In the Term. of the Parent-Child Relationship of: A.C. (Minor Child) and M.K. (Mother) v. The Ind. Dept. of Child Services (mem. dec.)

Indiana Court of Appeals·Decided December 21, 2016·No. 82A01-1607-JT-1683·Published

Opinion

MEMORANDUM DECISION Pursuant to Ind. Appellate Rule 65(D), FILED this Memorandum Decision shall not be Dec 21 2016, 8:35 am regarded as precedent or cited before any CLERK

court except for the purpose of establishing Indiana Supreme Court Court of Appeals

the defense of res judicata, collateral and Tax Court

estoppel, or the law of the case.

ATTORNEY FOR APPELLANT ATTORNEYS FOR APPELLEE Matthew J. McGovern Gregory F. Zoeller Anderson, Indiana Attorney General of Indiana Robert J. Henke

Deputy Attorney General

David E. Corey

Deputy Attorney General

Indianapolis, Indiana

IN THE

COURT OF APPEALS OF INDIANA

In the Termination of the Parent- December 21, 2016 Child Relationship of: Court of Appeals Case No.

82A01-1607-JT-1683

A.C. (Minor Child) and Appeal from the Vanderburgh M.K. (Mother), Superior Court Appellant-Respondent, The Honorable Brett J. Niemeier, Judge

v.

The Honorable Renee Ferguson, Magistrate

The Indiana Department of Child Services, Trial Court Cause No.

82D01-1510-JT-1802

Appellee-Petitioner.

Court of Appeals of Indiana | Memorandum Decision 82A01-1607-JT-1683 | December 21, 2016 Page 1 of 12

Bailey, Judge.

Case Summary

[1] M.K. (“Mother”) appeals the termination of her parental rights to A.C.

(“Child”), upon the petition of the Vanderburgh County Department of Child Services (“the DCS”). We affirm.

Issue

[2] Mother presents a single issue for review: Whether the DCS established, by

clear and convincing evidence, the requisite statutory elements to support the termination decision.

Facts and Procedural History [3] A.C. was born to Mother in February of 2013.1 He was removed from

Mother’s care one day later and placed in foster care, due to events surrounding his older sibling, A.G. These events were discussed in In re A.G., 6 N.E.3d 952, 953-55 (Ind. Ct. App. 2014):

Just a few months after A.G.’s birth, A.G. began suffering cyanotic episodes, which caused his skin to turn blue, his eyes to roll back in his head, and his body to stiffen. Mother obtained medical treatment for A.G., and he was diagnosed with mild to

1 Father agreed to the termination of his parental rights and is not an active party to this appeal.

Court of Appeals of Indiana | Memorandum Decision 82A01-1607-JT-1683 | December 21, 2016 Page 2 of 12 moderate pulmonary hypertension, a condition common among A.G.’s paternal relatives. Dr. Julio Morera treated A.G.’s cyanotic episodes with medication, oxygen, and the implantation of a pacemaker. Despite the medical intervention, A.G. continued to suffer cyanotic episodes. Accordingly, Dr. Morera referred A.G. for a second opinion with physicians at Riley Children’s Hospital, but the physicians there could find no medical explanation for A.G.’s cyanotic episodes.

Dr. Morera then referred A.G. to Kosair Children’s Hospital for a third opinion from Dr. Christopher Johnsrude, a board certified pediatric cardiologist specializing in pediatric electrophysiology. Dr. Johnsrude observed A.G. over the course of a one-week stay at Kosair and concluded that: A.G.’s pulmonary hypertension was mild and not severe enough to cause the cyanotic episodes and A.G. did not require a pacemaker. … No one other than Mother had witnessed one of A.G.’s cyanotic episodes. …

Dr. Johnsrude kept A.G. under observation and monitored by telemetry and a cardiorespiratory monitor at Kosair. At some point while A.G. was under observation in this manner, Mother requested that the monitors be removed so that she could bathe A.G. Mother was alone, bathing A.G., whose monitors had been removed, when a cyanotic episode occurred. No one else witnessed the onset of that episode besides Mother. Dr. Johnsrude questioned Mother about the episode and suggested that installing video surveillance at Mother’s home would be helpful in determining the cause of the cyanotic episodes once A.G. was released from Kosair. Mother did not agree to the video monitoring of A.G., and her response to the suggestion was described by Dr. Johnsrude as “uncomfortable and odd.” …

Dr. Johnsrude then consulted with other physicians at Kosair and members of the Pediatric Forensic Medicine Team at the University of Louisville School of Medicine regarding A.G.’s case “and the probability that Mother was inducing [A.G.]’s Court of Appeals of Indiana | Memorandum Decision 82A01-1607-JT-1683 | December 21, 2016 Page 3 of 12 cyanotic episodes.” … Dr. Lisa Pfitzer, a board certified pediatrician specializing in child abuse pediatrics, consulted with Dr. Johnsrude regarding A.G.’s treatment at Kosair. …

[O]n August 29, 2012, Dr. Pfitzer contacted the Indiana Department of Child Services (“DCS”). … Sarah Dotson, a family case manager with DCS, contacted Dr. Susanne Blix, a board certified clinical psychiatrist, and asked that Dr. Blix evaluate Mother for factitious disorder by proxy.2 … Dr. Blix concluded “with ninety-nine percent certainty” that Mother suffered from factitious disorder by proxy. … Dr. Blix considered the risk of failing to protect A.G. from Mother “life threatening.”

Dr. Blix warned DCS that “any sibling would [also] be at risk of harm when in Mother’s custody.”

(Record Citations Omitted.)

[4] On the date of A.C.’s removal, the DCS filed a petition alleging that A.C. was a Child in Need of Services (“CHINS”). The DCS alleged that A.C. was in danger and that Mother had been diagnosed as suffering from factitious disorder by proxy, formerly known as Munchausen’s disorder. The trial court, juvenile division, held a fact-finding hearing on April 16, 17, 24, and 29, 2013. A.C. was found to be a CHINS and remained in foster care. In a dispositional order of July 23, 2013, Mother was ordered to participate in a treatment

2 As the trial court found, “caretakers affected with Factitious Disorder by Proxy cause harm to their children for attention and many times the affected children are subject to medical conditions which the caretaker will use as a vehicle for their attention seeking behavior.” Appellant’s App. at 233.

Court of Appeals of Indiana | Memorandum Decision 82A01-1607-JT-1683 | December 21, 2016 Page 4 of 12 program. Mother was to have supervised visitation subject to recommendation by a mental health provider.

[5] Mother was compliant with the DCS case plan, obtained individual mental health therapy, and commenced regular monitored visitation with A.C. According to a DCS progress report of January 10, 2014, Mother “continue[d] to show progress” and the anticipated permanency plan was reunification. (DCS Exh. 15(kk)). On February 20, 2014, the trial court approved a permanency plan of reunification.

[6] One month later, on March 21, 2014, the State of Indiana charged Mother with three Class B felonies related to her conduct with A.G. On July 17, 2015, Mother was convicted of Neglect of a Dependent. She was sentenced to ten years imprisonment, with one year suspended.

[7] On October 9, 2015, the DCS petitioned to terminate Mother’s parental rights as to A.C. A hearing was conducted on May 26, 2016. On June 28, 2016, the trial court entered its findings of fact, conclusions, and order terminating Mother’s parental rights. This appeal ensued.

Discussion and Decision

Standard of Review – Sufficiency of the Evidence [8] When we review whether the termination of parental rights is appropriate, we

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In the Term. of the Parent-Child Relationship of: A.C. (Minor Child) and M.K. (Mother) v. The Ind. Dept. of Child Services (mem. dec.), (Ind. Ct. App. 2016).

In the Term. of the Parent-Child Relationship of: A.C. (Minor Child) and M.K. (Mother) v. The Ind. Dept. of Child Services (mem. dec.) (In the Term. of the Parent-Child Relationship of: A.C. (Minor Child) and M.K. (Mother) v. The Ind. Dept. of Child Services (mem. dec.)) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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