In Re: Kelsie M.P. ( 2013 )


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  •                 IN THE COURT OF APPEALS OF TENNESSEE
    AT KNOXVILLE
    Assigned on Briefs January 11, 2013
    IN RE KELSIE M.P.,         ET AL.
    Appeal from the Juvenile Court for Knox County
    No. 114127     Hon. Timothy Irwin, Judge
    No. E2012-02060-COA-R3-PT-FILED-FEBRUARY 12, 2013
    This case involves the termination of a mother’s parental rights to three children who had
    been placed in the custody of the Tennessee Department of Children’s Services. The mother
    had made some progress in complying with the permanency plan developed by the
    Department, but was still experiencing “instability.” Nearly two years after the mother
    relinquished control of the children, the Department petitioned to terminate the mother’s
    parental rights. The trial court granted the petition, terminating the mother’s parental rights
    on the ground that the conditions that led to the children’s removal continued with little
    likelihood of remedy. The mother appeals. We affirm.
    Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Juvenile Court Affirmed;
    Case Remanded
    J OHN W. M CC LARTY, J., delivered the opinion of the court, in which C HARLES D. S USANO,
    J R., P.J., and D. M ICHAEL S WINEY, J., joined.
    Ben H. Houston, II, Knoxville, Tennessee, for the appellant, Carrie M. P.
    Robert E. Cooper, Jr., Attorney General and Reporter, and Alexander S. Rieger, Assistant
    Attorney General, Nashville, Tennessee, for the appellee, Tennessee Department of
    Children’s Services.
    Dorothy Cooley, Maryville, Tennessee, Guardian ad Litem.
    OPINION
    I. BACKGROUND
    On January 15, 2010, Susan Raley, the maternal aunt of the children, petitioned the
    Juvenile Court to find Kelsie M. P. (D.O.B. 1-8-09), Jacob M. R. (D.O.B. 8-23-07), and
    Alyssa R. P. (D.O.B. 5-26-04)1 (collectively “the Children”) abandoned, dependent and
    neglected. The petition alleged that the Children were without proper care and supervision
    because Carrie M. P. (“Mother”) had been homeless for an extended period of time and
    suffered from drug abuse issues. Ms. Raley and her husband had maintained physical control
    of the Children since January 9, 2010, “when [M]other called and told them to come and get
    the [C]hildren.” Mother brought the Children to the Raleys’ home, signed a power of
    attorney, and left. At a preliminary hearing ten days later, the Juvenile Court awarded
    temporary custody of the Children to Ms. Raley. Mother did not make an appearance at the
    hearing.
    Mother appeared at an April 30, 2010, hearing, with counsel, and agreed to transfer
    custody to the Raleys. The parties stipulated and the court found by clear and convincing
    evidence that the Children were dependent and neglected due to Mother’s lack of housing
    and ongoing substance abuse issues. The Juvenile Court awarded ongoing temporary custody
    to the Raleys.
    A little over a month later, the Guardian ad Litem assigned to the Children made an
    oral motion for their emergency removal from the Raleys’ home.2 At a subsequent hearing,
    the Juvenile Court awarded temporary custody of the Children to the Department of
    Children’s Services (“DCS”).
    The initial permanency plan (“the Plan”) was developed on July 8, 2010, with
    Mother’s presence and participation. The Plan required that Mother:
    a. complete domestic violence counseling;
    b. complete a mental health assessment and comply with resulting treatment
    recommendations;
    c. complete an alcohol and drug assessment, comply with resulting treatment
    1
    It is the policy of this court to identify the last names of those involved in termination proceedings
    by initial.
    2
    Ms. Raley indicated that she became overwhelmed by the care required for the Children and the
    impact on her marriage and financial resources.
    -2-
    recommendations, be alcohol- and drug-free, and pass random drug screens to
    demonstrate sobriety;
    d. establish suitable stable housing with no environmental hazards, domestic
    violence, drug use, or other risks to her children; and
    e. complete age-appropriate parenting education and demonstrate learned
    skills.
    Due to domestic violence and criminal issues involving Mother’s husband,3 she was required
    to separate herself from him unless he, too, completed domestic violence/anger management
    counseling and addressed other issues of concern. Additionally, Mother was instructed to
    visit the Children regularly and to pay child support.
    At a hearing on July 27, 2010, Mother reported that she had located appropriate
    housing, taken her GED test, and obtained a job. According to Mother, she had completed
    an alcohol and drug assessment through Bradford with a recommendation for intensive out-
    patient treatment, had a car and driver’s license, and planned to address the domestic
    violence issues through individual counseling. The Juvenile Court observed at that time that
    Mother was in partial compliance with the Plan and that her progress was good. However,
    within a few weeks she left Knoxville and returned to West Tennessee. A DCS pleading
    summarizes what transpired next:
    Over the next several months she maintained sporadic telephone contact with
    [DCS] and attended some of the scheduled visits with [the Children]. She
    came to Foster Care Review Board on October 6, 2010, and tested positive for
    benzodiazepines. In mid-December 2010 she reported that she was with her
    husband, living with her mother, and that they were thinking about moving
    back to Knoxville.
    On January 6, 2011, [Mother] reported that she and her husband had returned
    to Knoxville. They were looking for housing and jobs. The [C]hildren’s case
    manager referred them to Knox Area Rescue Mission (KARM) and to public
    housing. They sought assistance at KARM and entered the New Life Inn
    program for homeless families. [Mother] worked diligently in this program,
    eventually separating from her husband. She obtained a job, completed her
    assessments, and participated in recommended individual therapy and
    medication management through Solution Source. She passed random drug
    screens. KARM assured her that she could continue to live there, and that her
    [C]hildren could join her, but their goal was to find independent housing for
    3
    He was not a biological father of any of the Children.
    -3-
    her. She knew that she would not be eligible for public housing until
    September 2011 due to previous criminal charges.
    The [C]hildren were returned to [Mother]’s care for trial home placement on
    May 26, 2011. They continued to live at KARM and she quit her job in order
    to provide continuous supervision for the [C]hildren and to get Kelsie to all her
    medical appointments. On July 8, 2011, [Mother] failed a drug screen, putting
    her continued residence at KARM in jeopardy. A month later she failed
    another drug screen. She was warned that another dirty screen would result in
    her discharge from the program. In early August 2011, [Mother] got frustrated
    with Jacob to the point that she hit him in the head, leaving marks on his
    forehead. At a Child & Family Team Meeting on August 15, 2011, she said
    she was very overwhelmed and frustrated, uncomfortable having her
    [C]hildren at KARM, living in a one-room unit, and having no time alone. She
    felt that Kelsie required her constant attention and that, as a result, Jacob and
    Alyssa were not getting the attention they needed. She wanted to find a job,
    but had no one to help watch the [C]hildren and could not get them into
    daycare. She also stated that she could not handle it in Knoxville. She
    proposed to return to live with her mother in West Tennessee and agreed that
    the trial home placement should be terminated. The [C]hildren returned to
    foster care that day.
    On August 29, 2011, [Mother] telephoned from a Knoxville hotel. She said
    that she had left KARM and tried staying with a friend but that had not worked
    out. She was putting in applications for a job and intending to resume
    treatment at Solution Source. That never happened. Instead, despite actually
    being offered a job, she left town and went back to West Tennessee. On
    September 12, 2011, she telephoned and reported that she had returned
    temporarily to West Tennessee because she did not have suitable housing in
    Knoxville and her peers had been negative influences. She was advised that
    the [C]hildren’s case manager and the resource agency (Patria) had made
    repeated efforts to locate her and that she needed to remain in contact. A visit
    was scheduled for September 15, 2011, but she cancelled it as she did not have
    transportation. She visited with Kelsie several times at the end of August but
    has not seen the other [C]hildren since the trial home placement was disrupted
    on August 15, 2011. She has communicated with the [C]hildren’s case
    manager by t[e]xt message but those messages only confirm that her situation
    is unchanged. She remains without suitable housing for herself and the
    [C]hildren and without a stable source of income. She dropped out of therapy
    and medication management. And she has failed to demonstrate the ability to
    -4-
    provide for the long-term care and supervision of [the Children].
    (Numbering in original omitted.).
    DCS filed to terminate Mother’s parental rights on November 21, 2011, based on the
    continuing instability issues.4 DCS ultimately concluded that despite some improvement in
    her situation, Mother still was unable to provide the care and supervision the Children
    required.
    A bench trial was held on August 29, 2012, at which time the parties agreed to
    stipulate to the ground of persistence of conditions. The Juvenile Court read to Mother and
    her attorney the definition of persistence of conditions, DCS asserted that the persistent
    condition that had required removal and had not yet been remedied by Mother was her
    instability, and Mother and her attorney individually stipulated to the existence of the ground.
    DCS subsequently introduced the dependency and neglect proceedings and the documents
    relating to the disruption of the trial home visit as proof of Mother’s instability.
    DCS thereafter called Courtney Hamilton, the Children’s DCS case manager, to testify
    that termination of Mother’s parental rights was in the Children’s best interests. Hamilton
    noted that at the time of trial, Kelsie was three years old and suffering from severe
    developmental delays and a cortical visual impairment, severe acid reflux and asthma, and
    was being tested for autism and cerebral palsy. Hamilton indicated that Kelsie, who requires
    the use of a walker, is enrolled in a developmental preschool program where she receives
    physical and speech therapy three days a week. Hamilton testified that Kelsie is currently in
    a pre-adoptive foster home that includes three older boys who “pick [Kelsie] up and talk to
    her, and she loves to see them when they walk in the door.” According to Hamilton, Kelsie
    loves her foster mother and father and “fits right in.” Hamilton further observed that the
    foster family has allowed Mother to visit Kelsie at their home and that they have built a
    relationship with her.
    As to Alyssa and Jacob, Hamilton related that they are with a different foster family
    than their sister. At the time of trial, Alyssa had started the third grade; Hamilton noted that
    Alyssa has had past issues with stealing and lying, but is improving. Alyssa receives
    medication management and individual therapy every other week, but she is doing well in
    the foster environment. Jacob was described by Hamilton as “being physically and verbally
    aggressive, kind of destructive to property, . . . has a hard time when somebody tells him no
    or he can’t have something that he wants.” According to Hamilton, Jacob requires immediate
    4
    The parental rights of Alyssa’s father and the father of Kelsie and Jacob had already been terminated
    at the time of trial and were not appealed.
    -5-
    structure and stability with consistent consequences for his action. She opined that Jacob’s
    problems with physical aggression and colorful language are because “he’s seen things in the
    past.” Like Alyssa, Jacob also receives medication management and individual therapy.
    Hamilton testified that due to the foster mother’s health issues, Jacob and Alyssa’s home was
    no longer pre-adoptive. However, she opined that Jacob and Alyssa would be easily placed
    in a new pre-adoptive foster home.
    After hearing the proof, the Juvenile Court terminated Mother’s parental rights to the
    Children based upon the ground of persistence of conditions. The court determined that the
    parties had stipulated to the ground of persistent conditions and independently found that
    termination was in the Children’s best interests. Mother filed a timely notice of appeal.
    II. ISSUES
    We restate the issues raised by Mother as follows:
    a. Whether the trial court properly determined that Mother failed to remedy
    the persistent conditions in her life that prevented reunification with the
    Children.
    b. Whether DCS sufficiently established that it made reasonable efforts to
    reunify Mother with the Children.
    c. Whether the trial court properly determined by clear and convincing
    evidence that termination of Mother’s parental rights was in the Children’s
    best interests.
    III. STANDARD OF REVIEW
    Parents have a fundamental right to the care, custody, and control of their children.
    Stanley v. Illinois, 
    405 U.S. 645
     (1972); In re Drinnon, 
    776 S.W.2d 96
    , 97 (Tenn. Ct. App.
    1988). This right “is among the oldest of the judicially recognized liberty interests protected
    by the Due Process Clauses of the federal and state constitutions.” In re M.J.B., 
    140 S.W.3d 643
    , 652-53 (Tenn. Ct. App. 2004). “Termination of a person’s rights as a parent is a grave
    and final decision, irrevocably altering the lives of the parent and child involved and
    ‘severing forever all legal rights and obligations’ of the parent.” Means v. Ashby, 
    130 S.W.3d 48
    , 54 (Tenn. Ct. App. 2003) (quoting Tenn. Code Ann. § 36-1-113(I)(1)). “‘[F]ew
    consequences of judicial action are so grave as the severance of natural family ties.”’ M.L.B.
    -6-
    v. S.L.J., 
    519 U.S. 102
    , 119 (1996) (quoting Santosky v. Kramer, 
    455 U.S. 745
    , 787 (1982)).
    While parental rights are superior to the claims of other persons and the government,
    they are not absolute and may be terminated upon appropriate statutory grounds. See Blair
    v. Badenhope, 
    77 S.W.3d 137
    , 141 (Tenn. 2002). Due process requires clear and convincing
    evidence of the existence of the grounds for termination of the parent-child relationship. In
    re Drinnon, 776 S.W.2d at 97. “[A] court must determine that clear and convincing evidence
    proves not only that statutory grounds exist [for termination] but also that termination is in
    the child’s best interest.” In re Valentine, 
    79 S.W.3d 539
    , 546 (Tenn. 2002). The existence
    of at least one statutory basis for termination of parental rights will support the trial court’s
    decision to terminate those rights. In re C. W.W., 
    37 S.W.3d 467
    , 473 (Tenn. Ct. App. 2000),
    abrogated on other grounds by In re Audrey S., 
    182 S.W.3d 838
     (Tenn. Ct. App. 2005).
    The heightened burden of proof in parental termination cases minimizes the risk of
    erroneous decisions. In re C.W.W., 37 S.W.3d at 474; In re M.W.A., Jr., 
    980 S.W.2d 620
    ,
    622 (Tenn. Ct. App. 1998). Evidence satisfying the clear and convincing evidence standard
    establishes that the truth of the facts asserted is highly probable. State v. Demarr, No.
    M2002-02603-COA-R3-JV, 
    2003 WL 21946726
    , at *9 (Tenn. Ct. App. Aug.13, 2003). This
    evidence also eliminates any serious or substantial doubt about the correctness of the
    conclusions drawn from the evidence. In re Valentine, 79 S.W.3d at 546; In re S.M., 
    149 S.W.3d 632
    , 639 (Tenn. Ct. App. 2004); In re J.J.C., 
    148 S.W.3d 919
    , 925 (Tenn. Ct. App.
    2004). It produces in a fact-finder’s mind a firm belief or conviction regarding the truth of
    the facts sought to be established. In re A.D.A., 
    84 S.W.3d 592
    , 596 (Tenn. Ct. App. 2002);
    Ray v. Ray, 
    83 S.W.3d 726
    , 733 (Tenn. Ct. App. 2001); In re C.W.W., 37 S.W.3d at 474.
    The Tennessee Supreme Court has provided guidance to this court in reviewing cases
    involving the termination of parental rights:
    A reviewing court must review the trial court’s findings of fact de novo with
    a presumption of correctness under [Rule 13(d) of the Tennessee Rules of
    Appellate Procedure]. See In re Adoption of A.M.H., 215 S.W.3d [793,] 809
    [(Tenn. 2007)]. In light of the heightened burden of proof in proceedings
    under [Tennessee Code Annotated section] 36-1-113, the reviewing court must
    then make its own determination regarding whether the facts, either as found
    by the trial court or as supported by a preponderance of the evidence, provide
    clear and convincing evidence that supports all the elements of the termination
    claim. State Dep’t of Children’s Servs. v. Mims, 285 S.W.3d [435,] 447-48
    [(Tenn. Ct. App. 2008)]; In re Giorgianna H., 
    205 S.W.3d 508
    , 516 (Tenn. Ct.
    App. 2006); In re S.M., 
    149 S.W.3d 632
    , 640 n. 13 (Tenn. Ct. App. 2004).
    Appellate courts conduct a de novo review of the trial court’s decisions
    -7-
    regarding questions of law in termination proceedings. However, these
    decisions, unlike the trial court’s findings of fact, are not presumed to be
    correct. In re Angela E., 303 S.W.3d [240,] 246 [(Tenn. 2010) ]; In re
    Adoption of A.M.H., 215 S.W.3d at 809.
    In re Bernard T., 
    319 S.W.3d 586
    , 596-97 (Tenn. 2010) (emphasis added).
    IV. DISCUSSION
    I.
    Tennessee Code Annotated section 36-1-113 provides the grounds for termination of
    parental rights. The applicable provisions read as follows:
    36-1-113. Termination of parental rights. – (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 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.
    ***
    (g) Initiation of termination of parental or guardianship rights may be based
    upon any of the grounds listed in this subsection (g). . . :
    (1) Abandonment by the parent or guardian, as defined in § 36-
    1-102, has occurred;
    -8-
    (2) There has been substantial noncompliance by the parent or
    guardian with the statement of responsibilities in a permanency
    plan pursuant to the provisions of title 37, chapter 2, part 4;
    (3) The child has been removed from the home of the parent or
    guardian by order of a court for a period of six (6) months and:
    (A) The conditions that led to the child’s removal
    or other conditions that in all reasonable
    probability would cause the child to be subjected
    to further abuse or neglect and that, therefore,
    prevent the child’s safe return to the care of the
    parent(s) or guardian(s), still persist;
    (B) There is little likelihood that these conditions
    will be remedied at an early date so that the child
    can be safely returned to the parent(s) or
    guardian(s) in the near future; and
    (C) The continuation of the parent or guardian
    and child relationship greatly diminishes the
    child’s chances of early integration into a safe,
    stable and permanent home . . . .
    Tenn. Code Ann. §§ 36-1-113(a) - (g)(3)(A)-(C) (Supp. 2012).5 The party petitioning for
    termination carries the burden of proof. In re M.J.B., 
    140 S.W.3d 643
    , 653 (Tenn. Ct. App.
    2004). The requirements ensure that each parent receives the constitutionally required
    “individualized determination that a parent is either unfit or will cause substantial harm to
    his or her child before the fundamental right to the care and custody of the child can be taken
    away.” In re Swanson, 
    2 S.W.3d 180
    , 188 (Tenn. 1999).
    At trial, Mother purported to stipulate that grounds existed to terminate her parental
    rights – indeed, she stipulated that her instability was the cause for removal of the Children
    and the reason why they could not be returned to her custody. The proceedings in the trial
    court transpired as follows:
    THE COURT: The State said that you are willing to stipulate to the ground of
    persistence of conditions. In an abundance of precaution, I’m going to read
    5
    Recent amendments have not modified provisions applicable in this case.
    -9-
    you that ground, and I’m going to read it to you as they pled it, and I’m going
    to ask if you’re willing to stipulate to the ground, okay, so we can get it on the
    record.
    That the [C]hildren have been removed by order of the Court for a period of
    six months, the conditions which led to their removal still persist, other
    conditions persist which in all probability would cause the [C]hildren to be
    subjected to further abuse and neglect, which therefore prevents the
    [C]hildren’s return to the care of [Mother]. There is little likelihood these
    conditions will be remedied at an early date so that these [C]hildren can be
    returned to [Mother] in the near future. The continuation of legal parent and
    child relationship greatly diminishes the [C]hildren’s chance of early
    integration in a stable, safe and permanent home.
    What specific conditions are you talking about?
    MS. KOVAC: Your Honor, the conditions that led to removal included
    substance abuse, which has been resolved, and instability, and we would assert
    that that is a condition that has not been resolved.
    THE COURT: Do you understand?
    [MOTHER]: Yes, sir.
    THE COURT: Are you willing to stipulate to that ground?
    [MOTHER]: Yes, sir.
    THE COURT: Say it out loud.
    [MOTHER]: Yes, sir.
    ***
    Mother now argues that the Juvenile Court failed to include in its final order findings
    of fact and conclusions of law sufficient to support a finding that grounds existed to
    terminate her parental rights. Relying upon the holding of the Tennessee Supreme Court in
    In re Angela E., 
    303 S.W.3d 240
     (Tenn. 2010), Mother posits that while parties may
    -10-
    stipulate6 to the existence of certain facts in a termination of parental rights proceeding,
    parties are not permitted to stipulate that a statutory ground exists without presenting
    sufficient evidence into the record to establish the existence of the ground by clear and
    convincing evidence. Id. at 253-255. As noted by Mother, even when termination
    proceedings are uncontested, “the trial court must develop an evidentiary record, ultimately
    resulting in a written order with findings of fact and conclusions of law as to whether clear
    and convincing evidence establishes the existence of each of the grounds asserted for
    terminating [the parent’s] parental rights.” Id. at 255. She asserts there is insufficient
    evidence to support a finding of persistence of conditions (instability). Mother further
    contends that the evidence of record supports a determination that the older children, Alyssa
    and Jacob, may have a better shot at early integration into a safe, stable and permanent home
    if they are reunited with Mother, since their current foster home was not pre-adoptive.
    The Juvenile Court’s order provides, inter alia, as follows:
    The parties stipulate and the Court, therefore, finds that the [C]hildren have
    been removed by order of this Court for a period of six (6) months; the
    conditions which led to their removal still persist; other conditions persist
    which in all probability would cause the [C]hildren to be subjected to further
    abuse and neglect and which, therefore, prevent the [C]hildren’s return to the
    care of [Mother]; there is little likelihood that these conditions will be
    remedied at an early date so that these [C]hildren can be returned to [Mother]
    in the near future; the continuation of the legal parent and child relationship
    greatly diminishes the [C]hildren’s chances of early integration into a stable
    and permanent home. The parties agree that substance abuse is no long a
    significant issue but stipulate that [Mother] has not been able to establish
    stability for herself and her [C]hildren despite the additional time inadvertently
    allowed through the several continuations of this matter.
    [Mother] has not made such an adjustment of circumstance, conduct, or
    conditions as to make it safe and in the [C]hildren’s best interest to be in her
    6
    In Allman v. Allman, No. M1997-00251-COA-R3-CV, 
    2000 WL 1728339
     (Tenn. Ct. App. Nov. 22,
    2000), this court noted as follows:
    Generally speaking, the “facts” in a case are occurrences and events that happen in the world
    outside the courtroom, which must be proved through the introduction of competent
    evidence. . . . Stipulations are not evidence, but they have the effect of making it
    unnecessary to prove the agreed-to facts with evidence.
    Allman, 
    2000 WL 1728339
    , at *1, n. 1 (internal citations omitted).
    -11-
    home despite reasonable efforts by available social services agencies for such
    duration of time that lasting adjustment does not reasonably appear possible.
    She has not maintained regular visitation with the [C]hildren since they entered
    foster care, abandoning them for months at a time and then returning to resume
    contact. She has failed to demonstrate the ability to care for her [C]hildren on
    a long-term basis. A change of caretakers and physical environment is likely
    to have a detrimental effect on the [C]hildren’s emotional, psychological and
    medical condition.
    Kelsie functions at the level of a nine-month old and has extraordinary medical
    needs. She requires constant attention. Her foster parents are uniquely suited
    to care for her and she has made significant progress in their home. They have
    established a positive relationship with [Mother] that everyone anticipates will
    continue. Adoption in their home will occur as quickly as possible following
    conclusion of these proceedings. Jacob and Alyssa are in a separate foster
    home. Their foster mother recently experienced serious health problems and,
    as a result, concluded that adoption is not a possibility. The [C]hildren have
    been thriving in that home. It is clear from their behavior there and while on
    respite elsewhere that they need definite structure, consistent consequences,
    and a safe, stable and secure environment to overcome their previous
    experiences. Jacob, at just five years of age, has a vocabulary of profanity and
    attempts to resolve his conflicts and frustrations by hitting. Another move for
    these [C]hildren will certainly be a set-back but it cannot be helped. The
    [C]hildren’s case manager testified that she has no doubt a suitable home can
    be identified quickly once the [C]hildren are free for adoption. They will
    remain in the current foster home until then. [Mother] has been offered the
    unusual opportunity to participate in the selection process.
    ***
    The Department of Children’s Services has made reasonable efforts toward
    achieving permanency for these [C]hildren.
    It is, therefore, in the best interest of [the Children] and the public that all of
    [Mother]’s parental rights to these Children be terminated and the complete
    custody, control, and full guardianship of the [C]hildren be awarded to the
    State of Tennessee, Department of Children’s Services, with the right to place
    them for adoption and to consent to such adoption in loco parentis.
    ***
    -12-
    (Headings and numbering in original omitted.).
    It is commendable that Mother has made great strides in resolving her issues with drug
    abuse. However, she still has failed to remedy her issue with instability, preventing the
    permanent return of the Children to her. A report prepared for the Juvenile Court reflects
    that Mother stated that she is unable to safely and appropriately care for the Children, and
    that the Children are too much for her to handle. Indeed, after being permitted by DCS to
    regain custody of the Children on a trial basis, Mother’s instability resurfaced, resulting in
    a suspension of the trial home visit. We therefore agree with the Juvenile Court’s conclusion
    that DCS has shown, through clear and convincing evidence, that, pursuant to Tennessee
    Code Annotated section 36-1-113 (g)(3), the conditions that led to the Children’s removal
    continue to persist and prevent the Children’s return to Mother, that there is little likelihood
    that the conditions will be remedied in the near future, and that the continuation of the
    parent-child relationship greatly diminishes the Children’s chances of being placed in a
    permanent home.
    II.
    The General Assembly has recognized that children should not be separated from their
    parents unless separation is necessary for the children’s welfare or in the interest of public
    safety. Tenn. Code Ann. §§ 37-1-101(a)(3), 37-2-401(a). “Even after a child has been
    validly committed to the custody of [DCS], the State’s first priority is to restore the family
    unit if at all possible.” In re Drinnon, 
    776 S.W.2d 96
    , 99-100 (Tenn. Ct. App. 1988). To that
    end, DCS must submit an affidavit to the court in every proceeding where the child’s
    placement is an issue certifying that it has made reasonable efforts to reunify and restore the
    family. In re C.M.M., No. M2003-01122-COA-R3-PT, 
    2004 WL 438326
    , at *8 (Tenn. Ct.
    App. March 9, 2004). Tennessee Code Annotated section 37-1-166(g)(1) defines these
    reasonable efforts as “the exercise of reasonable care and diligence by the department to
    provide services related to meeting the needs of the child and the family.” Tenn. Code Ann.
    § 37-1-166(g)(1). DCS’s efforts must be reasonable, but are not required to be “herculean.”
    In re Georgianna H., 
    205 S.W.3d 508
    , 519 (Tenn. Ct. App. 2006). However, DCS need not
    shoulder the burden alone. The parents “must also make reasonable efforts to rehabilitate
    themselves and to remedy the conditions that required the removal of the children.” In re
    Q.E., 
    284 S.W.3d 790
    , 800-1 (Tenn. Ct. App. 2008). The State has the burden of proving
    by clear and convincing evidence that its efforts at reunification were reasonable under all
    the circumstances. See In re C.M.M., 
    2004 WL 438326
    , at *8.
    To determine whether DCS made reasonable efforts at reunification, a court should
    consider, among other things,
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    (1) the reasons for separating the parent from his or her child or children,
    (2) the parent’s physical and mental abilities,
    (3) the resources available to the parent,
    (4) the parent’s efforts to remedy the conditions that required the separation,
    (5) the resources available to the Department,
    (6) the duration of the parent’s remedial efforts, and
    (7) the closeness of the fit between the conditions that led to the initial
    separation, the requirements in the permanency plan, and the Department’s
    efforts.
    In re C.M.M., 
    2004 WL 438326
    , at *7.
    Mother asserts the record in this case is devoid of any testimony regarding what
    reasonable efforts at reunification were made by DCS. She further notes that she did not
    stipulate that DCS made reasonable efforts to reunify her with the Children. Mother does not
    elaborate regarding what else DCS could have done on her behalf.
    From our careful review of the record, we find that it supports, by clear and
    convincing evidence, the Juvenile Court’s finding that DCS presented sufficient evidence
    regarding its reunification efforts. DCS provided Mother with visitation, mental health
    assessments, mental health counseling, alcohol and drug assessment, domestic violence
    treatment, and housing referrals. DCS assisted Mother’s homelessness and stability issues
    by working with the Knox Area Rescue Ministries and the New Life Inn program to ensure
    that Mother would not be asked to leave as long as she followed program rules. After putting
    these services in place, DCS attempted to return the Children to Mother as part of a trial
    home placement to see if she could provide a stable environment for the Children.
    Unfortunately, despite DCS’s services and the trial home visit, Mother was unable to remedy
    the instability that prevented her from being able to adequately parent the Children.
    Accordingly, from our review of the record, we find that it supports, by clear and convincing
    evidence, the trial court’s findings of fact and conclusions of law that DCS made reasonable
    efforts to provide Mother with the services she needed to be reunited with the Children.
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    III.
    Having concluded that there was clear and convincing evidence supporting the
    statutory ground to terminate Mother’s parental rights, we must consider whether termination
    of Mother’s parental rights was in the best interest of the Children. In making this
    determination, we are guided by the non-exhaustive list of factors provided in Tennessee
    Code Annotated section 36-1-113:
    (i) In determining whether termination of parental or guardianship rights is in
    the best interest of the child . . . the court shall consider, but is not limited to,
    the following:
    (1) Whether the parent or guardian has made such an adjustment
    of circumstance, conduct, or conditions as to make it safe and in
    the child’s best interest to be in the home of the parent or
    guardian;
    (2) Whether the parent or guardian has failed to effect a lasting
    adjustment after reasonable efforts by available social services
    agencies for such duration of time that lasting adjustment does
    not reasonably appear possible;
    (3) Whether the parent or guardian has maintained regular
    visitation or other contact with the child;
    (4) Whether a meaningful relationship has otherwise been
    established between the parent or guardian and the child;
    (5) The effect a change of caretakers and physical environment
    is likely to have on the child’s emotional, psychological and
    medical condition;
    (6) Whether the parent or guardian, or other person residing with
    the parent or guardian, has shown brutality, physical, sexual,
    emotional or psychological abuse, or neglect toward the child,
    or another child or adult in the family or household;
    (7) Whether the physical environment of the parent’s or
    guardian’s home is healthy and safe, whether there is criminal
    activity in the home, or whether there is such use of alcohol or
    -15-
    controlled substances as may render the parent or guardian
    consistently unable to care for the child in a safe and stable
    manner;
    (8) Whether the parent’s or guardian’s mental and/or emotional
    status would be detrimental to the child or prevent the parent or
    guardian from effectively providing safe and stable care and
    supervision for the child; or
    (9) Whether the parent or guardian has paid child support
    consistent with the child support guidelines promulgated by the
    department pursuant to [section] 36-5-101.
    Tenn. Code Ann. § 36-1-113(i) (2010). “This list is not exhaustive, and the statute does not
    require a trial court to find the existence of each enumerated factor before it may conclude
    that terminating a parent’s parental rights is in the best interest of a child.” In re M.A.R., 
    183 S.W.3d 652
    , 667 (Tenn. Ct. App. 2005). The General Assembly has also stated that “when
    the best interest[] of the child and those of the adults are in conflict, such conflict shall
    always be resolved to favor the rights and the best interest[ ] of the child, which interests are
    hereby recognized as constitutionally protected.” Tenn. Code Ann. § 36-1-101(d); see also
    White v. Moody, 
    171 S.W.3d 187
    , 194 (Tenn. Ct. App. 2004) (holding that when considering
    a child’s best interest, the court must take the child’s perspective, rather than the parent’s).
    Mother argues that the evidence regarding the circumstances of the Children in foster
    care was very sparse. She contends that the evidence presented is not clear and convincing.
    Again, we applaud Mother’s accomplishments regarding her drug abuse issues.
    However, our review of this matter reveals that Mother has failed to make a lasting
    adjustment despite the best efforts of DCS to provide her services. See Tenn. Code Ann. §§
    36-1-113(i)(2) & (8). Mother also failed to make an adjustment of circumstances, conduct,
    and conditions to make it in the best interests of the Children to remain in her home. See
    Tenn. Code Ann. § 36-1-113(i)(1). A report prepared for the Juvenile Court reflects that
    Mother declared that she is unable to safely and appropriately care for the Children, as the
    Children were too much for her to handle. At the time of trial, Mother still had not obtained
    stable housing fit to care for the Children. Thus, despite the lengthy period of time away
    from the Children that Mother has had to “get her act together,” she still cannot provide a
    stable environment for the Children. Likewise, the Children are doing well in foster care and
    would suffer emotionally should they be removed. See Tenn. Code Ann. § 36-1-113(i)(5).
    Given the evidence showing Mother’s inability to parent and provide for the Children and
    the Children’s need for permanence, the Juvenile Court properly found that the termination
    -16-
    of Mother’s rights was in the best interest of the Children. We conclude that there was clear
    and convincing evidence to establish that termination of Mother’s parental rights was in the
    best interest of the Children.
    V. CONCLUSION
    The judgment of the trial court is affirmed and the case is remanded for such further
    proceedings as may be necessary. Costs of the appeal are assessed to the appellant, Carrie
    M. P.
    _________________________________
    JOHN W. McCLARTY, JUDGE
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