In Re Octavia C. ( 2022 )


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  •                                                                                            01/24/2022
    IN THE COURT OF APPEALS OF TENNESSEE
    AT JACKSON
    Assigned on Briefs November 1, 2021
    IN RE OCTAVIA C., ET AL.
    Appeal from the Juvenile Court for Madison County
    No. 59-53260       Christy R. Little, Judge
    ___________________________________
    No. W2021-00575-COA-R3-PT
    ___________________________________
    This appeal involves a petition to terminate parental rights. The juvenile court found by
    clear and convincing evidence that several grounds for termination as to the mother were
    proven: (1) abandonment by failure to support; (2) abandonment by failure to provide a
    suitable home; (3) abandonment by an incarcerated parent for failure to support; (4)
    abandonment by an incarcerated parent for wanton disregard; (5) substantial
    noncompliance with a permanency plan; (6) persistent conditions; (7) severe child abuse;
    and (8) failure to manifest an ability and willingness to care for the children. The juvenile
    court also found that termination was in the best interests of the children. The mother
    appeals. On appeal, the Department of Children’s Services does not defend the grounds of
    abandonment by failure to support and abandonment by failure to establish a suitable home.
    We reverse the juvenile court in part and affirm in part.
    Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Juvenile Court Reversed in
    Part and Affirmed in Part
    CARMA DENNIS MCGEE, J., delivered the opinion of the court, in which D. MICHAEL
    SWINEY, C.J., and FRANK G. CLEMENT, JR., P.J., M.S., joined.
    Alexander D. Camp, Jackson, Tennessee, for the appellant, Betty J. R.
    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.      FACTS & PROCEDURAL HISTORY
    Betty J. R. (“Mother”) is a parent to four children: Octavia, Oz, Odessa, and Onyca.
    The children all have different fathers, apart from Odessa and Onyca, who are twins and
    share a father. This appeal only concerns the termination of Mother’s parental rights as to
    Octavia, Odessa, and Onyca. Oz exited custody through a permanent guardianship with
    his paternal grandmother during the pendency of this case. Additionally, although the
    juvenile court terminated the parental rights of both Mother and the father of the twins,
    only Mother appeals.
    In March 2018, the Department of Children’s Services (“DCS”) became involved
    with the family after receiving a report regarding the children that alleged environmental
    neglect and drug exposure. As a result, child protective services investigator (“CPSI”)
    Bridgett Love-Morgan visited the home to discuss the allegations with Mother. During the
    visit, Mother submitted to a urine drug screen and tested positive for methamphetamine.
    CPSI Morgan also observed that the home was cluttered and in disarray: there were dirty
    clothes and bags of dirty clothes piled on the floors; the home lacked a working washer
    and dryer; the refrigerator was broken; the children ate on the floors due to a lack of chairs
    in the kitchen; the living room contained a couch without cushions; the children were
    sleeping on bare mattresses on the floor; the home lacked running hot water; and a space
    heater was observed running in one of the rooms that contained clutter. Furthermore, one
    of the twins was observed with an untreated burn on her arm, and Octavia had what
    appeared to be a staph infection due to a spider bite. Following this visit, the juvenile court
    entered an emergency protective custody order placing the children in DCS custody on
    March 4, 2018. The juvenile court found that there was probable cause to believe that the
    children were dependent, neglected, or abused based upon the sworn testimony of CPSI
    Morgan concerning drug-exposure and environmental neglect. Thereafter, on March 6,
    2018, DCS filed a petition to adjudicate dependency and neglect, and for temporary
    custody. The children entered foster care.
    In April 2018, the initial permanency plan was developed. After a hearing in June
    2018, the juvenile court ratified the initial permanency plan. The responsibilities relevant
    to Mother were listed as the following:
    1. Obtain legal income and stable housing to provide for the children;
    2. Attend services through the Wo/Men’s Resource and Rape Assistance Program
    (“WRAP”) and follow recommendations;
    3. Submit to hair follicle, urine, and oral drug screens;
    4. Complete a mental health assessment with an alcohol and drug (“A&D”) component
    and follow recommendations; and
    5. Complete parenting classes and follow recommendations. 1
    1
    The permanency plans in the record contain several additional statements in the “Action Step(s)”
    which are obviously not responsibilities of any of the named parents (such as providing services and
    conducting background checks). Therefore, we have referenced only those statements which are actually
    -2-
    Additionally, Mother was responsible for attending visits, providing for her children’s
    basic needs at those visits, and informing DCS or the provider if she was running late or
    cancelling a visit. The goals of this initial permanency plan were to return to parent or exit
    custody with relatives. Mother also signed the DCS form setting forth the criteria and
    procedures for termination of parental rights. On April 10, 2018, the juvenile court entered
    a preliminary hearing order setting a combined preliminary, adjudicatory, and dispositional
    hearing. In addition to the requirements already set forth in the permanency plan, the
    juvenile court ordered Mother to: submit to hair follicle drug testing; submit to a mental
    health assessment with an A&D component; submit to random drug screens; submit to
    homemaker services; submit to in-home services; obtain employment with an income
    sufficient to provide for her needs and the needs of her children; have supervised visits
    with her children; and have no contact with her former paramour. The order also noted
    that Mother was a potential candidate for the new safe baby court (“SBC”) in Madison
    County, and if she agreed to participate, all of her scheduled court hearings and reviews
    would be heard in SBC. Mother agreed to participate and subsequently signed up for SBC.2
    During the month of April, Mother submitted to an oral swab drug screen and a hair follicle
    drug screen, both of which resulted in her testing positive for methamphetamine and
    amphetamine.
    Following Mother’s agreement to participate in SBC, there was a series of SBC
    orders entered over the course of the next few months. Throughout these orders, the
    juvenile court noted Mother’s progress, added new requirements, and reiterated the
    requirements not yet completed. In the first SBC order entered in May 2018, the juvenile
    court noted that Mother did not currently have transportation and a working phone.
    Furthermore, Mother reported that she did not have suitable clothing for herself and that
    her last employment was ten years ago with Waffle House. Mother also reported that she
    received a government check for the twins and supplemented her income with odd jobs.
    The juvenile court ordered Mother to: comply with all DCS services, court-ordered
    services, and SBC services; obtain and maintain employment; obtain and maintain stable
    housing; submit to an A&D assessment and follow all recommendations; submit to hair
    follicle drug screens; have supervised visits with her children; and complete a mental health
    assessment and follow all recommendations. Additionally, the Tennessee Early
    Intervention System (“TEIS”) was to evaluate the twins due to their behaviors, counseling
    or therapy would be sought for Octavia due to her exhibiting self-harming behaviors, and
    DCS was to provide Mother with bus passes to assist with transportation. Many of the
    requirements here overlapped with the requirements already set forth in the preliminary
    hearing order from April 2018.
    the responsibility of Mother.
    2
    The preliminary hearing occurred on March 6, 2018, but the order from that hearing was not
    entered until April 10, 2018. Prior to that order being entered, Mother agreed to participate in SBC on
    March 20, 2018, as evidenced by the first SBC order.
    -3-
    In June 2018, the juvenile court entered an adjudicatory and dispositional hearing
    order. Pursuant to Tennessee Code Annotated sections 37-1-129 and 37-1-130, the
    juvenile court found that DCS carried the burden of proof that the children were dependent
    and neglected and ordered the children to remain in DCS custody. The juvenile court’s
    finding of dependency and neglect was based on the fact that Mother, through her counsel,
    stipulated to illegal drug use and environmental concerns. The juvenile court noted that
    Mother completed her A&D assessment, which recommended that she attend an intensive
    outpatient program (“IOP”). Thereafter, the juvenile court entered another SBC order
    noting that Mother began her IOP classes, but she left half-way through the program and
    missed the remainder of her classes. The juvenile court also noted that Mother had not yet
    obtained employment or housing. The juvenile court stated that Mother’s counsel “sternly
    admonished her client that she need[ed] to find employment and housing and to get ‘busy’
    complying.” The second permanency plan was developed in October 2018 and ratified in
    November 2018. Mother also signed the DCS form setting forth the criteria and procedures
    for termination of parental rights again. Among other things, the second permanency plan
    noted that at the time Mother had steady employment and stable housing, had completed
    services through WRAP, had beds for all of the children, had completed an A&D
    assessment, had completed an IOP with verification of completion, and was currently
    enrolled in parenting classes with two classes left to complete. The second permanency
    plan also noted that the family continued to maintain a bond.
    In November 2018, the juvenile court entered more SBC orders that continued to
    note Mother’s progress, add new requirements, and reiterate the requirements not yet
    completed. The juvenile court noted that Mother was now engaged, had stable housing at
    the time, was having visits with the children, and had produced a negative drug screen on
    July 9, 2018. In a subsequent order, the juvenile court permitted Mother to begin
    unsupervised visitation on the weekends. The juvenile court entered another order which
    noted that Mother had ultimately completed an IOP in August 2018. In December 2018,
    the juvenile court entered an order noting that Mother now had a part-time job but had
    tested positive for methamphetamine on her hair follicle drug screen on September 20,
    2018. As a result, Mother’s unsupervised visitation on the weekends was temporarily
    suspended. However, due to a decrease in levels from the previous hair follicle result in
    April 2018, Mother was given the benefit of the doubt and allowed to resume her
    unsupervised visitation on the weekends.
    In January 2019, Mother obtained a rental home. In February 2019, the children
    began a trial home visit with Mother. Prior to the start of the trial home visit, Mother
    submitted to a urine drug screen and was negative for illegal drugs. In April 2019, DCS
    filed a motion for review raising concerns regarding the trial home visit. A visit was made
    to the home on April 3, 2019, and Mother submitted to a drug screen. Mother’s drug screen
    results were negative; however, there was a faint line for methamphetamine. DCS
    requested an extension of the trial home visit and not a disruption. Therefore, the juvenile
    -4-
    court entered an order extending the visit for forty-five days past the May 1, 2019
    expiration date, which established the new expiration date as June 16, 2019. The juvenile
    court entered a subsequent order noting that Mother had tested positive for
    methamphetamine on April 8, 2019. While the drug screen results were concerning, at the
    time DCS was not willing to disrupt the trial home visit or extend the trial home visit
    expiration date beyond June 16, 2019. On June 5, 2019, Mother submitted to a urine drug
    screen and tested positive for methamphetamine again. Mother submitted to a second urine
    drug screen and tested negative. Afterward, Mother refused to submit to an oral swab drug
    screen. Due to Mother’s drug screen results, the juvenile court ordered that Mother would
    submit to an oral swab drug test and that the children would submit to hair follicle drug
    testing. Mother submitted to her oral swab drug test on June 6, 2019, and the results
    received on June 13, 2019 were positive for amphetamine and methamphetamine. On June
    18, 2019, after Oz, Odessa, and Onyca all tested positive for methamphetamine, the trial
    home visit ended. Thereafter, DCS filed a motion to modify the order for disruption of the
    trial home visit, and a petition to adjudicate dependency, neglect, and severe abuse. After
    a hearing in August 2019, the juvenile court entered an amended adjudicatory and
    dispositional order finding that the four children were dependent and neglected, and that
    Oz, Odessa, and Onyca were victims of severe child abuse perpetrated by Mother.
    In July 2019, the third permanency plan was developed. After a hearing in August
    2019, the juvenile court ratified the third permanency plan. The responsibilities relevant
    to Mother were the following:
    1. Address budgeting and homemaking (cleaning and schedule for the children);
    2. Obtain her driver’s license;
    3. Complete an A&D assessment and attend inpatient treatment for substance use;
    4. Submit to random urine and oral drug screens as well as hair follicle drug screens;
    5. Obtain employment, provide a check stub, and obtain housing;
    6. Continue to receive services through CASA to help with chore/behavioral chart for
    the children, and participate in family counseling; and
    7. Complete services for substance abuse recommended by her psychological
    evaluation with parenting assessment.
    Additionally, the third permanency plan noted that Mother had completed her
    psychological evaluation with a parenting assessment in May 2019, and her parenting
    classes in June 2019. The third permanency plan also noted that Mother was currently
    homeless and living with her sister. A few months later, the fourth permanency plan was
    developed in October 2019. After a hearing in January 2020, the juvenile court ratified the
    fourth permanency plan. The responsibilities relevant to Mother were the following:
    1. Obtain housing and address budgeting and homemaking (cleaning and schedule for
    the children);
    2. Schedule an appointment to receive an A&D assessment due to her admitting not
    -5-
    being able to stay in Jackson treatment program;
    3. Complete mental health assessment due to her reporting being depressed and having
    anxiety issues; and
    4. Comply with hair follicle, urine, and oral drug screens.
    Additionally, the fourth permanency plan noted that visitation had stopped due to Mother’s
    behavior. The fourth permanency plan also noted that Mother was currently homeless and
    living with friends. The goals in this permanency plan were changed to adoption and exit
    custody with relative. In January 2020, Mother was incarcerated after she was charged
    with aggravated burglary. She was not released until March 2020. In April 2020, the fifth
    permanency plan was developed. After a hearing in June 2020, the juvenile court ratified
    the fifth permanency plan. The responsibilities relevant to Mother were the following:
    1. Complete a new A&D assessment to determine what services were needed;
    2. Finish counseling recommended by her mental health assessment;
    3. Submit to a hair follicle drug screen and comply with random urine and oral drug
    screens;
    4. Obtain housing and address budgeting and homemaking (cleaning and schedule for
    the children);
    5. Resolve all of her legal problems and follow any rules that are given after her court
    date; and
    6. Participate in supervised visitation with the children over the phone.
    On April 21, 2020, DCS filed a petition for termination of parental rights on several
    grounds as to Mother: (1) abandonment by failure to visit; (2) abandonment by failure to
    support; (3) abandonment by failure to provide a suitable home; (4) abandonment by an
    incarcerated parent for failure to support; (5) abandonment by an incarcerated parent for
    wanton disregard; (6) substantial noncompliance with a permanency plan; (7) persistent
    conditions; (8) severe child abuse; and (9) failure to manifest ability and willingness to
    assume custody. On June 18, 2020, Oz exited custody through a permanent guardianship
    with his paternal grandmother. On July 8, 2020, the juvenile court entered its order
    awarding permanent guardianship of Oz to his paternal grandmother. Also in July 2020,
    the court-appointed special advocate (“CASA”), Dr. Karen J. Wood, submitted a report
    recommending termination of Mother’s parental rights. In that report, Dr. Wood described
    her observations of Mother’s home during the trial home visit:
    While visiting in the home when the children were still with [Mother],
    it was obvious that the atmosphere in the home was very chaotic. Given this
    family’s history, I think it is safe to assume that chaos has been the rule for
    all the children all their lives. When I say chaotic, I am referring to several
    different aspects of the home. The physical arrangement was cluttered and
    frequently filthy. There would be clothes and trash everywhere; food left in
    dishes, on the table and on the floor. Everyday things typical in most homes
    -6-
    were absent or occurred haphazardly. The three younger children (ages 3
    and 4 at the time) would be the only ones up when I would come to the home
    at 9am. At 11am, they would not have had breakfast. Octavia, then 12,
    would be up half the night playing games on her phone.
    Possibly the most disturbing aspect of the chaos was that nothing
    positive in the home was ever permanent or predictable. The children never
    knew what was expected of them or what to expect from the adults in the
    home in response to their behaviors. Children of all ages need some way to
    make sense of what is going on around them. They need something to bring
    order out of the chaos. In most homes, the adults set the structure, establish
    the expected behaviors, model appropriate behaviors, reinforce the
    child[ren]’s positive behaviors, and correct any inappropriate behaviors. All
    of this was missing in [Mother’s] home.
    Additionally, Dr. Wood stated that Mother was never able to accomplish consistency,
    lacked concern for the children’s overall development, was unable to execute any of the
    plans she developed or follow through on any recommendations given by others, and
    continued to blame “the system” for illegally keeping her children from her. Dr. Wood
    also noted that Octavia had admitted that she did not want to be happy in foster care because
    she was afraid Mother would think she was betraying her. Dr. Wood explained that
    “[a]lthough Octavia has continued to have her struggles during much of this time, she
    finally seems to have found a place where she too is allowed to be a child without the worry
    of caring for her younger siblings or helping her mother try to keep the household together.”
    Thus, Dr. Wood concluded that “[i]t seems to be only fair that these children be allowed to
    get on with their lives and leave [Mother] to deal with her problems and issues without
    further derailing theirs.”
    In September 2020, Mother filed a response to the petition, wherein she issued a
    “blanket denial” as to all of the grounds for termination alleged by DCS. Mother requested
    that the petition be dismissed, that DCS be required to continue working with Mother and
    her children, and that a goal of the permanency plan be amended to return to parent and/or
    exit with a next of kin/relative. The sixth and final permanency plan was developed in
    September 2020 and ratified in October 2020. The responsibilities relevant to Mother
    were the following:
    1. Submit to a new hair follicle drug screen and comply with random urine and oral
    drug screens;
    2. Provide DCS with the recommendations from her new mental health assessment;
    3. Obtain housing and address budgeting and homemaker services for cleaning and
    schedules for the children;
    4. Complete a new A&D assessment;
    5. Set up classes for an IOP;
    -7-
    6. Visit with Oz at the discretion of his foster mother;
    7. Resolve all legal problems and follow any rules that are given after her court date.
    In October 2020, Dr. Wood submitted another report recommending termination of
    Mother’s parental rights. In that report, Dr. Wood stated that “[t]hese three girls[, Octavia,
    Odessa, and Onyca,] deserve the right to get on with their lives without the continued
    interference from random, infrequent, dramatic, and, therefore, devastating contacts with
    their mother.” In January 2021 and March 2021, Dr. Wood again submitted reports
    recommending termination of Mother’s parental rights and reiterating what she stated in
    her previous reports.
    The petition for termination of parental rights was set to be heard in January 2021;
    however, the juvenile court granted Mother’s motion to continue after she received
    ambiguous text messages regarding the cancellation of the hearing. Thereafter, on March
    5, 2021, the juvenile court held trial on the petition for termination of parental rights.
    Mother was not present for the trial. Ms. Tashyra Williams testified as the family service
    worker for DCS in this case. Ms. Williams’s role included addressing issues for the
    permanency of custody and the well-being of the children. Ms. Williams explained that
    the children entered DCS custody for drug exposure after Mother tested positive for
    methamphetamine. However, there were also environmental concerns: clothing and food
    all in the home; problems with the water; a space heater in the home where one of the
    children had burned herself and the burn had not been treated; Octavia had to be treated for
    staph infection; and the children were sleeping on mattresses in the living room.
    Furthermore, the space heater in the cluttered house and a broken-in porch floor at the
    entrance of the home created a hazardous and unsafe environment. Ms. Williams testified
    that the environmental concerns alone would have been enough to remove the children
    because the home was a danger to the children. Ms. Williams concluded that this was
    much more than just bad housekeeping: it was not a good situation.
    Throughout DCS’s involvement with this family, there were a total of six
    permanency plans. In her testimony, Ms. Williams appropriately described the purpose of
    a permanency plan: “It’s the roadmap to get the children home and for us to make sure
    their safety, well-being, and permanency is taken care of.” As a roadmap, the permanency
    plans included requirements that Mother was asked to complete in order to position herself
    as capable of having her children returned to her. Ms. Williams summarized some of
    Mother’s requirements that were ordered by the juvenile court, many of which overlapped
    with the requirements of the permanency plans: submit to a hair follicle drug test; submit
    to a mental health assessment with an A&D component; submit to random drug screens;
    submit to homemaker services; submit to in-home services; obtain employment with
    income sufficient to provide for her needs and the needs of her children; have supervised
    visits with her children; have no contact with her paramour; comply with DCS services,
    court-ordered services, and SBC services; obtain housing and maintain stable housing;
    submit to an A&D assessment and follow recommendations; allow TEIS to evaluate the
    -8-
    twins due to their behaviors; and allow Octavia to seek counseling and therapy due to her
    self-harm and behaviors. She testified that DCS was making reasonable efforts toward a
    permanent and appropriate placement for the children and toward preventing the children
    from continuing in foster care unnecessarily. Among other things, DCS provided for the
    children’s medical, dental, and mental needs, monitored the children’s education and
    daycare needs, provided counseling, offered bus passes to Mother for transportation,
    assisted with Mother’s A&D assessment and her IOP, and helped facilitate visitation.
    As for Mother’s housing situation, Ms. Williams testified that Mother lived in a
    hotel for approximately three months after she was evicted from her home in March 2018.
    At one point, Mother was asked to contact the Care Center for housing assistance.
    However, the Care Center required a negative drug screen, and Mother could not go
    because she admitted that she would test positive for marijuana. Mother was also asked to
    contact the Jackson Housing Authority for housing assistance, but she had an outstanding
    utility bill that prevented her from this option. Mother eventually found housing with her
    new boyfriend who paid all of the bills. In the beginning of his involvement with Mother,
    the boyfriend submitted to a urine screen and tested negative, and participated in some of
    the SBC hearings. Afterward, Ms. Williams testified that DCS was preparing to begin a
    trial home visit, but Mother moved to a hotel again for a month after failing to pay an
    outstanding utility bill. According to Ms. Williams, DCS tried to pay the outstanding utility
    bill, but Mother would not give DCS the bill because it was in her boyfriend’s name. Due
    to Mother’s recurring housing instability, the trial home visit was delayed until February
    2019. Ms. Williams explained that Mother had obtained a rental home in January 2019.
    Ms. Williams testified that the Guardian ad litem went to this home and found it
    appropriate, but it needed some additional furniture. Mother was able to find this needed
    furniture without assistance from DCS. Ms. Williams testified that the home was clean
    and that Mother had beds for the children. Thus, the trial home visit with the children
    began in February 2019.
    Ms. Williams testified that during the trial home visit, DCS received a referral in
    April 2019 for a drug-exposed child, and Mother submitted to a hair follicle drug screen
    and tested positive for methamphetamine. However, Mother had claimed that she used
    methamphetamine prior to the trial home visit and that is why she tested positive, so DCS
    extended her grace. DCS then received another referral in June 2019 for a drug-exposed
    child, the children submitted to hair follicle drug screens, and Mother submitted to an oral
    swab drug screen.        Mother, Oz, Oncya, and Odessa all tested positive for
    methamphetamine. Therefore, the trial home visit ended in June 2019, and Mother was
    later evicted from her rental home because she failed to make the utility payments. Ms.
    Williams testified that Mother had not had a home of her own since then. Ms. Williams
    explained that Mother went to her sister’s home, then to a friend’s home, and she now lived
    in Minnesota with a friend. Ms. Williams testified that she had not had an opportunity to
    video call Mother and scan the home in order to determine if it was appropriate. Ms.
    Williams found out about Mother’s move to Minnesota through one of the foster mothers.
    -9-
    Because Mother’s current home was out of state, Ms. Williams explained that DCS would
    need go through the Interstate Compact for the Placement of Children (“ICPC”) in order
    for someone to go to the home in Minnesota and inspect it. According to Ms. Williams,
    this would not have been completed by the time the trial was held, but Ms. Williams
    admitted that this effort was not made by DCS and that it was not Mother’s fault. Ms.
    Williams also admitted that it was not fair to Mother to move forward without inspecting
    her home in Minnesota to determine whether an adjustment to her circumstance, conduct,
    or conditions had been made. However, Ms. Williams explained that DCS was relieved of
    efforts as far as reunification with Mother after the trial home visit was disrupted, which
    influenced DCS’s decision to not complete the ICPC.
    As for Mother’s employment, Ms. Williams testified that Mother neither provided
    a check stub confirming employment, nor any income or support from her alleged jobs to
    help with her children’s care. Ms. Williams explained that in the three years she had been
    involved with this family, she had not received any confirmation of employment or stable
    income from Mother. According to Ms. Williams, Mother claimed to have worked several
    jobs during DCS’s involvement with the family: a phone sex operator; a receptionist at a
    moving company; an employee with a sitting company; and an employee with a cleaning
    service. At one point, Mother also claimed to have been involved with an online training
    program to become a reservationist. Despite these claims, DCS never received verification
    of Mother’s employment. Ms. Williams testified that Mother did not have transportation,
    so DCS gave her bus passes to seek employment, attend visitation, and participate in her
    IOP. Therefore, Ms. Williams stated that there should not have been any excuse for Mother
    not to seek a job. Although Mother had bus passes, Ms. Williams offered transportation at
    one point in order for Mother to complete certain requirements such as WRAP and hair
    follicle drug screens, but Ms. Williams also continued to give her the opportunity to
    complete these things on her own. Ms. Williams testified that Mother did ultimately obtain
    her Tennessee driver’s license to help with the transportation issue, which was a
    requirement of her permanency plan.
    As for visitation, Ms. Williams testified that Mother attended supervised biweekly
    visitation from March 2018 to February 2019, which was the period between removal and
    the trial home visit. During that period, Mother was allowed to begin unsupervised
    visitation every other weekend in August 2018. Mother’s unsupervised visitation was
    temporarily suspended due to her still testing positive for methamphetamine in September
    2018. However, Mother’s levels had decreased from her last hair follicle drug screen, and
    therefore, she was given the benefit of the doubt and allowed to resume her unsupervised
    visits with the children. After the trial home visit ended in June 2019, Ms. Williams set up
    supervised visits for two months, which Mother failed to attend. Mother then called in
    August 2019 about supervised visits, and Ms. Williams set up those visits for September.
    Ms. Williams testified that Mother attended these, but disruptions occurred at each of the
    three visits. At the first visit, Mother cursed at the staff and blamed them for the children
    reentering DCS custody. At the second visit, Octavia would not sit, was upset with Mother
    - 10 -
    that the children had reentered DCS custody, and got into an argument with Mother that
    led to the visit being stopped. At the third visit, Ms. Williams spoke with Mother about
    her A&D assessment outside, and Mother came back inside upset. Mother told everyone
    she was leaving and told the children not to trust DCS. As a result, Ms. Williams explained
    that a no-contact order was entered in October 2019 until Mother could behave. However,
    Mother was still allowed to contact the children through phone calls. Ms. Williams
    testified that Mother still talked to Octavia and would call the twins’ foster mother from
    time to time to check on the children. Mother also mailed something to the twins in January
    2021. Other than this mail, Ms. Williams testified that Mother had not provided gifts or
    presents to the children since 2019.
    As for Mother’s progress, Ms. Williams testified that Mother completed her first
    A&D assessment and an IOP before the trial home visit. However, after the trial home
    visit, Mother failed to complete her second A&D assessment and attempted a second IOP
    twice but left within twenty-four hours. Therefore, according to Ms. Williams, Mother had
    not really had any treatment for her methamphetamine addiction. Ms. Williams testified
    that Mother repeatedly tested positive for methamphetamine. Mother tested positive for
    methamphetamine on March 4, 2018; April 10, 2018; April 20, 2018; September 20, 2018;
    April 8, 2019; June 5, 2019; and June 6, 2019. Mother produced negative drug screens on
    July 9, 2018 and prior to the start of the trial home visit. Ms. Williams testified that Mother
    completed her WRAP assessment, but she did not qualify for the program because her
    situation was not a current emergency. The WRAP assessment recommended that Mother
    complete counseling for her past PTSD, but she refused to attend the counseling. Ms.
    Williams also testified that Mother completed her mental health assessment, completed her
    parenting classes, and obtained her driver’s license.
    Ms. Williams explained that DCS had difficulty contacting Mother, but Mother was
    eventually able to find a phone that worked and DCS was then able to contact her.
    However, Ms. Williams testified that she still had communication issues with Mother.
    According to Ms. Williams, Mother had expressed an interest in having her children
    returned to her and objected to any filing of termination. Mother further thought it was in
    the best interest of the children for them to be with her. When Ms. Williams disagreed
    with her, Mother responded by cursing Ms. Williams, stating that she did not know what
    she was talking about, and stating that DCS was trying to trap her children. Ms. Williams
    testified that her concerns were that Mother was still using drugs, DCS was not aware of
    Mother having housing, DCS did not know if Mother’s current home was safe and who
    was in any such home, there was uncertainty if Mother was working and if she could care
    for the children, and their only contact with Mother since the filing of the petition for
    termination was by telephone. Furthermore, Ms. Williams was especially concerned about
    placing Octavia back in the home with Mother due to the drug exposure and the potential
    sexual abuse from Mother’s boyfriends. Emphasizing the importance of terminating
    Mother’s parental rights, Ms. Williams concluded that “[w]e’ve been going through this
    for three years and [Mother] has failed to produce a negative drug screen. We’ve had
    - 11 -
    inconsistent housing for three years. It’s just a cycle . . . the kids would be returning to
    custody in Minnesota because she’s living with a friend. It’s not her home.”
    Ms. Williams testified about her observations regarding the children’s behavior. As
    for the twins, it was initially recommended that TEIS evaluate them due to their behaviors.
    At nearly three-years-old, the twins were not communicating, threw tantrums from ten
    minutes to an hour during foster care placements, and could keep the behavior going on for
    hours. Ms. Williams explained that because the twins were beyond the appropriate age for
    the TEIS, DCS contacted their school to inquire about an individualized education program
    (“IEP”) for the twins for pre-kindergarten. However, Mother would not follow through
    with the necessary paperwork so DCS had a difficult time completing the IEP. Mother
    also failed to show up at the school to complete an intake with the twins’ counselor. The
    IEP appointment was rescheduled, Ms. Williams took Mother to the appointment, and one
    of the twins’ appointments was completed. Ms. Williams testified that the twins also had
    problems at school: they would tear things up, throw things, not comply with the teachers’
    directions, and not follow rules. At one point, the twins were suspended from school, and
    DCS took them out of school and sought counseling for them. Ms. Williams stated that on
    another occasion DCS could not get their behaviors under control for a month-and-a-half
    after they saw Mother, and counseling was sought as a result. Onyca was also having
    severe behavior issues where she was sticking things up her nose. DCS had to take Onyca
    to the doctor three times because of this behavior. Ms. Williams testified that the twins
    participated in play therapy. Ms. Williams physically observed a majority of the therapy
    sessions because she transported the twins to most of them. There were still significant
    problems with the twins throwing tantrums during play therapy. The twins would have to
    participate in the sessions together because it would cause problems when they were
    separated, but the play therapy was attempting to do one at a time to develop one-on-one
    skills. Ms. Williams testified that “[w]e started seeing progress with them communicating
    and [the play therapy] stated that a lot of the concerns that they were seeing with the
    tantrums were parenting issues. So building boundaries and sticking to your discipline and
    consequences was what was needed.” Ms. Williams concluded that the twins needed a lot
    of help.
    As for Octavia, Ms. Williams described her as the caregiver for the children as the
    oldest sibling, and for this reason, she had never had the opportunity to be a child. Ms.
    Williams testified that it was recommended Octavia complete counseling for self-harming
    behavior. Ms. Williams explained that Octavia would threaten to harm herself, drink the
    ink out of pens, and was upset about being in foster care. Ms. Williams explained that
    Octavia did not want to be in foster care because she believed the unfortunate remarks
    Mother made about DCS: DCS was against her, DCS was lying, and DCS took her from
    Mother. Ms. Williams testified that Octavia also had mental health issues: she had changes
    in her mood; she was receiving treatment for depression and anxiety; she stated that she
    hears voices that tell her to do things; she threatened to harm her foster mother; she was
    defiant and would not follow any rules; she did not want to do chores and was hard to
    - 12 -
    parent. Moreover, Ms. Williams testified that Octavia was failing in school because she
    was not trying or was not doing her work. However, Ms. Williams testified that Octavia’s
    current foster mother was getting her behaviors under control because Octavia had
    complied with some of the chores that were asked of her.
    Ms. Williams testified that all four children were originally placed in foster care
    with one foster family. After the trial home visit ended, Octavia and Oz were placed
    together in a second foster home, and the twins were placed together in a second foster
    home with their current foster mother. The twins have remained in their foster mother’s
    home since then, and although the problems with their behaviors have continued, the foster
    mother was still willing to keep and adopt the twins. Octavia and Oz remained together in
    their second foster home until May 2020. Octavia then went to live in a third foster home
    and stayed there until August 2020. Afterward, Octavia went to live in a fourth foster home
    and has remained there since then. Ms. Williams testified that the children saw each other
    at least once a month. Ms. Williams explained that Octavia had everyone’s phone number,
    so she was able to contact the foster parents. Ms. Williams testified that she saw the
    children at least twice a month, has personally observed the twins in the foster mother’s
    home, believes it is a safe home, and has seen the twins interact with their foster mother.
    Ms. Williams also testified that the twins’ foster mother wanted to adopt the twins, and she
    believed it would be in the best interest of the children to terminate Mother’s parental rights
    as to the twins and make them eligible for adoption. Ms. Williams explained that the twins
    were stable and bonded there, the foster mother loved them, it would harm them
    psychologically to have to leave, and they were now cooperating in school. When asked
    if the twins express anything about Mother, Ms. Williams testified that they did not. As
    for Octavia, Ms. Williams testified that she was concerned about placing her back in the
    home with Mother because it was overwhelming for Octavia. Ms. Williams explained that,
    although Octavia desired to go back home, she was still afraid that Mother was going to
    have boyfriends there who might sexually abuse her, which had happened in the past. Ms.
    Williams testified that although Octavia had expressed this interest in going home, she was
    conflicted because she was afraid Mother has not changed. Ms. Williams concluded that
    Octavia was stable in her current placement, she was not moving from home to home, and
    she was not afraid of people sexually abusing her there. Ms. Williams testified that this
    would change if Mother’s parental rights were not terminated. Ms. Williams explained
    this was a problem because Octavia then would have hope that she would still get to go
    home and that may not happen.
    The twins’ foster mother testified at trial. At the time of trial, the twins’ foster
    mother had fostered the them for nearly two years. During that period, she had the
    opportunity to speak with Mother from time to time. She explained that the twins’ bad
    behavior was minimal now due to less contact with Mother. She also explained the twins
    were concerned as to why Mother was unhappy and upset when they would speak with
    Mother. She described the twins’ behavior as better and well-adjusted. The twins’ foster
    mother, whom the twins called “Nana,” testified that the twins were part of the family and
    - 13 -
    that she was willing to adopt them.
    On April 20, 2021, the juvenile court entered a final order terminating parental rights
    and a final decree of full guardianship. The juvenile court found by clear and convincing
    evidence that several grounds for termination as to Mother were proven: (1) abandonment
    by failure to support; (2) abandonment by failure to provide a suitable home; (3)
    abandonment by an incarcerated parent for failure to support; (4) abandonment by an
    incarcerated parent for wanton disregard; (5) substantial noncompliance with a
    permanency plan; (6) persistent conditions; (7) severe child abuse; and (8) failure to
    manifest an ability and willingness to care for the children.3 Mother timely filed her notice
    of appeal on May 19, 2021.
    II.     ISSUES PRESENTED
    Mother presents the following issue for review on appeal, which we have slightly
    restated:
    1. Whether the trial court erred when it found that DCS met the burden of proof for
    termination of parental rights by clear and convincing evidence.
    For the following reasons, we reverse the juvenile court in part and affirm in part.
    III.    STANDARDS APPLICABLE TO TERMINATION CASES
    “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.” In re Carrington H., 
    483 S.W.3d 507
    , 521 (Tenn.
    2016). “No civil action carries with it graver consequences than a petition to sever family
    ties irretrievably and forever.” In re Kaliyah S., 
    455 S.W.3d 533
    , 556 (Tenn. 2015).
    Nevertheless, parental rights are not absolute. In re Carrington H., 483 S.W.3d at 522.
    Tennessee Code Annotated section 36-1-113 “sets forth the grounds and procedures
    for terminating the parental rights of a biological parent.” In re Kaliyah S., 455 S.W.3d at
    546. Pursuant to this statute, the petitioner seeking termination of parental rights must
    prove two elements. Id. at 552. First, the petitioner must prove the existence of at least
    one of the statutory grounds for termination set forth in Tennessee Code Annotated section
    36-1-113(g). Id. Second, the petitioner must prove that termination of parental rights is in
    the best interest of the child under the factors set forth in Tennessee Code Annotated section
    36-1-113(i). Id. Due to the constitutional dimension of the rights at stake, the petitioner
    seeking termination must prove both elements by clear and convincing evidence. In re
    3
    Due to the no-contact order against her that prevented her from visiting the children, DCS
    voluntarily dismissed the ground of abandonment by failure to visit as to Mother.
    - 14 -
    Bernard T., 
    319 S.W.3d 586
    , 596 (Tenn. 2010); see 
    Tenn. Code Ann. § 36-1-113
    (c). “Clear
    and convincing evidence enables the fact-finder to form a firm belief or conviction
    regarding the truth of the facts, In re Audrey S., 
    182 S.W.3d 838
    , 861 (Tenn. Ct. App.
    2005), and eliminates any serious or substantial doubt about the correctness of these factual
    findings.” 
    Id.
     (citing In re Valentine, 
    79 S.W.3d 539
    , 546 (Tenn. 2002); State, Dep’t of
    Children’s Servs. v. Mims (In re N.B.), 
    285 S.W.3d 435
    , 447 (Tenn. Ct. App. 2008)).
    Because of this heightened burden of proof applicable in parental termination cases,
    we adapt our customary standard of review on appeal. In re Audrey S., 
    182 S.W.3d at 861
    .
    We review the trial court’s factual findings de novo in accordance with Rule 13(d) of the
    Tennessee Rules of Appellate Procedure, presuming each factual finding to be correct
    unless the evidence preponderates otherwise. In re Carrington H., 483 S.W.3d at 524. We
    then make our own determination regarding “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.” Id. (citing In re Bernard
    T., 
    319 S.W.3d at 596-97
    ). Regarding conclusions of law, “[t]he 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.” 
    Id.
     (citing In
    re M.L.P., 
    281 S.W.3d 387
    , 393 (Tenn. 2009)).
    IV.      DISCUSSION
    A. Grounds for Termination Against Mother
    On appeal, Mother presents the sole issue of whether the trial court erred when it
    found that DCS met the burden for termination of parental rights by clear and convincing
    evidence.4 In accordance with In re Carrington H., we “review the trial court’s findings
    4
    Mother’s brief cursorily addresses the several grounds for termination, providing only two
    sentences under the heading for “Statutory Grounds for Termination.” Mother’s brief is devoid of any
    material discussion as to the grounds for termination. Courts have routinely held that an issue is waived
    where a brief fails to make appropriate references to the record, cite to relevant authority in the argument,
    or, at the very least, fashion an argument. Burton v. Barna, No. M2015-00132-COA-R3-CV, 
    2016 WL 769545
    , at *2 (Tenn. Ct. App. Feb. 26, 2016) (citing Bean v. Bean, 
    40 S.W.3d 52
    , 55 (Tenn. Ct. App.
    2000)). “Tennessee Rule of Appellate Procedure 27(a) requires an appellant’s brief to include an argument
    that sets forth ‘the contentions of the appellant with respect to the issues presented, and the reasons
    therefore, including the reasons why the contentions require appellate relief, with citations to the authorities
    and appropriate references to the record . . . .’” In re Mya V., No. M2016-02401-COA-R3-PT, 
    2017 WL 3209181
    , at *3 (Tenn. Ct. App. July 28, 2017) (quoting Tenn. R. App. P. 27(a)(7)(A)). However, due to
    the exception carved out by the Tennessee Supreme Court, “in an appeal from an order terminating parental
    rights [we] 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.” In re Carrington H., 483 S.W.3d at 525-26. We have stated before that the practice employed by
    Mother’s counsel “stretch[es] the supreme court’s intention [in In re Carrington H.] to its outer limit.” In
    re Mya V., 
    2017 WL 3209181
    , at *3. Lawyers are obligated to act as zealous advocates on behalf of their
    clients, see generally Tenn. Sup. Ct. R. 8, RPC 8(3), and the desire of In re Carrington H. was not to
    - 15 -
    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.” In re
    Carrington H., 483 S.W.3d at 525-26.
    1. Abandonment by Failure to Support
    
    Tenn. Code Ann. §§ 36-1-113
    (g)(1) & 36-1-102(1)(A)(i)
    Pursuant to Tennessee Code Annotated section 36-1-113(g)(1), one ground for
    termination exists if a parent has abandoned his or her child. There are several alternative
    definitions of abandonment, which are set forth in Tennessee Code Annotated section 36-
    1-102(1)(A).
    DCS states that it does not defend the ground of abandonment by failure to support
    pursuant to Tenn. Code. Ann. § 36-1-102(1)(A)(i). We therefore reverse the trial court’s
    finding as to this ground. See In re Colton B., No. M2018-01053-COA-R3-PT, 
    2018 WL 5415921
    , at *6 (Tenn. Ct. App. Oct. 29, 2018) perm. app. denied (Tenn. Jan. 22, 2019)
    (“[W]hen the petitioner who sought termination has conceded on appeal that a ground was
    not sufficiently proven, this Court has, in several cases, reversed the trial court's finding as
    to that ground without reaching the merits of whether the ground was actually
    established.”); In re Zane W., No. E2016-02224-COA-R3-PT, 
    2017 WL 2875924
    , at *7
    (Tenn. Ct. App. July 6, 2017) perm. app. denied (Tenn. Sept. 26, 2017) (reversing a ground
    that DCS “does not defend” and noting that In re Carrington H. “has never been construed
    to require this Court to also consider the grounds sustained by the trial court and thereafter
    conceded or waived by the non-parent on appeal”).
    2. Abandonment by Failure to Provide a Suitable Home
    
    Tenn. Code Ann. §§ 36-1-113
    (g)(1) & 36-1-102(1)(A)(ii)
    DCS also states that it does not defend the ground of abandonment for failure to
    provide a suitable home pursuant to Tenn. Code. Ann. § 36-1-102(1)(A)(ii). We therefore
    reverse the trial court’s finding as to this ground. See In re Colton B., 
    2018 WL 5415921
    ,
    at *6; In re Zane W., 
    2017 WL 2875924
    , at *7.
    3. Abandonment by an Incarcerated Parent
    
    Tenn. Code Ann. §§ 36-1-113
    (g)(1) & 36-1-102(1)(A)(iv)
    sanction any reduction of that obligation. Rather, it was to “advance the important goal of concluding
    parental termination litigation as rapidly as possible ‘consistent with fairness.’” In re Carrington H., 483
    S.W.3d at 525 (citing Lassiter v. Dep’t of Soc. Servs. of Durham Cty., N.C., 
    452 U.S. 18
    , 32 (1981); In re
    D.L.B., 
    118 S.W.3d 360
    , 367 (Tenn. 2003)). Therefore, as we have done in the past, we caution against the
    use of the Tennessee Supreme Court’s holding in this manner. See In re Artemas A., No. W2021-00058-
    COA-R3-PT, 
    2021 WL 4352540
    , at *8 n.7 (Tenn. Ct. App. Sept. 24, 2021); In re Edward R., No. M2019-
    01263-COA-R3-PT, 
    2020 WL 6538819
    , at *6 n.3 (Tenn. Ct. App. Nov. 6, 2020); In re Yariel S., No. E2016-
    00937-COA-R3-PT, 
    2017 WL 65469
    , at *6 (Tenn. Ct. App. Jan. 6, 2017).
    - 16 -
    In addition to the definitions of abandonment already discussed, a third alternative
    definition of abandonment is provided under Tennessee Code Annotated section 36-1-
    102(1)(A) as:
    (iv) A parent . . . is incarcerated at the time of the filing of a proceeding,
    pleading, petition, or amended petition to terminate the parental rights of the
    parent . . . of the child who is the subject of the petition for termination of
    parental rights or adoption, or a parent . . . has been incarcerated during all
    or part of the four (4) consecutive months immediately preceding the filing
    of the action and has:
    (a) Failed to visit, has failed to support, or has failed to make reasonable
    payments toward the support of the child for four (4) consecutive months
    immediately preceding the parent’s or guardian’s incarceration;
    (b) Failed to visit, has failed to support, or has failed to make reasonable
    payments toward the support of the child during an aggregation of the first
    one hundred twenty (120) days of non-incarceration immediately preceding
    the filing of the action; or
    (c) Has engaged in conduct prior to incarceration that exhibits a wanton
    disregard for the welfare of the child[.]
    
    Tenn. Code Ann. § 36-1-102
    (1)(A)(iv)(a)-(c). We have “indicated that the above
    definition ‘contains multiple ways of abandonment for termination of parental rights.’” In
    re Navada N., 
    498 S.W.3d 579
    , 598 (Tenn. Ct. App. 2016) (citing In re Kierra B., No.
    E2012-02539-COA-R3-PT, 
    2014 WL 118504
    , at *8 (Tenn. Ct. App. Jan. 14, 2014)). We
    have explained that incarceration is a condition precedent for this definition of
    abandonment:
    [A]bandonment by an incarcerated parent may only apply where the parent .
    . . “is incarcerated at the time of the institution of an action or proceeding to
    declare a child to be an abandoned child, or the parent . . . has been
    incarcerated during all or part of the four (4) months immediately preceding
    the institution of such action or proceeding.”
    
    Id.
     (citing 
    Tenn. Code Ann. § 36-1-102
    (1)(A)(iv)). “[T]he parent’s incarceration serves
    only as a triggering mechanism that allows the court to take a closer look at the child’s
    situation to determine whether the parental behavior that resulted in incarceration is part of
    a broader pattern of conduct . . . .” In re Audrey S., 
    182 S.W.3d at 866
    . We have further
    explained that while “parental incarceration is a strong indicator that there may be problems
    in the home that threaten the [children’s] welfare,” it “is not an infallible predictor of
    - 17 -
    parental unfitness.” 
    Id.
    Under this definition of abandonment, the juvenile court found that DCS met its
    burden in proving the ground of abandonment by an incarcerated parent both for failure to
    support and for wanton disregard. DCS breaks these two tests into separate grounds in its
    brief on appeal, but alleged them together as one ground in the petition. The juvenile court
    addressed the tests together as one ground under abandonment by an incarcerated parent.
    Out of an abundance of caution, we review the failure to support and wanton disregard as
    separate grounds under this particular definition of abandonment. See In re Navada N.,
    
    498 S.W.3d at
    591 n.8 (“In an abundance of caution, we review each definition of
    abandonment alleged in the petition and found by the trial court.”). The petition, testimony,
    and CASA reports reflected that Mother was arrested and incarcerated for aggravated
    burglary. Mother was arrested and incarcerated in January 2020, and she was released in
    March 2020. The petition for termination was filed on April 21, 2020. Thus, Mother was
    incarcerated during part of the four consecutive months immediately preceding the filing
    of this petition.
    We now review whether Mother failed to support her children for four consecutive
    months immediately preceding her incarceration.               
    Tenn. Code Ann. § 36-1
    -
    102(1)(A)(iv)(a). At the outset of DCS’s involvement with this family, Mother reported
    that her last employment was ten years ago with Waffle House. According to Ms.
    Williams, Mother claimed to have worked several jobs during DCS’s involvement with the
    family: a phone sex operator; a receptionist at a moving company; an employee with a
    sitting company; and an employee with a cleaning service. Despite these claims, DCS
    never received verification of Mother’s employment at any time during its three years of
    involvement with this family. In a CASA report from October 2020, Dr. Wood noted that
    Mother had stated on several occasions that she wanted to start paying child support.
    However, Dr. Wood further noted that there was no record of any payments or any
    arrangements to begin payments. Throughout DCS’s involvement with this family, Mother
    was consistently required and reminded to obtain employment with an income sufficient
    to provide for her needs and her children’s needs. In July 2019, approximately five months
    before the applicable four-month period, the third permanency plan noted that Mother still
    needed to obtain employment and provide a check stub in order to verify her employment.
    Following this reminder, Mother did not report that she had obtained employment until
    around April 2020, which was after her incarceration and after the subject petition was
    filed. Ms. Williams testified that there should not have been any excuse for Mother not to
    seek a job because DCS provided her with bus passes. Ms. Williams testified that, to her
    knowledge, Mother had not provided any income or support from her various alleged jobs
    to help with her children’s care. The juvenile court credited the testimony of Ms. Williams.
    “Because the trial court is able to observe witnesses as they testify, appellate courts afford
    deference to the trial court’s credibility assessments of live, in-court testimony.” Phillips
    v. Hatfield, 
    624 S.W.3d 464
    , 474 (Tenn. 2021) (citing Kelly v. Kelly, 
    445 S.W.3d 685
    , 692
    (Tenn. 2014); Wells v. Tenn. Bd. of Regents, 
    9 S.W.3d 779
    , 783-84 (Tenn. 1999)). Given
    - 18 -
    Ms. Williams’ testimony concerning Mother’s continual failure to obtain employment,
    provide employment verification, and provide income and support for her children, we find
    that Mother failed to support her children. Mother has failed to provide financial support
    for her children since DCS became involved in March 2018, which includes the four
    months immediately preceding her incarceration in January 2020. Therefore, we affirm
    the juvenile court’s finding that DCS met its burden of proof on the ground of abandonment
    by an incarcerated parent for failure to support.
    We now review whether Mother engaged in conduct prior to her incarceration that
    exhibited a wanton disregard for the welfare of the children. 
    Tenn. Code Ann. § 36-1
    -
    102(1)(A)(iv)(c). We have explained that the determination of whether a parent engaged
    in conduct prior to incarceration exhibiting wanton disregard is not limited to the four
    consecutive months immediately preceding the incarceration. See In re Audrey S., 
    182 S.W.3d at 871
     (“If parental conduct which exhibits wanton disregard for the welfare of a
    child can constitutionally form a ground for the termination of parental rights, it would
    appear to be of no moment whether that conduct occurred during the four months
    immediately preceding the parent’s incarceration or at some earlier point in time.”). We
    have also explained the scope of wanton disregard as follows:
    “Wanton disregard” is not a defined term. Acts amounting to wanton
    disregard typically “reflect a ‘me first’ attitude involving the intentional
    performance of illegal or unreasonable acts and indifference to the
    consequences of the actions for the child.” In re Anthony R., No. M2014-
    01753-COA-R3-PT, 
    2015 WL 3611244
    , at *3 (Tenn. Ct. App. June 9, 2015).
    So “probation violations, repeated incarceration, criminal behavior,
    substance abuse, and the failure to provide adequate support or supervision
    for a child can, alone or in combination, constitute conduct that exhibits a
    wanton disregard for the welfare of a child.” In re Audrey S., 
    182 S.W.3d 838
    , 867-68 (Tenn. Ct. App. 2005).
    In re Kaelyn R., No. E2020-01254-COA-R3-PT, 
    2021 WL 3878597
    , at *4 (Tenn. Ct. App.
    Aug. 31, 2021). Not only did Mother engage in criminal behavior that led to her
    incarceration in January 2020, but Mother also repeatedly tested positive for
    methamphetamine. Mother tested positive for methamphetamine on March 4, 2018, April
    10, 2018, April 20, 2018, September 20, 2018, April 8, 2019, June 5, 2019, and June 6,
    2019. Mother’s substance abuse led to three of her children being exposed to and testing
    positive for methamphetamine during the trial home visit. Similar to our holding in In re
    Kaelyn R., we find that there is clear and convincing evidence that supports the juvenile
    court’s finding that Mother’s pre-incarceration conduct exhibited wanton disregard for the
    welfare of her children. Id. at *5. Therefore, we affirm the juvenile court’s finding that
    DCS met its burden of proof on the ground of abandonment for wanton disregard.
    - 19 -
    4. Substantial Noncompliance with a Permanency Plan
    
    Tenn. Code Ann. § 36-1-113
    (g)(2)
    A parent’s rights may be terminated for substantial noncompliance with the
    statement of responsibilities in a permanency plan. 
    Tenn. Code Ann. § 36-1-113
    (g)(2).
    “Tennessee law requires the development of a plan of care for each foster child and further
    requires that the plan include parental responsibilities that are reasonably related to the
    plan’s goal.” In re Jamel H., No. E2014-02539-COA-R3-PT, 
    2015 WL 4197220
    , at *7
    (Tenn. Ct. App. July 13, 2015) (citing 
    Tenn. Code Ann. § 37-2-403
    (a)(2)(A)). To terminate
    a parent’s parental rights under this ground, the parent’s noncompliance with the plan must
    be substantial, and the plan’s requirements must be “reasonable and related to remedying
    the conditions which necessitate[d] foster care placement.” In re Valentine, 
    79 S.W.3d at 547
    . “In the context of the requirements of the permanency plan, the real worth and
    importance of noncompliance should be measured by both the degree of noncompliance
    and the weight assigned to that requirement.” 
    Id. at 548
    . “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.” In re Carrington H., 483
    S.W.3d at 537 (citing In re Valentine, 
    79 S.W.3d at 547
    ).
    There were six permanency plans developed throughout DCS’s involvement with
    this family. We briefly summarize Mother’s requirements from those plans as follows:
    submit to hair follicle, urine, oral drug screens; obtain a stable and safe home; address
    budgeting and homemaking; obtain employment and provide a check stub; attend WRAP
    services and follow recommendations; complete a mental health assessment with an A&D
    component and follow recommendations; complete parenting classes and follow
    recommendations; obtain driver’s license; resolve legal problems and follow any rules that
    are given after her court date; and participate in supervised visitation with the children.
    Given that environmental neglect and drug exposure were the conditions that necessitated
    foster care placement, we find that these requirements were reasonable and related to
    remedying those conditions. In re Valentine, 
    79 S.W.3d at 547
    .
    Foremost, Mother submitted to many of her drug screens, but she repeatedly tested
    positive for methamphetamine. This demonstrated that she failed to remain drug free.
    During the trial home visit, Mother’s substance abuse led to three of her children being
    exposed to and testing positive for methamphetamine. Consequently, Mother failed to care
    for her children without abusing drugs, and her failure to remain drug free caused her
    children to be exposed to the dangers of methamphetamine. Additionally, Mother failed
    to obtain a stable and safe home. Due to Mother’s recurring housing instability, the trial
    home visit was delayed until February 2019. Mother obtained a rental home in January
    2019, but after the trial home visit ended in June 2019, Mother was evicted from her rental
    home for failing to make the utility payments. Ms. Williams testified that Mother had not
    had a home of her own since then. Ms. Williams explained that Mother went to her sister’s
    - 20 -
    home, then to a friend’s home, and lived in Minnesota with a friend at the time of trial. As
    for employment, Ms. Williams testified that Mother provided neither a check stub
    confirming employment nor any income or support from her alleged jobs to help with her
    children’s care. Ms. Williams explained that in the three years she had been involved with
    this family, she had not received any confirmation of employment or stable income from
    Mother. According to Ms. Williams, Mother claimed to have worked several jobs during
    DCS’s involvement with the family: a phone sex operator; a receptionist at a moving
    company; an employee with a sitting company; and an employee with a cleaning service.
    Despite Mother’s claims, DCS never received verification of her employment.
    As for visitation, Ms. Williams testified that Mother attended supervised biweekly
    visitation from March 2018 to February 2019, which was the period between removal and
    the trial home visit. After the trial home visit ended in June 2019, Ms. Williams set up
    supervised visits for two months, which Mother failed to attend. In August 2019, Mother
    called about supervised visits, and Ms. Williams set up those visits for September. Ms.
    Williams testified that Mother attended these, but disruptions occurred at each of the three
    visits. As a result, Ms. Williams explained that a no-contact order was entered in October
    2019 until Mother could behave.
    The third permanency plan noted that Mother had completed a psychological
    evaluation with a parenting assessment in May 2019, and her parenting classes in June
    2019. Ms. Williams testified that Mother ultimately completed her mental health
    assessment, completed her parenting classes, and obtained her driver’s license. Ms.
    Williams also testified that Mother completed her first A&D assessment and an IOP before
    the trial home visit. However, after the trial home visit, Mother failed to complete her
    second A&D assessment and attempted a second IOP twice but left within twenty-four
    hours. Therefore, according to Ms. Williams, Mother had not really had any treatment for
    her methamphetamine addiction. Ms. Williams testified that Mother completed her WRAP
    assessment, but she refused to attend the recommended counseling for her past PTSD.
    Moreover, communication was an issue. Mother obtained a phone which lessened the
    communication difficulty between her and DCS, but Ms. Williams testified that she still
    had communication issues with Mother. Ms. Williams testified that in one instance Mother
    cursed at her, stated that she did not know what she was talking about, and stated that DCS
    was trying to trap the children. In another instance, Mother made disparaging remarks
    about DCS to Octavia: DCS was against her, DCS was lying, and DCS took her from
    Mother. Furthermore, Mother was arrested and incarcerated in January 2020 for
    aggravated burglary.
    Although Mother completed some of the things required of her, Mother failed to
    remain drug free, exposed her children to methamphetamine, failed to obtain a stable and
    safe home, failed to obtain and maintain employment, and failed to provide verification of
    her employment. Additionally, Mother failed to complete her second A&D assessment
    and a second IOP, refused to participate in counseling for her PTSD, was difficult to
    - 21 -
    communicate with, was disruptive at visitations, and incurred criminal charges for
    aggravated burglary. On several occasions, DCS gave Mother the benefit of the doubt,
    extended her grace, and allowed her to have second chances to comply with the
    requirements. Given the degree of Mother’s noncompliance and the weight of these
    requirements, we find that Mother’s noncompliance was substantial. Therefore, we affirm
    the juvenile court’s finding that DCS met its burden on the ground of substantial
    noncompliance with the permanency plan.
    5. Persistent Conditions
    
    Tenn. Code Ann. § 36-1-113
    (g)(3)
    The fourth ground for termination at issue on appeal is commonly known as
    “persistent conditions.” This ground for termination applies when:
    (3)(A) The child has been removed from the home or the physical or legal
    custody of a parent . . . 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 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 .
    ..;
    (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 . . . in the near future;
    and
    (iii) The continuation of the parent . . . 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[.]
    
    Tenn. Code Ann. § 36-1-113
    (g)(3). Each element must be proven by clear and convincing
    evidence. In re Valentine, 
    79 S.W.3d at 550
    . This Court has stated that this ground applies
    “when, by court order, a ‘child has been removed from the home or the physical or legal
    custody of a parent . . . for a period of six (6) months’ as a result of a dependency and
    neglect petition.” In re Boston G., No. M2019-00393-COA-R3-PT, 
    2020 WL 2070399
    , at
    *6 (Tenn. Ct. App. Apr. 29, 2020); see also In re D.V., No. E2018-01438-COA-R3-PT,
    
    2019 WL 1058264
    , at *5 (Tenn. Ct. App. Mar. 6, 2019) (“The child must have been
    - 22 -
    removed from the home or the physical or legal custody of a parent/guardian for a period
    of six (6) months by a court order entered following a petition alleging that the child is a
    dependent and neglected child.”).
    The children were initially removed from Mother’s custody on March 4, 2018,
    pursuant to the juvenile court’s emergency protective custody order placing the children in
    DCS custody, finding probable cause that the children were dependent, neglected, or
    abused based upon the sworn testimony of CPSI Morgan concerning drug-exposure and
    environmental neglect. Thereafter, on March 6, 2018, DCS filed a petition to adjudicate
    dependency and neglect, and for temporary custody. In June 2018, the juvenile court
    entered an adjudicatory and dispositional hearing order. Pursuant to Tennessee Code
    Annotated sections 37-1-129 and 37-1-130, the juvenile court found that DCS carried the
    burden of proof that the children were dependent and neglected, and ordered the children
    to remain in DCS custody. The juvenile court’s finding of dependency and neglect was
    based upon the fact that Mother, through her counsel, stipulated to illegal drug use and
    environmental concerns. In February 2019, the children began a trial home visit with
    Mother. On June 18, 2019, after Oz, Odessa, and Onyca all tested positive for
    methamphetamine, the trial home visit ended. DCS filed a petition for termination of
    parental rights on April 21, 2020.
    Mother failed to remedy the conditions that led to the removal of her children. See
    
    Tenn. Code Ann. § 36-1-113
    (g)(3)(A)(i). Mother failed to address her substance abuse.
    Mother repeatedly tested positive for methamphetamine. During the trial home visit,
    Mother’s substance abuse led to three of her children being exposed to and testing positive
    for methamphetamine. Ms. Williams testified that Mother completed her first A&D
    assessment and her IOP before the trial home visit. However, after the trial home visit,
    Mother failed to complete her second A&D assessment, and attempted a second IOP twice,
    but left each time within twenty-four hours. Therefore, according to Ms. Williams, Mother
    had not really had any treatment for her methamphetamine addiction. Additionally, Mother
    failed to address her housing. The children were removed from Mother’s home in March
    2018 due to environmental concerns that posed a danger to the children. Due to Mother’s
    recurring housing instability afterward, the trial home visit was delayed until February
    2019. After the trial home visit ended in June 2019, Mother was evicted from her rental
    home for failing to make the utility payments. Ms. Williams testified that Mother had not
    had a home of her own since then. Ms. Williams explained that Mother went to her sister’s
    home, then to a friend’s home, and she now lived in Minnesota with a friend. Before the
    filing of the petition on April 21, 2020, Mother had more than two years to remedy these
    conditions. Nearly a year later, on March 5, 2021, the juvenile court held a trial on the
    petition for termination of parental rights, and the suitability of Mother’s housing still
    remained unaddressed. Thus, we find that 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. See 
    Tenn. Code Ann. § 36-1-113
    (g)(3)(A)(ii).
    - 23 -
    Furthermore, continuing Mother’s relationship with the children would greatly
    diminish their chances of early integration into a safe, stable, and permanent home. See
    
    Tenn. Code Ann. § 36-1-113
    (g)(3)(A)(iii). When the twins came into DCS custody, they
    exhibited problematic behavior. Ms. Williams testified that the twins also had problems at
    school. At one point, the twins were suspended from school, and DCS took them out of
    school and sought counseling for them. Ms. Williams stated that on another occasion DCS
    could not get their behaviors under control for a month-and-a-half, and counseling was
    sought as a result. Specifically, Onyca was having severe behavior issues where she was
    sticking things up her nose. After the twins participated in play therapy, Ms. Williams
    testified that they had made noticeable progress with their behaviors. Ms. Williams
    concluded that the twins needed a lot of help. Ms. Williams explained that the twins were
    now stable and have bonded with their foster mother, their foster mother loved them, it
    would harm them psychologically to have to leave, and they were now cooperating in
    school. As for Octavia, Dr. Wood noted that Octavia had admitted that she did not want
    to be happy in foster care because she was afraid Mother would think she was betraying
    her. Ms. Williams testified that she was concerned about placing Octavia back in the home
    with Mother because it was overwhelming for Octavia. Ms. Williams explained that
    Octavia desired to go back home, but she was still afraid that Mother was going to have
    boyfriends there and that she might be sexually abused since that had occurred in the past.
    Ms. Williams testified that although Octavia had expressed this interest in going home, she
    was conflicted because she was afraid Mother has not changed. Ms. Williams concluded
    that Octavia was stable in her current placement, she was not moving from home to home,
    and she was not afraid of people sexually abusing her. Ms. Williams testified that that
    would change without termination, because Octavia would have hope that she would still
    get to go home and that may not happen. Dr. Wood reported that Octavia “finally seems
    to have found a place where she too is allowed to be a child without the worry of caring
    for her younger siblings or helping her mother try to keep the household together.” Dr.
    Wood stated that Mother failed to set the structure, establish the expected behaviors, model
    appropriate behaviors, reinforce the children’s positive behaviors, and correct any
    inappropriate behaviors. According to Dr. Wood, chaos had been the rule for all of the
    children for all of their lives. Moreover, Mother was unable to consistently provide
    housing for the children, let alone for herself, throughout DCS’s involvement. For these
    reasons, we find that continuing the parent-child relationship would greatly diminish the
    children’s chances of early integration into a safe, stable, and permanent home.
    This Court has explained that a trial home visit does not return custody to the parent,
    but only temporary, physical custody. See In re A.R., No. W2008-00558-COA-R3-PT,
    
    2008 WL 4613576
    , at *16 (Tenn. Ct. App. Oct. 13, 2008) (holding that the trial home visit
    did not return custody of the child to the mother). The juvenile court clarified this in the
    order terminating parental rights stating that it found in actuality there had only been one
    custodial episode for the children. DCS inadvertently stated that there had been two
    custodial episodes because of the trial home visit. Even if that was not the case, we would
    still find that the children were removed from Mother’s custody for a period of six months
    - 24 -
    accruing on or before the first date the termination of parental rights petition was set to be
    heard. 
    Tenn. Code Ann. § 36-1-113
    (g)(3)(B). As such, we affirm the juvenile court’s
    finding that DCS met its burden on the ground of persistent conditions.
    6. Severe Child Abuse
    
    Tenn. Code Ann. §§ 36-1-113
    (g)(4) & 37-1-102(b)(27)
    A parent’s rights may be terminated when “[t]he parent . . . has been found to have
    committed severe child abuse, as defined § 37-1-102, under any prior order of a court or is
    found by the court hearing the petition to terminate parental rights . . . to have committed
    severe child abuse against any child.” 
    Tenn. Code Ann. § 36-1-113
    (g)(4). In January
    2021, the juvenile court entered an order finding that Octavia, Oz, Odessa, and Onyca
    suffered from abuse and/or neglect. The juvenile court also found that Oz, Odessa, and
    Onyca were victims of severe child abuse, as defined by Tennessee Code Annotated section
    37-1-102(b)(27), perpetrated by Mother due to methamphetamine exposure. As this Court
    has explained, “a trial court may rely on a prior court order finding severe child abuse and
    is not required to re-litigate the issue of severe abuse during the termination trial.” In re
    Alexis S., No. M2018-00296-COA-R3-PT, 
    2018 WL 6267180
    , at *10 (Tenn. Ct. App. Nov.
    30, 2018); see In re Samaria S., 
    347 S.W.3d 188
    , 201 (Tenn. Ct. App. 2011); State, Dep’t
    of Children’s Servs. v. M.S., No. M2003-01670-COA-R3-CV, 
    2005 WL 549141
    , at *10
    (Tenn. Ct. App. Mar. 8, 2005). Therefore, we affirm the juvenile court’s finding that DCS
    met its burden of proof on the ground of severe child abuse.
    7. Failure to Manifest an Ability & Willingness to Care for the Children
    
    Tenn. Code Ann. § 36-1-113
    (g)(14)
    A ground for termination exists when “[a] parent . . . has failed to manifest, by act
    or omission, an ability and willingness to personally assume legal and physical custody or
    financial responsibility of the child, and placing the child in the person’s legal and physical
    custody would pose a risk of substantial harm to the physical or psychological welfare of
    the child[.]” 
    Tenn. Code Ann. § 36-1-113
    (g)(14). Under this statutory ground, there are
    two elements necessary to prove. In re Neveah M., 
    614 S.W.3d 659
    , 674 (Tenn. 2020).
    The first element “places a conjunctive obligation on a parent . . . to manifest an ability and
    willingness to personally assume legal and physical custody or financial responsibility for
    the child.” Id. at 677. Accordingly, “clear and convincing proof that a parent . . . has failed
    to manifest either ability or willingness” satisfies the first element of this ground. Id.
    (adopting In re Amynn K., No. E2017-01866-COA-R3-PT, 
    2018 WL 3058280
    , at *13
    (Tenn. Ct. App. June 20, 2018)). A parent’s ability to assume custody or financial
    responsibility is evaluated based “on the parent’s lifestyle and circumstances.” In re Zaylee
    W., No. M2019-00342-COA-R3-PT, 
    2020 WL 1808614
    , at *5 (Tenn. Ct. App. Apr. 9,
    2020) (citing In re Ayden S., 
    2018 WL 2447044
    , at *7). It is common for parents to state
    that they are willing to assume custody or financial responsibility for their children.
    However, as we have explained, “[w]hen evaluating willingness, we look for more than
    - 25 -
    mere words.” In re Jonathan M., No. E2018-00484-COA-R3-PT, 
    2018 WL 5310750
    , at
    *5 (Tenn. Ct. App. Oct. 26, 2018). The second element requires the petitioner to establish
    that “placing the child in the [parent’s] legal and physical custody would pose a risk of
    substantial harm to the physical or psychological welfare of the child[.]” 
    Tenn. Code Ann. § 36-1-113
    (g)(14); see In re Neveah M., 614 S.W.3d at 677.
    Mother’s children were placed in DCS custody in March 2018. After three years,
    Mother did not yet have the ability to assume custody at the time of trial. Mother did not
    have a suitable home of her own at the time of trial, and had not had a home of her own
    since she was evicted from her rental home in June 2019. Mother had ample time, but she
    failed to establish a safe, stable, and drug-free home and failed to address her substance
    abuse. Moreover, Mother demonstrated that she was unable to financially support her
    children by failing to obtain employment and provide verification of that employment
    throughout DCS’s involvement with this family. While Mother thought it was in the best
    interest of the children for them to be with her, Mother failed to demonstrate through her
    actions that she was willing to assume custody or financial responsibility for the children.
    Furthermore, the record demonstrates that placing the children in Mother’s custody
    would pose a risk of substantial harm to the physical or psychological welfare of the
    children. According to Ms. Williams, Mother had not really had any treatment for her
    methamphetamine addiction. Mother’s substance abuse was an ongoing issue throughout
    DCS’s involvement, and one that led to three of her children being exposed to
    methamphetamine. Ms. Williams testified that the twins had made noticeable progress
    with their behaviors since being removed from Mother’s custody. The twins’ foster mother
    explained that the twins’ behavioral issues were minimal now due to their having less
    contact with Mother. She described the twins’ behavior as better and well-adjusted. Ms.
    Williams testified that she was concerned about placing Octavia back in the home with
    Mother because it was overwhelming for Octavia. Ms. Williams explained that Octavia
    was conflicted in her desire to go back home because she was still afraid that Mother was
    going to have boyfriends there and that she might be subjected to sexual abuse again. Ms.
    Williams concluded that Octavia was stable in her current placement. According to Ms.
    Williams, placing the children back in the home with Mother would be returning them to
    a “cycle” of what they had previously been through. Moreover, from her observations
    during the trial home visit, Dr. Wood stated that Mother failed to set the structure, establish
    the expected behaviors, model appropriate behaviors, reinforce the children’s positive
    behaviors, and correct any inappropriate behaviors. Dr. Wood opined that chaos had been
    the rule for all of the children for all of their lives. Octavia finally had a chance to be a
    child, and was not burdened with caring for her younger siblings or helping Mother try to
    keep the household together. For these reasons, we agree that returning the children to
    Mother would pose a substantial risk to the welfare of the children.
    Therefore, we affirm the juvenile court’s finding that DCS met its burden of proof
    on the ground of failure to manifest an ability and willingness to assume legal and physical
    - 26 -
    custody or financial responsibility of the children.
    B. Best Interests of the Children
    We now review whether termination of Mother’s parental rights was in the best
    interests of the children. This Court “must consider nine statutory factors listed in
    Tennessee Code Annotated § 36-1-113(i).” In re Gabriella D., 
    531 S.W.3d 662
    , 681
    (Tenn. 2017). “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.” In re Audrey S., 
    182 S.W.3d at 878
    . We view the children’s best interests from
    the children’s perspective rather than the parent’s perspective. 
    Id.
     Finally, we “must
    consider all of the statutory factors, as well as any other relevant proof any party offers.”
    In re Gabriella D., 531 S.W.3d at 682. However, “a finding on each factor is not required.”
    In re Kaylene J., No. E2019-02122-COA-R3-PT, 
    2021 WL 2135954
    , at *18 (Tenn. Ct.
    App. May 26, 2021); see In re Matthew T., No. M2015-00486-COA-R2-PT, 
    2016 WL 1621076
    , at *16 (Tenn. Ct. App. April 20, 2016) (citing In re Dominique L.H., 
    393 S.W.3d 710
    , 719 (Tenn. Ct. App. 2012)).
    The first statutory factor is whether Mother “has made such an adjustment of
    circumstance, conduct, or conditions as to make it safe and in the child[ren]’s best interest
    to be in the home of the parent or guardian[.]” 
    Tenn. Code Ann. § 36-1-113
    (i)(1). At the
    time of trial, Mother did not have a home and was staying with a friend in Minnesota.
    Mother failed to address her substance abuse issue by failing to complete her second A&D
    assessment and a second IOP after she exposed the children to methamphetamine during
    the trial home visit, and by repeatedly using methamphetamine since the children entered
    DCS custody in March 2018. We find that this factor weighs in favor of termination.
    The second statutory factor is whether Mother “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[.]” 
    Tenn. Code Ann. § 36-1-113
    (i)(2). From the children’s removal in March 2018 until trial held in March
    2021, Mother had three years to effect a lasting adjustment. Mother repeatedly tested
    positive for methamphetamine, exposed her children to methamphetamine, failed to obtain
    appropriate housing, and failed to obtain employment and provide verification of that
    employment. Mother also failed to complete her second A&D assessment and a second
    IOP, and refused to attend the recommended counseling for her past PTSD. These issues
    remain after DCS had made reasonable efforts to assist Mother in making a lasting
    adjustment. DCS gave Mother multiple opportunities to comply with the requirements.
    DCS also provided for the children’s medical, dental, and mental needs, monitored the
    children’s education and daycare needs, provided counseling, offered bus passes to Mother
    for transportation, assisted with Mother’s A&D assessment and her IOP, and helped
    facilitate visitation. As such, we find that this factor weighs in favor of termination.
    - 27 -
    The third statutory factor is whether Mother “has maintained regular visitation or
    other contact with the child[ren.]” 
    Tenn. Code Ann. § 36-1-113
    (i)(3). Ms. Williams
    testified that Mother attended supervised biweekly visitation from March 2018 to February
    2019, which was the period between removal and the trial home visit. After the trial home
    visit ended in June 2019 due to Mother’s drug use, Ms. Williams set up supervised visits
    for two months, which Mother failed to attend. Mother then called in August 2019 about
    supervised visits, and Ms. Williams set up those visits for September. Although Mother
    attended these, disruptions occurred at each of the three visits. As a result, a no-contact
    order was entered in October 2019 until Mother could behave. However, Mother was still
    allowed to contact the children through phone calls. The proof showed that Mother had
    not participated in in-person visitation since October 2019 due to her own behavior, and
    she only contacted her children by phone from time to time afterward. Therefore, we find
    that this factor weighs in favor of termination.
    The fourth statutory factor is “[w]hether a meaningful relationship has otherwise
    been established between [Mother] and the child[ren.]” 
    Tenn. Code Ann. § 36-1-113
    (i)(4).
    Ms. Williams testified that although Octavia had expressed interest in going home, she was
    conflicted because she was afraid Mother has not changed. Ms. Williams testified that the
    twins do not express anything about Mother. Dr. Wood stated that Mother failed to give
    the children structure in their lives, and that the children never knew what was expected of
    them. Dr. Wood also noted that Octavia had admitted that she did not want to be happy in
    foster care because she was afraid Mother would think she was betraying her. Dr. Wood
    stated that Mother lacked concern for the children’s overall development. We find that the
    record evinces a lack of a meaningful relationship between Mother and her children.
    Therefore, we find that this factor weighs in favor of termination.
    The fifth statutory factor is “[t]he effect a change of caretakers and physical
    environment is likely to have on the child[ren]’s emotional, psychological and medical
    condition[.]” 
    Tenn. Code Ann. § 36-1-113
    (i)(5). Ms. Williams explained that the twins
    were stable and bonded with their foster mother, their foster mother loved them, and it
    would harm them psychologically to have to leave. The twins’ foster mother explained
    that the twins’ behavioral issues were minimal now and that the twins were part of the
    family. As for Octavia, Ms. Williams testified that she was concerned about placing
    Octavia back in the home with Mother because it was overwhelming for Octavia, and there
    were concerns about exposure to sexual abuse. Ms. Williams testified that although
    Octavia had expressed this interest in going home, she was conflicted because of Mother’s
    conduct. Ms. Williams concluded that Octavia was stable in her current placement, she
    was not moving from home to home, and she was not afraid of people sexually abusing
    her. Ms. Williams testified that that would change without termination, because Octavia
    would have hope that she would still get to go home and that may not happen. Therefore,
    we find that this factor weighs in favor of termination.
    - 28 -
    The sixth statutory factor is “[w]hether the parent . . . , or other person residing with
    the parent . . . , has shown brutality, physical, sexual, emotional or psychological abuse, or
    neglect toward the child[ren], or another child or adult in the family or household[.]” 
    Tenn. Code Ann. § 36-1-113
    (i)(6). As explained in the ground on severe child abuse, Mother’s
    substance abuse led to three of her children being exposed to and testing positive for
    methamphetamine during the trial home visit. Additionally, DCS became involved with
    this family in March 2018 because of drug-exposure and environmental neglect. Ms.
    Williams also testified that Octavia had been sexually abused in the past by one of Mother’s
    boyfriends. We find that this factor weighs in favor of termination.
    The seventh statutory factor is “[w]hether the physical environment of [Mother’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[ren] in a safe and stable
    manner[.]” 
    Tenn. Code Ann. § 36-1-113
    (i)(7). As we have previously discussed, Mother
    does not currently have a home of her own, and has not had a home of her own since June
    2019. After June 2019, Mother went to her sister’s home, then to a friend’s home, and she
    now lived in Minnesota with a friend. Additionally, Mother failed to address her substance
    abuse issue, an issue that previously led to three of her children being exposed to
    methamphetamine. Therefore, we find that this factor weighs in favor of termination.
    The eighth statutory factor is whether Mother’s “mental and/or emotional status
    would be detrimental to the child[ren] or prevent [Mother] from effectively providing safe
    and stable care and supervision for the child[ren .]” 
    Tenn. Code Ann. § 36-1-113
    (i)(8).
    Mother completed both her mental health and WRAP assessments. Mother also completed
    her psychological evaluation with a parenting assessment in May 2019. However, Mother
    did not complete her recommended counseling for PTSD because she refused to attend.
    Mother failed to attend counseling and address her mental health, and therefore, we find
    that this factor weighs in favor of termination.
    The ninth statutory factor is whether Mother “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)(9). Mother claimed to hold various jobs during the pendency of
    this case. Dr. Wood noted that Mother had stated on several occasions that she wanted to
    start paying child support. However, there was no record of any payments or any
    arrangements to begin payments. Mother failed to provide any income or support since
    the children entered DCS custody in March 2018. Mother was aware of her obligation to
    support her children and the consequences of not doing so, as she signed the DCS form
    setting forth the criteria and procedures for termination of parental rights. Mother was
    consistently required and reminded to obtain employment with an income sufficient to
    provide for her needs and her children’s needs. Therefore, we find that this factor weighs
    in favor of termination.
    - 29 -
    We conclude by clear and convincing evidence that termination of Mother’s
    parental rights is in the best interest of the children.
    V.     CONCLUSION
    For the aforementioned reasons, we reverse the finding that DCS proved by clear
    and convincing evidence that Mother’s parental rights should be terminated due to
    abandonment by failure to support and abandonment by failure to provide a suitable home,
    but we affirm the ultimate termination of Mother’s parental rights. Costs of this appeal are
    taxed to the appellant, Betty J. R., for which execution may issue if necessary.
    _________________________________
    CARMA DENNIS MCGEE, JUDGE
    - 30 -