NOTICE: NOT FOR OFFICIAL PUBLICATION. UNDER ARIZONA RULE OF THE SUPREME COURT 111(c), THIS DECISION IS NOT PRECEDENTIAL AND MAY BE CITED ONLY AS AUTHORIZED BY RULE

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IN THE 

## A RIZONA 

## C OURT OF 

## A PPEALS

D IVISION O NE

IN RE TERMINATION OF PARENTAL RIGHTS AS TO C.M.

No. 1 CA

- JV 22

- 0225

Appeal from the Superior Court in Maricopa County

No. JD39408 The Honorable Todd F. Lang
, Judge

AFFIRMED

COUNSEL

Law Office of H. Clark Jones , LLC
, Mesa By H. Clark Jones Counsel for Appellant Mother

David W. Bell Attorney at Law, Higley By David W. Bell Counsel for Appellant Father

Arizona Attorney General’s Office
, Phoenix By Jennifer L. Thorson C ounsel for Appellee FILED 5-4-2023IN RE TERM OF PARENTAL RIGHTS AS TO C.M. Decision of the Court

2 MEMORANDUM DECISION
Judge Daniel J. Kiley delivered the decision of the Court, in which Presiding Judge Maria Elena Cruz and Judge James B. Morse Jr. joined.

K I L E Y , Judge:

¶1 S avannah N. (“Mother”) and Robert M. (“Father”) appeal the juvenile court’s order terminating their parental rights to their child, C.M. B ecause reasonable evidence supports the termination order , we affirm

.

FACTS AND PROCEDURAL HISTORY

¶2 The Department of Ch ild Safety (“DCS”) removed C.M. from her parents’ custody the day after she was born in May 2020. Five days later, DCS filed a dependency petition alleg ing that C.M.’s parents were “ unable or unwilling to provide proper and effective parental care and control ” due to their homelessness, Mother’s marijuana use during pregnancy, Father ’s reported methamphetamine use, and the parents’ “ admitted

. . . history of domestic violence. ”

¶3 Mother regained physical custody of C.M. in September 2020
, conditioned on the presence of a live

- in safety monitor in her home

. C.M. ’s return to Mother’s care was short

- lived

. After only ten day s , DCS successfully moved to again take custody of C.M. following an incident in which Mother began screaming and cursing in frustration over C.M.’s persisten t crying. After Mother angrily rebuffed the safety monitor’s attempts to step in to try to soothe C.M., police intervention was required to restore calm to the home. After this incident, Mother admitted to a DCS

c hild s afet y s pecialist that she “felt very overwhelmed” and “triggered” by C.M.’s crying.

¶4 In November 2020, the court granted the dependency petition as to both parents.

¶5 DCS offered the parents many services to facilitate their reunification with C.M ., including pa rent aide services, psychological evaluations, substance abuse treatment, domestic violence treatment , psychiatric evaluations, supervised visitations, and individual counseling.IN RE TERM OF PARENTAL RIGHTS AS TO C.M. Decision of the Court

3 ¶6 Mother and Father were inconsistent in their participation in these services

. Both parents successfully completed a one

- on

- one parenting program. Mother successfully completed substance abuse treatment, consistently test ed negative for all substances
, and completed several sessions of individual counseling with a doctoral

- level therapist. Neither parent, however, engaged in domestic violence counseling or treatment

. 1 Although the parents engaged in supervised visits with C.M., they both frequently arrived unprepared and late
, often by 30 minutes or more, to scheduled visits. A nd the p arents ’ parent aide services were “closed unsuccessfully” due to “lack of consistent e ngagement.”

¶7 In October 2020, Mother completed a psychological evaluation with Dr. Jeremiah D. Isbell

. In connection with the evaluation, Dr. Isbell interview ed Mother ( who described an unstable childhood characterized by domestic violence between her parents and sexual abuse at the hand s of her stepbrother ) and administer ed psychological tests . After completing his evaluation, Dr. Isbell diagnosed Mother with post

- traumatic
stress disorder ( “ PTSD”)
, unspecified personality disorder with mixed traits (d ependent, borderline, and antisocial)
, cannabis use disorder, stimulant use disorder, unspecified alcohol related disorder, and borderline intellectual functioning with an IQ of 75. After n oting that Mother accepted no responsibility for the removal of C.M . from her care for the second time in September 2020
, claiming instead that the child was removed because “my safety monitor flipped out,” Dr. Isbell found that Mother “appears to have limited awareness and insight into her dysfunctional attitudes and beha v iors.” Dr. Isbell opined that Mother’s “maladaptive personality traits” appear to have given rise to “a pervasive and excessive need to b e taken care of by others,” an issue of particular concern since “she does not have a healthy support system.” These factors, Dr. Isbell determined
, “significantly negatively impact []” M other’s “ability to meet the complex needs of her very young child .” B ecause of Mother’s “untreated PTSD,” her “underlying maladaptive personality traits,” and “the dysfunctional thinking and behaviors she has developed over the years,” Dr. Isbell concluded that the prognosis for Mother’s ability to parent C.M. safely in the foreseeable future was “guarded.” Finding Mother “in dire need of individual counseling addressing her PTSD and maladaptive personality pathology,” Dr. Isbell recommended that she receive individual counseling

1 After Mother reported enroll ing in domestic violence counseling with Terros, DCS contacted Terros and learn ed that Mother had not, in fact, enrolled. Ultimately, Terros “close[d] out service” due to Mother’s “fail[ure] to attend.”IN RE TERM OF PARENTAL RIGHTS AS TO C.M. Decision of the Court

4 “from a DBT 2 orientatio n . . . at minimum[,] once per week” for “at least 12 months

. ”

¶8 A DCS Progress Report dated July 16, 2021 reflects that, despite Dr. Isbell’s determination that Mother “was ‘in dire need’ of DBT therapy” and DCS’s offer to help Mother enroll in the recommended therapy, she still had “not enrolled in the service” nine months later.

¶9 In October 2021, DCS moved to terminate Mother’s and Father’s parental rights on the grounds of mental illness/deficiency, see A.R.S. § 8

- 533(B )(3), and C.M.’s out

- of

- home placement for fifteen months or longer, see A.R.S. § 8

- 533(B)(8)(c).

¶10 Over a year after Dr. Isbell’s psychological evaluation, Mother completed a second evaluation, this time with Dr. James S. Thal. Mother again described a chi ldhood marked by physical and sexual abuse. She insisted, however, that she was “ untroubled by the sexual abuse she endured as a child.” She denied the validity of the concerns that led DCS to

remove C.M., blam ing her aunt, in whose care C.M. had been plac ed , for “lying” to DCS . According to Mother, “her aunt contacted DCS” to make false accusations against her because her aunt wanted a girl “ and could not have any more children of her own.”

¶11 Like Dr. Isbell, Dr. Thal diagnosed Mother with PTSD
, unspecified personality disorder (noting borderline traits)
, stimulant use disorder, and an unspecified intellectual disability. Dr. Thal opined that Mother’s “unstable moods, emotions, behaviors, and past drug use have rendered her incapable of safely and effectively parenting a child.” Dr. Thal ’s p rognosis for Mother’s ability to parent C.M. safely in the foreseeable future was “marginal

. ” Dr. Thal recommended that Mother receive “[a]pproximately 20 sessions [of] individual the rapy ” to “ address her PTSD symptoms, maladaptive behaviors, and deficient coping skills,” adding that “[i]t may be helpful for [Mother] to have weekly or every other week sessions with a doctoral level clinician.”

¶12 I n February 2022 , Mother began to engage i n the recommended therapy with a doctoral

- level therap ist

. Mother attended

2 Dr. Isbell explained that d ialectical behavior therapy
, or DBT, is a form of therapy that addresses “trauma

- related symptoms” and aims to “help [] the client achieve better emotional stability to challenge some of their attitudes that may be

. . . irrational or dysfunctional.”IN RE TERM OF PARENTAL RIGHTS AS TO C.M. Decision of the Court

5 only four therapy sessions, however
, before she stopped attending in mid

March 2022

. ¶13 After initially refusing DCS’s request that he participate in a psychological evaluation, Father completed such an evaluation with Dr. Stephanie Leonard in February 2021

. During his interview, Father reported that “he was mentally, emotionally, and physically abused” as a child and that he “mo ved out of his paren ts’ home” when he was eleven years old, thereafter living “off and on” with his grandparents

. Like Mother, Father reported no health y support system, identif ying his “current social support ” as “ [ m ] yself.” His scores on psychological tests were consistent with those of people who are “ distrustful ” and “self

- centered ,” and who

“ tend to be uninsightful.”

¶14 Dr. Leonard diagnosed Father with a personality disorder and attention

- defici t/hyperactivity disorder ( “ ADHD”) , opining that his

“ symptoms can impact his ability to adequately parent a child.” T he doctor noted Father is “self

- preoccupied” and exhibits the “ strong need for attention and affection” that is characteristic of “self

- centered” parents who “often place” their own needs “above the needs of their c hildren.” Dr. Leonard also observed that Father has a “ paranoid predisposition” which “keeps him rigid and inflexible to meet the needs of his child and learn new information that can help him increase his parenting skills.” She recommended that Father eng age in individual therapy with a doctoral

level counselor and suggested that Father may benefit from counseling on “the cycle of abuse” and “how domestic violence affects children.” Dr. Leonard warned that “[t]he prognosis that [Father] can provide minimally adequate parenting skills in the foreseeable future is dependent on [ the ] success of proposed interventions
, ” n oting that “successful results may take several months

. ” If Father “engage[d] in therapy con sistently,” however, Dr. Leonard opined that the prognosis for his ability to parent a child effectively “may increase” from “poor” to “adequate.”

¶15 The record indicates that by the end of 2021, Father enrolled in individual counseling, but not with a doctor al

- level therapist , and had only completed “approximately 4 sessions.” H is therapist indicated they had not addressed themes of domestic violence and Father had failed to provide documentation showing he had engaged in other domestic violence treatment. By March 2022, DCS records indicated that Father no longer had “an open chart” with the service that provided him individual therapy.IN RE TERM OF PARENTAL RIGHTS AS TO C.M. Decision of the Court

6 ¶16 DCS ’s motion to terminate Mother’s and Father’s parental rights proceeded to a six

- day trial in 2022.

¶17 Dr. Isbell testified at trial that Mother ’s “ t urbulent background” and “ongoing trauma symptomology” necessitate “meaningful treatment” before she could “parent in a healthy manner.” He further testified that Mother had not yet engaged in sufficient therapy to
warrant chang ing his prognosis of her future parenting ability as “guarded.”

¶18 Dr. Thal similarly testified that Mother’s “unstable moods, emotions, [and] impulsive behavio r” would impair her “ability to safety and competently care for a child,” describing “[h]er ab ility to meet a minimally adequate [parenting] standard” as “very uncertain.” Dr. Thal explained that after completing his evaluation, he considered Mother’s prognosis “pretty bleak unless she could turn things around.” The information available to him, he went on, indicate d that Mother ha s not been “consistently involved in services” to the extent necessary to warrant modifying Mother’s unfavorable prognosis.

¶19 Rob Petsche, a licensed professional counselor, testified that he began counseling Mother in Nove mber 2021 and was still treating her at the time of trial. Mr. Petsche expressed a positive view of Mother’s progress and ability to parent , asserting tha t her confidence, assertiveness, responsibility, and ability to take ownership of her actions had improved. Mr. Petsche testified that he believed Mother had developed adequate coping skills to parent C.M. effectively , that he did not believe Mother’s
menta l health would bar her from parenting C.M., and that he believed Mother could complete DCS’s services if given more time to do so

. ¶20 In their testimony at trial, both parents acknowledged that they did not consistently engage in services that DCS offered. M other , for example, admit ted that she did not successfully complete parent aide services , while Father admitted that he was closed out of counseling services for lack of engagement

. ¶21 After the trial, t he juvenile court determined that the State had proven grounds for termination under A.R.S. § § 8

- 533(B) (3) ( mental illness / deficiency ) and

- 533(B)( 8)(c) ( fifteen months’ out

- of

- home placement )

. As to the former, the court found that neither parent had engaged in services of fered by DCS to the extent necessary to address their “significant cognitive impairments and serious and significant mental health issues.” The court further found that termination would be in C.M.’sIN RE TERM OF PARENTAL RIGHTS AS TO C.M. Decision of the Court

7 best interests, and so terminated the p arental rights of both Mother and Father. Both parents appeal. We have jurisdiction. See A.R.S. § § 8

- 235(A)
, 12

- 120.21(A),

- 2101(A)(1)

.
DISCUSSION

¶22 P arent s ’ right to the custody and control of their child ren , while fundamental, is not absolute. Michael J. v. Ariz. Dep’t of Econ. Sec. , 196 Ariz. 246, 248 , ¶¶ 11

- 12 (2000). T ermination of parental rights may be warranted where the moving party proves , by clear and con vincing evidence, one of the statutory grounds set forth in A.R.S. § 8

- 533(B). Id. at 249, ¶ 12. Evidence is “ clear and convincing ” if it is “highly probable or reasonably certain.” Kent K. v. Bobby M. , 210 Ariz. 279, 284

- 85, ¶ 25 (2005) (citation omitted)

. ¶23 “We review an order terminating a parent’s relationship with his or her child . . . in the light most favorable to sustaining the superior court’s ruling.” Calvin B. v. Brittany B. , 232 Ariz. 292, 296, ¶ 17 (App. 2013). We “ will accept the juvenile cour t’s findings of fact unless no reasonable evidence supports those findings, and we will affirm a severance order unless it is clearly erroneous.” Jesus M. v. Ariz. Dep’t of Econ. Sec. , 203 Ariz. 278, 280, ¶ 4 (App. 2002). This Court does not reweigh the ev idence on review but “look[s] only to determine if there is evidence to sustain the court’s ruling

. ” Mary Lou C. v. Ariz. Dep’t of Econ. Sec. , 207 Ariz. 43, 47, ¶ 8 (App. 2004).

¶24 The juvenile court may find grounds for termination of a parent

- child relation ship if there is clear and convincing evidence that “the parent is unable to discharge parental responsibilities because of mental illness [or] mental deficiency” and “there are reasonable grounds to believe that the condition will continue for a prolonged indeterminate period.” A.R.S. § 8

- 533(B)(3).

¶25 Mother does not dispute the juvenile court’s findings about the severity of her mental health issues and the negative impact those issues have on her ability to safe l y parent a child

. She nonetheless contends that

no reasonable evidence support s the court’s “forward

- looking finding” that her condition would continue for a prolonged
, indeterminate period

. ¶26 R easonable evidence supports the juvenile court’s conclusion that DCS proved by clear and convincing evidence that Mother’s mental infirmities would continue for a prolonged, indeterminate period. Both psychologists, who independently evaluated Mother a year apart, expressed significant concerns about Mother’s ability to parent. Each gaveIN RE TERM OF PARENTAL RIGHTS AS TO C.M. Decision of the Court

8 a n unfavorable prognosis for Mother’s ability to parent C.M. safely in the foreseeable future. Both psychologists recommended Mother engage in individual therapy. As th e court found, Mother did not begin the recommended doctoral

- level counseling until February 2022 and attended only four sessions before she stopped attending the following month. At the time of trial, Mother had not attended a counseling session in over t wo months. Both Dr. Isbell and Dr. Thal testified that they did not believe Mother had engaged in enough therapy to address her mental infirmities. A reasonable factfinder could conclude from this testimony that Mother’s impaired ability to safely parent w ould continue for a prolonged and indeterminate period.

¶27 Mother argu es th at th e juvenile court gave too much weight to the testimony of Dr. Isbell and Dr. Thal and not enough to Mr. Petsche’s

. Noting that the psychologists “only met with [her] once and had no ongoing treating relationship with her,” Mother insists that their testimony could not “constitute a reasonable basis for the required clear and convincing findings

. ” This is especially so, Mother argues, when contrasting the psychologists’ testimony with Mr. Petsche’s “boots

- on

- the

ground perspective and testimony that Mother had progressed sufficiently to adequately parent, and her real

- life success in overcoming substance abuse and housing/employment instability .”

¶28 T his Court will not reweigh the evidence o r redetermine the credibility of witnesses
, see Mary Lou C. , 207 Ariz. at 47, ¶ 8
, “ even when sharply disputed facts exist
, ” Alma S. v. Dep’t of Child Safety , 245 Ariz. 146, 15 1 , ¶ 18 (2018) (cleaned up). Here, the juvenile court expressly found the testimony of Dr. Isbel l and Dr. Thal more persuasive than that of Mr. Petsche , and we will not disturb that finding

. ¶29 R efer ring to Dr. Thal’s statement at trial that “[h]er ability to meet a minimally adequate [parenting] standard . . . is very uncertain , ” Mother contends that Dr. Thal’s testimony was too equivocal to constitute clear and convincing evidence. On the contrary, she asserts, Dr. Thal’s characterization of h er ability to parent in the future as “very uncertain” establishes “ t hat even Dr. Thal wasn’t convinced ” Mother could not meet her parental duties in the near future.

¶30 A reasonable factfinder could interpret Dr. Thal’s description of Mother’s ability to parent at a minimal ly adequate level as “very uncertain” to mean it was unlikely she would be able to do so

. Moreover , Dr. Thal also testified that “unless [Mother] made major headway, the probabil ity was she was not going to be able to parent her child competentlyIN RE TERM OF PARENTAL RIGHTS AS TO C.M. Decision of the Court

9 safely , adequately within the statutory time limits” and that “it does n’t sound like those things have happened or improved .” Dr. Isbell similarly determined that Mother is “incapable of safely and effectively parenting a child” due to her unstable moods, emotions, and behaviors, and that her “marginal” prognos is was unlikely to improve in light of her past inability
to “ establish [] and maintain [] emotional sta bility.” Viewed as a whole, a reasonable factfinder could conclude from this evidence that DCS had met its burden of showing , by clear and convincing evidence, that reasonable grounds exist to believe Mother’s condition would continue for a prolonged
, inde terminate period. See Kent K. , 210 Ariz. at 284

- 85, ¶ 25.

¶31 The evidence in the record is more than sufficient to support the juvenile court ’ s conclu sion that DCS met its evidentiary burden to establish grounds for termination of Mother’s parental rights und er A.R.S. § 8

- 533(B)(3).

¶32 Noting that his parental rights were terminated on grounds different from the suspected drug use alleged in the initial dependency petition, Father complains that DCS unfairly “mov[ed] the goal posts

. . . midway through [the] case

. ”

¶33 Fath er’s suggestion that DCS cannot allege grounds for termination other than those alleged in the initial petition finds support in neither logic nor the law. During the course of a dependency case, DCS may ( and often does ) learn of additiona l grounds for termination that were not apparent , and may not have even exist ed
, at the outset of the dependency

case

. See Maricopa Cnty. Juv. Action No. JS

- 501904 , 180 Ariz. 348, 355 ( App. 1994 ) ( rejecting parent’s contention that superior court “violated her due process rights by terminating her parental rights based on a ground that did not exist when the petition was filed” ). To hold that termination cannot be based on grounds different from those alleged at the outset would, in effect, impermissibly re quire DCS and the court to ignore relevant evidence simply because it did not come to light until after the dependency began

. See Alma S. , 245 Ariz. at 148, ¶ 1 (holding that “courts must consider the totality of the circumstances existing at the time of the severance determination”).

¶34 “[T]he ultimate focus of [appellate] inquiry” in termination

cases is “on the fundamental fairness of the proceeding whose re sult is being challenged.” John M. v. Ariz. Dep’t of Econ. Sec. , 217 Ariz. 320, 324, ¶ 14 (App. 2007) (cleaned up). When a new ground for termination is alleged during the pendency of a dependency case, f undamental fairness will be found a s long as the par ent is given “adequate notice” of
, and “anIN RE TERM OF PARENTAL RIGHTS AS TO C.M. Decision of the Court

10 opportunity to defend against ,” the new allegations

. JS

- 501904 , 180 Ariz. at 355

. Here, DCS alleged A.R.S. § 8

- 533(B)(3) as a ground for termination over six months before the termination hearing. Father had ample opportunity to prepare to defend against this ground, and he does not contend otherwise. We reject Father’s suggestion that the juvenile court violated his due process right to fundamental fair ness by terminating his parental rights on grounds not alleged in the initial dependency petition.

¶35 Father also argue s t hat t he juvenile court lacked reasonable evidence to terminate his parental rights on grounds of mental illness / deficiency. He does not dispute the court’s findings that DCS “offered [Father] a variety of services” to “help address, directly or indirectly, the issues that led to” C.M.’s removal, and that Father “failed to engage in services in a meaningful or extended period.” Father nonetheless argues that, though he “may not have participated in all services DCS requested of him,” “he clearly . . . made progress in developing parenting skills.”

¶36 Whatever progress Father may have made in developing his parenting skills does not
, by itself
, preclude termination on the m ental illness / deficiency ground

. In her evaluation, Dr. Leonard explained that Father’s prognosis to be able to safely parent C.M. “is dependent on [ the ] success of the proposed interventions,” and that “successful results may take several months.” Dr. Leonard recommend ed that Father engage consistently in therapy at a doctoral level , attend domestic violence groups, and receive psychiatric services

. At trial, Dr. Leonar d testified that if Father failed to participate in these services , Father’s prognosis for being able to parent C.M. safely in the near future “would be poor.”

¶37 Father engaged in counseling, but not with a doctoral

- level therapist , and only completed “appro ximately 4 sessions .” Father never engage d in any recommended domestic violence counseling or treatment and never s ubmitted proof of completion of a psychiatric evaluation to DCS

. A reasonable factfinder could conclude that Father’s failure to engage meaningfully in Dr. Leonard’ s recommended services made it highly probable that his mental infirmities would continue for a prolonged
, indeterminate period. See Kent K. , 210 Ariz. at 28 4

- 85, ¶ 25.

¶38 Father next challenges the juvenile court’s finding that DCS “made the necessary diligent efforts required by law.” “[T]he State, in mental

- illness

- based severances
, . . . [must] demonstrate that it has made a reasonable effort to preserve the family.” Mary Ellen C. v. Ariz. Dep’t of Econ. Sec. , 193 Ariz. 185, 192, ¶ 33 ( App. 1999)

. DCS need not provide “everyIN RE TERM OF PARENTAL RIGHTS AS TO C.M. Decision of the Court

11 conceivable service,” but it “must provide a parent with the time and opportunity to participate in programs designed to improve the pare nt ’s ability to care for the child.” Id. at 19 2 , ¶ 37 (citation omitted)

. ¶39 Father does not dispute that DCS provided him with, or otherwise referred him to, parent aide services, a psychological evaluation, domestic violence treatment, a psychiatric evaluation, supervised visits, and individual counseling. He complains , however, that DCS made “no ‘concerted effort’ to help with housing needs.” Noting that the DCS case manager testified at trial that housing was a “significant barrier to reunification” with C.M.
, Father contends that DCS failed to provide adequate “assistance and s upport” to “alleviate[] the housing concern,” specifically citing a $1,800 housing stipend that DCS could have pursued for him

. ¶40 Father was assigned a parent social worker who “assist[ed] him with obtaining housing.” The case manager testified at tr ial tha t she recommended services Father could reach out to for housing assistance
, and even offered to make calls on his behalf, but Father declined her offer of help. From this evidence, a reasonable factfinder could conclude that DCS proved, by clear and convincing evidence, that it made reasonable efforts to provide housing assistance to help preserve the family. See Mary Ellen C. , 193 Ariz. at 192, ¶ 33.

¶41 Because cle ar and convincing evidence supports the termination of both Mother’s and Father’s parental rights under the A.R.S. § 8

- 533(B)(3) mental illness / deficiency ground, we need not evaluate whether reasonable evidence supported the court’s determination that DCS also establish ed grounds for termination under A.R.S. § 8

- 533(B)( 8)(c )

. See Jesus M. , 203 Ariz. at 280, ¶ 3 (App. 2002) ( “If clear and convincing evidence supports any one of the statutory grounds on which the juvenile court ordered severance, we need not address claims pertaining to the other grounds.” ).

¶42 To terminate a parent’s rights, the court must not only find a statutory ground for termination
, but it must also determine that termination is in a child’s best interests. A.R.S. § 8

- 533 (B); Michael J

. , 196 Ariz

. at 249, ¶ 12 . Here, the court found that termination is in C.M.’s best interests because she is currently “thriving” in the “ loving and nurturing home envir onment ” of a kinship placement with a maternal relative who
want s to adopt her, thereby providing her with permanency and stability

. The court also found that denying termination “would be detrimental” to C.M. because Mother and Father “have failed to adeq uately address theirIN RE TERM OF PARENTAL RIGHTS AS TO C.M. Decision of the Court

12 extensive mental health issues and cognitive limitations.” Neither party challenges the court’s “best interests” determination on appeal . We therefore accept it and need not address it further.

CONCLUSION

¶43 We affirm.