In Re Jason S. ( 2021 )


Menu:
  •                                                                                                          04/22/2021
    IN THE COURT OF APPEALS OF TENNESSEE
    AT KNOXVILLE
    Assigned on Briefs March 1, 2021
    IN RE JASON S.
    Appeal from the Juvenile Court for Hamblen County
    No. J190017 Janice Hope Snider, Judge
    ___________________________________
    No. E2020-01479-COA-R3-PT
    ___________________________________
    Appellant/Mother appeals the trial court’s termination of her parental rights to the minor
    child on the grounds of: (1) abandonment by failure to visit, 
    Tenn. Code Ann. §§ 36-1
    -
    113(g)(1), 36-1-102(1)(A)(i); (2) abandonment by failure to provide a suitable home, 
    Tenn. Code Ann. §§ 36-1-113
    (g)(1), 36-1-102(A)(ii); (3) substantial noncompliance with the
    requirements of the permanency plan, 
    Tenn. Code Ann. § 36-1-113
    (g)(2); and (4)
    persistence of the conditions that led to the child’s removal, 
    Tenn. Code Ann. § 36-1
    -
    113(g)(3). Appellant also appeals the trial court’s finding that termination of her parental
    rights is in the child’s best interest. Discerning no error, we affirm.
    Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Juvenile Court
    Affirmed and Remanded
    KENNY ARMSTRONG, J., delivered the opinion of the court, in which J. STEVEN STAFFORD,
    P.J., W.S., and KRISTI M. DAVIS, J., joined.
    Ryan T. Logue, Morristown, Tennessee, for the appellant, Patsy S.1
    Herbert H. Slatery, III, Attorney General and Reporter, and Kathryn A. Baker, Senior
    Assistant Attorney General, for the appellee, Tennessee Department of Children’s
    Services.
    OPINION
    I. Background
    1
    In cases involving minor children, it is the policy of this Court to redact the parties’ names to
    protect their identities.
    Appellant Patsy S. (“Mother”) is the biological mother of Jason S. (d/o/b April
    2008) (the “Child”).2 Mother’s history with the Appellee, Department of Children’s
    Services (“DCS”), began in April of 2008, when Mother admitted to using illegal drugs
    during her pregnancy with the Child. Between 2008 and 2010, there were several other
    referrals alleging that the Child was the victim of drug exposure by Mother. In 2016, a
    neighbor made a referral to DCS alleging that the Child was the victim of sexual abuse. It
    was later confirmed that the Child was, in fact, sexually abused by his cousin.
    Giving rise to the instant appeal, on February 5, 2019, DCS received a referral that
    the Child was the victim of “environmental neglect, improper supervision, and drug
    exposure, perpetrated by the [Mother].” DCS visited Mother’s home the same day. During
    conversations with the Child and Mother, DCS learned that the Child had witnessed
    numerous arguments between Mother and Taylor S., Mother’s paramour. DCS also
    discovered that Taylor S. had assaulted Mother on two separate occasions and that there
    was an outstanding warrant for his arrest stemming from the domestic violence. While
    DCS was at the home, case workers contacted authorities, and Taylor S. was taken into
    custody on the outstanding warrant.
    In his conversation with DCS, the Child stated that Mother drank alcohol, and the
    DCS case worker confirmed that she noticed several beer cans and liquor bottles in the
    home and observed that Mother smelled of alcohol. Mother also submitted to a drug
    screen, which was positive for methamphetamine and marijuana. Mother denied using
    methamphetamine but admitted to using marijuana. DCS also found Mother’s residence
    to be unsanitary and cluttered. DCS noted animal feces and dried urine stains about the
    home and also noted a lack of food.
    On February 6, 2019, DCS filed a petition for emergency custody in the Juvenile
    Court of Hamblen County (“trial court”) on the ground that the Child was dependent and
    neglected. The trial court subsequently appointed a guardian ad litem (“GAL”) for the
    Child and an attorney for Mother.3 In a protective order entered on February 6, 2019, the
    trial court noted that Mother waived the preliminary hearing and agreed that there was
    probable cause to find the Child dependent and neglected. In addition to finding probable
    cause that the Child was dependent and neglected, the trial court also made a specific
    finding that DCS had made reasonable efforts to prevent removal. The trial court placed
    custody with DCS, and Mother was allowed supervised visits after testing negative for
    methamphetamine on or about March 31, 2019.
    2
    Child’s father, Jason S., Sr., is deceased.
    3
    Mother was found to be an indigent person pursuant to Tennessee Code Annotated section 37-1-
    126 and Supreme Court Rule 13, Section 1(d)(2).
    -2-
    Following a hearing, the trial court entered an adjudicatory order on April 10, 2019,
    wherein it found, by clear and convincing evidence, that the Child was dependent and
    neglected “for all reasons set out in the [petition for emergency custody].” In its order, the
    trial court noted that Mother submitted to a drug screen on the day of the hearing and tested
    positive for methamphetamine, amphetamines, and marijuana. Because Mother’s
    visitation was contingent on her testing negative for drugs, the trial court reduced her visits
    to supervised telephone conversations. The trial court ordered DCS to assist Mother with
    inpatient treatment and to assist her with outpatient treatment thereafter.
    On June 14, 2019, the GAL filed a motion to suspend Mother’s visitation entirely.
    As grounds, the GAL alleged that: (1) during telephone contact with the Child, Mother was
    often intoxicated and inappropriate with the Child; (2) the Child’s foster mother had
    notified the GAL that Mother offered the foster mother money to allow Mother to “kidnap”
    the Child; and (3) Mother was making physical threats to DCS employees. Following a
    hearing, the trial court granted the GAL’s motion by order of August 26, 2019 (nunc pro
    tunc to August 21, 2019) and suspended all contact between Mother and the Child. Later,
    on March 20, 2020, Mother filed a petition seeking to resume supervised visitation. By
    order of May 13, 2020, the trial court reinstated Mother’s supervised telephone visits on
    the condition that she pass random drug screens and exercise appropriate behavior during
    the telephone calls.
    During the course of these proceedings, DCS worked with Mother to develop two
    permanency plans. The first plan, dated March 1, 2019, required Mother to: (1) maintain
    stable housing; (2) show proof of stable and legal income; (3) complete a non-offender
    domestic violence class and follow all recommendations thereof; (4) complete a mental
    health assessment and follow all recommendations thereof; (5) complete a parenting
    assessment and follow all recommendations thereof; (6) complete an alcohol and drug
    assessment and follow all recommendations thereof; (7) submit to random drug screens
    and pill counts; (8) provide proof of reliable transportation; (9) follow all court orders; (10)
    attend regular visits with the Child, behave appropriately at visitation, and provide notice
    of cancellation at least 24 hours in advance; and (11) inform DCS if anyone over the age
    of 18 stayed in Mother’s home for more than 2 nights. The second permanency plan was
    entered on April 3, 2020. Mother’s requirements under the second plan were the same as
    those listed in the first permanency plan with one additional requirement that Mother
    complete a “medication” assessment to address Mother’s prescriptions. Both plans were
    ratified and entered by the trial court on its finding that the requirements outlined in the
    plans were appropriate, reasonably related to addressing the issues that required removal,
    and were in the Child’s best interest.
    Concerning its efforts to assist Mother with meeting the requirements of the
    permanency plans, DCS filed two affidavits of reasonable efforts. The first affidavit was
    filed on August 19, 2019. Concerning Mother’s progress, the affidavit indicated that
    Mother attended two visits with the Child but noted that visitation was suspended due to
    -3-
    the fact that Mother was unable to pass drug screens. However, DCS acknowledged that
    Mother completed a parenting assessment on June 17, 2019. In its second affidavit of
    reasonable efforts, which was filed on May 1, 2020, DCS noted that, “There has been
    limited progress on the Permanency Plan thus far, as [Mother] has yet to complete her
    Mental Health or Alcohol and Drug assessment. [Mother] completed a parenting
    assessment; however, she has not followed through with completing the recommendations
    at this time.” DCS further noted that Mother had been uncooperative with its efforts to
    arrange the necessary assessments.
    On March 18, 2020, DCS filed a petition to terminate Mother’s parental rights on
    the grounds of: (1) abandonment by failure to visit; (2) abandonment by failure to provide
    a suitable home; (3) substantial noncompliance with the requirements of the permanency
    plan; (4) persistence of the conditions that led to the Child’s removal; and (5) failure to
    manifest an ability and willingness to parent.4 DCS also alleged that termination of
    Mother’s parental rights was in the Child’s best interest. As noted above, two days after
    DCS filed the petition to terminate her parental rights, on March 20, 2020, Mother
    petitioned the trial court to reinstate her visitation.
    The hearing on DCS’ petition was scheduled for September 23, 2020. Mother did
    not appear at the scheduled time. The trial court delayed the start of the hearing for three
    hours after Mother stated, by telephone, that she would attend. Despite her indication that
    she would participate at the hearing, Mother ultimately did not attend, and the trial
    proceeded without her. The sole witness was DCS caseworker, Zach Maples.
    By order of October 21, 2020, the trial court terminated Mother’s parental rights on
    the grounds of: (1) abandonment by failure to visit; (2) abandonment by failure to provide
    a suitable home; (3) substantial noncompliance with the reasonable requirements of the
    permanency plan; and (4) persistence of the conditions that led to the Child’s removal. The
    trial court also found that termination of Mother’s parental rights was in the Child’s best
    interest. Mother appeals.
    II. Issues
    We restate the dispositive issues as:
    1. Whether there is clear and convincing evidence to support the trial court’s
    termination of Mother’s parental rights on any of the statutory grounds found by
    the trial court.
    4
    At the hearing on its petition, DCS voluntarily withdrew the ground of “failure to manifest a
    willingness and ability to parent,” and the trial court did not rely on this ground in terminating Mother’s
    parental rights.
    -4-
    2. If so, whether there is clear and convincing evidence that termination of
    Mother’s parental rights is in the Child’s best interest.
    III. Standard of Review
    The Tennessee Supreme Court has previously explained that:
    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 Clause of the federal and state constitutions. 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
    (1982); In re Angela E., 
    303 S.W.3d at 250
    .
    In re Carrington H., 
    483 S.W.3d 507
    , 522-23 (Tenn. 2016) (footnote omitted). In
    Tennessee, termination of parental rights is governed by statute, which identifies
    “‘situations in which that state’s interest in the welfare of a child justifies interference with
    a parent’s constitutional rights by setting forth grounds on which termination proceedings
    can be brought.’” In re Jacobe M.J., 
    434 S.W.3d 565
    , 568 (Tenn. Ct. App. 2013) (quoting
    In re W.B., Nos. M2004-00999-COA-R3-PT, M2004-01572-COA-R3-PT, 
    2005 WL 1021618
    , at *7 (Tenn. Ct. App. Apr. 29, 2005) (citing 
    Tenn. Code Ann. § 36-1-113
    (g))).
    Thus, a party seeking to terminate a parent’s rights must prove: (1) the existence of one of
    the statutory grounds; and (2) that termination is in the child’s best interest. 
    Tenn. Code Ann. § 36-1-113
    (c); In re D.L.B., 
    118 S.W.3d 360
    , 367 (Tenn. 2003); In re Valentine, 
    79 S.W.3d 539
    , 546 (Tenn. 2002).
    Considering the fundamental nature of a parent’s rights and the serious
    consequences that stem from termination of those rights, a higher standard of proof is
    required in determining termination cases. Santosky, 
    455 U.S. at 769
    . As such, a party
    must prove statutory grounds and the child’s best interest by clear and convincing evidence.
    
    Tenn. Code Ann. § 36-1-113
    (c); In re Valentine, 
    79 S.W. 3d at 546
    . Clear and convincing
    evidence “establishes that the truth of the facts asserted is highly probable . . . and
    eliminates any serious or substantial doubt about the correctness of the conclusions drawn
    from evidence[,]” and “produces in a fact-finder’s mind a firm belief or conviction
    regarding the truth of the facts sought to be established.” In re M.J.B., 
    140 S.W.3d 643
    ,
    -5-
    653 (Tenn. Ct. App. 2004).
    In termination of parental rights cases, appellate courts review a trial court’s factual
    findings de novo and accord these findings a presumption of correctness unless the
    evidence preponderates otherwise. Tenn. R. App. P. 13(d); In re Carrington H., 483
    S.W.3d at 523-24 (citing In re Bernard T., 
    319 S.W.3d 586
    , 596 (Tenn. 2010)); In re
    M.L.P., 
    281 S.W.3d 387
    , 393 (Tenn. 2009); In re A.M.H., 
    215 S.W.3d 793
    , 809 (Tenn.
    2007)). The Tennessee Supreme Court has explained that:
    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 [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
    .
    In re Carrington H., 483 S.W.3d at 524. With the foregoing in mind, we turn to our review.
    IV. Grounds for Termination of Parental Rights
    Although only one ground must be proven by clear and convincing evidence in order
    to terminate a parent or guardian’s parental rights, the Tennessee Supreme Court has
    instructed this Court to review every ground relied upon by the trial court to terminate
    parental rights in order to prevent “unnecessary remands of cases.” In re Angela E., 
    303 S.W.3d at
    251 n.14. Accordingly, we will review all of the grounds relied upon by the trial
    court.
    A. Abandonment
    The trial court found, by clear and convincing evidence, that Mother abandoned the
    Child by failure to visit and failure to provide a suitable home. We begin our analysis with
    a discussion of the ground of abandonment generally. In pertinent part, Tennessee Code
    Annotated section 36-1-113(g) provides:
    (g) Initiation of termination of parental or guardianship rights may be based
    upon any of the grounds listed in this subsection (g). The following grounds
    are cumulative and nonexclusive, so that listing conditions, acts or omissions
    in one ground does not prevent them from coming within another ground:
    (1) Abandonment by the parent or guardian, as defined in § 36-1-102, has
    occurred;
    
    Tenn. Code Ann. § 36-1-113
    (g)(1).
    -6-
    1. Abandonment by Failure to Visit
    Tennessee Code Annotated section 36-1-102 defines “abandonment,” in relevant
    part, as follows:
    (1)(A) For purposes of terminating the parental or guardian rights of a parent
    or parents or a guardian or guardians of a child to that child in order to make
    that child available for adoption, “abandonment” means that: (i) For a period
    of four (4) consecutive months immediately preceding the filing of a . . .
    petition to terminate the parental rights of the parent or parents . . . of the
    child who is the subject of the petition for termination of parental rights or
    adoption, that the parent or parents . . . have failed to visit . . . the child;
    ***
    (E) For purposes of this subdivision (1), “failed to visit” means the failure,
    for a period of four (4) consecutive months, to visit or engage in more than
    token visitation. That the parent had only the means or ability to make very
    occasional visits is not a defense to failure to visit if no visits were made
    during the relevant four-month period;
    
    Tenn. Code Ann. §§ 36-1-102
    (1)(A)(i), (1)(E). Here, DCS filed the petition to terminate
    Mother’s parental rights on March 18, 2020. Therefore, the relevant four-month time
    period for this ground is November 18, 2019 until March 17, 2020. See In re Jacob C.H.,
    No. E2013-00587-COA-R3-PT, 
    2014 WL 689085
    , at *6 (Tenn. Ct. App. Feb. 20, 2014)
    (explaining that the four-month window does not include the date the petition was filed).5
    Since 2018, the statutory definition of abandonment has placed the burden of proof
    on the parent or guardian to show that the parent’s failure to visit was not “willful.”
    Tennessee Code Annotated section 36-1-102(1)(I) provides, in relevant part, that:
    For purposes of this subdivision (1), it shall be a defense to abandonment for failure
    to visit . . . that a parent or guardian’s failure to visit . . . was not willful. The parent
    5
    In its order terminating Mother’s parental rights, the trial court states that the relevant four-month
    period runs from November 18, 2019 to March 18, 2020. As noted in In re Jacob C.H., 
    2014 WL 689085
    ,
    the four-month period does not include the date on which the petition was filed; as such, the relevant four-
    month period in this case ran through March 17, 2020, not March 18, 2020. We note that, in its petition,
    DCS avers that Mother failed to visit in the four months immediately preceding the filing of the petition.
    As such, it appears that Mother was fully apprised of the pertinent time period, and the trial court’s
    miscalculation of the relevant period by one day does not constitute reversible error. See, e.g., In re Navada
    N., 
    498 S.W.3d 579
    , 600 n.12 (Tenn. Ct. App. 2016) (explaining that “the trial court’s error of five days
    regarding the correct calculation of the four-month period is not determinative . . . in the interest of
    providing a speedy resolution for [the Child].”).
    -7-
    or guardian shall bear the burden of proof that the failure to visit . . . was not willful.
    Such defense must be established by a preponderance of evidence. The absence of
    willfulness is an affirmative defense pursuant to Rule 8.03 of the Tennessee Rules
    of Civil Procedure. . . .
    
    Tenn. Code Ann. § 36-1-102
    (1)(I). Concerning willfulness in the context of abandonment
    for termination of parental rights purposes, this Court has stated:
    In the statutes governing the termination of parental rights,
    “willfulness” does not require the same standard of culpability as is required
    by the penal code. Nor does it require malevolence or ill will. Willful conduct
    consists of acts or failures to act that are intentional or voluntary rather than
    accidental or inadvertent. Conduct is “willful” if it is the product of free will
    rather than coercion. Thus, a person acts “willfully” if he or she is a free
    agent, knows what he or she is doing, and intends to do what he or she is
    doing. . . .
    The willfulness of particular conduct depends upon the actor’s intent.
    Intent is seldom capable of direct proof, and triers-of-fact lack the ability to
    peer into a person’s mind to assess intentions or motivations. Accordingly,
    triers-of-fact must infer intent from the circumstantial evidence, including a
    person’s actions or conduct.
    In re Audrey S., 
    182 S.W.3d 838
    , 863-64 (Tenn. Ct. App. 2005) (internal citations and
    footnotes omitted). In other words, failure to visit is willful “when a person is aware of
    his or her duty to visit . . . , has the capacity to do so, makes no attempt to do so, and has
    no justifiable excuse for not doing so.” In re Audrey S., 
    182 S.W.3d at
    864 (citing In re
    M.J.B., 
    140 S.W.3d at 654
    ). “Whether a parent failed to visit or support a child is a
    question of fact. Whether a parent’s failure to visit or support constitutes willful
    abandonment . . . is a question of law.” In re Angela E., 
    402 S.W.3d 636
    , 640 (Tenn.
    2013) (citing In re A.M.H., 
    215 S.W.3d at 810
    ). As previously discussed, this Court
    reviews questions of fact de novo with a presumption of correctness unless the evidence
    preponderates otherwise. Tenn. R. App. P. 13(d); In re Carrington H., 483 S.W.3d at 523-
    24. We review questions of law de novo with no presumption of correctness. In re Angela
    E., 402 S.W.3d at 640 (citing In re A.M.H., 
    215 S.W.3d at 810
    ). With the foregoing in
    mind, we turn to address whether Mother abandoned the Child by failure to visit.
    Concerning this ground, the trial court made the following findings:
    In this case, the Court found it necessary to issue an order prohibiting
    [Mother] from in person visitation with the child until she could provide
    proof of methamphetamine-free screens for thirty days. [Mother] provided
    this proof on March 31, 2019 and was granted supervised visitation with the
    child. Unfortunately, her supervised visits with [the Child] were once again
    -8-
    revoked on August 26, 2019 due to [Mother’s] inappropriate conduct.
    [Mother] often called the [C]hild while she was intoxicated. She cursed and
    threatened his foster mother on at least one occasion. [Mother] was advised
    that she could resume supervised visitation when she demonstrated that she
    could conduct herself in a proper manner during visits and provided proof of
    sobriety; however, she failed to do so. Consequently, during the relevant
    four-month [] period . . . [Mother] had no contact at all with [the Child].
    Moreover, [Mother] was given the opportunity to appear at the TPR
    hearing and provide evidence to rebut that her failure to visit was not willful.
    The Court waited three hours for [Mother] to appear after she reported just
    prior to the start of the trial that she had problems with finding transportation.
    The Court questions [Mother’s] veracity after she became belligerent on the
    telephone prior to the commencement of the trial and gave inconsistent
    accounts of her situation that day.
    Based upon these facts, the Court finds by clear and convincing
    evidence that . . . [Mother] abandoned her child . . . when she failed to make
    any . . . efforts to visit her child or . . . any effort to resolve the no contact
    order.
    Here, it is undisputed that Mother had no contact with the Child during the relevant
    four-month time period as she was under a no-contact order. However, pursuant to the no-
    contact order, Mother was allowed to seek visitation upon filing to reinstate it and
    presenting herself to the court. As such, the no-contact order does not preclude application
    of this ground. At all times, Mother had the power to seek reinstatement of visitation by
    filing a motion to that effect and presenting herself to the court to demonstrate that she
    could conduct herself appropriately during visits and provide proof of sobriety. See In re
    Kiara C., No. E2013-02066-COA-R3-PT, 
    2014 WL 2993845
    , at *6 (Tenn. Ct. App. June
    30, 2014) (“This Court has often held that when a parent’s visitation has been suspended
    by the trial court and the parent has the ability to demonstrate a change in situation or
    behavior that would warrant reinstating visitation but fails to do so, that parent can be found
    to have willfully failed to visit.”) (citing In re Elijah B., No. E2010-00387-COA-R3-PT,
    
    2010 WL 5549229
     at *8 (Tenn. Ct. App. Dec. 29, 2010); Tenn. Dep’t of Children’s Servs.
    v. J.A.H., No. E2005-00860-COA-R3-PT, 
    2005 WL 3543419
     at *6 (Tenn. Ct. App. Dec.
    28, 2005) (holding that the father’s decision not to submit to testing that was a precondition
    to further visitation constituted a “willful decision to discontinue visiting his son”)).
    In this case, Mother was provided a copy of the Criteria and Procedures for
    Termination of Parental Rights on March 1, 2019 and again on January 9, 2020. As such,
    she was aware that her failure to visit the Child could result in the termination of her
    parental rights. Nonetheless, in the approximately seven months between entry of the no-
    contact order and the filing of the petition to terminate her parental rights, Mother did not
    seek to reinstate visitation. It was not until March 20, 2020, two days after DCS filed its
    petition to terminate her parental rights, that Mother made any effort to resume visitation.
    -9-
    It is well established that any efforts made to visit a child after the filing of a termination
    petition do not negate or repent abandonment. 
    Tenn. Code Ann. § 36-1-102
    (1)(F)
    (“Abandonment may not be repented of by resuming visitation or support subsequent to
    the filing of any petition seeking to terminate parental or guardianship rights or seeking the
    adoption of a child[.]”); In re S.R.M., No. E2008-01359-COA-R3-PT, 
    2009 WL 837715
    ,
    at *12 (Tenn. Ct. App. Mar. 27, 2009) (holding that 
    Tenn. Code Ann. § 36-1-102
    (1)(F)
    precludes consideration of a parent’s “after-the-fact” efforts regarding visitation.).
    As noted in the trial court’s order, Mother failed to attend the hearing on the petition
    to terminate her rights. As such, the foregoing facts are undisputed and Mother has not
    met her burden to show that her failure to visit was not willful. The record contains clear
    and convincing evidence to support the trial court’s termination of Mother’s parental rights
    on the ground of abandonment by failure to visit.
    2. Abandonment by Failure to Provide a Suitable Home
    The trial court found, by clear and convincing evidence, that Mother abandoned the
    Child by failure to provide a suitable home. Tennessee Code Annotated section 36-1-
    113(g)(1) authorizes termination of parental rights on the ground of abandonment as
    defined by Tennessee Code Annotated section 36-1-102(1)(A)(ii) when:
    (ii)(a) The child has been removed from the home or the physical or legal
    custody of a parent . . . by a court order at any stage of proceedings in which
    a petition has been filed in the juvenile court alleging that a child is a
    dependent and neglected child, and the child was placed in the custody of the
    department or a licensed child-placing agency;
    (b) The juvenile court found, or the court where the termination of parental
    rights petition is filed finds, that the department or a licensed child-placing
    agency made reasonable efforts to prevent removal of the child or that the
    circumstances of the child’s situation prevented reasonable efforts from
    being made prior to the child’s removal; and
    (c) For a period of four (4) months following the physical removal, the
    department or agency made reasonable efforts to assist the parent . . . to
    establish a suitable home for the child, but that the parent . . . ha[s] not made
    reciprocal reasonable efforts to provide a suitable home and ha[s]
    demonstrated a lack of concern for the child to such a degree that it appears
    unlikely that they will be able to provide a suitable home for the child at an
    early date. The efforts of the department or agency to assist a parent . . . in
    establishing a suitable home for the child shall be found to be reasonable if
    such efforts equal or exceed the efforts of the parent . . . toward the same
    goal, when the parent . . . is aware that the child is in the custody of the
    - 10 -
    department;
    
    Tenn. Code Ann. § 36-1-102
     (1)(A)(ii).
    Concerning the first and second statutory elements, it is undisputed that the Child
    was removed from Mother’s custody by court order of February 6, 2019. As noted above,
    in the February 6, 2019 order, the trial court found probable cause that the Child was
    dependent and neglected and placed custody with DCS. 
    Tenn. Code Ann. § 36-1-102
    (1)(A)(ii)(a). The trial court also made a specific finding that DCS made reasonable efforts
    to prevent removal. 
    Tenn. Code Ann. § 36-1-102
     (1)(A)(ii)(b). This finding is undisputed,
    and the record shows that prior to filing the petition for custody, DCS attempted to locate
    a placement for the Child within the family.
    We now turn to the final statutory element, i.e., whether DCS made reasonable
    efforts to assist Mother in establishing a suitable home for a period of four months
    following the Child’s removal, and whether Mother made reciprocal efforts to establish
    same. 
    Tenn. Code Ann. § 36-1-102
     (1)(A)(ii)(c). As an initial matter, we note that DCS’
    efforts to assist a parent “shall be found to be reasonable if such efforts equal or exceed the
    efforts of the parent. . . toward the same goal. . . .” 
    Tenn. Code Ann. § 36-1
    -
    102(1)(A)(ii)(c). Additionally, “[a] suitable home ‘requires more than a proper physical
    living location.’” In re Navada N., 
    498 S.W.3d at 595
     (quoting In re Hannah H., No.
    E2013-01211-COA-R3-PT, 
    2014 WL 2587397
    , at *9 (Tenn. Ct. App. June 10, 2014)). It
    requires “[a]ppropriate care and attention . . . to the child[ren].” In re Matthew T., No.
    M2015-00486-COA-R3-PT, 
    2016 WL 1621076
    , at *7 (Tenn. Ct. App. Apr. 20, 2016).
    Further, “a parent’s compliance with counseling requirements is ‘directly related to the
    establishment of a suitable home.’” 
    Id.
     (citing In re M.F.O., No. M2008-01322-COA-R3-
    PT, 
    2009 WL 1456319
    , at *5 (Tenn. Ct. App. May 21, 2009)). Indeed, “the problems and
    conditions for which the various . . . counseling efforts were conducted address matters[,]
    which make the home environment suitable for raising children. . . .” In re M.F.O., 
    2009 WL 1456319
    , at *5.
    Turning to the record, DCS caseworker Mr. Maples testified concerning DCS’
    efforts to assist Mother in establishing a suitable home and the lack of any substantial
    reciprocal efforts on her part. The Child was removed from Mother’s custody on February
    5, 2019. The four months immediately following removal were from February 6 to June
    5, 2019. Even so, this Court has held that DCS meets the reasonable efforts requirement
    “if it establishes that reasonable efforts were made during any four-month period following
    a child’s removal.” In re Roderick R., No. E2017-01504-COA-R3-PT, 
    2018 WL 1748000
    ,
    at *11, n. 13 (Tenn. Ct. App. Apr. 11, 2018), perm app. denied (Tenn. July 12, 2018) (citing
    In re Jakob O., No M2016-00391-COA-R3-PT, 
    2016 WL 7243674
    , at *13 (Tenn. Ct. App.
    Sept. 20, 2016)). Here, the record indicates that DCS made reasonable efforts to assist
    Mother throughout the entirety of the proceedings.
    - 11 -
    DCS created two permanency plans to assist in the goal of returning the Child to
    Mother’s custody. To assist Mother in completing her requirements under those plans,
    DCS: (1) provided Mother with resources to apply for housing; (2) informed Mother of
    educational opportunities that would allow her to obtain suitable employment; (3) assisted
    Mother in obtaining parenting, mental health, and alcohol and drug assessments; (4)
    attempted to assist Mother in completing long-term alcohol and drug treatment; (5)
    facilitated supervised visits with the Child; and (6) provided information on domestic
    violence programs in the area. Despite DCS’ efforts, Mother did not make reciprocal
    efforts to rehabilitate herself and to remedy the conditions that required DCS to remove the
    Child.
    Mother’s failure to address her drug and alcohol abuse was a primary impediment
    to reunification. When DCS attempted to transport Mother to a rehabilitation facility at the
    end of June 2019, Mother refused to go inside the hospital and was abusive and threatening
    to the DCS caseworkers; she used profanity and propositioned the male caseworker.
    Throughout the proceedings, Mother continued to abuse alcohol and drugs as evidenced
    by numerous positive drug screens.
    Concerning the conditions inside Mother’s home, in September 2019, she reported
    a bed bug infestation. Eventually, Mother moved into a new home in April 2020.
    However, evidence adduced at trial showed that the new home was not suitable for the
    Child. Mr. Maples reported that he visited the home in May 2020 to facilitate a supervised
    telephone call between Mother and the Child, but Mother would not allow him entry as she
    said there were five dogs in the home and she did not want him to get bitten. Mr. Maples
    observed several open bags of trash and several empty liquor bottles in the yard.
    Perhaps more troubling is the fact that Mother continued to live with Taylor S., her
    abusive paramour. In addition to being arrested on an outstanding domestic violence
    warrant during DCS’ initial visit to the home, Taylor S. was arrested on charges of domestic
    violence against Mother twice more during the pendency of this case, i.e., on February 18,
    2020 and June 16, 2020. By the time of trial, the Child had been in DCS custody for
    approximately 19 months, and Mother had yet to provide proof of attendance at a non-
    offender domestic violence class.
    In its order terminating her parental rights, the trial court found that:
    It is apparent that DCS made more than reasonable efforts to assist
    [Mother] to resolve the issues constituting an impediment to her ability to
    effectively parent [the Child]. However, she was unable to effectively
    address her substance abuse and her emotional issues despite the services
    offered to her. [Mother’s] refusal to seek adequate treatment for her
    addiction and mental health issues prevented her from maintaining a suitable
    home conducive to the best interest of her child. The Court finds by clear
    - 12 -
    and convincing evidence that efforts of the department . . . exceeded the
    efforts by the mother to build a stable home and life for her child.
    We agree. “‘Parents desiring the return of their children must . . . make reasonable and
    appropriate efforts to rehabilitate themselves and to remedy the conditions that required
    the Department to remove their children from custody.’” In re Kambri P., No. M2019-
    01352-COA-R3-PT, 
    2020 WL 2991793
    , at *5 (Tenn. Ct. App. June 4, 2020) (quoting In
    re Shameel S., No. E2014-00294-COA-R3-PT, 
    2014 WL 4667571
    , at *5 (Tenn. Ct. App.
    Sept. 19, 2014)). We conclude that Mother failed to make such reasonable and appropriate
    efforts, and that DCS’ efforts to assist her in establishing a suitable home exceeded
    Mother’s own efforts toward this goal. 
    Tenn. Code Ann. § 36-1-102
     (1)(A)(ii)(c).
    Although DCS provided Mother with services to address her living conditions, drug and
    alcohol abuse, and domestic violence issues, the record shows that Mother largely refused
    these services. See In re M.F.O., 
    2009 WL 1456319
    , at *5 (“The failure of [m]other and
    [f]ather to cooperate with DCS and to comply with the requirements of the various
    counseling services was directly related to the establishment and maintenance of a suitable
    home.”). Mother’s failure to take any substantial steps towards addressing the myriad
    issues that led to the Child’s removal demonstrates her lack of concern for the Child and
    her inability to provide a suitable home environment for him. 
    Tenn. Code Ann. § 36-1-102
    (1)(A)(ii)(c); see In re Roderick R., No. E2017-01504-COA-R3-PT, 
    2018 WL 1748000
    ,
    at *12 (Tenn. Ct. App. Apr. 11, 2018), perm. app. denied (Tenn. July 12, 2018) (“Mother’s
    own failure to comply with her mental health treatment regimen demonstrated her lack of
    concern for the [c]hildren and resulted in her inability to provide a suitable home
    environment.”). Mother’s lack of effort during the 19 months the Child has been in DCS
    custody indicates that it is very unlikely she will be able to provide a suitable home for the
    Child at an early date, if ever. 
    Tenn. Code Ann. § 36-1-102
     (1)(A)(ii)(c). Accordingly, we
    affirm the trial court’s finding, by clear and convincing evidence, that Mother abandoned
    the Child by failure to provide a suitable home.
    C. Substantial Noncompliance with Permanency Plan
    The trial court found, by clear and convincing evidence, that Mother’s parental
    rights should be terminated on the ground of failure to substantially comply with the
    requirements of the permanency plan. Tennessee Code Annotated section 36-1-113(g)(2)
    provides that a parent’s rights may be terminated when “[t]here has been substantial
    noncompliance by the parent . . . with the statement of responsibilities in a permanency
    plan.”
    “[T]he permanency plans are not simply a series of hoops for the biological parent
    to jump through in order to have custody of the children returned.” In re C.S., Jr., et al.,
    No. M2005-02499-COA-R3-PT, 
    2006 WL 2644371
    , at *10 (Tenn. Ct. App. Sept. 14,
    2006). Rather,
    - 13 -
    the requirements of the permanency plan are intended to address the
    problems that led to removal; they are meant to place the parent in a position
    to provide the children with a safe, stable home and consistent appropriate
    care. This requires the parent to put in real effort to complete the
    requirements of the plan in a meaningful way in order to place herself in a
    position to take responsibility for the children.
    
    Id.
     As discussed by this Court:
    Terminating parental rights based on 
    Tenn. Code Ann. § 36-1-113
    (g)(2)
    requires more proof than that a parent has not complied with every jot and
    tittle of the permanency plan. To succeed under 
    Tenn. Code Ann. § 36-1
    -
    113(g)(2), the Department must demonstrate first that the requirements of the
    permanency plan are reasonable and related to remedying the conditions that
    caused the child to be removed from the parent’s custody in the first place,
    In re Valentine, 
    79 S.W.3d 539
    , 547 (Tenn. 2002); In re L.J.C., 
    124 S.W.3d 609
    , 621 (Tenn. Ct. App. 2003), and second that the parent’s noncompliance
    is substantial in light of the degree of noncompliance and the importance of
    the particular requirement that has not been met. In re Valentine, 
    79 S.W.3d at 548-49
    ; In re Z.J.S., No. M2002-02235-COA-R3-JV, 
    2003 WL 21266854
    , at *12 (Tenn. Ct. App. June 3, 2003). Trivial, minor, or technical
    deviations from a permanency plan’s requirements will not be deemed to
    amount to substantial noncompliance. In re Valentine, 
    79 S.W.3d at 548
    .
    In re M.J.B., 
    140 S.W.3d at 656-57
    .
    As discussed above, Mother’s requirements under the permanency plans were to:
    (1) maintain stable housing; (2) show proof of stable and legal income; (3) complete a non-
    offender domestic violence class and follow all recommendations thereof; (4) complete a
    mental health assessment and follow all recommendations thereof; (5) complete a parenting
    assessment and follow all recommendations thereof; (6) complete an alcohol and drug
    assessment and follow all recommendations thereof; (7) submit to random drug screens
    and pill counts; (8) provide proof of reliable transportation; (9) follow all court orders; (10)
    attend regular visits with the Child, behave appropriately at visitation, and provide notice
    of cancellation at least 24 hours in advance; and (11) inform DCS if anyone over the age
    of 18 stayed in Mother’s home for more than 2 nights; and (12) complete a medication
    assessment.
    In its order terminating Mother’s parental rights, the trial court found that
    [Mother] participated in the development of the plan and it was
    subsequently ratified on August 26, 2019. The Court held that the plan was
    in the [Child’s] best interest and that the requirements were reasonably
    - 14 -
    related to remedying the reasons for foster care . . .
    The [trial court] placed considerable weight on [Mother’s]
    requirements to obtain and maintain a safe and suitable home, completion of
    an alcohol and drug treatment, and completion of a mental health assessment,
    with follow-up mental health counseling as recommended. These actions
    were most crucial to enable [Mother] to be alcohol and drug free in order to
    effectively parent her [Child]. [Mother] completed a clinical parenting
    assessment, which included an alcohol and drug assessment and a mental
    health assessment; however, she did not complete the recommended
    inpatient rehabilitation or individualized therapy. Moreover, no evidence
    introduced at trial indicates [Mother] completed any requirements on her
    permanency plan other than these assessments. This [Mother] falls far short
    of completion of any of the steps that were reasonably related to the reasons
    for the child’s removal.
    For these reasons, the Court finds by clear and convincing evidence
    that [Mother] has failed to substantially comply with the reasonable
    requirements of the permanency plans in this case.
    In view of the fact that the Child was removed from Mother’s home for issues
    involving environmental neglect, drug exposure, and domestic violence, we agree with the
    trial court that Mother’s requirements under the permanency plans were reasonable and
    related to remedying those conditions that necessitated foster care placement. See 
    Tenn. Code Ann. § 37-2-403
    (a)(2)(C). Unfortunately, Mother failed to comply with the
    requirements in any substantive way. We note that Mother completed a clinical parenting
    assessment, which resulted in a recommendation for long-term drug and alcohol
    rehabilitation with follow up at an aftercare program. Additionally, it was recommended
    that Mother attend weekly therapy sessions and take parenting classes. Although Mother
    attended detox three times, she never entered, much less completed, a long-term alcohol
    and drug rehabilitation program. In addition, Mother refused weekly therapy. At one
    point, Mother reported that she was attending weekly parenting classes. However, she did
    not consistently attend the classes, and she did not provide proof of completion of parenting
    classes to DCS as required under the permanency plans.
    During the pendency of this case, Mother also repeatedly tested positive for
    substances, including methamphetamine, and marijuana. She continued to drink alcohol.
    Mr. Maples reported that during four or five of his telephone conversations with Mother,
    he suspected that she was intoxicated due to her slurred speech. Furthermore, Mother was
    inappropriate in her supervised telephone conversations with the Child. Due to her ongoing
    alcohol and drug use, Mother threatened the Child’s foster mother and the DCS case
    workers. Mother continued to reside with Taylor S. despite his propensity to abuse her.
    She did not attend any domestic violence classes.
    - 15 -
    In its order, the trial court emphasized the need for Mother to maintain a safe and
    suitable home, to address her alcohol and drug issues, and the domestic abuse within the
    home. Mother’s only step toward these goals was completion of a parenting assessment.
    However, the mere completion of the assessment without following through with the
    recommendations is insufficient. There is clear and convincing proof that Mother failed to
    substantially comply with the reasonable requirements of the permanency plans.
    D. Persistence of the Conditions that Led to the Child’s Removal
    The trial court also terminated Mother’s parental rights under Tennessee Code
    Annotated section 36-1-113(g)(3), a ground commonly referred to as “persistence of
    conditions.” In re Audrey S., 
    182 S.W.3d at 871
    . The persistence of conditions ground
    focuses “on the results of the parent’s efforts at improvement rather than the mere fact that
    he or she had made them.” 
    Id. at 874
    . The goal is to avoid having a child in foster care
    for a time longer than reasonable for the parent to demonstrate the ability to provide a safe
    and caring environment for the child. In re Arteria H., 
    326 S.W.3d 167
    , 178 (Tenn. Ct.
    App. 2010), overruled on other grounds by In re Kaliyah S., 
    455 S.W.3d 533
    , 555 (Tenn.
    2015). Thus, the question before the court is “the likelihood that the child can be safely
    returned to the custody of the [parent], not whether the child can safely remain in foster
    care.” In re K.A.H., No. M1999-02079-COA-R3-CV, 
    2000 WL 1006959
    , at *5 (Tenn. Ct.
    App. July 21, 2000).
    There are several elements to the ground of persistence of conditions:
    (3)(A) The child has been removed from the home or the physical or legal
    custody of a parent or guardian for a period of six (6) months by a court order
    entered at any stage of proceedings in which a petition has been filed in the
    juvenile court alleging that a child is a dependent and neglected child, and:
    (i) The conditions that led to the child’s removal still persist, preventing the
    child’s safe return to the care of the parent or guardian, or other conditions
    exist that, in all reasonable probability, would cause the child to be subjected
    to further abuse or neglect, preventing the child’s safe return to the care of
    the parent or guardian;
    (ii) 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 guardian in the
    near future; and
    (iii) 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;
    (B) The six (6) months must accrue on or before the first date the termination
    of parental rights petition is set to be heard;
    - 16 -
    
    Tenn. Code Ann. § 36-1-113
    (g)(3)(A). Each of the statutory elements must be established
    by clear and convincing evidence. In re Valentine, 
    79 S.W.3d 539
    , 550 (Tenn. Ct. App.
    2002).
    Here, the Child was removed from Mother’s custody by order of February 6, 2019,
    and the trial court heard the petition for termination on September 23, 2020, almost 18
    months after the Child’s removal. The Child was removed from Mother’s custody because
    of environmental neglect, Mother’s drug and alcohol abuse, and domestic violence issues
    in the home.
    In its order terminating Mother’s parental rights, the trial court found, in relevant
    part that:
    Over nineteen months have elapsed between the [C]hild’s removal and the
    conclusion of the Termination of Parental Rights hearing in this case. During
    that time, [Mother] has not resolved or successfully corrected any of the
    issues that resulted in her [C]hild’s placement in the custody of the State of
    Tennessee. [Mother] had ample opportunity to remedy the conditions
    leading to [the Child’s] removal, but has failed to make any significant
    improvement in her circumstances. The Court would further note that CM
    Maples detailed valiant efforts by [various DCS caseworkers]. [One
    caseworker] endured [Mother’s] cursing and name-calling and still continued
    to help [Mother] by transporting her to the local hospital in an effort to get
    her into rehab. [Another DCS caseworker] went so far as to sit with [Mother]
    in the emergency room and hold her while she suffered the symptoms of
    withdrawal. Both of these DCS workers demonstrated exemplary efforts to
    held [Mother] despite the horrible treatment she subjected them to . . . .
    CM Maples received the same treatment from [Mother], as he
    recounted the vulgar names she called him during her multiple intoxicated
    episodes. In fact, CM Maples advised that, when he last visited [Mother’s]
    home only a couple of weeks prior to the hearing, he observed multiple liquor
    bottles and several bags of trash outside. [Mother] refused to allow him to
    enter the home because her five dogs “might bite him.” CM Maples’ account
    of his most recent visit to this [M]other’s home is strikingly similar to what
    was observed when the [C]hild was initially removed from her care.
    The record supports the trial court’s findings. Mother’s living conditions have remained
    ostensibly the same since the inception of this case. She continues to live in unsanitary
    conditions; she continues to abuse alcohol and drugs; she continues to live with her abuser;
    and she continues to act out inappropriately with the people who are trying to help her.
    Based on Mother’s failure to address any of these issues during the pendency of this case,
    it is clear that she will not remedy these conditions at an early date, making it highly
    - 17 -
    unlikely that Child can be safely returned to Mother’s custody in the foreseeable future.
    It is also clear to this Court that the continuation of Mother and Child’s relationship will
    greatly diminish the Child’s chances of early integration into a safe, stable, and permanent
    home. From the totality of the circumstances, we conclude that there is clear and
    convincing evidence to support the trial court’s termination of Mother’s parental rights on
    the ground of persistence of the conditions that led to the Child’s removal.
    V. Best Interest
    When at least one ground for termination of parental rights has been established, the
    petitioner must then prove, by clear and convincing evidence, that termination of the
    parent’s rights is in the child’s best interest. In re Bernard T., 
    319 S.W.3d at
    606 (citing
    In re Adoption of A.M.H., 
    215 S.W.3d 793
     at 809). As the Tennessee Supreme Court
    explained:
    Facts considered in the best interest analysis must be proven by “a
    preponderance of the evidence, not by clear and convincing evidence.” In re
    Kaliyah S., 455 S.W.3d at 555 (citing In re Audrey S., 
    182 S.W.3d at 861
    ).
    “After making the underlying factual findings, the trial court should then
    consider the combined weight of those facts to determine whether they
    amount to clear and convincing evidence that termination is in the child’s
    best interest[s].” 
    Id.
     When considering these statutory factors, courts must
    remember that “[t]he child’s best interests [are] viewed from the child’s,
    rather than the parent’s, perspective.” In re Audrey S., 
    182 S.W.3d at 878
    .
    Indeed, “[a] focus on the perspective of the child is the common theme”
    evident in all of the statutory factors. 
    Id.
     “[W]hen the best interests of the
    child and those of the adults are in conflict, such conflict shall always be
    resolved to favor the rights and the best interests of the child. . . .” 
    Tenn. Code Ann. § 36-1-101
    (d) (2017).
    In re Gabriella D., 
    531 S.W.3d 662
    , 681-82 (Tenn. 2017).
    The Tennessee Legislature has codified certain factors that courts should consider
    in ascertaining the best interest of the child in a termination of parental rights case. As is
    relevant to this appeal, these factors include, but are not limited to, the following:
    (1) Whether the parent or guardian has made such an adjustment of
    circumstance, conduct, or conditions as to make it safe and in the child’s best
    interest to be in the home of the parent;
    (2) Whether the parent or guardian has made such an adjustment after
    reasonable efforts by available social service agencies for such a duration of
    time that lasting adjustment does not reasonably appear possible;
    (3) Whether the parent or guardian has maintained regular visitation or other
    - 18 -
    contact with the child;
    (4) Whether a meaningful relationship has otherwise been established
    between the parent or guardian 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 . . . or other person residing with 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 or guardian consistently unable to care for the child in
    a safe and stable manner;
    (8) Whether the parent’s or guardian’s mental and/or emotional status would
    be detrimental to the child or prevent the parent or guardian from effectively
    providing safe and stable care and supervision for the child . . . .
    
    Tenn. Code Ann. § 36-1-113
    (i). This list of factors is not exhaustive, nor does the statute
    “require a trial court to find the existence of each enumerated factor before it may conclude
    that terminating a parent’s rights is in the best interest of a child.” In re M.A.R., 
    183 S.W. 3d 652
    , 667 (Tenn. Ct. App. Aug. 11, 2005), perm. app. denied (Tenn. Nov. 21, 2005).
    Each termination of parental rights case includes different circumstances, and the
    consideration of a single factor or other factors outside those enumerated in the statute,
    may dictate the outcome of the best interest analysis. In re Audrey S., 
    182 S.W.3d at 877
    .
    As explained by this Court:
    Ascertaining a child’s best interests . . . does not call for a rote examination
    of each of 
    Tenn. Code Ann. § 36-1-113
    (i)’s nine factors and then a
    determination of whether the sum of the factors tips in favor of or against the
    parent. The relevancy and weight to be given each factor depends on the
    unique facts of each case. Thus, depending upon the circumstances of a
    particular child and a particular parent, the consideration of one factor may
    very well dictate the outcome of the analysis.
    White v. Moody, 
    171 S.W.3d 187
    , 194 (Tenn. Ct. App. 1994).
    In its order terminating Mother’s parental rights, the trial court considered the
    foregoing factors and found that each weighed against Mother. Specifically, the trial court
    found:
    [Mother] has made no adjustment of circumstance, conduct, or
    conditions as to make it safe and in the child’s best interest to return to her
    home. [Mother] continues to struggle with her addiction to alcohol. She
    remains, by her own admission, involved to this day with a man who has
    - 19 -
    physically abused her. Her decisions to continue this unsuitable lifestyle
    prohibits any chance of [Child] returning to her home. T.C.A. § 36-1-
    113(i)(1) and (2). At this time, lasting change on the [Mother’s] part does
    not appear likely or forthcoming.
    Although [Mother] initially resolved the no contact order by providing
    proof of methamphetamine-free drug screens, her visitation privileges were
    short-lived due to her own inappropriate conduct. It is this conduct that has
    proven detrimental to the continuation of the parent/child relationship. The
    Court notes that [Mother] and [Child] had a loving relationship prior to this
    proceeding; however, the relationship has diminished due to the conduct of
    [Mother]. T.C.A. § 36-1-113(i)(3), (4), and (6) . . .
    By [Mother’s] admission, her boyfriend, [Taylor S.], was abusive.
    Their domestic violence incidents resulted in [Taylor S.’s] arrest on more
    than one occasion. The Child has stated that he worried about his [Mother’s]
    safety and well-being due to her relationship with [Taylor S.]. At the time of
    the hearing, [Mother] remains with [Taylor S.], and she has grievously
    neglected her own child. There is nothing about the physical environment of
    [Mother’s] home filled with domestic violence, drug abuse, and alcohol
    abuse that is safe and healthy for the [Child]. T.C.A. § 36-1-113(i)(7) and
    (8).
    [Mother] disclosed that she was schizophrenic and had not taken her
    medication for many years; however, an official diagnosis was never
    confirmed. Nonetheless, [Mother’s] behavior during the custodial episode
    demonstrated that the [Child] was subjected to an unsafe and volatile living
    situation. In fact, she encouraged [Child] to engage in unhealthy and
    improper behavior such as stealing from his former foster parent. T.C.A. §
    36-1-113(i)(8).
    For many of the reasons discussed above, the record supports the trial court’s
    findings. Despite DCS’ efforts, Mother failed to avail herself of the opportunities presented
    to address the issues that made her home unsafe for the Child; rather, she chose to alienate
    every DCS caseworker. As a result of Mother’s behavior and lack of motivation, the
    conditions that required the Child’s removal largely persisted at the time of the hearing on
    the petition to terminate Mother’s parental rights.
    Due to her continued drug use, Mother was unable to exercise consistent visitation
    with the Child. The record indicates that the last time Mother saw the Child was on March
    27, 2019. However, even when Mother had the opportunity for telephone contact with the
    Child, she was often intoxicated and spoke inappropriately. As such, there is no indication
    in the record that there is any genuine bond between Mother and the Child.
    Mother continues to live with her abuser. She continues to live in unsanitary
    conditions, and she continues to abuse alcohol and drugs. Meanwhile, the record indicates
    - 20 -
    that the Child has done well in his foster placement, where his needs are met and he enjoys
    a safe, stable, and loving environment. To remove him from such environment would
    likely cause the Child significant distress. For these reasons and more, we conclude that
    there is clear and convincing evidence to support the trial court’s determination that
    termination of the Mother’s parental rights is in the Child’s best interest.
    VI. Conclusion
    For the foregoing reasons, we affirm the trial court’s order terminating Mother’s
    parental rights to the Child. The case is remanded for such further proceedings as may be
    necessary and are consistent with this opinion. Costs of the appeal are assessed to the
    Appellant, Patsy S. Because Patsy S. is proceeding in forma pauperis in this appeal,
    execution for costs may issue if necessary.
    s/ Kenny Armstrong
    KENNY ARMSTRONG, JUDGE
    - 21 -