Court Opinion

ID: 4669127
Source: CourtListenerOpinion
Date Created: 2021-03-18 15:13:05.318426+00
Date Added: 2024-06-11T07:58:23.560481
License: Public Domain

03/18/2021
                  IN THE COURT OF APPEALS OF TENNESSEE
                             AT KNOXVILLE
                                    January 26, 2021 Session

                                      IN RE AZHIANNE G.

                  Appeal from the Circuit Court for Anderson County
                No. B8LA0042            M. Nichole Cantrell, Chancellor
                       ___________________________________

                                No. E2020-00530-COA-R3-JV
                           ___________________________________

The trial court found that the minor child, Azhianne G. (“the Child”), was dependent and
neglected in his mother’s care. The trial court also determined that the Child had been
severely abused based upon his disclosures of sexual abuse perpetrated by his mother.
The mother has appealed. Discerning no reversible error, we affirm.

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

THOMAS R. FRIERSON, II, J., delivered the opinion of the court, in which JOHN W.
MCCLARTY and W. NEAL MCBRAYER, JJ., joined.

L. Rosillo Mulligan, Harriman, Tennessee, for the appellant, Barresha T.

Herbert H. Slatery, III, Attorney General and Reporter, and Amber L. Seymour, Assistant
Attorney General, for the appellee, Tennessee Department of Children’s Services.

                                              OPINION

                              I. Factual and Procedural Background

       On May 9, 2017, the Tennessee Department of Children’s Services (“DCS”) filed
a petition in the Anderson County Juvenile Court (“juvenile court”), concerning the
Child. The Child’s mother, Barresha T. (“Mother”), and the Child’s father, Shaunlee G.
(“Father”), were named as respondents.1 In its petition, DCS sought to transfer legal
custody of the Child to his maternal aunt and uncle due to allegations that the Child was
dependent and neglected in Mother’s care. DCS alleged in the petition that the parents

1
 Father is not participating in this appeal; therefore, we will confine our analysis solely to allegations
concerning Mother.
did not live together and that the Child resided primarily with Mother and periodically
visited with Father.

        DCS asserted in its petition that it had received a referral on April 28, 2017,
concerning allegations that the Child, who was four years of age at the time, was the
victim of sexual abuse. DCS conducted a forensic interview with the Child on May 1,
2017, during which the Child made graphic disclosures of sexual abuse perpetrated by
Mother. DCS also asserted that there had been allegations of substance abuse by Father.
The juvenile court entered a protective custody order on May 15, 2017, placing the Child
in the custody of his maternal aunt and uncle and enjoining the parents from contact with
the Child.

       The juvenile court subsequently appointed counsel for Mother and a guardian ad
litem for the Child. Following the juvenile court judge’s recusal due to a conflict of
interest, Judge Darryl Edmondson, sitting by interchange, entered a preliminary hearing
order, wherein he stated that Mother had waived her right to such hearing. Although
Mother subsequently filed a motion seeking permission for the Child to testify in the
matter, DCS and the guardian ad litem opposed such action, arguing that it would subject
the Child to further trauma. The parties later acquiesced to entry of an agreed order
declaring that the Child would not testify.

       On February 23, 2018, the juvenile court conducted an adjudicatory and severe
child abuse hearing with Judge Edmondson presiding. The juvenile court subsequently
entered an order on March 8, 2018, determining that the Child was dependent and
neglected as to both Mother and Father. The juvenile court further found that Mother had
perpetrated severe child abuse upon the Child and that Father had failed to protect the
Child from such abuse. Mother appealed the juvenile court’s ruling to the Anderson
County Circuit Court (“trial court”).

       Shortly thereafter, Mother’s counsel withdrew from representation of Mother due
to his relocation, and the trial court appointed new counsel for Mother. Mother’s new
counsel filed a motion on September 10, 2018, seeking the trial court’s approval for an
allocation of funds with which to hire an expert to testify on Mother’s behalf. The trial
court allocated funds to permit Mother to hire Dr. Diana McCoy as an expert witness.
Mother subsequently requested that the trial court enter an order compelling DCS to
allow Dr. McCoy to interview the Child. The guardian ad litem, however, opposed such
an interview as potentially detrimental to the Child. On April 12, 2018, the trial court
entered an order directing that the Child would be interviewed by an independent forensic
evaluator so that no allegations of bias could be made.

      On October 11, 2019, Mother filed a second motion seeking the trial court’s
approval to allow Dr. McCoy to interview the Child. In this motion, Mother stated that
DCS had been unable to locate an independent forensic evaluator who was willing to
                                        -2-
conduct the interview. The guardian ad litem again opposed Mother’s request. The trial
court subsequently entered an order stating that Dr. McCoy could rely on the Child’s
therapy notes and/or treatment records in order to evaluate the Child’s communication
skills and cognitive capabilities, but the court denied Dr. McCoy the opportunity to
interview the Child. The trial court found that the threat of harm to the Child was too
great and that conducting such an interview would not be in the Child’s best interest.
Mother then filed a motion seeking to have the Child’s initial forensic interview excluded
as evidence; however, the trial court denied her request.

       The trial court conducted a de novo hearing on February 20 and 21, 2020,
concerning Mother’s appeal of the juvenile court’s adjudicatory order. In its final order
entered March 5, 2020, the trial court noted that the parties had stipulated to the expert
qualifications of both Dr. McCoy and the Child’s therapist, Helen Lyle Joiner, at the
outset of the hearing. The trial court recounted the testimony of numerous witnesses in
the order, including the original DCS forensic interviewer, Miranda McKeehan, whom
the court found to be a credible witness. The court also viewed a video recording of the
Child’s forensic interview and found that the Child’s disclosures of abuse were
spontaneous and unsolicited.

        As the trial court noted in its order, testimony established that the Child suffered
from severe behavioral issues, including aggression, sexualized behavior, and violence
toward other persons and animals. The DCS family services worker assigned to the
Child explained that by the time of trial, the Child had lived in various foster homes that
had not “worked out” such that the Child was currently living in a residential placement
facility, Inner Harbor. Ms. Joiner, the Child’s treating therapist, testified that the Child
made disclosures of sexual abuse to her during their sessions that were graphic and
detailed. Ms. Joiner opined that the Child’s disclosures were credible and consistent, and
the trial court found Ms. Joiner to be a credible witness. The trial court ultimately
determined that the Child was the victim of severe child abuse at the hands of Mother and
also that the Child was dependent and neglected in Mother’s care. Mother timely
appealed to this Court.

                                   II. Issues Presented

       Mother presents the following issues for our review, which we have restated and
reordered slightly:

       1.     Whether the trial court erred by allowing the recorded forensic
              interview to be entered as substantive evidence of sexual child
              abuse.

       2.     Whether the trial court erred by refusing to allow Mother’s expert to
              interview the Child at his residential placement facility in Georgia.
                                            -3-
       3.     Whether the trial court erred in determining that clear and
              convincing evidence established that Mother had sexually abused the
              Child.

       4.     Whether DCS should have explored alternative explanations for the
              Child’s sexually reactive behaviors.

       5.     Whether the Child’s best interest will be served by continuation of a
              no-contact order regarding Mother.

                                 III. Standard of Review

       Our review of the trial court’s judgment following a non-jury trial is de novo upon
the record with a presumption of correctness as to the trial court’s findings of fact unless
the preponderance of the evidence is otherwise. See Tenn. R. App. P. 13(d); Rogers v.
Louisville Land Co., 367 S.W.3d 196, 204 (Tenn. 2012). “In order for the evidence to
preponderate against the trial court’s findings of fact, the evidence must support another
finding of fact with greater convincing effect.” Wood v. Starko, 197 S.W.3d 255, 257
(Tenn. Ct. App. 2006) (citing Rawlings v. John Hancock Mut. Life Ins. Co., 78 S.W.3d
291, 296 (Tenn. Ct. App. 2001)). We review questions of law, including those of
statutory construction, de novo with no presumption of correctness. Bowden v. Ward, 27
S.W.3d 913, 916 (Tenn. 2000) (citing Myint v. Allstate Ins. Co., 970 S.W.2d 920, 924
(Tenn. 1998)). The trial court’s determinations regarding witness credibility are entitled
to great weight on appeal and shall not be disturbed absent clear and convincing evidence
to the contrary. See Morrison v. Allen, 338 S.W.3d 417, 426 (Tenn. 2011); Jones v.
Garrett, 92 S.W.3d 835, 838 (Tenn. 2002).

        “Parents have a fundamental constitutional interest in the care and custody of their
children under both the United States and Tennessee constitutions.” Keisling v. Keisling,
92 S.W.3d 374, 378 (Tenn. 2002). However, “[a]lthough this right is fundamental, and
superior to claims of the government and other persons, it is not absolute.” In re H.L.F.,
297 S.W.3d 223, 232 (Tenn. Ct. App. 2009) (citing State v. C.H.K., 154 S.W.3d 586, 589
(Tenn. Ct. App. 2004)). Considering the fundamental nature of the right involved, “[a]
determination that a child is dependent and neglected must be supported by clear and
convincing evidence.” See In re Emmalee O., 464 S.W.3d 311, 323 (Tenn. Ct. App.
2015) (quoting In re Kaitlynne D., No. M2013-00546-COA-R3-JV, 2014 WL 2168515,
at *1-2 (Tenn. Ct. App. May 21, 2014)). “Severe child abuse in a dependency and
neglect proceeding must also be established by clear and convincing evidence.” In re
S.J., 387 S.W.3d 576, 587 (Tenn. Ct. App. 2012). Our Supreme Court has defined clear
and convincing evidence as “evidence in which there is no serious or substantial doubt
about the correctness of the conclusions drawn from the evidence.” Hodges v. S.C. Toof
& Co., 833 S.W.2d 896, 901 n.3 (Tenn. 1992).
                                           -4-
                           IV. Forensic Interview Recording

       Mother contends that the trial court erred by admitting as evidence the video
recording of the Child’s forensic interview. Prior to trial, Mother had filed a motion
seeking exclusion of this evidence, arguing that the Child’s statements made therein
lacked trustworthiness. Mother asserted, inter alia, that the forensic examiner had been
unable to ascertain whether the Child knew the difference between truth and fiction and
that there was a lack of corroborating evidence. The trial court denied Mother’s request,
determining that (1) it was the trial court’s duty to evaluate the trustworthiness of the
disclosures considering the totality of the circumstances and (2) the Child’s disclosures
were trustworthy because he had made spontaneous and consistent disclosures of sexual
abuse perpetrated by Mother to both the forensic examiner and his treating therapist.
Upon our thorough review of the record, we agree with the trial court’s decision to admit
the video recording of the Child’s forensic interview as evidence.

      In a proceeding involving allegations of severe child abuse wherein this precise
evidentiary issue was raised, this Court explained:

             “Trial courts are accorded a wide degree of latitude in their
      determination of whether to admit or exclude evidence[.]” Tenn. Dep’t of
      Children’s Servs. v. M.S., No. M2003-01670-COA-R3-CV, 2005 WL
      549141, at *17 (Tenn. Ct. App. Mar. 8, 2005), perm. app. denied (Tenn.
      Aug. 29, 2005) (citing Rothstein v. Orange Grove Ctr. Inc., 60 S.W.3d 807,
      811 (Tenn. 2001); Otis v. Cambridge Mut. Fire Ins. Co., 850 S.W.2d 439,
      442 (Tenn. 1992)). Accordingly, we review a trial court’s decision to admit
      or exclude evidence using an abuse of discretion standard. In re Spencer
      E., No. M2009-02572-COA-R3-JV, 2011 WL 295896, at *3 (Tenn. Ct.
      App. Jan. 20, 2011) (citing Brown v. Crown Equip. Corp., 181 S.W.3d 268,
      273 (Tenn. 2005); Mercer v. Vanderbilt Univ., Inc., 134 S.W .3d 121, 131
      (Tenn. 2004)). The abuse of discretion standard

             does not permit an appellate court to substitute its judgment
             for that of the trial court, but “reflects an awareness that the
             decision being reviewed involved a choice among several
             acceptable alternatives, and thus envisions a less rigorous
             review of the lower court’s decision and a decreased
             likelihood that the decision will be reversed on appeal.”

      Gonsewski v. Gonsewski, 350 S.W.3d 99, 105 (Tenn. 2011) (quoting
      Henderson v. SAIA, Inc., 318 S.W.3d 328, 335 (Tenn. 2010) (quoting Lee
      Med., Inc. v. Beecher, 312, S.W.3d 515, 524 (Tenn. 2010)).

                                          -5-
In re Madison M., No. M2013-02561-COA-R3-JV, 2014 WL 4792793, at *3 (Tenn. Ct.
App. Sept. 25, 2014). “A court abuses its discretion when it causes an injustice to the
party challenging the decision by (1) applying an incorrect legal standard, (2) reaching an
illogical or unreasonable decision, or (3) basing its decision on a clearly erroneous
assessment of the evidence.” Lee Med., Inc. v. Beecher, 312 S.W.3d 515, 524 (Tenn.
2010).

       Statements made by a witness outside of court are generally considered hearsay
and are inadmissible pursuant to Tennessee Rules of Evidence 801 and 802. Tennessee
Rule of Evidence 803(25), however, provides an exception to the general hearsay rule
and allows statements of abuse made by a child under the age of thirteen to be admitted
in severe child abuse cases under certain circumstances. Rule 803(25) expressly
provides:

      The following are not excluded by the hearsay rule:

      ***

      (25) Children’s Statements. Provided that the circumstances indicate
      trustworthiness, statements about abuse or neglect made by a child alleged
      to be the victim of physical, sexual, or psychological abuse or neglect,
      offered in a civil action concerning issues of dependency and neglect
      pursuant to Tenn. Code Ann. § 37-1-102(b)(12), issues concerning severe
      child abuse pursuant to Tenn. Code Ann. § 37-1-102(b)(21), or issues
      concerning termination of parental rights pursuant to Tenn. Code Ann. §
      37-1-147 and Tenn. Code Ann. § 36-1-113, and statements about abuse or
      neglect made by a child alleged to be the victim of physical, sexual, or
      psychological abuse offered in a civil trial relating to custody, shared
      parenting, or visitation. Declarants of age thirteen or older at the time of
      the hearing must testify unless unavailable as defined by Rule 804(a);
      otherwise this exception is inapplicable to their extrajudicial statements.

In the case at bar, the Child was under thirteen years of age and was alleged to be the
victim of sexual abuse in a civil action concerning issues of dependency and neglect and
severe child abuse. As such, the trial court could properly allow the Child’s statements
made in the forensic interview to be admitted as an exception to the hearsay rule so long
as the “circumstances indicate[d] trustworthiness.” See Tenn. R. Evid. 803(25).

       With regard to trustworthiness, the Advisory Commission Comments provide that
“Courts should carefully consider the motivation of particular minor declarants and also
the motivation of some adults to influence children. Also worthy of consideration is the
presence or absence of evidence corroborating the hearsay statement. As with all hearsay
offered at trial, balancing under Rule 403 is appropriate.” Tenn. R. Evid. 803(25) Adv.
                                           -6-
Comm’n. Cmt. This Court has further recognized that “[o]ther factors for consideration
in assessing trustworthiness may include the circumstances surrounding the statement,
such as the child’s demeanor and appearance; the time between the statement and the
event described; and whether the environment where the statement was made was
coercive or suggestive.” See In re Madison M., 2014 WL 4792793, at *8 (citing COHEN,
TENNESSEE LAW OF EVIDENCE § 8.30[4][a] (5th ed. 2005)).

       In Madison M., the trial court was asked by the defendant, the child’s stepfather, to
exclude the video recording of the five-year-old child’s forensic interview, wherein the
child had disclosed sexual abuse, based on a lack of trustworthiness. See 2014 WL
4792793, at *3. The trial court allowed the video to be introduced as evidence,
concluding that it was admissible pursuant to the hearsay exception contained in
Tennessee Rule of Evidence 803(25) and that the circumstances indicated
trustworthiness. Id. at 11-12. On appeal, this Court agreed with the trial court’s
admission of the evidence, stating:

       [T]the overall circumstances present in this case indicate trustworthiness of
       Madison’s statements and indicate that the circuit court considered all the
       evidence in determining trustworthiness. . . . We likewise find that
       Madison was unmistakably clear in communicating the details of the abuse
       to several people, despite her language impairment. Madison continued to
       make these consistent statements despite the fact that Mother did not
       believe her. The settings in which these statements were made were not
       coercive or suggestive. Madison initially volunteered the information to
       her teacher in a rather spontaneous manner. Madison made similar
       statements to a teacher’s aide, a school guidance counselor, a forensic
       interviewer, and a licensed clinical psychologist. The teacher, guidance
       counselor, and psychologist testified that they were of the opinion that
       Madison was truthful. These were unbiased parties. Madison was able to
       give specific details about the abuse, and her description of the event was
       not inconsistent with any other circumstances. She said it happened at her
       home, in her bedroom, at “wake up” time. Stepfather was living in the
       home at that time. Madison was able to demonstrate how it happened and
       the manner in which she told Stepfather to stop, and she described how
       Stepfather reacted. . . . There is no suggestion from anyone that Madison
       has any motivation to be untruthful or invent stories of abuse or that she has
       been coached or encouraged to fabricate her statements.

               Madison’s statements are not rendered untrustworthy simply because
       there was no eyewitness to the abuse, and no physical evidence to confirm
       that it occurred. As Tennessee Law of Evidence aptly notes, “In cases
       involving child abuse or child neglect, the child victim is often the primary
       source of information about the event at issue. Frequently the critical
                                           -7-
        occurrence involved only an adult and the child-victim. There were no
        other direct witnesses.” Cohen, § 8.30[2]. Thus, Rule 803(25) “provides a
        hearsay exception that will ease the ability to prove child abuse or neglect
        in some situations.” Id.

               Again, the determination of trustworthiness is a matter for the trial
        judge to decide, and his or her decision will not be disturbed on appeal
        unless there is a showing of abuse of discretion. We certainly cannot say,
        in this case, that the circuit court judge abused her discretion in deeming
        Madison’s statements trustworthy, credible, and entitled to significant
        weight, and therefore admissible pursuant to Rule 803(25).

In re Madison M., 2014 WL 4792793, at *13-14.

        Similarly, in the case at bar, the Child made spontaneous disclosures during the
forensic interview of sexual abuse by Mother. The Child described the sexual acts and
the body parts involved both by touching his own body and by reenacting the acts with
dolls. The Child also utilized language that would not be within a typical four-year-old’s
vocabulary. The Child described when and where the abuse took place, and he never
disclosed any perpetrator besides Mother. Although Ms. McKeehan was unable to
thoroughly explain the “rules” of the interview to the Child due to his limited attention
span, the veracity of his statements and actions is apparent from the spontaneous nature
of the disclosures. Ms. McKeehan stated that she had no concerns regarding the veracity
of the Child’s disclosures and that it was not unusual for younger children to be unable to
sit through her entire recitation of the rules.

       Following his removal from Mother’s home and while participating in individual
therapy, the Child made the same spontaneous disclosures concerning Mother to his
treating therapist, Ms. Lyle-Joiner. Again, the Child described the sexual abuse in
graphic detail, explained when and where it happened, and named only Mother as the
perpetrator. The Child’s disclosures in therapy remained consistent with the disclosures
made during the forensic interview. In fact, the Child made consistent abuse disclosures
during several sessions with Ms. Lyle-Joiner despite also telling her that his aunt and
grandfather had told him not to talk about Mother. Clearly, the circumstances do not
indicate a motivation for the Child to have been untruthful about the sexual abuse
because he expressed during one session that he would be punished for talking about it.
In addition, there was no evidence demonstrating that the environments where the
statements were made were coercive or suggestive in any way.2
2
  In addition, the DCS investigator testified that his investigation began as the result of a DCS referral
from an unnamed source alleging that the Child was being sexually abused by Mother. The DCS
investigator also related that when he interviewed Father, Father acknowledged that the Child had
previously disclosed potential sexual abuse to Father, although the Child did not name a perpetrator.
Father did not report this disclosure at the time it was made.
                                                  -8-
       Ms. Lyle-Joiner, who is an undisputed expert in the treatment of sexual abuse
victims, opined that she believed the Child’s disclosures to be true because his
disclosures were consistent, made in graphic detail, and identified solely Mother as the
perpetrator. She reported that the Child was able to describe precisely where and when
the abuse occurred and could also relate how it made him feel. Ms. Lyle-Joiner opined
that a child who had simply viewed a sexual act would not be able to describe the act as
accurately such that the Child’s knowledge would corroborate his disclosures of abuse.
She further stated that despite working with a number of abused children, she had never
heard a child of such a young age utilize the type of language the Child used in his
descriptions. Also disturbing was Ms. Lyle-Joiner’s account of the Child’s stated desire
to engage in sexual acts with her, as he similarly expressed during the forensic interview
with Ms. McKeehan. Both witnesses related that the Child seemed disappointed by their
refusal to engage in sexual activity, and Ms. Lyle-Joiner explained that the Child felt such
behavior was normal and seemed to conflate sex with love or bonding.

       As the trial court found, “the [Child’s] disclosures were spontaneous, credible, and
very detailed.” The court specifically determined both the forensic examiner and Ms.
Lyle-Joiner to be credible witnesses, and the court further found that the disclosures made
to each of them were consistent. Following our review of the evidence, we agree and
conclude that considering the totality of the circumstances, the trial court did not abuse its
discretion in determining the Child’s statements made in the forensic interview to be
trustworthy.

       We further note, as in Madison M., that the Child’s statements were not “rendered
untrustworthy simply because there was no eyewitness to the abuse, and no physical
evidence to confirm that it occurred.” See 2014 WL 4792793, at *14. In this case, the
abuse occurred during a time that only Mother and the Child were present. As such, there
could be no other eyewitness. We agree with the trial court’s conclusion that the Child’s
abuse disclosures were admissible pursuant to Tennessee Rule of Evidence 803(25)
because the circumstances indicate trustworthiness. We discern no abuse of discretion
and therefore affirm the trial court’s decision to admit the video recording of the Child’s
forensic interview.

                  V. Inability of Mother’s Expert to Examine the Child

       Mother also argues that the trial court erred by declining to allow her expert, Dr.
Diana McCoy, to examine the Child in person. Prior to trial, Mother filed two motions
seeking permission for Dr. McCoy to interview the Child. The trial court declined such
requests, determining that the threat of harm to the Child was too great and that
conducting such an interview would not be in the Child’s best interest. The trial court
instead ordered that Dr. McCoy could rely on the Child’s therapy notes and/or treatment
records in order to evaluate the Child’s communication skills and cognitive capabilities.
                                           -9-
       In her appellate brief, Mother asserts that Dr. McCoy “wanted to ascertain the
capacity of the child of tender years to comprehend and to tell the truth,” which
information “would have been valuable to the de novo Court in determining the weight of
the credibility of the child’s out-of-court statements.” We note, however, that the trial
court did have such information available based on the testimony of Ms. Lyle-Joiner,
who completed ten to twelve therapy sessions with the Child at a point in time much
closer to the actual abuse events and who opined that the Child was truthful in his abuse
disclosures. Mother has cited no authority demonstrating that the trial court’s declination
of her request constitutes error. We find Mother’s argument concerning this issue to be
unavailing.

                              VI. Severe Child Abuse Determination

       Mother posits that the trial court erred in finding by clear and convincing evidence
that she had perpetrated severe child abuse upon the Child. DCS contends that the
evidence presented at the de novo trial was clear and convincing on this point. Upon
thorough review of the record and applicable authorities, we agree with DCS.

       The trial court found that the Child was dependent and neglected, pursuant to the
statutory definition,3 based in part on its finding that Mother had sexually abused the
Child and was therefore guilty of severe child abuse pursuant to Tennessee Code
Annotated § 37-1-102(27)(B) and (C).4 Tennessee Code Annotated § 37-1-102(27)(B)
and (C) (Supp. 2020) define “severe child abuse” as:

        (B)     Specific brutality, abuse or neglect towards a child that in the
                opinion of qualified experts has caused or will reasonably be
                expected to produce severe psychosis, severe neurotic disorder,
                severe depression, severe developmental delay or intellectual
                disability, or severe impairment of the child’s ability to function

3
  Regarding the statutory reference contained in the trial court’s severe child abuse determination, we note
that the location of the severe child abuse definitions within the statute changed during the pendency of
these proceedings. At the time that DCS’s petition was filed, the severe child abuse definitions were
codified at Tennessee Code Annotated § 37-1-102(b)(22) rather than subsection (27). See Tenn. Code
Ann. § 37-1-102 (2016). However, the definitions contained within the subsection have not changed in
any manner that would affect the trial court’s reliance thereon. In this Opinion, to avoid confusion, we
have chosen to utilize the more recent numbering of the definition subsections employed by the trial court
in its order.

4
 We note that Mother has not appealed the trial court’s determination that the Child was dependent and
neglected in her care. Mother has accordingly waived that issue. See Ethridge v. Estate of Ethridge, 427
S.W.3d 389, 395 (Tenn. Ct. App. 2013) (“Issues not raised in the statement of the issues may be
considered waived.”).
                                                  - 10 -
             adequately in the child’s environment, and the knowing failure to
             protect a child from such conduct;

      (C)    The commission of any act towards the child prohibited by § 39-13-
             309, §§ 39-13-502 -- 39-13-504, § 39-13-515, § 39-13-522, § 39-13-
             527, § 39-13-531, § 39-13-532, § 39-15-302, § 39-15-402, or § 39-
             17-1005 or the knowing failure to protect the child from the
             commission of any such act towards the child[.]

      In this case, the trial court specifically found:

             [The Child’s] statement[s] regarding his sexual abuse by [Mother]
      are trustworthy, based upon the findings of this court that his disclosures
      were spontaneous in nature, credible, and consistent. The disclosures that
      [the Child] made were detailed in nature; he demonstrated the sexual acts
      using the Barbie dolls not only at his forensic interview but also during his
      treatment with Helen Lyle-Joiner. [The Child] used sexually explicit
      language . . . which [is] not typical language for a four (4) year old child.
      [The Child] was also able to describe how the sexual acts felt, which
      distinguishes these acts from something [the Child] may have seen from
      something [the Child] actually experienced. [The Child’s] continued
      request to have others engage in sexual acts with him and his genuine
      disappointment when they refused also gives [the Child’s] disclosures even
      more credibility. It is clear to this court that [the Child] has been engaged
      in sexual behavior with [Mother].

             The court finds that the perpetrator of the sexual abuse of [the Child]
      was [Mother]. [The Child] made no disclosures that any other person other
      than [Mother] ever engaged in any type of sexual abuse. The court rejects
      [Mother’s] argument that [DCS] failed to consider other alternative theories
      behind [the Child’s] disclosures. [DCS] investigated the only person
      against which [the Child] ever made any disclosures which is reasonable
      considering the totality of the circumstances of this case.

(Paragraph numbering omitted.) Based on our thorough review of the evidence, we agree
with the trial court.

       As explained above, the Child made unprompted, consistent, detailed disclosures
of sexual abuse perpetrated by Mother both in his initial forensic interview and later
during multiple therapy sessions. Ms. Lyle-Joiner opined that the Child’s disclosures
were truthful because of their consistency, the graphic descriptions and language utilized
by the Child, and the Child’s failure to name any other perpetrator. Ms. Lyle-Joiner
further opined that the abuse had impaired the Child’s ability to function adequately in
                                          - 11 -
his environment and could lead to severe depression or psychosis. Her opinion is
supported by the testimony concerning the Child’s inability to maintain placement in
multiple foster homes due to his aggressive and sexually reactive behaviors. As such, the
evidence clearly and convincingly satisfies the requirement for a finding of severe child
abuse pursuant to Tennessee Code Annotated § 37-1-102(27)(B).

       In addition, Tennessee Code Annotated § 37-1-102(27)(C) defines “severe child
abuse” as including the commission of a criminal act toward a child pursuant to various
statutes, including Tennessee Code Annotated § 39-13-504. Tennessee Code Annotated
§ 39-13-504(a) (2018) defines “aggravated sexual battery” as “unlawful sexual contact
with a victim by the defendant or the defendant by a victim accompanied by any of the
following circumstances.” One such circumstance listed is “the victim is less than
thirteen (13) years of age.” See Tenn. Code Ann. § 39-13-504(a)(4). This statutory
requirement is satisfied by Mother’s conduct toward the Child, who was merely four
years of age at the time of the abuse.

        Mother argues that the evidence of sexual abuse was not clear and convincing,
reiterating many of her arguments previously discussed concerning the trial court’s denial
of her request to allow Dr. McCoy to interview the Child and the court’s reliance upon
Ms. Lyle-Joiner’s testimony, who Mother emphasizes was a treating therapist rather than
a forensic evaluator. Mother cites no authority for her contention that Dr. McCoy’s
expert opinion would carry more weight than that of Ms. Lyle-Joiner, an expert in the
treatment of sexual abuse victims and a witness the trial court explicitly found to be
credible. Ironically, Mother also seeks to discredit the testimony of Miranda McKeehan,
the forensic examiner who initially interviewed the Child, taking issue with the manner in
which she conducted the interview. We note, however, that the trial court also
determined Ms. McKeehan to be a credible witness and found that the recording of the
forensic interview “speaks for itself.”

      As this Court has previously explained concerning the clear and convincing
evidence standard:

      “Evidence satisfying the clear and convincing evidence standard establishes
      that the truth of the facts asserted is highly probable and eliminates any
      serious or substantial doubt about the correctness of the conclusions drawn
      from the evidence.” In re A.T.P., No. M2006-02697-COA-R3-CV, 2008
      WL 115538, at *4, 2008 Tenn. App. LEXIS 10, at *13-14 (Tenn. Ct. App.
      Jan. 10, 2008) (citing State v. Demarr, No. M2002-02603-COA-R3-JV,
      2003 WL 21946726, at *9, 2003 Tenn. App. LEXIS 569, at *26 (Tenn. Ct.
      App. Aug. 13, 2003); In re Valentine, 79 S.W.3d 539, 546 (Tenn. 2002)).
      The evidence should produce a firm belief or conviction as to the truth of
      the allegations sought to be established. In re A.T.P., 2008 WL 115538, at
      *4, 2008 Tenn. App. LEXIS 10, at *14 (citing In re A.D.A., 84 S.W.3d 592,
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      596 (Tenn. Ct. App. 2002); Ray v. Ray, 83 S.W.3d 726, 733 (Tenn. Ct.
      App. 2001)). “In contrast to the preponderance of the evidence standard,
      clear and convincing evidence should demonstrate that the truth of the facts
      asserted is ‘highly probable’ as opposed to merely ‘more probable’ than
      not.” In re M.A.R., 183 S.W.3d 652, 660 (Tenn. Ct. App. 2005) (quoting In
      re C.W.W., 37 S.W.3d 467, 474 (Tenn. Ct. App. 2000)). See also In re
      Samaria S., 347 S.W.3d [188,] 200 [(Tenn. Ct. App. 2011)]. The appellate
      court applies the clear and convincing evidence standard as follows:

             Under this standard of proof, the appellate court must
             “distinguish between the specific facts found by the trial court
             and the combined weight of those facts.” In re Tiffany B.,
             228 S.W.3d 148, 156 (Tenn. Ct. App. 2007). The facts as
             found by the trial court are reviewed de novo on the record,
             presuming those findings to be correct unless the evidence
             preponderates otherwise. Cornelius [v. DCS], 314 S.W.3d
             [902,] 906-07 [(Tenn. Ct. App. 2009)]. Findings of fact based
             on witness credibility are given great deference and will not
             be disturbed absent clear evidence to the contrary. Id.
             Whether the combined weight of the facts, either as found by
             the trial court or supported by a preponderance of the
             evidence, establish clearly and convincingly that the parent
             committed severe child abuse is a question of law, subject to
             de novo review with no presumption of correctness. Id.

      In re Samaria S., 347 S.W.3d at 200.

In re S.J., 387 S.W.3d at 587-88.

       Based upon our review of the evidence in this matter, we conclude that the
combined weight of the facts, as found by the trial court and as supported by a
preponderance of the evidence, establish clearly and convincingly that Mother committed
severe child abuse by sexually abusing the Child. Due to the Child’s age at the time and
the consistency and spontaneity of his disclosures of abuse, coupled with his obvious
knowledge of terms and feelings associated with sexual acts and body parts and his
unwavering identification of Mother as the perpetrator, we conclude that the evidence
establishes that the truth of the facts asserted is highly probable and eliminates any
serious or substantial doubt about the correctness of the conclusions drawn. See id. We
therefore affirm the trial court’s determination that Mother perpetrated severe child abuse
upon the Child in accordance with the definitions contained within Tennessee Code
Annotated § 37-1-102(27)(B) and (C).

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       Furthermore, based on the evidence that DCS had before it concerning the Child’s
disclosures, we find no fault with DCS’s alleged “failure” to explore alternative
explanations for the Child’s behavior. The Child disclosed only Mother as the
perpetrator of his abuse. As such, DCS was under no duty to look to other individuals in
an attempt to absolve Mother, and Mother has provided no authority for such proposition.
We find Mother’s issue in this regard to be without merit.

                                 VII. No-Contact Order

       Finally, Mother asserts that the Child’s best interest will not be served by
continuation of the no-contact order concerning Mother. In its final order, the trial court
ordered that Mother would have no contact with the Child “until recommended by the
child’s therapist.” We conclude that the trial court’s order was proper considering the
severe child abuse determination.

       As this Court has previously explained, “pursuant to Tennessee Code Annotated
section 37-1-130, where a child is found to be dependent and neglected, the trial court
may make any one of several dispositions of the child ‘best suited to the protection and
physical, mental and moral welfare of the child.’” In re Tamera W., 515 S.W.3d 860,
876 (Tenn. Ct. App. 2016) (quoting Tenn. Code Ann. § 37-1-130(a)). The trial court also
has the authority to grant injunctive relief “upon such terms as the court may deem
proper” whether at the commencement of the matter, “during the pendency of the
matter,” or “as part of its dispositional order.” See Tenn. Code Ann. § 37-1-152 (Supp.
2020). We find no error in the trial court’s decision to restrict the Child’s contact with
Mother, who perpetrated severe child abuse upon the Child, until the Child’s therapist
recommends otherwise. This issue is also without merit.

                                    VIII. Conclusion

       For the foregoing reasons, we affirm the trial court’s judgment. This case is
remanded to the trial court for enforcement of the judgment and collection of costs
assessed below. Costs on appeal are taxed to the appellant, Barresha T.

                                                   s/ Thomas R. Frierson, II
                                                   _________________________________
                                                   THOMAS R. FRIERSON, II, JUDGE

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