s impaired
    mental condition would prevent her from assuming the care and responsibility for
    Carrington in the near future. In short, the record on appeal fully supports the trial
    court‘s finding that DCS proved Mother‘s mental incompetence by clear and convincing
    evidence.
    4. Best Interests Analysis
    The proof also supports the trial court‘s finding that terminating Mother‘s parental
    rights is in Carrington‘s best interests.
    (i) In determining whether termination of parental . . . rights is in the best
    interest[s] of the child pursuant to this part, the court shall consider, but is
    not limited to, the following:
    (1) Whether the parent . . . has made such an adjustment of
    circumstance, conduct, or conditions as to make it safe and in
    the child‘s best interest[s] to be in the home of the parent . . .;
    (2) Whether the parent . . . has failed to effect a lasting
    adjustment after reasonable efforts by available social
    services agencies for such duration of time that lasting
    adjustment does not reasonably appear possible;
    - 35 -
    (3) Whether the parent . . . has maintained regular visitation
    or other contact with the child;
    (4) Whether a meaningful relationship has otherwise been
    established between the parent . . . and the child;
    (5) The effect a change of caretakers and physical
    environment is likely to have on the child‘s emotional,
    psychological and medical condition;
    (6) Whether the parent . . . has shown brutality, physical,
    sexual, emotional or psychological abuse, or neglect toward
    the child, or another child or adult in the family or household;
    (7) Whether the physical environment of the parent‘s . . .
    home is healthy and safe, whether there is criminal activity in
    the home, or whether there is such use of alcohol, controlled
    substances or controlled substance analogues as may render
    the parent . . . consistently unable to care for the child in a
    safe and stable manner;
    (8) Whether the parent‘s . . . mental and/or emotional status
    would be detrimental to the child or prevent the parent . . .
    from effectively providing safe and stable care and
    supervision for the child; or
    (9) Whether the parent . . . has paid child support consistent
    with the child support guidelines promulgated by the
    department pursuant to § 36-5-101.
    Tenn. Code Ann. § 36-1-113(i). The trial court found: (1) Mother has not made an
    adjustment of circumstances, conduct, or other conditions so as to make it safe or in the
    Carrington‘s best interests to be in her home; (2) Mother has suffered from mental illness
    and behavioral disorders for many years, and these conditions have not improved, despite
    treatment, medication, and services provided by DCS, and these conditions are unlikely
    to improve in the near future; (3) Mother has no meaningful relationship with Carrington
    and has had no contact with him since 2012; (4) returning Carrington to Mother‘s care
    would have a detrimental effect on his emotional, psychological, and medical condition;
    and (5) Mother‘s mental and emotional status would be detrimental to Carrington and
    prevent her from providing him safe and stable care and supervision and from effectively
    parenting him. We conclude that the evidence in the record does not preponderate
    against the trial court‘s factual findings and conclude that the combined weight of these
    - 36 -
    facts amounts to clear and convincing evidence that termination of Mother‘s parental
    rights is in Carrington‘s best interests.
    III. Conclusion
    Given the existing procedural safeguards applicable to parental termination
    proceedings, we decline to hold that securing the constitutional right of parents to
    fundamentally fair procedures requires adoption of an additional procedure, subsequent
    to or separate from an appeal as of right, by which parents may attack the judgment
    terminating parental rights based upon ineffective assistance of appointed counsel.
    Having thoroughly reviewed the trial court‘s findings regarding the grounds for
    termination and the best interests of Carrington, we affirm the judgment terminating
    Mother‘s parental rights. We also conclude that appointed counsel‘s representation did
    not deny Mother a fundamentally fair parental termination proceeding. Accordingly, the
    judgment of the Court of Appeals is affirmed. Costs of this appeal are taxed to the State
    of Tennessee, for which execution may issue if necessary.
    _______________________________
    CORNELIA A. CLARK, JUSTICE
    - 37 -