In the Interest of E. D., Child v. Department of Family and Protective Services

Court of Appeals of Texas·Decided November 16, 2023·No. 01-23-00450-CV·Published

Opinion

Opinion issued November 16, 2023

In The

Court of Appeals

For The

First District of Texas

BACKGROUND

The child at issue was born on August 9, 2021, at an estimated gestational age of 40 weeks. The Texas Department of Family and Protective Services took him into its care shortly after his birth because both he and the mother tested positive for cocaine in the hospital. Later, the Department sought termination of the mother’s parental rights as to this child. The parties tried this parental-termination suit to the bench over the course of four nonconsecutive days: August 1, 2022; November 1, 2022; December 15, 2022; and February 16, 2023. Several witnesses testified.

Mae Sta Ana testified as the custodian of records for Memorial Hermann Southwest Hospital. Via this witness, the child’s ad litem introduced the child’s medical records into evidence. These records show that the child’s meconium—his first stool after birth—tested positive for cocaine. The records also show that the mother tested positive for cocaine contemporaneously in her urine, but she denied any history of drug abuse and denied having used cocaine in this specific instance.

Bruce Jeffries testified as the owner and custodian of records for National Screening Services. During his testimony, the parties introduced records relating to the mother’s drug tests.

Terri Holstead testified as the custodian of records for Texas Alcohol and Drug Testing Services. During her testimony, additional records relating to the mother’s drug tests were introduced.

Together, the records from these two companies show that the mother took multiple drug tests during this suit, a number of which were negative for illegal drugs. But she tested positive several times throughout the suit, including for:

● cocaine in her urine sample on October 26, 2021;

● cocaine in her urine sample on November 9, 2021;

● cocaine in her urine sample on February 2, 2022;

● cocaine in her hair sample on April 1, 2022;

● cocaine in her hair sample on April 6, 2022;

● cocaine in her hair sample on July 7, 2022;

● methamphetamine in her urine sample on November 28, 2022; and

● cocaine and methamphetamine in her hair sample on December 15, 2022.

Jeffries testified that hair follicle tests show drug use within the last ninety

days, whereas a urine test shows use within the last one to three days. Regarding the July 7, 2022 positive hair result, Jeffries opined that the result indicated more than a single use but not everyday use. Jeffries agreed that this result could be residual from prior cocaine use, and he also agreed that the mother tested negative for drug use later in July.

Jeffries was asked if substances can cause false positives. He unequivocally denied the possibility, stating that the technology being used “is at the highest level ever, so false positives are no longer in effect.” In particular, Jeffries denied that medications can produce a false positive result for a different drug. So, for example,

if a patient is taking the prescription drug Metformin, Jeffries opined that it cannot produce a false positive result for methamphetamine. But Jeffries conceded that if a prescription drug contains amphetamine, by way of illustration, the amphetamine will be detected by the test.

Regarding the mother’s positive test result for cocaine in her urine when the child was born, Jeffries stated it was impossible for this result to stem from earlier cocaine use when she was only five months pregnant (something the mother had claimed to be the case at one point in time). This would be true whether the positive drug test result was from her urine or from her hair.

Denise Bradley, a licensed professional counselor, testified about her counseling of the mother for substance abuse. Bradley started seeing the mother in December 2021 and stopped doing so in February 2022 because “her drug tests were all negative and she was doing very well.” Bradley began seeing the mother again in March 2022 “because she had a relapse.” Initially, the mother denied relapsing but then admitted using cocaine. Bradley stopped seeing the mother again in July 2022, having once again successfully counseled her for both parenting and substance abuse.

In July 2022, Bradley learned the Department was considering returning the child to the mother, and the Department asked Bradley her opinion. Bradley recommended family counseling. Bradley was going to conduct this family

counseling but ultimately did not do so because the mother relapsed once again. When Bradley discharged the mother from counseling in July, the mother took a drug test the same day. The test was positive for cocaine. Bradley was initially willing to counsel the mother again but decided against doing so because the mother denied using drugs despite the test result. In other words, Bradley declined to counsel the mother further because she was dishonest about her drug use. Without honesty, Bradley explained, it is impossible to help someone through counseling.

Bradley was asked whether she had concerns about the mother’s honesty during counseling. Bradley said that she did not most of the time. Bradley testified that the mother “seemed very sincere” but also “was very hard to read.” Bradley only thought the mother had lied about her drug use when “there was a positive drug test” that contradicted the mother as to her drug use.

Bradley testified that the mother spoke about her children—the child at issue as well as her older son who is not involved in this proceeding—during counseling. Bradley said the mother expressed love for her children. And the mother also made it clear that she wanted her children returned.

Bradley agreed that maintaining sobriety can be difficult and that a person who relapses can become sober again. But she testified that she has concerns about family reunification when a parent continues to test positive for drug use. Bradley opined that parental drug use puts children “at high risk” in that the mother could be

arrested, overdose, or be under the influence around the children. Bradley also stated that the children could get hold of the drugs and could be exposed to other people who are using illegal drugs.

When the mother testified, she acknowledged testing positive for cocaine while pregnant. She gave conflicting testimony as to how many times she used cocaine while pregnant, testifying once on one occasion and twice on another. In either case, the mother insisted that she did not know she was pregnant when she used cocaine. She also gave conflicting testimony as to how far along she was in her pregnancy when she used cocaine. Initially, she testified that she was about five months pregnant. Later, the mother claimed she did not know how far along she had been. Medical records contradict her first account; in a medical record, it states that the mother knew she was pregnant in January 2021, before the five-month mark.

The mother further acknowledged that she has a history of cocaine use. She testified that she first used cocaine sometime around 2012, after another of her sons died. Medical records state that the son in question died in 2011 at the age of three years old, having choked to death on a cherry pit. One of the mother’s sisters was supervising this child when this happened.

The mother acknowledged that she went to rehab in 2016.

The mother also admitted she was charged with possession of cocaine in 2018 but explained that the drugs belonged to her husband. She performed court-ordered services, and the possession charge was later dismissed.

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In the Interest of E. D., Child v. Department of Family and Protective Services, (Tex. Ct. App. 2023).

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