in the Interest of O.E.W.-K., a Child ( 2011 )


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  •                           COURT OF APPEALS
    SECOND DISTRICT OF TEXAS
    FORT WORTH
    NO. 02-10-00199-CV
    IN THE INTEREST OF O.E.W.-K.,
    A CHILD
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    FROM THE 323RD DISTRICT COURT OF TARRANT COUNTY
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    MEMORANDUM OPINION1
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    I. INTRODUCTION
    Appellant Mother appeals the trial court‘s order terminating her parental
    rights to her son, O.E.W.-K. In eight issues, Mother challenges the legal and
    factual sufficiency of the evidence regarding the trial court‘s endangerment and
    best interest findings. We will affirm.
    1
    See Tex. R. App. P. 47.4.
    II. FACTUAL AND PROCEDURAL BACKGROUND2
    The trial court made 120 Afindings of fact.@ They are primarily recitations
    and summations of testimony presented during trial. Because Mother challenges
    the legal and factual sufficiency of the evidence to support the grounds argued
    for termination and the best interest finding, we incorporate the trial court‘s
    findings of fact into our detailed recitation of the evidence presented in this case.
    We attempt to present the evidence in chronological order.
    A.     Mother’s Background
    While living in Washington, Mother gave birth to O.E.W.-K. on June 12,
    2003, and they later moved to Texas. As set out in more detail below, Mother
    had a difficult childhood that included alleged sexual abuse by her grandmother‘s
    husband; she also struggled with suicidal and homicidal thoughts; engaged in
    self-mutilation; participated in a gang prior to O.E.W.-K.‘s birth; used drugs
    before and after O.E.W.-K.‘s birth; spent time in jail for drug-related charges;
    refused to address her mental health issues; yelled at, threatened, and hit other
    adults, including her grandmother; bruised O.E.W.-K.; and demonstrated poor
    parenting skills.
    B.     Mother’s Actions at O.E.W.-K.’s School
    1.     Threatening and Hitting O.E.W.-K.’s Teacher
    Ferrell Yeokum, O.E.W.-K.‘s elementary school principal, testified that
    during the first few weeks of school in September 2008, Mother had grabbed
    O.E.W.-K.‘s kindergarten teacher‘s wrist on at least three occasions and had
    2
    We recognize that some of the testimony is conflicting and inconsistent.
    This factual background section of our opinion, however, sets forth the testimony
    given, even when it is inconsistent.
    2
    made other threatening moves toward her. Mother also threatened to slit the
    throat of anyone who touched O.E.W.-K. Yeokum was present when Mother
    said that she was ―waiting to kick [O.E.W.-K.‘s teacher‘s] ass.‖ The police came
    and interviewed the teacher, but no ticket was issued to Mother.
    Because of ongoing problems and continuing concerns with the way that
    Mother was handling O.E.W.-K.‘s original kindergarten teacher, Yeokum handed
    Mother a letter two weeks after school started. The letter stated, among other
    things:
    We regret to inform you that we‘re taking the following safety
    precautions in response to your recent behavior on campus, which
    includes physical contact with a staff member, use of profanity, and
    disruption of the school environment.
    Effective immediately, you must follow these procedures when
    visiting our campus. Enter the campus only through the front doors.
    Drop off and pick up your student at the front office only. You are
    restricted from entering the cafeteria at drop-off or pick-up times.
    You are required to have an administrator escort you while in the
    building. A call in advance is preferable to be sure we have an
    administrator on duty. You are not permitted to contact your son‘s
    teacher directly.     Please send any communication directly to
    administrative staff. We will forward them to the teacher.
    These safety precautions will remain in effect indefinitely, and
    if you choose not to follow each of them, we will immediately involve
    law enforcement.
    Three Fort Worth police officers were present at the meeting when Yeokum
    handed Mother the letter.
    As a result of Mother‘s actions toward O.E.W.-K.‘s original kindergarten
    teacher, Yeokum moved O.E.W.-K. to a different teacher‘s room in an attempt to
    preclude future incidents and to make sure that everyone was safe.              The
    3
    situation improved for a time, but then it became evident that Mother seemed to
    have a romantic interest in the assistant principal because she was sending gifts
    to her in O.E.W.-K.‘s name. Mother brought a knife to school and exhibited it to
    the assistant principal and admitted to Yeokum that she had brought the knife
    and had opened it at the school. Based on the school administrators‘ concern
    over these situations, they decided to issue a criminal trespass warning to
    Mother and had O.E.W.-K. removed from the school.
    Yeokum felt that Mother cared for her son, and Yeokum wanted to help her
    ―navigate the waters‖ because she seemed to have some difficulties knowing
    what the rules and procedures were. They had a good working relationship from
    September 8, 2008 through the end of January or early February 2009. During
    that time, Mother told Yeokum that she had been in a gang for a number of
    years, that O.E.W.-K.‘s father was the leader of the gang, and that they were
    raising O.E.W.-K. to become a member of the gang. Mother said that she had
    been in jail on drug charges. When Yeokum told Mother that O.E.W.-K. was a
    very smart young man, Mother responded that she was surprised to learn that
    ―because when she found out that she was pregnant, she had been taking drugs,
    and she wondered if that was going to affect his intelligence.‖
    2.     Smoking Marihuana in the Car with O.E.W.-K.
    David Piercefield, a physical education aide, testified that he walked
    O.E.W.-K. to Mother‘s car one day and saw her smoking a joint. Piercefield
    testified that he was concerned for O.E.W.-K.‘s safety and for the safety of other
    4
    students because the middle school was letting out its students and because
    Mother was ―known to not be the safest driver.‖ Piercefield stayed at the car with
    Mother and O.E.W.-K. for forty-five minutes to ―make sure there was a little wear-
    off time.‖ During that time, Mother told him that she smoked marihuana every
    day.
    C.   CPS Involvement
    1.    Jaime Jaco
    Jaime Jaco, an investigator for CPS, testified that she was assigned to
    O.E.W.-K.‘s case in February 2009 after receiving a report that Mother had gone
    to O.E.W.-K.‘s elementary school and had taken a knife into the assistant
    principal‘s office. Jaco said that during her first contact with Mother, she was
    very argumentative and combative; Mother made appointments, missed them,
    and then refused to reschedule. Jaco warned Mother that if she did not come to
    her appointments, Jaco would go to Mother‘s house and would bring law
    enforcement with her; Mother told Jaco that Jaco would be sorry and that she
    should go ahead and bring the police and see what happened.
    Jaco spoke with Ms. Johnson, O.E.W.-K.‘s maternal great grandmother, on
    March 5, 2009. Ms. Johnson said that she had witnessed Mother hit O.E.W.-K.
    on the head and that she had seen Mother cause bruises on O.E.W.-K. Ms.
    Johnson said that Mother had slapped her in the shoulder after Ms. Johnson had
    undergone shoulder surgery; the pain caused Ms. Johnson to go to the doctor,
    and the doctor told Mother not to hit Ms. Johnson any more. Ms. Johnson said
    5
    that Mother was violent, that she got loud and crazy, and that she had a dual
    personality. Ms. Johnson said that ever since Mother and O.E.W.-K. moved in
    with her, she (Ms. Johnson) became the primary caretaker of O.E.W.-K.; she has
    fed him, bathed him, and helped him with his schoolwork.
    On March 11, 2009, O.E.W.-K.‘s teacher reported seeing bruises on him.
    Jaco thereafter went to Mother‘s home to make contact with her on March 12, 17,
    and 24, 2009. No one answered the door on the first two dates, but Jaco was
    able to meet with Mother and O.E.W.-K. on March 24, 2009. Jaco received a
    tour of the house from Mother and was informed that in addition to Mother and
    O.E.W.-K., Ms. Johnson and Mr. Johnson lived there.3
    While Jaco was there, O.E.W.-K. came in and asked Mother to get
    something out of the refrigerator, and Mother followed him into the hallway,
    slapped him on the top of his head, and said, ―[W]hat are you, a little girl?‖
    O.E.W.-K. did not fall down but whimpered a little.
    During Jaco‘s visit, she saw a red crescent bruise about one inch from
    O.E.W.-K.‘s eye. The area inside the crescent-shaped bruise was yellow and
    blue. O.E.W.-K. said that Mother had hit him with a belt. Jaco also saw two,
    two-inch-long, red, rectangular bruises on O.E.W.-K.‘s right arm; a bruise on his
    hands; and a two-inch-long, blue, rectangular bruise on his right leg. When Jaco
    3
    Ms. Johnson was not there at the time because she was in Washington
    having surgery. Ms. Johnson wrote in a letter, which was admitted into evidence,
    that Mother had whipped O.E.W.-K. inappropriately during Ms. Johnson‘s
    absence.
    6
    asked Mother about the bruises on O.E.W.-K., she initially said that O.E.W.-K.
    had gotten into trouble but denied that she had physically disciplined him. When
    Jaco told Mother what O.E.W.-K. had said, Mother went and asked O.E.W.-K.
    how he had gotten the bruises, and he said that she had hit him. Mother laughed
    and asked O.E.W.-K. again. When O.E.W.-K. responded with the same story,
    Mother admitted that she had spanked him with a belt. She said that while she
    was spanking him, he moved around, and she accidentally hit him in the face.
    Mother initially said that she had hit O.E.W.-K. because he had been
    disrespectful to her, but then she said that he had gotten in trouble because he
    had not been doing his homework.
    Mother told Jaco that she had been diagnosed with bipolar disorder,
    oppositional/defiant disorder,4 ADHD, and multiple personality disorder. She said
    that she refused to take medication and to go to a counselor.
    Jaco put a safety plan in place at the Johnson home on March 24, 2009. 5
    The terms of the safety plan required Mother to not physically discipline O.E.W.-
    4
    Ms. Johnson wrote in a letter that was admitted into evidence, ―[Mother‘s]
    Oppositional Defiant Disorder is really not easy for me. Especially, because she
    won‘t shut up. It is almost torture watching her rant and rave with little control in
    areas of reasoning, impulse control, and judgment.‖ Ms. Johnson‘s letter also
    states that after she put a stop to Mother‘s reading books on Jeffrey Dahmer and
    others, Mother ―became aggressive, exhibiting rage toward me for years. She
    went crazy. Stole my money. Refused to go to school. . . . She was mad at me
    days, weeks, and years, . . . .‖
    5
    Jaco also spoke to Mr. Johnson, who said that he was Ms. Johnson‘s
    former husband but that they still lived together and were buying the house that
    they were living in together.
    7
    K., to cooperate with CPS, and to follow all of CPS‘s recommendations. Mother
    signed the plan but said that she was only signing it so that Jaco and Gary Hill,
    the CPS investigator, would leave her house. Mother said that she would not
    work any services, such as attending parenting classes or counseling sessions.
    On April 10, 2009, Ms. Johnson reported to Jaco that Mother had hit
    O.E.W.-K. with a belt. Ms. Johnson also heard Mother tell O.E.W.-K. not to tell
    anyone about the bruises and to tell his teachers that if they checked him for
    bruises, she would kill them. Ms. Johnson also told Jaco on April 10 that Mother
    had used marihuana and had a history of using crack cocaine, including while
    she was pregnant with O.E.W.-K. Ms. Johnson said that Mother continued to
    use crack cocaine after O.E.W.-K. was born.6 While Mother was using drugs,
    she left O.E.W.-K. alone, and he was removed by CPS in Washington State and
    placed with Jamie Johnson, who was his great uncle. Ms. Johnson said that
    Mother‘s current routine included sitting at home and watching television all day;
    she refused to go to the store or do anything else.
    On April 15, 2009, Ms. Johnson called Jaco and said that there had been
    an incident that morning when Mother had acted violently toward O.E.W.-K.
    After he told Mother that he was sick and did not want to go to school, Mother got
    upset, grabbed him, and pulled him. Ms. Johnson said that she was fearful that
    6
    Ms. Johnson later clarified that she was not saying that Mother was using
    crack cocaine at that time (on April 10, 2009). Jaco did not administer a drug test
    to Mother, so she was not aware of whether Mother was using at that time.
    8
    Mother was ―really going to hurt him.‖          Jaco heard Mother yelling in the
    background: ―No one is going to tell me I can‘t hit my son. If I want to beat him,
    I‘ll beat him, and there is nothing you can do about it.‖
    On May 20, 2009, the Texas Department of Family and Protective
    Services (hereinafter TDFPS or the Department) removed O.E.W.-K. from
    Mother‘s care. After TDFPS removed O.E.W.-K., Ms. Johnson said that she
    realized that he had caused the bruising himself. Ms. Johnson said that O.E.W.-
    K. would not be in foster care for long because she was going to tell the judge
    that O.E.W.-K. had caused the bruising himself and that his teachers had been
    lying about Mother. Ms. Johnson told Jaco that she wanted to be considered as
    a placement for O.E.W.-K., but she did not want Mother to move out of her
    house.
    2.    Gary Hill
    As mentioned above, Gary Hill, the CPS investigator, worked with Jaco on
    O.E.W.-K.‘s case. Hill met Mother on March 24, 2009, and she told him that
    O.E.W.-K.‘s father was Jean K. and that he did not pay child support.
    Mother said that she had been incarcerated in Purdy, which is the State of
    Washington‘s Women‘s Correctional Facility, after being arrested at age fifteen
    for possession of a controlled substance and then tried as an adult for the crime.
    Mother said that she served five years.
    9
    Mother told Hill that she had used marihuana while she was pregnant with
    O.E.W.-K. but had stopped using during her third trimester. Mother said that she
    lived with Ms. Johnson and that Ms. Johnson helped take care of O.E.W.-K.
    O.E.W.-K. was present during Hill‘s visit with Mother, and they talked about
    O.E.W.-K.‘s current injury to his face. O.E.W.-K. said that Mother had caused it.
    3.     Joanna Letz
    Joanna Letz, the first CPS caseworker who was assigned to O.E.W.-K.‘s
    case in May 2009, testified that when she met with Mother on June 2, 2009,
    Mother told her that she had been accused of attacking O.E.W.-K.‘s teacher in
    February 2009. Mother said,
    I‘ll tell you exactly what happened was the teacher had put a
    mark on his hand and that constitutes, to me, that‘s a deterrent to
    me that it is the mark of the beast from the Bible, and it made me
    very angry, so I went in and I grabbed the teacher by the neck,
    shoved her up against the wall, and told her don‘t you ever touch my
    son again.
    On June 11, 2009, Mother called and asked Letz questions about a family
    group conference because her attorney had advised her that she should have
    one. Letz told Mother that a family group conference can be helpful but is not
    mandatory, and Mother said that she did not want to have one because she
    thought it would just be a ―b[---]h-fest‖ and because she did not want to have to
    see Jaco.
    On June 16, 2009, Letz gave Mother a family service plan and went over it
    with her.
    10
    On June 30, 2009, Letz and her supervisor met with Ms. Johnson to
    explain why she would not be undergoing a home study for placement of O.E.W.-
    K. in her home.7 They explained to Ms. Johnson that there were fifty-eight cases
    of CPS allegations in the home while the family lived in Washington.           Ms.
    Johnson indicated that all of those allegations were Mother‘s fault and that she
    had ―bad blood‖ because she was always in trouble, was very defiant, and was
    disrespectful.
    Letz questioned Ms. Johnson about whether she had ever thrown a
    computer at Mother because that is what Mother had told Letz, but Ms. Johnson
    said that although she had gotten very mad because Mother had hurt her
    feelings, she had dropped only a keyboard over the top of the stairs.
    Letz also questioned Ms. Johnson about Mother‘s allegations that Mr.
    Johnson had sexually abused her, and Ms. Johnson said that she had asked Mr.
    Johnson about the allegations and that he said that he did not do anything. Ms.
    Johnson believed him.
    Ms. Johnson said that her daughter Rosalyn (Mother‘s mother) had also
    made allegations about sexual abuse by Mr. Johnson and had made an outcry at
    7
    The record reveals that a home assessment was ultimately conducted on
    Ms. Johnson‘s home. Letz testified that although O.E.W.-K. had stayed with his
    great uncle Jamie for one or two years while Mother was incarcerated in
    Washington, Letz did not conduct a home study on Jamie because paperwork
    that she had received showed that his wife had a criminal history involving drugs.
    Letz learned that Jamie had spent time in prison for a conviction for breaking into
    a home.
    11
    school; Mr. Johnson admitted to touching her breasts. When Letz questioned
    why it would be hard for Ms. Johnson to believe that Mr. Johnson had sexually
    abused Mother if he had sexually abused Mother‘s mother, Ms. Johnson said
    that she did not know what was the truth, but she did know that Mr. Johnson had
    sexually abused Rosalyn because he admitted to it.
    Also on June 30, 2009, Ms. Johnson stated that she suffered from
    fibromyalgia, diabetes, osteoarthritis, and mixed connective tissue disease. She
    said that seventeen years before, she had been a drug user.
    On July 1, 2009, Mother visited the CPS office. During the appointment,
    Mother said that if she were tested for drugs right then, the test would be positive
    because she had been smoking pot. Mother admitted that it ―was really stupid on
    [her] part‖ to be smoking pot when she had a CPS case pending. Mother also
    gave an update on her progress with the service plan and said that she had been
    attending parenting classes and had learned different ways to deal with O.E.W.-
    K. other than spanking him.
    On August 12, 2009, Mother came in to the CPS office and said that she
    had a pretty bad weekend and had been cutting again; she showed Letz her self-
    mutilation marks. After that episode, Letz frequently asked Mother about self-
    mutilation and did not see evidence of any additional cutting episodes.
    Mother‘s service plan required her to attend anger management classes,
    parenting classes, and individual counseling and to obtain a psychosocial
    assessment, a drug assessment, a psychological evaluation, and a psychiatric
    12
    evaluation. Mother completed a psychological evaluation, parenting classes, and
    anger management.       At trial, Letz was not aware of whether Mother had
    completed individual counseling because the case was transferred to Ruth
    Groomer on September 30, 2009, while Mother was still working her service
    plan; Mother did not like the counselor she saw for individual counseling, so Letz
    had set up counseling for Mother with Connie Burdick. Mother had also not
    completed the psychiatric evaluation at the time the case was transferred.
    Mother tested positive for drugs one of the two times that Letz drug tested her.
    4.     Ruth Groomer
    Groomer, who became O.E.W.-K.‘s caseworker after Letz, did not believe
    it would be in O.E.W.-K.‘s best interest to testify in the courtroom. She said that
    it would cause him stress because he had a lot of fear of Mother and Ms.
    Johnson.
    At the time of trial, O.E.W.-K. was repeating kindergarten. Groomer knew
    that there were some issues with O.E.W.-K.‘s grades, that he was struggling, and
    that he had required special attention. When O.E.W.-K. first came into care, he
    took speech therapy and no longer had a problem being understood; Groomer
    said that O.E.W.-K. did not have any physical problems, but he had some
    behavior problems at school and at times other than Tuesday afternoons after his
    visits with Mother and Ms. Johnson. Groomer was aware that O.E.W.-K. ―tried to
    slit some kid‘s throat,‖ and she was sure that he did not hear about behavior like
    13
    that in the foster home.        Groomer believed that O.E.W.-K.‘s previous
    environment was a direct reflection of his current behavior.
    Groomer testified regarding Mother‘s compliance with her service plan.
    Mother was required to and did undergo a psychological evaluation.      Mother
    completed a drug assessment, anger management classes, and parenting
    classes. Mother did not complete her counseling or MHMR. And Mother never
    gave Groomer a report from Merit Family Services, which is where Mother was
    supposed to go for a psychosocial assessment.
    Groomer said that Mother was asked to provide a urinalysis (UA) in March
    2009, August 2009, and in December 2009.            On March 10, 2009, Mother
    admitted to smoking marihuana and taking cough medicine, and Groomer did a
    drug swab that month.       Groomer said that Mother did not take a UA on
    December 8, 2009, and so she confronted Mother about it; Mother said that she
    had forgotten, which counted as testing positive.
    Mother told Groomer that she had a psychiatric evaluation done but that
    her second appointment was not scheduled until April 10.       Groomer advised
    Mother to reschedule the appointment because the case would be over by then,
    but to Groomer‘s knowledge, Mother did not reschedule. Although Mother told
    Groomer that she had visited MHMR for a psychiatric evaluation, Groomer did
    not know of Mother‘s participating in any of MHMR‘s services, including medical
    treatment.
    14
    Groomer said that although Mother had completed parenting classes,
    Mother‘s parenting skills were ―very lacking‖; she did not know how to interact
    with O.E.W.-K.; and she interrogated him more than interacted with him. 8
    Groomer suggested that Mother should color or read a book with O.E.W.-K., and
    Mother said, ―[W]e don‘t color.‖ The next week, Mother laid on the floor and
    colored a picture while O.E.W.-K. sat beside her. Additionally, Mother did not
    appear to know how to play with O.E.W.-K. She would stand in the hall and
    throw a ball as hard as she could at O.E.W.-K. while he was sitting on the couch
    but did not understand why Groomer had a problem with her throwing the ball at
    O.E.W.-K. When O.E.W.-K. told Mother that he had gotten in trouble at school or
    at the foster home, Mother laughed, gave Ms. Johnson a high five, and said she
    would have liked to have been there and seen that. When O.E.W.-K. talked
    about ―his dog,‖ Mother advised him that it was the dog at the foster home and
    gave O.E.W.-K. six dollars when he corrected himself. When O.E.W.-K. told
    Mother that he had a girlfriend, she said, ―That‘s my pimp. Pimp ‗em high.‖
    Moreover, Mother frequently used curse words during the visits, brought
    weapons to the office after being repeatedly asked not to bring them to the office,
    and texted and talked on the phone during the visits.
    8
    Groomer did not think it would be appropriate for O.E.W.-K. to have
    therapy sessions with Mother due to the behaviors that Mother had exhibited
    toward him.
    15
    During this case, Mother said that she was living with her girlfriend, 9 but
    when Groomer called, the lady said that Mother did not live there. Groomer said
    that at the time of the trial, Mother was living in a motel or boarding house that
    was paid for by other people because Mother had no job, no home, and limited
    income.
    Groomer said that Mother had made few positive changes. She remained
    defiant; she continued to bring her knife to the CPS office even after being asked
    not to. Mother seemed to take pleasure in seeing if people were afraid of her.
    She never gave direct answers. She would not do anything Groomer asked her
    to do until Groomer ―put her between a rock and a hard place.‖
    Groomer did not believe, based on the parts of the service plan that
    Mother had completed, that Mother would be able to provide a stable, nurturing
    home for O.E.W.-K.     Groomer also did not believe that Mother could meet
    O.E.W.-K.‘s emotional and physical needs because she had showed no
    indication that she could meet his needs. Ms. Johnson, not Mother, paid for
    whatever was brought to the office for him. Before Ms. Johnson had moved to
    Texas, she had set up a place in Washington for Mother and O.E.W.-K. to live,
    but Mother had failed to take care of O.E.W.-K., and the police found him home
    alone. Then, Mother bruised O.E.W.-K. once she moved to Texas with him.
    9
    Groomer was not sure when Mother had moved out of Ms. Johnson‘s
    house.
    16
    Although Ms. Johnson made it abundantly clear that she did not want CPS
    to take her great-grandson from her,10 Groomer did not believe Ms. Johnson
    could protect O.E.W.-K. from emotional and physical danger due to the
    interaction Groomer had witnessed between Ms. Johnson and Mother.              Ms.
    Johnson knew that Mother had been abusive toward O.E.W.-K., but she left him
    in Mother‘s care anyway.     Groomer also had concerns about Ms. Johnson‘s
    ability to parent and to provide a stable home for O.E.W.-K. based on the fact
    that Ms. Johnson believed that Mr. Johnson may have inappropriately touched
    her daughter Rosalyn, yet continued to live with Mr. Johnson, and Groomer had
    concerns about Ms. Johnson‘s age and health conditions.
    Further, Mother and Ms. Johnson were often disruptive to each other, to
    O.E.W.-K., to the staff, to Groomer, and to others in the office during the visits,
    and Ms. Johnson interrogated O.E.W.-K. during the visits. Other times, they
    were very appropriate during the visits. Groomer testified that Ms. Johnson was
    also defiant, and the day before the trial, Ms. Johnson was openly defiant toward
    Groomer while O.E.W.-K. was present, and the security guard had to ask Ms.
    Johnson and Mother to leave.
    10
    According to the home assessment, Ms. Johnson lived beyond her
    means and was socially isolated. The home assessment said that the home was
    clean, that O.E.W.-K. had his own room, and that Ms. Johnson was purchasing
    the home. Ms. Johnson‘s home, as far as the appropriateness of the house and
    furnishings, was on equal footing with the foster parents‘ home. There were no
    allegations that O.E.W.-K. was malnourished while Ms. Johnson was caring for
    him.
    17
    Groomer believed that it was in O.E.W.-K.‘s best interest to have Mother‘s
    parental rights terminated due to the physical abuse, the physical neglect, and
    her inability to care for his emotional, educational, and physical needs. Groomer
    said that Mother‘s drug use and criminal history also played into her
    recommendation that Mother‘s parental rights should be terminated.
    Groomer said that CPS‘s permanency plan for O.E.W.-K. was adoption by
    his foster parents, who had decided to adopt him. Groomer said that O.E.W.-K.‘s
    foster parents were ―very appropriate‖ with him; they set boundaries, they helped
    him   understand       right   and   wrong   choices,   and   they   had   appropriate
    consequences for him. They encouraged him in his music ability and provided
    outside activities.    His foster dad took O.E.W.-K. fishing, and O.E.W.-K. was
    excited that he had caught the biggest fish. O.E.W.-K. had his own room at their
    house.     They provided adequate nutrition for O.E.W.-K.        The foster parents‘
    home was very stable; both parents had college degrees and stable employment,
    and they were in the process of purchasing their home. Their home was a safe
    place for O.E.W.-K.; it was in a safe neighborhood and was extremely clean.
    They were very observant and knew what he was doing at all times.
    D.      Visits
    Mother‘s visits were scheduled every Tuesday from 10:00 to 11:00 a.m.
    Mother and Ms. Johnson came to the visits regularly, but there were some visits
    that Ms. Johnson did not attend. The following are summaries of several visits
    18
    as observed by an investigator, the two caseworkers, case aides, an intern, and
    the CASA volunteer.
    1.    After the Removal on May 20, 2009
    After the removal, Jaco noted that when O.E.W.-K. saw Ms. Johnson and
    Mother at a visit, he was really nervous and scared. Once he was in the room
    with them, he calmed down after a few minutes and hugged Mother, and they
    played and talked for some time.
    2.    May 22, 2009
    Carolyn Demmerritte, a case aide with CPS, testified that she supervised a
    visit with O.E.W.-K., Ms. Johnson, and Mother on May 22, 2009. O.E.W.-K. was
    nervous the entire visit, twiddling his hand as he sat in the rocking chair. Every
    five minutes, he went to Demmerrite‘s side, said he was ready to go, and asked
    her to give him a hug. Demmerritte hugged him and asked if he wanted to try to
    go back and spend more time with Mother and Ms. Johnson, and he went back
    over.
    During that visit, Ms. Johnson and Mother asked O.E.W.-K. about his
    bruises and then asked if he remembered that he had fallen off the piano.
    Mother tried to get O.E.W.-K. to say that his foster father had been
    inappropriately touching him.
    Also during the visit, Ms. Johnson told O.E.W.-K. that CPS and his foster
    parents were brainwashing him. Ms. Johnson also kept saying that the foster
    parents were telling O.E.W.-K. that he could not come home.
    19
    Mother wanted to end the visit because O.E.W.-K. kept talking about his
    foster parents. Although the visit was scheduled to last an hour, it lasted only
    half an hour.
    3.    October 6, 2009
    Sandy Boatner, a CPS case aide, testified that she supervised a visit on
    October 6, 2009 with Mother, Ms. Johnson, and O.E.W.-K. During that visit,
    Mother played dodge ball with O.E.W.-K. Boatner observed that Mother threw
    the ball fairly hard and hit O.E.W.-K. such that he would say, ―Ouch. That hurts.‖
    Also during the visit, Mother talked about ―rolling her smokes.‖ Mother used
    profanity several times, and Boatner interrupted the visit twice to warn her to
    watch her language.
    4.    October 13, 2009
    Amber Thompson, who was formerly an intern in the conservatorship unit
    at CPS, testified that she observed a visit between O.E.W.-K. and Mother on
    October 13, 2009. During the visit, Mother and O.E.W.-K. talked about spelling
    and numbers, and O.E.W.-K. apologized for not knowing his numbers. Mother
    told him that the reason CPS took him into custody was because he did not know
    his numbers; but Mother said that it was ―okay, not to worry about it [i.e., not
    knowing his numbers]‖ because she had learned patience.         Mother also told
    O.E.W.-K. that he was ―brought up halfway good.‖
    20
    O.E.W.-K. appeared to be scared of Mother and did not want to stay close
    to her. Mother asked him to stay close to her, and he did for a little while before
    wandering away.
    During the visit, Mother read a text message out loud and said, ―Get off my
    nuts.‖ O.E.W.-K. moved away from her, and she said, ―No, son. I wasn‘t talking
    to you. I don‘t speak roughly to kids any more.‖ However, Mother used profanity
    twice during the visit.
    5.     October 20, 2009
    During the visit on October 20, 2009, O.E.W.-K. told Mother and Ms.
    Johnson about upcoming Halloween festivities, and Ms. Johnson ―said in a loud,
    authoritative voice that he should get down on his knees and ask God to forgive
    him because he had worshipped Satan, and when [O.E.W.-K.] hesitated, she
    said, I mean it, [O.E.W.-K.] Now. Get down on your knees and ask God to
    forgive you.‖ Groomer interrupted the visit, put O.E.W.-K. in a room with the
    case aide, and told Ms. Johnson and Mother that O.E.W.-K. had done nothing for
    which he needed to ask forgiveness. Groomer brought O.E.W.-K. back in the
    room, and Ms. Johnson asked him if he was afraid of her; he held out his left
    hand and made a fist with his right hand and hit his left palm and said he was
    when she did that to him.11       Ms. Johnson asked to speak to Groomer‘s
    supervisor, questioned Groomer‘s credentials, and shook her finger in Groomer‘s
    11
    Groomer said that O.E.W.-K.‘s statement that he was afraid of Ms.
    Johnson was an indication of abuse.
    21
    face. When Groomer asked Ms. Johnson not to shake her finger in her face, Ms.
    Johnson held out her hand to Groomer‘s face and said, ―I rebuke you, Satan.‖
    6.     December 8, 2009
    Boatner also supervised a visit on December 8, 2009.          When Mother
    arrived, she gave O.E.W.-K. a small hug. Mother asked him to sit in her lap, but
    he would not; he stood in front of her wringing his hands. During the visit, Mother
    kept closing her eyes and smiling a lot, which she normally did not do. Boatner
    asked the caseworker to come and observe Mother‘s behavior, and the
    caseworker asked Mother to take a drug test after the visit.
    7.     December 15, 2009
    Boatner supervised a visit on December 15, 2009, at which Mother picked
    up O.E.W.-K., swung him around, and tried to put him on her lap, but he would
    not sit on her lap and ignored her.
    8.     December 29, 2009
    During the visit that Boatner supervised on December 29, 2009, Mother
    and Ms. Johnson both asked O.E.W.-K. where a certain necklace was, and he
    got very upset and started crying and wringing his hands. O.E.W.-K. knocked on
    the observation window, and Boatner came out, picked him up, and held him.
    9.     January 12, 2010
    Boatner supervised a visit on January 12, 2010, during which O.E.W.-K.
    mentioned that he had a girlfriend, and Mother said, ―That‘s my pimp. Pimp ‗em
    high. You go, man.‖ Also during that visit, O.E.W.-K. ate everything in his lunch
    22
    except his sandwich.      When Boatner pointed out to Mother that O.E.W.-K.
    needed to eat his sandwich because lunch would be over when he returned to
    school, Mother responded by saying, ―[L]et him eat what he wants.‖
    10.   January 26, 2010
    Boatner observed a visit on January 26, 2010, during which O.E.W.-K.
    would not sit next to Mother or Ms. Johnson for any length of time because he
    was afraid for them to check his nose and ―different things.‖ Throughout the visit,
    O.E.W.-K. was constantly wringing his hands.           Mother noticed O.E.W.-K.‘s
    behavior and said that he had a right to be afraid but that she did not hit
    anymore. During the visit, Mother sang ―Penitentiary Bound‖ over and over and
    asked her son if he knew what it meant; she told him, ―[D]on‘t worry about it,
    because you won‘t have to worry about it.‖ Also during that visit, Mother flipped
    off Boatner and called another caseworker a maggot. Mother said, ―[D---] it to
    hell,‖ ―shit,‖ and d[---].‖ When Boatner interrupted the visit and told her not to say
    those words, O.E.W.-K. cringed, and Mother responded, ―That‘s not cussing, . . .
    would you like me to really cuss?‖
    11.   February 2, 2010
    During the February 2, 2010 visit, Mother mentioned that O.E.W.-K.‘s
    grandfather was coming and that they were going to the shooting range; O.E.W.-
    K. started backing up, exhibiting that he did not like that Mother was talking about
    guns.
    23
    12.    February 9, 2010
    Mother was ten minutes late to the visit on February 9, 2010, which was
    scheduled to last an hour. Forty minutes into the visit, O.E.W.-K. knocked on the
    window and was shaking all over; he put his arms around Boatner and wanted to
    go into the observation room.
    13.    March 23, 2010
    During the March 23, 2010 visit, Ms. Johnson told O.E.W.-K. a story about
    ants. Ms. Johnson said that a little ant was removed from his family and that he
    was afraid. The family missed him very much. But there was a bad ant who hit
    and smoked weed, and O.E.W.-K. acknowledged that Mother did that.               The
    mean ant hurt the little boy, and O.E.W.-K. said that Mother did that to him. Ms.
    Johnson was shaking during the visit because she is a diabetic and needed to
    eat, and Mother said that she was going to talk to her uncle Jamie about Ms.
    Johnson‘s not taking care of herself.
    14.    Other Visits Observed by Boatner
    Boatner recalled a visit during which Mother told O.E.W.-K that she was
    not going to drink any more, but she subsequently went to a club on New Year‘s
    Eve. There was also a discussion about O.E.W.-K.‘s consumption of alcohol,
    and Mother said that he needed to get his story straight: ―I didn‘t let you drink. It
    was your dad.‖      On another occasion, inappropriate music was playing on
    Mother‘s phone, and a case aide from another case went in and asked Mother to
    turn it off; she complied.
    24
    Boatner said that Ms. Johnson ate candy during the visits and that Mother
    told her that she needed to quit eating it because she was diabetic.
    During the visits that Boatner observed, she saw some tender moments
    between Mother and O.E.W.-K.         Boatner said that O.E.W.-K. was very stiff
    around Mother but that there were times when he kissed her. They also had a
    routine where Mother would sing a little song before they left. O.E.W.-K. kissed
    and hugged Ms. Johnson sometimes. Boatner did not observe a difference in
    O.E.W.-K.‘s behavior when he was visiting with Mother as opposed to Mother
    and Ms. Johnson.
    Boatner also observed visits between O.E.W.-K. and Jamie Johnson.
    Jamie came to two visits and mostly observed; one visit was by himself and was
    ―very appropriate‖ in Boatner‘s opinion. O.E.W.-K. remembered Jamie and did
    not cringe or wring his hands during the visit.
    15.   Visits Observed by Letz
    Letz observed quite a few of the visits and saw that Mother brought school
    supplies and school clothes for O.E.W.-K.
    16.   Other Visits Observed by Groomer
    Ms. Johnson, at other visits, was much softer-spoken when she spoke to
    O.E.W.-K. She urged O.E.W.-K. to follow the rules in his foster home to earn
    back his toys that had been taken away, and this showed appropriate parenting.
    However, she laughed when he got in trouble.          Ms. Johnson made snide
    comments about O.E.W.-K.‘s haircut and made comments about his clothing
    25
    being inappropriate—Goodwill clothing, dirty clothing—to the point that it was
    obsessive. There was rarely positive reinforcement.
    Ms. Johnson asked O.E.W.-K. if he had been telling people that he wanted
    to go home and told him that he needed to say it out loud. She told him that she
    had bought a new bedroom suite for him to have when he came home. Groomer
    did not think that conversation was appropriate because it was not a certainty
    that he would be going home; plus, it confused him, caused him to be more
    homesick, and resulted in behavior problems at school. Groomer missed only
    two or three visits from October through the time of trial, and during that time,
    O.E.W.-K. did not say that he wanted to go home until the day before trial when
    he was encouraged by others to talk about it.
    Ms. Johnson told Groomer that she and Mother would be bringing O.E.W.-
    K.‘s lunches to the visits, but after about three weeks, Ms. Johnson called and
    asked CPS to have the foster mom provide O.E.W.-K.‘s lunches because it was
    inconvenient for Ms. Johnson to provide them. However, during Groomer‘s time
    as O.E.W.-K.‘s caseworker, she saw that Mother and Ms. Johnson brought
    Christmas gifts, socks, and underwear.
    Ms. Johnson often fell asleep during visits. Groomer saw Ms. Johnson eat
    four glazed donuts and drink a non-diet soda during a visit, despite her diabetes.
    O.E.W.-K. was excited to see his great uncle Jamie during his visits.
    O.E.W.-K. told him that he knew he wanted him to come home. Groomer noted
    that there appeared to be a bond between O.E.W.-K. and Jamie.
    26
    17.    Visits Observed by CASA Volunteer
    Marla Bratton, a CASA volunteer, testified that during the twenty visits that
    she had observed, she saw Mother at all but one visit, Ms. Johnson at about
    eight or ten visits, and Jamie at two visits.12 Bratton said that Mother‘s mood
    fluctuated and that she sometimes talked about things that were beyond O.E.W.-
    K.‘s understanding, but Bratton could see that Mother loved O.E.W.-K. even if
    she was not always appropriate with him. Bratton noted that when O.E.W.-K.
    and Mother were alone, he shared his lunch with Mother, and sometimes he
    stood in front of her and moved his hands in circles like he was nervous. When
    Mother and Ms. Johnson were present, O.E.W.-K. wanted to hug more, sat down
    rather than stood, and tried to sit in Ms. Johnson‘s lap. Ms. Johnson was warm
    and friendly with O.E.W.-K., telling him stories, hugging him, and telling him that
    she loved him. Ms. Johnson acted as a buffer between O.E.W.-K. and Mother.
    E.    Mother’s Psychological Evaluation
    Dr. Nichelle Wiggins, a licensed clinical psychologist, testified that she
    conducted a psychological evaluation on Mother on September 17, 2009.
    Mother called the morning of the evaluation and was very upset because she
    could not find the office; she was short tempered and sharp in her tone of voice
    toward Wiggins. An older gentleman who drove Mother to the evaluation got on
    12
    Bratton testified that in addition to observing visits, she had visited with
    O.E.W.-K. in his foster home, had talked to O.E.W.-K.‘s teachers, and had talked
    to Dr. DeYoung. O.E.W.-K.‘s therapist.
    27
    the phone and eventually brought Mother to the office. Mother said that she did
    not know the man that had brought her to the evaluation and had just met him
    that morning. He sat down in the waiting room, while Dr. Wiggins dealt with
    Mother, who was agitated. In the process, Mother asked if she could take the
    man home and then come back.              Dr. Wiggins asked Mother if she was
    comfortable with that because Dr. Wiggins had planned to ask the man to leave.
    Dr. Wiggins was concerned that Mother had picked up a strange man, but
    Mother was not concerned ―in the least‖ because she said that she had Jesus,
    ―And what me and Jesus can‘t handle, then me and my Smith & Wesson can.‖ 13
    Mother left and returned without the man thirty minutes later. Dr. Wiggins‘s initial
    impression of Mother was that she was in a manic state. Mother‘s moods went
    up and down, so Dr. Wiggins knew that she was dealing with a person who was
    emotionally fragile, who was hurting, who had been traumatized, and who was
    scared.
    Mother had a very chaotic childhood. She was physically abused by Ms.
    Johnson and her mother and had lived with Ms. Johnson off and on throughout
    her life. CPS became involved when Mother‘s little brother died. CPS re-entered
    Mother‘s life when she was twelve because her caregivers––Ms. Johnson, her
    13
    Mother said that her Smith & Wesson was in her car. Dr. Wiggins‘s
    recommendations stated that Mother would not comment on whether the gun
    was registered and that ―this should be followed up. Due to her aggressive
    nature, a gun or any type of weapon is not advisable for [Mother] to maintain in
    her possession.‖
    28
    mother, and her uncle––used drugs and alcohol. Mother said that Ms. Johnson
    had used crack cocaine but had been clean for about ten years.
    Mother completed the tenth grade and then quit because she ―had better
    shi[-] to do.‖ She said that she regretted her decision to quit school and was
    going to try to obtain a GED.
    Mother said that she started smoking marihuana when she was twelve and
    would have continued to smoke if not for CPS.       Mother said that marihuana
    helped calm her down. Mother did not believe that there was anything wrong
    with smoking marihuana. Mother said that she had tried to limit her smoking of
    marihuana to outside while O.E.W.-K. was riding his bicycle, but she admitted
    that there were times when she had smoked it inside the house while he was in
    bed in the room next to hers. She said that she did not smoke marihuana in front
    of him.14 Mother said that O.E.W.-K. knew that she smoked marihuana and that
    he knew that it helped her stay calm. Mother said that O.E.W.-K. would say, ―[A]t
    least my mommy doesn‘t smoke crack.‖ She told Dr. Wiggins that she had last
    used marihuana in June 2009.
    Mother started using crack cocaine when she was nineteen and continued
    using until she was about twenty-four (when O.E.W.-K. was four). She still had
    some ―crack dreams‖ but claimed that she was no longer using. Mother was
    arrested for selling crack cocaine to an undercover officer in Washington in
    14
    Mother said that she had never blown marihuana smoke in O.E.W.-K.‘s
    face but that she had seen someone blow marihuana smoke in a baby‘s face.
    29
    1999.15 Mother said that selling crack cocaine was part of her lifestyle back then
    and was one of the ways that she had supported her habit. Mother said that she
    had left Washington and had moved to Texas so that she could get away from
    ―that environment and the temptations.‖ Mother said that she knew that she
    could not take care of O.E.W.-K. when she was using crack cocaine, so she
    asked Ms. Johnson to watch OE.W.K. when she was active in her crack cocaine
    addiction. Mother left O.E.W.-K. with Jamie for nine months while she was using
    crack cocaine. Mother indicated that she had not used crack cocaine for about
    three years.
    Dr. Wiggins testified that in her opinion, Mother was experiencing crack
    dreams because she was missing O.E.W.-K. and wanted to get away from the
    pain like she had when she smoked crack cocaine. Dr. Wiggins asked Mother if
    she had ever gone to a Narcotics Anonymous meeting, and her answer was,
    ―No. For what?‖
    Mother went to jail for trespassing in 2006 and had spent time in a
    residential treatment center after running away from home as a juvenile.
    Mother said that she had been a member of the Hoova Crips gang. But
    after she gave birth to O.E.W.-K., she put aside her gang lifestyle and no longer
    associated with the gang.
    15
    The trial court admitted into evidence a copy of a judgment from the
    State of Washington in which Mother was found guilty of the crime of conspiracy
    to deliver cocaine on October 3, 2000.
    30
    At the time of the evaluation, Mother said that she was living with Ms.
    Johnson and her grandfather who was not her biological grandfather.16 Mother
    testified that Ms. Johnson had fibromyalgia, diabetes, and mixed tissue disease
    and was on a number of different pain medications.            Mother moved from
    Washington to Texas to help take care of Ms. Johnson, who was not in good
    health, and to get away from the environment where she had been using drugs.
    Mother said that she has a great deal of love for Ms. Johnson, but that she
    prayed every week that Ms. Johnson would die because she got on her nerves
    and irritated her, but that she could not imagine life without her. Mother believed
    that Ms. Johnson was dying because of her medical issues.
    Mother described Mr. Johnson as the ―baby raper‖ and said that he raped
    her and her mother. Mother said that Mr. Johnson began abusing her when she
    was about nine years old and stopped two days shy of her sixteenth birthday
    after she put a knife to his private area and told him that if he wanted to keep it,
    he had to keep his hands off her. When Mother was nine, she told Ms. Johnson
    about the abuse, but Ms. Johnson did not take any action because she was on
    crack cocaine and Mr. Johnson was her supplier. Mother said that Mr. Johnson
    had admitted to abusing her mother.
    16
    Mother said that Ms. Johnson had been married nine times.
    31
    Mother also said that the payee on her disability checks is the ―baby
    raper.‖17 Dr. Wiggins asked Mother if having Mr. Johnson as the payee on her
    disability checks put him in a position of control over her; Mother said that she
    spoke to him only once a month when she needed money and that even though
    he had done bad things to her, he had some redeeming qualities like teaching
    her to read and not taking advantage of her financially.
    Mother said that her support system consisted of ―God, me, myself, and I.‖
    The only people that Mother trusted 100% were herself and God.
    Mother said that Jean K. is O.E.W.-K.‘s father. She said that they fought
    with each other; they cursed at each other and slapped one another.18
    Mother referred to her son as ―Daddy‖ nine out of ten times. Dr. Wiggins
    said that it sends a ―very confusing message‖ to a child who does not have a
    daddy in his life to call him that. Dr. Wiggins said that with Mother having gone
    through her own abuse, she could be projecting some of her own issues onto
    O.E.W.-K.
    Mother wanted O.E.W.-K. to sleep with her when she had a bad dream
    and would go and get him ―to make sure she could protect him.‖ Mother said that
    she had limits on when O.E.W.-K. could not sleep with her, such as when she
    was on her menstrual cycle and when she wanted to watch television and felt
    17
    Mother said that she was unemployed and had received Social Security
    benefits since she was five years old.
    18
    Mother admitted that it did ―not take much for her to curse people.‖
    32
    that the show was inappropriate for him. Mother said that O.E.W.-K. slept with
    her nine out of every ten nights and that once he turned eight, he would be too
    old to sleep with her. Dr. Wiggins testified that it could be harmful for Mother to
    sleep in the same bed every night with her six-year-old son because it does not
    teach the child boundaries.19 Dr. Wiggins said that O.E.W.-K. might pick up
    Mother‘s fears and anxieties and start to develop an enmeshed relationship with
    Mother because there was no boundary of where the child started and ended
    and where the parent started and ended. For example, O.E.W.-K. tried to defend
    Mother when the monitor interrupted a visit due to Mother‘s behavior.20
    Mother told Dr. Wiggins that people thought she was crazy and that was
    probably why she was receiving her disability check.        Mother also told Dr.
    Wiggins that she had been diagnosed with bipolar disorder and had been
    prescribed Depakote at ages thirteen, fifteen, and seventeen but that she had
    refused to take the medication because she believed that it could poison her
    body. She had seen television commercials with attorneys telling people to call a
    phone number if they had taken certain medications that had been found to be
    harmful; Mother was afraid that would be the case with Depakote. Mother said
    19
    However, Dr. Wiggins also said that it was not unusual for a five-year-old
    to sleep with his parents. Dr. Wiggins clarified that she was not as concerned
    that O.E.W.-K. was sleeping in the same bed as Mother as why he was sleeping
    with her––because Mother would go get him when she had a nightmare.
    20
    Yet, Mother thought that O.E.W.-K. was too soft at times and needed to
    be toughened up with karate classes.
    33
    that if the doctors were going to put medications in her that poisoned her body,
    she might as well use illegal drugs.
    Mother admitted that she had cut a girl in the face with a knife because
    ―the girl kept yapping her mouth.‖ Mother also admitted that she had thoughts of
    harming Ms. Johnson and Mr. Johnson.          Mother had thought about putting
    bleach in Ms. Johnson‘s insulin to harm her approximately one year prior to the
    trial. When Mother was sixteen, she had planned to kill Ms. Johnson by lighting
    the house on fire because Ms. Johnson was getting on her ―motherf[---]ing
    nerves‖; Mother poured lighter fluid around the house and tried to light it, but it
    would not burn. Mother told Dr. Wiggins that every time she sees the ―baby
    raper,‖ she thinks of killing him21 but does not act on those thoughts because she
    does not want to go prison and because she thinks of O.E.W.-K.
    Mother admitted to having had suicidal thoughts and to having engaged in
    self-mutilation.22   Mother said that she had attempted suicide by overdosing
    approximately ten years prior to the trial.   Mother had experienced homicidal
    thoughts since the attempted homicide when she was sixteen, but she had not
    acted on them since then.23 Mother said that she used razor blades to self-
    21
    Mother purchased a gun the day that she arrived in Texas because she
    knew that she was going to be around the ―baby raper.‖
    22
    Dr. Wiggins testified that it is common for someone with a background of
    physical and sexual abuse to self-mutilate.
    23
    But, Dr. Wiggins also testified that Mother had not had suicidal thoughts
    since she felt like she could keep her grandfather from hurting her.
    34
    mutilate, that she self-mutilated to relieve the stress that was inside her body,
    and that the last time she had engaged in that behavior was mid-August 2009.
    Mother told Dr. Wiggins that she did not want O.E.W.-K. to self-mutilate.
    Mother told Dr. Wiggins that her gun is her ―wife,‖ that she keeps her gun
    in the closet, and that O.E.W.-K. saw her unloading it once. She told O.E.W.-K.
    that she would ―break his neck‖ if he ever touched it. Mother also stated that she
    would not hurt her son and that she had realized that she had inflicted verbal
    abuse on O.E.W.-K.
    Mother told Dr. Wiggins that she felt that one of O.E.W.-K.‘s teachers did
    not respect her because she had asked the teacher not to touch her child, but
    O.E.W.-K. came home with a star drawn on his hand by the teacher. Mother said
    that the pentagram went against her religion, and so she went to the school and
    confronted the teacher in the school auditorium.      Mother called the teacher
    several names and then choked her. Mother admitted that choking the teacher
    was wrong but said that she would do it again ―[i]n a hot second, a New York
    minute‖ if the teacher touched O.E.W.-K. again.        Mother admitted that she
    smothered O.E.W.-K. and was overly protective of him to the point where she did
    not want people to touch him, to help wipe his nose, or to hug him unless they
    first received her consent. Mother said that she was ―strange about [her] child,‖
    that she feared that somebody would hurt him, that she was afraid of what her
    reaction would be, and that she would ―catch a case‖ if someone touched him
    35
    inappropriately.24 Dr. Wiggins was concerned that Mother was so overprotective
    that she became violent at the slightest thing regarding O.E.W.-K. Dr. Wiggins
    gave Mother some alternatives for handling a situation in which a teacher might
    put a sticker on O.E.W.-K., but Dr. Wiggins said that Mother had her own ideas of
    what she needed to do to protect her child and that in the moment, she would act
    based on what she believed and thought was correct.
    Mother said that CPS was involved in her life as a result of false
    allegations that she had physically abused O.E.W.-K. Mother admitted that she
    had spanked him with a belt because he had been watching television instead of
    practicing his numbers. Mother said that she left marks on his legs, that they
    were noticed at school, and that CPS was contacted.
    Mother was very concerned that O.E.W.-K. was not being well taken care
    of in foster care and admitted that she had used profanity in front of O.E.W.-K. at
    a visit after a monitor came in and told her not to question O.E.W.-K. about his
    clothing. Mother told the monitor, ―You maggot-mouthed b[----].‖ Mother used
    profanity throughout the day and told O.E.W.-K. that his clothes looked ―like shit.‖
    Dr. Wiggins was not sure if O.E.W.-K. was reacting to the language or more to
    the fact that he felt Mother was being attacked; he responded, ―Look. That‘s my
    momma. She can say what she wants to say to me.‖
    24
    Dr. Wiggins said that it is not unusual for a parent who has had a chaotic
    childhood to want to protect her own child from having a chaotic childhood.
    36
    Dr. Wiggins conducted personality testing on Mother and, based on the
    results of that testing, had concerns about Mother‘s mental health and
    personality traits. Dr. Wiggins said that what stood out most was that Mother had
    experienced chronic mental health issues since she was a teenager and had not
    been willing to take the necessary steps to bring stability to her emotional
    functioning. Dr. Wiggins testified that Mother was ―very illogical, irrational, and
    really did not understand the impact of her decision and behaviors on other
    people.‖ Dr. Wiggins said that Mother had major frustration issues and could
    become very aggressive, so it was important to have very strong boundaries with
    her. Dr. Wiggins also testified that Mother had exhibited violent mood swings,
    had engaged in self-mutilation, and had abused drugs, which Dr. Wiggins
    equated to ―a chronic pattern of mental instability.‖ Dr. Wiggins believed that
    Mother needed treatment for her bipolar disorder and for post-traumatic stress
    disorder. Dr. Wiggins stated that the chances of Mother‘s relapsing into drug use
    was high if she did not receive treatment for her mental health issues and that
    relapse chances remained high regardless because Mother had been abusing
    substances for a large part of her life.
    Dr. Wiggins recommended to CPS that Mother obtain a psychiatric
    consultation for medication. Dr. Wiggins believed that there was a possibility that
    Mother‘s mood swings and emotions could be controlled by medication and that
    she would benefit from participating in MHMR and individual counseling, anger
    management, outpatient drug treatment program, Narcotics Anonymous, random
    37
    drug testing, parenting classes, and family counseling with her son and by
    obtaining her GED. Dr. Wiggins was concerned that Mother had expressed a
    strong unwillingness to even consider, much less act upon, the recommendations
    that were made.25 Mother was willing to talk about things in counseling as long
    as it was on her terms because she had a strong need for control, which was not
    unusual for someone who had been abused.
    Mother told Dr. Wiggins that she was abused by her mother and Ms.
    Johnson, and Mother‘s responses indicated that she knew the difference
    between a spanking and abuse. Mother had already started taking parenting
    classes when she met with Dr. Wiggins and said that she no longer saw a need
    to spank O.E.W.-K. because she had learned other ways of effectively
    intervening. However, Dr. Wiggins testified that Mother did not have effective
    parenting tools in place to take care of O.E.W.-K. emotionally, physically, and
    financially.   Mother told Dr. Wiggins that she depended heavily on her
    grandparents because everything that she and O.E.W.-K. needed was ―right
    there.‖ Mother seemed conflicted because she needed her grandparents, but
    she did not want to need them. Emotionally, Mother was not in a place to be
    able to make good decisions for herself or O.E.W.-K.           Dr. Wiggins was
    concerned that Mother was using O.E.W.-K. as a comfort, that he was her
    reason for living, and that she was losing herself in him, which was not effective
    25
    Mother was very argumentative; her first response was to say, ―No.‖
    38
    parenting.      Dr. Wiggins said this could create issues in a parent-child
    relationship.
    With regard to whether Mother could be an active participant in O.E.W.-
    K.‘s life, Dr. Wiggins said that she could if certain conditions were met.       Dr.
    Wiggins testified that she had ―put those recommendations in there‖ to help
    Mother establish stability and the ability to parent effectively while unsupervised.
    Dr. Wiggins said that if Mother was not able to meet ―those conditions,‖ then she
    would be very concerned.       Dr. Wiggins said that Mother could participate in
    O.E.W.-K.‘s life with supervision if someone set boundaries with her. Dr. Wiggins
    admitted that she knew when she wrote her recommendations that the prognosis
    was poor that Mother would follow through completely because people like
    Mother ―don‘t see people as trying to help them.‖ When asked whether she
    thought someone who did everything that CPS asked and then CPS still went
    forward with suit to terminate her parental rights would be distrustful of the
    system, Dr. Wiggins said that it is a judgment call, but she recommended looking
    at whether the person was demonstrating emotional stability, good decision-
    making, the ability to live independently, and the ability to participate in services
    on her own.
    It concerned Dr. Wiggins that a request had been made for O.E.W.-K. to
    go back and live in the house with Mother and his grandparents because Mother
    believed she needed to have her gun and her knife to be able to protect her son
    and because there was a sexual abuse perpetrator in the home. Dr. Wiggins
    39
    said that Ms. Johnson had failed to protect Mother in this setting. Dr. Wiggins
    was also concerned about what would happen if CPS was out of the picture
    because the threat of a urinalysis was the only thing keeping Mother from using
    marihuana.26   Dr. Wiggins opined that it would be too difficult for Mother to
    maintain stability in an environment where she had to constantly see the man
    whom she calls the ―baby raper‖ and Ms. Johnson, whom she loved but at times
    wished was dead. Dr. Wiggins described the environment as ―a constant state of
    conflict and tension and problems.‖ Dr. Wiggins had a great deal of concern
    about a child being in an environment that was as closed off from the outside and
    as dysfunctional as Mother had described.
    Dr. Wiggins said that her interaction with Mother on the day of trial was
    much like how Mother had presented on the day of the evaluation: she was
    crying one minute, angry the next, and then gave Dr. Wiggins a hug. Mother
    made a couple of inappropriate comments to people in the courtroom and acted
    socially deficient with her comments.
    F.    O.E.W.-K.’s Therapy
    Dr. Mark DeYoung, a licensed marriage and family therapist, testified that
    as of the time of the trial, he had conducted thirty-five therapy sessions with
    O.E.W.-K. O.E.W.-K. met with Dr. DeYoung weekly for forty-five minutes to an
    hour. Dr. DeYoung also worked with the foster family to help with O.E.W.-K.‘s
    26
    Mother had said that on a scale from one to ten, the level that she
    missed marihuana was a twelve.
    40
    behavior at school and at home. Dr. DeYoung testified that he was not asked by
    TDFPS to work with the biological family.
    Early on during the therapy sessions, O.E.W.-K. mentioned that Mr.
    Johnson had hurt Mother and Ms. Johnson, but O.E.W.-K. did not elaborate on
    this.
    Dr. DeYoung understood that O.E.W.-K. had lived with Mother‘s uncle
    Jamie in Seattle for two and a half years. O.E.W.-K. did not indicate anything
    negative in his relationship with Jamie; O.E.W.-K. was positive in discussing his
    great uncle.
    On numerous occasions, O.E.W.-K. mentioned that Mother and Ms.
    Johnson had yelled and screamed at each other, both when he was at home and
    during the visits. Dr. DeYoung said that he was not sure whether Ms. Johnson
    would be able to manage situations involving Mother because she had been
    present at the home when Mother mistreated O.E.W.-K. and was present at the
    visits when yelling and screaming had occurred. Additionally, Dr. DeYoung said
    that it can be bad for a child to be in a household where adults argue and raise
    their voices.
    O.E.W.-K. told Dr. DeYoung about an incident in which he struggled with
    his math homework, and Mother spanked him with a belt. However, O.E.W.-K.
    said that Mother told him to misbehave in the classroom and to disobey his
    teachers.
    41
    During several of the therapy sessions, O.E.W.-K. shared that Mother had
    talked to him about having a gun and about the fact that she would not hesitate
    to use it to threaten others; O.E.W.-K. said that was very frightening to him.
    O.E.W.-K. also talked about Mother‘s showing him a gun and asking him to touch
    it and hold it and said that was also very frightening to him. O.E.W.-K. told Dr.
    DeYoung that Mother carried weapons on her at all times.
    On November 4, 2009, O.E.W.-K. told Dr. DeYoung that Ms. Johnson told
    him that he would be coming home soon and that he was not to tell anyone.
    Around the time of the December 3, 2009 session, Mother took O.E.W.-K. to the
    bathroom and told him this again.      Around the time of the January 6, 2010
    session, O.E.W.-K. told Dr. DeYoung that he had lived with an uncle (his great
    uncle Jamie) in Seattle and also that Ms. Johnson told him that he was moving to
    Seattle to live with his great uncle. O.E.W.-K. said that when Mother and Ms.
    Johnson told him where he was going to live, it made him feel like he had
    jellybeans in his brain and that he felt all jumbled up. Dr. DeYoung sensed that
    O.E.W.-K. was confused. Dr. DeYoung thought that Mother‘s and Ms. Johnson‘s
    remarks contributed to O.E.W.-K.‘s overall sense of uncertainty.
    During the February 10, 2010 therapy session, O.E.W.-K. drew a picture of
    his biological family and said that in the picture, Mother and Ms. Johnson were
    screaming and yelling at each other. Also during that session, O.E.W.-K. drew a
    picture of his foster family at a restaurant, and he talked about the fun that they
    had while they were there.
    42
    During the March 10, 2010 therapy session, O.E.W.-K. said that Mother
    had smoked a pipe and had blown smoke into his nostrils.
    Dr. DeYoung saw O.E.W.-K. after visits with Mother and Ms. Johnson, and
    he was nervous and anxious, his speech was difficult, he had a hard time
    expressing himself, and he visibly shook when he discussed the visits.
    Dr. DeYoung‘s primary concern was that all children need a safe place to
    be, and O.E.W.-K. ―doesn‘t seem to feel as if being with his mother or his [great-]
    grandmother feels safe to him, because he feels nervous when they argue or
    fight. He‘s afraid of what might happen. He‘s afraid of being hit again, which is a
    phrase he‘s used.‖ Dr. DeYoung did not believe that O.E.W.-K. would benefit by
    having family therapy with his biological family because, in Dr. DeYoung‘s
    opinion, O.E.W.-K. was traumatized by the simplest of visits at the CPS office.
    Dr. DeYoung testified that family therapy sessions have the potential to be
    contentious and are more complex than a visit at the CPS office; because the
    family was struggling to manage in the CPS office, his concern was that they
    would struggle more with managing a family therapy session.
    Although Dr. DeYoung testified that O.E.W.-K. could articulate the
    distinction between what was truth and what was not and could tell stories and
    events in a consistent manner, Dr. DeYoung said that it would be emotionally
    traumatic for six-year-old O.E.W.-K. to testify in front of his family about his
    feelings.
    43
    G.     Family Testimony at Trial
    1.    Ms. Johnson’s Testimony
    Ms. Johnson testified that she had been married three times.              She
    admitted that she had used cocaine when she was younger but that she was
    sixty-four years old at the time of trial and did not use drugs nor think about them.
    She said that she had no idea when she had last used cocaine; she said that
    Mother had said it had been seventeen years and that others had said that it had
    been ten years. She said that she remembered writing a letter on July 10, 2009
    to the court, the lawyers, Channel Four News, and Dr. Phil, but she did not recall
    that she had stated in the letter that she had used drugs in 1994. She said that
    she had talked to O.E.W.-K., and he knew that drugs were bad.27 She denied
    that Mr. Johnson had supplied her with crack cocaine.
    Ms. Johnson said that Mother had told her that Mr. Johnson did something
    inappropriate to her and then that he did not. Ms. Johnson said that Mother had
    done the same thing regarding a young man that had lived in their neighborhood
    when they lived in California. Ms. Johnson took the young man to court, he
    spent time in jail, and then Mother said that he did not molest her. Thus, Ms.
    Johnson did not believe that Mother‘s allegations about Mr. Johnson were true. 28
    27
    Ms. Johnson said that she never told O.E.W.-K. about marihuana, unless
    Mother had it, and then she told him that it was not a good thing.
    28
    Jamie also testified that he did not believe Mother‘s story that Mr.
    Johnson had sexually assaulted her.
    44
    Ms. Johnson said that Mother ―has her issues,‖ which Ms. Johnson
    explained as Mother‘s tendency to teach O.E.W.-K. ―nonsense stuff.‖         Ms.
    Johnson said that Mother listened to inappropriate music and that O.E.W.-K.
    learned the lyrics, that she did not dress O.E.W.-K. appropriately, and that she
    forgot to buy diapers when he was an infant.      Because Ms. Johnson loved
    O.E.W.-K. with all of her heart and wanted to protect him from mental and
    physical abuse, she kept O.E.W.-K. with her while she lived in Washington.
    Mother did what she wanted to do, and if she wanted to see O.E.W.-K., she
    came by Ms. Johnson‘s house to visit him.
    Before Ms. Johnson left Seattle to move to Texas, she set up Mother with
    an apartment and gave ―her every single thing that she would need to be a
    mother.‖ Ms. Johnson knew that Mother would not be able to take proper care of
    O.E.W.-K., but Ms. Johnson still left him with Mother, hoping that she would do
    the right thing. Because Mother had custody of O.E.W.-K., Ms. Johnson could
    not bring him to Texas. Plus, Ms. Johnson rationalized that Jamie was still in
    Washington and that she could call him to check on Mother and O.E.W.-K. In
    late June 2006, the police in Washington called Ms. Johnson in Texas and asked
    whether there was anyone in Seattle who could take care of O.E.W.-K., and Ms.
    Johnson told them Jamie was there. Ms. Johnson learned that law enforcement
    had found two-year-old O.E.W.-K. alone in the home that she had set up for him
    and Mother. Although Ms. Johnson had never seen Mother use crack cocaine,
    Ms. Johnson believed that Mother was using crack cocaine in June 2006.
    45
    Ms. Johnson did not believe that Mother should hit people. Ms. Johnson
    said that Mother could have involved her in the situation at the school and that
    she would have assisted Mother with talking to the teachers in an appropriate
    manner. Ms. Johnson believed that Mother would obey her; even though she
    might ―start talking crazy,‖ she still did what Ms. Johnson asked of her.
    Ms. Johnson said that the visits took place every other Tuesday and that
    she insisted on seeing O.E.W.-K. because he is her heart. Ms. Johnson said that
    O.E.W.-K. was able to communicate his thoughts to her and that she then
    directed him in the way that he should go. Ms. Johnson said that during one of
    the visits, they did not have much to do because Mother had walked out. Ms.
    Johnson asked O.E.W.-K. what he wanted to do, and he requested to hear a
    story about ants. Ms. Johnson told O.E.W.-K. a story about a little ant, and the
    moral of the story was that he needed to learn forgiveness so that he could
    forgive Mother.
    During the visit on December 22, 2009, O.E.W.-K. told everyone that he
    wanted to come home. Ms. Johnson told him that he needed to tell his foster
    parents that.     Ms. Johnson said that during her visit with O.E.W.-K. the day
    before the trial, he told Mother that he was going home and would be living with
    Ms. Johnson. Ms. Johnson said that O.E.W.-K. told her and his guardian ad
    litem that he wanted to go home, and Ms. Johnson told him to pray.          Ms.
    Johnson said that she had seen CPS lie and that she had seen them stop
    O.E.W.-K. from saying that he wanted to go home.
    46
    At the time of trial, Mother was living in a motel, and Ms. Johnson was
    assisting her with her incidental expenses, which totaled fifty or sixty dollars a
    month. Ms. Johnson said that Mr. Johnson‘s money pays for Mother‘s motel
    room.29
    Ms. Johnson said that she gave Mother an opportunity to take care of
    O.E.W.-K. on her own and that Mother promised that she would care for O.E.W.-
    K., but did not. In Ms. Johnson‘s opinion, Mother ―is not a suitable parent, and
    she‘s done all the things that I‘ve seen, including that picture [showing a bruise
    on O.E.W.-K.‘s face] . . . . [I]t broke my heart, because [O.E.W.-K.] doesn‘t need
    to be hit.‖30   Ms. Johnson said that she would no longer allow Mother and
    O.E.W.-K. to live with her at the same time, that she had to choose between
    them, and that she chose O.E.W.-K.        Ms. Johnson believed that O.E.W.-K.
    should be with her and Jamie.31
    29
    Ms. Johnson testified that Mother received approximately $650 per
    month in disability.
    30
    Prior to that statement, Ms. Johnson had testified that she had not seen
    bruises on O.E.W.-K. from Mother and that she had never seen Mother hit
    O.E.W.-K. on the head.
    31
    Ms. Johnson admitted that to control her medical conditions, she took ten
    pills a day, including propranolol, hydrochlorothiazide, glucophage, insulin, and
    medicine to quit smoking. However, Ms. Johnson believed that she could take
    better care of O.E.W.-K. now that she was in Texas because her osteoarthritis
    had improved from being in the warmer climate.
    47
    2.     Jamie’s Testimony
    Jamie Johnson, Mother‘s uncle, testified that he had raised O.E.W.-K. from
    the time he was about two years old until he was about five and a half. Jamie did
    not see Mother using drugs during that time but said that Mother was ―going
    through some issues‖ and was unable to care for O.E.W.-K. emotionally and
    financially. Jamie potty-trained O.E.W.-K. and enrolled him in private school, and
    he did well in school while he lived with Jamie. Jamie said that no referrals were
    made when O.E.W.-K. lived with him in Washington. During that time, Jamie
    developed a significant bond with O.E.W.-K.
    Jamie let Mother move O.E.W.-K. from Washington to Texas because she
    was coming to live with Ms. Johnson and because he thought she would be able
    to help Mother with O.E.W.-K. Jamie testified that he had realized that he should
    have kept O.E.W.-K. himself.
    Jamie said that he had moved to Texas to help Ms. Johnson and to help
    with O.E.W.-K.‘s situation. At the time of trial, he was living with Ms. Johnson.
    He said that O.E.W.-K. had his own room at Ms. Johnson‘s house before he was
    removed and that even with Jamie, his wife, and his child, there was still plenty of
    room for O.E.W.-K. Jamie agreed with the home assessment‘s statement that
    the family had demonstrated its ability to meet all of O.E.W.-K.‘s financial needs.
    Jamie admitted that he had a past criminal record but said that none of the
    charges were drug related. Jamie was convicted in 2000 in Washington for the
    misdemeanor of domestic violence. Jamie said that he pleaded no contest to the
    48
    charge, but he said that he merely took his old girlfriend‘s car.      Jamie was
    convicted of two counts of felony burglary of a habitation for going into the house
    of his mother‘s previous boyfriend or fiancé. He was charged with driving without
    a license in 2001. Jamie was not aware whether his wife had been convicted of
    the misdemeanor of drug paraphernalia in March 2008 or whether she had been
    found guilty of a Class C felony in 2005 for controlled substance manufacturing,
    delivery, or possession. When asked whether his wife had any problems with
    drug use, he said that he did not know of any.
    Jamie testified that if O.E.W.-K. was placed back in Ms. Johnson‘s home
    where Jamie lived, he would use all of his financial abilities to help support
    O.E.W.-K. and would also protect him in any way possible, including protecting
    him from Mother.
    3.     Mother’s Testimony
    Mother was incarcerated only once and that was when she was eighteen.
    Mother explained that her two convictions that contained the initials ―VUCSA‖
    stood for ―Violation of the Uniform Controlled Substance Act.‖        One of the
    convictions was for cocaine, and the other one was ―VUCSA Burn.‖ Mother said
    that she was not sure what ―Burn‖ stood for but that it could mean that the drugs
    were tested and did not contain enough to test. Mother was found guilty of that
    charge.
    Mother did not remember the last time that she had used crack cocaine;
    she had not used it since she moved to Texas.          Mother no longer smoked
    49
    marihuana.   She admitted that she used to smoke marihuana but said that
    O.E.W.-K. never saw her smoke marihuana and that she never blew smoke in
    his mouth or nose. When Mother was asked whether she had ever seen anyone
    blow smoke in O.E.W.-K.‘s mouth or nose, she said, ―I haven‘t seen anybody get
    that close to my child without having to deal with me.‖ Mother said that Dr.
    Wiggins‘s report was not accurate if it stated that she told her that she used to
    get high in her room at Ms. Johnson‘s house. Mother said that the only thing she
    has done in her room is drink beer and that she is twenty-eight years old, which
    is old enough to drink. Mother also said that she did not smoke a marihuana
    cigarette while O.E.W.-K. was in the car parked outside the school. Mother said,
    First off, when I did smoke marihuana, I never roll[ed] joints. That‘s
    point number one. I roll my own cigarettes, and they‘re special
    blend, so that‘s probably the smell he [the physical education aide]
    smelled. Second of all, I‘m not allowed to smoke marihuana in my
    grandmother‘s car, I wouldn‘t have the keys right now. I don‘t do
    drugs in my grandmother‘s car.
    Mother stopped socializing with her gang associates when she became a
    mother.
    Mother said that she left O.E.W.-K. alone when he was two and a half
    years old and went next door to her girlfriend‘s house. Mother said that she now
    knows that was not appropriate. Mother said that she was not using crack or
    ecstasy during those days but that she was smoking marihuana. Mother said
    that she gave O.E.W.-K. to her uncle (Jamie) because she knew that she was
    not being the best parent that she could be. Mother said that it is not true that
    50
    Jamie had O.E.W.-K. for two and a half years. Mother said that O.E.W.-K. lived
    with her until he was three; that she and Ms. Johnson paid for his fourth birthday,
    which he celebrated with Jamie; and that by age five, he was back with her
    because she and Ms. Johnson paid for his fifth and sixth birthday parties.
    Mother testified that O.E.W.-K. was removed from her care on May 20,
    2009, because she had spanked him with a belt. Since then, Mother had learned
    in her parenting class that all physical contact with a child is inappropriate.
    Mother said that she had learned that she could take a child‘s toys, put a six-
    year-old child in a six-minute timeout, explain why the child was being put there,
    and ―then you go on from there.‖ Mother said that she would never again spank
    O.E.W.-K. with a belt and that she regretted spanking O.E.W.-K. with a belt, now
    that she knows that it is wrong.
    Mother agreed that the June 16, 2009 service plan that she had signed
    required her to take a psychological evaluation and a psychosocial assessment,
    to participate in individual counseling32 and parenting classes, to pass the
    psychiatric evaluation, to complete random drug testing, to refrain from physical
    discipline, to refrain from bringing any type of weapons to the CPS office, to
    maintain safe and stable housing, and to complete a drug assessment. Mother
    said that she had completed a psychosocial assessment, a psychological
    32
    Mother said that she was never offered family counseling with O.E.W.-K.
    even though she brought it up with Letz.
    51
    evaluation, parenting classes, and anger management, as well as ten of twelve
    individual counseling sessions.33 Mother also said that she took five drug tests.
    Mother agreed that in a very short time frame she can go from being angry
    to being sad to being happy; Mother said that it depends on how she is provoked.
    Mother said that at her MHMR appointment, she had been diagnosed as bipolar
    and was prescribed medication but had not taken it. Mother said that she could
    understand why her not taking medication might cause ―you people‖ concern.
    Mother said that she had a follow-up appointment coming up with MHMR on April
    10, 2010 (after the trial).   Mother said that her initial appointment was in
    November and that they scheduled her follow-up for a Tuesday, so she had to
    reschedule because that was the day that she visited O.E.W.-K. Mother said that
    she would still go to the appointment even if the court decided to terminate her
    parental rights and that if MHMR recommended medication, she would give it a
    try. However, Mother said that she feared medication because over the years,
    she had put enough poison in her body ―to get everybody in this [court]room
    high‖ and feared that medication would continue to poison her body.
    Mother said that she could not remember when she had last self-mutilated,
    but the last time she had thought about doing it was when Letz was her case
    33
    Mother said that she had completed her psychological evaluation on
    September 24, 2009, and had completed the rest of her service plan tasks prior
    to September 21, 2009. Mother said that she started working her service plan as
    soon as she received it in June 2009 and that she did not complete the
    psychiatric evaluation until November because that is the date that she was
    given when she called to schedule it in June.
    52
    worker. Mother said that it had been ten years, if not longer, since she had
    attempted suicide.
    With regard to the assault on O.E.W.-K.‘s teacher, Mother said that the
    teacher refused to press charges. On the first day of school, Mother and Ms.
    Johnson told O.E.W.-K.‘s teacher ―how apprehensive and protective and
    somewhat smothering‖ Mother was about O.E.W.-K. and that she did not want
    the teacher to touch him. Mother told the teacher, ―[Y]our job is to teach him his
    ABC‘s and 1-2-3‘s, and the way I give him to you is please, that‘s how I want him
    back.‖34 Mother said that the teacher nodded that she understood. One day the
    teacher put a star on O.E.W.-K.‘s hand, and Mother said that it was against her
    religion to put anything on the hand or forehead.      Mother admitted that she
    choked O.E.W.-K.‘s teacher and that it was ―wrong to put your hands on people.‖
    Mother said that Mr. Johnson is the payee for her Social Security disability
    checks because that was the way Ms. Johnson set it up when Mother was a
    child. Mother received $664 per month in disability benefits.
    When Mother lived with Ms. Johnson, she paid $300 per month for rent,
    utilities, and cable. Mother did some non-excruciating chores like emptying the
    dishwasher, vacuuming the floor, and occasionally O.E.W.-K.‘s laundry. Mother
    testified that as of the time of trial, she was not living with Ms. Johnson. When
    Mother was asked about her tendency to move back in with Ms. Johnson after
    34
    Mother said that she had helped O.E.W.-K. with his homework and that
    he had received a ―plus‖ or an ―excellent‖ in all his classes.
    53
    having moved out, Mother said, ―Oh, I‘m going home,‖ indicating that she would
    move back in with Ms. Johnson at some point in the future.
    Mother said that it was not necessarily true that O.E.W.-K. was
    traumatized by her visits at CPS. Mother said that she had never told O.E.W.-K.
    that his father was worthless or ―a piece of shit,‖ but she had called him a ―sorry-
    ass‖ in front of O.E.W.-K. Mother knew that others probably thought that was not
    appropriate to tell O.E.W.-K. that, but she said that she would never lie to
    O.E.W.-K. if he asked her about his father.
    Mother said that she could see why there were concerns about her
    parenting O.E.W.-K. She said that there were problems before and that she was
    sure that there would be problems in the future because there were always
    problems but that she loved O.E.W.-K. more than she ever thought she could
    and that she had left her home so that he could come home.
    H.    Recommendations
    Letz, the first caseworker, did not feel that returning O.E.W.-K. to his home
    would have been safe for him.
    Bratton, the CASA volunteer, testified that she knew that the family loved
    O.E.W.-K. very much, but she was concerned about his safety and was not sure
    that they would be able to protect him.
    Groomer believed that it was in O.E.W.-K.‘s best interest to have Mother‘s
    parental rights terminated.
    Ms. Johnson believed that O.E.W.-K. should be with her and Jamie.
    54
    Mother believed that it was not in O.E.W.-K.‘s best interest to be placed
    outside of their family because they would teach him his identity and values.
    Mother therefore wanted O.E.W.-K. to live with Ms. Johnson if the trial court
    terminated Mother‘s parental rights.
    I.    Trial Court=s Disposition
    After hearing the above evidence, the trial court signed a judgment
    terminating Mother=s parental rights to O.E.W.-K. The trial court found by clear
    and convincing evidence that Mother had knowingly placed or knowingly allowed
    the child to remain in conditions or surroundings which endangered the physical
    or emotional well-being of the child; that Mother had engaged in conduct or
    knowingly placed the child with persons who engaged in conduct which
    endangered the physical or emotional well-being of the child; and that termination
    of the parent-child relationship with Mother was in the child‘s best interest. This
    appeal followed.
    III. LEGALLY AND FACTUALLY SUFFICIENT EVIDENCE OF CONDUCT AND
    ENVIRONMENTAL ENDANGERMENT TO SUPPORT TERMINATION ORDER
    In her first through fourth issues, Mother argues that there is legally and
    factually insufficient evidence to establish the termination grounds under section
    161.001(1)(D) and (E).35 Specifically, Mother argues that there was insufficient
    35
    In her briefing challenging the legal and factual sufficiency of the
    evidence to support the trial court‘s (D) and (E) endangerment findings, Mother
    also argues that the trial court erroneously admitted testimony from Hill—that
    O.E.W.-K. told Hill that Mother had made the bruise on him—without making the
    proper prerequisite findings and that the trial court erroneously admitted
    testimony from Hill (although such testimony actually came from Dr. DeYoung)
    55
    evidence to establish physical abuse, that Mother worked her service plan, and
    that she reformed her life out of love for her son.
    A.     Burden of Proof and Standards of Review
    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 (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 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
    regarding O.E.W.-K.‘s seeing weapons in his home. Because Mother did not
    raise these ―issues‖ in her statement of points, we are prohibited from addressing
    them in this appeal. See In re J.H.G., 
    302 S.W.3d 304
    , 306 (Tex. 2010); In re
    K.B., No. 02-09-00441-CV, 
    2010 WL 4028107
    , at *15 (Tex. App.—Fort Worth
    Oct. 14, 2010, no pet.) (mem. op.); see also Cravens v. City of Amarillo, 
    309 S.W.2d 903
    , 906–07 (Tex. Civ. App.––Amarillo, writ dism‘d) (overruling
    complaints and charges that were not presented in a separate point of error and
    that were also not supported by the record), cert. denied, 
    358 U.S. 882
    (1958).
    56
    parent. 
    Holick, 685 S.W.2d at 20
    –21; In re R.R., 
    294 S.W.3d 213
    , 233 (Tex.
    App.—Fort Worth 2009, no pet.).
    In proceedings to terminate the parent-child relationship brought under
    section 161.001 of the family code, the petitioner must establish one ground
    listed under subsection (1) of the statute and must also prove that termination is
    in the best interest of the child. Tex. Fam. Code Ann. § 161.001 (Vernon Supp.
    2010); In re J.L., 
    163 S.W.3d 79
    , 84 (Tex. 2005).           Both elements must be
    established; termination may not be based solely on the best interest of the child
    as determined by the trier of fact. Tex. Dep’t of Human Servs. v. Boyd, 
    727 S.W.2d 531
    , 533 (Tex. 1987).
    Termination decisions must be supported by clear and convincing
    evidence.       Tex. Fam. Code Ann. §§ 161.001, 161.206(a) (Vernon 2008).
    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 2008).         Due process demands this
    heightened standard because termination results in permanent, irrevocable
    changes for the parent and child. In re J.F.C., 
    96 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 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 grounds for termination were
    57
    proven.    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. 
    Id. We resolve
    any disputed facts in favor of the finding if a reasonable factfinder could have
    done so. 
    Id. We disregard
    all evidence that a reasonable factfinder could have
    disbelieved. 
    Id. We consider
    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. 
    Id. We cannot
    weigh witness credibility issues that depend on the appearance
    and demeanor of the witnesses, for that is the factfinder‘s province. 
    Id. at 573,
    574. And even when credibility issues appear in the appellate record, we defer
    to the factfinder‘s determinations as long as they are not unreasonable. 
    Id. at 573.
    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 Mother
    violated section 161.001(1)(D) or (E) and that the termination of the parent-child
    relationship would be in the best interest of the child. Tex. Fam. Code Ann.
    § 161.001; 
    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
    58
    belief or conviction in the truth of its finding, then the evidence is factually
    insufficient. 
    H.R.M., 209 S.W.3d at 108
    .
    B.    Law on Endangerment
    Endangerment means to expose to loss or injury, to jeopardize. 
    Boyd, 727 S.W.2d at 533
    ; In re J.T.G., 
    121 S.W.3d 117
    , 125 (Tex. App.—Fort Worth 2003,
    no pet.); see also In re M.C., 
    917 S.W.2d 268
    , 269 (Tex. 1996).           To prove
    endangerment under subsection (D), TDFPS had to prove that Mother knowingly
    placed or allowed O.E.W.-K. to remain in conditions or surroundings that
    endangered his physical or emotional well-being. See Tex. Fam. Code Ann.
    § 161.001(1)(D); In re J.A.J., 
    225 S.W.3d 621
    , 625 (Tex. App.—Houston [14th
    Dist.] 2006) (op. on reh‘g), judgm’t aff’d in part, rev’d in part by 
    243 S.W.3d 611
    (Tex. 2007). It focuses on the suitability of the child‘s living conditions. 
    J.A.J., 225 S.W.3d at 624
    .      Thus, under (D), it must be the environment itself that
    causes the child‘s physical or emotional well-being to be endangered, not the
    parent‘s conduct. 
    Id. Under (E),
    the relevant inquiry is whether evidence exists that the
    endangerment of the child‘s physical well-being was the direct result of Mother‘s
    conduct, including acts, omissions, or failures to act. See 
    J.T.G., 121 S.W.3d at 125
    ; see also Tex. Fam. Code Ann. § 161.001(1)(E). Additionally, termination
    under (E) must be based on more than a single act or omission; the statute
    requires a voluntary, deliberate, and conscious course of conduct by the parent.
    
    J.T.G., 121 S.W.3d at 125
    ; see Tex. Fam. Code Ann. § 161.001(1)(E). It is not
    59
    necessary, however, that the parent‘s conduct be directed at the child or that the
    child actually suffer injury. 
    Boyd, 727 S.W.2d at 533
    ; 
    J.T.G., 121 S.W.3d at 125
    .
    The specific danger to the child‘s well-being may be inferred from parental
    misconduct standing alone. 
    Boyd, 727 S.W.2d at 533
    ; In re R.W., 
    129 S.W.3d 732
    , 738 (Tex. App.—Fort Worth 2004, pet. denied). A parent‘s mental state
    may be considered in determining whether a child is endangered if that mental
    state allows the parent to engage in conduct that jeopardizes the physical or
    emotional well-being of the child. In re J.I.T.P., 
    99 S.W.3d 841
    , 845 (Tex. App.—
    Houston [14th Dist.] 2003, no pet.). A parent‘s mental instability and attempt to
    commit suicide may contribute to a finding that the parent engaged in a course of
    conduct that endangered a child‘s physical or emotional well-being. 
    J.T.G., 121 S.W.3d at 126
    ; see In re C.D., 
    664 S.W.2d 851
    , 853 (Tex. App.—Fort Worth
    1984, no writ) (mental conditions and suicide attempts of parent were factors in
    considering whether parent engaged in conduct that endangered emotional well-
    being of child). To determine whether termination is necessary, courts may look
    to parental conduct occurring both before and after the child‘s birth. In re D.M.,
    
    58 S.W.3d 801
    , 812 (Tex. App.—Fort Worth 2001, no pet.).
    C.    Evidence Is Legally and Factually Sufficient to Support
    Termination Order
    In determining whether the evidence is legally and factually sufficient to
    support termination of Mother‘s parental rights pursuant to (D) or (E), we look at
    whether Mother (1) knowingly placed or knowingly allowed O.E.W.-K. to remain
    60
    in conditions or surroundings that endangered his physical or emotional well-
    being or (2) engaged in conduct or knowingly placed O.E.W.-K. with persons who
    engaged in conduct that endangered his physical or emotional well-being. See
    Tex. Fam. Code Ann. § 161.001(1)(D), (E). The Department‘s brief contains a
    combined legal and factual sufficiency analysis focusing on five acts or omissions
    by Mother that it contends support termination of Mother‘s rights under (D) and
    (E): that Mother‘s physical violence against O.E.W.-K. was endangering; that the
    violent environment created by Mother was endangering to O.E.W.-K.; that
    Mother‘s drug use was endangering; that Mother endangered O.E.W.-K. by her
    refusal to accept treatment for her mental illnesses; and that Mother endangered
    O.E.W.-K. by exposing him to Mr. Johnson and Ms. Johnson. We will examine
    all of the evidence in the record, focusing on these allegations.
    Jaco witnessed Mother slap O.E.W.-K. on the head after he asked her to
    get something out of the refrigerator; the slap was enough to make O.E.W.-K.
    whimper a little. Jaco also saw bruises on O.E.W.-K.‘s face, right arm, hands,
    and his right leg, which Mother admitted causing by striking O.E.W.-K. with a
    belt. Approximately two weeks later, Jaco received a call from Ms. Johnson that
    Mother had become upset when O.E.W.-K. claimed to be sick, so Mother had
    grabbed him and pulled him. Ms. Johnson was fearful that Mother was ―really
    going to hurt him.‖ Jaco heard Mother yelling in the background: ―No one is
    going to tell me I can‘t hit my son. If I want to beat him, I‘ll beat him, and there is
    nothing you can do about it.‖ Ms. Johnson later tried to say that O.E.W.-K. had
    61
    caused all of the bruises on his body; Ms. Johnson said that she would tell that
    story to get O.E.W.-K. back.     But at trial, Ms. Johnson testified that Mother
    caused the bruises that she had seen in a picture of O.E.W.-K. During one of the
    visits after O.E.W.-K. was removed from Mother‘s care, Mother stood in the hall
    and threw a ball as hard as she could at O.E.W.-K. while he was sitting on the
    couch. Thus, evidence exists supporting an inference that Mother committed
    physical violence against O.E.W.-K. on multiple occasions and that her conduct
    physically endangered O.E.W.-K. Cf. In re J.C., 
    151 S.W.3d 284
    , 288 (Tex.
    App.—Texarkana 2004, no pet.) (stating that father was indicted for injury to a
    child after beating child with a belt and leaving bruises on child from his head to
    his toes).
    Moreover, the record reflects that while Mother and O.E.W.-K. lived with
    Ms. Johnson and Mr. Johnson, Mother and Ms. Johnson screamed at each
    other, and O.E.W.-K. drew a picture of this while he was in therapy. Mother hit
    Ms. Johnson in the shoulder after she had undergone shoulder surgery. Mother
    and O.E.W.-K.‘s father had engaged in domestic violence. Mother threatened
    and assaulted O.E.W.-K.‘s teacher and carried weapons to his school. Mother
    had shown her gun to O.E.W.-K., made him hold it, and later told him that she
    would ―break his neck‖ if he touched it. Mother also admitted that it did not take
    much for her to curse and that she cursed frequently. This evidence is some
    evidence that Mother‘s conduct directed at others, both within the family and
    outside the family, created an environment that endangered O.E.W.-K.‘s
    62
    emotional or physical well-being. See In re C.J., Nos. 14-07-00838-CV, 14-07-
    00839-CV, 
    2008 WL 4447687
    , at *4 (Tex. App.—Houston [14th Dist.] July 10,
    2008, no pet.) (mem. op.) (holding that sufficient evidence existed to support
    endangering conduct finding based on appellant‘s history of domestic violence,
    verbal altercations and threats, and physically aggressive behavior that required
    her to be supervised at all times while in the presence of children).
    Mother also had a long history of drug use and had two drug-related
    charges on her record. Mother told several people that she had used drugs while
    she was pregnant with O.E.W.-K. Mother‘s drug addiction required her to have
    others watch her son or to leave him alone. A physical education aide observed
    Mother smoking marihuana in her car while O.E.W.-K. was with her. The record
    contains other evidence that Mother smoked marihuana in her room, which was
    next door to O.E.W.-K.‘s room, although Mother denied this.             Mother tested
    positive for drugs while she was working her plan and admitted to using in July
    2009.    O.E.W.-K. knew that Mother smoked marihuana and took up for her,
    stating that he was glad that she did not smoke crack. Mother did not believe
    that marihuana was bad for her and intimated that she would still be using if she
    was not working her CPS service plan because on a scale of one to ten, she
    missed marihuana a twelve.        This is some evidence that Mother‘s conduct
    created an environment that endangered O.E.W.-K.‘s emotional or physical well-
    being. See In re J.M., No. 02-08-00259-CV, 
    2009 WL 112679
    , at *4–5 (Tex.
    App.—Fort Worth Jan. 15, 2009, no pet.) (mem. op.) (holding that mother‘s drug
    63
    use during pregnancy and drug use six to eight months before the termination
    trial constituted evidence of endangerment under section 161.001(1)(E)).
    Additionally, Mother was diagnosed with bipolar disorder as a teenager
    and was prescribed Depakote, but she refused to take any medication for her
    mental illness because she feared the medication would poison her. During her
    service plan, Mother‘s bipolar disorder diagnosis was confirmed, along with
    oppositional/defiant disorder, ADHD, and multiple personality disorder, but she
    still was not taking medication at the time of trial. Her mental illness caused her
    to experience violent mood fluctuations, and she admitted having thoughts of
    suicide and engaging in self-mutilation. Mother said that she often considered
    killing Ms. Johnson and Mr. Johnson.       This is some evidence that Mother‘s
    conduct created an environment that endangered O.E.W.-K.‘s emotional or
    physical well-being. See Sawyer v. Tex. Dep’t of Protective & Regulatory Servs.,
    No. 03-02-00286-CV, 
    2003 WL 549216
    , at *8 (Tex. App.—Austin Feb. 27, 2003,
    no pet.) (mem. op.) (stating that fact that appellant had refused treatment for her
    mental illness endangered her children).
    Furthermore, Mother testified that she had been sexually assaulted for
    numerous years by Mr. Johnson and referred to him as the ―baby raper.‖ After
    Mother told Ms. Johnson about the sexual abuse, Ms. Johnson did nothing
    because she believed Mr. Johnson when he said that he had not touched
    Mother, even though he had admitted to molesting Mother‘s mother. Yet, Mother
    had moved to Texas and had brought O.E.W.-K. with her to live in a home with
    64
    Mr. Johnson and Ms. Johnson. Ms. Johnson had numerous health conditions
    but was forced to care for O.E.W.-K. most of the time because of Mother‘s drug
    use and laziness. Mother‘s living situation fluctuated, and she admitted that she
    could not go for very long without living with Ms. Johnson.           Mother and Ms.
    Johnson told O.E.W.-K. that he would be coming home to live in the Johnson
    household, and it caused him stress.         O.E.W.-K. was afraid of Ms. Johnson
    because she had previously hit him. This is some evidence that Mother exposed
    O.E.W.-K. to an environment that endangered O.E.W.-K.‘s physical or emotional
    well-being. Cf. In re C.L.C., 
    119 S.W.3d 382
    , 393 (Tex. App.—Tyler 2003, no
    pet.) (stating that ―it is illogical to reason that inappropriate, debauching, unlawful,
    or unnatural conduct of persons who live in the home of a child . . . are not
    inherently a part of the ‗conditions and surroundings‘ of that place or home‖ and
    that this statute—section 161.001(1)(D)—is designed to protect a child from
    ―precisely such an environment‖).
    Viewing all the evidence in the light most favorable to the termination
    judgment and disregarding all contrary evidence that a reasonable factfinder
    could disregard, we hold that some evidence exists that will support a factfinder‘s
    firm conviction or belief that Mother violated subsections (D) and (E). We thus
    hold that the evidence is legally sufficient to support termination of Mother‘s
    parental rights to O.E.W.-K. under subsections (D) and (E). See Tex. Fam. Code
    Ann. § 161.001(1)(D), (E); Jordan v. Dossey, 
    325 S.W.3d 700
    , 721–26 (Tex.
    App.—Houston [1st Dist.] 2010, pet. denied) (holding that evidence was legally
    65
    sufficient to support termination under (D) and (E) because mother allowed child
    to remain in the care of a person known to be violent, abusive, and a convicted
    sex offender; endangered child as a fetus; lived an unstable, transient lifestyle;
    and was currently diagnosed with bipolar and other disorders and was not taking
    her medication); 
    R.W., 129 S.W.3d at 739
    –44 (holding that evidence was legally
    sufficient to support termination under (E) because father had a history of
    substance abuse, mental instability, and criminal history); Sawyer, 
    2003 WL 549216
    , at *9 (holding that evidence was legally sufficient to support termination
    under (D) and (E) because mother had a history of mental illness, housing and
    financial instability, relationships with violent men, and drug use). We overrule
    Mother‘s first and third issues.
    Viewing all of the evidence in a neutral light, the volume of evidence—set
    forth extensively above—that a reasonable factfinder could have credited in favor
    of subsections (D) and (E) findings is so significant that a factfinder could
    reasonably have formed a firm conviction or belief of the truth of the allegations
    that Mother had violated subsections (D) and (E). See 
    H.R.M., 209 S.W.3d at 108
    ; 
    C.H., 89 S.W.3d at 28
    . We therefore hold that the evidence is factually
    sufficient to support termination of Mother‘s parental rights to O.E.W.-K. under
    subsections (D) and (E).      See Tex. Fam. Code Ann. § 161.001(1)(D), (E);
    
    Jordan, 325 S.W.3d at 721
    –26 (holding that evidence was factually sufficient to
    support termination under (D) and (E) because mother allowed child to remain in
    the care of a person known to be violent, abusive, and a convicted sex offender;
    66
    endangered child as a fetus; lived an unstable, transient lifestyle; and was
    currently diagnosed with bipolar and other disorders and was not taking her
    medication); 
    R.W., 129 S.W.3d at 739
    –44 (holding that evidence was factually
    sufficient to support termination under (E) because father had a history of
    substance abuse, mental instability, and criminal history); In re S.A., No. 02-06-
    00253-CV, 
    2007 WL 1441014
    , at *10–11 (Tex. App.—Fort Worth May 17, 2007,
    no pet.) (mem. op.) (holding evidence factually sufficient to support termination
    under (D) and (E) because mother suffered from bipolar disorder; had a history of
    drug use, including during a pregnancy; had a pattern of uncontrolled anger;
    showed instability in her living arrangements; and had a criminal history);
    Sawyer, 
    2003 WL 549216
    , at *9 (holding that evidence was factually sufficient to
    support termination under (D) and (E) because mother had a history of mental
    illness, housing and financial instability, relationships with violent men, and drug
    use). We overrule Mother‘s second and fourth issues.
    IV. TERMINATION WAS IN O.E.W.-K.’S BEST INTEREST
    In her fifth and sixth issues, Mother argues that the evidence is legally and
    factually insufficient to support the trial court‘s finding that termination of the
    parent-child relationship was in O.E.W.-K.‘s best interest. Specifically, Mother
    argues that it was not in O.E.W.-K.‘s best interest to terminate her parental rights
    to him because she had completed ―the array of assistance programs suggested
    by TDFPS,‖ had shown her ability to be free of drugs, and had shown her desire
    and ability to reform herself. The record, however, reveals otherwise.
    67
    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 2008).
    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;
    (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 the department 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;
    68
    (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;
    (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, (G) the stability
    69
    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. In analyzing
    the section 263.307(b) factors, the record reveals that O.E.W.-
    K. was six and a half at the time of trial, was repeating kindergarten, had no
    physical issues, but did exhibit some behavioral problems. There were fifty-eight
    CPS allegations against Mother in Washington, and O.E.W.-K. was living with
    foster parents at the time of the trial.     The frequency and circumstances
    surrounding the harm caused to O.E.W.-K. are detailed thoroughly above,
    including additional harm imposed on him by Mother and Ms. Johnson during
    their visits. Although O.E.W.-K. mentioned during a few of the visits that he
    wanted to go home, the behavior that he exhibited around Mother and Ms.
    Johnson reflected that he was afraid of them and did not feel comfortable when
    they told him that he would be going home to live with them. The results of
    70
    Mother‘s psychological evaluation with Dr. Wiggins is set forth in detail above, as
    is the history of abusive and assaultive conduct by Mother and others in the
    home, Mother‘s drug use, and the perpetrators of the harm to O.E.W.-K. The
    record demonstrates that Mother was initially adamant that she would not work
    any services but eventually completed some of them, though she was
    uncooperative unless her caseworker ―put her between a rock and a hard place.‖
    O.E.W.-K.‘s family failed to effect positive environmental and personal changes
    while the suit was pending as demonstrated during the visits when Mother and
    Ms. Johnson were ―disruptive to each other‖ and others and when they
    interrogated O.E.W.-K. to the point that he wanted to end the visits early. Mother
    failed to demonstrate adequate parenting skills before and after O.E.W.-K. was
    removed as shown by her willingness to choose drugs over him, calling him
    ―Daddy,‖ getting him to sleep with her after she had a bad dream, and not
    knowing how to appropriately interact with or discipline him. Mother said that her
    support system consisted of ―God, me, myself, and I.‖
    With regard to the Holley factors, the record reveals that it would have
    been too stressful on O.E.W.-K. to testify in front of Mother, but his wishes were
    relayed by others and are set forth above. O.E.W.-K. had overcome his speech
    difficulties with speech therapy and did not have any other special physical
    needs. O.E.W.-K.‘s main emotional need was for a safe environment, which was
    lacking when Mother was present. O.E.W.-K. tended to wring his hands and run
    to the caseworker to be rescued from Mother and Ms. Johnson during visits.
    71
    Mother refused to take medicine to control her mental illnesses and therefore
    posed both an emotional and physical danger to O.E.W.-K. due to her violent
    mood swings. Despite completing parenting classes, Mother testified that she
    could see why there were concerns about her parenting O.E.W.-K. because
    there were problems in the past and because she was sure that there would be
    problems in the future. The record did not reveal specific programs that were
    available to assist Mother and to promote O.E.W.-K.‘s best interest, other than
    the services that were offered to Mother, in which she did not fully participate.
    CPS planned to seek adoption of O.E.W.-K. by his current foster family, while
    Mother wanted him to live with her or her family. The record demonstrated the
    stability of the foster family‘s home environment. If O.E.W.-K. went to live with
    Mother, however, the stability of the home would be questionable because
    Mother‘s motel room had not been evaluated and because Mother planned to
    move back in with Ms. Johnson at some point, which would likely create the
    same volatile environment as when O.E.W.-K. was removed. Mother regularly
    attended the visits, but it was at those visits where it was most obvious that the
    existing parent-child relationship was not a proper one. Furthermore, Mother
    provided excuses, which were set forth above, for her failure to complete her
    services.
    Considering the relevant statutory factors in evaluating Mother‘s
    willingness and ability to provide O.E.W.-K. with a safe environment and the
    Holley factors, we hold that the evidence is both legally and factually sufficient to
    72
    support the trial court‘s finding that termination of Mother‘s parental rights to
    O.E.W.-K. is in his best interest.     See Tex. Fam. Code Ann. § 161.001(2);
    
    Jordan, 325 S.W.3d at 733
    (holding evidence legally and factually sufficient to
    support the trial court‘s finding that termination of mother‘s parental rights was in
    child‘s best interest when most of the best interest factors weighed in favor of
    termination); Sawyer, 
    2003 WL 549216
    , at *10–11 (holding that evidence was
    factually sufficient to support best interest finding because mother‘s history of
    homelessness, unemployment, drug use, relationships with violent men, and
    refusal to get help for her mental illness did not provide assurance of stability and
    permanence). We therefore overrule Mother‘s fifth and sixth issues.36
    V. AWARD OF PERMANENT MANAGING CONSERVATORSHIP TO THE DEPARTMENT
    In her seventh and eighth issues, Mother argues that the award of
    permanent managing conservatorship to the Department should be reversed if
    we reverse the trial court‘s termination order. Because we held above that the
    trial court did not abuse its discretion by terminating Mother‘s parental rights to
    O.E.W.-K. and because we therefore did not reverse the trial court‘s termination
    order, we need not reach Mother‘s seventh and eighth issues. See Tex. R. App.
    P. 47.1 (stating that appellate court need only address every issue necessary to
    final disposition of the appeal).
    36
    This was not, as Mother contends, a case in which TDFPS simply
    preferred another family to care for O.E.W.-K. over Mother and her family; this is
    a case in which the evidence supported the termination.
    73
    VI. CONCLUSION
    Having overruled every issue necessary to the final disposition of this
    appeal, we affirm the trial court‘s judgment terminating Mother‘s parental rights to
    O.E.W.-K.4
    SUE WALKER
    JUSTICE
    PANEL: DAUPHINOT, WALKER, and MCCOY, JJ.
    DELIVERED: March 31, 2011
    74