FILED NOVEMBER 1, 2016 In the Office of the Clerk of Court WA State Court of Appeals, Division III
IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON DIVISION THREE
In the Matter of the Parental Rights to ) No. 33774-0-III ) K.S.F.t ) ) UNPUBLISHED OPINION ) )
LAWRENCE-BERREY, A.CJ. -Kevin F. appeals from the trial court's order
terminating his parental rights to his son, K.S.F. He argues the trial court erred in finding
that all necessary services had been offered or provided because the Department of Social
and Health Services (DSHS) failed to provide bonding and attachment therapy. Mr. F.
also argues that because DSHS did not offer proper services, the trial court prematurely
found that he was unfit, that little likelihood existed that conditions would be remedied so
K.S.F. could be returned to him in the near future, and that termination was in K.S.F.'s
best interests. We affirm the termination order.
t To protect the minor's identity, we use initials for the child's name, and an initial for the father's last name. No. 33774-0-III Parental Rights to K.S.F.
FACTS
Mr. F. is the father of K. S.F ., who was born in August 2007. 1 Mr. F. has cerebral
palsy. Throughout 2007 and 2008, DSHS received multiple referrals questioning Mr.
F.'s ability to care for K.S.F. The referrals alleged Mr. F. had asked the referent to feed,
bathe, and change K.S.F. In May 2008, DSHS received a referral alleging that K.S.F.
was crawling around on the floor with dog and cat urine and also had not eaten in 24
hours, except for some applesauce.
In light of these referrals, DSHS provided family preservation services (FPS). The
FPS provider determined Mr. F. and the mother were not capable of parenting and that
K.S.F. was unsafe in the home. DSHS then filed a dependency petition and placed K.S.F.
in foster care.
Following a contested fact finding hearing, the trial court found K.S.F. dependent.
DSHS recommended the following services for Mr. F.: parenting education, a nursing
child assessment satellite training (NCAST) assessment, applying for therapy and
assistance equipment with a disability aid agency, participating in an occupational
physical capacity evaluation, meeting with Developmental Disabilities Administration
caseworkers and complying with their recommendations, and participating in individual
counseling with a parenting component. DSHS also requested a psychological
1 K.S.F.'s mother is M.C. The trial court terminated M.C.'s parental rights before the trial in this case, and M.C. is not a party to this appeal.
2 No. 33774-0-III Parental Rights to K.S.F.
evaluation. DSHS determined these were the appropriate services to address Mr. F.'s
identified parental deficiencies. The trial court ordered Mr. F. to complete these services.
In October 2008, Dr. Roland Dougherty, a clinical psychologist, performed a
psychological evaluation on Mr. F. DSHS also referred Mr. F. and K.S.F. for a bonding
and attachment assessment with Jennifer Obeid-Campbell, a bonding and attachment
therapist. DSHS also contacted Nancy Riggle, a parenting instructor, to review Mr. F.'s
and K.S.F.'s files and recommend other supports and services.
At subsequent review hearings, the trial court also ordered Mr. F. to: (1) comply
with all bonding and attachment recommendations, (2) participate in parenting coaching
with Michelle Leifheit, (3) meet with DSHS caseworkers and other care providers to
discuss accommodations that would assist him in caring for K.S.F., (4) participate in
videotaped intensive interactive parenting, and (5) complete an updated parenting
education program addressing K.S.F.'s developmental needs. Mr. F. also participated in
nine months of parenting instruction with Aracelia Sanchez.
The dependency lasted six years. At review hearings, the trial court consistently
found that Mr. F. was in partial compliance with the court's prior orders but had not made
progress toward correcting the problems that necessitated K.S.F.'s placement in foster
care. Mr. F. participated in services and occasionally made some progress, but was
generally unsuccessful in improving his parental deficiencies. Although Mr. F. said he
understood the service providers' instructions, he was unable to demonstrate those
parenting skills or put what he had learned into practice. He did not complete his
3 No. 33774-0-III Parental Rights to K.S.F.
parenting education assignments consistently, did not utilize the recommended adaptive
equipment, and failed to eliminate safety hazards in his apartment. He refused individual
counseling throughout the dependency because he did not believe he needed it. For the
last year of the dependency, Mr. F. stopped engaging in services altogether.
DSHS filed the termination petition in December 2013. The termination trial
began July 30, 2014. At trial, DSHS called the four social workers who had worked on
the case-Cloreese Wilkinson-Rivera, Timothy Barbour, Brenna Blanscett, and Kathy
Lund. DSHS also called Ms. Leifheit, Deborah Cox (a physical therapist), Rachel
Ockleston-Catt (an occupational therapist), Dr. Dougherty, Ms. Obeid-Campbell, Ms.
Riggle, Ms. Sanchez, and both guardian ad litems (GALs) who had w~rked on the case-
Tara Symons and John Fredrick.
Ms. Sanchez testified that she saw some bonding between Mr. F. and K.S.F., but
that their bond was just building. She testified this was one of the reasons she
recommended increasing the length of visitations. She also testified that, to her
knowledge, there were no other services Mr. F. needed that DSHS had not offered or
provided.
Ms. Leifheit testified that Mr. F. was not emotionally responsive to K.S.F ., and
that the two lacked a connection. She stated Mr. F. had a flat affect with K.S.F., had
difficulty communicating with him, and was awkward with him. She also testified DSHS
"made reasonable efforts in their referrals and services that they provided to Mr. [F.]."
Report of Proceedings (RP) at 123.
4 No. 33774-0-111 Parental Rights to KS.F.
Dr. Dougherty testified that he administered the Millon Clinical Multiaxial
Inventory (MCMI-3), which is a standardized test designed to detect personality
disorders. Dr. Dougherty testified Mr. F.'s scores on this test suggested the possible
presence of a narcissistic personality disorder with negativistic, paranoid, and depressive
features, which are difficult to treat. He testified he was reluctant to simply diagnose a
personality disorder because Mr. F. has cerebral palsy, which entails various emotional,
psychological, and social challenges. However, he believed these traits affected Mr. F.'s
functioning and should be considered in treatment.
Pertaining to treatment, Dr. Dougherty recommended that Mr. F. engage in
psychotherapy/counseling. He noted that Mr. F. was raised in an orphanage and had
early problems with bonding and attachment. Dr. Dougherty believed Mr. F. 's
relationship problems with K.S.F.'s mother and Mr. F.'s attachment problems with
K.S.F. were related to his own bonding and attachment problems, and that counseling
could address these. Dr. Dougherty believed counseling could address Mr. F.'s negative
personality characteristics and provide extra support in reuniting him with K.S.F. Dr.
Dougherty also recommended continued parenting training for Mr. F. When asked if
there were other services that could be offered to Mr. F., Dr. Dougherty testified that
support groups may be helpful, although he questioned whether Mr. F. would use them
effectively.
Finally, DSHS asked Dr. Dougherty what effect it has on a child to be in long-
term foster care without being physically and legally identified in a permanent home. Dr.
5 No. 33774-0-111 Parental Rights to K.S.F.
Dougherty responded that it is best for children to be in stable relationships with parents
they feel bonded and attached to, and children are more likely to become securely bonded
the sooner they have a permanent home.
Ms. Obeid-Campbell described the results of the bonding and attachment
assessment. Ms. Obeid-Campbell testified that K.S.F.'s attachment to Mr. F. was "non-
indicative of a secure attachment." RP at 203. She testified that the parenting dynamic
was very unstructured, but that this was more illustrative of Mr. F.' s deficits than K. S .F.' s
attachment to Mr. F. Ms. Obeid-Campbell believed it would be very difficult for Mr. F.
to foster K.S.F.'s secure attachment development, as he did not provide K.S.F. with the
necessary consistency, structure, and follow-through. Ms. Obeid-Campbell also noted
Mr. F. had good empathy and nurturing ability.
Mr. Barbour testified that DSHS individualized this case and assessed Mr. F.'s
specific needs. He testified he reviewed the reports and assessments from Mr. F. 's
various providers and relied on this information in formulating his opinions and
recommendations. Mr. Barbour reviewed Ms. Obeid-Campbell's bonding assessment
and determined that Mr. F. had real strengths, such as his ability to empathize and
nurture, but he also had limitations, which included providing structure, organizing, and
preparing to carry out parenting tasks. Mr. Barbour's main impression from the bonding
assessment was a concern about Mr. F. 's general lack of parenting skills.
6 No. 33774-0-111 Parental Rights to K.S.F.
Mr. Barbour described Mr. F. and K.S.F.'s relationship as generally positive, but
indifferent. He did not believe there was a strong attachment between Mr. F. and K.S.F.
and believed that K.S.F. needed this.
Ms. Blanscett testified that she reviewed all of the assessments, reports, and
evaluations from all the various providers and took these into account when making her
recommendations. She stated the services DSHS offered would have assisted in
correcting Mr. F. 's parental deficiencies if he would have participated or demonstrated
progress. She further testified that there were no other services that would have helped
during the period of time she had the case.
DSHS asked Ms. Riggle for her opinion on the services DSHS had offered or
provided and whether she had any further recommendations. Ms. Riggle testified that
"[t]he services that had been provided were excellent." RP at 289. She later added that
Mr. F. could have benefitted from supported living services or a residential program, but
aside from these, she did not believe DSHS could have offered or provided any other
services that would have helped Mr. F. parent K.S.F.
Ms. Symons, who was the assigned GAL from 2008 to 2014, testified that
[t ]here has certainly been attachment issues the entire time and that was very evident since [K.S.F.] was a toddler. He was very resistant to his dad. That bond and attachment was clearly not there .
. . . The bond just wasn't really there and that was always a concern to me for [K.S.F.].
7 No. 33774-0-III Parental Rights to K.S.F.
RP at 309. Ms. Symons testified that a child with a secure attachment to a
caregiver depends on that caregiver to meet his or her needs, and she never saw
K.S.F. go to Mr. F. when he needed something. She testified that K.S.F. "was
aggressive with his dad. He would run away. He would push him away. He
wouldn't go to him for any kind of comfort." RP at 315. When asked if the
services DSHS offered or provided were the appropriate services to address Mr.
F.'s parental deficiencies, Ms. Symons agreed that they were.
Mr. Fredrick, who was the assigned GAL from January 2014 until the termination
trial, testified there was no parental bond between Mr. F. and K.S.F. He stated the two
did not connect, talk to each other, or look at each other. Instead, K.S.F. would ignore
Mr. F. He also testified, based on his review of all the records and the documents in the
case, the services DSHS provided were the appropriate services to correct Mr. F.'s
parental deficiencies.
Ms. Lund, the last social worker on the case, also testified that the services the
court ordered were those necessary to correct Mr. F.'s deficiencies.
Following presentation of the evidence and closing arguments, the trial court
granted DSHS's petition to terminate Mr. F.'s parental rights to K.S.F. In ordering
termination, the trial court found DSHS had established each of the six elements
contained in RCW 13.34.180(1) by clear, cogent, and convincing evidence. The trial
court found that DSHS had offered or provided Mr. F. all necessary services, reasonably
available, capable of correcting his parental deficiencies within the foreseeable future.
8 No. 33774-0-III Parental Rights to K.S.F.
The trial court also found that there was little likelihood that conditions could be
remedied so K.S.F. could be returned to Mr. F. in the near future. In making this finding,
the trial court found that there was not a secure bond or attachment between Mr. F. and
K.S.F., and that a secure bond would be very difficult for them to develop. The trial
court also found that Mr. F. was unfit to parent, and that termination of Mr. F.'s parental
rights was in K.S.F.'s best interests.
Mr. F. appeals.
ANALYSIS
Parents have fundamental liberty and privacy interests in the care and custody of
their children. In re Welfare of S.J, 162 Wn. App. 873, 880, 256 P.3d 470 (2011). Thus,
a court may terminate parental rights "' only for the most powerful [of] reasons.'" Id.
(alteration in original) (internal quotation marks omitted) (quoting In re Welfare ofA.J.R.,
78 Wn. App. 222, 229, 896 P.2d 1298 (1995)).
Washington courts use a two-step process when deciding whether to terminate
parental rights. Id. First, DSHS must show that the statutory requirements in RCW
13.34.180(1) are established by clear, cogent, and convincing evidence. S.J., 162 Wn.
App. at 880. Second, DSHS must show.that termination is in the best interests of the
child by a preponderance of the evidence. Id. Only if the first step is satisfied may the
court reach the second step. Id.
Under the first element, the statutory requirements that DSHS must allege and
prove by clear, cogent, and convincing evidence are outlined in RCW 13.34.180(1):
9 No. 33774-0-III Parental Rights to K.S.F.
(a) That the child has been found to be a dependent child; (b) That the court has entered a dispositional order pursuant to RCW 13.34.130; (c) That the child has been removed ... from the custody of the parent for a period of at least six months pursuant to a finding of dependency; (d) That the services ordered under RCW 13.34.136 have been expressly and understandably offered or provided and all necessary services, reasonably available, capable of correcting the parental deficiencies within the foreseeable future have been expressly and understandably offered or provided; (e) That there is little likelihood that conditions will be remedied so that the child can be returned to the parent in the near future ....
(f) That continuation of the parent and child relationship clearly diminishes the child's prospects for early integration into a stable and permanent home ....
Mr. F. challenges the trial court's finding regarding subsection (d) and argues the
trial court's finding regarding subsection (e) was premature. This court's review is
limited to determining if substantial evidence supports the trial court's findings of fact.
S.J, 162 Wn. App.at 881. "Evidence is substantial if it is sufficient to persuade a fair-
minded person of the truth of the declared premise." Id. Because the trial court has the
opportunity to hear the testimony and observe the witnesses, its factual findings are
entitled to great deference. Id. This court does not make credibility determinations or
weigh evidence on review. Id.
A. NECESSARY SERVICES
Mr. F. argues that substantial evidence does not support the trial court's finding
that DSHS offered or provided all necessary services. Specifically, Mr. F. argues that
10 No. 33774-0-III Parental Rights to K.S.F.
DSHS failed to offer bonding and attachment therapy. He argues that Dr. Dougherty
recommended this service, and also cites testimony from the social workers, various
providers, and GALs describing how he and K.S.F. lacked a secure attachment.
To satisfy its statutory b~rden under RCW 13 .34.180(1 )( d), DSHS is required to
offer or provide "all necessary services, reasonably available, capable of correcting the
parental deficiencies within the foreseeable future." When a condition prevents a parent
and child from reunifying, DSHS must provide any necessary services to address that
condition, regardless of whether it can be labeled a "parental deficiency." In re Parental
Rights to K.MM, _ Wn.2d _, 379 P.3d 75, 83 (2016). Thus, a service is "necessary"
within the meaning of the statute if it is needed to address a condition that precludes
reunification of the parent and child. Id. DSHS must also tailor the services it offers to
meet each individual parent's needs. S.J, 162 Wn. App. at 881.
Mr. F. relies on S.J. In S.J, the mother rectified the unsanitary living conditions
and substance abuse issues that led to the dependency, and she and the child then began
participating in therapeutic visitation. Id. at 876-77. During visits, the child became
increasingly resistant, controlling, and aggressive toward the mother. Id. at 877. The
mother "faithfully kept the scheduled visitations and had applied parenting suggestions"
but met increasing resistance from the child. Id. The mother suspected her child had
detached from her, so she requested attachment therapy from her FPS therapist. Id. The
social worker identified bonding and attachment as a major issue between the mother and
child. Id. at 878. However, he did not refer them for bonding and attachment therapy
11 No. 33774-0-III Parental Rights to K.SF.
because he incorrectly believed they were already getting similar services from the parent
educator, the mother did not complain about those services, and he did not want to
burden the mother with additional services. Id. The trial court terminated the mother's
parental rights, finding that despite her engagement in services she nevertheless failed to
repair her relationship with the child. Id. at 879.
The SJ court reversed, holding that DSHS had not provided all necessary
services. Id. at 884. The court reasoned that DSHS had identified attachment and
bonding as a "major issue," but then failed to provide attachment and bonding services.
Id. at 883. The SJ court further reasoned that the mother applied the suggested
parenting skills and that it was DSHS's responsibility to try to reduce the child's
controlling and aggressive behavior related to his detachment-not the mother's
responsibility. Id.
Another instructive case is In re Parental Rights to K.JB., 188 Wn. App. 263,354
P.3d 879 (2015), review granted, 184 Wn.2d 1033, 366 P.3d 932 (2016). In that case, the
trial court found the child dependent and then ordered the father to complete drug and
alcohol evaluation and treatment, urinalysis testing, and parenting assessment and
instruction. Id. at 267. The father never remedied his substance abuse issues, and the
trial court terminated his parental rights. Id. at 267, 272.
On appeal, the father, relying on S.J, argued that counseling and a mental health
assessment were necessary services for correcting his identified parenting deficiency of
substance abuse, and DSHS should have therefore offered them. Id. at 279. This court
12 No. 33774-0-III Parental Rights to K.S.F.
distinguished S.J, reasoning that the trial court never ordered a mental health assessment
or mental health counseling, and none of the social workers involved in the case testified
that the father had a mental health issue that required evaluation or services. Id. at 280.
In this case, the trial court found that Mr. F. and K.S.F. did not have a strong bond
or attachment. The parties do not dispute this finding. Thus, in determining whether
bonding and attachment therapy was a necessary service under RCW 13.34.180(l)(d), the
central question is whether this lack of bonding and attachment prevented Mr. F. and
K.S.F. from reunifying. If it did, it was a necessary service.
There was no evidence at trial that bonding and attachment therapy was needed to
address any condition that precluded Mr. F. and K.S.F. from reunifying. This case is
therefore unlike S.J because in that case the mother had remedied her other parental
deficiencies and the main condition preventing her and the child from reunifying was her
inability to rectify her relationship with the child. S.J, 162 Wn. App. at 878. In contrast,
the conditions here that precluded Mr. F. and K.S.F. from reunifying were Mr. F.'s
"failure to participate in recommended services, failure to demonstrate progress in
improving his parental deficiencies, and failure to make progress over the substantial
period of time of the dependency." Clerk's Papers (CP) at 105. Mr. F.'s deficiencies
included his "lack of parenting skills, mental health issues, and lack of motivation to
change." CP at 108. The implication is that if these deficiencies were corrected, Mr. F.
and K.S.F. would be able to bond and attach.
13 No. 33774-0-III Parental Rights to K.S.F
This case is more like K.JB., where the father argued on appeal that DSHS failed
to provide counseling and a mental health assessment, but none of the social workers
testified that the father actually needed those services. While it is true that Mr. F. and
K.S.F. did not have a strong bond or attachment, the record does not support Mr. F.'s
suggestion that this prevented the two from reunifying. 2 Accordingly, bonding and
attachment therapy was not a necessary service.
Contrary to Mr. F.'s argument, substantial evidence supports the trial court's
finding that DSHS offered or provided all necessary services. Mr. Barbour and Ms.
Blanscett both reviewed the assessments, reports, and evaluations from all the various
providers and relied on this information in formulating their opinions and
recommendations. Ms. Symons, Mr. Fredrick, and Ms. Lund all testified the services the
court ordered and DSHS provided were the appropriate services to correct Mr. F. 's
parental deficiencies. Ms. Sanchez, Ms. Blanscett, and Ms. Riggle all testified there were
no other services Mr. F. needed that DSHS had not offered or provided. 3
2 Our Supreme Court has recently issued decisions addressing the necessity of bonding and attachment services under RCW 13.34.180(l)(d). See, e.g., K.MM, 379 P.3d at 85-86 (affirming the termination order because bonding and attachment services would have been futile); In re Parental Rights to B.P., 186 Wn.2d 292, 376 P.3d 350, 365 (2016) (reversing the termination order because DSHS failed to offer or provide bonding or attachment services). These decisions are not applicable here, where there was no evidence that the lack of bonding and attachment was a condition preventing reunification. 3 Mr. F. asserts that "Dr. Dougherty recommended services to address attachment issues" between Mr. F. and K.S.F. Br. of Appellant at 31. The service Dr. Dougherty recommended was psychotherapy/counseling. Dr. Dougherty believed Mr. F. had bonding and attachment issues stemming from his childhood and believed counseling
14 No. 33774-0-III Parental Rights to K.S.F.
Substantial evidence supports the trial court's finding that DSHS offered or
provided all necessary, reasonably available services, and therefore proved
RCW 13 .34.180(1 )( d) by clear, cogent, and convincing evidence.
B. UNFITNESS, LITTLE LIKELIHOOD FOR REMEDYING PARENTAL DEFICIENCIES IN THE NEAR FUTURE, AND BEST INTERESTS
Mr. F. finally argues that because DSHS did not offer or provide bonding and
attachment therapy, the trial court prematurely found (1) he was unfit to parent, (2) there
was little likelihood his parental deficiencies would be remedied so K.S.F. could be
returned to him in the near future, and (3) termination was in K.S.F.'s best interests.
However, because we conclude that DSHS did in fact offer or provide all
necessary services, these three findings were not premature. Because Mr. F. does not
argue that these findings are unsupported by substantial evidence, but rather hinges his
argument on the assumption that he did not receive all necessary services, we need not
analyze each finding individually.
C. AXIS II "DIAGNOSIS"
Mr. F. assigns error to the following finding of fact:
could address these. Dr. Dougherty also recommended continued parenting training and suggested a support group, but never mentioned bonding and attachment therapy.
15 No. 33774-0-III Parental Rights to K.S.F.
The father was diagnosed in a psychological evaluation with Axis II personality characteristics of narcissistic, negativistic, paranoid, and depressive traits, which were born out by the father's actions and behaviors throughout the dependency. These traits are difficult to treat and require the motivation to change, which the father failed to show.
CP at 106 (Finding of Fact l.l 1(4)(q)). Mr. F. does not address this assignment of
error in the substantive portion of his brief. An appellant ordinarily waives an
assignment of error when he or she presents no argument in support of the
assigned error. See In re Welfare of L.NB.-L., 157 Wn. App. 215, 243-44, 237
PJd 944 (2010). But we exercise our discretion to address this finding so it does
not have consequences beyond this appeal.
Mr. F. is correct that substantial evidence does not support the finding that
he was diagnosed with these personality traits. Rather, Dr. Dougherty stated that
Mr. F.'s scores on the MCMI-3 "suggested the possible presence" of a personality
disorder, but that he was "reluctant to simply diagnose a personality disorder" due
to Mr. F.'s cerebral palsy. RP at 154, 159.
But this factual finding is irrelevant for purposes of the termination order.
The fact that Mr. F. was not diagnosed with these personality traits does not
impact the trial court's ultimate finding that DSHS proved RCW 13.34.lSO(l)(d)
by clear, cogent, and convincing evidence.
16 No. 33774-0-III Parental Rights to K.S.F.
Affirmed.
A majority of the panel has determined this opinion will not be printed in the
Washington Appellate Reports, but it will be filed for public record pursuant to
RCW 2.06.040.
j WE CONCUR:
~aW, ·~- Siddoway, J. ~.