OPINION
ORME, Presiding Judge:
M.J.G. appeals the order of the juvenile court terminating her parental rights in her daughter, J.L.W., with whom she has not had a meaningful relationship in many years. We affirm.
FACTS
M.J.G. is the biological mother of J.L.W., who was bom on August 17,1980. The Utah State Division of Family Services (DFS) assumed temporary guardianship and custody of J.L.W. in August 1984, following an investigation that found J.L.W. had been sexually abused by M.J.G. and unknown third parties over approximately a two-year period.1 DFS placed J.L.W. in foster care with G.S., who has been able to continue serving as her foster mother for the entire term of her DFS custody, which now approaches eleven years’ duration. Between 1984 and 1986, DFS involved M.J.G. in a program of counseling and treatment plans, although early assistance efforts were hampered by M.J.G.’s frequent [545]*545moves. After this period of instability, however, M.J.G. complied with a 1985 treatment plan and participated in counseling.
On April 24, 1986, J.L.W.’s guardian ad litem filed a petition to terminate M.J.G.’s parental rights.2 Following an evidentiary hearing on the petition some months later, the juvenile court entered its ruling on March 6, 1987.3 The court concluded there was clear and convincing evidence of sexual abuse, but declined to terminate M.J.G.’s rights because of her attempts to put her life in order and comply with DFS treatment plans.4 The court ordered continuation of temporary DFS custody, continued foster placement in G.S.’s home, and a treatment plan designed to reunite mother and child “at such time as the mother is ready and the child is able to cope with such reuniting without the fear of new trauma.” M.J.G. participated in sexual abuse counseling for approximately two years thereafter, and complied with subsequent treatment plans.
Between August 1987 and August 1988, the juvenile court reviewed the case every few months. In January 1988, the court heard testimony that past visitations with M.J.G. had a detrimental effect upon J.L.W. The court modified the visitation schedule, with the proviso that it would terminate visitation if J.L.W. exhibited further trauma from contact with her mother. Following testimony by therapists on the continuing effects of the visits upon J.L.W., the court suspended all visitation in May, pending further review. At its August 1988 review, the court awarded guardianship to G.S. and ordered that visitation by M.J.G. could only be resumed at J.L.W.’s request.5
The court reviewed the case eight times between August 1989 and May 1993. At the May 1993 review, the court ordered a psychological evaluation of J.L.W. to assess the effect of prior visitation with M.J.G. and evaluate her probable response to future visitation. Dr. Kimberly Walsh of the McKay-Dee Institute for Behavioral Medicine performed an evaluation the following August, finding, inter alia, that J.L.W.
is a very fragile individual. Although she is stabilized now, she appears to have tremendous issues of unresolved anger, sadness, and an underlying thought disorder. Were she to be forced to resume contact with her biological mother, this fragile sense of psychological equilibrium would be disrupted, and there would likely be a return to the previous pattern of regression and destabilization that occurred when she previously had contacts with her biological family.
The State filed a second petition to terminate M.J.G.’s parental rights on November 2, 1993, at which time J.L.W., who had first been placed in foster care at age four, was thirteen years old. The juvenile court held a trial on January 13, 1994, and issued its [546]*546memorandum decision on February 22.6 The court ordered termination of M.J.G.’s parental rights and directed DFS to “proceed with a permanent plan in the best interest of this child.” It is contemplated that such a plan will have, as a primary ingredient, J.L.W.’s adoption by her foster mother of eleven years.
M.J.G. appeals from this order.
ISSUES
This case presents two issues for our review: (1) whether the State has a duty, prior to terminating parental rights, to offer remedial or rehabilitative services to parents who have sexually abused their children; and (2) whether the rule is different due to the passage of time and/or any failures or oversights on the part of the State.
STATE’S DUTY
M.J.G. contends that the State, prior to terminating her rights, was obligated to provide her with reasonable assistance in correcting the cause of her parental unfitness.
First, despite M.J.G.’s claim that inconsistency pervades the existing law pertaining to the State’s duty to assist problem parents, the law in this area is very clear: The State owes no duty to offer rehabilitative services to parents in cases of obvious physical abuse, neglect, or abandonment.7 See [547]*547J.C.O. v. Anderson, 734 P.2d 458, 463 (Utah 1987); State ex rel. W.D., III v. W.M., 856 P.2d 363, 368 (Utah App.1993); State ex rel. P.H. v. Harrison, 783 P.2d 565, 570-71 (Utah App.1989); State ex rel. J.R.T. v. Timperly, 750 P.2d 1234, 1237 (Utah App.1988); State ex rel. M.A.V. v. Vargas, 736 P.2d 1031, 1034 (Utah App.1987). The duty to notify the parent of his or her deficiencies and offer assistance arises only in a narrow range of cases involving subtle forms of neglect or abuse, i.e., patterns of unintended behavior that create an inadequate environment for the child, such as by interfering -with the child’s education or social development. Anderson, 734 P.2d at 463; State v. Lance, 23 Utah 2d 407, 413, 464 P.2d 395, 399 (1970).8
Moreover, even in the narrow range of subtle abuse cases where a duty to help may arise, there is no duty to offer rehabilitative services in those cases where such services would be futile or could expose a child to harm. State ex rel. W.D., III, 856 P.2d at 368; Harrison, 783 P.2d at 571. This exception is not, as M.L.G. maintains, inconsistent with our past opinions on the duty to assist.9 Rather, the futility/harm exception [548]*548acts as a second prong in a two-part test to assess the necessity of rehabilitative assistance in the cases of subtle abuse of the sort discussed in Lance. In other words, even if the abuse involved was of a subtle, psychological nature rather than physical, there is no duty to offer rehabilitative services if such assistance is not likely to correct the situation or if innocent children would continue to be exposed to harm while the parent attempts to rehabilitate.
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OPINION
ORME, Presiding Judge:
M.J.G. appeals the order of the juvenile court terminating her parental rights in her daughter, J.L.W., with whom she has not had a meaningful relationship in many years. We affirm.
FACTS
M.J.G. is the biological mother of J.L.W., who was bom on August 17,1980. The Utah State Division of Family Services (DFS) assumed temporary guardianship and custody of J.L.W. in August 1984, following an investigation that found J.L.W. had been sexually abused by M.J.G. and unknown third parties over approximately a two-year period.1 DFS placed J.L.W. in foster care with G.S., who has been able to continue serving as her foster mother for the entire term of her DFS custody, which now approaches eleven years’ duration. Between 1984 and 1986, DFS involved M.J.G. in a program of counseling and treatment plans, although early assistance efforts were hampered by M.J.G.’s frequent [545]*545moves. After this period of instability, however, M.J.G. complied with a 1985 treatment plan and participated in counseling.
On April 24, 1986, J.L.W.’s guardian ad litem filed a petition to terminate M.J.G.’s parental rights.2 Following an evidentiary hearing on the petition some months later, the juvenile court entered its ruling on March 6, 1987.3 The court concluded there was clear and convincing evidence of sexual abuse, but declined to terminate M.J.G.’s rights because of her attempts to put her life in order and comply with DFS treatment plans.4 The court ordered continuation of temporary DFS custody, continued foster placement in G.S.’s home, and a treatment plan designed to reunite mother and child “at such time as the mother is ready and the child is able to cope with such reuniting without the fear of new trauma.” M.J.G. participated in sexual abuse counseling for approximately two years thereafter, and complied with subsequent treatment plans.
Between August 1987 and August 1988, the juvenile court reviewed the case every few months. In January 1988, the court heard testimony that past visitations with M.J.G. had a detrimental effect upon J.L.W. The court modified the visitation schedule, with the proviso that it would terminate visitation if J.L.W. exhibited further trauma from contact with her mother. Following testimony by therapists on the continuing effects of the visits upon J.L.W., the court suspended all visitation in May, pending further review. At its August 1988 review, the court awarded guardianship to G.S. and ordered that visitation by M.J.G. could only be resumed at J.L.W.’s request.5
The court reviewed the case eight times between August 1989 and May 1993. At the May 1993 review, the court ordered a psychological evaluation of J.L.W. to assess the effect of prior visitation with M.J.G. and evaluate her probable response to future visitation. Dr. Kimberly Walsh of the McKay-Dee Institute for Behavioral Medicine performed an evaluation the following August, finding, inter alia, that J.L.W.
is a very fragile individual. Although she is stabilized now, she appears to have tremendous issues of unresolved anger, sadness, and an underlying thought disorder. Were she to be forced to resume contact with her biological mother, this fragile sense of psychological equilibrium would be disrupted, and there would likely be a return to the previous pattern of regression and destabilization that occurred when she previously had contacts with her biological family.
The State filed a second petition to terminate M.J.G.’s parental rights on November 2, 1993, at which time J.L.W., who had first been placed in foster care at age four, was thirteen years old. The juvenile court held a trial on January 13, 1994, and issued its [546]*546memorandum decision on February 22.6 The court ordered termination of M.J.G.’s parental rights and directed DFS to “proceed with a permanent plan in the best interest of this child.” It is contemplated that such a plan will have, as a primary ingredient, J.L.W.’s adoption by her foster mother of eleven years.
M.J.G. appeals from this order.
ISSUES
This case presents two issues for our review: (1) whether the State has a duty, prior to terminating parental rights, to offer remedial or rehabilitative services to parents who have sexually abused their children; and (2) whether the rule is different due to the passage of time and/or any failures or oversights on the part of the State.
STATE’S DUTY
M.J.G. contends that the State, prior to terminating her rights, was obligated to provide her with reasonable assistance in correcting the cause of her parental unfitness.
First, despite M.J.G.’s claim that inconsistency pervades the existing law pertaining to the State’s duty to assist problem parents, the law in this area is very clear: The State owes no duty to offer rehabilitative services to parents in cases of obvious physical abuse, neglect, or abandonment.7 See [547]*547J.C.O. v. Anderson, 734 P.2d 458, 463 (Utah 1987); State ex rel. W.D., III v. W.M., 856 P.2d 363, 368 (Utah App.1993); State ex rel. P.H. v. Harrison, 783 P.2d 565, 570-71 (Utah App.1989); State ex rel. J.R.T. v. Timperly, 750 P.2d 1234, 1237 (Utah App.1988); State ex rel. M.A.V. v. Vargas, 736 P.2d 1031, 1034 (Utah App.1987). The duty to notify the parent of his or her deficiencies and offer assistance arises only in a narrow range of cases involving subtle forms of neglect or abuse, i.e., patterns of unintended behavior that create an inadequate environment for the child, such as by interfering -with the child’s education or social development. Anderson, 734 P.2d at 463; State v. Lance, 23 Utah 2d 407, 413, 464 P.2d 395, 399 (1970).8
Moreover, even in the narrow range of subtle abuse cases where a duty to help may arise, there is no duty to offer rehabilitative services in those cases where such services would be futile or could expose a child to harm. State ex rel. W.D., III, 856 P.2d at 368; Harrison, 783 P.2d at 571. This exception is not, as M.L.G. maintains, inconsistent with our past opinions on the duty to assist.9 Rather, the futility/harm exception [548]*548acts as a second prong in a two-part test to assess the necessity of rehabilitative assistance in the cases of subtle abuse of the sort discussed in Lance. In other words, even if the abuse involved was of a subtle, psychological nature rather than physical, there is no duty to offer rehabilitative services if such assistance is not likely to correct the situation or if innocent children would continue to be exposed to harm while the parent attempts to rehabilitate.
In the instant case, there is extensive, reliable testimony documenting a pattern of sexual abuse extending over a period of approximately two years, inflicted by M.J.G. and unidentified third parties, during J.L.W.’s early childhood. Such a prolonged pattern of egregious physical abuse is precisely the type of conduct for which the State has no duty to offer rehabilitative services.10 M.J.G. did receive counseling and assistance after DFS assumed custody of J.L.W. in 1984, and received additional counseling after the court denied the first termination petition in 1987. Whatever services M.J.G. has received have been gratuitously provided by the State. The fact that the State has failed to follow up with additional services in the last five or six years, or might have offered better or more consistent services in the early going, is of no legal significance whatsoever.
ESTOPPEL
M.J.G. contends that even if the State initially lacked any duty to offer assistance in this case, the fact that the State nonetheless initiated such assistance and then failed to offer further assistance or attempt to reunite the family within the past seven years, estops the State from terminating her rights without now offering meaningful assistance.
Ordinarily, a party wishing to raise a claim of estoppel must prove three elements: (1) that the other party made claims inconsistent with earlier actions or statements; (2) that the complaining party reasonably relied on the other party’s prior actions or statements; and (8) as a result, the complaining party was harmed by the other party’s later inconsistent claims. United Park City Mines Co. v. Greater Park City Co., 870 P.2d 880, 891 (Utah 1993). See Warren v. Provo City Corp., 838 P.2d 1125, 1130 n. 16 (Utah 1992).
In the instant ease, the court’s ultimate termination of M.J.G.’s parental rights was not inconsistent with its prior claims or statements. Although the juvenile court did not terminate her rights in 1987 pursuant to the first termination petition, it also did not promise that reunification of the family was imminent or even probable. On the contrary, the court found
that a reuniting of the child with the parent at the present time and in the foreseeable future would be difficult, that any establishment of any visitation should only commence when the child’s maturity level is such that the child could cope with said visitation and the commencement of the reuniting with the mother.
Admittedly, the State allowed an extraordinarily long time to pass before filing the second petition in 1993, but such delay is not inconsistent with the court’s 1987 decision denying termination in the hope that time and maturity would cure J.L.W.’s trauma visa-vis any relationship with M.J.G.11
[549]*549Perhaps more importantly, it is inappropriate to consider application of so-called equitable doctrines or those which promote mere judicial efficiency at the expense of a child’s welfare.12 It is extremely unfortunate that the State has allowed this case to linger for eleven years.13 However, the State’s ill-advised actions cannot preclude the inevitable disposition of this case — a disposition that will allow J.L.W. to escape the legal limbo she has been in for essentially her entire life. “At some reasonable point in time, for the sake of the children, the adults who are in control ... must say, ‘Enough!’ ” State ex rel. P.H. v. Harrison, 783 P.2d 565, 573 (Utah App.1989) (Garff, J., concurring).
CONCLUSION
Because of the nature of the abuse involved, the State had no duty to offer rehabilitative assistance to M.J.G. prior to terminating her parental rights. Any assistance M.J.G. did receive was gratuitously offered by the State and cannot be relied upon by M.J.G. to enhance her legal position at J.L.W.’s expense. Further, the extended period of time between the State’s active efforts to reunify the family and the final phase of the termination proceedings does not create additional obligations upon the State regarding M.J.G. Accordingly, the juvenile court’s decision to terminate M.J.G.’s parental rights was not erroneous and is therefore affirmed.