In Re Stephen H. ( 2022 )


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  •                                                                                                           12/22/2022
    IN THE COURT OF APPEALS OF TENNESSEE
    AT NASHVILLE
    Assigned on Briefs October 3, 2022
    IN RE STEPHEN H. ET AL.
    Appeal from the Juvenile Court for Macon County
    No. 2021-JV-108          Ken Witcher, Judge
    ___________________________________
    No. M2022-00674-COA-R3-PT
    ___________________________________
    In this case involving termination of the father’s parental rights to his children, the trial
    court found that several statutory grounds for termination had been proven by clear and
    convincing evidence. The trial court further found that clear and convincing evidence
    demonstrated that termination of the father’s parental rights was in the children’s best
    interest. The father has appealed. Having determined that clear and convincing evidence
    did not support the trial court’s finding of the statutory abandonment ground of failure to
    support, we reverse the trial court’s judgment with respect to this ground. We affirm the
    trial court’s judgment in all other respects, including the termination of the father’s parental
    rights.
    Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Juvenile Court
    Affirmed in Part, Reversed in Part; Case Remanded
    THOMAS R. FRIERSON, II, J., delivered the opinion of the court, in which ARNOLD B.
    GOLDIN and JEFFREY USMAN, JJ., joined.
    Jacquelyn M. Scott, Carthage, Tennessee, for the appellant, Stephen H., Sr.
    Jonathan Skrmetti, Attorney General and Reporter, and Carrie Perras, Assistant Attorney
    General, for the appellee, Tennessee Department of Children’s Services.
    OPINION
    On September 8, 2021, the Tennessee Department of Children’s Services (“DCS”)
    filed in the Macon County Juvenile Court (“trial court”) a petition seeking to terminate the
    parental rights of Stephen H., Sr. (“Father”), the legal father of Stephen H., Jr. (“Stephen”);
    Aiden H.; and William H. (collectively, “the Children”).1 Stephen was born in September
    1
    In the same petition, DCS also sought to terminate the parental rights of Brooks H., the putative father of
    Stephen H., Jr. However, Brooks H.’s parental rights were not adjudicated during the trial of the present
    2010, William was born in August 2011, and Aiden was born in July 2012. The mother of
    the Children, Kristen P. (“Mother”), surrendered her parental rights to the Children on July
    8, 2021, and is not a party to this appeal.
    The Children have been in DCS custody since January 29, 2020, when DCS filed a
    petition to declare the Children dependent and neglected. In its dependency and neglect
    petition, DCS indicated that it had received a referral containing an allegation of
    “environmental neglect” on January 9, 2020. As a result, Rebecca Medeiros, a case worker
    with DCS, interviewed the Children, who reported to her that their home was “messy” and
    infested with “lots and lots of bugs.” Aiden also reported domestic violence between
    Father and Mother, while Stephen and William reported insufficient food in the home. On
    January 14, 2020, Ms. Medeiros inspected the home and discovered a disarrayed, odorous
    home, in part due to the more than ten cats and one dog residing there and an overflowing
    litterbox in the Children’s bedroom. According to Ms. Medeiros, there were “copious
    amounts of debris on the floor,” a broken window, a hole in the wall, and a hole that opened
    up into the attic. Furthermore, at least two of the boys exhibited severe behavioral issues.
    On August 7, 2020, the trial court adjudicated the Children dependent and neglected due
    to “inappropriate lack of housing at time of removal.”
    DCS’s filing of the dependency and neglect petition in January 2020 was not the
    first instance of state intervention for the family. Testimony presented at trial revealed that
    the Children had been removed from Mother’s custody in 2016 when the family was
    residing in Oklahoma due to Mother’s mental health issues. At that time, Father had been
    residing in Tennessee. The Children were returned to Mother’s custody in 2017, and they
    moved back to Tennessee. DCS subsequently became involved with the family in August
    2018 after receiving a referral concerning physical abuse by Father’s wife.2 During DCS’s
    involvement with the family from August 2018 to June 2019, DCS received other referrals
    alleging lack of supervision, physical abuse, and environmental neglect. Significant
    financial issues also became apparent during DCS’s involvement with the family during
    this timeframe. After arranging in-home social services to assist Mother and Father with
    parenting concerns and the Children with behavioral issues, DCS closed its case until it
    became involved again in January 2020. According to Ms. Medeiros, it had become clear
    that the family could not sustain itself without DCS’s assistance.
    In its termination petition, DCS alleged the following grounds: (1) abandonment
    by failure to support, (2) abandonment by failure to establish a suitable home, (3)
    substantial non-compliance with the permanency plans, (4) persistence of the conditions
    case, and he is not a party to this appeal. We will focus solely on the termination of Father’s parental rights
    in this Opinion.
    2
    The trial testimony related to Father’s wife refers to someone other than Mother.
    -2-
    leading to the Children’s removal, and (5) failure to manifest an ability and willingness to
    assume legal and physical custody of or financial responsibility for the Children.
    Following a bench trial conducted on April 4, 2022, the trial court entered a
    judgment on May 16, 2022, finding that DCS had proven each of the alleged grounds by
    clear and convincing evidence and that termination of Father’s parental rights was in the
    Children’s best interest. The court accordingly terminated Father’s parental rights to the
    Children. Father timely appealed.
    II. Issues Presented
    Father presents the following issues for this Court’s review, which we have restated
    slightly as follows:
    1.     Whether the trial court erred by finding that DCS had presented clear
    and convincing evidence to support statutory grounds for termination
    of Father’s parental rights to the Children.
    2.     Whether the trial court erred by finding clear and convincing evidence
    that termination of Father’s parental rights was in the Children’s best
    interest.
    III. Standard of Review
    In a termination of parental rights case, this Court has a duty to determine “whether
    the trial court’s findings, made under a clear and convincing standard, are supported by a
    preponderance of the evidence.” In re F.R.R., III, 
    193 S.W.3d 528
    , 530 (Tenn. 2006). The
    trial court’s findings of fact are reviewed de novo upon the record, accompanied by a
    presumption of correctness unless the evidence preponderates against those findings. See
    Tenn. R. App. P. 13(d); see also In re Carrington H., 
    483 S.W.3d 507
    , 523-24 (Tenn.
    2016); In re F.R.R., III, 
    193 S.W.3d at 530
    . Questions of law, however, are reviewed de
    novo with no presumption of correctness. See In re Carrington H., 483 S.W.3d at 524
    (citing In re M.L.P., 
    281 S.W.3d 387
    , 393 (Tenn. 2009)). The trial court’s determinations
    regarding witness credibility are entitled to great weight on appeal and shall not be
    disturbed absent clear and convincing evidence to the contrary. See Jones v. Garrett, 
    92 S.W.3d 835
    , 838 (Tenn. 2002).
    “Parents have a fundamental constitutional interest in the care and custody of their
    children under both the United States and Tennessee constitutions.” Keisling v. Keisling,
    
    92 S.W.3d 374
    , 378 (Tenn. 2002). It is well established, however, that “this right is not
    absolute and parental rights may be terminated if there is clear and convincing evidence
    justifying such termination under the applicable statute.” In re Drinnon, 
    776 S.W.2d 96
    ,
    -3-
    97 (Tenn. Ct. App. 1988) (citing Santosky v. Kramer, 
    455 U.S. 745
     (1982)). As our
    Supreme Court has explained:
    The parental rights at stake are “far more precious than any property right.”
    Santosky [v. Kramer], 455 U.S. [745,] 758-59 [(1982)]. Termination of
    parental rights has the legal effect of reducing the parent to the role of a
    complete stranger and of [“]severing forever all legal rights and obligations
    of the parent or guardian of the child.” 
    Tenn. Code Ann. § 36-1-113
    (l)(1);
    see also Santosky, 
    455 U.S. at 759
     (recognizing that a decision terminating
    parental rights is “final and irrevocable”). In light of the interests and
    consequences at stake, parents are constitutionally entitled to “fundamentally
    fair procedures” in termination proceedings. Santosky, 
    455 U.S. at 754
    ; see
    also Lassiter v. Dep’t of Soc. Servs. of Durham Cnty, N.C., 
    452 U.S. 18
    , 27
    (1981) (discussing the due process right of parents to fundamentally fair
    procedures).
    Among the constitutionally mandated “fundamentally fair
    procedures” is a heightened standard of proof—clear and convincing
    evidence. Santosky, 
    455 U.S. at 769
    . This standard minimizes the risk of
    unnecessary or erroneous governmental interference with fundamental
    parental rights. Id.; In re Bernard T., 
    319 S.W.3d 586
    , 596 (Tenn. 2010).
    “Clear and convincing evidence enables the fact-finder to form a firm belief
    or conviction regarding the truth of the facts, and eliminates any serious or
    substantial doubt about the correctness of these factual findings.” In re
    Bernard T. 
    319 S.W.3d at 596
     (citations omitted). The clear-and-
    convincing-evidence standard ensures that the facts are established as highly
    probable, rather than as simply more probable than not. In re Audrey S., 
    182 S.W.3d 838
    , 861 (Tenn. Ct. App. 2005); In re M.A.R., 
    183 S.W.3d 652
    , 660
    (Tenn. Ct. App. 2005).
    ***
    In light of the heightened burden of proof in termination proceedings,
    however, the reviewing court must make its own determination as to whether
    the facts, either as found by the trial court or as supported by a preponderance
    of the evidence, amount to clear and convincing evidence of the elements
    necessary to terminate parental rights. In re Bernard T., 
    319 S.W.3d at
    596-
    97.
    In re Carrington H., 483 S.W.3d at 522-24. “[P]ersons seeking to terminate [parental]
    rights must prove all the elements of their case by clear and convincing evidence,”
    including statutory grounds and the best interest of the child. See In re Bernard T., 
    319 S.W.3d 586
    , 596 (Tenn. 2010).
    -4-
    IV. Statutory Grounds for Termination of Father’s Parental Rights
    Tennessee Code Annotated § 36-1-113 (Supp. 2022) lists the statutory requirements
    for termination of parental rights, providing in relevant part:
    (a)     The chancery and circuit courts shall have concurrent jurisdiction with
    the juvenile court to terminate parental or guardianship rights to a
    child in a separate proceeding, or as a part of the adoption proceeding
    by utilizing any grounds for termination of parental or guardianship
    rights permitted in this part or in title 37, chapter 1, part 1 and title 37,
    chapter 2, part 4.
    ***
    (c)      Termination of parental or guardianship rights must be based upon:
    (1)    A finding by the court by clear and convincing evidence that
    the grounds for termination of parental or guardianship rights
    have been established; and
    (2)    That termination of the parent’s or guardian’s rights is in the
    best interests of the child.
    In its final judgment, the trial court found that clear and convincing evidence supported the
    following grounds for termination: (1) abandonment by failure to support, pursuant to
    Tennessee Code Annotated § 36-1-113(g)(1) and § 36-1-102(1)(A)(i); (2) abandonment by
    failure to establish a suitable home, pursuant to Tennessee Code Annotated § 36-1-
    113(g)(1) and § 36-1-102(1)(A)(ii); (3) substantial noncompliance with the permanency
    plans, pursuant to Tennessee Code Annotated § 36-1-113(g)(2); (4) persistence of the
    conditions leading to the Children’s removal, pursuant to Tennessee Code Annotated § 36-
    1-113(g)(3); and (5) failure to manifest an ability and willingness to assume legal and
    physical custody of or financial responsibility for the Children, pursuant to Tennessee Code
    Annotated § 36-1-113(g)(14). We will address each respective ground found by the trial
    court in turn.
    A. Statutory Abandonment
    Concerning statutory abandonment, Tennessee Code Annotated § 36-1-113(g)(1)
    (Supp. 2022) provides as relevant to this action:
    (g)      Initiation of termination of parental or guardianship rights may be
    based upon any of the grounds listed in this subsection (g). The
    -5-
    following grounds are cumulative and nonexclusive, so that listing
    conditions, acts or omissions in one ground does not prevent them
    from coming within another ground:
    (1)   Abandonment by the parent or guardian, as defined in § 36-1-
    102, has occurred[.]
    Tennessee Code Annotated § 36-1-102(1)(A) (Supp. 2022) provides the following
    definitions of abandonment as pertinent here:
    For purposes of terminating the parental or guardian rights of a parent or
    parents or a guardian or guardians of a child to that child in order to make
    that child available for adoption, “abandonment” means that:
    (i)          For a period of four (4) consecutive months
    immediately preceding the filing of a proceeding,
    pleading, petition, or any amended petition to terminate
    the parental rights of the parent or parents or the
    guardian or guardians of the child who is the subject of
    the petition for termination of parental rights or
    adoption, that the parent or parents or the guardian or
    guardians either have failed to visit or have failed to
    support or have failed to make reasonable payments
    toward the support of the child;
    (ii)   (a)   The child has been removed from the home or the
    physical or legal custody of a parent or parents or
    guardian or guardians by a court order at any stage of
    proceedings in which a petition has been filed in the
    juvenile court alleging that a child is a dependent and
    neglected child, and the child was placed in the custody
    of the department or a licensed child-placing agency;
    (b)   The juvenile court found, or the court where the
    termination of parental rights petition is filed finds, that
    the department or a licensed child-placing agency made
    reasonable efforts to prevent removal of the child or that
    the circumstances of the child’s situation prevented
    reasonable efforts from being made prior to the child’s
    removal; and
    (c)   For a period of four (4) months following the physical
    removal, the department or agency made reasonable
    -6-
    efforts to assist the parent or parents or the guardian or
    guardians to establish a suitable home for the child, but
    that the parent or parents or the guardian or guardians
    have not made reciprocal reasonable efforts to provide
    a suitable home and have demonstrated a lack of
    concern for the child to such a degree that it appears
    unlikely that they will be able to provide a suitable home
    for the child at an early date. The efforts of the
    department or agency to assist a parent or guardian in
    establishing a suitable home for the child shall be found
    to be reasonable if such efforts equal or exceed the
    efforts of the parent or guardian toward the same goal,
    when the parent or guardian is aware that the child is in
    the custody of the department[.]
    1. Abandonment by Failure to Support
    The trial court determined that Father had abandoned the Children by failing to
    support or make reasonable payments toward the Children’s support during the four-month
    statutory period, which it properly found began on May 7, 2021, and concluded on
    September 7, 2021 (“Determinative Period”). See In re Jacob C.H., No. E2013-00587-
    COA-R3-PT, 
    2014 WL 689085
    , at *6 (Tenn. Ct. App. Feb. 20, 2014) (concluding that the
    applicable four-month statutory period preceding filing of the termination petition ends on
    the day preceding filing). The court specifically found that Father had made only one
    payment of $25.00 toward the Children’s support during the Determinative Period and that
    this payment constituted mere “token” support. The court also found that Father had not
    provided any kind of support in the form of clothing or food for the Children.
    We first note that although the trial court found that Father made only one payment
    of $25.00 toward the support of the Children, DCS states in its appellate brief that Father
    paid $25.00 per child, amounting to a total payment of $75.00. DCS cites to child support
    records that were presented as evidence as a collective exhibit. We will accept DCS’s
    position that Father paid $75.00 in support of the Children during the Determinative Period,
    rather than one $25.00 payment.3
    On appeal, Father posits that he was unable to provide financial support to the
    Children due to his “limited resources,” which he had been allocating for the items needed
    to complete the requirements of his permanency plans such as home repairs and new
    furniture. DCS contends that Father has waived this issue by failing to file an answer to
    the termination petition and failing to raise the affirmative defense of lack of willfulness
    during trial. Father argues “that he does not believe [DCS] presented sufficient evidence
    3
    On February 27, 2020, the trial court ordered Father to pay $25.00 per child per month in child support.
    -7-
    that he was actually capable of earning an amount sufficient to cover all the expenses
    required of him by his permanency plan.”
    We agree with DCS that Father has attempted to raise the affirmative defense of
    lack of willfulness for the first time on appeal and to erroneously assign to DCS the burden
    of proving his willfulness. The statutory provision explaining the affirmative defense of
    lack of willfulness provides:
    (I)    For purposes of this subdivision (1), it shall be a defense to
    abandonment for failure to visit or failure to support that a parent or
    guardian’s failure to visit or support was not willful. The parent or
    guardian shall bear the burden of proof that the failure to visit or
    support was not willful. Such defense must be established by a
    preponderance of evidence. The absence of willfulness is an
    affirmative defense pursuant to Rule 8.03 of the Tennessee Rules of
    Civil Procedure[.]
    T.C.A. § 36-1-102(1)(I) (Supp. 2022). Thus, Father bore the burden of raising and proving
    the affirmative defense of lack of willfulness in his pleadings and during trial. Father failed
    to file an answer to the termination petition or raise the affirmative defense during trial and
    therefore has waived any attempt on appeal to argue the affirmative defense. See In re
    L.F., No. M2020-01663-COA-R3-PT, 
    2021 WL 3782130
    , at *7 (Tenn. Ct. App. Aug. 26,
    2021) (reaffirming that a party waives an affirmative defense if he or she does not include
    the defense in an answer or responsive pleading and does not raise the defense at trial)
    (internal citations omitted).
    Despite Father’s waiver of the defense, DCS maintained the burden to prove that
    Father’s payment of $75.00 during the Determinative Period constituted a token amount.
    See In re Lauren F., No. W2020-01732-COA-R3-PT, 
    2021 WL 5234712
    , at *10 (Tenn.
    Ct. App. Nov. 10, 2021) (noting that the burden remained on the petitioners to prove that
    the father’s payments constituted token support). As this Court has previously noted,
    “token support” and “willfulness” are related but distinct concepts. See In re Josiah T.,
    No. E2019-00043-COA-R3-PT, 
    2019 WL 4862197
    , at *7 n.6 (Tenn. Ct. App. Oct. 2,
    2019). Although petitioning parties such as DCS no longer bear the burden of proving that
    the respondent parent “willfully” failed to provide support, the petitioner must still present
    evidence of the parent’s means when alleging that the support provided was merely
    “token.”
    According to the statute, “‘token support’ means that the support, under the
    circumstances of the individual case, is insignificant given the parent’s means.” 
    Tenn. Code Ann. § 36-1-102
     (1)(B) (Supp. 2022) (emphasis added). A parent’s means includes
    “both income and available resources for the payment of debt.” In re Adoption of Angela
    E., 
    402 S.W.3d 636
    , 641 (Tenn. 2013)). Furthermore, “[d]etermining a parent’s available
    -8-
    income and expenses is crucial for determining whether support is ‘token.’” In re Madison
    J., No. M2019-01188-COA-R3-PT, 
    2020 WL 4279791
    , at *7 (Tenn. Ct. App. July 24,
    2020).
    During trial, DCS presented some evidence of Father’s income. Specifically, DCS
    presented a pay stub, dated July 23, 2021, reflecting payment of $326.16 to Father for one
    week of work at Royal Appliance Manufacturing Company. Arielle White, the DCS foster
    care worker assigned to this family’s case, testified that Father had been employed with
    Amazon at one point during the pendency of DCS’s involvement with the family.
    However, Ms. White did not indicate whether Father was employed with Amazon during
    the Determinative Period or what amount he earned while at Amazon. Ms. White also
    testified that Father was “between jobs” during the summer of 2021, which included a
    portion of the Determinative Period. Ms. White further indicated that Father may have
    been working for a lawn care company at some point, but she provided no specifics. In
    addition, Ms. White testified that Father had received two stimulus checks from the federal
    government and that he had purchased a $2,000.00 Camaro in approximately March 2021.
    DCS presented no evidence related to Father’s expenses during the Determinative
    Period. This Court has previously explained the importance of a parent’s expenses in
    determining a parent’s means, stating:
    Previously our Supreme Court has found that a petitioner who did not
    provide sufficient evidence of respondent’s income and expenses failed to
    prove by clear and convincing evidence that the respondent paid only token
    support when he paid thirty-four percent of the total amount owed. In re
    Adoption of Angela E., 402 S.W. at 641. “[I]n Angela E., the issue was . . .
    whether biological father could have paid more, given his means. Biological
    father’s expenses were, therefore, highly relevant to that determination.” In
    re Jamie G., No. M2014-01310-COA-R3-PT, 
    2015 WL 3456437
    , at *15
    (Tenn. Ct. App. M.S., May 29, 2015). In determining a parent’s overall
    expenses, this court has previously considered the parent’s expenses for rent,
    insurance, utility bills, groceries, household items, the costs of supervised
    visitation if applicable, and the cost of transportation to get to and from visits.
    In re Alysia S., 
    460 S.W.3d 536
     (Tenn. Ct. App. 2014).
    In re L.J., No. E2014-02042-COA-R3-PT, 
    2015 WL 5121111
    , at *6 (Tenn. Ct. App. Aug.
    31, 2015) (reversing the trial court’s finding of abandonment by failure to support due to
    insufficient evidence of the mother’s expenses and this Court’s consequent inability to
    determine whether the mother’s two payments of $64.61 during the four-month statutory
    period, less than 25% of the child support owed, were insignificant given her means). DCS
    did not present evidence of any of the above-listed examples of expenses. Yet, the
    permanency plans indicate that Mother and Father maintained “outstanding debts which
    cause[d] financial concerns” at the time of the Children’s removal, and the evidence
    -9-
    presented throughout trial reflected Father’s continuing struggle to pay rent and avoid
    eviction.
    Although much of the testimony revolved around Father’s housing issues, DCS
    elicited no testimony regarding the cost of Father’s rent during the Determinative Period.
    While we acknowledge that a $75.00 child support payment is meager compared to the
    purchase of a $2,000.00 Camaro, Father’s purchase of this vehicle was outside the
    Determinative Period. Three payments of $25.00 “may well have amounted to merely
    token support, but it is difficult to substantiate such a conclusion without some evidence of
    the amount of [Father’s] income and expenses.” See In re Steven W., No. M2018-00154-
    COA-R3-PT, 
    2018 WL 6264107
    , at *13 (Tenn. Ct. App. Nov. 28, 2018). Inasmuch as
    DCS failed to present evidence of Father’s living expenses during the Determinative
    Period, we cannot conclude that Father’s $75.00 contribution constituted token support and
    consequently reverse this statutory ground for termination.
    2. Abandonment by Failure to Establish a Suitable Home
    The trial court also determined that clear and convincing evidence supported the
    statutory ground of abandonment by failure to establish a suitable home. In its order, the
    court specifically found that (1) DCS had filed a dependency and neglect petition in the
    trial court, (2) the court had adjudicated the Children dependent and neglected, and (3) the
    Children were placed in DCS custody. The court further determined that DCS, as
    established by previous orders, had made reasonable efforts to prevent the removal of the
    Children or that the circumstances of their situation prevented reasonable efforts from
    being made prior to their removal. The court also found that during the four-month period
    following the Children’s removal, DCS had made reasonable efforts to assist Father in
    establishing a suitable home but that Father had not made reciprocal reasonable efforts.
    The court concluded that Father had demonstrated a lack of concern for the Children such
    that it appeared unlikely that he would be able to provide a suitable home for the Children
    at an early date. Upon careful review, we conclude that the evidence presented during trial
    supports the trial court’s findings.
    Concerning the first element outlined in subsection (ii)(a), the Children were
    removed from Father’s custody after DCS filed a dependency and neglect petition on
    January 29, 2020. The trial court subsequently entered an adjudicatory and dispositional
    order, in which it found the Children to be dependent and neglected by reason of
    “inappropriate lack of housing.” The court found that the family home was in disarray,
    that a strong odor was present in the house due to the numerous animals, and that a litter
    box was overflowing with feces in the Children’s bedroom. The family also struggled
    financially and was on the verge of eviction. Furthermore, Stephen and Aiden exhibited
    severe behavioral issues, and Aiden had been diagnosed with “Severe ADHD” (attention
    deficit hyperactivity disorder).
    - 10 -
    With respect to the second element outlined in subsection (ii)(b), the trial court
    found in its January 29, 2020 protective custody order that DCS had made reasonable
    efforts to prevent the removal of the Children, and the court incorporated by reference an
    affidavit of reasonable efforts made by Ms. Medeiros. In her affidavit, Ms. Medeiros
    related that DCS previously had worked with the family from August 2018 until June 2019
    and that during this period DCS had located mental health providers for the family and
    provided items to assist the family in meeting their basic needs. She also stated that DCS
    provided in-home social services to the family such as “Youth Villages” and “System of
    Care Across Tennessee.” Ms. Medeiros explained in her trial testimony that “Youth
    Villages” was an in-home program designed to address the Children’s behavioral issues
    and help Father “cope” with these issues and that System of Care Across Tennessee was a
    similar, longer-term service, intended to assist the Children at school and the parents at
    home.
    In June 2019, DCS closed its case with the family after setting these social services
    in place to assist Father and Mother. Ms. Medeiros further testified that Mother attempted
    to end these services shortly thereafter and that Father and Mother did not give the Children
    their medication for ADHD as prescribed. Subsequently, in January 2020, the Children
    informed Ms. Medeiros that their home was “messy” and infested with “lots and lots of
    bugs.” Aiden reported that Mother and Father engaged in both verbal and physical
    altercations. Moreover, Stephen and William reported to her that “there was not much food
    in the home.” Consequently, DCS re-initiated its involvement with the family. According
    to Ms. Medeiros, it had become clear that the family could not sustain itself without DCS’s
    assistance. Therefore, based on the above-referenced exhibits and Ms. Medeiros’s trial
    testimony, we agree with the trial court in its finding that DCS made reasonable efforts to
    prevent the Children’s removal from Father’s custody. We therefore conclude that the trial
    court properly determined that DCS proved by clear and convincing evidence the elements
    contained within subsections (a) and (b) of the statute.
    Father, however, contests the trial court’s findings related to subsection (c),
    contending that DCS did not make reasonable efforts to assist him in establishing a suitable
    home during the four months following the Children’s removal. The evidence presented
    during trial belies Father’s assertion. Concerning “reasonable efforts,” this Court has
    previously explained:
    Reasonable efforts is a fact intensive inquiry and must be examined on a
    case-by-case basis. State v. Puryear, [No. W2004-02878-COA-R3-PT,]
    
    2005 WL 735038
    , *9 (Tenn. Ct. App. Mar. 30, 2005). “Reasonable efforts”
    as defined by the legislature is “the exercise of reasonable care and diligence
    by the department to provide services related to meeting the needs of the
    child and the family.” Tennessee Code Annotated section 37-1-166(g)(1)
    (2003). However, the burden of family reunification does not lie entirely
    with DCS as reunification is a “two-way street.” State Dept. of Children’s
    - 11 -
    Services v. Belder, [No. W2003-02888-COA-R3-PT,] 
    2004 WL 1553561
    , *9
    (Tenn. Ct. App. July 9, 2004).
    In re C.L.M., No. M2005-00696-COA-R3-PT, 
    2005 WL 2051285
    , at *9 (Tenn. Ct. App.
    Aug. 25, 2005)
    With respect to the “four (4) months following the physical removal,” the trial court
    considered the four months immediately after removal, January 30, 2020 to May 30, 2020.4
    During the four-month period after the Children’s removal from Father’s custody, DCS
    developed the first of four permanency plans on February 4, 2020, delineating the
    requirements for Father to regain custody of the Children. These requirements included
    completing a “Psychological/Parenting assessment” and following the resultant
    recommendations. Ms. White testified that she had referred Father to a mental health
    provider for a mental health and parenting assessment after he and Mother were evicted
    and had moved in with Father’s mother in Lafayette. When Mother and Father relocated
    to a rental house in Watertown in March 2020, Ms. White discussed with them mental
    health services that could be provided closer to their new home in Watertown. Father,
    however, insisted on finding a mental health provider through his own health insurance.
    According to her affidavit of reasonable efforts, entered into evidence as an exhibit,
    Ms. White conducted a Child and Family Team Meeting with Father and Mother on
    February 4, 2020, and transported Father and Mother to a supervised visit with the Children
    on February 5, 2020. DCS set up a weekly video conference call between Father and
    Mother and the Children. Ms. White facilitated at least one other Child and Family Team
    Meeting during this period, and she joined a video conference meeting with the Children’s
    school staff and Father to discuss the Children’s “Individualized Education Program.” Ms.
    White also visited the Watertown home on March 10, 2020, for a safety assessment and
    determined that it was spacious and clean but completely lacked furniture. During the visit,
    Ms. White specified what Father needed to accomplish in terms of his mental health
    treatment.
    4
    We note:
    “[T]he proof necessary to support termination under this ground need not be limited to any
    particular four-month period after removal. As long as the proof relates to ‘a period of four
    (4) months following the removal, . . . the ground may be established.’” In re Jakob O.,
    No. M2016-00391-COA-R3-PT, 
    2016 WL 7243674
    , at *13 (Tenn. Ct. App. Dec. 15, 2016)
    (quoting 
    Tenn. Code Ann. § 36-1-102
    (1)(A)(ii)). Thus, our inquiry is not limited “to a
    period of four months immediately following the [child’s] removal.” 
    Id.
    In re Joseph D., No. M2021-01537-COA-R3-PT, 
    2022 WL 16848167
    , at *13 (Tenn. Ct. App. Nov. 10,
    2022). Nevertheless, we will consider the four months immediately following the Children’s removal
    inasmuch as this is the period that the trial court considered.
    - 12 -
    With respect to Father’s “reciprocal reasonable efforts,” we recognize that Father
    secured a large, clean house by the end of the four-month period. However, we cannot
    determine that Father’s lease of a clean house was equal to or exceeded the efforts made
    by DCS. See T.C.A. § 36-1-102(1)(A)(ii)(c) (“The efforts of the department or agency to
    assist a parent or guardian in establishing a suitable home for the child shall be found to be
    reasonable if such efforts equal or exceed the efforts of the parent or guardian toward the
    same goal . . . .”). By the end of the four-month period on May 30, 2020, Ms. White
    concluded that Father had not established a suitable home for the Children. The home
    lacked beds and bedding for the Children and “mental health and parenting concerns”
    remained unresolved.
    Ms. White testified that DCS’s concerns with the family had included bugs in the
    home, untreated mental health issues for the parents and the Children, and domestic
    violence between the parents. Nevertheless, according to Ms. White, Father did not
    complete a mental health assessment or parenting assessment until June 2020. As a result
    of the mental health assessment, Father was diagnosed with “adjustment disorder with
    depressed mood.” Father was recommended to undergo “intensive outpatient services”
    three times per week. In addition, Ms. White reported at trial that Father had stated that he
    had issues with anger and had in the past experienced “suicidal ideations.” Despite these
    concerns, thirteen offered intensive outpatient appointments, and twenty-six attempts by
    the health care provider to re-schedule, Father did not begin to seriously address his mental
    health issues with therapy until November 2021, months after the termination petition had
    been filed. Furthermore, Ms. White testified that Father had shown no sense of urgency in
    making adjustments and that he did not contact DCS to report changes in his residence or
    the addition of roommates.
    On appeal, Father posits that “the only issue at the time of removal which needed
    remedying was the lack of an appropriate house,” dismissing any need on his part to address
    DCS’s concerns regarding his mental health and parenting. This Court previously has
    elucidated the meaning of “suitable home,” stating:
    We do not agree with Mother that matters related to counseling and
    assessments have no bearing on the suitability of the home, as that concept
    is contemplated in 
    Tenn. Code Ann. § 36-1-102
    (1)(A)(ii). While there is, of
    course, a physical element to the concept of a “suitable home,” the problems
    and conditions for which the various assessment and counseling efforts were
    conducted address matters which make the home environment suitable for
    raising children and which keep them from becoming dependent and
    neglected. A well-built, fully furnished home does not a “suitable home”
    make; neither is a home which may lack some comforts or conveniences
    unsuitable for that reason alone. The failure of Mother and Father to
    cooperate with DCS and to comply with the requirements of the various
    - 13 -
    counseling services was directly related to the establishment and
    maintenance of a suitable home.
    In re M.F.O., No. M2008-01322-COA-R3-PT, 
    2009 WL 1456319
    , at *5 (Tenn. Ct. App.
    May 21, 2009) (emphasis added). This Court has explicitly held that a parent’s “failure to
    address mental health issues can also lead to a finding that the parent has failed to establish
    a suitable home.” In re Ashanti P., No. M2021-00039-COA-R3-PT, 
    2021 WL 5549590
    ,
    at *11 (Tenn. Ct. App. Nov. 29, 2021). Therefore, Father was not only required to provide
    a suitable dwelling but also a “safe and stable environment” in which the Children could
    live with “the presence of a care giver who can supply the care and attention” the Children
    need. See In re James V., No. M2016-01575-COA-R3-PT, 
    2017 WL 2365010
    , at *5 (Tenn.
    Ct. App. May 31, 2017) (quoting In re Malaki E., No. M2014-01182-COA-R3-PT, 
    2015 WL 1384652
    , at *9 (Tenn. Ct. App. Mar. 23, 2015)).
    Furthermore, although the trial court declared the Children dependent and neglected
    due to “inappropriate lack of housing,” its findings in both the protective custody order and
    the order adjudicating the Children dependent and neglected reflected problems in the
    home that extended beyond the physical space itself. In its protective custody order, the
    court incorporated by reference Ms. Medeiros’s affidavit, which reflected persistent
    parenting and behavioral issues to the extent that DCS had to involve two different in-home
    assistance programs to help Father “cope” with the Children’s severe behavioral issues.
    Ms. Medeiros also listed in her affidavit specific services and accomplishments necessary
    for the Children’s return to Father’s custody. These goals included Father’s completing a
    psychological and clinical parenting assessment and following all of the recommendations
    from the psychological and clinical service providers.
    In addition, in its order adjudicating the Children dependent and neglected, the trial
    court made unsupervised visitation with Father contingent on DCS’s and the guardian ad
    litem’s receipt of Father’s mental health and counseling records. In sum, Father’s mental
    health and manner of coping with the Children’s behavioral issues was an aspect that
    rendered the home environment unsuitable at the outset. Notwithstanding Father’s failure
    to timely address his mental health issues, Father also did not provide an appropriate
    physical space for the Children inasmuch as the Watertown rental home lacked beds and
    bedding for the Children.
    The evidence also supports the trial court’s finding that Father had demonstrated a
    lack of concern for the Children to such a degree that it appeared unlikely that he would be
    able to provide a suitable home for the Children at an early date. When considering this
    element of the statutory abandonment ground, we may consider Father’s more recent
    actions. See In re Billy T.W., No. E2016-02298-COA-R3-PT, 
    2017 WL 4317656
    , at *9
    (Tenn. Ct. App. Sept. 27, 2017). By the time of trial, Father still had not established a
    suitable home for the Children and was living with his new girlfriend in a rental house in
    Sparta. Ms. White conducted a walk-through inspection of the home and discovered water
    - 14 -
    leaks, lighting issues, exposed wires, and a strong pet odor similar to that present in the
    family home at the time of the Children’s removal. Additionally, in December 2020, Father
    was housing ten animals again. The number of pets and the manner in which they were
    maintained in the original family home were contributing factors to the Children’s removal
    from Father’s custody. Ms. White returned to the Sparta house for an unannounced visit
    in March 2022 but was prohibited by Father from entering the house because puppies had
    recently “destroyed the home.”5 According to Ms. White, Father claimed that he and his
    girlfriend were “puppy-sitting.” Ms. White also witnessed several animals in the windows
    and on the porch.
    Mr. White further stated that Father never produced requested documentation
    indicating that his name was on the lease or registered with the utility company for the
    Sparta house. In addition, DCS requested biographical information of Father’s girlfriend
    in August 2021 in order to conduct a necessary background check but still had not received
    the requisite information at the time of trial. Furthermore, as previously noted, Father had
    just begun consistent counseling for his mental health issues in November 2021. On March
    8, 2022, Father informed Ms. White that he was in a “deep, dark place” and had recently
    suffered a mental breakdown.
    Father’s lack of urgency with respect to securing a suitable physical environment
    and addressing his mental health issues reflects a lack of concern for regaining custody of
    the Children. Thus, it was unlikely at the time of trial that Father could provide the
    Children with a suitable home at an early date. We agree with the trial court that clear and
    convincing evidence established that Father had failed to provide the Children with a
    suitable home despite reasonable efforts by DCS to assist him. We affirm the trial court’s
    finding of this statutory ground for termination of Father’s parental rights.
    B. Substantial Noncompliance with Permanency Plans
    The trial court likewise found clear and convincing evidence supporting the ground
    of substantial noncompliance with the reasonable requirements of the permanency plans
    developed by DCS. Tennessee Code Annotated § 36-1-113(g)(2) (Supp. 2022) provides
    as a ground for termination of parental rights:
    There has been substantial noncompliance by the parent or guardian with the
    statement of responsibilities in a permanency plan pursuant to title 37,
    chapter 2, part 4[.]
    5
    Based upon our review of the record, we are unable to discern the extent of the destruction inside the
    home. Ms. White testified that Father had told her that she was not allowed inside the home due to “puppies
    . . . that had destroyed the home.” Given that Father refused Ms. White’s entry and that she was
    consequently unable to discern the degree and extent of the harm caused by the animals, we only have
    Father’s statement to Ms. White that puppies had “destroyed the home” upon which to rely.
    - 15 -
    “A trial court must find that the requirements of a permanency plan are ‘reasonable and
    related to remedying the conditions which necessitate foster care placement.’” In re
    Valentine, 
    79 S.W.3d 539
    , 547 (Tenn. 2002) (quoting 
    Tenn. Code Ann. § 37-2
    -
    403(a)(2)(C)). “Conditions necessitating foster care placement may include conditions
    related both to the child’s removal and to family reunification.” 
    Id.
    To terminate parental rights pursuant to Tennessee Code Annotated § 36-1-
    113(g)(2), the parent’s noncompliance with the permanency plan must be substantial. Id.
    at 548. Our Supreme Court has held that “the real worth and importance of noncompliance
    should be measured by both the degree of noncompliance and the weight assigned to that
    requirement.” Id. Additionally, “[o]ur focus is on the parent’s efforts to comply with the
    plan, not the achievement of the plan’s desired outcomes.” In re Aiden R., No. E2015-
    01799-COA-R3-PT, 
    2016 WL 3564313
    , at *9 (Tenn. Ct. App. June 23, 2016). This Court
    has explained the following regarding the ground of substantial noncompliance with the
    permanency plan:
    Mere noncompliance is not enough to terminate a parent’s rights. In
    re Valentine, 79 S.W.3d [539,] 548 [(Tenn. 2002)]. Additionally, the
    unsatisfied requirement(s) must be important in the plan’s scheme. 
    Id.
     A
    “[t]rivial, minor, or technical” deviation from the permanency plan’s
    requirements does not qualify as substantial noncompliance. In re M.J.B.,
    140 S.W.3d [643,] 656 [(Tenn. Ct. App. 2004)] (citing In re Valentine, 
    79 S.W.3d at 548
    ). Improvements in compliance are construed in favor of the
    parent. In re Valentine, 
    79 S.W.3d at
    549 (citing State Dept. of Human Servs.
    v. Defriece, 
    937 S.W.2d 954
    , 961 (Tenn. Ct. App. 1996)). Yet, we must
    determine compliance in light of the permanency plan’s important goals:
    In our view, a permanency plan is not simply a list of tasks with
    boxes to be checked off before custody is automatically
    restored. Rather, it is an outline for doing the things that are
    necessary to achieve the goal of permanency in children’s
    lives. We think that where return to parent is the goal, parents
    must complete their responsibilities in a manner that
    demonstrates that they are willing and able to resume caring
    for their children in the long-term, not on a month-to-month
    basis.
    In re V.L.J., No. E2013-02815-COA-R3-PT, 
    2014 WL 7418250
    , at *8 (Tenn.
    Ct. App. Dec. 30, 2014).
    In re Abbigail C., No. E2015-00964-COA-R3-PT, 
    2015 WL 6164956
    , at *20-21 (Tenn.
    Ct. App. Oct. 21, 2015).
    - 16 -
    In its judgment terminating Father’s parental rights, the trial court determined that
    the requirements of the permanency plans were reasonably related to remedying the
    conditions necessitating foster care. The court found that Father had only recently begun
    to address his mental health issues, never provided DCS with a budget, and failed to
    provide a suitable home for the Children, as required by the permanency plans. The court
    further determined that Father had not actively participated in the Children’s education,
    extracurricular activities, or mental health treatment. Based upon our review of the
    evidence, the proof supports the trial court’s findings and conclusions concerning this
    statutory ground for termination.
    In the initial permanency plan, as ratified by the trial court, DCS listed
    “environmental neglect, financial instability, and mental health concerns” as the reasons
    for its involvement with the family. DCS set forth the following responsibilities for Father:
    (1) complete a psychological/parenting assessment, follow the resultant recommendations,
    keep all scheduled appointments, and sign a release for all providers to allow DCS to obtain
    documentation of progress; (2) continue to work with community partners to address the
    Children’s mental health needs and the family’s needs; (3) create and share a budget with
    DCS and display an ability to provide for the financial needs of the family; (4) treat home
    and items for bugs; (5) move to a new home that is safe and meets the family’s basic needs,
    allow DCS to complete a home inspection, and verify through rental agreement and utility
    bills the ability to meet needs of the family; (6) decide, in conjunction with treatment
    providers and DCS, a manageable number of pets to keep and reduce the number of pets
    to reflect that number; (7) create a routine of cleaning after remaining pets; (8) enjoy four
    hours of monthly supervised visitation with the Children and weekly phone calls; and (9)
    be involved in the Children’s mental health care. Father agreed to the terms of the plan,
    and the trial court ratified the plan, determining that its requirements were reasonable and
    related to the conditions that necessitated foster care.
    DCS created three additional permanency plans throughout the pendency of the
    case. Father’s responsibilities remained largely the same from plan to plan with the
    exception of two responsibilities added to later plans. These added responsibilities were
    (1) stay in regular communication with school providers regarding the Children’s behaviors
    and (2) provide the names and dates of birth for any roommates residing with Father.
    On appeal, Father again posits that this Court should only consider as relevant the
    requirements related to remedying the lack of appropriate physical housing for the Children
    inasmuch as this was the only stated reason for the Children’s removal in the trial court’s
    dependency and neglect order. We, however, decline to dictate such a narrow rule by
    holding that every permanency plan responsibility must be related to the initial reason for
    removal outlined in a dependency and neglect order. We emphasize that permanency plan
    requirements must relate to “conditions necessitating foster care placement,” which may
    include “conditions related both to the child’s removal and to family reunification.” See
    In re Valentine, 
    79 S.W.3d at 547
     (emphasis added). Issues preventing family reunification
    - 17 -
    are not strictly confined to those conditions that initially precipitate removal but may
    include issues that arise throughout the pendency of DCS’s custody of a child.
    For instance, in In re Lesley A., the mother advanced a similar argument, contending
    that the requirements in her permanency plans were not reasonably related to the conditions
    that caused the child to enter state custody, namely, educational neglect and inadequate
    supervision. See In re Lesley A., No. E2018-00594-COA-R3-PT, 
    2018 WL 6655680
    , at
    *13 (Tenn. Ct. App. Dec. 18, 2018). This Court concluded that the mother’s argument
    reflected a “misunderstanding of the applicable legal principles” and emphasized that DCS
    and the trial court had identified the mother’s “residential instability, mental health issues,
    and substance use problems” as conditions that required the child to remain in foster care
    and impeded family reunification. 
    Id.
     These conditions in In re Lesley A. went beyond the
    reasons for the child’s initial removal into DCS custody. 
    Id.
    Additionally, in In re Amber R., this Court considered conditions that led to the
    children’s removal such as environmental neglect, as well as conditions discovered after
    the Children entered into DCS custody, such as mental health and financial issues, which
    had further prevented family reunification. In re Amber R., No. W2019-01521-COA-R3-
    PT, 
    2020 WL 7861247
    , at *7 (Tenn. Ct. App. Dec. 29, 2020). In In re Quintin S., the
    mother argued that her permanency plan’s requirement that she resolve all legal issues was
    unrelated to the reasons for the children’s removal, namely, environmental neglect and
    drug exposure. In re Quintin S., No. E2016-02150-COA-R3-PT, 
    2017 WL 2984193
    , at
    *13, 17 (Tenn. Ct. App. July 13, 2017). This Court rejected the mother’s contention,
    finding that the “requirement that [the m]other resolve her legal issues [was] reasonably
    related to returning her children to her care.” Id. at *13. Thus, we reaffirm that the
    requirements and responsibilities in a permanency plan need not be related exclusively to
    the initial reason or reasons for a child’s removal but may also be related to reasons that
    surface following a child’s removal and subsequently impede family reunification.
    In the present case, the trial court found that the Children were dependent and
    neglected due to “inappropriate lack of housing.” In its findings of fact supporting its
    adjudication of the Children as dependent and neglected, the court included facts regarding
    the unfit state of the family home, the number of animals the family owned, the family’s
    “outstanding bills” preventing them from obtaining public housing, Mother’s report that
    the family was in a “financial rut,” the Children’s “major behavioral issues,” Aiden’s and
    Stephen’s ADHD diagnoses, and Mother’s past history of suicidal ideations.
    Although the trial court did not include findings of fact regarding Father’s mental
    health, it conditioned future unsupervised visitation upon DCS’s and the guardian ad
    litem’s receipt of Father’s “mental health counseling records.” In addition, Ms. White
    testified during trial that Father had informed her that he experienced “issues with anger”
    and that he had also entertained suicidal ideations. Father’s anger had a direct impact on
    the Children when they were in his custody. Ms. Medeiros testified that the Children feared
    - 18 -
    him because he was “so quick to anger” and that “their emotions were kind of tied to their
    parents’ emotions.” Ms. Medeiros also related instances in which Father excessively
    disciplined the Children.
    Jason Lewis, the Children’s therapist, testified that after working with the Children
    for some time, he introduced Father into their counseling sessions to “assess and facilitate
    familial therapeutic sessions.” Mr. Lewis discontinued Father’s involvement with these
    sessions after only a few months inasmuch as Father had not been pursuing his own mental
    health treatment and the Children exhibited elevated anxiety and “emerging negative
    behaviors” as a result of their time spent with Father. David Wright, the Children’s special
    education teacher, testified that it would be “very difficult” for a parent who is not
    emotionally stable to handle the Children and their behavioral issues. As referenced
    previously, Father suffered a “mental health breakdown” as recently as a month prior to
    trial. We therefore reject Father’s postulate that only the requirements related to physical
    housing were relevant to the conditions necessitating the Children’s continued stay in foster
    care. We conclude that the responsibilities of the permanency plans were reasonable and
    related to resolving conditions that necessitated foster care.
    Based on the evidence presented, we conclude that Father’s conduct resulted in
    substantial noncompliance with the goals and responsibilities of the permanency plans.
    With respect to Father’s responsibilities concerning his mental health, Father completed a
    mental health assessment in June 2020 but then failed to follow the recommendations from
    the assessment. Ms. White testified that Health Connect America, the provider who
    facilitated Father’s mental health assessment, had scheduled thirteen appointments in July
    and August of 2020, none of which Father had attended. Health Connect America then
    attempted unsuccessfully to contact Father twenty-six times to schedule appointments from
    August 2020 through May 2021.
    Ms. White further reported that when Father had briefly engaged a therapist near
    the end of 2020, he had not given the provider his mental health assessment, assessment
    recommendations, or mental health history. Ms. White further stated that Father had not
    continued treatment beyond a few sessions. Only after DCS filed the termination petition
    did Father complete an intake appointment and begin regular therapy at a facility known
    as “Life Care.” According to Ms. White, Father acknowledged to her that he had been
    “stubborn” with respect to addressing his mental health. Although Father began to take
    steps toward following the recommendations of his mental health assessment, as required
    by the permanency plans, these efforts were “too little, too late.” See In re Daymien T.,
    
    506 S.W.3d 461
    , 473 (Tenn. Ct. App. 2016) (concluding that the father’s “progress on the
    requirements of the permanency plan after the filing of the termination petition” were “too
    little, too late” considering the father had failed to take any action for nearly two years after
    the child had been removed from his custody) (internal citations omitted).
    - 19 -
    Father has also failed to provide or initiate any real steps toward providing a new
    home that is safe and meets the family’s basic needs. After his and Mother’s eviction from
    the family home in early 2020, Father moved in with his mother, whose past history with
    DCS rendered her home an unfit location for the Children. Then Father moved to the
    Watertown rental house, which completely lacked furniture. Eventually, Father allowed
    roommates to move into the Watertown rental house, and DCS was never provided the
    necessary information for the completion of the requisite background checks. By March
    2021, Father had been evicted from the Watertown house and relocated to his girlfriend’s
    house in Sparta, where he was residing at the time of trial.
    Father never provided to DCS any evidence that his name was listed on the Sparta
    lease agreement or registered with the utility company despite having been made aware by
    Ms. White that these actions were prerequisites for the Children to live with him. As stated
    previously, the house in Sparta presented its own problems. Of particular concern, Father
    began housing many animals again, some of which “destroyed the home” to such an extent
    that he barred Ms. White’s entry for an inspection in March 2022. In addition, Ms. White
    never observed beds or bedding for the Children in any of Father’s residences. According
    to Ms. White, Father was behind on his rent at his current location as recently as February
    2022 and had been evicted from two of his previous houses. With respect to the financial
    responsibilities outlined in the permanency plans, Father never produced a budget to DCS.
    Concerning responsibilities that involved Father’s engagement with the Children,
    Ms. White testified that Father stopped visiting the Children as frequently when they began
    to participate in sports despite Father’s having been invited to attend and offered visitation
    following games. Father did not participate consistently in phone and video calls. Father
    visited the Children once in November 2021 but not again until the end of February 2022.
    Father insisted that he could schedule visits with the foster parents on his own without the
    assistance of DCS but failed to do so. Father’s failure to timely address his mental health
    issues also rendered family counseling sessions untenable. DCS further presented evidence
    that Father did not stay in communication with the Children’s educational providers.
    The two most significant areas of concern proved to be Father’s mental health and
    the suitability of Father’s home environment. Clearly, Father did not make concerted
    efforts to address these areas of concern. Father failed to comply with many if not all of
    the reasonable responsibilities of the permanency plans. We therefore determine that clear
    and convincing evidence supported this statutory ground for termination as well.
    C. Persistence of Conditions Leading to the Children’s Removal
    The trial court also found clear and convincing evidence of the statutory ground of
    persistence of the conditions leading to removal of the Children from Father’s custody.
    Regarding this statutory ground, Tennessee Code Annotated § 36-1-113(g)(3) (Supp. 2022)
    provides:
    - 20 -
    (A)    The child has been removed from the home or the physical or legal
    custody of a parent or guardian for a period of six (6) months by a
    court order entered at any stage of proceedings in which a petition has
    been filed in the juvenile court alleging that a child is a dependent and
    neglected child, and:
    (i)     The conditions that led to the child’s removal still persist,
    preventing the child’s safe return to the care of the parent or
    guardian, or other conditions exist that, in all reasonable
    probability, would cause the child to be subjected to further
    abuse or neglect, preventing the child’s safe return to the care
    of the parent or guardian;
    (ii)    There is little likelihood that these conditions will be remedied
    at an early date so that the child can be safely returned to the
    parent or guardian in the near future; and
    (iii)   The continuation of the parent or guardian and child
    relationship greatly diminishes the child’s chances of early
    integration into a safe, stable, and permanent home;
    (B)    The six (6) months must accrue on or before the first date the
    termination of parental rights petition is set to be heard[.]
    In finding that the conditions that had led to the removal of the Children persisted,
    the trial court made the following findings of fact:
    The State is required to prove the child has been removed from the
    home or the custody of a parent for a period of six months by a court order
    based on dependency and neglect. The Court finds that this has been clearly
    established.
    ***
    The Court finds that the conditions that led to the removal were the
    terrible conditions of the home and the parent’s failure to meet the mental
    health needs of the children.
    The Court finds that these children are special needs children and that
    they have many mental health needs that really takes somebody that is trained
    and willing to spend all the time and effort that they need to meet those needs.
    - 21 -
    The Court finds that the children’s needs were not being met when the
    children were removed from the home and the conditions of the home itself
    was a factor.
    At that time, the parents were in the process of being evicted from
    their family home.
    The Court finds that conditions still exist that prevent safe return to
    the care of [Father].
    Specifically, the Court finds that there is still no suitable home for the
    children and that the father’s mental health needs have not yet been met.
    The father is in no condition to take care of the children.
    He has not been able to show that he is financially able to support the
    children.
    Therefore, those conditions still persist, and he has had two years to
    remedy those conditions.
    Based upon the above findings, the Court finds that there is little
    likelihood that those conditions will be remedied at an early date so that the
    children would be returned in the near future.
    The Court finds that the continuation of the parent-child relationship
    greatly diminishes the children’s chances of an early integration into a safe,
    stable, and permanent home.
    The Court finds that all those factors under this ground have been
    established by clear and convincing evidence.
    (Paragraph numbering omitted.) The evidence presented during trial preponderates in
    favor of these findings. The Children were removed from Father’s custody on January 29,
    2020, following the filing of a dependency and neglect petition. The Children remained in
    DCS custody continuously through the time of trial, which occurred over two years after
    their removal.
    The Children were removed by reason of inappropriate housing. This condition
    persisted at the time of trial. As we have previously addressed, Father never resided in a
    home that was appropriate for the Children’s return during the two years following their
    removal from his custody. In that two-year timeframe, Father’s living situations included:
    the home of his mother, who had her own history with DCS that rendered her home an
    - 22 -
    untenable option; (2) the Watertown house, which lacked beds and bedding, sometimes
    included roommates who could not be screened by DCS due to a lack of biographical
    information, and at one point housed ten animals; and (3) the Sparta house with his
    girlfriend. As to the Sparta residence, Father never provided proof to DCS that his name
    was on the lease agreement or registered with the utility company. In addition, DCS was
    unable to perform a background check respecting his girlfriend insofar as it never received
    the requisite biographical information. When Ms. White attempted to conduct another
    inspection in March 2022, Father prevented her entry because puppies had “destroyed the
    home.” Lastly, in the two-year period since the Children’s removal, Father had been
    evicted from two rental houses and was behind on his rent payment at his current location
    as recently as February 2022. In sum, Father’s housing issues persisted.
    In addition, Father commenced following the recommendations of his mental health
    assessment after the termination petition had been filed. Ms. White testified that Father
    suffered a “mental health breakdown” as recently as March 2022. Thus, Father’s mental
    health concerns continued up to the time of the trial.
    We also agree with the trial court that continuation of the parent-child relationship
    would diminish the Children’s chances of integration into a safe, stable, and permanent
    home. Based on the evidence presented during trial, Father’s presence in the Children’s
    lives clearly produced a deleterious effect on their behavior. Ms. White testified that the
    school system, foster parents, and the Children’s therapist observed that the Children
    regressed into negative behaviors and emotions “surrounding or following visitation” with
    Father. Ms. White, Mr. Wright, and Mr. Lewis each respectively articulated that the
    Children required stability and consistency from a caregiver in order to continue to make
    progress behaviorally and address their mental health issues.
    At the time of trial, Father could not provide the Children with the stability they
    needed to thrive mentally and educationally. Upon our thorough review, we conclude that
    the evidence does not preponderate against the trial court’s findings, and we agree that
    clear and convincing evidence established that the conditions leading to the Children’s
    removal persisted.
    D. Failure to Manifest an Ability and Willingness to
    Assume Custody of or Financial Responsibility for the Children
    Lastly, the trial court found clear and convincing evidence that Father had failed to
    manifest an ability and willingness to assume legal and physical custody of or financial
    responsibility for the Children. Concerning this statutory ground, Tennessee Code
    Annotated § 36-1-113(g)(14) (Supp. 2022) provides:
    A parent or guardian has failed to manifest, by act or omission, an ability and
    willingness to personally assume legal and physical custody or financial
    - 23 -
    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[.]
    To prove this ground, DCS was required to show by clear and convincing evidence that (1)
    Father failed to manifest either an ability or willingness to assume custody of or financial
    responsibility for the Children and (2) returning the Children to Father’s custody would
    pose a risk of substantial harm to the Children’s welfare. In re Neveah M., 
    614 S.W.3d 659
    , 674, 677 (Tenn. 2020); In re Jeremiah S., No. W2019-00610-COA-R3-PT, 
    2020 WL 1951880
    , at *6 (Tenn. Ct. App. Apr. 23, 2020) (“Under this ground for termination, the
    petitioner must prove each element by clear and convincing evidence.”).
    The trial court made the following findings of fact pertinent to this statutory ground:
    (1) Father failed to obtain necessary mental health treatment; (2) Father failed to provide a
    home for the Children; (3) Father failed to exhibit the financial ability to care for the
    Children; (4) Father had not shown that he could meet the Children’s “specific special
    needs”; and (5) Father was incapable of addressing the Children’s “very special needs.”
    The court determined that returning the Children to Father’s custody would pose a risk of
    substantial harm to the physical or psychological welfare of the Children. The court further
    found that the Children’s “behavior was terrible” when they were removed from Father’s
    custody in January 2020 and that the Children would regress if returned to Father. The
    evidence presented during trial preponderates in favor of the court’s findings.
    Father contends that he exhibited an ability and willingness to assume custody of
    the Children during their time in foster care, pointing to his “active” participation in the
    case, improved housing situation, and attempts to complete the other requirements of the
    permanency plans. Predicated on our review of the evidence, we conclude that Father’s
    argument is unavailing. As previously addressed, Father was unable to obtain suitable
    housing during the two-year period that the Children were in foster care. With respect to
    his residence at the time of trial, Father never provided proof to DCS that his name was
    included on the lease agreement or registered with the utility company. Ms. White testified
    that Father would not proactively inform DCS of changes in residence or the addition of
    roommates.
    In addition, Ms. White reported that there were periods of time throughout the
    pendency of DCS’s custody of the Children during which she could not contact Father.
    Father’s failure to communicate with DCS was highlighted by Ms. White’s testimony that
    Father had informed her that he had ended his relationship with his girlfriend but then a
    month later introduced his girlfriend to the Children without any prior notification to DCS
    or the foster parents. Based on his inaction with respect to these straightforward tasks,
    Father failed to demonstrate a willingness to cooperate with DCS or take seriously the
    prospect of regaining custody of the Children.
    - 24 -
    Furthermore, Father’s habit of inappropriately housing too many animals did not
    resolve. Ms. White testified that he continued to house ten animals in December 2020 and
    that puppies had “destroyed the home” as recently as a month prior to trial. Again, by this
    behavior, Father failed to act with a sense of seriousness or urgency when it came to
    addressing the residential concerns leading to the Children’s removal. We therefore cannot
    conclude that Father demonstrated a willingness to assume custody of the Children.
    We also cannot conclude that Father demonstrated an ability to assume custody of
    the Children. According to Ms. White, Father never supplied beds or bedding in
    anticipation of regaining custody of the Children. He had not achieved a suitable home for
    the Children by the time of trial. In addition, he continued to exhibit serious financial
    problems, having been evicted from two separate rental homes during the two years since
    the Children were removed from his custody and having struggled to pay his rent as
    recently as February 2022. As noted previously, we cannot conclude that Father’s
    payments of $75.00 in child support constituted token support given the scant evidence
    regarding his financial means. Regardless, Father’s payment of only $75.00 spanning the
    course of two years at best evinces an inability to financially provide for the Children and
    at worst demonstrates an unwillingness to do so.
    In support of this statutory ground, DCS was also required to prove that returning
    the Children to Father’s custody would pose a risk of substantial harm to the Children’s
    welfare. See In re Neveah M., 614 S.W.3d at 674, 677. This Court has previously
    observed:
    The courts have not undertaken to define the circumstances that pose a risk
    of substantial harm to a child. These circumstances are not amenable to
    precise definition because of the variability of human conduct. However, the
    use of the modifier “substantial” indicates two things. First, it connotes a
    real hazard or danger that is not minor, trivial, or insignificant. Second, it
    indicates that the harm must be more than a theoretical possibility. While
    the harm need not be inevitable, it must be sufficiently probable to prompt a
    reasonable person to believe that the harm will occur more likely than not.
    In re Maya R., No. E2017-01634-COA-R3-PT, 
    2018 WL 1629930
    , at *8 (Tenn. Ct. App.
    Apr. 4, 2018) (quoting Ray v. Ray, 
    83 S.W.3d 726
    , 732 (Tenn. Ct. App. 2001)).
    Mr. Wright testified that he began supervising Stephen and Aiden at their
    elementary school in February 2020. According to Mr. Wright, Stephen and Aiden had
    advanced significantly both behaviorally and educationally by the time of trial. When he
    first began assisting Stephen and Aiden at school, Stephen was prone to lying and stealing,
    and Aiden was labeled as a “flight risk.” In addition, Stephen could not read. Aiden
    exhibited signs of food insecurity and would frequently steal from the plates of other
    students during lunch. In Mr. Wright’s estimation, the stability provided by their foster
    - 25 -
    home contributed to Stephen’s and Aiden’s improvement at school although he affirmed
    that they were still “educationally fragile.” Mr. Wright also testified that he believed that
    their behavior at school reflected their home environment and affirmed that a change in
    their home environment would have an extremely negative effect on Stephen and Aiden.
    According to Mr. Lewis, whom the trial court found particularly credible, the
    Children exhibited “emerging negative behaviors” and elevated anxiety following
    counseling sessions with Father. Their behavior improved when Mr. Lewis discontinued
    the family sessions. Mr. Lewis testified that prior to trial, Father had promised the Children
    that he would surrender his parental rights. According to Mr. Lewis, the Children appeared
    relieved and indicated to him that it had been the “greatest day” of their lives. In contrast,
    the Children appeared anxious and fearful after they were informed that Father had changed
    his mind and decided not to surrender his parental rights.
    Mr. Lewis affirmed that there would be a risk of harm to the Children’s mental
    health if returned to Father. Mr. Lewis reported that, in his estimation, Father would be
    unable to provide the parental guidance and care the Children needed and that the Children
    would “really struggle to regulate in the home environment.” Additionally, Mr. Lewis
    explained that when he said “regulate,” he meant able to “receive information, respond and
    sit still within a normal range of behavior, being able to keep [their] hands to [them]selves
    and not acting out and things of that nature.” According to Mr. Lewis, the Children and
    Father primarily connected over video games, and Father assumed the role of brother rather
    than that of a father. Mr. Lewis did not recommend contact between Father and the
    Children in the near future, and Ms. White testified that Aiden had reported thoughts of
    hurting himself so that he would not have to return to Father’s custody.
    Based upon the trial testimony, returning the Children to Father would be
    detrimental to the progress the Children had made educationally and behaviorally at the
    time of trial. In addition, the danger posed was not a “theoretical possibility,” but rather a
    likelihood that had previously been demonstrated when Father and the Children had
    contact. Considering all the evidence at trial, the Children would likely suffer from the
    same issues that led to their removal if returned to Father’s custody. We therefore affirm
    the trial court’s finding that clear and convincing evidence established that Father failed to
    manifest an ability and willingness to assume the legal and physical custody of or financial
    responsibility for the Children and that returning the Children to his custody would pose a
    risk of substantial harm to their welfare.
    V. Best Interest of the Children
    When a parent has been found to be unfit by establishment of at least one statutory
    ground for termination of parental rights, as here, the interests of parent and child diverge,
    and the focus shifts to what is in the child’s best interest. In re Audrey S., 
    182 S.W.3d at 877
    ; see also In re Carrington H., 483 S.W.3d at 523 (“The best interests analysis is
    - 26 -
    separate from and subsequent to the determination that there is clear and convincing
    evidence of grounds for termination.” (quoting In re Angela E., 
    303 S.W.3d 240
    , (Tenn.
    2010))). Tennessee Code Annotated § 36-1-113(i) provides a list of factors the trial court
    is to consider when determining if termination of parental rights is in a child’s best interest.
    This list is not exhaustive, and the statute does not require the court to find the existence
    of every factor before concluding that termination is in a child’s best interest. See In re
    Carrington H., 483 S.W.3d at 523; In re Audrey S., 
    182 S.W.3d at 878
     (“The relevancy
    and weight to be given each factor depends on the unique facts of each case.”).
    Furthermore, the best interest of a child must be determined from the child’s perspective
    and not the parent’s. White v. Moody, 
    171 S.W.3d 187
    , 194 (Tenn. Ct. App. 2004).
    Tennessee Code Annotated § 36-1-113(i)(1) (Supp. 2022) lists the following factors
    for consideration:
    (A)    The effect a termination of parental rights will have on the child’s
    critical need for stability and continuity of placement throughout the
    child’s minority;
    (B)    The effect a change of caretakers and physical environment is likely
    to have on the child’s emotional, psychological, and medical
    condition;
    (C)    Whether the parent has demonstrated continuity and stability in
    meeting the child’s basic material, educational, housing, and safety
    needs;
    (D)    Whether the parent and child have a secure and healthy parental
    attachment, and if not, whether there is a reasonable expectation that
    the parent can create such attachment;
    (E)    Whether the parent has maintained regular visitation or other contact
    with the child and used the visitation or other contact to cultivate a
    positive relationship with the child;
    (F)    Whether the child is fearful of living in the parent’s home;
    (G)    Whether the parent, parent’s home, or others in the parent’s household
    trigger or exacerbate the child’s experience of trauma or post-
    traumatic symptoms;
    (H)    Whether the child has created a healthy parental attachment with
    another person or persons in the absence of the parent;
    - 27 -
    (I)   Whether the child has emotionally significant relationships with
    persons other than parents and caregivers, including biological or
    foster siblings, and the likely impact of various available outcomes on
    these relationships and the child’s access to information about the
    child’s heritage;
    (J)   Whether the parent has demonstrated such a lasting adjustment of
    circumstances, conduct, or conditions to make it safe and beneficial
    for the child to be in the home of the parent, including consideration
    of whether there is criminal activity in the home or by the parent, or
    the use of alcohol, controlled substances, or controlled substance
    analogues which may render the parent unable to consistently care for
    the child in a safe and stable manner;
    (K)   Whether the parent has taken advantage of available programs,
    services, or community resources to assist in making a lasting
    adjustment of circumstances, conduct, or conditions;
    (L)   Whether the department has made reasonable efforts to assist the
    parent in making a lasting adjustment in cases where the child is in
    the custody of the department;
    (M)   Whether the parent has demonstrated a sense of urgency in
    establishing paternity of the child, seeking custody of the child, or
    addressing the circumstance, conduct, or conditions that made an
    award of custody unsafe and not in the child’s best interest;
    (N)   Whether the parent, or other person residing with or frequenting the
    home of the parent, has shown brutality or physical, sexual,
    emotional, or psychological abuse or neglect toward the child or any
    other child or adult;
    (O)   Whether the parent has ever provided safe and stable care for the child
    or any other child;
    (P)   Whether the parent has demonstrated an understanding of the basic
    and specific needs required for the child to thrive;
    (Q)   Whether the parent has demonstrated the ability and commitment to
    creating and maintaining a home that meets the child’s basic and
    specific needs and in which the child can thrive;
    - 28 -
    (R)    Whether the physical environment of the parent’s home is healthy and
    safe for the child;
    (S)    Whether the parent has consistently provided more than token
    financial support for the child; and
    (T)    Whether the mental or emotional fitness of the parent would be
    detrimental to the child or prevent the parent from consistently and
    effectively providing safe and stable care and supervision of the child.
    The statute further provides: “When considering the factors set forth in subdivision (i)(1),
    the prompt and permanent placement of the child in a safe environment is presumed to be
    in the child’s best interest.” 
    Tenn. Code Ann. § 36-1-113
    (g)(i)(2).
    As our Supreme Court has instructed regarding the best interest analysis:
    “The best interests analysis is separate from and subsequent to the
    determination that there is clear and convincing evidence of grounds for
    termination.” In re Angela E., 
    303 S.W.3d at 254
    .
    When conducting the best interests analysis, courts must consider nine
    statutory factors listed in Tennessee Code Annotated section 36-1-113(i).
    These statutory factors are illustrative, not exclusive, and any party to the
    termination proceeding is free to offer proof of any other factor relevant to
    the best interests analysis. In re Carrington H., 483 S.W.3d at 523 (citing In
    re Audrey S., 
    182 S.W.3d 838
    , 878 (Tenn. Ct. App. 2005)). Facts considered
    in the best interests analysis must be proven by “a preponderance of the
    evidence, not by clear and convincing evidence.” In re Kaliyah S., 455
    S.W.3d [533,] 555 [(Tenn. 2015)] (citing In re Audrey S., 
    182 S.W.3d at 861
    ). “After making the underlying factual findings, the trial court should
    then consider the combined weight of those facts to determine whether they
    amount to clear and convincing evidence that termination is in the child’s
    best interest[s].” 
    Id.
     When considering these statutory factors, courts must
    remember that “[t]he child’s best interests [are] viewed from the child’s,
    rather than the parent’s, perspective.” In re Audrey S., 
    182 S.W.3d at 878
    .
    Indeed, “[a] focus on the perspective of the child is the common theme”
    evident in all of the statutory factors. 
    Id.
     “[W]hen the best interests of the
    child and those of the adults are in conflict, such conflict shall always be
    resolved to favor the rights and the best interests of the child. . . .” 
    Tenn. Code Ann. § 36-1-101
    (d) (2017).
    Ascertaining a child’s best interests involves more than a “rote
    examination” of the statutory factors. In re Audrey S., 
    182 S.W.3d at 878
    .
    - 29 -
    And the best interests analysis consists of more than tallying the number of
    statutory factors weighing in favor of or against termination. White v.
    Moody, 
    171 S.W.3d 187
    , 193-94 (Tenn. Ct. App. 2004). Rather, the facts
    and circumstances of each unique case dictate how weighty and relevant each
    statutory factor is in the context of the case. See In re Audrey S., 
    182 S.W.3d at 878
    . Simply put, the best interests analysis is and must remain a factually
    intensive undertaking, so as to ensure that every parent receives
    individualized consideration before fundamental parental rights are
    terminated. In re Carrington H., 483 S.W.3d at 523. “[D]epending 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 (citing White v. Moody, 
    171 S.W.3d at 194
    ).
    But this does not mean that a court is relieved of the obligation of considering
    all the factors and all the proof. Even if the circumstances of a particular
    case ultimately result in the court ascribing more weight—even outcome
    determinative weight—to a particular statutory factor, the court 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 662
    , 681-82 (Tenn. 2017).
    In its final judgment, the trial court weighed nearly all of the twenty best interest
    factors in favor of termination of Father’s parental rights. Upon our thorough review of
    the evidence presented in this matter, we determine that the trial court’s findings regarding
    the best interest factors are supported by a preponderance of the evidence with the
    exception of the court’s findings related to factor (S). With respect to factor (S), the court
    found that Father had not provided more than token support. Considering the scant
    evidence related to Father’s means, the evidence preponderates against the court’s finding,
    and this factor should weigh neither in favor of nor against termination.
    Concerning factor (A), the court found that termination of Father’s parental rights
    would have a “very positive effect” on the Children, noting that the Children were in a
    loving home. The court expressed that it was “very impressed with the foster home” and
    noted that the Children had made great progress under the care of the foster parents. The
    evidence preponderates in favor of these findings.
    The Children’s foster father, Rick S. (“Foster Father”), testified regarding the
    structured lifestyle that he and his wife had provided to the Children. Although the
    Children were not accustomed to rules when they first arrived in the care of the foster
    parents, Foster Father reported that by the time of trial the Children bore responsibility for
    assigned chores on the foster family’s farm. Foster Father explained that the structure
    provided in their household enabled the Children to thrive. During their stay in the foster
    home, the Children had improved educationally and behaviorally. For instance, Foster
    - 30 -
    Father testified that Aiden had achieved “Student of the Month” recently. Additionally,
    Mr. Wright accredited the Children’s educational success to their new home environment.
    In contrast, Father’s living situation was rife with unpredictability given his recent mental
    breakdown and inability to establish a suitable home. By reason of Father’s unpredictable
    living situation and conversely the stability provided by the foster home, we cannot
    conclude that the evidence preponderates against the trial court’s findings with respect to
    the first factor.
    Additionally, the trial court weighed factor (B) in favor of termination, citing Mr.
    Lewis’s and Mr. Wright’s testimonies in support of its finding. Both Mr. Lewis and Mr.
    Wright testified that the Children would likely regress and begin to exhibit negative
    behaviors and emotions if returned to an unstable environment. As reviewed above, Father
    could not provide the Children with a stable environment at the time of trial. Furthermore,
    Mr. Lewis articulated that if returned to Father’s custody, the Children would likely be
    unable to regulate their emotions and behaviors under his care. The evidence therefore
    preponderates in favor of the trial court’s findings related to this factor.
    The findings related to factor (B) also relate to factor (T), whether the mental or
    emotional fitness of the parent would be a detriment to the Children. As previously
    addressed, Father suffered a mental breakdown as recently as a month prior to trial.
    Father’s contact with the Children continually resulted in their worsened behavior. Ms.
    Medeiros testified that the Children’s emotions were tied to Father’s emotions. The
    evidence presented during trial establishes a general environment in which Father’s mental
    and emotional issues fed the Children’s emotional, mental, and behavioral concerns.
    Considering that Father only began to address these concerns in November 2021, we
    cannot conclude that the evidence preponderates against the court’s finding that Father’s
    mental health issues prevented Father from creating a safe and stable environment to which
    the Children could return.
    Regarding factor (C), which is related to factor (A), the trial court found that Father
    had not demonstrated any continuity and stability in meeting the Children’s needs. The
    evidence preponderates in favor of this finding. Over the course of two years, Father
    resided in four different residences and failed to establish a suitable home for the Children.
    With respect to factors (D) and (H), the trial court determined that the Children did
    not have a secure and healthy parental attachment to Father but that they did maintain a
    healthy parental attachment to the foster parents. Mr. Lewis testified that Father’s
    relationship with his Children resembled that of a brother rather than a father. Much of
    their relationship seemed to be centered on video games. Mr. Lewis stated that the Children
    did not mention Father often, and Foster Father testified that the Children did not mention
    Father at all. Ms. Medeiros reported that the Children were afraid of Father due to his short
    temper. In contrast, Mr. Lewis stated that the Children had referred to the foster parents as
    - 31 -
    their “mom and dad.” Therefore, the evidence preponderates in favor of these findings as
    well.
    Concerning factor (E), the trial court found that Father had maintained visitation
    and contact with the Children. Nevertheless, the court also found that Father had failed to
    take advantage of some opportunities for visitation. Considering the evidence presented,
    we agree that Father inconsistently visited the Children, failing to visit them for months at
    a time after the termination petition was filed. In addition, when Father did visit the
    Children, the outcome was generally negative. The Children would regress and exhibit
    negative emotions and demeanor following Father’s visits and phone calls. In addition,
    Father often made false promises concerning his progress in establishing a home for the
    Children. As the trial court noted, Father announced to the Children his intent to surrender
    his parental rights and then reneged on this decision, dispelling the Children’s hopes for
    adoption by the foster family. In addition, Mr. Lewis testified:
    There’s been a lot of talk about, you know, preparing the home and
    getting it clean and getting bedding and new beds and furniture and things
    like that and the boys have been disappointed with that not being followed
    through with. And they’ve talked about it. And now when we mention it
    they say we don’t want to do that anymore; we don’t want that.
    We therefore discern that this factor weighed in favor of termination as well, particularly
    considering that Father’s visitation and contact with the Children did not serve to “cultivate
    a positive relationship” between Father and the Children.
    Regarding factors (F) and (G), the trial court determined that the Children feared
    returning to Father’s custody and that Father’s living situation would further traumatize the
    Children. Foster Father testified that Stephen was adamantly opposed to returning to his
    Father’s custody and that he feared the prospect of such. Mr. Lewis also testified that the
    Children were afraid to return to Father’s custody. Aiden indicated to Ms. White that he
    thought about hurting himself every day to prevent returning to Father’s custody. With
    respect to factor (G), returning to a house that had recently been “destroyed” by animals, a
    situation reminiscent of the Children’s family home at the time of their removal, would
    certainly trigger or exacerbate their trauma related to their initial removal. Ms. White
    testified that the Children had been diagnosed with post-traumatic stress disorder and that
    they presented a “high reaction” to Father and the court system. We therefore find that the
    trial court is correct in its assessment that returning the Children to Father’s care and
    custody would trigger or exacerbate the Children’s experience of trauma.
    The trial court found that the evidence related to factor (I) was minimal but that it
    indicated that the Children enjoyed healthy relationships with their foster siblings. Foster
    Father testified that his two children worked with the Children, “show[ed] them things on
    the farm,” and spent time with them. In addition, although not reflected in the court’s
    - 32 -
    judgment, Ms. White testified that the foster family intended to maintain contact with the
    Children’s biological sister, who was also placed in DCS custody. According to Ms.
    White, the Children loved their sister. Predicated on the evidence presented, the
    termination of Father’s parental rights would not inhibit the Children from maintaining a
    relationship with their biological sister. The evidence therefore preponderates in favor of
    the trial court’s findings with respect to this factor.
    With respect to factor (J), the trial court found that Father had not made any
    adjustment of circumstances to render his home safe for the Children. Given that the
    interior of Father’s home was destroyed to the extent that he refused Ms. White’s entry for
    an inspection a month prior to trial, the evidence supports the trial court’s finding that
    Father had not made a lasting adjustment of his circumstances, conduct, or conditions such
    that his home would be safe or beneficial for the Children. The Children were removed
    from Father’s custody in part due to a disarrayed house manifesting numerous animals and
    animal feces. In addition, Father had not sufficiently addressed his anger and mental health
    issues. Ergo, we agree that Father has not made an adjustment of circumstances to render
    his home safe for the Children given the testimony presented during trial.
    Concerning factor (K), the trial court determined that DCS had proposed programs
    and services to Father “over and over and over” and that after two years Father still had not
    taken advantage of all the services that had been offered to him. We agree that DCS
    attempted to assist Father with mental health treatment. We also recognize that Father had
    begun to seek treatment in November 2021. However, considering that Father only started
    to take mental health treatment seriously following the filing of the termination petition,
    we do not conclude that the evidence preponderates against the court’s finding that Father
    did not fully take advantage of the assistance that was offered to him by DCS.
    Moreover, the trial court determined that DCS had “gone above and beyond” in
    making reasonable efforts to assist Father in achieving a lasting adjustment in its
    consideration of factor (L). The evidence during trial reflected that Ms. White continually
    put more effort into addressing Father’s housing and mental health issues than Father did
    himself. Father rejected her assistance in seeking mental health treatment and did not
    embrace the initiative to comply with simple requests by DCS. In contrast, Ms. White
    continued to inspect Father’s homes.
    Factor (M) relates to Father’s sense of urgency or lack thereof. The trial court found
    that Father had not demonstrated a sense of urgency in the two years since the Children’s
    removal. Although Ms. White testified that Father regularly attended Child and Family
    Team Meetings, we note that Father failed to comply with straightforward tasks such as
    providing DCS with a copy of his lease agreement for the Sparta house or presenting the
    necessary information for DCS to conduct a background check relative to his roommates
    and girlfriend. He did not take seriously his mental health issues until after the termination
    - 33 -
    petition had been filed. The evidence therefore preponderates in favor of the court’s
    findings at to this factor.
    Concerning factor (N), the trial court found that Father had emotionally abused the
    Children by consistently failing to fulfill promises he had made to the Children. During
    trial, DCS presented ample evidence of promises made to the Children by Father and the
    emotional effect Father’s failure to fulfill these promises had on the Children. Under the
    circumstances of this case, we agree with the trial court that Father’s failure to fulfill the
    promises he had made to the Children constituted emotional abuse. Furthermore, the
    Children previously were adjudicated dependent and neglected. The evidence therefore
    preponderates in favor of the court’s findings.
    With respect to factor (O), the trial court determined that Father had never afforded
    the Children safe and stable care. Upon our careful review of the evidence, we conclude
    that the proof preponderates in favor of the court’s finding. Concerning factors (P) and
    (Q), the court determined that Father had not demonstrated an understanding of the basic
    and specific needs of the Children to thrive or a commitment to creating and maintaining a
    home that would meet the Children’s fundamental and specific needs. Father’s actions in
    persistently housing several animals, some of which “destroyed” his home after the
    removal of the Children, reflects a significant misunderstanding or inability to understand
    or attempt to correct the problems causing the initial removal of the Children from his
    custody. We therefore agree with the trial court that Father neither understood nor
    committed to providing what the Children required to thrive. These findings also support
    the court’s determination that Father’s physical environment was not healthy and safe for
    the Children under factor (R).
    Father argues that the trial court’s analysis of the best interest factors placed too
    much emphasis on the benefits of the foster family rather than the relationship between
    Father and the Children and the steps Father had taken. We disagree. In the two years
    following the Children’s removal, Father had demonstrated little urgency in seeking
    remedies to the conditions that led to their removal. The Children suffered from severe
    behavioral, mental, and educational concerns when they entered DCS custody, and Father
    had accomplished very little to address the special needs of the Children by the time of
    trial. We therefore affirm the trial court’s finding by clear and convincing evidence that
    termination of Father’s parental rights was in the Children’s best interest.
    VI. Conclusion
    For the foregoing reasons, we reverse the trial court’s finding of the statutory ground
    of abandonment by failure to support. We affirm the trial court’s judgment in all other
    respects. This case is remanded to the trial court, pursuant to applicable law, for
    enforcement of the trial court’s judgment terminating Father’s parental rights to the
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    Children and collection of costs assessed below. Costs on appeal are assessed to the
    appellant, Stephen H., Sr.
    s/ Thomas R. Frierson, II _____________
    THOMAS R. FRIERSON, II, JUDGE
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