In Re Seth Mc. ( 2018 )


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  •                                                                                                    06/20/2018
    IN THE COURT OF APPEALS OF TENNESSEE
    AT NASHVILLE
    Assigned on Briefs May 1, 2018
    IN RE SETH MC. ET AL.
    Appeal from the Juvenile Court for Dickson County
    No. 04-17-051-CC      Michael Meise, Judge
    No. M2017-02562-COA-R3-PT
    A mother of four children had her parental rights terminated based on the grounds of
    abandonment by failure to support, abandonment by failure to provide a suitable home,
    abandonment by wanton disregard, substantial noncompliance with permanency plans,
    severe child abuse, and persistence of conditions. Mother appealed the trial court’s
    judgment. We affirm the termination of her rights as to all grounds other than
    abandonment by failure to support, abandonment by failure to provide a suitable home,
    and persistence of conditions.
    Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Juvenile Court Affirmed in
    Part, Reversed in Part, and Vacated in Part
    ANDY D. BENNETT, J., delivered the opinion of the Court, in which J. STEVEN STAFFORD,
    P.J., W.S., and JOHN W. MCCLARTY, J., joined.
    Taylor Reigh Luther, Dickson, Tennessee, for the appellant, Ashley R.
    Herbert H. Slatery, III, Attorney General and Reporter, and Jordan Keith Crews, Assistant
    Attorney General, Nashville, Tennessee, for the appellee, Tennessee Department of
    Children’s Services.
    OPINION
    I. FACTUAL AND PROCEDURAL BACKGROUND
    Ashley R. (“Mother”) is the mother of Seth Mc. (born in 2007), Bentley Mc. (born
    in 2012), Kaitlynn R. (born in 2015), and Morgan R. (born in 2016).1 On February 23,
    2016, the Department of Children’s Services (“DCS” or “the Department”) received a
    1
    The children’s fathers have waived their parental rights and are not parties to this appeal.
    referral alleging that the older three children were being exposed to methamphetamines.
    Mother may have been pregnant with Morgan at this point. DCS subsequently located
    the children at their maternal grandmother’s house and arranged for two of them to
    undergo a hair follicle test. The children tested positive for methamphetamines and
    amphetamines.
    The Department filed a petition on March 29, 2016, to adjudicate the dependency
    and neglect of Seth, Bentley, and Kaitlynn, and to transfer temporary legal custody of the
    children to DCS. The trial court issued an ex parte protective custody order that same
    day, finding there was probable cause to believe the children were dependent and
    neglected, and DCS placed the children with Mother’s aunt. The Department prepared a
    Family Permanency Plan on April 25, 2016. Mother signed the permanency plan and
    acknowledged that she had received a copy of the “Criteria and Procedure for
    Termination of Parental Rights.”
    Mother attended in-patient treatment in April and May 2016 and successfully
    completed the program. One of Mother’s discharge recommendations was to attend
    ninety sessions of Alcoholics Anonymous in ninety days. Mother testified that she
    attended only “a couple” of meetings.
    The trial court held a preliminary hearing on June 29, 2016, to consider DCS’s
    dependency and neglect petition. Mother’s attorney was present for the hearing, but
    Mother was not. The court wrote in its order that Mother “reportedly finished her rehab
    in early June, visited with the children one time and has not been heard from since.” The
    DCS representative informed the court that Mother was not in contact with DCS and
    asked the court to disallow further visitation of the children by Mother at that time. The
    trial court ordered that the children would continue to be in the temporary care and
    custody of DCS and that Mother would have no contact with the children pending further
    orders of the court.
    The trial court held an adjudicatory/severe abuse hearing on October 19, 2016.
    Mother was present for this hearing and stipulated that the children were dependent and
    neglected on March 29 when they were removed from her home. The Department
    introduced evidence of severe abuse based on the children’s exposure to
    methamphetamine, which DCS alleged Mother was producing in her home when the
    children were removed. The Department also indicated that “Mother has done well”
    since the earlier hearing and asked that Mother be permitted to have unsupervised
    visitation with the children at DCS’s discretion. The court entered a final order that the
    children were dependent and neglected when they were removed from Mother’s home
    and ordered that DCS would continue to have temporary care and custody of the children.
    The court took the issue of severe abuse under advisement and allowed Mother to begin
    unsupervised visitation at DCS’s discretion. The court entered an order on December 29,
    2016, finding the children were victims of severe abuse pursuant to Tenn. Code Ann.
    -2-
    § 37-1-102(b)(22)(D).2 The Department informed the court that Mother admitted that she
    had “relapsed,” and the court ordered that Mother have four hours of supervised visitation
    weekly with the children.
    Mother gave birth to Morgan in November 2016, and the baby tested positive for
    amphetamine and methamphetamine. Mother tested positive for amphetamine upon her
    admission to the hospital. The Department filed a petition on December 14, 2016, to
    adjudicate Morgan dependent and neglected and to transfer her temporary custody to
    DCS. DCS asserted that Morgan was a victim of severe child abuse due to her exposure
    to methamphetamines and amphetamines in utero. The trial court held an ex parte
    hearing and entered a protective custody order that same day. Morgan was placed with
    Mother’s great aunt, alongside her three siblings. On December 16, two days after
    Morgan was placed into DCS’s custody, Mother tested positive for methamphetamines
    based on an oral swab. On December 22, she tested positive for methamphetamines as a
    result of a hair follicle test.
    The trial court held a preliminary hearing on January 11, 2017, to consider DCS’s
    dependency and neglect petition as to Morgan. Mother was notified of the hearing, but
    she did not attend. The trial court ordered that Morgan’s temporary custody would
    remain with DCS and that Mother would be permitted supervised visitation with Morgan
    at DCS’s discretion. Mother was ordered to pay child support of $50 per month for
    Morgan. The court found Morgan to be dependent and neglected and a victim of severe
    child abuse while in Mother’s care and custody in June 2017.
    The Department prepared another permanency plan dated January 5, 2017, that
    covered all the children, including Morgan, and identified the goals as “return to parent”
    and “exit to kin.” This second permanency plan was very similar to the earlier plan. By
    the time the second plan was prepared, Mother’s great aunt’s house had become a “fully
    approved home” for the children’s placement. The trial court ratified this permanency
    plan on May 3, 2017, finding that the plan was reasonable, it included reasonable goals
    for the children, the responsibilities for Mother were reasonably related to achieving the
    goals of the plan, and the goals were in the children’s best interest.
    The Department filed a petition to terminate Mother’s parental rights to Seth,
    Bentley, Kaitlynn, and Morgan on April 27, 2017. The grounds for termination included
    abandonment by willful failure to support, abandonment by willful failure to provide a
    suitable home, abandonment by wanton disregard, substantial noncompliance with the
    permanency plan, severe child abuse, and persistent conditions.
    2
    The trial court mistakenly referred to Tenn. Code Ann. § 37-1-1-3(22)(d) rather than § 37-1-
    102(b)(22)(D).
    -3-
    A trial took place on August 24, 2017, during which Mother, a DCS case worker,
    and Mother’s great aunt (the foster mother) testified. The trial court filed an order
    terminating Mother’s rights to the children on December 5, 2017. In its order, the court
    wrote that it had adjudicated Seth, Bentley, and Kaitlynn dependent and neglected in
    October 2016 based on Mother’s stipulation that the children were dependent and
    neglected and that it subsequently found the children were victims of severe child abuse
    due to exposure to illegal drugs while in Mother’s care and custody. The court then
    found that there was clear and convincing evidence to support the grounds DCS included
    in its petition and that terminating Mother’s parental rights was in the children’s best
    interest.
    Mother appealed the trial court’s order, arguing that the trial court erred in finding
    (1) there was clear and convincing evidence to support the grounds for terminating her
    parental rights and (2) that terminating her rights was in the children’s best interest.3
    II. ANALYSIS
    A. Standard of Review
    The Tennessee Supreme Court has described the appellate review of parental
    termination cases as follows:
    An appellate court reviews a trial court’s findings of fact in termination
    proceedings using the standard of review in Tenn. R. App. P. 13(d). Under
    Rule 13(d), appellate courts review factual findings de novo on the record
    and accord these findings a presumption of correctness unless the evidence
    preponderates otherwise. In 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.
    The trial court’s ruling that the evidence sufficiently supports termination
    of parental rights is a conclusion of law, which appellate courts review de
    novo with no presumption of correctness. Additionally, all other questions
    of law in parental termination appeals, as in other appeals, are reviewed de
    novo with no presumption of correctness.
    3
    DCS does not defend the ground of persistence of conditions on appeal, explaining that it failed to wait
    the requisite six-month period after Morgan was removed from Mother’s care before filing its termination
    petition. See Tenn. Code Ann. § 36-1-113(g)(3). A review of the record reveals that DCS is correct in its
    assertion. Thus, we conclude that the trial court erred in terminating Mother’s parental rights based on
    this ground.
    -4-
    In re Carrington H., 
    483 S.W.3d 507
    , 523-24 (Tenn. 2016) (citations omitted); see also
    In re Gabriella D., 
    531 S.W.3d 662
    , 680 (Tenn. 2017).
    The termination of a parent’s rights is one of the most serious decisions courts
    make. As the United States Supreme Court has said, “[f]ew consequences of judicial
    action are so grave as the severance of natural family ties.” Santosky v. Kramer, 
    455 U.S. 745
    , 787 (1982). Terminating 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.” Tenn. Code Ann. § 36-1-113(l)(1).
    A parent has a fundamental right, based in both the federal and state constitutions,
    to the care, custody, and control of his or her own child. Stanley v. Illinois, 
    405 U.S. 645
    ,
    651 (1972); In re Angela E., 
    303 S.W.3d 240
    , 250 (Tenn. 2010); Nash-Putnam v.
    McCloud, 
    921 S.W.2d 170
    , 174-75 (Tenn. 1996) (citing Nale v. Robertson, 
    871 S.W.2d 674
    , 678 (Tenn. 1994)); In re Adoption of Female Child, 
    896 S.W.2d 546
    , 547-48 (Tenn.
    1995) (citing Hawk v. Hawk, 
    855 S.W.2d 573
    , 577 (Tenn. 1993)). This right “is among
    the oldest of the judicially recognized fundamental liberty interests protected by the Due
    Process Clauses of the federal and state constitutions.” In re Carrington 
    H., 483 S.W.3d at 521
    (citing U.S. CONST. amend. XIV, § 1; TENN. CONST. art. 1, § 8). While this right
    is fundamental, it is not absolute. 
    Id. at 522.
    The State may interfere with parental rights
    only in certain circumstances. Id.; In re Angela 
    E., 303 S.W.3d at 250
    . Our legislature
    has listed the grounds upon which termination proceedings may be brought. See Tenn.
    Code Ann. § 36-1-113(g). Termination proceedings are statutory, In re Angela 
    E., 303 S.W.3d at 250
    ; Osborn v. Marr, 
    127 S.W.3d 737
    , 739 (Tenn. 2004), and a parent’s rights
    may be terminated only where a statutory basis exists, Jones v. Garrett, 
    92 S.W.3d 835
    ,
    838 (Tenn. 2002); In the Matter of M.W.A., Jr., 
    980 S.W.2d 620
    , 622 (Tenn. Ct. App.
    1998).
    To terminate parental rights, a court must determine by clear and convincing
    evidence the existence of at least one of the statutory grounds for termination and that
    termination is in the child’s best interest. Tenn. Code Ann. § 36-1-113(c); In re Kaliyah
    S., 
    455 S.W.3d 533
    , 552 (Tenn. 2015); In re Valentine, 
    79 S.W.3d 539
    , 546 (Tenn. 2002).
    “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 586
    , 596 (Tenn.
    2010) (citations omitted). “Evidence satisfying the clear and convincing evidence
    standard establishes that the truth of the facts asserted is highly probable.” In re Audrey
    S., 
    182 S.W.3d 838
    , 861 (Tenn. Ct. App. 2005).
    Once a ground for termination is established by clear and convincing evidence, the
    trial court or the reviewing court conducts a best interests analysis. In re Angela 
    E., 303 S.W.3d at 251
    (citing In re Marr, 
    194 S.W.3d 490
    , 498 (Tenn. Ct. App. 2005); White v.
    Moody, 
    171 S.W.3d 187
    , 192 (Tenn. Ct. App. 2004)). “The best interests analysis is
    -5-
    separate from and subsequent to the determination that there is clear and convincing
    evidence of grounds for termination.” 
    Id. at 254.
    The existence of a ground for
    termination “does not inexorably lead to the conclusion that termination of a parent’s
    rights is in the best interest of the child.” In re C.B.W., No. M2005-01817-COA-R3-PT,
    
    2006 WL 1749534
    , at *6 (Tenn. Ct. App. June 26, 2006).
    B. Grounds for Termination
    1. Abandonment by Failure to Support
    One of the grounds the legislature has determined constitutes a basis for
    terminating an individual’s parental rights is “abandonment,” as that term is defined in
    Tenn. Code Ann. § 36-1-102. Tenn. Code Ann. § 36-1-113(g)(1). Section 36-1-
    102(1)(A)(i) defines abandonment, in part, as a parent’s willful failure to support or make
    reasonable payments towards the support of a child for a period of four consecutive
    months immediately preceding the filing of a termination petition. If a parent is
    incarcerated when the petition is filed, or if a parent is incarcerated during all or a part of
    the four months immediately preceding the initiation of the termination proceeding,
    abandonment by failure to support occurs if the parent willfully fails to support or make
    reasonable payments towards the support of a child for four consecutive months
    immediately prior to the parent’s incarceration. Tenn. Code Ann. § 36-1-102(1)(A)(iv).
    “Willful conduct consists of acts or failures to act that are intentional or voluntary rather
    than accidental or inadvertent.” In re Audrey 
    S., 182 S.W.3d at 863
    . A parent’s failure to
    support is “willful” if he or she has ‘“the capacity to provide the support, makes no
    attempt to provide support, and has no justifiable excuse for not providing the support.”’
    Dep’t of Children’s Servs. v. Culbertson, 
    152 S.W.3d 513
    , 524 (Tenn. Ct. App. 2004)
    (quoting In re Adoption of Muir, No. M2002-02963-COA-R3-CV, 
    2003 WL 22794524
    ,
    at *5 (Tenn. Ct. App. Nov. 25, 2003)). If a parent’s failure to support is out of his or her
    control, that parent’s failure will not be termed “willful.” In re Adoption of Angela E.,
    
    402 S.W.3d 636
    , 640 (Tenn. 2013). Whether a parent failed to support a child is a
    question of fact, but whether a parent’s failure to support a child was willful is a question
    of law. 
    Id. The legislature
    presumes a parent who is at least eighteen years old is aware of his
    or her legal obligation to support his or her child(ren), even if there is no court order
    requiring the parent do so. Tenn. Code Ann. § 36-1-102(1)(H); David A. v. Wand T., No.
    M2013-01327-COA-R3-PT, 
    2014 WL 644721
    , at *8 (Tenn. Ct. App. Feb. 18, 2014). A
    parent’s failure to support his or her child(ren) during the relevant four-month period
    cannot be cured by providing support after the termination petition is filed. Tenn. Code
    Ann. § 36-1-102(1)(F).
    The Department filed the termination petition on April 27, 2017. Mother was in
    jail from sometime in March until the end of May 2017. Because Mother was in jail
    -6-
    when the petition was filed, the relevant four-month period for purposes of Tenn. Code
    Ann. § 36-1-102(1)(A)(iv) was four months prior to the day Mother went to jail in March
    2017.4 Mother testified at trial that she had no medical or physical conditions that
    prevented her from working. She testified that she earned money cleaning houses for a
    few weeks while she was in Arkansas, but the record does not reflect how much Mother
    earned in that pursuit. Mother also testified that she worked at the Holiday Inn part-time
    earning $8 an hour for about three weeks before she was incarcerated in March 2017.
    The evidence is undisputed that Mother paid nothing towards the support of her
    children during the relevant four-month period. The only support Mother paid during the
    pendency of this matter was $400 that her mother gave her to purge herself of contempt
    in 2017, after the termination petition was filed. The trial court found that DCS proved
    the ground of abandonment by failure to support by clear and convincing evidence. We
    disagree. Although the record shows that Mother was aware of her responsibility to pay
    child support, we find DCS failed to prove by clear and convincing evidence that Mother
    had the capacity to pay support during the relevant period. “A parent who fails to support
    a child because he or she is financially unable to do so is not willfully failing to support
    the child.” In re Audrey 
    S., 182 S.W.3d at 864
    n.33; see In re M.J.B. & M.W.S., 
    140 S.W.3d 643
    , 655 (Tenn. Ct. App. 2004) (finding record lacked evidence that parent “had
    any disposable resources that she could have used to support her children”).
    The only evidence in the record regarding Mother’s income during the relevant
    period is that she worked part-time at the Holiday Inn making $8 an hour and that she
    cleaned houses in Arkansas for a few weeks. We don’t know how much she earned
    cleaning houses. Mother testified that she lived in a tent and in a car following her in-
    patient treatment and that she lived with family members in Arkansas at the end of
    December 2016 and the first part of 2017. The record does not include firm dates of
    when she lived in these various places, and Mother did not testify that she had any money
    to pay for her living expenses. Without evidence to establish that Mother had the ability
    to pay support for her children during the relevant time period, we conclude that DCS
    failed to show by clear and convincing evidence that Mother failed to support or make
    reasonable payments toward the support of her children to prove the ground of
    abandonment set forth in Tenn. Code Ann. § 36-1-102(1)(A)(iv). Therefore, we reverse
    the trial court’s termination on this ground.
    2. Abandonment by Failure to Establish a Suitable Home
    Tennessee Code Annotated section 36-1-102(1)(A)(ii) provides that a parent has
    abandoned his or her child(ren) by failing to provide a suitable home when:
    4
    The record does not include the exact dates when Mother entered jail in March 2017 or when she left jail
    in May 2017.
    -7-
    The child has been removed from the home of the parent or parents or the
    guardian or guardians as the result of a petition filed in the juvenile court in
    which the child was found to be a dependent and neglected child, as defined
    in § 37-1-102, and the child was placed in the custody of the department or
    a licensed child-placing agency, that 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 for a period of four (4) months following the removal, the
    department or agency has made reasonable 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 made
    no 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 may be found to be reasonable if
    such efforts 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.
    This statute explicitly requires DCS to make reasonable efforts to help a parent
    whose children have been removed to establish a suitable home for the children for a
    period of four months following the children’s removal. This Court has found that this
    statute requires DCS employees to ‘“use their superior insight and training to assist
    parents with the problems the Department has identified in the permanency plan, whether
    the parents ask for assistance or not.”’ In re Matthew T., No. M2015-00486-COA-R3-
    PT, 
    2016 WL 1621076
    , at *7 (Tenn. Ct. App. Apr. 20, 2016) (quoting Dep’t of
    Children’s Servs. v. Estes, 
    284 S.W.3d 790
    , 800-01 (Tenn. Ct. App. 2008)); see also In re
    Jamel H., No. E2014-02539-COA-R3-PT, 
    2015 WL 4197220
    , at *6 n.4 (Tenn. Ct. App.
    July 13, 2015). A home is not suitable within the meaning of the statute if it is not free
    from drugs. In re Matthew T., 
    2016 WL 1621076
    , at *7 (citing In re Hannah H., No.
    E2013-01211-COA-R3-PT, 
    2014 WL 2587397
    , at *9 (Tenn. Ct. App. June 10, 2014)).
    The trial court adjudicated Mother’s three older children dependent and neglected
    on March 29, 2016, and they entered the custody of DCS that same day. Thus, the
    relevant four-month period for the three older children runs from March 29 through July
    29, 2016. Morgan was adjudicated dependent and neglected on December 14, 2016, and
    she was placed in DCS’s custody that same day. Thus, the relevant four-month period
    for Morgan runs from December 14, 2016, through April 14, 2017.
    -8-
    Mother testified about the different places she lived from the time the children
    were removed from her house in March 2016 until trial. She continued living in the same
    apartment where the children were living when they were removed until April 25, 2016,
    when Mother started in-patient treatment, which continued for forty-five days. Once she
    completed her in-patient treatment, Mother lived in a tent in a friend’s front yard for a
    few weeks. Then Mother lived out of a vehicle for a week or two. Mother testified that
    she got pulled over while she was living in the vehicle and was sent to jail for driving on
    a suspended license. Mother testified that she moved to Arkansas in January 2017, where
    her family stole her things, and then she was incarcerated from March until the end of
    May 2017. When she was released, Mother moved into a residence with a friend, but she
    moved out two or three weeks later because the arrangement was not working out.
    Mother testified that she began living in a house with a friend shortly before trial and that
    she was paying $45 a week for rent.
    Tammy Lawler is the case worker DCS assigned to Mother’s case, and DCS relies
    on testimony by Ms. Lawler to prove it complied with the requirements of the statute to
    assist Mother establish suitable housing. Ms. Lawler testified that she “offered to help
    [Mother] with housing, help her find housing, and she can get that on her own.” Ms.
    Lawler’s testimony does not include a timeframe or description of any particular actions
    she took to assist Mother in this endeavor, however. When Mother was asked whether
    anyone from DCS helped her obtain housing, she replied that “Miss Mona” told her she
    was going to speak with someone named Billy Reed, but that Miss Mona never got back
    to Mother to tell her if she was able to work anything out with Mr. Reed.
    The trial court found that Mother had not made efforts to provide a suitable home
    for her children but that “DCS did make reasonable efforts to assist [Mother] in
    establishing a suitable home for the children.” We disagree with the trial court’s
    determination on this issue and conclude that the evidence does not establish by clear and
    convincing evidence that DCS proved this ground. Although we agree that Mother was
    unsuccessful in establishing a suitable home for the children, DCS failed to show that it
    made reasonable efforts during the relevant four-month periods to assist Mother in
    obtaining suitable housing, as it must, to prevail on the ground of abandonment by failure
    to provide a suitable home. “Termination for failure to provide a suitable home requires
    a finding, supported by clear and convincing evidence, that a parent failed to provide a
    suitable home for his or her child even after DCS assisted that parent in his or her attempt
    to establish a suitable home.” In re Jamel H., 
    2015 WL 4197220
    , at *6. Because DCS
    did not present sufficient evidence that it assisted Mother to obtain a suitable home, we
    reverse the trial court’s judgment on this issue.
    3. Abandonment by Wanton Disregard
    A parent who was incarcerated when the termination petition was filed can also
    abandon his or her children, within the meaning of the parental termination statute, by
    -9-
    engaging in conduct that shows a “wanton disregard” for the children’s welfare preceding
    the incarceration. Tenn. Code Ann. § 36-1-102(1)(A)(iv). The statute provides as
    follows:
    A parent or guardian is incarcerated at the time of the institution of an
    action or proceeding to declare a child to be an abandoned child, or the
    parent or guardian has been incarcerated during all or part of the four (4)
    months immediately preceding the institution of such action or proceeding,
    and . . . the parent or guardian has engaged in conduct prior to incarceration
    that exhibits a wanton disregard for the welfare of the child. If the four-
    month period immediately preceding the institution of the action or the
    four-month period immediately preceding such parent’s incarceration is
    interrupted by a period or periods of incarceration, and there are not four
    (4) consecutive months without incarceration immediately preceding either
    event, a four-month period shall be created by aggregating the shorter
    periods of nonincarceration beginning with the most recent period of
    nonincarceration prior to commencement of the action and moving back in
    time. . . . A finding that the parent has abandoned the child for a defined
    period in excess of four (4) months that would necessarily include the four
    (4) months of nonincarceration immediately prior to the institution of the
    action, but which does not precisely define the relevant four-month period,
    shall be sufficient to establish abandonment.
    Tenn. Code Ann. § 36-1-102(1)(A)(iv). The definition of “child” has been extended to
    include a developing child in utero for purposes of this ground for termination. In re
    F.N.M., No. M2015-00519-COA-R3-PT, 
    2016 WL 3126077
    , at *3 (Tenn. Ct. App. Apr.
    11, 2016); see also Dep’t of Children’s Servs. v. Harville, No. E2008-00475-COA-R3-
    PT, 
    2009 WL 961782
    , at *8 (Tenn. Ct. App. Apr. 9, 2009); In re S.L.A., 
    223 S.W.3d 295
    ,
    300 (Tenn. Ct. App. 2006). Thus, ‘“[t]he conduct may occur before the birth of the child
    whose welfare is thereby put at risk.”’ In re F.N.M., 
    2016 WL 3126077
    , at *3 (quoting
    In re Jamazin H.M., No. W2013-01986-COA-R3-PT, 
    2014 WL 2442548
    , at *9 (Tenn.
    Ct. App. May 28, 2014)).
    The statute does not define “wanton disregard.” In re H.A.L., No. M2005-00045-
    COA-R3-PT, 
    2005 WL 954866
    , at *6 (Tenn. Ct. App. Apr. 25, 2005). Tennessee courts
    have held that “probation violations, repeated incarceration, criminal behavior, substance
    abuse, and the failure to provide adequate support or supervision for a child can, alone or
    in combination, constitute conduct that exhibits a wanton disregard for the welfare of a
    child.” In re Audrey 
    S., 182 S.W.3d at 867-68
    . “Our courts have consistently held that
    an incarcerated parent who has multiple drug offenses and wastes the opportunity to
    rehabilitate themselves by continuing to abuse drugs, resulting in revocation of their
    parole and reincarceration, constitutes abandonment of the child, and demonstrates a
    wanton disregard for the welfare of the child.” Dep’t of Children’s Servs. v. J.M.F., No.
    - 10 -
    E2003-03081-COA-R3-PT, 
    2005 WL 94465
    , at *7 (Tenn. Ct. App. Jan. 11, 2005) (citing
    In re C.T.S., 
    156 S.W.3d 18
    , 25 (Tenn. Ct. App. 2004); Dep’t of Children’s Servs. v. J.S.,
    No. M2000-03212-COA-R3-JV, 
    2001 WL 1285894
    , at *3 (Tenn. Ct. App. Oct. 25,
    2001); In re C.W.W., 
    37 S.W.3d 467
    , 473 (Tenn. Ct. App. 2000); G.M.C. v. A.V.I., No.
    E2000-00134-COA-R3-CV, 
    2000 WL 1195686
    , at *5-6 (Tenn. Ct. App. Aug. 23, 2000);
    Dep’t. of Children’s Servs. v. Wiley, No. 03A01-9903-JV-00091, 
    1999 WL 1068726
    , at
    *7 (Tenn. Ct. App. Nov. 24, 1999)). “The actions that our courts have commonly found
    to constitute wanton disregard reflect a ‘me first’ attitude involving the intentional
    performance of illegal or unreasonable acts and indifference to the consequences of the
    actions for the child.” In re Anthony R., No. M2014-01753-COA-R3-PT, 
    2015 WL 3611244
    , at *3 (Tenn. Ct. App. June 9, 2015).
    Courts are not limited to the four-month period preceding a parent’s incarceration
    to determine whether the parent has engaged in conduct evidencing a wanton disregard
    for his or her children’s welfare. 
    Id. at *2;
    In re F.N.M., 
    2016 WL 3126077
    , at *3.
    Incarceration itself is not grounds for a parent’s termination of parental rights, but courts
    consider the incarceration a “triggering mechanism that allows the court to take a closer
    look at the child’s situation to determine whether the parental behavior that resulted in
    incarceration is part of a broader pattern of conduct that renders the parent unfit or poses
    a risk of substantial harm to the welfare of the child.” In re Audrey 
    S., 182 S.W.3d at 866
    .
    When DCS filed the termination petition in this case, Mother was incarcerated for
    driving on a suspended license and failing to appear in court for a hearing. The record
    shows that the initial referral to DCS was based on a neighbor’s report that Mother was
    using methamphetamine in front of the children and leaving it within their reach. Two of
    the children subsequently tested positive for methamphetamines and amphetamines.
    Mother agreed to undergo rehabilitation in an in-patient facility after the children were
    removed and placed in DCS’s custody, but she failed to comply with the recommended
    follow-up steps and relapsed after successfully completing her treatment. When Morgan
    was born in November 2016, Mother tested positive for amphetamine and Morgan tested
    positive for methamphetamine and amphetamine. Morgan was removed from Mother’s
    custody less than a month after she was born, and Mother testified that she started using
    drugs again before Morgan was removed from her custody. Mother testified that she did
    not seek further treatment following her relapse in December 2016. Mother was
    incarcerated at different times during the pendency of this action for reasons related to
    her driving on a suspended license and failing to pay child support pursuant to the court’s
    orders.
    The trial court determined that Mother engaged in conduct that exhibited a wanton
    disregard for her children’s welfare. We agree that the evidence is clear and convincing
    that Mother’s conduct exhibited a wanton disregard for the children’s welfare and affirm
    the trial court’s determination as to this ground.
    - 11 -
    4. Substantial Noncompliance with Permanency Plan
    In addition to the grounds discussed thus far, a parent’s rights can be terminated if
    he or she is substantially noncompliant with the statement of responsibilities in a
    permanency plan that complies with the requirements of title 37, chapter 2, part 4. Tenn.
    Code Ann. § 36-1-113(g)(2). Tennessee Code Annotated section 37-2-403(a)(2) requires
    that the permanency plan for each child in foster care include a statement of
    responsibilities between the parent(s), the agency, and the caseworker of the agency; the
    statements identify each party’s responsibilities in specific terms; and the statements be
    reasonably related to remedying the conditions that necessitated foster care placement.
    This ground for termination does not require DCS to use reasonable efforts to assist a
    parent in complying with the requirements of a permanency plan. See In re Kaliyah 
    S., 455 S.W.3d at 555
    (holding that “proof of reasonable efforts is not a precondition to
    termination of the parental rights of the respondent parent”); see also In re Skylar P., No.
    E2016-02023-COA-R3-PT, 
    2017 WL 2684608
    , at *7 (Tenn. Ct. App. June 21, 2017).
    The Department developed two permanency plans for Mother, the first in April
    2016 and the second in January 2017, after Morgan was born. The first plan identified
    the permanency goal for Seth and Bentley to be returned to Mother. The permanency
    goal for Kaitlynn was to exit custody with a relative. The goal target date for all three
    children was October 25, 2016. The first plan directed Mother to pay $100 each month
    for the support of each of her three children in DCS custody and included the following
    concerns: Mother’s erratic behavior at visitation with children, Mother’s admitted use of
    pain pills and methamphetamines, Mother’s unemployment, and Mother’s lack of
    suitable housing for the children. The plan included a statement of Mother’s
    responsibilities for each concern identified. With regard to Mother’s erratic behavior
    during her visits with the children, she was required to complete a mental health
    assessment by June 20, 2016, sign releases for the assessments, and follow all
    recommendations of the mental health assessment. With regard to her admitted use of
    pain pills and methamphetamines, Mother was to have negative drug screens, submit to
    random drug screens to include hair, nail, urine, or saliva at the request of DCS, provide
    medication prescriptions and submit to random pill counts, attend an in-patient treatment
    facility, follow all discharge recommendations, and sign releases for records and
    recommendations. With regard to her unemployment, DCS required Mother to obtain a
    legal source of income, provide proof of income to DCS to establish financial stability,
    and complete classes and work towards obtaining her General Equivalency Diploma
    (“G.E.D.”). Finally, with regard to her lack of suitable housing, Mother was required to
    notify DCS when she obtained adequate housing, resolve all legal issues, and provide
    DCS with four consecutive months of paid rent and utility receipts to prove stability.
    Mother participated in the development of the first permanency plan and signed
    the plan on April 25, 2016. She also signed a statement acknowledging receipt of a copy
    of the “Criteria and Procedures for Termination of Parental Rights” that was attached to
    - 12 -
    the plan and that she was provided an explanation of its contents. The trial court ratified
    the first plan on November 14, 2016. Morgan was included in the second permanency
    plan dated January 5, 2017. The second plan was substantially similar to the first plan.
    The second plan listed two goals for each child: “return to parent” or “exit to kin,” and
    the goal target date for this plan was set at July 15, 2017. The amount of monthly child
    support Mother was to pay for each child was lowered from $100 to $50. In addition to
    the responsibilities identified in the initial plan, the second plan required Mother to
    demonstrate her ability to parent the children in an age-appropriate manner by providing
    a meal or snacks during her scheduled visits with the children and to notify DCS twenty-
    four hours in advance if she was not able to make it to a scheduled visit. The second
    permanency plan was ratified on April 20, 2017.
    Mother has not substantially complied with her responsibilities under either of the
    permanency plans. She attended an in-patient treatment facility shortly after the three
    older children were removed from her custody, but she refused to follow the discharge
    recommendations. One of the discharge recommendations was that Mother attend ninety
    AA meetings in ninety days, and Mother testified that she only attended “a couple” of
    meetings. The record does not reflect that Mother ever had a mental health assessment.
    When she was asked about this at trial, Mother testified that she was never in the proper
    mind set to have her mental health assessed.5 Despite successfully completing the in-
    patient treatment for drugs and alcohol while she was pregnant with Morgan, Mother
    tested positive for amphetamine when Morgan was born and she admitted to relapsing
    following Morgan’s birth. The record does not reflect that Mother has sought any further
    drug and alcohol treatment.
    With regard to employment, Mother worked only sporadically and for short
    periods from the time the older children were removed from her custody in March 2016
    until trial. She was unemployed when the children were removed. Mother testified that
    she cleaned houses for a time while she was in Arkansas and that she worked at a
    Holiday Inn for about three weeks before she was incarcerated in March 2017 and then
    for another couple of weeks following her release. Mother also testified that she worked
    for about three weeks at Tice’s Springs in May 2017 and that she worked for a few days
    at Thunder Alley in August 2017. Mother testified that she had plans to begin working at
    The Dollar Store following trial, but she was unsure of her rate of pay or how many hours
    per week she would be working.
    Mother failed to maintain contact with DCS during the pendency of her case, as
    she was required to do. Mother did not inform Ms. Lawler when she moved from place
    to place in Tennessee or when she relocated to Arkansas following Morgan’s birth. She
    also did not let DCS know when she was working or provide any proof of her income.
    5
    Mother testified that she went in for a mental health evaluation shortly before trial but was unable to
    retrieve the results in time for trial.
    - 13 -
    Mother admitted at trial that she had not paid any amount of child support other
    than $400 that her mother lent her for the purpose of purging herself of contempt. The
    record is not clear about when this $400 was paid, but the record suggests Mother paid
    this amount shortly before the trial, after the termination petition was filed.
    Mother failed to comply with her responsibilities related to establishing and
    maintaining suitable housing for the children. She testified that prior to July 2017, which
    was one month before trial, she did not have an address. As discussed above, Mother
    was living in an apartment when the three older children were removed from her custody.
    Shortly thereafter, Mother began the 45-day in-patient treatment. After leaving the in-
    patient facility, Mother lived in a tent in a friend’s front yard for a few weeks, and after
    that she lived out of a car. Mother moved to Arkansas in January 2017 for five or six
    weeks. From March to the end of May 2017, Mother was incarcerated for driving on a
    suspended license and failure to appear in court for a hearing. Mother began living in a
    three-bedroom house a few weeks before the trial, but Ms. Lawler testified that Mother
    did not inform her that she was residing in this house until the day before trial.
    Mother’s visitation with the children was not consistent. After the children were
    removed from her custody, Mother was allowed weekly visitation with the children. Ms.
    Lawler testified about Mother’s visitation:
    She had weekly visitations and she was about every three weeks. She
    would miss one week out of the month. And then the one time that she was
    in [the treatment facility] we brought [the children] up there for 45 days,
    and then after that it was like two weeks a month until about September,
    October, and then it was kind of like just a little.
    When Mother was asked at trial when she last saw her children, she responded, “I
    honestly can’t tell you.” Ms. Lawler testified that Mother last saw her children in early
    January 2017, before she moved to Arkansas. The trial court allowed Mother to send
    letters to her children after it removed her right to visit with them. The evidence showed
    that Mother sent only one letter to the children. Ms. Lawler testified that Mother last
    spoke with the children in March or April of 2017.
    The trial court found there was clear and convincing evidence to support this
    ground for termination:
    [Mother’s] own testimony makes it clear that in the initial Permanency Plan
    and all subsequent plans, there were specific tasks for [Mother] to
    complete. The criteria for termination of parental rights were explained to
    [Mother] and she signed the criteria stating she was aware of the
    requirements and the reasons her parental rights could eventually be
    terminated. The testimony showed that even though [Mother] was in and
    - 14 -
    out of jail, during the times she was not in jail she failed to follow through
    with most of the tasks on the permanency plan. And even though [Mother]
    was assisted by DCS in many ways, she was not able to obtain a job or
    stable housing or complete her A&D or mental health treatment. The
    testimony further showed that DCS used reasonable efforts to try and assist
    [Mother]; however she would not stay in contact with her caseworker. The
    testimony further showed that the permanency plans were in the children’s
    best interests and the requirements for [Mother] were reasonably related to
    remedying the reasons the children were in foster care.
    Mother argues the trial court erred in concluding the evidence supported this
    ground by clear and convincing evidence, pointing out that she had a mental health
    evaluation performed prior to trial, she obtained housing by the time of trial, she attended
    rehabilitation for forty-five days in 2016, and she had obtained employment at The Dollar
    Store. With the exception of the in-patient facility where Mother obtained treatment for
    her drug and alcohol use in April and May 2016, Mother does not point to any other steps
    she took to comply with her responsibilities under the permanency plans until after the
    termination petition was filed. Moreover, Mother relapsed after she completed the in-
    patient treatment, and the evidence does not show that she sought additional treatment to
    address her continuing issues with drugs and alcohol. We find Mother’s efforts were
    “too little too late.” See In re Daymien T., 
    506 S.W.3d 461
    , 473 (Tenn. Ct. App. 2016)
    (finding father’s progress on requirements under permanency plan were “too little, too
    late” because he “largely failed to take any action for nearly two years after the child was
    removed from his custody”); see also In re K.M.K., No. E2014-00471-COA-R3-PT, 
    2015 WL 866730
    , at *6 (Tenn. Ct. App. Feb. 27, 2015); In re A.W., 
    114 S.W.3d 541
    , 546-47
    (Tenn. Ct. App. 2003). Our review of the record convinces us that the evidence is clear
    and convincing that Mother failed to address or complete many of the requirements in the
    permanency plans. In fact, with the exception of the in-patient treatment, she did not
    begin to address the requirements until shortly before trial, after the termination petition
    was filed. Thus, we affirm the trial court’s determination that termination of Mother’s
    rights based on her substantial noncompliance with the permanency plans was established
    by clear and convincing evidence.
    5. Severe Child Abuse
    Parental rights can be terminated upon clear and convincing evidence that a parent
    engaged in “severe child abuse,” as that term is defined in Tenn. Code Ann. § 37-1-102.
    Tenn. Code Ann. § 36-1-113(g)(4). “Severe child abuse” is defined as:
    The knowing exposure of a child to or the knowing failure to protect a child
    from abuse or neglect that is likely to cause serious bodily injury or death
    and the knowing use of force on a child that is likely to cause serious bodily
    injury or death; [or]
    - 15 -
    ....
    Knowingly allowing a child to be present within a structure where the act
    of creating methamphetamine . . . is occurring.
    Tenn. Code Ann. § 37-1-102(b)(22)(A)(i), (D).
    Seth, Bentley, and Kaitlynn
    The trial court (which was a juvenile court) entered an order on December 29,
    2016, finding that Seth, Bentley, and Kaitlynn were victims of severe child abuse
    pursuant to Tenn. Code Ann. § 37-1-102(b)(22)(D). Mother participated in the
    dependency and neglect proceedings that preceded the court’s determination that the
    children were victims of severe child abuse, and the court noted that Mother stipulated in
    those earlier proceedings that the children were dependent and neglected.
    Mother did not appeal the trial court’s judgment finding the children were victims
    of severe child abuse, as she had the statutory right to do. See Tenn. Code Ann. § 37-1-
    159(a) (“Any appeal from any final order or judgment in a[] . . . dependent and neglect
    proceeding, filed under this chapter, may be made to the circuit court . . . [and] shall be
    perfected within ten (10) days . . . following the entry of the juvenile court’s order.”).
    The doctrine of res judicata applies to bar the re-litigation of an issue under the following
    circumstances:
    an existing final judgment rendered upon the merits, without fraud or
    collusion, by a court of competent jurisdiction, is conclusive of rights,
    questions and facts in issue as to the parties and their privies, in all other
    actions in the same or any other judicial tribunal of concurrent jurisdiction.
    Galbreath v. Harris, 
    811 S.W.2d 88
    , 90 (Tenn. Ct. App. 1990). Because Mother did not
    appeal the trial court’s earlier order regarding severe child abuse of the older three
    children, the issue of whether Mother’s parental rights can be terminated as to Seth,
    Bentley, and Kaitlynn on the ground of severe child abuse is res judicata. See In re
    Heaven L.F., 
    311 S.W.3d 435
    , 439 (Tenn. Ct. App. 2010) (holding that doctrine of res
    judicata precludes parent from re-litigating issue of severe child abuse in termination
    proceeding when court has found child to be victim of severe child abuse in earlier
    dependency and neglect proceeding); see also Dep’t of Human Servs. v. Tate, No. 01-A-
    01-9409-CV-00444, 
    1995 WL 138858
    , at *5 (Tenn. Ct. App. Mar. 31, 1995).
    Morgan
    The trial court filed an order finding Morgan was a victim of severe child abuse on
    August 23, 2017, just one day before the trial to determine whether Mother’s parental
    - 16 -
    rights should be terminated. It is unclear whether Mother appealed that order. In its
    order terminating Mother’s rights, the trial court again concluded that Mother committed
    severe child abuse against Morgan. The record shows that Mother tested positive for
    amphetamine and Morgan tested positive for methamphetamine and amphetamine when
    she was born. We have held in prior cases that “a mother’s prenatal drug use constitutes
    severe child abuse ‘whether or not the child actually sustains harm.”’ In re Douglas H.,
    No. M2016-02400-COA-R3-PT, 
    2017 WL 4349449
    , at *9 (Tenn. Ct. App. Sept. 29,
    2017) (quoting In re Shannon P., No. E2012-00445-COA-R3-PT, 
    2013 WL 3777174
    , at
    *5 (Tenn. Ct. App. July 16, 2013)); see also In re M.J.J., No. M2004-02759-COA-R3-
    PT, 
    2005 WL 873305
    , at *8 (Tenn. Ct. App. Apr. 14, 2005) (affirming trial court’s
    finding that Mother’s drug use while pregnant constituted severe child abuse for purposes
    of terminating her parental rights).
    In its order terminating Mother’s parental rights, the trial court found the evidence
    showed that Mother knowingly exposed her children to drugs and that the children tested
    positive for methamphetamines and amphetamines. Thus, the trial court concluded, clear
    and convincing evidence supported terminating Mother’s parental rights based on the
    ground of severe child abuse. Mother does not contest this ground as a basis for
    terminating her parental rights. We find the trial court properly determined that the
    evidence was clear and convincing that Mother committed severe child abuse against
    Morgan before Morgan was born and that the issue of whether Mother committed severe
    child abuse against Seth, Bentley, and Kaitlynn is res judicata.
    C. Best Interests Analysis
    Having found clear and convincing evidence exists to terminate Mother’s parental
    rights, we next consider whether the trial court properly determined that termination is in
    the children’s best interest. See Tenn. Code Ann. § 36-1-113(c)(2); In re Audrey 
    S., 182 S.W.3d at 860
    . “Facts relevant to a child’s best interests need only be established by a
    preponderance of the evidence, although DCS must establish that the combined weight of
    the proven facts amounts to clear and convincing evidence that termination is in the
    child’s best interests.” In re Carrington 
    H., 483 S.W.3d at 535
    (citing In re Kaliyah 
    S., 455 S.W.3d at 555
    ).
    The factors a trial court is to consider in determining whether terminating a
    parent’s rights to a child is in the child’s best interests are set forth in Tenn. Code Ann.
    § 36-1-113(i) and include 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;
    - 17 -
    (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, controlled substances or controlled substance
    analogues as may render the parent or guardian consistently unable to care
    for the child in a safe and stable manner;
    (8) Whether the parent’s or guardian’s mental and/or emotional status
    would be detrimental to the child or prevent the parent or guardian from
    effectively providing safe and stable care and supervision for the child; or
    (9) Whether the parent or guardian has paid child support consistent with
    the child support guidelines promulgated by the department pursuant to
    § 36-5-101.
    The Tennessee Supreme Court has addressed the steps DCS must take to reunify a
    family before a court will terminate a parent’s rights, explaining:
    [I]n a termination proceeding, the extent of DCS’s efforts to reunify the
    family is weighed in the court’s best-interest analysis, but proof of
    reasonable efforts is not a precondition to termination of the parental rights
    of the respondent parent. As with other factual findings made in
    connection with the best-interest analysis, reasonable efforts must be
    proven by a preponderance of the evidence, not by clear and convincing
    evidence. In re Audrey 
    S., 182 S.W.3d at 861
    . After making the
    - 18 -
    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. See
    In re Adoption of Kleshinski, No. M2004-00986-COA-R3-CV, 
    2005 WL 1046796
    , at *17 (Tenn. Ct. App. May 4, 2005) (citing In re M.J.B., 
    140 S.W.3d 643
    , 654 (Tenn. Ct. App. 2004)); see also In re Giorgianna 
    H., 205 S.W.3d at 516
    ; Tenn. Dep’t of Children’s Servs. v. T.M.B.K., 
    197 S.W.3d 282
    , 288 (Tenn. Ct. App. 2006).
    In re Kaliyah 
    S., 455 S.W.3d at 555
    -56.
    The trial court in this case concluded that after considering all of the testimony and
    statutory factors set forth in Tenn. Code Ann. § 36-1-113(i), the evidence was clear and
    convincing that terminating Mother’s parental rights was in the children’s best interest.
    The court wrote:
    [Mother] has not made such an adjustment of circumstances,
    conduct or conditions to make it safe and in the children’s best interest to
    be in the home of the parent as she has not obtained and maintained a
    suitable home for the children; has not obtained mental health treatment;
    has not completed A&D treatment; and has continued to test positive for
    illegal drugs. She is not in a position to assume care or custody of the
    children and will not be for a long time. [Mother] was late to Court for this
    hearing, not just the morning session, but the afternoon session as well,
    which speaks volumes as to her concern and disregard for this case.
    [Mother] has not made a lasting adjustment after reasonable efforts
    by the Department that lasting change appears possible. The conditions
    that led to the removal are not likely to change, and it appears to this Court
    that [Mother] is going to continue in those conditions.
    [Mother] has had little or no contact or relationship with the
    children, even when [she] was not incarcerated. At one time there was a
    relationship, but in the past several months [Mother] has [not] been willing
    to establish a relationship.
    Based on the testimony of the caseworker and the custodian, the
    Court finds that the children are in a good home together that is very stable.
    When all the factors are evaluated in conjunction with the testimony, the
    Court finds by clear and convincing evidence that termination is in the best
    interest of the minor children.
    - 19 -
    “[A]scertaining a child’s best interests in a termination proceeding is a fact-
    intensive inquiry requiring the courts to weigh the evidence regarding the statutory
    factors, as well as any other relevant factors.” In re Audrey 
    S., 182 S.W.3d at 878
    (footnote omitted); see also White v. Moody, 
    171 S.W.3d 187
    , 193-94 (Tenn. Ct. App.
    2004). Conducting a best interest analysis does not call for a “rote examination” of each
    of the factors listed in Tenn. Code Ann. § 36-1-113(i) and then determining whether the
    sum of the factors weighs in favor of the parent or not. 
    White, 171 S.W.3d at 194
    .
    Rather, “[t]he relevancy and weight to be given each factor depends on the unique facts
    of each case.” In re Audrey 
    S., 182 S.W.3d at 878
    . Courts must view a child’s best
    interest from the child’s perspective, not that of the parent. Id.; see also 
    White, 171 S.W.3d at 194
    .
    In this case, Mother testified at trial that she was not then ready for her children to
    be returned to her. She explained:
    I’m not asking for you all to give them back to me at this time, I’m just
    asking for you to let me be a part of their lives. I know they’re completely
    stable and living right with Aunt Cathy, but I know in my heart that I can
    get myself together and I can get a home for them and bring them home.
    It’s going to take a lot of saving up money because I don’t want to bring
    four kids over to live with me while I’m struggling. I want to have the
    money to take them and get them anything that they ask me for, and at this
    time I can’t do that. I probably can’t do that for another six months. But I
    can work as hard as I can towards that.
    The record shows that by the time of trial, Mother was working towards adjusting her
    circumstances, conduct, and conditions to create a safe environment for the children to
    live with her, but she was not yet ready for the children to be with her.
    Ms. Lawler testified that she encouraged Mother to undergo a mental health
    assessment throughout the pendency of this case, but Mother consistently refused to
    comply. Mother testified that she went in for a mental health assessment shortly before
    trial, but she did not have the results back in time for trial. Mother admitted that after
    Morgan was born, DCS encouraged her to “go back to rehab” because she had relapsed
    and started using illegal drugs again, but Mother did not seek additional treatment. Ms.
    Lawler testified that she transported the children to see Mother when Mother was in the
    in-patient treatment facility and that she encouraged Mother to visit the children regularly
    following this forty-five-day period. Ms. Lawler also testified that she visited Mother
    while she was in jail to boost Mother’s morale and let her know Ms. Lawler was thinking
    about her. Mother admitted that she failed to maintain contact with Ms. Lawler, and this
    made it difficult for Ms. Lawler to obtain drug screens from Mother during the pendency
    of the case.
    - 20 -
    Although the evidence shows Mother visited the children about three out of every
    four weeks once she left the in-patient treatment facility in May 2016, Ms. Lawler
    testified that Mother did not visit the children much after September or October of that
    year. Mother could not say at trial when she last saw her children, and Ms. Lawler
    testified that she did not believe Mother had seen them since early January 2017, which
    was over seven months prior to trial.
    We have already addressed Mother’s neglect of the children through her exposure
    of them to amphetamines and methamphetamines and her inability to show that she can
    provide them with a suitable home or financially take care of them. When the children
    were removed from Mother’s custody in March 2016, they were placed with Ms. C., who
    is Mother’s aunt. Ms. Lawler testified that the children love Ms. C. “as if . . . she was
    their mother.” Ms. Lawler said the younger two children seem to treat Ms. C. as if she
    was their mother and that the older boy, Seth, “is angry because he knows he has a
    mother, but somebody else is taking care of him.” In response to a question about
    whether Seth had indicated whether he wanted to see his mother, Ms. Lawler stated:
    He hasn’t brought her up. I have tried talking to him about it, but he doesn’t
    want to talk about it and I don’t want to push him. But I have been at the
    house a couple of times when she was having phone calls and it was a fight
    to get him to talk to her on the phone.
    Ms. Lawler explained that Bentley “went through an aggressive spell” but that he has
    calmed down with the help of counseling. Ms. Lawler testified that she believed
    removing the children from Ms. C.’s home would be detrimental to them.
    Ms. C. testified that the children were doing well in her home and that she was
    able to transport the children to doctor’s appointments and transport Seth and Bentley to
    meet with their counselors. Ms. C. said that the boys were both doing well in school and
    that the girls, who were too young for school, were able to stay at home with her. Ms. C.
    believed “it would be devastating” if the children were removed from her home. Ms. C.
    testified that she was willing to adopt all four of Mother’s children if they became
    available for adoption.
    We agree with the trial court’s determination that the evidence clearly and
    convincingly shows that termination of Mother’s parental rights is in the children’s best
    interest. Accordingly, we affirm the trial court’s judgment terminating Mother’s parental
    rights to Seth, Bentley, Kaitlynn, and Morgan.
    III. CONCLUSION
    We reverse the trial court’s judgment that DCS proved by clear and convincing
    evidence that Mother abandoned the children by failing to support them or provide a
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    suitable home, and we vacate the judgment that DCS proved the ground of persistence of
    conditions. We affirm the judgment of the trial court in all other respects. This matter is
    remanded with costs of appeal assessed against the appellant, Ashley R., and execution
    may issue if necessary.
    ________________________________
    ANDY D. BENNETT, JUDGE
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