in the Interest of A. S. v. Department of Family and Protective Services

Court of Appeals of Texas·Decided July 31, 2014·No. 01-14-00113-CV·Published

Opinion

Opinion issued July 31, 2014

In The

Court of Appeals

For The

First District of Texas

predicate act required for termination and that termination was in her daughter’s best interest.

We affirm.

Background

When A.S. was born on January 4, 2013, both she and her mother tested positive for opiates and barbiturates. The hospital notified the Department of Family and Protective Services, which was already acquainted with the mother by reason of its involvement in cases involving her older children who were not living with her the time A.S. was born. The Department took the newborn A.S. into foster care. An affidavit sworn by a caseworker for the Department and filed in support of removal stated that the mother had taken hydrocodone, a narcotic pain medication, during pregnancy against medical advice. The caseworker attested that she was informed by an assistant to the mother’s primary care physician, Dr. Tanveer Syed, that the mother had called the office to request a hydrocodone refill, but the doctor refused to call in the prescription based upon the belief that the mother was pregnant. The staffer also communicated that hydrocodone is “absolutely not to be taken” during pregnancy, and that Dr. Syed “had great concerns” that the mother “had a problem with pain medication.”

The affidavit also explained the mother’s prior history with the Department involving her older children. This included physical abuse to a daughter, who was

injured as an infant when the mother had an argument with that child’s father. The affidavit stated that parental rights were terminated with respect to that child, who was adopted. Another incident involved sexual abuse to another daughter perpetrated by the mother’s then-boyfriend. The affidavit stated that the mother was “not willing to protect the children and not have [the boyfriend] around the children and continues to allow him to live in the home.” As a result of that incident, the mother relinquished her parental rights to six of her children, who were placed with a family member. Finally the affidavit stated that the mother’s rights were terminated as to another baby for neglectful supervision based on allowing the father of that child to care for her, despite his history of sexually abusing another child.

At a show-cause hearing, the caseworker testified that A.S. was the mother’s tenth child and she had voluntarily relinquished her parental rights to three of those children. In addition, both the mother and the baby tested positive for hydrocodone when A.S. was born. The mother told the caseworker that she had a prescription and showed her an empty bottle, but the doctor’s assistant told the caseworker that the mother’s hydrocodone prescription was “not valid.”

The evidence at the show-cause hearing focused on whether the mother had a valid prescription for hydrocodone and whether she had lied to her doctor about terminating her pregnancy in order to obtain the medication. Dr. Syed testified that

she initially prescribed hydrocodone to the mother as a pain reliever for a tooth abscess. Medical records admitted at the show-cause hearing showed that the mother had a positive pregnancy test several months earlier, but she had informed the doctor that she intended to terminate the pregnancy. The records also showed that, contemporaneous with the initial hydrocodone prescription, she informed the doctor that she was not pregnant and was using birth control pills. Dr. Syed testified that the mother did not appear pregnant at the time when she was seen for the tooth abscess. The doctor also testified that the mother informed her that she had terminated the recent pregnancy.

Dr. Syed said she would “probably not” have prescribed hydrocodone to the mother if she had known she was still pregnant, testifying that hydrocodone is “a category three substance where no ill effects are known of the hydrocodone but there are category B drugs . . . like Tylenol or ibuprofen” that could have been given. When questioned by the court, Dr. Syed agreed that the mother lied about the abortion to obtain hydrocodone.

The mother also testified at the show-cause hearing. She denied lying to Dr.

Syed about being pregnant or having had an abortion, saying that her pregnancy was visible by that time. The mother also denied specifically asking Dr. Syed to prescribe hydrocodone, testifying that she simply told the doctor that she was in pain and needed antibiotics for an infection. The mother saw Dr. Syed twice in

September 2012, just over two weeks apart, and Dr. Syed gave her two prescriptions, each for 40 pills of hydrocodone. The mother testified that she used a total of 58 pills over a six-week period, “as needed for pain.” She stated that the doctor did not advise her that hydrocodone could harm an unborn child.

The mother also admitted taking phenobarbital and Tegretol during her pregnancy, both prescribed by Dr. Syed, to prevent seizures from which she had suffered since childhood. She did not know of any side effects of phenobarbital and did not recall if the accompanying product literature advised the patient to seek medical advice with regard to use of the medication during pregnancy.

According to the mother, A.S. was “perfectly fine . . . perfectly healthy and normal,” and the hospital social worker believed that A.S. should have been allowed to leave the hospital with her. The mother testified that she was prepared to care for an infant—she had a car seat, a crib, clothes, diapers, and an apartment. The father of A.S. also testified at the show-cause hearing. He said that he lived with the mother, worked as an auto mechanic, supported the mother, and would be able to help care for the baby if she were returned home.

The trial court and the attorney ad litem discussed the mother’s credibility, specifically noting that she testified that she would never give up a baby despite having previously relinquished her parental rights to several other children. The court named the Department as temporary managing conservator.

The Department created a family service plan which required the mother to take numerous actions including therapy, drug testing, parenting classes, attending hearings and meetings, maintaining housing, remaining drug-free, demonstrating financial responsibility, visiting her child, and completing 90 days of inpatient drug treatment. The plan made clear that her ability to visit with A.S. depended on her participation in services. The mother refused to sign the family service plan or participate in most services, and in March 2013, the trial court approved the family service plan and incorporated it into a status hearing order “as if set out verbatim.” The court ordered the mother “to timely comply with each and every task of that family service plan.” The status hearing order also stated:

THIS COURT ADVISES THAT THE FAMILY SERVICE PLANS, APPROVED AND INCORPORATED BY THIS ORDER AS SET FORTH ABOVE, SPECIFICALLY ESTABLISH THE ACTIONS NECESSARY FOR THE PARENTS TO OBTAIN RETURN OF THE CHILD WHO IS IN THE TEMPORARY MANAGING CONSERVATORSHIP OF THE DEPARTMENT, AND THIS COURT FURTHER ADVISES THE PARENTS THAT FAILURE TO FULL[Y] COMPLY MAY RESULT IN THE RESTRICTION OR TERMINATION OF HIS OR HER PARENTAL RIGHTS.

Although the mother refused to complete most of the services included in the family service plan, she did submit to drug testing in January, March, and July 2013. The January hair follicle test was positive for phenobarbital and hydrocodone; the March test was positive for barbiturates, codeine, hydrocodone,

and morphine; and the July test was positive for barbiturates and benzodiazepines (oxazepam, nordiazepam, and temazepam).

Meanwhile, A.S. thrived in foster care and became bonded to her foster family. The Department maintained a primary goal of unrelated adoption and a concurrent goal of relative adoption.

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