Adoption of I.A.I.R., Appeal of: N.R.

Superior Court of Pennsylvania·Decided January 23, 2019·No. 2104 EDA 2018·Unpublished

Opinion

NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT I.O.P. 65.37

IN RE: ADOPTION OF I.A.I.R. : IN THE SUPERIOR COURT OF : PENNSYLVANIA

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APPEAL OF: N.R., MOTHER :

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: No. 2104 EDA 2018

Appeal from the Order Entered June 21, 2018 In the Court of Common Pleas of Montgomery County Orphans' Court at No(s): No. 2016-A0181

BEFORE: OTT, J., DUBOW, J., and STEVENS*, P.J.E. MEMORANDUM BY DUBOW, J.: FILED JANUARY 23, 2019 Appellant, N.R. (“Mother”), appeals from the June 21, 2018 Order entered in the Montgomery County Orphans’ Court, which involuntarily terminated her parental rights to I.A.I.R. (“Child”). Mother’s counsel has filed an Anders Brief, together with an Application to Withdraw as Counsel.1 After careful review, we affirm the June 21, 2018 Order and grant counsel’s Application to Withdraw.

The relevant factual and procedural history is as follows. Child was born in February of 2016. On or around March 22, 2016, Montgomery County Office of Children and Youth (“OCY”) and the Norristown Police Department (“Police”) received a report that Child was born as a result of incest and had not received any pre-natal or post-natal medical care. OCY and Police went to the home

1 See Anders v. California, 386 U.S. 738 (1967).

* Former Justice specially assigned to the Superior Court.

of then-48-year-old H.R (“Father”) and his daughter, then-21-year-old Mother, where Father admitted to Police that he was the biological father to both Mother and Child. Mother told Police that she was Child’s biological mother and confirmed that Father was the biological father. Mother told OCY that Jesus had instructed her to engage in a sexual relationship with Father, which started when Mother was 20 years old. Mother and Father also told OCY that Child was born at home without medical care and that Jesus did not want Child to receive medical care. Police subsequently arrested Father and OCY obtained an Order for Emergency Custody.

On April 5, 2016, the trial court adjudicated Child dependent and placed Child in foster care after hearing evidence that Father was incarcerated, charged with Incest, and that OCY had concerns about Mother’s mental health and the safety of Child. Moreover, OCY presented evidence that Mother was unwilling to cooperate with OCY, was unwilling to accept services and baby supplies from OCY, and was unwilling to obtain medical care for Child.

On November 14, 2016, OCY filed a Petition to Terminate Mother’s Parental Rights. The trial court held hearings on March 1, 2017, and June 21, 2018.2

2 Father entered a guilty plea to Incest on September 9, 2016, but the court did not sentence him until April 17, 2018. The trial court continued the termination hearing until after the criminal court entered Father’s Judgment of Sentence.

Relevant to this appeal, OCY presented testimony from Stephen Miksic, Ph.D., who completed a Forensic Psychological Parenting Evaluation of Mother on August 19, 2016. Dr. Miksic diagnosed Mother with Schizophrenia and Delusional Disorder. N.T. TPR Hearing, 3/1/17, at 40. He testified that Mother experiences hallucinations and delusions of the Lord talking to her, seeing the Lord, and having special knowledge from the Lord of what the future would hold for Mother. Id. at 37-38. Dr. Miksic clarified that Mother’s religious ideations were not simply religious beliefs, but rather a mental health disorder because “[w]hen [the beliefs] begin to impact the safety and welfare of that person or others around them, then [the beliefs] become a psychiatric disorder in need of treatment.” Id. at 44.

Dr. Miksic explained how Mother’s mental health diagnoses would affect her ability to parent, stating: “[t]he beliefs that she expressed and the thoughts of evil spirits that could intrude, her constantly relying on the Lord to provide, interfered with her ability to plan or anticipate consequences for herself or a child, caused her to be very passive, and definitely posed a problem for her to act in a protected capacity for her child.” Id. at 40-41.

Dr. Miksic recommended that Mother participate in a psychiatric consultation, individual counseling, and parenting education. He concluded to a reasonable degree of psychological certainty that if Mother did not engage in mental health treatment, her prognosis for having the capacity to parent Child would be poor. Id. at 42. Specifically, Dr. Miksic testified:

[Mother has] very persistent beliefs, even when not necessarily experiencing auditory or visual hallucinations, that those experiences, the evil spirits, were definitely real; that she had encountered them; that she needed to be ready for them; and that the Lord would tell her what to do on a daily basis so she wouldn’t need to plan ahead suggest[s] that without treatment the prognosis for her improving independent skills or parenting capacity would be very poor.”

Id. Finally, Dr. Miksic testified that he had concerns about Mother’s ability to demonstrate emotional attachment to Child. Id. at 52-53.

OCY also presented testimony from the OCY caseworker, Monica Monaghan. Ms. Monaghan testified that Mother’s Family Service Plan Objectives included: (1) address mental health needs with an evaluation and follow through with all recommendations; (2) prove financial stability; (3) show an understanding of age appropriate behaviors; (4) successfully engage in and complete a parenting program; (5) have safe and stable housing; (6) understand and use responsible sexual behaviors; (6) work with and meet with Time Limited Family Reunification (“TLFR”) worker; and (7) write a home and care plan if Child were to return home. Id. at 81.

Ms. Monaghan testified that Mother participated in two psychiatric evaluations, which both recommended follow-up treatment and therapy, but Mother failed to engage in any ongoing mental health treatment. Id. at 80. Ms. Monaghan testified to a specific incident on September 28, 2016, when she met with Mother to discuss treatment recommendations. Id. at 83. Mother stated that she did not need treatment because Jesus talks to her and became extremely agitated and angry. Id. Mother refused to leave the office

and Ms. Monaghan had to call the Adult Mobile Crisis team to assist, who eventually convinced Mother to leave after several hours. Id.

Ms. Monaghan testified that Mother began to work on a home and care plan, but never finished it; Mother was discharged from TLFR services because she was not meeting any goals; Mother failed to obtain employment and did not have her own home; and although Mother participated in a parenting program, Mother did not demonstrate any improvement in parenting skills. Id. at 84-86.

Ms. Monaghan explained to the trial court that Mother consistently attended visitation but Ms. Monaghan had concerns about her parenting ability during the visits. Specifically, Ms. Monaghan testified that Mother had a hard time deviating from a schedule; she would refuse to feed or change Child as needed if it deviated from the schedule. Id. at 89-90. Ms. Monaghan expressed concern about Mother’s ability to care for Child independently and testified that Mother would not respond to Child’s needs during the visits. Id. at 90.

With respect to a bond between Mother and Child, Ms. Monaghan testified that she observed “minimal bond” between Mother and Child. She stated that Child was familiar with Mother, but not bonded to Mother and observed that their relationship did not improve over time. Id. at 90-91. Ms. Monaghan explained that Child was “[v]ery bonded” to his foster parents and his needs were being met. Id. at 92-93. Ms. Monaghan stated that it was in

Child’s best interest to be adopted and Child would not suffer harm if the trial court terminated Mother’s parental rights. Id. at 93-94.

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