In Re The Dep Of T.m.d., D. Jones v. Dshs State Of Washington ( 2013 )


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  • IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON
    DIVISION ONE
    In the Matter of the Dependency of
    T.M.D. andT.T.D.,                                 No. 69023-0-1
    (consolidated with
    STATE OF WASHINGTON,                              No. 69024-8-1)
    DEPARTMENT OF SOCIAL AND
    HEALTH SERVICES,                                  ORDER AMENDING
    OPINION
    Respondent,
    v.
    DEMETRIUS JONES,
    Appellant.
    The court on its own motion has determined the unpublished opinion filed
    September 23, 2013 shall be amended. Now, therefore, it is
    ORDERED that the unpublished opinion filed September 23, 2013 shall be
    amended as follows:
    DELETE the last sentence of the first paragraph on page 6, which reads:
    Jones appeals.
    No. 69023-0-1 (consolidated with No. 69024-8-l)/2
    REPLACE that sentence with the following sentence and footnote:
    Jones appeals.1
    1On October 16, 2012 Jones filed a motion to enlarge time to file
    notice of appeal.   The State filed an answer, and Jones filed a
    reply. The commissioner passed the motion to the panel to be
    considered along with the merits of the appeal. The court has
    considered the motion pursuant to RAP 18.8 and the motion is
    granted.
    DATED this 2.^ day of            QQ)cdbt/              2013.
    WE CONCUR:
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    IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON
    In the Matter of the Dependency of T.M.D.
    and T.T.D.,                                            No. 69023-0-1
    (consolidated with
    STATE OF WASHINGTON,                                   No. 69024-8-1)
    DEPARTMENT OF SOCIAL AND
    HEALTH SERVICES,                                       DIVISION ONE
    Respondent,                        UNPUBLISHED OPINION
    v.
    DEMETRIUS JONES,                                                               po
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    Appellant.                         FILED: September 23,   2fife
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    re              3> —
    Appelwick, J. — For three years, Jones failed to make progress in addressgftgV;
    her mental health and chemical dependency issues, and continued to minimize figr cmft,
    CD
    needs and her children's needs. The court terminated her parental rights for her two
    youngest children, T.M.D. and T.T.D. We affirm.
    FACTS
    This appeal arises from a court order terminating Demetrius Jones's parental
    rights for two of her children, T.M.D. (born October 4, 2005) and T.T.D. (born October
    31,2007).1
    T.M.D. was born prematurely and suffers from fetal alcohol syndrome. She has
    developmental delays and requires a high level of care.       She receives speech and
    mental health therapy weekly, as well as developmental services in school. T.T.D. was
    also born prematurely and has slight adaptive delays, such as a disinterest in potty
    1 The father's parental rights were terminated by default on February 23, 2012,
    and were not the subject of the order at issue here.
    No. 69023-0-1/2
    training and frustration dressing himself.   By the time of trial, T.T.D. made significant
    progress and no longer required speech or physical therapy.
    Jones has two older sons, J.P. (born August 1, 1996) and T.D. (born July 2,
    2000). T.D. has special needs and some learning disabilities, but is functioning well.
    J.P. is an honor student and thriving. Jones is involved in her two older boys' education
    and puts a priority on school. T.M.D.'s and T.T.D's CASA (court appointed special
    advocate) reported, "I am very impressed with how she has raised two such nice young
    men as a single mom."
    On March 25, 2009, the court entered a dependency order for all four children,
    because of ongoing concerns about their health and safety, as well as Jones's failure to
    attend to her younger children's medical needs. Specifically, T.T.D. had severe diaper
    rash and Jones had missed several important doctors' appointments for the children.
    Jones told the court that she had been diagnosed with cancer and admitted that it
    affected her parenting. She agreed that dependency was in the best interests of her
    children.
    The court ordered Jones to complete the following services: public health nurse
    and family preservation services once T.M.D. and T.T.D. returned home; drug/alcohol
    assessment and recommended treatment; and a psychological evaluation with a
    parenting component. The court subsequently ordered Jones to attend her children's
    medical appointments, submit to random urinalysis testing for 30 days, and ensure her
    children received recommended services.
    T.M.D. and T.T.D. were placed in foster care.          Both also began attending
    Childhaven, a developmental preschool. The CASA reported that T.M.D.'s speech
    No. 69023-0-1/3
    improved significantly during the dependency, though she still showed signs of delay
    and would need consistent treatment throughout childhood. The CASA also reported
    that T.T.D. appeared to be on track developmentally and was thriving in class. The two
    older boys remained in Jones's care.
    At a June 2009 initial progress review, the court found Jones in partial
    compliance with court ordered services.    However, the court noted that Jones made
    very limited progress toward correcting her parental deficiencies. She completed drug
    and alcohol screening, but had not finished her psychological evaluation. Also in June
    2009, Jones was diagnosed as alcohol and cannabis dependent.           She expressed
    willingness to participate in the recommended intensive outpatient treatment.      She
    began treatment with New Traditions, but made limited progress and was discharged in
    November 2009 for inconsistent attendance.
    On July 9, 2009, Jones completed a psychological evaluation with Dr. Carmela
    Washington-Harvey.      Washington-Harvey diagnosed Jones with depression and
    personality disorder, not otherwise specified (NOS). She indicated that Jones exercised
    poor judgment in both her personal and parenting decisions, as evidenced by chronic
    neglect of her younger children. Washington-Harvey also conducted a parent-child
    observation as part of the evaluation. She noted that Jones was "quite appropriate with
    [T.M.D. and T.T.D.] She spoke calmly and read stories to her daughter. She allowed
    her son to explore the room and play independently. She was watchful enough to keep
    her children safe.    They responded well to her attentions."   However, Washington-
    Harvey observed, Jones sucked her thumb and seemed preoccupied or even
    depressed at times.
    No. 69023-0-1/4
    Washington-Harvey recommended that Jones participate in drug treatment,
    attend parenting classes with a focus on medically fragile children, participate in mental
    health counseling, and develop a strong support network for her and her children. She
    believed it "extremely doubtful that Ms. Jones will be able to parent her two younger
    children without the benefit of the above services and demonstration that she can
    successfully apply what she has learned to the parenting of her children and to her own
    self care in all aspects of her life." (Emphasis in original.)
    In a November 2009 permanency planning order, the court found that Jones
    complied with court ordered services. She completed the psychiatric evaluation and
    began attending parenting classes, as well as a drug and alcohol assessment/relapse
    prevention program. However, an April 2010 dependency review hearing order found
    that Jones had five months of no treatment, though she reengaged in intensive
    outpatient chemical dependency treatment just before the hearing. She tested positive
    for marijuana six times in 2010. Likewise, she attended mental health counseling, but
    only once a month. The order explained that the goal for Jones was consistency and
    follow through. The order also noted that Jones was providing good care for her two
    older boys.
    Subsequent review hearings found Jones in partial compliance with the court
    ordered services. In June 2011, the court wrote that Jones received very limited mental
    health treatment and stopped drug and alcohol treatment in December 2010, but
    resumed in April 2011.        Jones also attended only about 20 percent of T.M.D.'s
    appointments, even though she was ordered to attend 80 percent of them. And, in the
    90 days before the June hearing, she went to only two out of 20 possible appointments.
    No. 69023-0-1/5
    On November 29, 2011, after successive orders finding Jones noncompliant or in
    partial compliance with court ordered services, the State petitioned to terminate her
    parental rights for T.M.D. and T.T.D.         The dependencies for J.P. and T.D. were
    eventually dismissed before the termination trial began.
    In an April 2012 psychiatric evaluation shortly before trial, Dr. Joanne Solchany
    diagnosed Jones with chronic post traumatic stress disorder and personality disorder,
    NOS. Jones told Solchany that there was often domestic violence between her and her
    long-term boyfriend, and she was usually the instigator. Solchany also observed Jones
    with T.T.D. and T.M.D. She reported that Jones appeared bored and disengaged. The
    children seemed comfortable around Jones, but looked to the visit supervisor for their
    limits. Solchany concluded that Jones "does not seem to have the underlying emotional
    strength and substance to keep things stable in her life or care for her two younger
    children and the needs that they have."         She recommended two years of intensive
    mental health therapy before Jones would be able to successfully parent T.M.D. and
    T.T.D.
    At the termination trial, the children's social worker testified that Jones's parental
    deficiencies included unmet mental health needs, untreated chemical dependency,
    minimization of her own needs and those of her children, and social isolation.             The
    social worker also testified that Jones inconsistently attended her mental health and
    chemical dependency appointments. The social worker explained that Jones would
    start treatment, then stop for several months, start up again right before court
    appearances, then stop again. In the eighteen months preceding trial, Jones went to
    only seven counseling appointments.
    No. 69023-0-1/6
    The trial court found that Jones showed little, if any, progress in correcting her
    parental deficiencies. On May 11, 2012, the trial court ordered termination as to both
    children. Jones appeals.
    DISCUSSION
    Parents have a fundamental liberty interest in the care and welfare of their
    children. In re Dependency of Schermer. 
    161 Wash. 2d 927
    , 941-42, 
    169 P.3d 452
    (2007).
    But, the State has an interest in protecting the physical, mental, and emotional health of
    children, as well. Id To terminate parental rights, the State must first prove the six
    elements of former RCW 13.34.180(1) (2009) by clear, cogent, and convincing
    evidence. In re Dependency of K.N.J.. 
    171 Wash. 2d 568
    , 576-77, 
    257 P.3d 522
    (2011).
    Clear, cogent, and convincing evidence exists when the ultimate fact in issue is shown
    by the evidence to be highly probable. In re Dependency of K.R., 
    128 Wash. 2d 129
    , 141,
    
    904 P.2d 1132
    (1995). The six requirements are:
    (a) That the child has been found to be a dependent child;
    (b) That the court has entered a dispositional order pursuant to
    RCW 13.34.130;
    (c) That the child has been removed or will, at the time of the hearing,
    have been removed from the custody of the parent for a period of at least
    six months pursuant to a finding of dependency;
    (d) That the services ordered under RCW 13.34.136 have been expressly
    and understandably offered or provided and all necessary services,
    reasonably available, capable of correcting the parental deficiencies within
    the foreseeable future have been expressly and understandably offered or
    provided;
    (e) That there is little likelihood that conditions will be remedied so that the
    child can be returned to the parent in the near future[; and]
    No. 69023-0-1/7
    (f) That continuation of the parent and child relationship clearly diminishes
    the child's prospects for early integration into a stable and permanent
    home.
    Former RCW 13.34.180(1). Once these six statutory elements are met, the State must
    still prove by a preponderance of the evidence that termination is in the best interests of
    the child. RCW 13.34.190(1)(b); In re Welfare of A.B., 
    168 Wash. 2d 908
    , 911, 232 P.3d
    1104(2010).
    On appeal, findings of fact must be supported by substantial evidence in light of
    the clear, cogent, and convincing standard. State v. Broadawav, 
    133 Wash. 2d 118
    , 131,
    
    942 P.2d 363
    (1997). "If there is substantial evidence which the lower court could
    reasonably have found to be clear, cogent and convincing, an appellate court should not
    disturb the trial court findings. Deference paid to the trial judge's advantage in having
    the witnesses before him is particularly important in deprivation proceedings." In re
    Welfare of Aschauer, 
    93 Wash. 2d 689
    , 695, 
    611 P.2d 1245
    (1980). Unchallenged findings
    of fact are verities on appeal. In re Interest of J.F.. 
    109 Wash. App. 718
    , 722, 37 P.3d
    1227(2001).
    Jones argues that the State failed to prove three of the statutory prerequisites to
    termination: former RCW 13.34.180(1)(d), (e), and (f). Specifically, she argues that the
    State (1) failed to produce substantial evidence that she could not meet T.T.D.'s special
    needs in the near future, (2) failed to prove that it offered parenting classes for special
    needs children, and (3) failed to produce evidence to support the trial court's finding that
    the children were adoptable.        She also contends that the court erred in finding
    termination to be in the best interests of the children.2
    2 She assigns error to findings of fact 2.10, 2.13, 2.14, 2.16, 2.17, 2.18, 2.19,
    2.26, 2.27, 2.28, 2.30, 2.31, 2.32, 2.33, 2.34, 2.37 and conclusions of law 3.2 and 3.3.
    No. 69023-0-1/8
    I.   Likelihood that Conditions Will Be Remedied
    Jones argues that the State failed to produce clear, cogent, and convincing
    evidence that there was little likelihood that Jones's parental deficiencies—specifically
    related to meeting T.T.D.'s needs—could not be corrected within the near future. Jones
    contends that her unresolved mental health and substance abuse issues were not of
    such magnitude that rendered her unfit to parent T.T.D.          She points out that her
    parenting deficiencies were not severe enough to warrant the State seeking termination
    of her parental rights for the older boys, one of whom has special needs. Essentially,
    she argues that the trial court could have terminated her parental rights as to T.M.D.,
    but then she could successfully parent T.T.D. because he had only limited adaptive
    delays and did not need specialized appointments.
    Former RCW 13.34.180(1 )(e) requires the State to prove "[t]hat there is little
    likelihood that conditions will be remedied so that the child can be returned to the parent
    in the near future." The focus of this factor is whether parental deficiencies have been
    corrected. In re Dependency of T.R.. 
    108 Wash. App. 149
    , 165, 
    29 P.3d 1275
    (2001).
    The time frame for determining the "near future" depends on the age of the child and the
    circumstances of the child's placement. In re Dependency of T.L.G., 
    126 Wash. App. 181
    ,
    204, 108P.3d 156(2005).
    Jones is correct that T.T.D. made significant progress in overcoming his adaptive
    delays during dependency. He consistently attended Childhaven for three years during
    dependency. He received speech services and physical therapy, and began to thrive in
    a stable, structured environment.     Despite this progress, at four and a half, T.T.D.
    continued to struggle with potty training and dressing himself. Though T.T.D. does not
    8
    No. 69023-0-1/9
    require the same high level of care as T.M.D., he nonetheless needs consistent well-
    child and dental appointments. T.T.D.'s ongoing need for routine and structure is plain
    from the record, and Jones does not challenge the trial court's finding to that effect.
    Mental illness alone is not proof a parent is unfit. 
    T.L.G.. 126 Wash. App. at 203
    . A
    court must examine the relationship between mental condition and parenting ability, jd.
    But, unrebutted evidence from two mental health counselors established that Jones's
    mental health and substance abuse problems significantly affected her ability to parent
    both of her younger children. In meeting with Washington-Harvey, Jones admitted to
    being depressed, having suicidal thoughts, crying spells, sleep problems, and anger
    control issues. Indeed, Washington-Harvey observed that Jones sucked her thumb and
    seemed depressed during her interactions with T.M.D. and T.T.D. Washington-Harvey
    also reported that Jones exercised poor judgment in both her parenting and personal
    life choices. She believed it "extremely doubtful" that Jones would be able to parent
    T.M.D. and T.T.D. without the benefit of drug treatment and mental health counseling.
    However, Jones failed to complete either recommended treatment program
    during T.M.D. and T.T.D.'s dependency.          For instance, in June 2009, Jones was
    referred to New Traditions, where she enrolled in a parenting class and intensive
    outpatient chemical dependency treatment. She was discharged several months later
    for inconsistent attendance and minimal progress. The discharge report recommended
    that Jones still complete intensive substance abuse treatment and mental health
    counseling. In February 2010, Jones also began drug and alcohol treatment at the
    Asian-American Chemical Dependency Treatment Services, dropped out in December
    2010, and began treatment again in April 2011. She tested positive for marijuana six
    No. 69023-0-1/10
    times in 2010, and again in February 2012.3 Jones also went to Healthpoint for mental
    health counseling in November 2009.     Though Jones testified that she attended her
    appointments every two weeks as scheduled, the record showed that she only attended
    seven sessions in the 18 months preceding trial. Likewise, in 2011, the State provided
    for Jones to have 90 weekly mental health therapy sessions with counselor Martha
    Davis. However, Jones chose not to use that service.
    At the time of trial, Solchany concluded that Jones still needed two years of
    consistent mental health therapy. However, Solchany noted that Jones "vacillated with
    her compliance to court ordered services, her visitation with [T.T.D. and T.M.D.], and
    her commitment to their developmental and medical care." In observing Jones interact
    with T.T.D. and T.M.D., Solchany reported that Jones seemed to lack energy to
    structure or contain the children's play. Without intensive treatment, Solchany believed
    Jones would be unable to parent T.M.D. and T.T.D., because she did not "have the
    underlying emotional strength and substance to keep things stable in her life or to care
    for her two younger children and the needs that they have."
    Though T.T.D. does not require the same level of attention as T.M.D., this
    evidence establishes that Jones's unresolved mental health issues prevent her from
    providing the routine and structure that T.T.D. requires to thrive. While Jones may have
    been able to successfully parent her older children, Washington-Harvey and Solchany
    believed her incapable of parenting both her younger children without intensive mental
    health and chemical dependency treatment.       For young children, waiting even one
    3 Jones testified this was a false positive, but was not able to produce
    corroborating evidence.
    10
    No. 69023-0-1/11
    additional year for a parent to potentially remedy his or her deficiencies may be too
    long. In the Matter of A.W.. 
    53 Wash. App. 22
    , 32, 
    765 P.2d 307
    (1988); TR,, 108 Wn.
    App. at 164-65. T.T.D. already waited several years for his mother to remedy her
    parental deficiencies, but she failed to do so.        Waiting another two years was well
    beyond the near future for four and a half year old T.T.D.
    Substantial evidence supports the finding that the State proved by clear, cogent,
    and convincing evidence that there was little likelihood that conditions would be
    remedied so that T.T.D. could be returned to Jones in the near future.
    II.   Necessary and Reasonable Services
    Jones argues that all the necessary and reasonably available services were not
    offered to her, as required by former RCW 13.34.180(1 )(d).             Washington-Harvey
    recommended that Jones attend parenting classes focused on caring for medically
    fragile children.   Jones argues that the State never offered her any such parenting
    classes, despite knowing of the recommendation for over two years. Jones also argues
    that the State failed to show that she was expressly and understandably offered
    education or training for T.T.D.'s special needs.            She points out that there is
    considerable evidence establishing the State's effort to educate her about T.M.D.'s
    special needs, but the record shows minimal effort to do the same for T.T.D.
    Former RCW 13.34.180(1 )(d) requires that the State prove by clear, cogent, and
    convincing   evidence    that   court   ordered   services    "have   been   expressly and
    understandably offered or provided and all necessary services, reasonably available,
    capable of correcting the parental deficiencies within the foreseeable future have been
    expressly and understandably offered or provided."           The State must offer services
    11
    No. 69023-0-1/12
    tailored to each parent's needs. In re Dependency of DA, 
    124 Wash. App. 644
    , 651, 
    102 P.3d 847
    (2004). To meet this burden, the State must show either that it offered the
    parent remedial services but she did not avail herself of them, or that the parent waived
    her right to such services. In re Welfare of S.V.B., 
    75 Wash. App. 762
    , 770, 
    880 P.2d 80
    (1994). A parent's unwillingness or inability to make use of provided services excuses
    the State from offering extra services that might have been helpful. In re Dependency
    of PAD.. 
    58 Wash. App. 18
    , 26, 
    792 P.2d 159
    (1990).
    The State produced evidence that it offered Jones Public Health Nurse (PHN)
    and Intensive Family Preservation (IFP) services in 2008 after T.T.D.'s birth. These
    programs addressed infant care basics, as well as parenting and development
    education. Jones initially engaged with both services, but over time, her attendance
    was inconsistent and her progress minimal. She was eventually discharged from the
    IFP service for lack of participation. The State argues that Jones's failure to take full
    advantage of these services excuses its obligation to provide additional services, like
    parenting classes for medically fragile children. However, the PHN and IFP services
    were offered before the court entered a dependency order for T.M.D. and T.T.D. There
    is no evidence that the State offered the parenting classes specifically recommended by
    Washington-Harvey. Nor did the State show that such services were not reasonably
    available.
    Even where the State inexcusably fails to offer a service to a willing parent,
    termination is nevertheless appropriate if the service would not have remedied the
    parent's deficiencies in the foreseeable future. In re Welfare of Hall, 
    99 Wash. 2d 842
    ,
    850-51, 
    664 P.2d 1245
    (1983). This means that when the record establishes that
    12
    No. 69023-0-1/13
    offering services would have been futile, the trial court can make a finding that the State
    offered all reasonable services. In re Welfare of Ferguson. 
    32 Wash. App. 865
    , 869-70,
    
    650 P.2d 1118
    (1982), reversed on other grounds. 
    98 Wash. 2d 589
    , 
    656 P.2d 503
    (1983).
    What is considered the foreseeable future depends on the age of the child. 
    T.R., 108 Wash. App. at 164
    .
    In HaH, the Supreme Court held that the State failed to provide suggested
    remedial 
    services. 99 Wash. 2d at 850
    . However, the court did not reverse, because there
    was sufficient evidence in the record that services would not have made the father a
    good parent in the foreseeable future. 
    Id. at 851.
    Testimony established that correcting
    his parental deficiencies would require great effort and the father admitted he could not
    care for his child immediately. kL Because his son was four at the time, parenting
    training would not remedy the father's deficiencies in the child's foreseeable future. Id
    at 844, 851. Likewise, in T.R.. the mother was provided numerous services for several
    years, but still did not possess the necessary skills to parent her child, who was six
    years old at the 
    time. 108 Wash. App. at 164-66
    . Therefore, substantial evidence
    supported the trial court's finding that there was little likelihood the mother could acquire
    adequate parenting skills in the child's foreseeable future. 
    Id. at 166.
    Jones's parental deficiencies included her untreated mental health and chemical
    dependency issues. In 2009, Washington-Harvey believed it "extremely doubtful" that
    Jones could parent her younger children without the benefit of mental health counseling
    and chemical dependency treatment. The record clearly shows that the State offered
    Jones these services, but she failed to consistently engage in or complete any of them.
    Jones's mental health issues clearly remained unresolved at the time of trial, because
    13
    No. 69023-0-1/14
    Solchany concluded that Jones needed an additional two years of intensive, consistent
    mental health therapy before she could successfully parent T.M.D. and T.T.D.
    Jones also continued to minimize her children's needs and missed important
    appointments for them, despite the State offering her parenting classes through New
    Traditions. The State also offered daycare for her older child, T.D., so she could more
    easily attend T.M.D.'s speech and mental health therapy appointments.          But, she
    elected not to use this service. Jones was encouraged to participate in T.M.D.'s and
    T.T.D.'s education, development, and therapy at Childhaven.       The children's social
    worker emphasized to Jones that it was imperative that she show interest and ability to
    attend the children's therapy, doctor, and school related appointments. However, Jones
    visited the children only once at Childhaven. Likewise, Jones attended only 20 percent
    of T.M.D.'s appointments, despite being ordered to attend 80 percent of them. In the 90
    days before the court's June 2011 hearing, Jones attended only two out of 20 possible
    appointments.
    T.M.D. and T.T.D. waited three years in foster care for Jones to correct her
    parental deficiencies, but she failed to do so. The trial court expressed concern about
    the amount of time the two children had already spent in out-of-home care.          The
    children's social worker also testified that this ongoing "limbo" and impermanency was
    harmful to the children. To wait another two years or longer is beyond T.M.D.'s and
    T.T.D.'s foreseeable future.
    In sum, Jones's parental deficiencies with respect to her mental health and
    chemical dependency had not been addressed due to her failure to utilize the available
    services over a three year period. At the time of trial, these deficiencies could not be
    14
    No. 69023-0-1/15
    remedied within the foreseeable future relative to the children's ages. This is sufficient
    for us to conclude that the failure to provide parenting classes specifically tailored for
    T.M.D.'s and T.T.D.'s special needs is not a bar to termination. Those classes would
    not have remedied Jones's other deficiencies.
    III.   Continuation of the Parent-Child Relationship
    Jones argues that the State failed to meet its burden of proving by clear, cogent,
    and convincing evidence that continuation of the parent-child relationship clearly
    diminishes the child's prospects for adoption.        Specifically, she asserts that a social
    worker's testimony that the children were adoptable is not enough—the State must call
    an adoption specialist. Jones cites an Arkansas case in which an adoption specialist
    testified that though the children had some developmental delays, they still had
    adoption prospects. Campbell v. Ark. Dept. of Human Servs.. 
    2013 Ark. App. 84
    , 
    2013 WL 541095
    , at *7. However, that case did not hold that an adoption specialist was
    required to testify in order to establish the children's adoption prospects. Jones cites no
    Washington case to that effect, either.
    Indeed, in In re Dependency of K.D.S.. the father's social worker testified
    regarding the child's adoption prospects and the father's inability to understand his
    daughter's needs. 
    176 Wash. 2d 644
    , 648-49, 
    294 P.3d 695
    (2013). The court noted that
    the plain language of former RCW 13.34.180(1 )(f) merely requires the trial court to find
    that the continued parent-child relationship diminishes the child's prospects of
    integration into a stable and permanent home. ]dL at 658. The State does not need to
    prove that a stable and permanent home is available at the time of termination. 
    Id. 15 No.
    69023-0-1/16
    Both T.M.D. and T.T.D. require consistency and structure, which developmental
    childcare and their foster parents have been able to provide. Jones's inability to follow
    through with mental health and substance abuse treatment significantly impacts her
    ability to provide for their ongoing needs. The social worker testified that the children
    have adoption prospects and need the permanency of adoption. She explained that
    continuing to live in foster care and see their mother made adoption difficult.
    Substantial evidence supports the finding that the State proved by clear, cogent, and
    convincing evidence that a continuing parent-child relationship diminishes the likelihood
    that T.M.D. and T.T.D. will be prepared to integrate into a stable and permanent home.
    IV.    Best Interests of the Children
    Jones argues that termination is not in her children's best interests, because they
    are bonded to her and their older brothers. Jones maintains that separating T.M.D. and
    T.T.D. from their family will cause psychological and emotional harm.              Whether
    termination is in the children's best interests need be proved by only a preponderance
    of the evidence.    
    A.B.. 168 Wash. 2d at 912
    .          The overriding goal of a termination
    proceeding is to serve the children's best interests. 
    Aschauer. 93 Wash. 2d at 695
    . Where
    a parent has been unable to remedy his or her parental deficiencies over a lengthy
    dependency period, a court is "'fully justified'" in finding termination in the child's best
    interests. 
    TJR., 108 Wash. App. at 167
    (quoting 
    A.W.. 53 Wash. App. at 33
    ).
    Before dependency, T.M.D. and T.T.D. languished in Jones's care. Jones then
    had three years to address her mental health issues, complete chemical dependency
    treatment, and demonstrate her commitment to T.M.D.'s and T.T.D.'s needs. She was
    unable to do so. She persistently failed to follow through and continued to miss critical
    16
    No. 69023-0-1/17
    appointments for the children. Meanwhile, T.M.D. and T.T.D. began to thrive from the
    therapy, care, routine, and structure provided by Childhaven and their foster family. We
    are always reluctant to deprive parents of rights with respect to their children, and it is
    particularly sad when the parent cares for the children. However, we cannot ignore the
    children's needs. We hold that the trial court did not err in concluding that terminating
    Jones's parental rights was in T.M.D.'s and T.T.D.'s best interest.
    We affirm.
    WE CONCUR:
    Q"c.jr.                                      ^cJ^la
    17