in the Interest of M.M., a Child ( 2019 )


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  •              In the
    Court of Appeals
    Second Appellate District of Texas
    at Fort Worth
    ___________________________
    No. 02-18-00337-CV
    ___________________________
    IN THE INTEREST OF M.M., A CHILD
    On Appeal from the 90th District Court
    Young County, Texas
    Trial Court No. 33031
    Before Sudderth, C.J.; Gabriel and Kerr, JJ.
    Memorandum Opinion by Justice Kerr
    MEMORANDUM OPINION
    After a bench trial, the trial court terminated Father’s and Mother’s parental
    rights to their daughter, M.M. 1 Both appealed, and in a joint brief, they argue three
    points: in the first two, they assert that the evidence is legally and factually insufficient,
    respectively, to prove grounds, and in the third, they maintain that the evidence is
    factually insufficient to prove that termination was in M.M.’s best interest. We affirm.
    The Trial Court’s Findings
    The trial court terminated both Father’s and Mother’s parental rights on the
    same bases:
    • Each failed to comply with the provision of a court order that
    specifically established the actions necessary to obtain the return of
    M.M., who had been in the permanent or temporary managing
    conservatorship of the Department of Family and Protective Services
    for not less than nine months as a result of M.M.’s removal from the
    parents under Chapter 262 for the abuse or neglect of M.M; and
    • Terminating the parent-child relationship was in M.M.’s best interest.
    See Tex. Fam. Code Ann. § 161.001(b)(1)(O), (2). These are the findings that Father
    and Mother attack.
    To protect the parties’ privacy in this case, we identify the child by her initials
    1
    and her parents simply as Father and Mother. See Tex. Fam. Code Ann. § 109.002(d).
    2
    Standard of Review
    A. Generally
    In a termination case, the State seeks not just to limit parental rights but to
    erase them permanently—to divest the parent and child of all legal rights, privileges,
    duties, and powers normally existing between them, except the child’s right to inherit.
    Tex. Fam. Code Ann. § 161.206(b); Holick v. Smith, 
    685 S.W.2d 18
    , 20 (Tex. 1985).
    Consequently, “[w]hen the State seeks to sever permanently the relationship between
    a parent and a child, it must first observe fundamentally fair procedures.” In re E.R.,
    
    385 S.W.3d 552
    , 554 (Tex. 2012) (citing Santosky v. Kramer, 
    455 U.S. 745
    , 747–48,
    
    102 S. Ct. 1388
    , 1391–92 (1982)).
    Termination decisions must be supported by clear and convincing evidence. See
    Tex. Fam. Code Ann. § 161.001(b), § 161.206(a); In re E.N.C., 
    384 S.W.3d 796
    ,
    802 (Tex. 2012). Due process demands this heightened standard because “[a] parental
    rights termination proceeding encumbers a value ‘far more precious than any property
    right.’” 
    E.R., 385 S.W.3d at 555
    (quoting 
    Santosky, 455 U.S. at 758
    –59, 102 S. Ct. at
    1397). Evidence is clear and convincing if it “will produce in the mind of the trier of
    fact a firm belief or conviction as to the truth of the allegations sought to be
    established.” Tex. Fam. Code Ann. § 101.007; 
    E.N.C., 384 S.W.3d at 802
    .
    For a trial court to terminate a parent-child relationship, the party seeking
    termination must establish, by clear and convincing evidence, two things: (1) the
    parent’s actions satisfy just one of the many grounds listed in family code
    3
    § 161.001(b)(1), and (2) termination is in the child’s best interest under
    § 161.001(b)(2). Tex. Fam. Code Ann. § 161.001(b)(1), (2); 
    E.N.C., 384 S.W.3d at 803
    ;
    In re J.L., 
    163 S.W.3d 79
    , 84 (Tex. 2005). Both elements must be established; that is,
    termination may not be based solely on the child’s best interest as determined by the
    factfinder. Tex. Dep’t of Human Servs. v. Boyd, 
    727 S.W.2d 531
    , 533 (Tex. 1987); In re
    C.D.E., 
    391 S.W.3d 287
    , 295 (Tex. App.—Fort Worth 2012, no pet.).
    B. Legal Sufficiency
    In evaluating the evidence for legal sufficiency in parental-termination cases, we
    determine whether the evidence is such that a factfinder could reasonably form a firm
    belief or conviction that the Department proved both the particular ground for
    termination and that termination is in the child’s best interest. In re J.F.C., 
    96 S.W.3d 256
    , 265–66 (Tex. 2002); see In re J.P.B., 
    180 S.W.3d 570
    , 573 (Tex. 2005). We review
    all the evidence in the light most favorable to the finding and judgment, and we
    resolve any disputed facts in favor of the finding if a reasonable factfinder could have
    done so. 
    J.F.C., 96 S.W.3d at 266
    . We also must disregard all evidence that a
    reasonable factfinder could have disbelieved, in addition to considering undisputed
    evidence even if it is contrary to the finding. 
    Id. That is,
    we consider evidence
    favorable to termination if a reasonable factfinder could, and we disregard contrary
    evidence unless a reasonable factfinder could not. See 
    id. In doing
    our job, we cannot
    weigh witness-credibility issues that depend on the witness’s appearance and
    demeanor because that is the factfinder’s province. 
    J.P.B., 180 S.W.3d at 573
    . And
    4
    even when credibility issues appear in the appellate record, we defer to the factfinder’s
    determinations as long as they are not unreasonable. 
    Id. C. Factual
    Sufficiency
    We must perform “an exacting review of the entire record” in determining
    whether the evidence is factually sufficient to support terminating a parent-child
    relationship. In re A.B., 
    437 S.W.3d 498
    , 500 (Tex. 2014). In reviewing the evidence
    for factual sufficiency, we give due deference to the factfinder’s findings and do not
    supplant the judgment with our own. In re H.R.M., 
    209 S.W.3d 105
    , 108 (Tex. 2006).
    We determine whether, on the entire record, a factfinder could reasonably form a firm
    conviction or belief that the parent violated an alleged ground and that termination
    was in the child’s best interest. Tex. Fam. Code Ann. § 161.001(b); see In re C.H.,
    
    89 S.W.3d 17
    , 25 (Tex. 2002). If, in light of the entire record, the disputed evidence
    that a reasonable factfinder could not have credited in favor of the finding is so
    significant that a factfinder could not reasonably have formed a firm belief or
    conviction in the truth of its finding, then the evidence is factually insufficient.
    
    H.R.M., 209 S.W.3d at 108
    .
    The Grounds Findings
    A. The evidence supporting the § 161.001(b)(1)(O) findings legally
    suffices.
    In their first point, Father and Mother argue that “because the Department did
    not introduce the order [that they failed to comply with] into evidence or ask either
    5
    the associate judge or the trial judge to take judicial notice of the court’s file, the order
    is not in evidence and, consequently, the evidence is legally insufficient to sustain the
    trial court’s judgment of termination.” We disagree. The record shows that Associate
    Judge Alyce Bondurant took judicial notice of the court’s file. And the record shows
    that Judge Stephens Bristow similarly took judicial notice of the court’s file at the de
    novo hearing. (Father and Mother appealed the associate judge’s ruling for a de novo
    hearing.) We hold that the evidence legally suffices and overrule Father and Mother’s
    first point. See 
    J.F.C., 96 S.W.3d at 266
    .
    B. The evidence supporting the § 161.001(b)(1)(O) findings factually
    suffices.
    Parents must comply with each requirement of a court-ordered service plan;
    complying merely substantially is not good enough to avoid termination under
    subsection (O). 2 In re M.C., No. 02-15-00290-CV, 
    2016 WL 354186
    , at *4 n.8. (Tex.
    App.—Fort Worth Jan. 28, 2016, no pet.) (mem. op.); In re C.S., No. 02-14-00386-CV,
    
    2015 WL 1869443
    , at *10-11 (Tex. App.—Fort Worth Apr. 23, 2015, no pet.) (mem.
    op.). Subsection (O) speaks only of a parent’s failure to comply with a court order,
    without reference to quantity of failure or degree of compliance, and it does not
    2
    The Department filed this suit in September 2016 before § 161.001(d)’s
    September 1, 2017 effective date. See Tex. Fam. Code Ann. § 161.001(d); In re A.W.,
    No. 02-18-00147-CV, 
    2018 WL 5074770
    , at *9–10 (Tex. App.—Fort Worth Oct. 18,
    2018, pet. denied) (mem. op.). That subsection now allows a parent to excuse full
    compliance with a court order by proving an inability to comply with specific
    provisions and showing a good-faith effort to comply that fell short through no fault
    of the parent.
    6
    provide a means of evaluating partial or substantial compliance with a plan. In re N.A.,
    Nos. 02-13-00345-CV, 02-13-00346-CV, 
    2014 WL 814195
    , at *5 (Tex. App.—Fort
    Worth Feb. 28, 2014, no pet.) (mem. op.); In re G.C., No. 02-17-00259-CV,
    
    2018 WL 547784
    , at *16 (Tex. App.—Fort Worth Jan. 25, 2018, no pet.) (mem. op.).
    The trial court adopted Father and Mother’s service plan as its own order.
    Despite Father’s and Mother’s complying with many portions of the court-ordered
    service plan, the evidence also showed that they failed to comply with several of its
    provisions.
    For example, the service plan required Father and Mother to provide
    identifying information for anyone living in their home; Father admitted that his
    daughter lived with them and that he did not tell the Department. Mother denied that
    Father’s daughter moved in with them but admitted that she “visited for a while.” As
    the factfinder, the trial court was free to reconcile this conflict by believing Father and
    disbelieving Mother. See In re A.S., Nos. 02-18-00235-CV, 02-18-00236-CV,
    
    2019 WL 237561
    , at *9 (Tex. App.—Fort Worth Jan. 17, 2019, pet. denied) (mem.
    op.); In re T.N., 
    180 S.W.3d 376
    , 382–83 (Tex. App.—Amarillo 2005, no pet.). This
    violation alone supports the (O) findings for each parent. But the Department cited
    other instances.
    The service plan required both parents to complete a psychological evaluation
    and to follow its recommendations. And as part of their psychological evaluations,
    both were recommended to undergo individual counseling. The caseworker testified
    7
    that neither parent had addressed existing paranoia and trust issues. At least as to
    Mother, the record showed that she balked at the idea of counseling. As for Father,
    the caseworker expressed frustration with Father’s attitude that he had nothing more
    to learn.
    Next, M.M. had medical appointments and needed medical care; the service
    plan required Father and Mother to participate in them. But Father and Mother
    missed four or five cardiology appointments, and they missed both urology
    appointments. Although both parents could argue partial compliance, subsection (O),
    as it applied to them, made no allowances for partial compliance. See N.A.,
    
    2014 WL 814195
    , at *5; G.C., 
    2018 WL 547784
    , at *16.
    Another example the Department gave was that the service plan required
    Father and Mother to complete an MHMR3 assessment and follow all its
    recommendations. The caseworker testified that Father had complied with this
    requirement but Mother had not. Although the MHMR assessment made no
    recommendations with regard to Mother, the caseworker explained that that was
    because Mother had made it clear that she did not want or need any services.
    And despite this case’s presenting no substance-abuse issues, the caseworker
    testified that (unlike Father) Mother did not fully comply with her substance-abuse
    assessment because she did not comply with the MHMR assessment, which was
    Mental Health Mental Retardation. See In re S.L.S., No. 02-04-00186-CV,
    3
    
    2005 WL 250688
    , at *3 (Tex. App.—Fort Worth Feb. 3, 2005, no pet.) (mem. op.).
    8
    “boot-strapped”: that is, the substance-abuse assessment recommended referring
    Mother to MHMR and following its recommendations, and because Mother did not
    comply with the MHMR recommendations, she did not comply with the substance-
    abuse assessment.
    In light of the entire record, we hold that a factfinder could reasonably form a
    firm conviction or belief that both parents violated the subsection (O) ground and
    that the evidence thus factually suffices. See 
    H.R.M., 209 S.W.3d at 108
    ; 
    C.H., 89 S.W.3d at 25
    . We overrule Father and Mother’s second point.
    The Best-Interest Findings
    A. Best Interest
    We acknowledge the strong presumption that keeping a child with a parent is in
    the child’s best interest. In re R.R., 
    209 S.W.3d 112
    , 116 (Tex. 2006). To determine the
    child’s best interest, we review the entire record. In re E.C.R., 
    402 S.W.3d 239
    ,
    250 (Tex. 2013). The same evidence used to show a subsection (1) ground may be
    probative when determining best interest under subsection (2). 
    Id. at 249;
    C.H.,
    89 S.W.3d at 28
    . Nonexclusive factors that the factfinder may use when determining
    the child’s best interest include
    •      the child’s desires;
    •      the child’s emotional and physical needs now and in the future;
    •      the emotional and physical danger to the child now and in the future;
    •      the parental abilities of the individuals seeking custody;
    9
    •         the programs available to assist these individuals to promote the child’s
    best interest;
    •         the plans for the child by these individuals or by the agency seeking
    custody;
    •         the stability of the home or proposed placement;
    •         the parent’s acts or omissions that may indicate that the existing parent-
    child relationship is not a proper one; and
    •         any excuse for the parent’s acts or omissions.
    Holley v. Adams, 
    544 S.W.2d 367
    , 371–72 (Tex. 1976); see 
    E.C.R., 402 S.W.3d at 249
    (stating that in reviewing a best-interest finding, “we consider, among other
    evidence, the Holley factors” (footnote omitted)); 
    E.N.C., 384 S.W.3d at 807
    . These
    factors are not exhaustive, and some of them may not apply to some cases. 
    C.H., 89 S.W.3d at 27
    . Furthermore, undisputed evidence of just one of these factors may
    suffice in a particular case to support a finding that termination is in the child’s best
    interest. See 
    id. On the
    other hand, in some cases, the presence of scant evidence
    relevant to each factor will not support such a finding. 
    Id. B. Evidence
    1. Father and Mother meet in 2011 and get married.
    In 2011, when Mother was 18 years old and living with her mother and her
    mother’s boyfriend, Mother decided to move to the woods, leaving with nothing
    other than a pocket knife. She had no job and no money; she did not even have a
    sleeping bag.
    10
    Certain evidence explained Mother’s impulsive move. She reported that from
    the age of seven or eight, different men, including her mother’s boyfriends and
    apartment employees, had raped her, and when she went to the police for help, her
    own mother—who had been prostituting her out—blocked her efforts to stop the
    abuse.
    On Mother’s way to the woods that day, she met Father at a gas station. Father
    was 58 at the time.
    Like Mother, Father had had a difficult childhood. He never knew his birth
    father. He was raised by his stepfather, who beat him until he was 15 years old. These
    beatings fostered a dislike for the Department because, Father said, it knew about his
    stepfather’s abuse but did nothing to help him.
    And like Mother, Father’s mother was the source of personal trauma. When
    Father was in his 40s, his mother committed suicide. Father reported seeing “the
    aftermath of mom placing a 357 magnum in her mouth and ‘blowing her brains out.’”
    After Mother met Father at the gas station on her way to live in the woods,
    their paths merged. She moved in with him, and a month or two later, they were
    married. Mother was Father’s seventh bride.
    2. Both Father and Mother are on disability.
    Mother testified that she had been on social-security disability all her life for
    mental-health reasons. Father worked as a mechanic until 1990 (he would then have
    been about 37 years old) when a motor fell on him and injured his back. After that, he
    11
    supported himself for over 15 years by playing music in nursing homes and clubs.
    Only after a second surgery on his neck at age 55 did he start receiving social-security
    disability. He elaborated, “[S]o far I’ve had three surgeries on my neck. They’ve taken
    out four disks in a row. . . . I have got a metal junkyard holding my head on.” Unable
    to lift over 15 pounds, he said that he could no longer work.
    3. Mother gives birth to M.M. in 2016, and M.M. has health issues.
    Mother gave birth to M.M. in May 2016. M.M. had aortic stenosis, which a
    nurse described as “a narrowing or closing of part of the aorta, which is the main
    pathway of the blood through the heart and the body.” When the aorta is closed off,
    the nurse explained, the heart must work harder to supply blood to the body, meaning
    that the child fatigues more easily. A child with this condition can take only so much
    nourishment before becoming fatigued from trying to either nurse or drink from a
    bottle. Because all the child’s energy is used just to try to keep blood flowing through
    its body, the child will not grow as well or gain weight.
    In September 2016, when M.M. was about four months old, she had heart
    surgery to repair her aorta. Consistent with the nurse’s description at trial of this
    condition, the hospital’s records showed that M.M. met the standards for moderate
    malnutrition due to inadequate weight gain caused by insufficient intake of
    nourishment.
    12
    4. The hospital staff becomes concerned over Mother’s inability to
    properly care for M.M., and the Department investigates the
    situation.
    While M.M. was at the hospital, the Department became involved when issues
    arose about Mother’s inability to adequately care for M.M. There were several
    concerns.
    For example, although M.M. had feeding issues, Mother appeared indifferent
    or thoughtless. Mother would not feed M.M. during the nights, and she once reported
    to the hospital staff that she fed M.M. only every eight to ten hours. And when
    Mother would feed M.M., she was caught diluting the formula. On other occasions,
    the staff discovered that when M.M. woke up, Mother would give her a pacifier rather
    than feed her.
    Another concern was that, due to M.M.’s surgery, she had to be picked up in a
    certain manner; picking her up under the arms rather than scooping her up could
    cause her sternum to fuse improperly and require additional surgery. Despite
    instructions, Mother would pick M.M. up improperly.
    A third concern—apparently more so after M.M.’s discharge—was that M.M.
    needed someone to timely administer blood-pressure medicine to her. If the
    medications were not administered properly, the consequences could be life-
    threatening.
    13
    5. Father agrees to help, but concerns persist.
    With Mother faltering in her ability to properly care for M.M., Father agreed to
    remain at the hospital to help.
    But like Mother, Father overslept for scheduled feedings, and he then blamed
    Mother for not waking him up. Despite the presence of both parents, hospital staff
    reported that Father and Mother were still late on nighttime feedings and that Father
    had allowed Mother to feed M.M. without supervision. Both Mother and now Father
    were picking M.M. up improperly.
    On one occasion, hospital staff called security when Father threatened Mother.
    At trial, Father acknowledged that someone had called security on him, but he denied
    threatening Mother.
    6. M.M.’s imminent discharge prompts the Department to act.
    When M.M. was ready to be discharged from the hospital, the Department filed
    its petition, and on the same date, the trial court signed an order appointing the
    Department as M.M.’s temporary managing conservator.
    7. After her discharge, M.M. experiences new health issues.
    While the case was pending, M.M. encountered and battled new health issues.
    First, M.M. had to be hospitalized for about nine days for what was variously
    described as constipation, an enlarged kidney, a urology problem, and a urinary-tract
    infection. This episode led to Mother’s later bringing one of M.M.’s three-week-old
    soiled diapers to court and attempting to open it during a hearing to show that M.M.
    14
    had blood in her stool. The caseworker acknowledged that M.M. had blood in her
    stool from being constipated and straining but explained that that was what prompted
    M.M.’s hospitalization.
    Next, M.M.’s left eye was described as drifting “off to the far side,” making it
    difficult for her to see. M.M. was wearing prescription glasses at the time of trial to
    address that issue and would later have to wear a patch for a couple of months; if the
    problem persisted, the caseworker explained that M.M. would need surgery.
    Another problem was M.M.’s walking in a “stiff-legged” manner. Early
    Childhood Intervention was seeing M.M. once a week for several hours to address her
    walking issues, and the foster parents did exercises with M.M. to strengthen her leg
    muscles. The caseworker explained that simply going to ECI once a week was not
    enough and that M.M.’s caretakers had to work with her during the rest of the week.
    In addition to the exercises, M.M. wore braces on her legs to help strengthen them; as
    M.M. grew, the leg braces would have to be refitted. The caseworker did not know
    how long M.M. would have to wear them.
    After addressing M.M.’s walking issues, the Department planned to send her to
    speech therapy. The caseworker explained that M.M. called everything—the dog, the
    lamp, people, and snacks—“Mama.” Although M.M. was not able to verbalize well,
    she was learning some basic sign language to communicate.
    15
    8. Father’s and Mother’s psychological evaluations raise new
    concerns.
    After testing, Mother was assessed as having a full-scale IQ of 77, and Father’s
    was 85.
    Mother had four diagnoses: (1) “major depressive disorder, mild, recurrent”;
    (2) “posttraumatic stress disorder (by history)”; (3) “personality disorder not otherwise
    specified, with paranoid features”; and (4) “borderline intellectual functioning.” A
    second psychologist provisionally assessed her this way: (1) “major depressive
    disorder recurrent mild”; (2) “posttraumatic stress disorder”; (3) “rule out borderline
    personality disorder”; and (4) “rule out paranoid personality disorder.” 4
    Father was diagnosed with “delusional disorder, grandiose & persecutory type.”
    A second psychologist diagnosed him with (1) generalized anxiety disorder and
    (2) “mixed personality disorder [with] borderline, paranoid, and narcissistic features.”
    Father admitted making numerous colorful statements, but he took umbrage at
    being called “delusional.”
    Father agreed that he told one of his psychologists that he was offered a music
    contract in Nashville but turned it down and that he was Dwight Yoakam’s double in
    a movie around 1994 or 1995. At trial, Father elaborated that after injuring his back in
    1990, he supported himself by playing music. His band’s name was Texas Tyme, and
    4
    A “rule out” diagnosis is a working diagnosis or one that cannot be diagnosed
    from a single visit. See In re T.T.F., 
    331 S.W.3d 461
    , 465 (Tex. App.—Fort Worth
    2010, no pet.).
    16
    they went to Nashville in 1995, played at the Wildhorse Saloon, and were on TNN
    TV. Father also described how in 1994 he was paid $75 as a rodeo-crowd extra in
    Dwight Yoakam’s movie Painted Hero, which Father said was filmed in Pilot Point, and
    how he “got to play a couple [of] little parts for Dwight” in a jail scene.
    Another example was Father’s telling his psychologist that his hands and feet
    were registered as deadly weapons, that he had taken karate lessons with Chuck
    Norris, and that he was the only person who had knocked Norris down with one
    swing. But at trial, Father denied claiming that he was the only person to dispatch
    Norris so handily.
    Next, Father further admitted telling his psychologist that he had a 185 IQ
    when he was young. When confronted with his present full-scale 85 IQ, Father
    responded, “I probably am now since I had those two strokes. Strokes take a lot out
    of you.”
    And Father told one therapist that when he was 27 years old, he went to bed at
    5'2" and woke up 5'7" the next morning. Finally, as he admitted at trial, Father told his
    therapist that there was a black market for babies and that was why CPS had taken his
    child.
    Father stated, “I still don’t understand why anybody would think that [I need
    mental health treatment].” Elaborating, he said, “I don’t hurt anybody[,] I pay
    bills[,] . . . and I take care of everything I can.”
    17
    Father also expressed exasperation with his psychologist: “Well, as far as I’m
    concerned, [my psychologist is] a[n] idiot, telling me that I’m delusional. . . . I’ve got
    proof of where I’ve been and what I have done and what I can do.” Father, who had
    spent his whole life working on cars, also remarked, “Can [my psychologist] rebuild
    an automatic transmission? I can.”
    9. Father’s age and health pose still further concerns.
    Father was 65 years old at the time of trial and had numerous health issues. He
    reported having had five heart attacks and two strokes. He had Type 2 diabetes,
    diabetic neuropathy, and COPD,5 and he took medications for high blood pressure.
    When Father revealed that he still smoked, the Department’s attorney followed up:
    Q. Why are you still smoking?
    A. When I cut down to three cigarettes a day is when I started having the
    strokes.
    Q. So let me get this straight.
    A. I don’t want to have no more strokes.
    Q. You’re saying that smoking cigarettes is keeping you from having
    strokes?
    A. Keeps me a lot calmer.
    Q. So you’re saying smoking cigarettes is keeping you from having
    strokes?
    A. Yes, ma’am.
    5
    Chronic obstructive pulmonary disease.
    18
    Q. You understand that that is totally contraindicated by the medical
    literature?
    A. I can’t help that.
    Noting Father’s age and poor health, the caseworker observed that at some point
    Mother might have to raise M.M. by herself, something the caseworker doubted
    Mother was capable of.
    10. Father and Mother resist instructions.
    From the Department’s removal affidavit forward, a recurring theme was
    Father’s and Mother’s intransigence. The caseworker described both parents as highly
    resistant to any type of therapy and asserted that both resisted being told how to do
    things in any way other than the way they already knew.
    According to the caseworker, Mother argued about everything and would not
    follow instructions. Mother’s response to counseling was, “I don’t need counseling.”
    The caseworker added that “[e]very conversation I’ve attempted to have with
    [Mother] throughout the last year and a half, she’s argued with me and often goes
    back on her word on things that she’s saying they have done or haven’t done.” At
    trial, Mother asserted that she had nothing to gain from any more counseling
    “[b]ecause counseling [did] more harm than good.”
    Although the caseworker had more faith in Father’s ability to care for M.M.,
    Father’s inability to communicate with Mother undermined that same faith. Father
    had admitted not discussing some matters with Mother because she argued about
    19
    everything and would not listen, adding, “[S]he argues with everybody, including
    herself.”
    Similar to Mother’s uncooperative attitude, Father claimed to have learned very
    little, if anything, at his parenting classes. The caseworker put it a little more bluntly:
    Father denied learning anything at parenting because he already knew it all. Father
    himself also flatly said, “I don’t think I need the therapy.”
    The caseworker explained that Father’s and Mother’s inability to learn and
    adapt was what had prompted the initial removal for abuse or neglect—both were
    underfeeding M.M. despite the hospital staff’s monitoring them.
    By the time of trial, the opposite problem had presented itself. The caseworker
    testified that more than once she had seen Father and Mother overfeed M.M.
    Overfeeding caused M.M.’s stomach to become very taut; M.M. would then feel
    discomfort and had been known to throw up, after which she would not eat for the
    rest of the evening. When the caseworker asked Mother not to feed M.M. so much,
    Mother responded, “I know how to take care of my child.” That, the caseworker said,
    had been Mother’s response to almost everything the Department had suggested over
    the last 18 months.
    11. Mother’s dog acts aggressively towards M.M., but Mother refuses
    to give it up.
    Mother had a 50-pound dog, described by one observer as a pit bull terrier with
    an electric shock collar around its neck, which Mother asserted was a service dog for
    20
    her post-traumatic stress disorder. In Mother’s telling, shock collars were not just for
    aggressive dogs; hers had one to prevent it from running across busy streets. Mother
    denied that her dog was aggressive and that it wore a shock collar for that reason.
    In any event, the dog had acted aggressively, had snapped “[a]t anybody in
    general, [but] especially at [M.M.],” and had growled at the attorney ad litem, whom
    the dog openly disliked. A licensed psychological associate who had seen a visit with
    the dog present recommended that the dog have no unsupervised contact with M.M.
    Despite the safety concerns about Mother’s dog, she refused to get rid of it,
    claiming that she needed it for her mental disability. Even if it meant that she could
    not sleep for the next 16 years, she said that she was not giving up either her dog or
    her daughter. Mother’s refusal to even discuss getting rid of her dog indicated to the
    caseworker that Mother had some serious judgment issues.
    Father also questioned Mother’s judgment: “If [the dog] can’t live with the
    baby, I’ll get rid of [the dog] before I would the baby. . . . Any parent that wouldn’t is
    not a parent.” That Mother did not respond that way concerned Father, too.
    12. Father and Mother use questionable judgment during visitations.
    During one visit, the caseworker said that one of the parents put a rocking
    horse on top of a sofa and then put M.M. on the rocking horse, which the caseworker
    did not consider safe child play. Along the same lines, the licensed psychological
    associate’s notes from one visit mentioned Father’s letting M.M. twice stand up while
    21
    in a rocking chair, which she described as dangerous behavior. And during another
    visit, Father picked M.M. up and placed her on top of Mother’s dog.
    13. M.M. does not appear bonded to Father and Mother.
    During visits, M.M. did not respond positively when seeing her parents, and
    when the visits ended, she expressed no negative reaction. The licensed psychological
    associate wrote that when the Department worker entered the room to get M.M. at
    the end of one visit, M.M. looked at her, smiled, and reached out for the worker;
    although Mother tried to get M.M. to look at her so that she could say goodbye, M.M.
    continued to reach for the Department worker. The associate concluded that “[M.M.]
    did not cry or appear upset when leaving her parents.”
    C. Discussion
    At the hospital, even while being monitored by staff, both Father and Mother
    showed that they were not able to care for M.M.; this inability is what precipitated
    M.M.’s removal. And after the removal, Father’s and Mother’s conduct reinforced
    rather than mitigated these concerns. Mother lacked the discipline, the insight, and the
    adaptability to care for a child, especially one with health issues. And Father had no
    more success modifying Mother’s conduct than did the various counselors and
    therapists. Although the caseworker expressed confidence in Father’s abilities, a
    reasonable factfinder might have concluded otherwise. Given Father’s age and poor
    health and given that he would have been living with Mother and her dog, a
    reasonable factfinder could have concluded the prospect of returning M.M. to Father
    22
    and Mother was untenable. Finally, M.M. did not display any emotional attachment to
    them. Determining best interest focuses on what is best for the child, not what is best
    for the parents. In re R.A., No. 02-18-00252-CV, 
    2019 WL 490121
    , at *10 (Tex.
    App.—Fort Worth Feb. 7, 2019, no pet.) (mem. op.). We hold that a factfinder could
    reasonably form a firm conviction or belief that termination was in M.M.’s best
    interest and thus that the evidence factually suffices, and we overrule Father and
    Mother’s third point. See 
    C.H., 89 S.W.3d at 25
    ; 
    Holley, 544 S.W.2d at 371
    –72.
    Conclusion
    Having overruled Father and Mother’s three points, we affirm the trial court’s
    judgment.
    /s/ Elizabeth Kerr
    Elizabeth Kerr
    Justice
    Delivered: April 11, 2019
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