Court Opinion

ID: 4680279
Source: CourtListenerOpinion
Date Created: 2021-04-22 22:13:30.376263+00
Date Added: 2024-06-11T08:03:53.445357
License: Public Domain

04/22/2021
                  IN THE COURT OF APPEALS OF TENNESSEE
                             AT KNOXVILLE
                               Assigned on Briefs March 1, 2021

                                         IN RE JASON S.

                   Appeal from the Juvenile Court for Hamblen County
                         No. J190017 Janice Hope Snider, Judge
                        ___________________________________

                                No. E2020-01479-COA-R3-PT
                           ___________________________________

Appellant/Mother appeals the trial court’s termination of her parental rights to the minor
child on the grounds of: (1) abandonment by failure to visit, Tenn. Code Ann. §§ 36-1-
113(g)(1), 36-1-102(1)(A)(i); (2) abandonment by failure to provide a suitable home, Tenn.
Code Ann. §§ 36-1-113(g)(1), 36-1-102(A)(ii); (3) substantial noncompliance with the
requirements of the permanency plan, Tenn. Code Ann. § 36-1-113(g)(2); and (4)
persistence of the conditions that led to the child’s removal, Tenn. Code Ann. § 36-1-
113(g)(3). Appellant also appeals the trial court’s finding that termination of her parental
rights is in the child’s best interest. Discerning no error, we affirm.

        Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Juvenile Court
                              Affirmed and Remanded

KENNY ARMSTRONG, J., delivered the opinion of the court, in which J. STEVEN STAFFORD,
P.J., W.S., and KRISTI M. DAVIS, J., joined.

Ryan T. Logue, Morristown, Tennessee, for the appellant, Patsy S.1

Herbert H. Slatery, III, Attorney General and Reporter, and Kathryn A. Baker, Senior
Assistant Attorney General, for the appellee, Tennessee Department of Children’s
Services.

                                              OPINION

                                           I. Background

        1
          In cases involving minor children, it is the policy of this Court to redact the parties’ names to
protect their identities.
       Appellant Patsy S. (“Mother”) is the biological mother of Jason S. (d/o/b April
2008) (the “Child”).2 Mother’s history with the Appellee, Department of Children’s
Services (“DCS”), began in April of 2008, when Mother admitted to using illegal drugs
during her pregnancy with the Child. Between 2008 and 2010, there were several other
referrals alleging that the Child was the victim of drug exposure by Mother. In 2016, a
neighbor made a referral to DCS alleging that the Child was the victim of sexual abuse. It
was later confirmed that the Child was, in fact, sexually abused by his cousin.

      Giving rise to the instant appeal, on February 5, 2019, DCS received a referral that
the Child was the victim of “environmental neglect, improper supervision, and drug
exposure, perpetrated by the [Mother].” DCS visited Mother’s home the same day. During
conversations with the Child and Mother, DCS learned that the Child had witnessed
numerous arguments between Mother and Taylor S., Mother’s paramour. DCS also
discovered that Taylor S. had assaulted Mother on two separate occasions and that there
was an outstanding warrant for his arrest stemming from the domestic violence. While
DCS was at the home, case workers contacted authorities, and Taylor S. was taken into
custody on the outstanding warrant.

       In his conversation with DCS, the Child stated that Mother drank alcohol, and the
DCS case worker confirmed that she noticed several beer cans and liquor bottles in the
home and observed that Mother smelled of alcohol. Mother also submitted to a drug
screen, which was positive for methamphetamine and marijuana. Mother denied using
methamphetamine but admitted to using marijuana. DCS also found Mother’s residence
to be unsanitary and cluttered. DCS noted animal feces and dried urine stains about the
home and also noted a lack of food.

        On February 6, 2019, DCS filed a petition for emergency custody in the Juvenile
Court of Hamblen County (“trial court”) on the ground that the Child was dependent and
neglected. The trial court subsequently appointed a guardian ad litem (“GAL”) for the
Child and an attorney for Mother.3 In a protective order entered on February 6, 2019, the
trial court noted that Mother waived the preliminary hearing and agreed that there was
probable cause to find the Child dependent and neglected. In addition to finding probable
cause that the Child was dependent and neglected, the trial court also made a specific
finding that DCS had made reasonable efforts to prevent removal. The trial court placed
custody with DCS, and Mother was allowed supervised visits after testing negative for
methamphetamine on or about March 31, 2019.

       2
         Child’s father, Jason S., Sr., is deceased.
       3
         Mother was found to be an indigent person pursuant to Tennessee Code Annotated section 37-1-
126 and Supreme Court Rule 13, Section 1(d)(2).
                                                -2-
        Following a hearing, the trial court entered an adjudicatory order on April 10, 2019,
wherein it found, by clear and convincing evidence, that the Child was dependent and
neglected “for all reasons set out in the [petition for emergency custody].” In its order, the
trial court noted that Mother submitted to a drug screen on the day of the hearing and tested
positive for methamphetamine, amphetamines, and marijuana. Because Mother’s
visitation was contingent on her testing negative for drugs, the trial court reduced her visits
to supervised telephone conversations. The trial court ordered DCS to assist Mother with
inpatient treatment and to assist her with outpatient treatment thereafter.

        On June 14, 2019, the GAL filed a motion to suspend Mother’s visitation entirely.
As grounds, the GAL alleged that: (1) during telephone contact with the Child, Mother was
often intoxicated and inappropriate with the Child; (2) the Child’s foster mother had
notified the GAL that Mother offered the foster mother money to allow Mother to “kidnap”
the Child; and (3) Mother was making physical threats to DCS employees. Following a
hearing, the trial court granted the GAL’s motion by order of August 26, 2019 (nunc pro
tunc to August 21, 2019) and suspended all contact between Mother and the Child. Later,
on March 20, 2020, Mother filed a petition seeking to resume supervised visitation. By
order of May 13, 2020, the trial court reinstated Mother’s supervised telephone visits on
the condition that she pass random drug screens and exercise appropriate behavior during
the telephone calls.

        During the course of these proceedings, DCS worked with Mother to develop two
permanency plans. The first plan, dated March 1, 2019, required Mother to: (1) maintain
stable housing; (2) show proof of stable and legal income; (3) complete a non-offender
domestic violence class and follow all recommendations thereof; (4) complete a mental
health assessment and follow all recommendations thereof; (5) complete a parenting
assessment and follow all recommendations thereof; (6) complete an alcohol and drug
assessment and follow all recommendations thereof; (7) submit to random drug screens
and pill counts; (8) provide proof of reliable transportation; (9) follow all court orders; (10)
attend regular visits with the Child, behave appropriately at visitation, and provide notice
of cancellation at least 24 hours in advance; and (11) inform DCS if anyone over the age
of 18 stayed in Mother’s home for more than 2 nights. The second permanency plan was
entered on April 3, 2020. Mother’s requirements under the second plan were the same as
those listed in the first permanency plan with one additional requirement that Mother
complete a “medication” assessment to address Mother’s prescriptions. Both plans were
ratified and entered by the trial court on its finding that the requirements outlined in the
plans were appropriate, reasonably related to addressing the issues that required removal,
and were in the Child’s best interest.

       Concerning its efforts to assist Mother with meeting the requirements of the
permanency plans, DCS filed two affidavits of reasonable efforts. The first affidavit was
filed on August 19, 2019. Concerning Mother’s progress, the affidavit indicated that
Mother attended two visits with the Child but noted that visitation was suspended due to
                                          -3-
the fact that Mother was unable to pass drug screens. However, DCS acknowledged that
Mother completed a parenting assessment on June 17, 2019. In its second affidavit of
reasonable efforts, which was filed on May 1, 2020, DCS noted that, “There has been
limited progress on the Permanency Plan thus far, as [Mother] has yet to complete her
Mental Health or Alcohol and Drug assessment. [Mother] completed a parenting
assessment; however, she has not followed through with completing the recommendations
at this time.” DCS further noted that Mother had been uncooperative with its efforts to
arrange the necessary assessments.

       On March 18, 2020, DCS filed a petition to terminate Mother’s parental rights on
the grounds of: (1) abandonment by failure to visit; (2) abandonment by failure to provide
a suitable home; (3) substantial noncompliance with the requirements of the permanency
plan; (4) persistence of the conditions that led to the Child’s removal; and (5) failure to
manifest an ability and willingness to parent.4 DCS also alleged that termination of
Mother’s parental rights was in the Child’s best interest. As noted above, two days after
DCS filed the petition to terminate her parental rights, on March 20, 2020, Mother
petitioned the trial court to reinstate her visitation.

       The hearing on DCS’ petition was scheduled for September 23, 2020. Mother did
not appear at the scheduled time. The trial court delayed the start of the hearing for three
hours after Mother stated, by telephone, that she would attend. Despite her indication that
she would participate at the hearing, Mother ultimately did not attend, and the trial
proceeded without her. The sole witness was DCS caseworker, Zach Maples.

        By order of October 21, 2020, the trial court terminated Mother’s parental rights on
the grounds of: (1) abandonment by failure to visit; (2) abandonment by failure to provide
a suitable home; (3) substantial noncompliance with the reasonable requirements of the
permanency plan; and (4) persistence of the conditions that led to the Child’s removal. The
trial court also found that termination of Mother’s parental rights was in the Child’s best
interest. Mother appeals.

                                               II. Issues

        We restate the dispositive issues as:

        1. Whether there is clear and convincing evidence to support the trial court’s
           termination of Mother’s parental rights on any of the statutory grounds found by
           the trial court.

        4
           At the hearing on its petition, DCS voluntarily withdrew the ground of “failure to manifest a
willingness and ability to parent,” and the trial court did not rely on this ground in terminating Mother’s
parental rights.
                                                  -4-
       2. If so, whether there is clear and convincing evidence that termination of
          Mother’s parental rights is in the Child’s best interest.

                                  III. Standard of Review

       The Tennessee Supreme Court has previously explained that:

       A parent’s right to the care and custody of her child is among the oldest of
       the judicially recognized fundamental liberty interests protected by the Due
       Process Clause of the federal and state constitutions. Troxel v. Granville,
       530 U.S. 57, 65 (2000); Stanley v. Illinois, 405 U.S. 645, 651 (1972); In re
       Angela E., 303 S.W.3d 240, 250 (Tenn. 2010); In re Adoption of Female
       Child, 896 S.W.2d 546, 547-48 (Tenn. 1995); Hawk v. Hawk, 855 S.W.2d
       573, 578-79 (Tenn. 1993). But parental rights, although fundamental and
       constitutionally protected, are not absolute. In re Angela E., 303 S.W.3d at
       250. “‘[T]he [S]tate as parens patriae has a special duty to protect minors . .
       . .’ Tennessee law, thus, upholds the [S]tate’s authority as parens patriae
       when interference with parenting is necessary to prevent serious harm to a
       child.” Hawk, 855 S.W.2d at 580 (quoting In re Hamilton, 657 S.W.2d 425,
       429 (Tenn. Ct. App. 1983)); see also Santosky v. Kramer, 455 U.S. 745
       (1982); In re Angela E., 303 S.W.3d at 250.

In re Carrington H., 483 S.W.3d 507, 522-23 (Tenn. 2016) (footnote omitted). In
Tennessee, termination of parental rights is governed by statute, which identifies
“‘situations in which that state’s interest in the welfare of a child justifies interference with
a parent’s constitutional rights by setting forth grounds on which termination proceedings
can be brought.’” In re Jacobe M.J., 434 S.W.3d 565, 568 (Tenn. Ct. App. 2013) (quoting
In re W.B., Nos. M2004-00999-COA-R3-PT, M2004-01572-COA-R3-PT, 2005 WL
1021618, at *7 (Tenn. Ct. App. Apr. 29, 2005) (citing Tenn. Code Ann. § 36-1-113(g))).
Thus, a party seeking to terminate a parent’s rights must prove: (1) the existence of one of
the statutory grounds; and (2) that termination is in the child’s best interest. Tenn. Code
Ann. § 36-1-113(c); In re D.L.B., 118 S.W.3d 360, 367 (Tenn. 2003); In re Valentine, 79
S.W.3d 539, 546 (Tenn. 2002).

       Considering the fundamental nature of a parent’s rights and the serious
consequences that stem from termination of those rights, a higher standard of proof is
required in determining termination cases. Santosky, 455 U.S. at 769. As such, a party
must prove statutory grounds and the child’s best interest by clear and convincing evidence.
Tenn. Code Ann. § 36-1-113(c); In re Valentine, 79 S.W. 3d at 546. Clear and convincing
evidence “establishes that the truth of the facts asserted is highly probable . . . and
eliminates any serious or substantial doubt about the correctness of the conclusions drawn
from evidence[,]” and “produces in a fact-finder’s mind a firm belief or conviction
regarding the truth of the facts sought to be established.” In re M.J.B., 140 S.W.3d 643,
                                            -5-
653 (Tenn. Ct. App. 2004).

       In termination of parental rights cases, appellate courts review a trial court’s factual
findings de novo and accord these findings a presumption of correctness unless the
evidence preponderates otherwise. Tenn. R. App. P. 13(d); In re Carrington H., 483
S.W.3d at 523-24 (citing In re Bernard T., 319 S.W.3d 586, 596 (Tenn. 2010)); In re
M.L.P., 281 S.W.3d 387, 393 (Tenn. 2009); In re A.M.H., 215 S.W.3d 793, 809 (Tenn.
2007)). The Tennessee Supreme Court has explained that:

       The trial court’s ruling that the evidence sufficiently supports termination of
       parental rights is a conclusion of law, which appellate courts review de novo
       with no presumption of correctness. In re M.L.P., 281 S.W.3d at 393
       (quoting In re [A.M.H.], 215 S.W.3d at 810). Additionally, all other
       questions of law in parental termination appeals, as in other appeals, are
       reviewed de novo with no presumption of correctness. In re Angela E., 303
       S.W.3d at 246.

In re Carrington H., 483 S.W.3d at 524. With the foregoing in mind, we turn to our review.

                    IV. Grounds for Termination of Parental Rights

    Although only one ground must be proven by clear and convincing evidence in order
to terminate a parent or guardian’s parental rights, the Tennessee Supreme Court has
instructed this Court to review every ground relied upon by the trial court to terminate
parental rights in order to prevent “unnecessary remands of cases.” In re Angela E., 303
S.W.3d at 251 n.14. Accordingly, we will review all of the grounds relied upon by the trial
court.
                                      A. Abandonment

   The trial court found, by clear and convincing evidence, that Mother abandoned the
Child by failure to visit and failure to provide a suitable home. We begin our analysis with
a discussion of the ground of abandonment generally. In pertinent part, Tennessee Code
Annotated section 36-1-113(g) provides:

       (g) Initiation of termination of parental or guardianship rights may be based
       upon any of the grounds listed in this subsection (g). The following grounds
       are cumulative and nonexclusive, so that listing conditions, acts or omissions
       in one ground does not prevent them from coming within another ground:

       (1) Abandonment by the parent or guardian, as defined in § 36-1-102, has
           occurred;

Tenn. Code Ann. § 36-1-113(g)(1).
                                             -6-
                                1. Abandonment by Failure to Visit

        Tennessee Code Annotated section 36-1-102 defines “abandonment,” in relevant
part, as follows:

        (1)(A) For purposes of terminating the parental or guardian rights of a parent
        or parents or a guardian or guardians of a child to that child in order to make
        that child available for adoption, “abandonment” means that: (i) For a period
        of four (4) consecutive months immediately preceding the filing of a . . .
        petition to terminate the parental rights of the parent or parents . . . of the
        child who is the subject of the petition for termination of parental rights or
        adoption, that the parent or parents . . . have failed to visit . . . the child;

                                                     ***

        (E) For purposes of this subdivision (1), “failed to visit” means the failure,
        for a period of four (4) consecutive months, to visit or engage in more than
        token visitation. That the parent had only the means or ability to make very
        occasional visits is not a defense to failure to visit if no visits were made
        during the relevant four-month period;

Tenn. Code Ann. §§ 36-1-102(1)(A)(i), (1)(E). Here, DCS filed the petition to terminate
Mother’s parental rights on March 18, 2020. Therefore, the relevant four-month time
period for this ground is November 18, 2019 until March 17, 2020. See In re Jacob C.H.,
No. E2013-00587-COA-R3-PT, 2014 WL 689085, at *6 (Tenn. Ct. App. Feb. 20, 2014)
(explaining that the four-month window does not include the date the petition was filed).5

      Since 2018, the statutory definition of abandonment has placed the burden of proof
on the parent or guardian to show that the parent’s failure to visit was not “willful.”
Tennessee Code Annotated section 36-1-102(1)(I) provides, in relevant part, that:

        For purposes of this subdivision (1), it shall be a defense to abandonment for failure
        to visit . . . that a parent or guardian’s failure to visit . . . was not willful. The parent

        5
         In its order terminating Mother’s parental rights, the trial court states that the relevant four-month
period runs from November 18, 2019 to March 18, 2020. As noted in In re Jacob C.H., 2014 WL 689085,
the four-month period does not include the date on which the petition was filed; as such, the relevant four-
month period in this case ran through March 17, 2020, not March 18, 2020. We note that, in its petition,
DCS avers that Mother failed to visit in the four months immediately preceding the filing of the petition.
As such, it appears that Mother was fully apprised of the pertinent time period, and the trial court’s
miscalculation of the relevant period by one day does not constitute reversible error. See, e.g., In re Navada
N., 498 S.W.3d 579, 600 n.12 (Tenn. Ct. App. 2016) (explaining that “the trial court’s error of five days
regarding the correct calculation of the four-month period is not determinative . . . in the interest of
providing a speedy resolution for [the Child].”).
                                                    -7-
       or guardian shall bear the burden of proof that the failure to visit . . . was not willful.
       Such defense must be established by a preponderance of evidence. The absence of
       willfulness is an affirmative defense pursuant to Rule 8.03 of the Tennessee Rules
       of Civil Procedure. . . .

Tenn. Code Ann. § 36-1-102(1)(I). Concerning willfulness in the context of abandonment
for termination of parental rights purposes, this Court has stated:

               In the statutes governing the termination of parental rights,
       “willfulness” does not require the same standard of culpability as is required
       by the penal code. Nor does it require malevolence or ill will. Willful conduct
       consists of acts or failures to act that are intentional or voluntary rather than
       accidental or inadvertent. Conduct is “willful” if it is the product of free will
       rather than coercion. Thus, a person acts “willfully” if he or she is a free
       agent, knows what he or she is doing, and intends to do what he or she is
       doing. . . .
               The willfulness of particular conduct depends upon the actor’s intent.
       Intent is seldom capable of direct proof, and triers-of-fact lack the ability to
       peer into a person’s mind to assess intentions or motivations. Accordingly,
       triers-of-fact must infer intent from the circumstantial evidence, including a
       person’s actions or conduct.

In re Audrey S., 182 S.W.3d 838, 863-64 (Tenn. Ct. App. 2005) (internal citations and
footnotes omitted). In other words, failure to visit is willful “when a person is aware of
his or her duty to visit . . . , has the capacity to do so, makes no attempt to do so, and has
no justifiable excuse for not doing so.” In re Audrey S., 182 S.W.3d at 864 (citing In re
M.J.B., 140 S.W.3d at 654). “Whether a parent failed to visit or support a child is a
question of fact. Whether a parent’s failure to visit or support constitutes willful
abandonment . . . is a question of law.” In re Angela E., 402 S.W.3d 636, 640 (Tenn.
2013) (citing In re A.M.H., 215 S.W.3d at 810). As previously discussed, this Court
reviews questions of fact de novo with a presumption of correctness unless the evidence
preponderates otherwise. Tenn. R. App. P. 13(d); In re Carrington H., 483 S.W.3d at 523-
24. We review questions of law de novo with no presumption of correctness. In re Angela
E., 402 S.W.3d at 640 (citing In re A.M.H., 215 S.W.3d at 810). With the foregoing in
mind, we turn to address whether Mother abandoned the Child by failure to visit.

       Concerning this ground, the trial court made the following findings:

              In this case, the Court found it necessary to issue an order prohibiting
       [Mother] from in person visitation with the child until she could provide
       proof of methamphetamine-free screens for thirty days. [Mother] provided
       this proof on March 31, 2019 and was granted supervised visitation with the
       child. Unfortunately, her supervised visits with [the Child] were once again
                                            -8-
       revoked on August 26, 2019 due to [Mother’s] inappropriate conduct.
       [Mother] often called the [C]hild while she was intoxicated. She cursed and
       threatened his foster mother on at least one occasion. [Mother] was advised
       that she could resume supervised visitation when she demonstrated that she
       could conduct herself in a proper manner during visits and provided proof of
       sobriety; however, she failed to do so. Consequently, during the relevant
       four-month [] period . . . [Mother] had no contact at all with [the Child].
               Moreover, [Mother] was given the opportunity to appear at the TPR
       hearing and provide evidence to rebut that her failure to visit was not willful.
       The Court waited three hours for [Mother] to appear after she reported just
       prior to the start of the trial that she had problems with finding transportation.
       The Court questions [Mother’s] veracity after she became belligerent on the
       telephone prior to the commencement of the trial and gave inconsistent
       accounts of her situation that day.
               Based upon these facts, the Court finds by clear and convincing
       evidence that . . . [Mother] abandoned her child . . . when she failed to make
       any . . . efforts to visit her child or . . . any effort to resolve the no contact
       order.

        Here, it is undisputed that Mother had no contact with the Child during the relevant
four-month time period as she was under a no-contact order. However, pursuant to the no-
contact order, Mother was allowed to seek visitation upon filing to reinstate it and
presenting herself to the court. As such, the no-contact order does not preclude application
of this ground. At all times, Mother had the power to seek reinstatement of visitation by
filing a motion to that effect and presenting herself to the court to demonstrate that she
could conduct herself appropriately during visits and provide proof of sobriety. See In re
Kiara C., No. E2013-02066-COA-R3-PT, 2014 WL 2993845, at *6 (Tenn. Ct. App. June
30, 2014) (“This Court has often held that when a parent’s visitation has been suspended
by the trial court and the parent has the ability to demonstrate a change in situation or
behavior that would warrant reinstating visitation but fails to do so, that parent can be found
to have willfully failed to visit.”) (citing In re Elijah B., No. E2010-00387-COA-R3-PT,
2010 WL 5549229 at *8 (Tenn. Ct. App. Dec. 29, 2010); Tenn. Dep’t of Children’s Servs.
v. J.A.H., No. E2005-00860-COA-R3-PT, 2005 WL 3543419 at *6 (Tenn. Ct. App. Dec.
28, 2005) (holding that the father’s decision not to submit to testing that was a precondition
to further visitation constituted a “willful decision to discontinue visiting his son”)).

       In this case, Mother was provided a copy of the Criteria and Procedures for
Termination of Parental Rights on March 1, 2019 and again on January 9, 2020. As such,
she was aware that her failure to visit the Child could result in the termination of her
parental rights. Nonetheless, in the approximately seven months between entry of the no-
contact order and the filing of the petition to terminate her parental rights, Mother did not
seek to reinstate visitation. It was not until March 20, 2020, two days after DCS filed its
petition to terminate her parental rights, that Mother made any effort to resume visitation.
                                             -9-
It is well established that any efforts made to visit a child after the filing of a termination
petition do not negate or repent abandonment. Tenn. Code Ann. § 36-1-102(1)(F)
(“Abandonment may not be repented of by resuming visitation or support subsequent to
the filing of any petition seeking to terminate parental or guardianship rights or seeking the
adoption of a child[.]”); In re S.R.M., No. E2008-01359-COA-R3-PT, 2009 WL 837715,
at *12 (Tenn. Ct. App. Mar. 27, 2009) (holding that Tenn. Code Ann. § 36-1-102(1)(F)
precludes consideration of a parent’s “after-the-fact” efforts regarding visitation.).

       As noted in the trial court’s order, Mother failed to attend the hearing on the petition
to terminate her rights. As such, the foregoing facts are undisputed and Mother has not
met her burden to show that her failure to visit was not willful. The record contains clear
and convincing evidence to support the trial court’s termination of Mother’s parental rights
on the ground of abandonment by failure to visit.

               2. Abandonment by Failure to Provide a Suitable Home

       The trial court found, by clear and convincing evidence, that Mother abandoned the
Child by failure to provide a suitable home. Tennessee Code Annotated section 36-1-
113(g)(1) authorizes termination of parental rights on the ground of abandonment as
defined by Tennessee Code Annotated section 36-1-102(1)(A)(ii) when:

       (ii)(a) The child has been removed from the home or the physical or legal
       custody of a parent . . . by a court order at any stage of proceedings in which
       a petition has been filed in the juvenile court alleging that a child is a
       dependent and neglected child, and the child was placed in the custody of the
       department or a licensed child-placing agency;

       (b) The juvenile court found, or the court where the termination of parental
       rights petition is filed finds, that the department or a licensed child-placing
       agency made reasonable efforts to prevent removal of the child or that the
       circumstances of the child’s situation prevented reasonable efforts from
       being made prior to the child’s removal; and

       (c) For a period of four (4) months following the physical removal, the
       department or agency made reasonable efforts to assist the parent . . . to
       establish a suitable home for the child, but that the parent . . . ha[s] not made
       reciprocal reasonable efforts to provide a suitable home and ha[s]
       demonstrated a lack of concern for the child to such a degree that it appears
       unlikely that they will be able to provide a suitable home for the child at an
       early date. The efforts of the department or agency to assist a parent . . . in
       establishing a suitable home for the child shall be found to be reasonable if
       such efforts equal or exceed the efforts of the parent . . . toward the same
       goal, when the parent . . . is aware that the child is in the custody of the
                                            - 10 -
       department;

Tenn. Code Ann. § 36-1-102 (1)(A)(ii).

       Concerning the first and second statutory elements, it is undisputed that the Child
was removed from Mother’s custody by court order of February 6, 2019. As noted above,
in the February 6, 2019 order, the trial court found probable cause that the Child was
dependent and neglected and placed custody with DCS. Tenn. Code Ann. § 36-1-102
(1)(A)(ii)(a). The trial court also made a specific finding that DCS made reasonable efforts
to prevent removal. Tenn. Code Ann. § 36-1-102 (1)(A)(ii)(b). This finding is undisputed,
and the record shows that prior to filing the petition for custody, DCS attempted to locate
a placement for the Child within the family.

        We now turn to the final statutory element, i.e., whether DCS made reasonable
efforts to assist Mother in establishing a suitable home for a period of four months
following the Child’s removal, and whether Mother made reciprocal efforts to establish
same. Tenn. Code Ann. § 36-1-102 (1)(A)(ii)(c). As an initial matter, we note that DCS’
efforts to assist a parent “shall be found to be reasonable if such efforts equal or exceed the
efforts of the parent. . . toward the same goal. . . .” Tenn. Code Ann. § 36-1-
102(1)(A)(ii)(c). Additionally, “[a] suitable home ‘requires more than a proper physical
living location.’” In re Navada N., 498 S.W.3d at 595 (quoting In re Hannah H., No.
E2013-01211-COA-R3-PT, 2014 WL 2587397, at *9 (Tenn. Ct. App. June 10, 2014)). It
requires “[a]ppropriate care and attention . . . to the child[ren].” In re Matthew T., No.
M2015-00486-COA-R3-PT, 2016 WL 1621076, at *7 (Tenn. Ct. App. Apr. 20, 2016).
Further, “a parent’s compliance with counseling requirements is ‘directly related to the
establishment of a suitable home.’” Id. (citing In re M.F.O., No. M2008-01322-COA-R3-
PT, 2009 WL 1456319, at *5 (Tenn. Ct. App. May 21, 2009)). Indeed, “the problems and
conditions for which the various . . . counseling efforts were conducted address matters[,]
which make the home environment suitable for raising children. . . .” In re M.F.O., 2009
WL 1456319, at *5.

         Turning to the record, DCS caseworker Mr. Maples testified concerning DCS’
efforts to assist Mother in establishing a suitable home and the lack of any substantial
reciprocal efforts on her part. The Child was removed from Mother’s custody on February
5, 2019. The four months immediately following removal were from February 6 to June
5, 2019. Even so, this Court has held that DCS meets the reasonable efforts requirement
“if it establishes that reasonable efforts were made during any four-month period following
a child’s removal.” In re Roderick R., No. E2017-01504-COA-R3-PT, 2018 WL 1748000,
at *11, n. 13 (Tenn. Ct. App. Apr. 11, 2018), perm app. denied (Tenn. July 12, 2018) (citing
In re Jakob O., No M2016-00391-COA-R3-PT, 2016 WL 7243674, at *13 (Tenn. Ct. App.
Sept. 20, 2016)). Here, the record indicates that DCS made reasonable efforts to assist
Mother throughout the entirety of the proceedings.

                                            - 11 -
        DCS created two permanency plans to assist in the goal of returning the Child to
Mother’s custody. To assist Mother in completing her requirements under those plans,
DCS: (1) provided Mother with resources to apply for housing; (2) informed Mother of
educational opportunities that would allow her to obtain suitable employment; (3) assisted
Mother in obtaining parenting, mental health, and alcohol and drug assessments; (4)
attempted to assist Mother in completing long-term alcohol and drug treatment; (5)
facilitated supervised visits with the Child; and (6) provided information on domestic
violence programs in the area. Despite DCS’ efforts, Mother did not make reciprocal
efforts to rehabilitate herself and to remedy the conditions that required DCS to remove the
Child.

       Mother’s failure to address her drug and alcohol abuse was a primary impediment
to reunification. When DCS attempted to transport Mother to a rehabilitation facility at the
end of June 2019, Mother refused to go inside the hospital and was abusive and threatening
to the DCS caseworkers; she used profanity and propositioned the male caseworker.
Throughout the proceedings, Mother continued to abuse alcohol and drugs as evidenced
by numerous positive drug screens.

       Concerning the conditions inside Mother’s home, in September 2019, she reported
a bed bug infestation. Eventually, Mother moved into a new home in April 2020.
However, evidence adduced at trial showed that the new home was not suitable for the
Child. Mr. Maples reported that he visited the home in May 2020 to facilitate a supervised
telephone call between Mother and the Child, but Mother would not allow him entry as she
said there were five dogs in the home and she did not want him to get bitten. Mr. Maples
observed several open bags of trash and several empty liquor bottles in the yard.

       Perhaps more troubling is the fact that Mother continued to live with Taylor S., her
abusive paramour. In addition to being arrested on an outstanding domestic violence
warrant during DCS’ initial visit to the home, Taylor S. was arrested on charges of domestic
violence against Mother twice more during the pendency of this case, i.e., on February 18,
2020 and June 16, 2020. By the time of trial, the Child had been in DCS custody for
approximately 19 months, and Mother had yet to provide proof of attendance at a non-
offender domestic violence class.

       In its order terminating her parental rights, the trial court found that:

              It is apparent that DCS made more than reasonable efforts to assist
       [Mother] to resolve the issues constituting an impediment to her ability to
       effectively parent [the Child]. However, she was unable to effectively
       address her substance abuse and her emotional issues despite the services
       offered to her. [Mother’s] refusal to seek adequate treatment for her
       addiction and mental health issues prevented her from maintaining a suitable
       home conducive to the best interest of her child. The Court finds by clear
                                           - 12 -
       and convincing evidence that efforts of the department . . . exceeded the
       efforts by the mother to build a stable home and life for her child.

We agree. “‘Parents desiring the return of their children must . . . make reasonable and
appropriate efforts to rehabilitate themselves and to remedy the conditions that required
the Department to remove their children from custody.’” In re Kambri P., No. M2019-
01352-COA-R3-PT, 2020 WL 2991793, at *5 (Tenn. Ct. App. June 4, 2020) (quoting In
re Shameel S., No. E2014-00294-COA-R3-PT, 2014 WL 4667571, at *5 (Tenn. Ct. App.
Sept. 19, 2014)). We conclude that Mother failed to make such reasonable and appropriate
efforts, and that DCS’ efforts to assist her in establishing a suitable home exceeded
Mother’s own efforts toward this goal. Tenn. Code Ann. § 36-1-102 (1)(A)(ii)(c).
Although DCS provided Mother with services to address her living conditions, drug and
alcohol abuse, and domestic violence issues, the record shows that Mother largely refused
these services. See In re M.F.O., 2009 WL 1456319, at *5 (“The failure of [m]other and
[f]ather to cooperate with DCS and to comply with the requirements of the various
counseling services was directly related to the establishment and maintenance of a suitable
home.”). Mother’s failure to take any substantial steps towards addressing the myriad
issues that led to the Child’s removal demonstrates her lack of concern for the Child and
her inability to provide a suitable home environment for him. Tenn. Code Ann. § 36-1-102
(1)(A)(ii)(c); see In re Roderick R., No. E2017-01504-COA-R3-PT, 2018 WL 1748000,
at *12 (Tenn. Ct. App. Apr. 11, 2018), perm. app. denied (Tenn. July 12, 2018) (“Mother’s
own failure to comply with her mental health treatment regimen demonstrated her lack of
concern for the [c]hildren and resulted in her inability to provide a suitable home
environment.”). Mother’s lack of effort during the 19 months the Child has been in DCS
custody indicates that it is very unlikely she will be able to provide a suitable home for the
Child at an early date, if ever. Tenn. Code Ann. § 36-1-102 (1)(A)(ii)(c). Accordingly, we
affirm the trial court’s finding, by clear and convincing evidence, that Mother abandoned
the Child by failure to provide a suitable home.

              C. Substantial Noncompliance with Permanency Plan

       The trial court found, by clear and convincing evidence, that Mother’s parental
rights should be terminated on the ground of failure to substantially comply with the
requirements of the permanency plan. Tennessee Code Annotated section 36-1-113(g)(2)
provides that a parent’s rights may be terminated when “[t]here has been substantial
noncompliance by the parent . . . with the statement of responsibilities in a permanency
plan.”

      “[T]he permanency plans are not simply a series of hoops for the biological parent
to jump through in order to have custody of the children returned.” In re C.S., Jr., et al.,
No. M2005-02499-COA-R3-PT, 2006 WL 2644371, at *10 (Tenn. Ct. App. Sept. 14,
2006). Rather,

                                            - 13 -
       the requirements of the permanency plan are intended to address the
       problems that led to removal; they are meant to place the parent in a position
       to provide the children with a safe, stable home and consistent appropriate
       care. This requires the parent to put in real effort to complete the
       requirements of the plan in a meaningful way in order to place herself in a
       position to take responsibility for the children.

Id. As discussed by this Court:

       Terminating parental rights based on Tenn. Code Ann. § 36-1-113(g)(2)
       requires more proof than that a parent has not complied with every jot and
       tittle of the permanency plan. To succeed under Tenn. Code Ann. § 36-1-
       113(g)(2), the Department must demonstrate first that the requirements of the
       permanency plan are reasonable and related to remedying the conditions that
       caused the child to be removed from the parent’s custody in the first place,
       In re Valentine, 79 S.W.3d 539, 547 (Tenn. 2002); In re L.J.C., 124 S.W.3d
       609, 621 (Tenn. Ct. App. 2003), and second that the parent’s noncompliance
       is substantial in light of the degree of noncompliance and the importance of
       the particular requirement that has not been met. In re Valentine, 79 S.W.3d
       at 548-49; In re Z.J.S., No. M2002-02235-COA-R3-JV, 2003 WL
       21266854, at *12 (Tenn. Ct. App. June 3, 2003). Trivial, minor, or technical
       deviations from a permanency plan’s requirements will not be deemed to
       amount to substantial noncompliance. In re Valentine, 79 S.W.3d at 548.

In re M.J.B., 140 S.W.3d at 656-57.

       As discussed above, Mother’s requirements under the permanency plans were to:
(1) maintain stable housing; (2) show proof of stable and legal income; (3) complete a non-
offender domestic violence class and follow all recommendations thereof; (4) complete a
mental health assessment and follow all recommendations thereof; (5) complete a parenting
assessment and follow all recommendations thereof; (6) complete an alcohol and drug
assessment and follow all recommendations thereof; (7) submit to random drug screens
and pill counts; (8) provide proof of reliable transportation; (9) follow all court orders; (10)
attend regular visits with the Child, behave appropriately at visitation, and provide notice
of cancellation at least 24 hours in advance; and (11) inform DCS if anyone over the age
of 18 stayed in Mother’s home for more than 2 nights; and (12) complete a medication
assessment.

       In its order terminating Mother’s parental rights, the trial court found that

              [Mother] participated in the development of the plan and it was
       subsequently ratified on August 26, 2019. The Court held that the plan was
       in the [Child’s] best interest and that the requirements were reasonably
                                         - 14 -
       related to remedying the reasons for foster care . . .
               The [trial court] placed considerable weight on [Mother’s]
       requirements to obtain and maintain a safe and suitable home, completion of
       an alcohol and drug treatment, and completion of a mental health assessment,
       with follow-up mental health counseling as recommended. These actions
       were most crucial to enable [Mother] to be alcohol and drug free in order to
       effectively parent her [Child]. [Mother] completed a clinical parenting
       assessment, which included an alcohol and drug assessment and a mental
       health assessment; however, she did not complete the recommended
       inpatient rehabilitation or individualized therapy. Moreover, no evidence
       introduced at trial indicates [Mother] completed any requirements on her
       permanency plan other than these assessments. This [Mother] falls far short
       of completion of any of the steps that were reasonably related to the reasons
       for the child’s removal.
               For these reasons, the Court finds by clear and convincing evidence
       that [Mother] has failed to substantially comply with the reasonable
       requirements of the permanency plans in this case.

        In view of the fact that the Child was removed from Mother’s home for issues
involving environmental neglect, drug exposure, and domestic violence, we agree with the
trial court that Mother’s requirements under the permanency plans were reasonable and
related to remedying those conditions that necessitated foster care placement. See Tenn.
Code Ann. § 37-2-403(a)(2)(C). Unfortunately, Mother failed to comply with the
requirements in any substantive way. We note that Mother completed a clinical parenting
assessment, which resulted in a recommendation for long-term drug and alcohol
rehabilitation with follow up at an aftercare program. Additionally, it was recommended
that Mother attend weekly therapy sessions and take parenting classes. Although Mother
attended detox three times, she never entered, much less completed, a long-term alcohol
and drug rehabilitation program. In addition, Mother refused weekly therapy. At one
point, Mother reported that she was attending weekly parenting classes. However, she did
not consistently attend the classes, and she did not provide proof of completion of parenting
classes to DCS as required under the permanency plans.

       During the pendency of this case, Mother also repeatedly tested positive for
substances, including methamphetamine, and marijuana. She continued to drink alcohol.
Mr. Maples reported that during four or five of his telephone conversations with Mother,
he suspected that she was intoxicated due to her slurred speech. Furthermore, Mother was
inappropriate in her supervised telephone conversations with the Child. Due to her ongoing
alcohol and drug use, Mother threatened the Child’s foster mother and the DCS case
workers. Mother continued to reside with Taylor S. despite his propensity to abuse her.
She did not attend any domestic violence classes.

                                           - 15 -
       In its order, the trial court emphasized the need for Mother to maintain a safe and
suitable home, to address her alcohol and drug issues, and the domestic abuse within the
home. Mother’s only step toward these goals was completion of a parenting assessment.
However, the mere completion of the assessment without following through with the
recommendations is insufficient. There is clear and convincing proof that Mother failed to
substantially comply with the reasonable requirements of the permanency plans.

          D. Persistence of the Conditions that Led to the Child’s Removal

        The trial court also terminated Mother’s parental rights under Tennessee Code
Annotated section 36-1-113(g)(3), a ground commonly referred to as “persistence of
conditions.” In re Audrey S., 182 S.W.3d at 871. The persistence of conditions ground
focuses “on the results of the parent’s efforts at improvement rather than the mere fact that
he or she had made them.” Id. at 874. The goal is to avoid having a child in foster care
for a time longer than reasonable for the parent to demonstrate the ability to provide a safe
and caring environment for the child. In re Arteria H., 326 S.W.3d 167, 178 (Tenn. Ct.
App. 2010), overruled on other grounds by In re Kaliyah S., 455 S.W.3d 533, 555 (Tenn.
2015). Thus, the question before the court is “the likelihood that the child can be safely
returned to the custody of the [parent], not whether the child can safely remain in foster
care.” In re K.A.H., No. M1999-02079-COA-R3-CV, 2000 WL 1006959, at *5 (Tenn. Ct.
App. July 21, 2000).

       There are several elements to the ground of persistence of conditions:

       (3)(A) The child has been removed from the home or the physical or legal
       custody of a parent or guardian for a period of six (6) months by a court order
       entered at any stage of proceedings in which a petition has been filed in the
       juvenile court alleging that a child is a dependent and neglected child, and:

       (i) The conditions that led to the child’s removal still persist, preventing the
       child’s safe return to the care of the parent or guardian, or other conditions
       exist that, in all reasonable probability, would cause the child to be subjected
       to further abuse or neglect, preventing the child’s safe return to the care of
       the parent or guardian;
       (ii) There is little likelihood that these conditions will be remedied at an early
       date so that the child can be safely returned to the parent or guardian in the
       near future; and
       (iii) The continuation of the parent or guardian and child relationship greatly
       diminishes the child’s chances of early integration into a safe, stable, and
       permanent home;

       (B) The six (6) months must accrue on or before the first date the termination
       of parental rights petition is set to be heard;
                                              - 16 -
Tenn. Code Ann. § 36-1-113(g)(3)(A). Each of the statutory elements must be established
by clear and convincing evidence. In re Valentine, 79 S.W.3d 539, 550 (Tenn. Ct. App.
2002).

        Here, the Child was removed from Mother’s custody by order of February 6, 2019,
and the trial court heard the petition for termination on September 23, 2020, almost 18
months after the Child’s removal. The Child was removed from Mother’s custody because
of environmental neglect, Mother’s drug and alcohol abuse, and domestic violence issues
in the home.

       In its order terminating Mother’s parental rights, the trial court found, in relevant
part that:

       Over nineteen months have elapsed between the [C]hild’s removal and the
       conclusion of the Termination of Parental Rights hearing in this case. During
       that time, [Mother] has not resolved or successfully corrected any of the
       issues that resulted in her [C]hild’s placement in the custody of the State of
       Tennessee. [Mother] had ample opportunity to remedy the conditions
       leading to [the Child’s] removal, but has failed to make any significant
       improvement in her circumstances. The Court would further note that CM
       Maples detailed valiant efforts by [various DCS caseworkers]. [One
       caseworker] endured [Mother’s] cursing and name-calling and still continued
       to help [Mother] by transporting her to the local hospital in an effort to get
       her into rehab. [Another DCS caseworker] went so far as to sit with [Mother]
       in the emergency room and hold her while she suffered the symptoms of
       withdrawal. Both of these DCS workers demonstrated exemplary efforts to
       held [Mother] despite the horrible treatment she subjected them to . . . .
               CM Maples received the same treatment from [Mother], as he
       recounted the vulgar names she called him during her multiple intoxicated
       episodes. In fact, CM Maples advised that, when he last visited [Mother’s]
       home only a couple of weeks prior to the hearing, he observed multiple liquor
       bottles and several bags of trash outside. [Mother] refused to allow him to
       enter the home because her five dogs “might bite him.” CM Maples’ account
       of his most recent visit to this [M]other’s home is strikingly similar to what
       was observed when the [C]hild was initially removed from her care.

The record supports the trial court’s findings. Mother’s living conditions have remained
ostensibly the same since the inception of this case. She continues to live in unsanitary
conditions; she continues to abuse alcohol and drugs; she continues to live with her abuser;
and she continues to act out inappropriately with the people who are trying to help her.
Based on Mother’s failure to address any of these issues during the pendency of this case,
it is clear that she will not remedy these conditions at an early date, making it highly
                                           - 17 -
unlikely that Child can be safely returned to Mother’s custody in the foreseeable future.
It is also clear to this Court that the continuation of Mother and Child’s relationship will
greatly diminish the Child’s chances of early integration into a safe, stable, and permanent
home. From the totality of the circumstances, we conclude that there is clear and
convincing evidence to support the trial court’s termination of Mother’s parental rights on
the ground of persistence of the conditions that led to the Child’s removal.

                                     V. Best Interest

       When at least one ground for termination of parental rights has been established, the
petitioner must then prove, by clear and convincing evidence, that termination of the
parent’s rights is in the child’s best interest. In re Bernard T., 319 S.W.3d at 606 (citing
In re Adoption of A.M.H., 215 S.W.3d 793 at 809). As the Tennessee Supreme Court
explained:

       Facts considered in the best interest analysis must be proven by “a
       preponderance of the evidence, not by clear and convincing evidence.” In re
       Kaliyah S., 455 S.W.3d at 555 (citing In re Audrey S., 182 S.W.3d at 861).
       “After making the underlying factual findings, the trial court should then
       consider the combined weight of those facts to determine whether they
       amount to clear and convincing evidence that termination is in the child’s
       best interest[s].” Id. When considering these statutory factors, courts must
       remember that “[t]he child’s best interests [are] viewed from the child’s,
       rather than the parent’s, perspective.” In re Audrey S., 182 S.W.3d at 878.
       Indeed, “[a] focus on the perspective of the child is the common theme”
       evident in all of the statutory factors. Id. “[W]hen the best interests of the
       child and those of the adults are in conflict, such conflict shall always be
       resolved to favor the rights and the best interests of the child. . . .” Tenn.
       Code Ann. § 36-1-101(d) (2017).

In re Gabriella D., 531 S.W.3d 662, 681-82 (Tenn. 2017).

       The Tennessee Legislature has codified certain factors that courts should consider
in ascertaining the best interest of the child in a termination of parental rights case. As is
relevant to this appeal, these factors include, but are not limited to, the following:

       (1) Whether the parent or guardian has made such an adjustment of
       circumstance, conduct, or conditions as to make it safe and in the child’s best
       interest to be in the home of the parent;
       (2) Whether the parent or guardian has made such an adjustment after
       reasonable efforts by available social service agencies for such a duration of
       time that lasting adjustment does not reasonably appear possible;
       (3) Whether the parent or guardian has maintained regular visitation or other
                                            - 18 -
       contact with the child;
       (4) Whether a meaningful relationship has otherwise been established
       between the parent or guardian and the child;
       (5) The effect a change of caretakers and physical environment is likely to
       have on the child’s emotional, psychological and medical condition;
       (6) Whether the parent . . . or other person residing with the parent . . . has
       shown brutality, physical, sexual, emotional, or psychological abuse, or
       neglect toward the child, or another child or adult in the family or household;
       (7) Whether the physical environment of the parent’s . . . home is healthy and
       safe, whether there is criminal activity in the home, or whether there is such
       use of alcohol, controlled substances or controlled substance analogues as
       may render the parent or guardian consistently unable to care for the child in
       a safe and stable manner;
       (8) Whether the parent’s or guardian’s mental and/or emotional status would
       be detrimental to the child or prevent the parent or guardian from effectively
       providing safe and stable care and supervision for the child . . . .

Tenn. Code Ann. § 36-1-113(i). This list of factors is not exhaustive, nor does the statute
“require a trial court to find the existence of each enumerated factor before it may conclude
that terminating a parent’s rights is in the best interest of a child.” In re M.A.R., 183 S.W.
3d 652, 667 (Tenn. Ct. App. Aug. 11, 2005), perm. app. denied (Tenn. Nov. 21, 2005).
Each termination of parental rights case includes different circumstances, and the
consideration of a single factor or other factors outside those enumerated in the statute,
may dictate the outcome of the best interest analysis. In re Audrey S., 182 S.W.3d at 877.
As explained by this Court:

       Ascertaining a child’s best interests . . . does not call for a rote examination
       of each of Tenn. Code Ann. § 36-1-113(i)’s nine factors and then a
       determination of whether the sum of the factors tips in favor of or against the
       parent. The relevancy and weight to be given each factor depends on the
       unique facts of each case. Thus, depending upon the circumstances of a
       particular child and a particular parent, the consideration of one factor may
       very well dictate the outcome of the analysis.

White v. Moody, 171 S.W.3d 187, 194 (Tenn. Ct. App. 1994).

       In its order terminating Mother’s parental rights, the trial court considered the
foregoing factors and found that each weighed against Mother. Specifically, the trial court
found:
              [Mother] has made no adjustment of circumstance, conduct, or
       conditions as to make it safe and in the child’s best interest to return to her
       home. [Mother] continues to struggle with her addiction to alcohol. She
       remains, by her own admission, involved to this day with a man who has
                                           - 19 -
       physically abused her. Her decisions to continue this unsuitable lifestyle
       prohibits any chance of [Child] returning to her home. T.C.A. § 36-1-
       113(i)(1) and (2). At this time, lasting change on the [Mother’s] part does
       not appear likely or forthcoming.
               Although [Mother] initially resolved the no contact order by providing
       proof of methamphetamine-free drug screens, her visitation privileges were
       short-lived due to her own inappropriate conduct. It is this conduct that has
       proven detrimental to the continuation of the parent/child relationship. The
       Court notes that [Mother] and [Child] had a loving relationship prior to this
       proceeding; however, the relationship has diminished due to the conduct of
       [Mother]. T.C.A. § 36-1-113(i)(3), (4), and (6) . . .
               By [Mother’s] admission, her boyfriend, [Taylor S.], was abusive.
       Their domestic violence incidents resulted in [Taylor S.’s] arrest on more
       than one occasion. The Child has stated that he worried about his [Mother’s]
       safety and well-being due to her relationship with [Taylor S.]. At the time of
       the hearing, [Mother] remains with [Taylor S.], and she has grievously
       neglected her own child. There is nothing about the physical environment of
       [Mother’s] home filled with domestic violence, drug abuse, and alcohol
       abuse that is safe and healthy for the [Child]. T.C.A. § 36-1-113(i)(7) and
       (8).
               [Mother] disclosed that she was schizophrenic and had not taken her
       medication for many years; however, an official diagnosis was never
       confirmed. Nonetheless, [Mother’s] behavior during the custodial episode
       demonstrated that the [Child] was subjected to an unsafe and volatile living
       situation. In fact, she encouraged [Child] to engage in unhealthy and
       improper behavior such as stealing from his former foster parent. T.C.A. §
       36-1-113(i)(8).

       For many of the reasons discussed above, the record supports the trial court’s
findings. Despite DCS’ efforts, Mother failed to avail herself of the opportunities presented
to address the issues that made her home unsafe for the Child; rather, she chose to alienate
every DCS caseworker. As a result of Mother’s behavior and lack of motivation, the
conditions that required the Child’s removal largely persisted at the time of the hearing on
the petition to terminate Mother’s parental rights.

        Due to her continued drug use, Mother was unable to exercise consistent visitation
with the Child. The record indicates that the last time Mother saw the Child was on March
27, 2019. However, even when Mother had the opportunity for telephone contact with the
Child, she was often intoxicated and spoke inappropriately. As such, there is no indication
in the record that there is any genuine bond between Mother and the Child.

       Mother continues to live with her abuser. She continues to live in unsanitary
conditions, and she continues to abuse alcohol and drugs. Meanwhile, the record indicates
                                           - 20 -
that the Child has done well in his foster placement, where his needs are met and he enjoys
a safe, stable, and loving environment. To remove him from such environment would
likely cause the Child significant distress. For these reasons and more, we conclude that
there is clear and convincing evidence to support the trial court’s determination that
termination of the Mother’s parental rights is in the Child’s best interest.

                                     VI. Conclusion

       For the foregoing reasons, we affirm the trial court’s order terminating Mother’s
parental rights to the Child. The case is remanded for such further proceedings as may be
necessary and are consistent with this opinion. Costs of the appeal are assessed to the
Appellant, Patsy S. Because Patsy S. is proceeding in forma pauperis in this appeal,
execution for costs may issue if necessary.

                                                        s/ Kenny Armstrong
                                                   KENNY ARMSTRONG, JUDGE

                                          - 21 -