Court Opinion

ID: 4466856
Source: CourtListenerOpinion
Date Created: 2019-12-21 07:11:52.827821+00
Date Added: 2024-06-11T14:34:19.237659
License: Public Domain

In the
        Court of Appeals
Second Appellate District of Texas
         at Fort Worth
      ___________________________
           No. 02-19-00255-CV
      ___________________________

  IN THE INTEREST OF J.P-L., A CHILD

   On Appeal from the 367th District Court
          Denton County, Texas
       Trial Court No. 18-8366-367

 Before Sudderth, C.J.; Birdwell and Bassel, JJ.
      Opinion by Chief Justice Sudderth
                                      OPINION

                                    I. Introduction

      “Termination of parental rights is traumatic, permanent, and irrevocable.” In re

M.S., 115 S.W.3d 534, 549 (Tex. 2003). In such a case, the State seeks not just to limit

parental rights but to erase them permanently—to divest the parent and child of all

legal rights, privileges, duties, and powers normally existing between them, except the

child’s right to inherit. Tex. Fam. Code Ann. § 161.206(b); Holick v. Smith, 685 S.W.2d
18, 20 (Tex. 1985). Consequently, the State “must first observe fundamentally fair

procedures.” In re E.R., 385 S.W.3d 552, 554 (Tex. 2012) (citing Santosky v. Kramer,

455 U.S. 745, 747–48, 102 S. Ct. 1388, 1391–92 (1982)). For the same reason, we

carefully scrutinize termination proceedings and strictly construe involuntary-

termination statutes in the parent’s favor. In re E.N.C., 384 S.W.3d 796, 802 (Tex.

2012); E.R., 385 S.W.3d at 563; Holick, 685 S.W.2d at 20–21. Due process demands

the heightened standard of clear and convincing evidence because “[a] parental rights

termination proceeding encumbers a value ‘far more precious than any property

right.’” E.R., 385 S.W.3d at 555 (quoting Santosky, 455 U.S. at 758–59, 102 S. Ct. at

1397); In re J.F.C., 96 S.W.3d 256, 263 (Tex. 2002); see also E.N.C., 384 S.W.3d at 802.

      Appellant Mother concedes that the evidence in this case is sufficient to

support the termination of her parental rights to J.P.-L. but contends that she was

deprived of due process when, as acknowledged by the Department of Family and

Protective Services (State), “the interests of the child appeared to be in direct conflict
                                            2
with the interests of the parent.” Under our current statutory scheme, as between a

parent and a child, only one may prevail: the child. See Tex. Fam. Code Ann.

§ 153.002 (“The best interest of the child shall always be the primary consideration of

the court in determining the issues of conservatorship and possession of and access to

the child.” (emphasis added)). Further, although Mother complains of ineffective

assistance of counsel, the record before us does not support reversal under Strickland

v. Washington, 466 U.S. 668, 104 S. Ct. 2052 (1984).

      Thus, despite the serious concerns raised by Mother in her two issues—that

her procedural due process rights were violated when her parental rights were

terminated despite her mental incapacity and that she received ineffective assistance of

counsel when her court-appointed representatives waived any challenge to her

capacity by failing to seek a guardianship or mental health commitment for her—we

affirm the trial court’s judgment.

                                     II. Background

A. Procedural Posture

      The State filed this suit on September 12, 2018,1 the same day that the trial

court issued an order appointing the State as the child’s temporary managing

      1
        In addition to the best interest requirement, although the State originally
alleged grounds for termination under subsections (D), (E), (G), (I), (J), (K), (L), (M),
(N), (O), (P), and (Q) of Family Code Section 161.001(b)(1), at trial, the State
announced that it was seeking termination of Mother’s parental rights only based on
constructive abandonment (subsection N) and “lack of compliance with the service
                                         3
conservator, which made the case’s dismissal date September 16, 2019. See Tex. Fam.

Code Ann. § 263.401(a) (stating that the court’s jurisdiction terminates on the first

Monday after the first anniversary of the date the court rendered a temporary order

appointing the State as temporary managing conservator unless trial on the merits has

commenced or an extension has been granted). When the State took possession of

then-five-year-old J.P.-L., Mother was in University Behavioral Health (UBH), a

mental health facility. The trial court reset the initial adversary hearing twice to allow

Mother “an opportunity to consult with her [appointed] attorney.”

      During the adversary hearing, which was held two weeks after J.P.-L.’s removal,

when Mother was asked if she had reviewed the trial court’s temporary orders,

Mother said, “Yes, and I do not agree with them,” but she also said that she would do

whatever it took to get her son back. At the hearing’s conclusion, the trial court

appointed a guardian ad litem for Mother, stating in the order, “This Court finds

Respondent Mother may not have capacity or may not be competent.”

      In its temporary orders, the trial court ordered Mother to schedule

appointments to complete a psychological evaluation, a psychosocial evaluation, and

counseling and to submit to an intake with MHMR or continue with mental health

treatment with UBH or another provider “within 10 days of this order.” The trial

court also ordered her to comply with the usual service plan requirements:

plan” (subsection O). At the trial’s conclusion, the trial court terminated Mother’s
parental rights on those grounds and best interest.

                                            4
completing parenting classes and a drug and alcohol assessment, refraining from all

criminal activity and use of alcohol or illegal substances, establishing and maintaining

safe, stable, and appropriate housing, attending supervised visits with J.P.-L., and

paying child and medical support, in addition to complying with any other

requirements in her service plan during the pendency of the suit.

      A month after the adversary hearing, the State filed a motion for temporary

restraining order, asking the trial court to suspend the parent-child visits because

during her supervised visits, Mother had displayed aggressive behavior similar to that

which she had displayed at the adversary hearing and had “become increasingly

volatile[,] leading observers to become concerned about the safety of the child . . . as

well as other persons nearby.” Mother’s caseworker told Mother that in order to

resume visits, she needed to undergo the MHMR intake and to take her medication

regularly. The trial court granted the State’s motion on October 25, 2018, and

ordered Mother to appear at the November 7, 2018 status hearing to determine

whether the TRO should become a temporary injunction pending the final hearing.

      Mother did not appear at the status hearing, but her attorney said that she had

been given notice of the hearing. Her guardian ad litem testified that she went over

Mother’s service plan with Mother at the CPS office during the same visit that Mother

had to be escorted out by the police. According to Mother’s guardian ad litem,

Mother had indicated that she understood what was asked of her and that she was

supposed to call to make appointments with the providers in her service plan, but
                                           5
“she also exhibited a misperception of what CPS was requiring.” Mother’s guardian

ad litem had not had any contact with Mother since that occasion.

      In January 2019, Mother’s attorney filed a motion to discharge Mother’s

guardian ad litem because Family Code Chapter 107 did not provide legal authority

for the appointment of a guardian ad litem for an adult who had not been declared

incapacitated by the proper court for guardianship proceedings, i.e., the probate court.

In the motion, she pointed out that Family Code Section 107.010 only provided the

court with discretion to appoint an attorney ad litem if it found the person

incapacitated, and “if appropriate,” the attorney ad litem could then refer the

proceeding to the probate court. Mother’s attorney did not secure a ruling on her

motion or refer the proceeding to the probate court.

      Mother did not appear at the June 12, 2019 permanency hearing. The trial

court noted that the first question from J.P.-L., was, “Do you know where my mom

is?” Mother’s guardian ad litem said that she had not had any contact with Mother for

approximately six months and that the last time she had had any contact, Mother had

been homeless and living near the 288 bridge. Mother’s counsel said that she was not

sure whether Mother had notice of the hearing, although she had provided

correspondence to the address Mother had given her (Mother’s father’s home).

Mother’s counsel said, “[S]omeone is receiving that information, but it -- none of the

correspondence has been signed by my client.”

                                           6
      At the June 24, 2019 bench trial, Mother’s counsel announced “not ready,”

citing “lack of communication from [Mother] and lack of knowledge of her

whereabouts,” and Mother’s guardian ad litem agreed, stating, “We are aware that

[Mother] has made recent contact with her father. However, at this time she is not

here, so I would support [Mother’s counsel’s] announcement of not ready.” Mother’s

counsel said that she had sent several letters to Mother’s last-known residence and

that the certified mail was signed for, but not by Mother. She and Mother’s guardian

ad litem both said that they did not have a working phone number for Mother but

had tried to reach her through her father and her friends who had been at previous

hearings. The State and the child’s attorney ad litem did not agree to a continuance.

The trial court denied the motion for continuance, and at the conclusion of the trial, it

terminated Mother’s parental rights to J.P.-L.2

B. Factual Background

      Mother had a history of mental illness in addition to homelessness, drug use,

and domestic violence, and her MHMR records were admitted into evidence at the

trial, as was a September 12, 2018 certified copy of a police report.

      Mother’s drug of choice at age 19 was marijuana but ten years later,

methamphetamine had replaced it, although she still used marijuana daily for pain,

      2
         J.P.-L’s father’s parental rights were terminated as well; he did not appear at
the trial and does not appeal.

                                            7
using a “couple of hits or Vape during the day.”3                Mother started using

methamphetamine around the same time that her mother died, when J.P.-L. was

approximately three years old. Mother said that she and J.P.-L.’s father, who used

“crystal meth,” were no longer together because of domestic violence between them

that had resulted in a 2016 assault charge against her “because . . . he was a little more

beat up than [she] was.” Mother said that the charge had been dismissed after she

took anger management classes and paid a fine. She told MHMR that she had last

tried to quit methamphetamine in 2016 because of the assault charge: “I didn’t want

my baby’s father to get CPS involved.”

   1. Events before the Adversary Hearing

      The following events occurred between September 2, 2018, after Mother’s

father called 911 about her behavior, and the September 28, 2018 adversary hearing.

      • Sunday, September 2, 2018.

      Police took Mother to the Medical City Denton emergency room “due to

family reporting aggressive behavior,” including that she tried to break a car window

and had been smashing plates, and she tested positive for marijuana and

methamphetamine. When asked, Mother denied having increased her amount of

substance abuse and told Robert Mood, the intake clinician, “I’ve slowed the f**k

down,” although she admitted to using a little marijuana daily. Mother both claimed

      3
       Mother also smoked cigarettes and had a quarter-to-half-a-pack-a-day habit.

                                            8
and also denied that she heard voices, and Mood noted, “Due to client’s flight of

ideas it is difficult to tell if client is actually experiencing hallucinations.” When Mood

asked Mother about whether she had a history of substance abuse treatment, Mother

responded, “I use magic[,] now leave me alone.”

      Based on her intake, Mood diagnosed Mother with “unspecified psychosis not

due to a substance or known physiological condition,” unspecified anxiety disorder,

and “[o]ther stimulant abuse, uncomplicated.” During her stay in the Medical City

ER, Mother had to be restrained by hospital staff. She was transported to Mayhill

Hospital from Medical City Denton by mental health deputy transport and was given

Ativan to calm her.4

      • Monday, September 3, 2018.

      Dr. Asad Islam at Mayhill issued a verified certificate of medical examination

for mental illness for Mother in which he listed as a brief diagnosis, “Major

Depressive Disorder, recurrent, severe, with psychosis” and the mental health

treatments of “medication stabilization, psychiatric evaluation, and medication

      4
        Ativan is an anti-anxiety medication. See Moore v. State, No. 07-10-00507-CV,
2011 WL 3587439, at *5 (Tex. App.—Amarillo Aug. 16, 2011, no pet.) (mem. op.)
(appeal of order authorizing psychoactive medications); see also Hyde v. Menefee, No. 02-
09-00350-CV, 2010 WL 1730803, at *1 (Tex. App.—Fort Worth Apr. 29, 2010, no
pet.) (mem. op.) (describing Ativan as an anticonvulsant).

                                            9
management.” Dr. Islam checked all six of the criteria for inpatient commitment,5

listing as the basis for his opinion,

              [Mother] presented as suffering from tactile and auditory
       hallucinations. She was not oriented to place, time, nor situation at time
       of admission. [Mother] reported having suicidal ideation as recently as 2
       weeks ago. She demonstrated assaultive behavior before being brought
       to Mayhill by damaging her father’s windshield, assaulting Medical City
       Denton staff, and throwing things while at Medical City Denton
       Emergency Room.

       In his physician’s affidavit, Dr. Islam included the following additional facts:

               [Mother] presented with severe psychosis upon admission and
       initial evaluation. [She] reported auditory and tactile hallucinations. She
       stated that she can “taste love” and that she hears voices others cannot
       but is unable to understand what the voices are saying. [Mother] is
       unaware of her altered mental state and is not oriented to time, place, or
       situation. She presented to be in a deteriorated state as evidenced by her
       poor hygiene, lack of adequate clothing, and inability to maintain her
       daily living patterns, and the lack of sleep. [Mother] reported suicidal
       ideations as recently as 2 weeks ago but denied having a plan to carry out
       the suicide. Police were initially called to patient’s father’s home due to
       [Mother] damaging her father’s car windshield. Due to her altered
       mental state, [Mother] became combative and assaulted hospital staff
       once she was at Medical City Denton. She was also observed throwing
       objects at staff.

Dr. Islam recommended inpatient hospitalization and medication management.

       5
         Those criteria were: “likely to cause serious harm to self”; “likely to cause
serious harm to others”; “is suffering severe and abnormal mental, emotional or
physical distress”; “is experiencing substantial mental or physical deterioration of his
ability to function independently, which is exhibited by the Proposed Patient’s
inability, except for reasons of indigence, to provide for his/her basic needs, including
food, clothing, health, or safety”; “is unable to make a rational and informed decision
as to whether or not to submit to treatment”; and “[t]he Proposed Patient has an
inability to participate in outpatient treatment services effectively and voluntarily.”

                                            10
      • Tuesday, September 4, 2018.

      A Mayhill mental health professional filed an application for court-ordered

mental health services in the Denton County probate court on Mother’s behalf. See

Tex. Health & Safety Code Ann. § 574.002 (reciting the required contents of an

application for court-ordered mental health services). In the supporting affidavit, the

applicant stated that Mother was disoriented and unable to make rational decisions for

her own care, had been combative, had assaulted Medical City emergency room staff,

had demonstrated a lack of cognitive awareness by expressing paranoid delusions, and

had reported suicidal ideations within the last two weeks, along with auditory and

tactile hallucinations. Some of her delusional statements to deputies included: “[T]he

Devil killed Jake,” “Joel hears voices from the snake,”6 and she was “daddy’s little

monster.”

      The Denton County Sheriff’s Office filed a notification of emergency detention

in which a peace officer stated that he had reason to believe that Mother had

evidenced a substantial risk of serious harm to herself or others based on her

exhibited signs of mental illness, her delusions, her visual or auditory hallucinations,

and her confused thinking, and that “[i]n the present mental state the patient cannot

make a rational or informed decision regarding her health and safety.” Some of the

observations listed in the crisis intervention team report were that Mother had

      Neither Joel nor Jake are names that correspond to anyone identified in
      6

Mother’s termination-of-parental-rights case.

                                          11
incoherent or illogical speech, that she was restless, hyperactive, or agitated, and that

she appeared to have delusions.

      According to Mother’s MHMR records, after she met with MHMR staff at

court, her mental health case was dismissed.         It is unclear when Mother was

discharged from Mayhill, but Mother subsequently complained that although she went

to Mayhill for help, “[i]nstead they told [her that she] was a meth addict and didn’t

need medication.”

      • Wednesday, September 5, 2018.

      Mother had a follow-up appointment at home with MHMR clinician Lauren

Titsworth. At that meeting, Mother both indicated an interest in obtaining MHMR

services and denied being interested in them. At one point, she told Titsworth that

she was going to sleep and left the room. When Titsworth asked Mother’s father if

Mother had used drugs since leaving court, he said, “I don’t know what she[’]s been

doing.” He then tried to get Mother to come back and talk with Titsworth, and she

briefly agreed. Titsworth noted that she had reason to believe that Mother had used

methamphetamine since leaving court and might have been under the influence of it

during their conversation. An appointment was set for Mother to receive services on

Friday, September 7, but the record does not reflect whether she complied.

                                           12
       • Saturday, September 8, 2018.

       The State received a referral about J.P.-L., and Casie Darter, a Department of

Family and Protective Services (DFPS) investigator, began her work.

       • Monday, September 10, 2018.

       Mother used methamphetamine.

       • Tuesday, September 11, 2018.

       Mother called the police “because [she] didn’t feel right.”       She met with

MHMR clinician Quinton Neighbors, who noted on a form that Mother had “poor

personal hygiene/selfcare” and was “unkempt/disheveled.” He also noted Mother’s

theory that her illness was being used for profit and her ruminations on body-and-

soul snatching, stating,

              [Client] stated she believes people are making money off her and
       she came to psych triage to get help with this situation. [Client] stated
       she feels isolated and alone because people are not giving her the
       answers to all of her questions. [Client] stated she feels trapped with her
       father who she feels is poss[ess]ed by someone else’s consciousness.
       [Client] has been aggressive while on meth last week at the ER. [Client]
       has not been on drugs as reported by her herself and her collateral.
       [Client] stated she has anger outburst[s] on occasion by br[e]aking
       objects to release her anger. [Client] stated she does this to cope and not
       to [en]danger others. [Client] appears to be calm and has shown no
       aggression with police or this staff.

              ....

              [Client] stated she has been doing some math and using geometry
       to find out what [is] the number of the human soul. [Client] stated she
       found some rec[eipts] and went dump[st]er diving to find spiritual books
       to figure out the number of her soul. [Client] stated she went to her

                                           13
      cousin[’]s home who she was told beat up her boyfriend in the past.
      [Client] stated she had déjà vu while there and felt like she was living her
      past life with another boyfriend. [Client] stated she was upset with her
      boyfriend who was really someone else who stole his body. [Client]
      stated she started arguing with him because she felt he was another soul
      in his body. [Client’s] father and boyfriend stated after this she locked
      herself in her room and stated she was going to kill everyone in the
      home. [Client] has a 5 year old son. [Client] stated her son is [J.P.-L.]
      [Client] stated she kept telling her father to read the bible to understand
      why she can notice when someone is [in] another[’s] bod[y]. [Client]
      stated she was upset because she was missing time and her room was
      rearranged differently than it was before. [Client] stated she feels like her
      father and brother know more about what is really happening. [Client]
      stated she sometimes disassociates and feels like life is like a movie.
      [Client] stated she saw two black vans that were following her and her
      boyfriend a few days ago late at night. [Client] stated she feels these
      people are trying to protect her from the people who can jump into
      bodies. [Client] stated she hears voices and people in her attic. [Client]
      stated she looks around and no one is there.

Mother admitted in her MHMR screening to having used methamphetamine eight

times in the prior 30 days and reported having engaged in week-long

methamphetamine binges.

      Clinician Neighbors reported that Mother said she had had suicidal ideation a

month before and that she attempted to hang herself but denied homicidal ideation

despite her family’s reporting that she had threatened it that day. He reported that

Mother “later stated she said this to her family to get her point across to her father

about him possibly being controlled by another person’s consciousness,” but she

denied intent and did not mention a method. Neighbors wrote that Mother was not

able to crisis plan due to delusional thinking and flight of ideas, and a CPS case was

filed “due to minor being in the custody of client who had [homicidal ideation]
                                           14
towards family and delusional thinking.” He noted, “[Client] is voluntary and staff

will transport client. 24hr phone follow up on 9/12/2018 by 5pm to UBH.”

      Mother was taken to UBH. The urine sample that she gave that day tested

positive for THC,7 amphetamine,8 methamphetamine, and benzodiazepine. At the

adversary hearing, Mother said that she went to UBH on September 11 because she

“wanted answers about why time was different for [her],” explaining that everyone

else was “either in slow-mo or fast-mo, and [she was] in turtle speed.”

      • Wednesday, September 12, 2018.

      J.P.-L. was removed from Mother’s home and placed into foster care pursuant

to the trial court’s order, and Mother underwent a psychiatric evaluation at UBH with

Dr. Garry Watts. During the psychiatric evaluation, Dr. Watts noted that Mother

reportedly had had paranoid ideation that people were trying to harm her and break

into her home and that while she denied homicidal ideation, she had reportedly

threatened family members. She told Dr. Watts that family members were not who

      7
       THC, an abbreviation for tetrahydrocannabinol, the active ingredient in
marijuana, can cause impaired judgment and hallucinations. See, e.g., Harper v. State,
508 S.W.3d 461, 466 n.7 (Tex. App.—Fort Worth 2015, pet. ref’d) (reciting chief
toxicologist’s testimony about THC’s side effects).
      8
        Methamphetamine metabolizes into amphetamine during the “crash” phase,
during which feelings of paranoia, irritability, fatigue, and depression set in. See, e.g.,
English v. State, No. 01-17-00598-CR, 2018 WL 5914767, at *4 (Tex. App.—Houston
[1st Dist.] Nov. 13, 2018, pet. ref’d) (mem. op.) (reciting chief toxicologist’s testimony
about physiological and behavioral effects of recreational methamphetamine use).

                                            15
they seemed to be and that there were “others” posing as family members and

“mimicking everything [she did].”

      Dr. Watts noted that Mother denied being stressed by her mother’s death9 and

denied depression but “endorse[d] hyper-spirituality, grandiosity, and a history of

racing thoughts, suggestive of bipolar disorder.” With regard to her delusional and

grandiose thoughts, Dr. Watts noted that Mother believed she had “spiritual gifts”

and that there was something in her blood “that will cure cancer.” Mother also

denied overt psychotic symptoms but believed that there were evil spirits in her house

who were trying to harm her by giving her poisonous drinks with the motive to “get

[her] money and get [her] guns.” When asked how spirits could acquire physical

objects, she did not respond.

      Dr. Watts diagnosed her with “bipolar disorder with psychosis versus

schizoaffective disorder, bipolar type.”    And he noted, “There is a reasonable

expectation that the patient will make timely and significant practical improvement in

the following presenting acute symptoms as a result of psychiatric inpatient

hospitalization: Improvement of grandiosity and other manic symptoms, resolution

of homicidal ideation, if in fact present, resolution of delusional thinking, increased

ability to care for self.” The initial discharge plan was for Mother to follow-up with

      9
       Mother’s mother, who suffered from bipolar depression, died three years
before this case began.

                                           16
Denton County MHMR and a 12-step program. Dr. Watts noted in his evaluation,

“[W]e need to notify CPS” about Mother’s admission to UBH.

       The Denton County Sheriff’s Office began investigating Mother for child

endangerment based on CPS referrals from J.P.-L.’s elementary school and UBH.10

Concerned about J.P.-L.’s absences from school, personnel from J.P.-L.’s elementary

school had visited the home three times; twice, they found J.P.-L. outside by a pond,

unsupervised, and Mother under the influence of some form of drug. School staff

had reported that J.P.-L. told them his mother was sick and in the hospital “[b]ecause

she was throwing plat[e]s and breaking windows again.” UBH’s CPS referral listed

Mother’s delusional thinking that caused her to have homicidal ideations towards her

family and her methamphetamine-positive drug test and referenced her “rage of

anger” the previous week in the ER, which had required her to be restrained by

hospital staff.

       • Monday, September 17, 2018.

       Mother was discharged from UBH. UBH doctors prescribed for her a six-day

supply of Depakote, a mood stabilizer, and Risperdal, an antipsychotic medication.11

        After J.P.-L. tested positive for methamphetamine, Mother was indicted for
       10

child endangerment.

        “Risperdal (Risperidone) is a psychotropic mood stabilizer used to relieve or
       11

improve symptoms such as hallucinations, irrational beliefs and fears, disorganized
thinking, severe anxiety, apathy, emotional withdrawal, social withdrawal, and mood
swings.” In re L.M.F., No. 02-13-00459-CV, 2014 WL 2465137, at *2 n.5 (Tex.
                                         17
Mother also met with John Lloyd, an MHMR clinician, that day. She reported to

Lloyd that she was “having difficulty with CPS after she went to UBH voluntarily.”

Another psychiatric evaluation was scheduled for her on September 21.

      • Wednesday, September 19, 2018.

      Mother used marijuana.

      • Thursday, September 20, 2018.

      Mother was living in a tent with her boyfriend.

      • Friday, September 21, 2018.

      Mother was evaluated by MHMR clinician Kumud Joshi, to whom she

admitted several months of increased use of crystal methamphetamine “because [she]

could no longer get prescriptions” prior to both of her September hospitalizations.12

She explained, “I felt like I was a prophet, and my dad, who was not my dad at the

time but he is back now, was trying to keep me trapped so I busted out the window in

my dad’s car.” She also said that she felt like someone had been watching her since

October 2017. And she said that she felt like her boyfriend could manipulate time

and that she had “regenerated [her]self because of the meth and maybe other people

App.—Fort Worth May 29, 2014, no pet.) (per curiam) (mem. op.); see also Moore, 2011
WL 3587439, at *5 (explaining that Risperdal takes two weeks to become effective).
      12
        Mother completed an interim medical profile update for MHMR indicating
that she had smoked “weed” two days before, i.e., around the time she was released
from UBH.

                                         18
jump from people to people because of it.”                  Mother claimed that the

methamphetamine helped her activate other parts of her mind. Joshi diagnosed

Mother with “unspecified schizophrenia spectrum and other psychotic disorder,”

“Amphetamine-type substance use disorder, Severe,” and “Cannabis use disorder,

Mild.”

         • Wednesday, September 26, 2018.

         Mother started living under the Loop 288 bridge.

   2. Adversary Hearing (September 28, 2018).

         At the adversary hearing two weeks after the State removed J.P.-L., Mother

claimed that every single day for her was two weeks for everyone else, and she

expressed her concern about how long it had been since she had seen J.P.-L., stating,

“I’m really pissed off that I f**king have missed what has been for me two weeks but

it’s probably been two years for him.” She testified that she did not know whether

she had been diagnosed bipolar or schizophrenic, claimed she had no medication for

either condition, said that she did not go pick up her prescriptions, and said that her

father had her admitted into Mayhill because he said she was an addict. But Mother

explained that she had been breaking plates because she “had to shatter the glass to let

out whatever people were seeing. And it works. Because [she] broke about five more

plates, and [her] dad is back to normal.” Mother also said that she had lupus but was

not accepting treatment because she did not want to be “some guinea pig.”

                                           19
      Mother said that while she had been living under the Loop 288 bridge, she and

her father were the only people currently living in his home

      [b]ecause everyone else had to leave[13] because of this addiction of the
      stereotypes of: You’re an addict. You’re a horrible person. You can’t
      function in life. You can’t be a member of a family or a member of a
      group, which is complete bull crap. Because there are more addicts
      addicted to prescription drugs, pharmaceuticals. Pharmaceutical drugs --
      you don’t even prescribe the right prescription for people. It’s who pays
      the biggest -- the hospital the biggest money, to what pills can be given.

Mother claimed that she was not addicted to anything but that she liked marijuana

(“weed”) and despite her open CPS case had continued to use it, explaining, “I believe

that’s my right.” She had not spoken to her father’s side of the family since her

mother had died, saying, “They are a part of that group that stereotypes what drugs

do to people, instead of understanding and believing and realizing that sometimes it’s

just self-medication, that sometimes what doctors know isn’t really everything.”

      Mother denied that she had taken any medication before the hearing but then

admitted that she had taken a Xanax14 that she had gotten from a friend15 because

      13
        DFPS investigator Darter interviewed J.P.-L., Mother’s father, and Mother’s
boyfriend and his family, who had also been residing in the home.
      14
        Xanax is a common brand name for benzodiazepine. In re P.M., No. 02-14-
00205-CV, 2014 WL 8097064, at *10 (Tex. App.—Fort Worth Dec. 31, 2014, pet.
denied) (mem. op. on reh’g).

       Mother gave her friend’s first name but refused to give his last name, stating,
      15

“I’m not trying to get no one else in trouble.” She said that the pill might not have
been prescribed for her friend and then alluded to “an underground world that I
know every single one y’all know about.”

                                          20
“this is all a little stressful.” She also denied that she had kept J.P.-L. out of school for

at least seven days, stating that she had kept him out for three days that corresponded

with her three friends’ birthdays, and claimed that she did not know that the assistant

principal at her son’s school had been out to her house multiple times.

       Mother said that she had “sacrificed [her] entire life” to take care of J.P.-L. by

giving up partying, her friends, and her social life. She acknowledged that her son

played alone outside near a pond where he had once caught a baby copperhead snake

and once caught a baby water moccasin and that he had been bitten a handful of

times by nonpoisonous snakes. Defensively, Mother said, “But Steve Irwin used to

catch animals that were venomous” and pointed out that animals and people bite.

When asked if she bit other people, Mother replied, “Sometimes . . . if they like it.”

She said that she had never taken J.P.-L. to the dentist because they did not have

dental insurance and acknowledged that his front teeth were almost black16 before

pointing out her own dental problems and blaming all of it on the only food that she

could afford to buy, “sodas and all those acidicy [sic] foods.”

       After Mother testified, Darter gave the following testimony:

       16
         At the final trial, Marilyn Popek, the court-appointed special advocate (CASA
volunteer), testified that when J.P.-L. was removed from Mother, his only teeth that
did not have problems were his five or six lower front teeth—“after he came into
foster care, ten crowns, four teeth were pulled, and one molar had already fallen out.”
J.P.-L.’s foster father testified that J.P.-L. had to have a significant number of teeth
capped because of malnourishment and from eating so much sugary food. J.P.-L. had
also been behind academically.

                                             21
            Q. Does the Department, following your investigation, have
      concerns regarding [Mother’s] mental health?

             A. Yes.

            Q. Does the Department believe that [Mother’s] mental health
      conditions and the lack of treatment potentially pose a risk to the child?

             A. Yes.

           Q. Does the Department believe that continuation of [J.P.-L.] in
      [Mother’s] care would pose a risk to his physical health or safety?

             A. Yes.

      The State’s attorney then offered into evidence an acknowledgment that

Mother had signed regarding her recent marijuana and methamphetamine use, which

the trial court admitted without objection by anyone except Mother herself, who

objected aloud. Mother informed the trial court that her court-appointed attorney did

not want to tell the court what Mother had said. When Mother interrupted her

counsel, and the trial court told her that she had an attorney who would speak for her,

Mother retorted, “That is appointed by y’all.” She then elaborated, “I didn’t even

want an attorney. I wanted to sit here and tell you what I needed to tell you.” The

trial court warned Mother that if she continued to talk, there would be consequences

and that her insistence on going against the advice of her counsel was her choice but

might not be in her best interest. Mother started crying, replied, “I don’t understand

why anyone would want to keep a son away from his mother and a mother away from

                                          22
her son,” and said that she had not known Darter, the DFPS investigator, was going

to use the document she signed against her to make it seem like she was a drug addict.

      During cross-examination by Mother’s counsel, Darter admitted that she did

not discuss with Mother that the acknowledgment would be used against her in a

court proceeding, that Mother was not represented by counsel when she signed it, and

that she did not know if Mother had been under the influence of any substance when

she signed the document.

      At the conclusion of the hearing, as the trial court was making its findings,

Mother made multiple interjections,

             [Mother]: This -- the system f**king fails --

             THE COURT: Okay.

             [Mother]:-- for everybody.

              THE COURT: Okay. I want you -- you have to be quiet, and if
      you swear going out the door, you need to understand you can be put in
      jail for it. So I understand --

             [Mother]: (Overlapping) Why not? Why not? What do you want me
      to do? What else do you want me to do?

             THE COURT: Okay. I’m not going to argue --

            [Mother]: (Overlapping) Did I not change the world over the past
      two weeks? Did I not work for every person and the willpower to
      f**king be here (crying)?

             THE COURT: Okay. I will tell you, one more outburst, and
      you’re going to go into the cells. Okay?

             [Mother]: Might as well.
                                           23
             THE COURT: (Overlapping) Talk to your -- not one -- not even
      another word. Okay? Not even another word. You can go outside and
      talk to your attorney in one of the rooms.

             [Mother]: I don’t have my son. I don’t know how to act at all.

             THE COURT: (Overlapping) Okay. Go ahead and escort her out
      into one of the rooms. Because your other choice is to the cell.

             [Mother]: You failed the Lord today.

      After Mother was escorted from the courtroom, Mother’s counsel informed

the trial court that Mother had not been undergoing treatment, although “[s]he should

be.” The trial court noted, “[W]e actually had someone from the mental health unit

here observing,” but because Mother had not said anything regarding self-harm or

harm to others, the observer had indicated that Mother “can live under the bridge if

she’d like to as long as she’s not harming herself or ha[ving] suicidal ideations.”

      After the State’s attorney suggested that “a guardian ad litem for her may be

something the Court wants to consider as far as her capacity,” and Mother’s counsel

concurred, stating, “[I]t should be a step that the Court strongly considers taking,” the

trial court appointed an attorney who was in court that day on another case as

Mother’s guardian ad litem.

                                            24
   3. Events After the Adversary Hearing

       After the October 25, 2018 TRO halted Mother’s visits with J.P.-L.,17 Mother’s

caseworker and CASA volunteer lost all contact with her, and Mother did not appear

at the June 24, 2019 trial.

       During the trial, Mother’s father testified that the last time he had seen Mother

was two and a half weeks before, when she came by his house for a few days. He did

not know whether she had gathered any of the mail that had been delivered to his

home for her, and they did not discuss any case dates. Mother told him that she was

living in the homeless camp off of 288. She did not have a working phone. He

further testified, “She’s still not right,” by which, he explained, Mother was angry all

the time, depressed, and “quasi close to violence, it seems like, constantly.” He said

that Mother was not at a point in her life where she could safely parent J.P.-L., stating,

“She’s just – she’s not who she was” and that “she’s not completely in touch with

reality, from what [he could] tell.”18 He acknowledged that she had been using

       17
         Popek, the CASA volunteer, testified that at the visits, Mother and J.P.-L.’s
relationship had been inappropriate because “it was as if [J.P.-L.] were the adult and
she were the child. He was constantly taking care of her.” She said that when Mother
acted out, it upset J.P.-L.
       18
         J.P.-L.’s foster father testified that he and his wife wanted to adopt J.P.-L.
J.P.-L.’s caseworker, Anna Van Buskirk, and Popek, the CASA volunteer, both
recommended the termination of Mother’s parental rights as in his best interest. Van
Buskirk testified that Mother had not taken any action “to mitigate the concerns
present at removal and to provide a safe and stable home environment for [J.P.-L.]”
Popek recommended that Mother’s parental rights to J.P.-L. be terminated because
                                             25
marijuana for several years but said that he did not know how long she had been using

methamphetamine.

       Mother’s guardian ad litem told the trial court that based on her interactions

with Mother, she did not believe that Mother had understood what the service plan

really meant and what actions really had to be taken based “on her mental health, not

on any type of drug or illegal substance issue.” She opined that Mother’s mental

health issues had “prohibited her from understanding the full impact of the case . . .

and the necessity of her involvement in the case.”

       At the conclusion of the trial, the trial court expressed concern about the

mental health issue, stating,

       Let me ask you this: Are . . . there cases that deal with the potential
       mental health instability of a parent whose rights are being asked to be
       terminated? In other words, using a very bad analogy, if someone is --
       lacks the mental capacity, then there’s some cases about whether or not
       they can be -- have a death sentence. Okay? That in and of itself, as
       opposed to a person who knowingly and intentionally has done all of the
       things that have been testified here today, are there any cases that anyone
       knows of that have been written on regarding having a -- I’ll say, at least
       a potentially mental health or -- it’s not mental retardation, but I’m just
       saying a -- an -- an inability to understand, and that being, certainly by
       her actions, a -- a reason that falls within the scope of allowing
       termination.

she had not worked her services or shown an attitude of caring for his best interest
during the five visits that Mother had with him before the TRO.

                                           26
The trial court also noted, “[T]o the extent a guardian was actually appointed to

represent [Mother] in this action gives the Court some indication that there was a

concern about her mental health or mental capacity in the past.”

      The child’s attorney ad litem asserted that capacity was presumed unless

Mother raised it as a defensive issue and presented evidence on it and that there was

no evidence that there had been a guardianship proceeding to revoke Mother’s

capacity. The State’s attorney referred the court to Family Code Section 161.003 and

asked the trial court to allow the State to prove up that ground if the court was

unwilling to grant termination on the grounds sought by the State but opined that

Mother’s lack of attendance at any of her services might prevent them from being

able to prove Mother’s mental status.19 The State’s attorney also argued that there was

no requirement under Section 161.001 that the parent understand the service plan

under subsection (O) and no mens rea requirement under subsection (N).

      Ultimately, the trial court terminated Mother’s parental rights based on the

child’s best interest, constructive abandonment, and her failure to comply with the

court-ordered service plan, identifying in particular Mother’s failure to provide

adequate care for the child based on her homelessness, J.P.-L.’s severe dental

condition when he was removed from her, her lack of parenting skill and poor

      19
        Although the State mentioned Family Code Section 161.003 in its original
petition with regard to the appointment of an attorney, it did not cite it as a ground
for terminating Mother’s parental rights in its petition, and Section 161.003 was not
the basis of the trial court’s termination order.

                                          27
judgment as illustrated by her inability to make sure that J.P.-L. had adequate

attendance at school, her failure to maintain contact with her caseworker or CASA

volunteer, and her failure to perform her service plan.

                                    III. Discussion

      In her first issue, Mother argues that she was mentally incapacitated when she

was served with process and when the trial court requested that a “mental health

worker” observe the adversary hearing. She contends that although capacity requires

a verified denial, the State tried the capacity issue by consent and that the trial court’s

action in sua sponte appointing a guardian ad litem for her was “mere window

dressing and tantamount to a violation” of her due process rights. Mother complains

that the failure of both the trial court and her attorney ad litem to make a referral to

the Denton County Probate Court tainted the trial’s outcome and that the trial court

abused its discretion by denying her request for a continuance. In her second issue,

Mother further complains that because she was never provided adequate

representation, the termination of her parental rights to J.P.-L. violated her

constitutional right to due process.

      The State acknowledges that Mother “was obviously mentally ill” at the

adversary hearing but argues that UBH had discharged her and that there was no

evidence before the trial court that Mother actually lacked capacity. The State asserts

that because the Family Code does not prescribe a competency standard that parents

must meet before a trial to terminate their parental rights and because Mother’s
                                            28
request for a continuance was made by oral motion only, the trial court did not abuse

its discretion by proceeding to trial even though Mother was homeless, nowhere to be

found, and possibly mentally ill, or thereby deprive her of due process or effective

assistance of counsel.

A. Due Process

       A parent’s right to retain custody of his children is a constitutionally protected

liberty interest that must be afforded procedural due process. In re M.R.J.M., 280
S.W.3d 494, 500 n.6 (Tex. App.—Fort Worth 2009, no pet.) (citing In re G.C., 66
S.W.3d 517, 524–25 (Tex. App.—Fort Worth 2002, no pet.)). The issue is what

process is “due” before those rights may be terminated. See In re R.M.T., 352 S.W.3d
12, 16–18 (Tex. App.—Texarkana 2011, no pet.) (discussing state and federal due

process guarantees); see generally Mathews v. Eldridge, 424 U.S. 319, 335, 96 S. Ct. 893,

903 (1976) (setting out the three factors required to evaluate a procedural due process

claim: (1) the private interest that will be affected by the official action; (2) the risk of

an erroneous deprivation of such interest through the procedures used and the

probable value of additional safeguards; and (3) the government’s interest, including

the function involved and the fiscal and administrative burdens that additional or

substitute procedural requirements would entail).

       However, complaints about due process violations must be raised and ruled on

in the trial court in order to be preserved for appeal. In re L.M.I., 119 S.W.3d 707,

710–11 (Tex. 2003); In re J.J.A., No. 14-18-00530-CV, 2018 WL 6614236, at *5 (Tex.
                                             29
App.—Houston [14th Dist.] Dec. 18, 2018, no pet.) (mem. op.). Mother’s counsel

did not raise due process as a ground when she sought a continuance, and to the

extent that Mother complains of a violation of due process outside of her continuance

and ineffective-assistance arguments, she has not preserved this complaint for our

review.

B. Denial of Continuance

      Whether the trial court grants or denies a motion for continuance is within its

sound discretion. See BMC Software Belg., N.V. v. Marchand, 83 S.W.3d 789, 800 (Tex.

2002); In re E.A.W.S., No. 02-06-00031-CV, 2006 WL 3525367, at *5 (Tex. App.—

Fort Worth Dec. 7, 2006, pet. denied) (mem. op.). A trial court abuses its discretion if

it acts without reference to any guiding rules or principles—that is, if its act is

arbitrary or unreasonable. Low v. Henry, 221 S.W.3d 609, 614 (Tex. 2007); Cire v.

Cummings, 134 S.W.3d 835, 838–39 (Tex. 2004). An appellate court cannot conclude

that a trial court abused its discretion merely because the appellate court would have

ruled differently in the same circumstances. E.I. du Pont de Nemours & Co. v. Robinson,

923 S.W.2d 549, 558 (Tex. 1995); see also Low, 221 S.W.3d at 620.

      As pointed out by the State, a trial court generally does not abuse its discretion

when it denies an oral motion for continuance. See Tex. R. Civ. P. 251 (stating that no

continuance shall be granted “except for sufficient cause supported by affidavit, or by

consent of the parties, or by operation of law”); In re M.A.-O.R., No. 02-11-00499-

CV, 2013 WL 530952, at *5 (Tex. App.—Fort Worth Feb. 14, 2013, no pet.) (mem.
                                          30
op.)   (holding   no      abuse   of   discretion   when    pro   se   mother     made

an oral motion for continuance just before the termination trial began and the record

did not contain a written motion for continuance, an affidavit, or sworn testimony in

support of the motion).

       Further, a party’s mere absence does not entitle her to a continuance. In re

A.L.P., No. 01-19-00144-CV, 2019 WL 3949461, at *4 (Tex. App.—Houston [1st

Dist.] Aug. 22, 2019, no pet. h.) (mem. op.); Erback v. Donald, 170 S.W.2d 289, 291–92

(Tex. App.—Fort Worth 1943, writ ref’d w.o.m.) (explaining that the absent party

must show that she has a reasonable excuse for failing to appear and that her absence

prejudiced her); see In re D.W., 353 S.W.3d 188, 192 (Tex. App.—Texarkana 2011, pet.

denied) (“[O]nce a party has made an appearance, she has the responsibility to keep

the court and her own counsel apprised of a location where [notice of the trial setting]

can be effected.”). And according to at least one of our sister courts, nor does a

parent’s alleged incompetency. See In re E.L.T., 93 S.W.3d 372, 374 & n.1 (Tex.

App.—Houston [14th Dist.] 2002, no pet.).

       Because Mother did not comply with Rule 251 and two of the parties disagreed

with her oral request for a continuance, the trial court did not abuse its discretion by

denying the motion. Compare D.W., 353 S.W.3d at 193 (holding that trial court did not

abuse its discretion by denying continuance motion on first day of trial when counsel

did not know mother’s whereabouts despite recognizing that mother’s “mental

shortcomings almost surely contributed to her failure to maintain contact with her
                                           31
attorney” because it remained mother’s responsibility to make her whereabouts

known to her counsel), with In re L.N.C., 573 S.W.3d 309, 321 & n.6, 323 (Tex.

App.—Houston [14th Dist.] 2019, no pet.) (declining to apply presumption that arises

from failure to comply with Rule 251 when appellant father, who had been properly

bench-warranted, was unable to appear without sheriff’s office’s full compliance with

the bench warrant and holding that he was denied due process when he was not

brought to trial in accordance with the bench warrant).

C. Ineffective Assistance of Counsel

      While an indigent parent’s statutory right to counsel in a termination-of-

parental-rights case filed by the State includes the right to effective assistance of

counsel, in order to satisfy her burden of showing that trial counsel was ineffective,

Mother must show both (1) that trial counsel’s performance was deficient and (2) that

the deficient performance by trial counsel prejudiced her case. See M.S., 115 S.W.3d at

544–45 (“Under Strickland, the defendant, to establish an ineffective assistance claim,

must successfully show both prongs of the inquiry.”).

      With respect to whether counsel’s performance in a particular case is deficient,

we must take into account all of the circumstances surrounding the case and must

primarily focus on whether counsel performed in a “reasonably effective” manner. Id.

at 545. In this process, we must give great deference to counsel’s performance,

indulging a strong presumption that counsel’s conduct falls within the wide range of

reasonable professional assistance, including the possibility that counsel’s actions are
                                          32
strategic. Id. It is only when the conduct was so outrageous that no competent

attorney would have engaged in it that the challenged conduct will constitute

ineffective assistance. Id.

        Likewise, even if the parent can show that her trial counsel’s performance was

deficient, she must still show that the deficient performance caused harm, i.e., that

there is a reasonable probability that, but for counsel’s unprofessional error or errors,

the proceeding’s result would have been different. Id. at 550. That is, the parent must

show that counsel’s errors were so serious as to deprive her of a fair trial, defined as a

trial whose result is reliable. In re H.R.M., 209 S.W.3d 105, 111 (Tex. 2006). We may

not speculate in order to find trial counsel ineffective when the record is silent

regarding counsel’s reasons for her actions. In re F.L.H. IV, No. 04-17-00425-CV,

2017 WL 6597829, at *15 (Tex. App.—San Antonio Dec. 27, 2017, pet. denied)

(mem. op.) (quoting Walker v. Tex. Dep’t of Fam. & Protective Servs., 312 S.W.3d 608,

623 (Tex. App.—Houston [1st Dist.] 2009, pet. denied)).

        1. Failure to File Written Motion for Continuance

        Mother’s counsel’s failure to file a motion for continuance that complied with

Rule 251 was not ineffective assistance of counsel under the circumstances of this

case.

        Mother concedes in her brief that the evidence was sufficient to terminate her

parental rights, and our review of the record finds ample support for this concession.

Accordingly, even if her counsel had filed a written motion for continuance supported
                                           33
by an affidavit, by the date of the June 24, 2019 trial, Mother had been absent from

the case and from J.P.-L.’s life for approximately nine months and had failed to

comply with the court-ordered service plan, meeting both the constructive

abandonment20 and failure-to-comply21 termination grounds in addition to

demonstrating by clear and convincing evidence that termination of her rights was in

J.P.-L.’s best interest.22

       20
          The trial court may order termination of the parent-child relationship if the
court finds by clear and convincing evidence that termination is in the child’s best
interest and that the parent has constructively abandoned the child who has been in
the State’s permanent or temporary managing conservatorship for not less than six
months and (i) the State has made reasonable efforts to return the child to the parent;
(ii) the parent has not regularly visited or maintained significant contact with the child;
and (iii) the parent has demonstrated an inability to provide the child with a safe
environment. Tex. Fam. Code Ann. § 161.001(b)(1)(N), (2).
       21
         The trial court may order termination of the parent-child relationship if the
court finds by clear and convincing evidence that termination is in the child’s best
interest and that the parent has failed to comply with the provisions of a court order
that specifically established the actions necessary for the parent to obtain the return of
the child who has been in the State’s permanent or temporary managing
conservatorship for not less than nine months as a result of the child’s removal from
the parent under Chapter 262 for the abuse or neglect of the child. Tex. Fam. Code
Ann. § 161.001(b)(1)(O), (2).

        Evidence probative of a child’s best interest may be the same evidence that is
       22

probative of a subsection (1) ground. In re E.C.R., 402 S.W.3d 239, 249 (Tex. 2013).
And while a court must employ a strong presumption that keeping a child with a
parent serves the child’s best interest, see In re R.R., 209 S.W.3d 112, 116 (Tex. 2006), it
must also consider the nonexclusive Holley v. Adams factors, which include the child’s
current and future emotional and physical needs, the parenting abilities of the
individuals seeking custody, the stability of the home or proposed placement, the
parent’s acts or omissions indicating that the parent-child relationship is not a proper
one, and any excuse for the parent’s acts or omissions. 544 S.W.2d 367, 371–72 (Tex.
1976).
                                            34
          Because we have nothing in the record and may not speculate to explain why

counsel did not file a written motion for continuance, and because counsel’s error, if

any, was not so serious as to deprive Mother of a trial whose result was reliable, we

cannot say that Mother’s trial counsel committed ineffective assistance with regard to

the oral motion for continuance. See also Tex. R. App. P. 44.1(a) (requiring, for

reversal, that an appellant show that the trial court erred and that the error probably

caused the rendition of an improper judgment or probably prevented the appellant

from properly presenting the case to this court). We overrule this portion of Mother’s

issues.

          2. Failure to File Guardianship Proceeding

          Mother also contends that she received ineffective assistance of counsel when

her attorney did not file a guardianship proceeding in the probate court. We first

examine the law pertaining to guardianship and then termination-of-parental-rights

cases involving guardians ad litem.

               a. Statutory and Rules-based Ad Litem Provisions

                 (1)   Title 3 of the Estates Code

          Title 3 of the Estates Code covers guardianship and related procedures.23 See

Tex. Est. Code Ann. §§ 1001.001–1357.102. “Guardianship proceedings” can include

        One alternative to guardianship is the execution of a declaration for mental
          23

health treatment under Civil Practice and Remedies Code Chapter 137. Tex. Est.
Code Ann. § 1002.0015; see Tex. Civ. Prac. & Rem. Code Ann. § 137.001(6) (defining
“incapacitated” as—in the opinion of the court in a guardianship proceeding under
                                         35
mental health actions in addition to the application, petition, or motion regarding

guardianship, id. § 1002.015, but regardless of nomenclature, all guardianship

proceedings must be filed and heard in a court exercising original probate jurisdiction,

and that court has jurisdiction of all matters related to the guardianship proceeding.

Id. §§ 1021.001, 1022.001. The probate court can exercise pendent and ancillary

jurisdiction “as necessary to promote judicial efficiency and economy.”               Id.

§ 1022.001. But cf. Tex. Fam. Code Ann. § 155.001 (stating that in a suit affecting the

parent-child relationship, if a court of this state has acquired continuing, exclusive

jurisdiction, no other court of this state has jurisdiction of a suit with regard to that

child except as provided by Family Code Chapter 155, Chapter 262, or Section

103.001(b)). In a county in which there is a statutory probate court, that court has

exclusive jurisdiction of all guardianship proceedings, regardless of whether contested

or uncontested. Tex. Est. Code Ann. §§ 1022.002, .005.

      A guardianship is created to promote and protect the well-being of an

incapacitated person, and when a court creates a guardianship, there is a presumption

that the incapacitated person retains capacity to make personal decisions about her

residence.    Id. § 1001.001(a)–(b) (providing that the court shall design the

guardianship to encourage the development or maintenance of maximum self-reliance

the Estates Code or in a medication hearing under Health and Safety Code Section
574.106—lacking the ability to understand the nature and consequences of a
proposed treatment and the ability to make mental health treatment decisions because
of impairment).

                                           36
and independence in the incapacitated person).           Under the Estates Code, an

“incapacitated person” may be someone who is (1) mentally, physically, or legally

incompetent, such as a minor,24 or an adult who, because of a physical or mental

condition, is substantially unable to provide food, clothing, or shelter for herself,

unable to care for her own physical health, or unable to manage her own financial

affairs; (2) judicially declared incompetent; or (3) a habitual drunkard. Id. §§ 22.016(2),

1001.003, 1002.017. And a “guardian ad litem,” under the Estates Code, is someone

appointed by a court to represent the incapacitated person’s best interests in a

guardianship proceeding. Id. § 1002.013.

      In a traditional guardianship, a guardian ad litem is an officer of the court who

“shall protect the incapacitated person whose interests the guardian had been

appointed to represent in a manner that will enable the court to determine the action

that will be in that person’s best interests.” Id. § 1054.054(a), (b). This includes

investigating whether a guardianship is necessary for the proposed ward and

evaluating alternatives to guardianship and supports and services available to the

      24
         A parent’s status as a minor will not toll a termination-of-parental-rights suit.
In re G.A.C., 499 S.W.3d 138, 139 (Tex. App.—Amarillo 2016, pet. denied). In
G.A.C., the minor parent was appointed an attorney to serve as her guardian ad litem.
Id. at 140. The court held that this appointment, in addition to the appointment of
counsel, afforded her sufficient due process. Id. at 141–42 (“It is the child’s best
interest and not the parent’s best interest that the statutes pertaining to parental
termination proceedings are intended to promote.”).

                                            37
proposed ward that would avoid the need for a guardian’s appointment.                   Id.

§ 1054.054(c).

      If a court has probable cause to believe that a person domiciled or found in the

county in which the court is located is an incapacitated person and that person does

not have a guardian, the court shall appoint a guardian ad litem or court investigator

to investigate the person’s conditions and circumstances to determine whether the

person is incapacitated and whether a guardianship is necessary. Id. § 1102.001(a). To

establish probable cause, the court may require an “information letter” about the

person believed to be incapacitated that is submitted by an interested person or a

written letter or certificate from a physician who has recently examined the person

believed to be incapacitated. Id. § 1102.002; see also id. § 1102.003 (setting out contents

of “information letter”).

      A court may also appoint a temporary guardian, with limited powers, if

presented with substantial evidence that a person may be incapacitated and if the

court has probable cause to believe that the immediate appointment of a guardian is

necessary.   Id. § 1251.001(a).    But a person for whom a temporary guardian is

appointed may not be presumed to be incapacitated, id. § 1251.002, and a sworn,

written application for the appointment of a temporary guardian must still be filed

before the appointment, and it must state, among other things, the danger to the

person or property that is alleged to be imminent. Id. § 1251.003(a), (b)(2). And once

the application for temporary guardianship is filed, a hearing on it must be set and
                                            38
should be held (subject to exceptions) within 10 days of the application’s filing; a

temporary guardianship usually remains in effect for only 60 days. Id. §§ 1251.005–

.006, .151.

       A guardian ad litem or a court investigator who, after conducting a Section

1102.001 investigation, believes that the person is incapacitated and that a

guardianship is necessary shall file an application for the appointment of a guardian of

the person or estate, or both, for the person. Id. § 1102.004. That application is

comprehensive, particularly with regard to the “nature and degree of the alleged

incapacity, the specific areas of protection and assistance requested, and the limitation

or termination of rights requested to be included in the court’s order of

appointment,” which include the right to vote in a public election, to hold or obtain a

driver’s license, or to make personal decisions regarding residence.                   Id.

§ 1101.001(b)(4).

       After the application is filed, at a hearing for the appointment of a guardian, the

court shall inquire into the allegedly incapacitated adult’s ability to feed, clothe, and

shelter herself, care for her own physical health, and manage her property or financial

affairs, and a proposed ward is entitled to a jury trial on the question upon request. Id.

§§ 1101.051(a), .052. And before a guardian may be appointed, the probate court

must find by clear and convincing evidence that the proposed ward is incapacitated,

that it is in her best interest for the court to appoint a guardian, that her rights or

property will be protected by that appointment, that alternatives to guardianship that
                                           39
would avoid the need for the appointment have been considered and determined not

to be feasible, and that support and services available to the proposed ward that

would avoid the need for the appointment have been considered and determined not

to be feasible.    Id. § 1101.101(a)(1)(A)–(E).     The court must also find by a

preponderance of the evidence that the proposed ward is totally without capacity to

care for herself and to manage her property or lacks the capacity to do some, but not

all, of the tasks necessary to care for herself or to manage her property, and the court

may not grant the guardianship application unless the applicant proves each element

required by Title 3 of the Estates Code. Id. § 1101.101(a)(2)(D), (b).

      Further, the determination of an adult proposed ward’s incapacity (other than a

person who must have a guardian to receive governmental funds) must be evidenced

by recurring acts or occurrences in the preceding six months and not by isolated

instances of negligence or bad judgment. Id. § 1101.102. And unless the proposed

ward suffers from an intellectual disability, before the court may grant an application

to create a guardianship for an incapacitated person, the applicant must present to the

court a physician’s written letter or certificate describing the nature, degree, and

severity of the proposed ward’s incapacity. Id. § 1101.103(a)–(b). A court order

appointing a guardian must contain findings of fact and specify a variety of items,

including how much authority the guardian has and whether the ward is totally

incapacitated because of a mental condition. See id. §§ 1101.151–.152.

                                           40
      If a guardianship is instituted, the ward retains all rights, benefits,

responsibilities, and privileges granted by the federal and state constitutions and laws

“except where specifically limited by a court-ordered guardianship or where otherwise

lawfully restricted.” Id. § 1151.351(a); see id. § 1151.001 (“An incapacitated person for

whom a guardian is appointed retains all legal and civil rights and powers except those

designated by court order as legal disabilities by virtue of having been specifically

granted to the guardian.”).      “An adjudication of incapacity in a guardianship

proceeding fixes the individual’s status as an incapacitated person at that time.” In re

K.M.L., 443 S.W.3d 101, 111 (Tex. 2014).

             (2)    Rule of Civil Procedure 173

      Rule of Civil Procedure 173 does not apply to an appointment of a guardian ad

litem governed by statute or other rules. Tex. R. Civ. P. 173.1. Under Rule 173, the

court must appoint a guardian ad litem for a party represented by a next friend or

guardian only if the next friend or guardian appears to have an interest adverse to the

party or the parties agree. Tex. R. Civ. P. 173.2(a). The court may appoint a guardian

ad litem sua sponte or on the motion of any party but must make the appointment by

written order. Tex. R. Civ. P. 173.3(a)–(b). A guardian ad litem appointed under Rule

173 acts as an officer and advisor to the court in determining whether a party’s next

friend or guardian has an interest adverse to the party and to determine and advise the

court whether a settlement offer is in the party’s best interest. Tex. R. Civ. P.

173.4(a)–(c). The guardian ad litem must not participate in discovery, trial, or any
                                           41
other part of the litigation unless further participation is necessary to protect the

party’s interest that is adverse to the next friend’s or guardian’s and the participation is

directed by the court in a written order stating sufficient reasons. Tex. R. Civ. P.

173.4(d).

       The Comment following Rule 173 makes clear that the rule “does not apply

when the procedures and purposes for appointment of guardians ad litem (as well as

attorneys ad litem) are prescribed by statutes, such as the Family Code and the

Probate Code, or by other rules, such as the Parental Notification Rules.” Tex. R.

Civ. P. 173 cmt.

              (3)     Family Code Ad Litem Provisions

       While the Family Code does not provide for the appointment of a guardian ad

litem for an incapacitated person, the court may appoint an attorney ad litem if the

court finds that the person is incapacitated. Tex. Fam. Code Ann. § 107.010; see also

id. § 107.013 (providing that in a termination or conservatorship suit filed by the State,

the court shall appoint an attorney ad litem to represent the interests of an indigent

parent, a parent served by citation by publication, or—under certain circumstances—

an alleged father); cf. id. §§ 101.0145, 107.001(2) (defining “attorney ad litem” as an

attorney who provides legal services to a person, including a child, and who owes to

the person the duties of undivided loyalty, confidentiality, and competent

representation), (5) (defining “guardian ad litem” as a person appointed to represent

the child’s best interest).
                                            42
      Under Section 107.010, the attorney ad litem “shall follow the person’s

expressed objectives of representation and, if appropriate, refer the proceeding to the

proper court for guardianship proceedings.” Id. § 107.010 (emphasis added).

      In suits affecting the parent-child relationship (SAPCRs),25 guardians ad

litem—as opposed to attorneys ad litem—may be appointed for children and young

adults but not parents. See id. § 107.002 (describing the powers and duties of a child’s

guardian ad litem under Family Code Chapter 107), § 107.011(a) (stating that in a suit

filed by the State seeking termination of the parent-child relationship or the

appointment of a conservator for a child, the court shall appoint a guardian ad litem

to represent the child’s best interest immediately after the petition is filed but before

the full adversary hearing), § 107.016(1) (providing that an order appointing the State

as the child’s managing conservator may provide for the continuation of the

appointment of the guardian ad litem for the child for any period during the time the

child remains in the State’s conservatorship), § 107.0161 (pertaining to appointment

of a guardian ad litem for a child committed to the Texas Juvenile Justice

Department), § 107.022 (stating that in a suit other than for termination or

appointment of the State as the child’s conservator, the court may not appoint an

attorney to serve as both attorney and guardian ad litem or a volunteer advocate to

      25
        A SAPCR is a suit filed as provided by Title 5 of the Family Code in which
the appointment of a managing conservator or a possessory conservator, access to or
support of a child, or the establishment or termination of the parent-child relationship
is requested. Tex. Fam. Code Ann. § 101.032(a).

                                           43
serve as guardian ad litem for a child unless certain circumstances apply), § 107.031

(providing that the trial court may appoint a volunteer advocate from a charity to

appear as a child’s guardian ad litem in a termination-of-parental-rights suit),

§ 153.009(e) (providing that at any trial or hearing, the court may permit the child’s

guardian ad litem to be present for an interview with the child in chambers),

§ 263.0021(b)(6) (providing for notice of hearing to child’s guardian ad litem),

§ 263.0025(e) (providing that the court may appoint a foster child’s guardian ad litem

as the child’s surrogate parent for special education decision-making), § 263.303(a)

(stating that within 10 days before each permanency hearing, the child’s guardian ad

litem—among others—is entitled to a permanency progress report by the State),

§§ 263.605–.606 (providing that a court may continue or renew the appointment of a

guardian ad litem for a young adult to help him or her access state services),

§ 264.018(e)(3), (f)(3) (stating the State must provide notice to the child’s guardian ad

litem, among others, when changing the child’s residential child-care facility or when

becoming aware of a significant event affecting the child), § 264.107(e) (stating that in

making nonemergency placement decisions, the State must consult with the child’s

caseworker, attorney ad litem, and guardian ad litem), § 264.123(a)(4) (stating that if a

child in the State’s managing conservatorship is missing from the child’s substitute

care provider, the State shall notify—among others—the child’s guardian ad litem),

§ 266.0041(f) (providing that the court may appoint any person eligible to serve as the

foster child’s guardian ad litem as the child’s independent medical advocate).
                                           44
          b. Case Law on Competence and Capacity

       “Capacity” refers to an individual’s ability to understand the nature and

consequences of his or her actions.        See, e.g., Tex. Health & Safety Code Ann.

§ 574.101(1); State ex rel. T.M., No. 12-19-00160-CV, 2019 WL 4462675, at *2 (Tex.

App.—Tyler Sept. 18, 2019, no pet.) (mem. op.) (explaining capacity in the context of

a patient’s decision-making with regard to the administration of psychoactive

medications); cf. Tex. R. Civ. P. 93(1) (requiring a pleading with regard to the lack of

legal capacity to sue or be sued to be verified).

       “Competence,” on the other hand, is a legal finding that refers to the

individual’s ability to consult with his or her lawyer with a reasonable degree of

rational understanding or a rational as well as factual understanding of the

proceedings against him.        See Tex. Code Crim. Proc. Ann. art. 46B.003(a)

(“Incompetency; Presumptions”).         Under the Code of Criminal Procedure, a

defendant is presumed competent to stand trial and shall be found competent to do

so unless proved incompetent by a preponderance of the evidence.                Id. art.

46B.003(b). And on the civil side, the rights of incompetents are generally protected

by rules that in some circumstances void transactions in which they are involved and

by the availability of guardianships. Dubree v. Blackwell, 67 S.W.3d 286, 289 (Tex.

App.—Amarillo 2001, no pet.) (citing Edward D. Jones & Co. v. Fletcher, 975 S.W.2d
539, 545 (Tex. 1998)).

                                            45
      “The relevant sections of the Texas Family Code do not prescribe a

competency standard that a parent must meet before participating in a hearing or

trial.” E.L.T., 93 S.W.3d at 375 (citing Tex. Fam. Code Ann. §§ 161.001–.210). To

the contrary, as noted by our sister court in E.L.T., a parent’s mental illness may serve

as a basis for involuntary termination of parental rights. Id. (citing Tex. Fam. Code

Ann. § 161.003). But see id. at 377–81 (Guzman, J., concurring) (suggesting that a trial

court should hold a competency hearing to gain a better understanding of a parent’s

capabilities and explore alternative remedies with regard to a parent’s mental state, her

ability to assist counsel, and whether the incompetency is temporary or poses a

continuing threat to the parent or the child).

      The Texarkana court has likewise recited that “there is no Texas authority

which would permit a trial court to halt termination proceedings due to the

incompetency of the parent.” R.M.T., 352 S.W.3d at 18. And a parent’s mental

capacity is probative of the best interest determination in a termination-of-parental-

rights case because her mental issues are relevant to her ability to care for her child’s

physical and emotional needs throughout the child’s life. In re L.G., No. 04-15-00038-

CV, 2015 WL 4113620, at *3 (Tex. App.—San Antonio July 8, 2015, no pet.) (mem.

op.); D.W., 353 S.W.3d at 191, 197; see also J.J.A., 2018 WL 6614236, at *5 (holding

that father who became physically incapacitated by stroke after termination petition

                                           46
was amended failed to preserve due process complaint about notice when not raised

in the trial court).26

       26
         A parent’s mental health is frequently considered in reviewing the sufficiency
of the evidence under endangerment grounds. See L.M.F., 2014 WL 2465137, at *15–
16 (holding evidence sufficient to support endangerment based in part on Mother’s
schizoaffective disorder, including auditory hallucinations, and failure to take her
mental health medication, which led to her detention at hospital in restraints when she
made threats about stabbing and shooting people); In re M.A.P., No. 02-11-00484-CV,
2012 WL 2036457, at *8–10 (Tex. App.—Fort Worth June 7, 2012, no pet.) (mem.
op.) (holding evidence of endangerment sufficient when mother continued to
associate with violent father, used marijuana around infant and during the CPS case’s
pendency despite knowing that using it exacerbated her schizophrenia, and failed to
take her mental-health medication); Maxwell v. Tex. Dep’t of Family & Protective Servs.,
No. 03-11-00242-CV, 2012 WL 987787, at *10–11 (Tex. App.—Austin Mar. 23, 2012,
no pet.) (mem. op.) (recounting parent’s paranoid schizophrenia diagnosis, manic
episodes, delusions, hallucinations, mental health-related hospitalizations, and history
of noncompliance with mental health medication to conclude evidence was factually
sufficient under endangerment and best interest grounds). And the parent’s ability to
understand his or her own endangering behavior is not necessary for termination to
be considered proper. See In re D.R., No. 02-06-00146-CV, 2007 WL 174351, at *1,
*6–7 (Tex. App.—Fort Worth Jan. 25, 2007, no pet.) (mem. op.) (holding
endangerment evidence legally and factually sufficient with regard to mother suffering
from severe mental retardation because “[t]he parent need not know that his or her
own conduct is dangerous for a termination order pursuant to section 161.001(1)(E)
to be proper”); see also In re J.L.W., No. 02-08-179-CV, 2008 WL 4937970, at *7 (Tex.
App.—Fort Worth Nov. 20, 2008, no pet.) (mem. op.) (holding endangerment
evidence sufficient to support termination of parental rights to mentally-retarded
special needs child when mother, also suffering from mental retardation, exposed
child to domestic abuse that she was unable to recognize or acknowledge as
dangerous, did not visit child for eight months, and made no efforts on service plan
until a month before trial); E.A.W.S., 2006 WL 3525367, at *11–12 (overdosing on
sleeping pills while 39 weeks’ pregnant, engaging in family violence, and mental
instability supported trial court’s endangerment findings); In re R.W., 129 S.W.3d 732,
738–41 (Tex. App.—Fort Worth 2004, pet. denied) (abusing drugs and alcohol, which
contributed to mental instability and suicidal ideation, were considerations in
endangerment finding); In re A.M.C., 2 S.W.3d 707, 716–17 (Tex. App.—Waco 1999,
no pet.) (finding endangerment from mother’s suicidal thoughts, suicide attempts, and
neglect); In re C.D., 664 S.W.2d 851, 853 (Tex. App.—Fort Worth 1984, no writ)
                                            47
      Based on the statutory provisions set out above and our review of the case law,

whether a trial court has the authority or duty to sua sponte appoint a guardian ad

litem for a parent in a termination-of-parental-rights proceeding is questionable at best

because—as set out above—we have found no provision of the Family Code

authorizing the appointment of a guardian ad litem for the adult respondent in such a

proceeding. See In re K.B., No. 07-16-00438-CV, 2017 WL 1365701, at *2–3 & n.4

(Tex. App.—Amarillo 2017, pet. denied) (mem. op.) (holding that the trial court did

not abuse its discretion by denying the father’s counsel’s oral motion for appointment

of a guardian ad litem for the father—assuming the trial court could have appointed

one—when the record was insufficient to support it); cf. Tex. Disciplinary Rules Prof’l

Conduct R. 1.02(g), reprinted in Tex. Gov’t Code Ann., tit. 2, subtit. G, app. A (Tex.

State Bar R. art. X, § 9) (requiring a lawyer to take reasonable action to secure the

appointment of a guardian or other legal representative for, or seek other protective

orders with respect to, a client whenever the lawyer reasonably believes that the client

lacks legal competence and that such action should be taken to protect the client). But

see In re Thetford, 574 S.W.3d 362, 372 (Tex. 2019) (orig. proceeding) (“Rule 1.02’s

requirement that an attorney take ‘reasonable action’ to protect a client

(“While mental incompetence or mental illness alone are not grounds for termination
of the parent-child relationship, when a parent’s mental state allows him to engage in
conduct which endangers the physical or emotional well-being of the child, that
conduct has bearing on the advisability of terminating the parent’s rights.”).
                                          48
expressly allows, but does not also require, the attorney to institute a guardianship

proceeding.”).

       Further, the presence or absence of a guardian ad litem for the parent appears

to make little difference in determining whether the parent’s rights should be

terminated. See L.G., 2015 WL 4113620, at *6. In L.G., for example, two months

after the State removed the mother’s newborn, a probate court found her to be

mentally incapacitated and appointed her cousin as her legal guardian. Id. at *1. At

trial, the psychologist who conducted the mother’s psychological examination, her

psychotherapist, her guardian, the DFPS caseworker, and the CASA volunteer all

testified, after which the trial court terminated her parental rights. Id. The mother

appealed, challenging the sufficiency of the evidence to support the trial court’s best

interest finding. Id.

       Our sister court affirmed the trial court’s judgment, finding ample evidence in

the record to support the best interest finding.       Id. at *3–6.   The mother had

completed the parenting course required by her service plan, but it took her three or

four tries to do so and she was still unable to provide basic care for the child, such as

preparing a bottle, changing a diaper, or consoling him, without the assistance of

others to give her directions. Id. at *3. She also had a volatile, violent temper and

became verbally and physically abusive when angry, and she had a history of bad

choices with regard to drug and alcohol use, including her daily use of marijuana. Id.

                                           49
at *4. She refused to leave her boyfriend, a registered sex offender, and she refused to

accept her guardian’s assistance. Id. at *5–6.

      Likewise, in D.W., the mother, who was “mentally of such a low level of

intelligence as to be incapable of effectively rearing [a child],” was appointed a

guardian ad litem during her termination case.27 353 S.W.3d at 191, 195–96. The

mother did not maintain contact with her attorney for several months and was finally

located only after the trial, where her rights had been terminated on the basis of

constructive abandonment. Id. at 191–93, 195–96. The court concluded that the

evidence was legally and factually sufficient with regard to both constructive

abandonment and best interest. Id. at 196–97. In the best-interest evaluation with

regard to any excuse for the parent’s acts or omissions, the court concluded that the

mother’s lack of mental capacity was the cause of her parental shortcomings. Id. at

197. The court noted that “regardless of the reasons (even though apparently entirely

beyond her control) for her acts or omissions, they still exist and must be considered

in determining the best interest of the child.” Id.

      27
        The factual recitation in D.W. does not reflect whether the guardianship
appointment was through the probate court. 353 S.W.3d at 195 (“A guardian ad litem
was appointed for [Mother], who also attempted to assist her through the [CPS]
process.”). The clinical psychologist who evaluated the mother explained that her
mental retardation was such that she was unable to independently care for a child and
could, at best, participate as a co-parent with a competent healthy caregiver who
assumed primary childcare responsibility. Id. at 196 (noting that expert said that
giving the child back to the mother would be to award custody of a child who could
not take care of itself to an adult who was unable to take care of herself).

                                           50
       And in J.J.A., at the time of the termination trial, the father was under the care

of Adult Protective Services because he lacked the ability to make financial decisions

after he suffered a debilitating stroke that rendered him physically and mentally unable

to attend to the children’s needs. 2018 WL 6614236, at *2, *7. Prior to his stroke, the

children had been removed from both parents and the State had sought termination

of their rights; he had been a drug dealer who had addicted the mother, two decades

his junior, to drugs and had an abusive relationship with her. Id. *1–2, *5–6. He had

been a drug dealer throughout the children’s lives and had been convicted of felony

possession a year after his daughter’s birth and five years after his son’s birth; these

facts helped satisfy the court’s endangerment finding. Id. at *6. The father’s inability,

due to his stroke, to physically or mentally attend to the children’s needs or to take

care of himself, contributed to the court’s best-interest finding. Id. at *7.

       In K.B., the Amarillo court considered whether the trial court had abused its

discretion by denying the father’s counsel’s request for the appointment of a guardian

ad litem. 2017 WL 1365701, at *1. The father’s rights were terminated based on his

failure to complete any of his court-ordered service plan and on constructive

abandonment; he also had multiple arrests for public intoxication, possession of a

controlled substance, and possession of drug paraphernalia during the case’s

pendency, was homeless, rarely kept in touch with his caseworker, and did not visit

his children. Id. In the trial before the associate judge, the father’s counsel asked for

the appointment of a guardian ad litem because of the father’s mental deficiencies. Id.
                                            51
The associate judge denied the request, “explaining that guardianship proceedings

were conducted in other courts under required procedures after proper pleadings and

notice, and that she lacked authority to appoint a guardian for an adult.” Id.

      The father did not mention the denial of his request for a guardian ad litem in

his request for a de novo hearing or at the de novo hearing before the district court,

and the district court terminated his parental rights on the same grounds as the

associate judge. Id. at *2. On appeal, the court held that the record was insufficient to

show an abuse of discretion by the associate judge by denying the father’s request for

appointment of a guardian ad litem, particularly when the father did not renew that

request in his hearing before the district court, which had reached the same outcome.

Id. at *3. Further, the father did not challenge the sufficiency of the evidence to

support that outcome. Id. at *1.

      And in K.M.L., the child’s grandmother was appointed the mother’s guardian

approximately six weeks after the mother executed an affidavit of voluntary

relinquishment. 443 S.W.3d at 106. The mother suffered from bipolar disorder and

borderline intellectual functioning (her IQ was below 70) and had not been regularly

taking her medication, and as testified by her psychiatrist, “there was ‘no way [she]

had the mental ability to understand the documents she had signed relative to’

terminating her rights.”     Id. at 113.    On appeal, the mother argued that the

guardianship determination effectively nullified the affidavit, but the court held

otherwise because the guardianship determination was made after she executed the
                                           52
affidavit. Id. at 111. The court observed, “There is no legal authority for the

proposition that a guardianship determination has retroactive effect such as to

conclusively establish [the mother’s] incapacity to knowingly and intelligently execute

the affidavit of voluntary relinquishment.”      Id. at 112.    The court nonetheless

concluded that the evidence was insufficient to support the mother’s knowing and

intelligent voluntary relinquishment and remanded the case to the intermediate court

to consider the factual sufficiency of the evidence to support the jury’s findings on the

other statutory termination grounds. Id. at 115–16; cf. In re Z.M.R., 562 S.W.3d 783,

786, 792–93 (Tex. App.—Houston [14th Dist.] 2018, no pet.) (holding evidence

sufficient to support voluntary relinquishment despite motion for new trial citing

“newly discovered evidence” of the mother’s IQ of 64, bipolar disorder, depression,

other mental health conditions, and her failure to take prescribed medication for six

years when the mother signed the affidavit on the day of trial, none of the witnesses

who had worked in the case or evaluated or treated her expressed concerns about her

ability to understand, and she did not allege involuntary relinquishment until two

months after trial).

       In contrast to the appointment of a guardian, a competency hearing may

provide a layer of due process protection otherwise lacking in the Family Code. See

E.L.T., 93 S.W.3d at 377–81 (Guzman, J., concurring). In E.L.T., when trial began,

the mother made an oral motion for continuance and for a competency exam, which

the trial court denied. Id. at 374. Our sister court upheld the denial of the motion for
                                           53
continuance because the mother did not comply with Rule 251, and it treated the

mother’s complaint about the denial of her motion for a competency evaluation as

waived because she failed to support her issue with citations to authority. Id. at 375;

see generally Tex. R. App. P. 38.1(i). The court further observed that the relevant

sections of the Family Code did not prescribe a competency standard that a parent

must meet before participating in a hearing or trial and that the record reflected no

trial court error when the parent’s attorney—not the trial judge—must seek the

appointment of a guardian for a client whom he reasonably believes is lacking legal

competence. E.L.T., 93 S.W.3d at 375–76 (citing Tex. Disciplinary R. Prof’l Conduct

1.02(g)).

       When E.L.T. was decided, Texas intermediate courts were still split with regard

to whether a parent in a termination-of-parental-rights case was entitled to effective

assistance of counsel. Id. at 376. Thus, the court treated the right to effective

assistance as hypothetical but nonetheless referenced the Strickland standard and

record necessary to show ineffective assistance before concluding that nothing in the

record supported the conclusion that the mother’s trial counsel performed deficiently

because of the mother’s alleged incompetence and nothing in the record supported

the conclusion that the result of the proceeding would have been different but for

counsel’s actions.28 Id. at 376–77.

        Less than a year later, the supreme court held that the statutory right to
       28

counsel in parental-rights termination cases embodied the right to effective counsel.
                                          54
      Justice Eva M. Guzman, now a justice on the Texas Supreme Court, wrote a

concurring opinion in E.L.T. in which she pointed out the legislative failure to

adequately address parental competency in the context of parental-rights termination

cases when, “under certain limited circumstances, there can be no guarantee that a

party is effectively able to provide counsel with necessary or relevant data to prevent a

wrongful deprivation of parental rights.”29 Id. at 377 (Guzman, J., concurring). She

opined that because termination is the civil equivalent of capital punishment, the same

due process procedure—a competency hearing—that in a criminal case protects

someone “‘whose mental condition is such that he lacks the capacity to understand

the nature and object of the proceedings against him, to consult with counsel, and to

assist in preparing his defense,’” should be provided. Id. at 378, 380 (Guzman, J.,

concurring) (quoting Alcott v. State, 51 S.W.3d 596, 598 (Tex. Crim. App. 2001)).

      Justice Guzman explained that a competency hearing would make the

proceedings more fundamentally fair by reducing the risk of an erroneous termination

of parental rights because

M.S., 115 S.W.3d at 544 (observing that “it would seem a useless gesture . . . to
recognize the importance of counsel in termination proceedings . . . and . . . not
require that counsel perform effectively”).
      29
         Justice Guzman identified the following as what a competent parent could
provide to his or her counsel: sufficient information to rebut evidence offered by the
State, affirmative proof of the existence or prospect of an ongoing parent-child
relationship, and the establishment of tactical and substantive goals at the termination
proceeding. 93 S.W.3d at 380 (Guzman, J., concurring).

                                           55
      [it] would provide the trial court with an opportunity to gain a better
      understanding of the parent’s capabilities as well as to explore alternative
      remedies. It would also afford the parties an opportunity to present the
      trial court with additional evidence concerning the parent’s mental state,
      the ability of the parent to assist counsel, and whether the incompetency
      is temporary or poses a continuing threat to the parent or child.

Id. at 380 (Guzman, J., concurring). She nonetheless concurred with the majority’s

decision because other than conclusory remarks by the mother’s attorney, the trial

court was presented with no evidence to support the mother’s alleged incompetence.

Id. at 381 (Guzman, J., concurring).

      But even a competency hearing, within the current statutory scheme, would

appear to make little difference when compared to the child’s best interest. See

R.M.T., 352 S.W.3d at 15, 25.          In R.M.T., the father, who suffered from

schizoaffective disorder, polysubstance dependence, cognitive disorder, and

personality disorder with paranoid and antisocial traits, had been determined

incompetent to stand trial in his criminal case, and it was undisputed at the

termination trial that he remained incompetent. Id. He filed a verified motion for

continuance three days before trial, alleging his incompetence as the reason for the

continuance, and to his motion, he attached eight exhibits that supported his

incompetence claim. Id. at 16. After the trial court denied the motion, the father

testified over his attorney’s objection that he was not competent to do so. Id.

      On appeal, the father complained, among other things, that the trial court had

abused its discretion and violated his procedural due process rights by denying his

                                          56
motion for continuance and proceeding to trial when he was incompetent. Id. The

Texarkana court observed that the father had both a guardian ad litem and attorney ad

litem and weighed the Eldridge factors in determining whether the father had received

a fair hearing despite proceeding to trial while incompetent.        Id. at 18, 20.    It

concluded that the trial court could not accommodate the child’s interest in achieving

permanency in a timely fashion without proceeding to trial while his father was

incompetent because there was no indication that the father would regain competence

by continuing the trial until the case’s “drop dead date,” at which time it would have

been dismissed, leaving the child in limbo. Id. at 21, 23 (“In such a head-to-head

conflict, one person’s interest must trump the other; there, the interest of the child is

the trump card.”); In re K.S.L., 538 S.W.3d 107, 116 (Tex. 2017) (“[T]he needs of the

child are not best served by a legal process that fosters delay and unrestrained second-

guessing.”).

      The court concluded that given the exigent circumstances in the case, and

having weighed the practical requirements of the circumstances, the father was

accorded the process he was due in his parental rights termination hearing when his

rights were adequately protected at trial through his counsel’s representation and the

clear and convincing evidence standard of review. R.M.T., 352 S.W.3d at 23 (“Given

that [father] was provided with the full panoply of constitutional safeguards provided

                                           57
by the Texas Family Code, we cannot conclude the risk of erroneous deprivation in

this case was significant.”).30

            c. Analysis

       In a termination proceeding, the child’s best interest is always the primary

consideration. See Tex. Fam. Code Ann. § 153.002. Mother’s mental health and drug

issues, which led to the State’s involvement for J.P.-L.’s protection, presented

       30
         In a concurring opinion, Justice Jack Carter elaborated on the “drop dead”
date by pointing out that in termination-of-parental-rights cases, the trial court’s
discretion “is effectively removed by the statute requiring dismissal of the case if it has
not been resolved within the statutory limitation” and explained that it was unfair to
the incompetent parent because he would not understand what was happening and
because the State “may prematurely seek termination if the only other option is
dismissal of the case.” 352 S.W.3d at 27 (Carter, J., concurring). Justice Carter also
pointed out that the probability that the child would be adopted, whether the child
was thriving in his present environment, and whether resolving the parental rights
situation immediately was necessary for the child’s well-being were all matters “swept
aside in a rush to conclude the case.” Id. (Carter, J., concurring).

       We are also faced with time constraints in termination-of-parental-rights cases,
under Rule of Judicial Administration 6.2(a), which requires us to dispose of an appeal
from a judgment terminating parental rights, “so far as reasonably possible,” within
180 days of the date that the notice of appeal is filed. Tex. R. Jud. Admin. 6.2(a); see
Tex. Fam. Code Ann. § 109.002(a-1) (“An appeal in a suit in which termination of the
parent-child relationship is ordered shall be given precedence over other civil cases by
the appellate courts, shall be accelerated, and shall follow the procedures for an
accelerated appeal under the Texas Rules of Appellate Procedure.”), § 263.405(a), (c)
(stating that the appellate court “shall render its final order or judgment with the least
possible delay,” and requiring the supreme court to adopt rules “accelerating the
disposition by the appellate court and the supreme court of an appeal of a final order
granting termination of the parent-child relationship rendered under this
subchapter”); see also In re Occidental Chem. Corp., 561 S.W.3d 146, 166–67 (Tex. 2018)
(Brown, J., concurring) (discussing constitutional concerns about statutorily-imposed
deadlines for resolving cases).

                                            58
impediments to J.P.-L.’s permanency and stability, and it is unclear at best—based on

the law and the facts of this case—how a guardian ad litem appointed through a

probate court might have changed the outcome other than to increase the amount of

time J.P.-L. would spend in foster care. See In re C.T., 491 S.W.3d 323, 328 (Tex.

2016) (orig. proceeding) (Guzman, J., dissenting) (noting that the legislature enacted a

mandatory dismissal requirement to SAPCR proceedings filed by the State “[i]n an

effort to minimize the amount of time children remain in foster-care limbo and to

expedite permanency and stability”). That is, there is no guarantee that—assuming

Mother could be located—she could regain competency within the statutory time

frame.

         Further, as the law currently stands, even assuming, without deciding, that her

appointed counsel was ineffective by opting not to initiate a separate guardianship

proceeding in the probate court, Mother cannot show on this record that there is a

reasonable probability that the trial’s result was not reliable. Accordingly, we overrule

this portion of Mother’s issues. See Tex. R. App. P. 44.1(a).

         3. Failure to Force State to Proceed under Section 161.003

         The legislature has expressly provided a means to terminate the parental rights

of a parent suffering from a mental or emotional illness or a mental deficiency that

renders her unable to provide for the child’s physical, emotional, and mental needs.

See Tex. Fam. Code Ann. § 161.003. Under Family Code Section 161.003, the trial

court may order the termination of a parent-child relationship in a suit filed by the
                                           59
State if it finds that (1) the parent has a mental or emotional illness or a mental

deficiency that renders him or her unable to provide for the child’s physical,

emotional, and mental needs; (2) the illness or deficiency, in all reasonable probability,

proved by clear and convincing evidence, will continue to render the parent unable to

provide for the child’s needs until the child’s eighteenth birthday; (3) the State has

been the child’s temporary or sole managing conservator for at least 6 months

preceding the date of the termination hearing; (4) the State has made reasonable

efforts to return the child to the parent; and (5) the termination is in the child’s best

interest. Id. § 161.003(a).

      During the oral argument of this case, Mother’s counsel asserted that the State

had “back-doored” a termination under Section 161.003 without meeting its

procedural requirements. But Section 161.003 is not the exclusive way to terminate

the parental rights of someone with a mental illness or deficiency. See In re K.G., 350
S.W.3d 338, 351 (Tex. App.—Fort Worth 2011, pet. denied); In re K.B., No. 02-09-

00441-CV, 2010 WL 4028107, at *12 n.16 (Tex. App.—Fort Worth Oct. 14, 2010, no

pet.) (mem. op.) (“Texas law provides that parental rights may properly be terminated

when a trial court has made a finding under either section 161.001(1) or section

161.003, plus a best interest finding under section 161.001(2).”). The State is not

required to file a case under Section 161.003, but “when a parent suffers from mental

illness, section 161.003 may be more appropriate.” In re J.P., No. 02-07-00026-CV,

2008 WL 283295, at *13 (Tex. App.—Fort Worth Feb. 4, 2008, no pet.) (mem. op. on
                                           60
reh’g); see Liu v. Dep’t of Family & Protective Servs., 273 S.W.3d 785, 791–802 (Tex.

App.—Houston [1st Dist.] 2008, no pet.) (analyzing appeal under both Section

161.003 and 161.001);31 In re B.G.S., No. 04-06-00562-CV, 2007 WL 1341401, at *1–4

(Tex. App.—San Antonio May 9, 2007, pet. denied) (mem. op.) (same);32 In re B.L.M.,

114 S.W.3d 641, 648 (Tex. App.—Fort Worth 2003, no pet.) (upholding termination

under Section 161.003 and not reaching the Section 161.001 grounds).33

      While the State did not seek to terminate Mother’s parental rights under

Section 161.003, and the trial court did not actually terminate Mother’s parental rights

under that section, under the current statutory scheme, the State did not have to plead

and prove those grounds, the trial court did not have to make findings thereon, and

      31
         In Liu, the mother suffered from schizophrenia, and her mother and sister
were appointed her co-guardians after she refused to take her medication and behaved
in an unstable fashion. 273 S.W.3d at 787, 792. After the termination of parental
rights case began, she was involuntarily hospitalized more than once because she was
a danger to herself and others. Id. at 787–88.
      32
        In B.G.S., the mother refused to control her bipolar disorder with medication,
and the court held that this was sufficient to support the trial court’s findings under
Section 161.003(a). 2007 WL 1341401, at *4.
      33
         In B.L.M., the father—a paranoid schizophrenic suffering from delusional
thoughts and loosening of associations—received a new trial after his rights were
terminated on a default judgment for failure to appear because he had been
involuntarily committed in a mental institution in another state. 114 S.W.3d at 643.
During trial, the father denied his mental health condition despite exhibiting signs of
his condition throughout his testimony, and he indicated an intent to never take
medication in the future despite the psychologist’s testimony that paranoid
schizophrenia was a prolonged and progressive illness with no effective cure and that
it required consistent treatment and medication to stabilize. Id. at 645–46, 648.

                                          61
the trial court did not have to assure Mother’s capacity in order to effect a valid

termination under Section 161.001. See K.G., 350 S.W.3d at 351 (explaining that

Section 161.003 is not the exclusive way to terminate the parental rights of someone

with a mental illness or deficiency). And as set out above, the record before us is

insufficient to determine whether her counsel was ineffective under Strickland,

particularly when Mother concedes that the evidence is legally and factually sufficient

to support the reliability of the trial court’s judgment in this case. Accordingly, we

overrule the remainder of Mother’s issues.

                                  IV. Conclusion

      Having overruled both of Mother’s issues, we affirm the trial court’s judgment.

                                                     /s/ Bonnie Sudderth
                                                     Bonnie Sudderth
                                                     Chief Justice

Delivered: December 19, 2019

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