in the Interest of A.C., Jr., a Child ( 2009 )


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  •                          COURT OF APPEALS
    SECOND DISTRICT OF TEXAS
    FORT WORTH
    NO. 2-08-407-CV
    IN THE INTEREST OF A.C., JR., A CHILD
    ------------
    FROM THE 89TH DISTRICT COURT OF WICHITA COUNTY
    ------------
    MEMORANDUM OPINION 1
    ------------
    Appellant Carol2 appeals from the trial court’s order terminating her
    parental rights to her son, Abraham. In three points, she complains about the
    trial court’s sua sponte severing the petition in intervention filed by one of
    Abraham’s former foster parents, and in a fourth point, she claims that the trial
    1
    … See Tex. R. App. P. 47.4.
    2
    … For purposes of maintaining confidentiality, we will refer to all parties
    by fictitious names. See Tex. R. App. P. 9.8; Tex. Fam. Code Ann. §
    109.002(d) (Vernon 2008).
    court’s finding that termination was in Abraham’s best interest is factually
    insufficient. We affirm.
    I. Background Facts
    The Department of Family and Protective Services (DFPS) removed two-
    year-old Abraham from his mother’s care because it was concerned that she
    was not properly treating an MRSA 3 infection in his leg bone for which he had
    been prescribed at-home intravenous antibiotics. A nurse at Cook Children’s
    Hospital in Fort Worth had called DFPS after Carol failed to take Abraham to
    two follow-up appointments regarding his leg and after a home health care
    service that had been assisting Carol with Abraham reported that Abraham had
    developed an infection in his IV’s central line.
    When the DFPS investigator arrived at Carol’s then-current residence,
    Abraham was not able to support any weight on the leg, could only walk by
    dragging the side of his foot on the injured leg, and was not wearing any
    protective covering on the leg. Carol told the investigator that she had missed
    the appointments at Cook Children’s because her transportation fell through.4
    3
    … MRSA stands for methicillin resistant staphylococcus aureus, or
    antibiotic resistant staph.
    4
    … Carol and Abraham lived in Wichita Falls. At the time of trial, Carol
    had never owned a car and did not have a driver’s license. Although Carol had
    received money for transportation from Medicaid, she said she missed at least
    one appointment because the woman who was supposed to take them had
    2
    The investigator took Carol and Abraham to the emergency room at
    United Regional Hospital in Wichita Falls; the hospital sent Abraham to Cook
    Children’s in Fort Worth the next day via CareFlite. According to the DFPS
    investigator, Abraham had a severe infection in his leg bone and was on the
    verge of losing his leg and becoming septic.       Abraham’s medical records
    indicate that Carol had failed to give Abraham twelve doses of his IV antibiotics
    at home.5
    Abraham stayed at Cook Children’s for approximately three months.
    Carol stayed with him during that time. Medical records from the beginning of
    Abraham’s stay indicate that Carol suffered from migraines; that she slept in
    late with Abraham, sat on a chair in his room, and did not play with him; and
    that she did not supervise him adequately, allowing him to walk on his leg
    without his “boot” and climb on a wheelchair in the room, and failing to put him
    in his crib when she left the room so that he would follow her. However, later
    medical record entries show that after Carol received pain medication and
    medical treatment, she became more engaged with Abraham.
    been jailed and she could not secure other transportation.
    5
    … The DFPS investigator had asked Carol for all the medication when she
    took Abraham and Carol to United; Carol gave her several unopened boxes and
    an opened box of IV bags.
    3
    Before Cook Children’s discharged Abraham, DFPS filed a removal petition
    in Wichita County.6    It alleged that Abraham would require long-term oral
    antibiotic therapy, have to wear a cast and boot, and need continued follow-up
    visits to Cook Children’s.7 Because of Carol’s past problems with caring for
    Abraham’s condition 8 and her inability to obtain transportation to Fort Worth,
    DFPS alleged that Carol could not adequately care for Abraham’s medical needs
    upon his discharge from the hospital. The trial court signed an order naming
    DFPS Abraham’s temporary sole managing conservator.9 DFPS placed Abraham
    with Dorothy, a foster parent who was licensed to care for children with special
    medical needs.10 It also developed a service plan for Carol, which the trial court
    incorporated into temporary orders.
    6
    … The petition states that reunification was DFPS’s goal but also pled
    in the alternative for termination of both Carol’s and Abraham’s alleged father’s
    parental rights.
    7
    … The infection had gotten so severe that it caused several fractures in
    Abraham’s leg bone.
    8
    … DFPS also alleged that it had received prior referrals for Carol
    regarding medical neglect of two of her other children and that Abraham had
    been born with marijuana in his system.
    9
    … Carol was not married to Abraham’s alleged father, and it is not clear
    from the record whether he and Carol lived together on a consistent basis.
    10
    … Abraham had bone graft surgery on April 24, 2008. He also had to
    wear a bone stimulator.
    4
    The trial court initially set a termination hearing for March 31, 2008,
    almost one year after Abraham’s removal on April 5, 2007. See Tex. Fam.
    Code Ann. § 263.306(a)(12) (Vernon 2008). But after the State moved to
    extend the dismissal deadline, the trial court extended the dismissal date to
    October 4, 2008, one year and one hundred eighty days after Abraham’s
    removal. See 
    id. § 263.401(a).
    Dorothy 11 filed a petition in intervention on July 17, 2008. She alleged
    that her interests were aligned with DFPS, and she sought termination of both
    parents’ rights, and, in the alternative, that she be named Abraham’s permanent
    managing conservator.     The trial court set a hearing on the petition in
    intervention for September 30, 2008 but also ordered the parties, including
    Dorothy, to mediate before the hearing. It is unclear from the record whether
    the mediation actually occurred.
    The trial court then transferred the case to the appointed associate judge
    for the newly-created “Child Welfare Court” for Wichita County.          At the
    scheduled September 30 hearing on the petition in intervention, the associate
    judge allowed the intervention and proceeded to hear the termination case.
    11
    … Dorothy is the first foster parent with whom Abraham was placed.
    DFPS removed Abraham from her home after she left Abraham with a
    babysitter who failed to properly supervise him.
    5
    However, during the DFPS caseworker’s testimony, the associate judge realized
    that the attorney general’s office in Wichita Falls, for whom she had previously
    worked, had participated in the case with respect to the alleged father’s child
    support obligations. Accordingly, the presiding judge of the 89th District Court,
    in which the case had originally been filed, rescinded the transfer order and
    continued the termination trial until October 3, a Friday, the next-to-last day
    before the one-year deadline. 12
    Before beginning the proceedings on October 3, 2008, the trial court
    announced,
    I’ve reviewed the file. I’ve reviewed the medical records. I
    reviewed a good portion of the [DFPS] records. I’ve come to the
    conclusion that we can try the termination part of this lawsuit
    without prejudice to the intervenor in this matter. And, in fact,
    there’s a possibility we can even pick up – if the notice is okay on
    it – with continuation of getting into the intervention as early as
    next week, if our trial docket falls through.
    I fail to see where any party would be prejudiced by doing
    this, and I think that in the interest of justice in getting to the
    bottom of this with [DFPS’s] claims and those of the other parties,
    and in the absolute best interest of [Abraham], that I am severing
    out [sua] sponte the intervention of [Dorothy] . . . .
    12
    … An email in the clerk’s record notes, “BECAUSE OF THE DROP DEAD
    DATE OF 10-04-08 WE HAVE CANCELED EVERYTHING FOR 10.03.08 AND
    THE CASE HAS BEEN RESET TO FRIDAY 10-03-08 TO BEGIN AT 8:30 AM.”
    6
    Carol’s counsel objected on due process grounds, claiming a lack of
    notice and the opportunity to be heard and further arguing that the court could
    not sever the case so close to trial. Counsel additionally claimed that Dorothy
    was a necessary party because the court could decide to name Carol a joint
    managing conservator or possessory conservator along with her. See Tex. R.
    Civ. P. 41. Dorothy objected on the ground that she was a necessary party;
    in other words, both Carol and Dorothy claimed that the trial court could not
    decide to terminate Carol’s parental rights or allow Carol some kind of
    visitation, possession, or conservatorship without Dorothy being a party to the
    case. The trial court overruled the objections and trial began.
    After hearing all the evidence—including Dorothy’s testimony that if she
    were named Abraham’s managing conservator, she would allow Carol and
    Abraham’s siblings to have supervised visitation—the trial court terminated both
    parents’ rights to Abraham and named DFPS Abraham’s permanent managing
    conservator.    But it also ordered that Carol be allowed twice monthly
    supervised visits with Abraham for up to two hours each visit.        The court
    noted,
    [A]ll of this is without any kind of prejudice to any further rulings
    or any further parties, specifically, the intervention, and the question as
    to the possible adoptive parents. . . . I did not intend to deal with that
    issue today. The evidence [that] was offered and proffered into
    evidence, I’m certain will be offered at the time the intervention portion
    7
    is tried. And that can come about at any time that you-all can get time
    with the Court, and notice to the parties.
    Carol filed a motion for new trial, which the trial court denied. Only Carol
    appealed from the trial court’s order.
    II. Propriety of Severance of Petition in Intervention
    Carol’s first three points challenge the propriety of the intervention on
    three grounds: (1) that the severance violated her Fourteenth Amendment due
    process rights because of a lack of notice and opportunity to be heard; (2) that
    the severance violated her Fourteenth Amendment due process rights because
    her and Dorothy’s positions were “interwoven, consistent and supportive of
    each other”; and (3) that the trial court abused its discretion by severing
    because Dorothy was a necessary and indispensable party to the litigation.
    A. Applicable Law
    Rule of civil procedure 41 reads, in pertinent part:
    Parties may be dropped or added, or suits filed separately
    may be consolidated, or actions which have been improperly joined
    may be severed and each ground of recovery improperly joined may
    be docketed as a separate suit between the same parties, by order
    of the court on motion of any party or on its own initiative at any
    stage of the action, before the time of submission to the jury or to
    the court if trial is without a jury, on such terms as are just. Any
    claim against a party may be severed and proceeded with
    separately.
    Tex. R. Civ. P. 41 (emphasis added).
    8
    A severance splits a single suit into two or more independent actions,
    each action resulting in an appealable final judgment. Van Dyke v. Boswell,
    O'Toole, Davis & Pickering, 
    697 S.W.2d 381
    , 383 (Tex. 1985); Aviation
    Composite Techs., Inc. v. CLB Corp., 
    131 S.W.3d 181
    , 188 (Tex. App.—Fort
    Worth 2004, no pet.). Severance of claims under the Texas Rules of Civil
    Procedure rests within the sound discretion of the trial court. Liberty Nat’l Fire
    Ins. Co. v. Akin, 
    927 S.W.2d 627
    , 629 (Tex. 1996) (orig. proceeding); Aviation
    Composite 
    Techs., 131 S.W.3d at 188
    . A claim is properly severable if (1) the
    controversy involves more than one cause of action, (2) the severed claim is
    one that would be the proper subject of a lawsuit if independently asserted, and
    (3) the severed claim is not so interwoven with the remaining action that they
    involve the same facts and issues.          Guar. Fed. Sav. Bank v. Horseshoe
    Operating Co., 
    793 S.W.2d 652
    , 658 (Tex. 1990) (op. on reh’g); Aviation
    Composite Techs., 131 S.W .3d at 188.            The controlling reasons for a
    severance are to do justice, avoid prejudice, and further convenience. Guar.
    Fed. Sav. 
    Bank, 793 S.W.2d at 658
    ; Aviation Composite 
    Techs., 131 S.W.3d at 188
    .
    A trial court is not required to provide prior notice of its intent to sever,
    and, in most cases, it need not hold an evidentiary hearing before severing.
    Aviation Composite 
    Techs., 131 S.W.3d at 187
    –88; see WorldPeace v.
    9
    Comm’n     for   Lawyer    Discipline,   
    183 S.W.3d 451
    ,   461      n.11   (Tex.
    App.—Houston [14th Dist.] 2005, pet. denied).13
    B.    Analysis
    Here, the trial judge was faced with a looming section 263.401 dismissal
    deadline when he had to retake the case from the associate judge. Tex. Fam.
    Code Ann. § 263.401. He was left with one day to try the case. Thus, it is
    clear from the record that his decision to sever the intervention was made in
    light of those scheduling constraints.
    Although Dorothy’s petition states that she is aligned with DFPS and
    seeking    termination    and   eventual   adoption     or   permanent    managing
    conservatorship, Carol’s counsel informed the trial court, and Dorothy later
    testified, that she would have no objection to Carol having visitation. Thus,
    Carol based her objection to the severance at trial on—and urges on
    13
    … The cases Carol cites to support her contention that “a trial court
    cannot make a decision to sever a matter simply on the live pleadings” are
    inapposite. Two involve insurance companies opposing a trial court’s refusal
    to sever first-party contractual and bad faith claims without first hearing
    evidence of prejudice, a potential fact issue related to severance in those
    particular type of cases. See, e.g., Allstate Ins. Co. v. Hunter, 
    865 S.W.2d 189
    , 194 (Tex. App.—Corpus Christi 1993, orig. proceeding); Progressive
    County Mut. Ins. Co. v. Parks, 
    856 S.W.2d 776
    , 780 (Tex. App.—El Paso
    1993, orig. proceeding). Here, the fact issues to be resolved relate to the
    ultimate issues in the case, not to the factors governing the propriety of
    severance.
    10
    appeal—the ground that Dorothy’s wishes that Carol have visitation had bearing
    on whether termination would be in Abraham’s best interest. It is not clear
    from the record, however, that Dorothy had entirely abandoned her claim for
    adoption. Thus, the intervention clearly had at least two distinct claims: for
    permanent managing conservatorship and, in the event of termination, adoption.
    Additionally, Dorothy was able to testify at trial about her background and
    qualifications, why Abraham was removed from her home, and her wishes for
    Carol, Abraham, and Abraham’s siblings to have contact in the future. In fact,
    the trial court ordered post-termination supervised visitation for Carol.
    Dorothy had standing to intervene because of her possession of Abraham
    for a twelve-month period ending not ninety days before the filing of the
    intervention.   See Tex. Fam. Code Ann. § 102.003(a)(12) (Vernon 2008).
    Thus, she also had standing to maintain her own suit. See id.; In re N.L.G.,
    
    238 S.W.3d 828
    , 829 (Tex. App.—Fort Worth 2007, no pet.).
    Moreover, the severed claims were not so interwoven with the
    termination suit that they could not be tried separately. The trial court was
    effectively able to try the termination part, hearing evidence as to the propriety
    of either retaining Carol as a possessory conservator or terminating her rights.
    Nowhere was unsupervised visitation between Carol and Abraham advocated,
    including by Dorothy. The trial court also heard evidence as to the propriety of
    11
    a future placement of Abraham with Dorothy. The court told the parties that
    it intended to try the adoption issues as soon as possible. And, although the
    trial court stated that it anticipated the parties would introduce much of the
    same evidence that it had heard in the termination proceeding, the fundamental
    issues are ultimately different. Evidence that Abraham was adoptable by either
    Dorothy or the then-current foster family, or that Dorothy was willing to allow
    Carol supervised visitation, went to the issue of whether Carol’s parental rights
    should be terminated.      But evidence as to which of the two adoptive
    placements would be ultimately in Abraham’s best interest was not necessary
    to determine the impact of Carol’s having continued parental rights in light of
    her inability to provide Abraham a stable, permanent home environment. See
    Tex. R. Civ. P. 41; cf. Tex. R. Civ. P. 39(a) (requiring joinder if disposition of
    action in party’s absence would result in substantial risk of existing parties
    incurring inconsistent obligations).
    Accordingly, we conclude and hold that the trial court did not abuse its
    discretion by severing Dorothy’s petition in intervention and that the severance
    did not harm Carol. See Tex. Fam. Code Ann. § 162.001(b)(1) (Vernon 2008)
    (providing that termination is required for child to be adopted); cf. In re A.G.C.,
    
    279 S.W.3d 441
    , 448 (Tex. App.—Houston [14th Dist.] 2009, no pet.)
    (holding that termination via affidavit of relinquishment is not available only in
    12
    anticipation of adoption, reasoning, in part, that termination and adoption
    chapters of family code are separate); Hunter v. NCNB Tex. Nat’l Bank, 
    857 S.W.2d 722
    , 725–26 (Tex. App.—Houston [14th Dist.] 1993, writ denied)
    (holding that trial court had discretion to sever claims involving trust’s alleged
    ownership interest in home from declaratory judgment claim regarding
    appellant’s alleged homestead interest in home because homestead rights had
    to be determined regardless of whether house belonged to trust or guardianship
    estate of appellant’s mother).         Furthermore, because prior notice and an
    evidentiary hearing are not required, and because Carol was given the
    opportunity to be heard on her objections, we conclude and hold that her due
    process rights were not violated. We overrule her first three points.
    III. Best Interest Finding
    In her fourth point, Carol challenges the factual sufficiency of the trial
    court’s finding that termination of her parental rights was in Abraham’s best
    interest.
    A. Standard of Review and Applicable Law
    A     parent’s   rights    to   “the   companionship,   care,   custody,   and
    management” of his or her children are constitutional interests “far more
    precious than any property right.”            Santosky v. Kramer, 
    455 U.S. 745
    ,
    758–59, 
    102 S. Ct. 1388
    , 1397 (1982); In re M.S., 
    115 S.W.3d 534
    , 547
    13
    (Tex. 2003). “While parental rights are of constitutional magnitude, they are
    not absolute. Just as it is imperative for courts to recognize the constitutional
    underpinnings of the parent-child relationship, it is also essential that emotional
    and physical interests of the child not be sacrificed merely to preserve that
    right.” In re C.H., 
    89 S.W.3d 17
    , 26 (Tex. 2002). 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 for the child’s right to inherit. Tex.
    Fam. Code Ann. § 161.206(b) (Vernon Supp. 2008); Holick v. Smith, 
    685 S.W.2d 18
    , 20 (Tex. 1985). We strictly scrutinize termination proceedings and
    strictly construe involuntary termination statutes in favor of the parent. 
    Holick, 685 S.W.2d at 20
    –21; In re M.C.T., 
    250 S.W.3d 161
    , 167 (Tex. App.—Fort
    Worth 2008, no pet.).
    Termination decisions, including the best interest finding, must be
    supported    by   clear   and    convincing    evidence.       Tex.   Fam.    Code
    Ann. §§ 161.001, 161.206(a).        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.” 
    Id. § 101.007
    (Vernon 2002).
    Due process demands this heightened standard because termination results in
    permanent, irrevocable changes for the parent and child.          In re J.F.C., 96
    
    14 S.W.3d 256
    , 263 (Tex. 2002); see In re J.A.J., 
    243 S.W.3d 611
    , 616 (Tex.
    2007) (contrasting standards for termination and modification).
    In reviewing the evidence for factual sufficiency, we must give due
    deference to the factfinder’s findings and not supplant the judgment with our
    own. In re H.R.M., 
    209 S.W.3d 105
    , 108 (Tex. 2006). We must determine
    whether, on the entire record, a factfinder could reasonably form a firm
    conviction or belief that termination of the parent-child relationship would be in
    the best interest of the child. 
    C.H., 89 S.W.3d at 28
    . 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
    .
    There is a 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). Prompt
    and permanent placement of the child in a safe environment is also presumed
    to be in the child’s best interest. Tex. Fam. Code Ann. § 263.307(a) (Vernon
    2002). The following factors should be considered in evaluating the parent’s
    willingness and ability to provide the child with a safe environment:
    (1) the child’s age and physical and mental vulnerabilities;
    (2) the frequency and nature of out-of-home placements;
    15
    (3) the magnitude, frequency, and circumstances of the harm
    to the child;
    (4) whether the child has been the victim of repeated harm
    after the initial report and intervention by DFPS or other agency;
    (5) whether the child is fearful of living in or returning to the
    child’s home;
    (6) the results of psychiatric, psychological, or developmental
    evaluations of the child, the child’s parents, other family members,
    or others who have access to the child’s home;
    (7) whether there is a history of abusive or assaultive
    conduct by the child’s family or others who have access to the
    child’s home;
    (8) whether there is a history of substance abuse by the
    child’s family or others who have access to the child’s home;
    (9) whether the perpetrator of the harm to the child is
    identified;
    (10) the willingness and ability of the child’s family to seek
    out, accept, and complete counseling services and to cooperate
    with and facilitate an appropriate agency’s close supervision;
    (11) the willingness and ability of the child’s family to effect
    positive environmental and personal changes within a reasonable
    period of time;
    (12) whether the child’s family demonstrates adequate
    parenting skills, including providing the child and other children
    under the family’s care with:
    (A) minimally adequate health and nutritional care;
    16
    (B) care, nurturance, and appropriate discipline
    consistent with the child’s physical and psychological
    development;
    (C) guidance and supervision consistent with the child’s
    safety;
    (D) a safe physical home environment;
    (E) protection from repeated exposure to violence even
    though the violence may not be directed at the child; and
    (F) an understanding        of the   child’s   needs    and
    capabilities; and
    (13) whether an adequate social support system consisting
    of an extended family and friends is available to the child.
    
    Id. § 263.307(b);
    R.R., 209 S.W.3d at 116
    .
    Other, nonexclusive factors that the trier of fact in a termination case
    may use in determining the best interest of the child include:
    (A)   the desires of the child;
    (B)   the emotional and physical needs of the child now and in the
    future;
    (C)   the emotional and physical danger to the child now and in the
    future;
    (D)   the parental abilities of the individuals seeking custody;
    (E)   the programs available to assist these individuals to promote
    the best interest of the child;
    (F)   the plans for the child by these individuals or by the agency
    seeking custody;
    17
    (G)      the stability of the home or proposed placement;
    (H)   the acts or omissions of the parent which may indicate that
    the existing parent-child relationship is not a proper one; and
    (I)      any excuse for the acts or omissions of the parent.
    Holley v. Adams, 
    544 S.W.2d 367
    , 371–72 (Tex. 1976).
    These factors are not exhaustive.          Some listed factors may be
    inapplicable to some cases; other factors not on the list may also be considered
    when appropriate. 
    C.H., 89 S.W.3d at 27
    . Furthermore, undisputed evidence
    of just one factor may be sufficient in a particular case to support a finding that
    termination is in the best interest of the child. 
    Id. On the
    other hand, the
    presence of scant evidence relevant to each factor will not support such a
    finding. 
    Id. B. Application
    of Factors to Evidence
    DFPS’s main concern about Carol was that she had failed to demonstrate
    that she could provide a stable home and permanence for Abraham, which his
    caseworker and the CASA advocate testified he needed most. Abraham was
    two at the time of his removal and almost four when Carol’s rights were
    terminated. Although his leg was doing well and he had been able to wear two
    shoes for the first time since his infection, he still had physical needs to be
    addressed, and there was still a chance he would have to have additional
    18
    surgeries. He still had follow-up doctor’s visits. The CASA advocate and DFPS
    caseworker both testified that Abraham’s need for permanence was paramount.
    Although Abraham had never been removed from Carol’s care before 14
    and did not need to remain on IV antibiotics when he left the hospital, DFPS
    nevertheless petitioned for removal because of Carol’s past neglect and the
    severity of the infection that led to him being admitted to the hospital. Before
    he was admitted, he was in danger of becoming septic and losing his leg, and
    he had to be sent to Cook Children’s via CareFlite from the Wichita Falls
    emergency room. The DFPS investigator testified that despite this, Carol told
    her at the time that Abraham was doing ok. Carol admitted that when her
    friend who was going to drive her to Cook Children’s for Abraham’s followup
    visits went to jail, she still had the money Medicaid had given her for
    transportation, but she said she could not get anyone else to take her. When
    asked about the bus, she said they wouldn’t allow Abraham on the bus because
    of his health condition. Carol did not keep in contact with Abraham’s doctors.
    DFPS was concerned because she had not demonstrated an understanding of
    how important Abraham’s followup care was.
    14
    … The omissions that initially prompted Abraham’s removal did not recur
    because Carol failed to work her service plan and did not regain custody of
    Abraham.
    19
    The evidence showed that Carol was a chronic marijuana user, which she
    acknowledged. She admitted smoking marijuana when she was pregnant with
    Abraham and another of her children.       Carol failed at least one drug test
    required by her service plan and refused to take another. In fact, her drug use
    led to her probation being revoked while Abraham was in DFPS’s care; she was
    not able to visit Abraham for the two months she was in jail. Carol told DFPS
    she had been going to a treatment facility before trial, but she did not provide
    any proof of her attendance, and the center would not confirm whether she had
    been attending. The CASA advocate testified that narcotics use can affect a
    person’s ability to parent by affecting judgment, motivation, and motor skills.
    Between the time of removal and trial, Carol had lived in four different
    places: her aunt’s house, the Budget Inn,15 a rental house, and the Deluxe Inn.
    She acknowledged that the motels were not safe for her children but said these
    places were all she could afford.16 Carol testified that she had been working
    at Sonic for eight months and that she made $260 per month after she paid
    child support. Although there was some testimony that Abraham’s father was
    at the house when a DFPS worker came by one time, there is no evidence
    15
    … Carol testified that her other children lived with a cousin while she
    was living at the Budget Inn.
    16
    … The caseworker testified that Carol was on a waiting list for housing
    and was scheduled to get housing the month after trial.
    20
    about whether he lived with the family or provided any support. Abraham’s
    father told the DFPS worker that he did not want anything to do with the case.
    Abraham was in DFPS’s custody for eighteen months. While Abraham
    was in DFPS’s custody, Carol failed to maintain regular contact with him. She
    testified that she made about thirteen visits. According to Carol, she could not
    make every visit because of her other children.      But the DFPS caseworker
    testified that DFPS provided Carol with transportation and that Carol was
    allowed to bring the other children. According to the caseworker, between
    November 2007 and the time of trial on October 3, 2008, Carol visited
    Abraham four times, once on the day before trial. The CASA advocate testified
    that the inconsistency of Carol’s visits was harmful to Abraham.
    There were no psychological test results introduced at trial. Carol had
    failed to attend the counseling appointments and take the psychological tests
    recommended in her service plan. She acknowledged at trial that she had failed
    to do so.
    Carol also failed to attend any parenting classes as required by her service
    plan. DFPS was concerned that she did not know how to meet Abraham’s
    medical and emotional needs, as evidenced by the need for Abraham’s
    admission to Cook Children’s, Carol’s failure to visit him regularly when he was
    in DFPS’s custody, and her failure to complete her service plan. The CASA
    21
    advocate testified that neither parent had demonstrated that he or she
    understood parenting. The DFPS caseworker agreed, however, that Carol was
    young and immature and that people can mature over time.
    No evidence indicated that Carol or the children’s father had been
    assaultive toward Abraham or his siblings. But the removal petition alleged,
    and the caseworker referred to in her testimony, that Carol had a prior history
    with DFPS. The results of that history were not introduced.
    Carol testified that Abraham told her he wanted to come home. But the
    caseworker testified that Abraham cried during at least one of Carol’s visits.
    She also testified that it appeared Carol and Abraham no longer had a bond.
    The CASA advocate testified that they appeared uncomfortable and did not
    interact very much; Carol tried but she gave up when Abraham acted
    indifferently toward her and chose to play independently. She also testified,
    however, that Abraham would interact with his siblings.
    The caseworker testified that Carol had referred a potential placement for
    Abraham to her but that the woman was not suitable because she had a prior
    DFPS history. Additionally, a relative of the father’s called and asked about the
    case, but “that was it.” That relative had a prior history too. According to the
    caseworker, there were no other potential placements from the father’s family.
    22
    Dorothy testified that she had cared for twenty-two children through
    DFPS. She was a licensed vocational nurse; sometimes DFPS would place
    children with significant medical issues with her. She testified that Carol was
    very nice and sweet and that she visited Abraham about once a month.
    According to Dorothy, she witnessed Carol’s interaction with Abraham during
    the visits, and she and Abraham became less attached as Abraham became
    more attached to Dorothy. However, she also testified that Abraham “never
    forgot” his sisters.
    Dorothy testified that she had no problem with Carol and Abraham’s
    siblings having supervised visits with Abraham. She had an adopted daughter,
    and she allowed her to see her biological mother and siblings. She believed
    Abraham needs to see his siblings, especially because Abraham and his family
    are African-American, and Dorothy and the foster parents with whom Abraham
    was currently placed are Caucasian.
    At the time of trial, Abraham was living with foster parents who also
    wanted to adopt him. He had been placed with the family after DFPS removed
    him from Dorothy’s care.17     The caseworker testified that Abraham had
    17
    … Abraham had been found wandering near the highway while in the
    care of a babysitter. Dorothy contended that she had left Abraham with her
    brother-in-law, an approved caregiver, but that he went to sleep, leaving
    Abraham in the care of an unapproved caregiver. The CASA advocate testified
    23
    prospered in their care and that his behavior had dramatically improved. His
    manners, speech, and listening skills had all improved, and he was showing less
    defiance.   The foster parents were able to meet Abraham’s physical and
    emotional needs; they also provided a stable home and environment. He called
    the foster parents mom and dad and was very loving with them.
    The CASA advocate testified that termination of Carol’s parental rights
    and adoption were in Abraham’s best interest.         The caseworker agreed,
    testifying that giving Carol possessory conservatorship would not be in
    Abraham’s best interest because of his age and need for stability and because
    of Carol’s demonstrated inability to parent. According to the caseworker, if
    Carol were awarded possessory conservatorship, the visitation schedule would
    become more complicated, and it would impact Abraham’s sense of
    permanency if Carol failed to visit on a regular basis.    However, the DFPS
    caseworker and investigator, as well as Dorothy, all agreed that giving Carol
    supervised visitation would alleviate DFPS’s concerns about medical neglect.
    The caseworker also testified in response to cross-examination that supervised
    visitation would alleviate “all concerns” and that it would be better for a child
    to have some contact with a parent than none at all. However, she qualified
    that Dorothy told her she knew the brother-in-law was going to sleep and asked
    him to have the unapproved caregiver watch Abraham.
    24
    her answer by stating that it could emotionally scar Abraham if Carol were to
    continue to miss visits. She was concerned that Carol would not visit in the
    future because she had not visited in the past. She agreed, however, that it
    was good for Abraham to have continued contact with his siblings.
    C.    Analysis
    Based on the above evidence, and applying the best-interest factors, we
    conclude and hold that the trial court could reasonably have formed a firm
    conviction or belief that termination of the parent-child relationship would be in
    Abraham’s best interest. Although it was not disputed that contact between
    Abraham and Carol and Abraham and his siblings would benefit Abraham, it
    was likewise undisputed that it would be emotionally harmful to Abraham if
    Carol failed to maintain that contact on a regular basis.      DFPS’s plans for
    Abraham included permanent placement, and there were two potential options
    for adoption. Carol’s home and financial situation never stabilized over the
    eighteen-month period when Abraham was removed from her custody, and she
    did not have the support of Abraham’s father or, apparently, any other suitable
    family members to assist her in establishing the kind of stability Abraham
    needed.   Likewise, she continued to use marijuana and failed to visit with
    Abraham on a regular basis. In other words, she continued to demonstrate a
    lack of parenting skills in the same vein as her lack of attention to Abraham’s
    25
    medical condition for which he was initially removed. See Tex. Fam. Code Ann.
    § 263.307(b) (Vernon 2008); 
    Holley, 544 S.W.2d at 371
    –72; In re K.C., 
    219 S.W.3d 924
    , 931 (Tex. App.—Dallas 2007, no pet.) (“The State’s interest in
    establishing a ‘stable, permanent home’ is ‘compelling,’ and a parental-rights
    termination, when grounds authorizing it are met, serves that goal by permitting
    adoption.”). Accordingly, we overrule Carol’s fourth point.
    IV. Conclusion
    Having overruled all of Carol’s points, we affirm the trial court’s
    judgment.
    TERRIE LIVINGSTON
    JUSTICE
    PANEL: LIVINGSTON, DAUPHINOT, and GARDNER, JJ.
    DELIVERED: June 25, 2009
    26