# In re D.D.

> Appellate Court of Illinois · December 9, 2022 · 2022 IL App (1st) 220410

URL: https://www.frixlaw.com/law-library/cases/9324348

## Case

- **Court:** Appellate Court of Illinois
- **Decided:** December 9, 2022
- **Citations:** 2022 IL App (1st) 220410
- **Precedential status:** Published
- **Opinion:** Opinion
- **Cited by:** 11 later opinions in the Frix Law Library

## Citator (automated)

- No negative treatment found by the automated citator. That is not the same as a confirmation that the case is good law; read the citing cases.
- Full citator and citing cases: https://www.frixlaw.com/law-library/cases/9324348

## How later opinions describe it (automated extraction)

- stating that another example of unfitness under this ground is “infrequent or irregular visitation”

## Opinion text

2022 IL App (1st) 220410
No. 1-22-0410
Opinion filed December 9, 2022

SIXTH DIVISION

IN THE

APPELLATE COURT OF ILLINOIS

FIRST DISTRICT

In re D.D., a Minor, ) Appeal from the Circuit Court
) of Cook County.
(The People of the State of Illinois, )
)
Petitioner-Appellee, )
)
v. ) No. 19 JA 1373
)
A.C., ) The Honorable
) Patrick Murphy,
Respondent-Appellant.) ) Judge, presiding.

JUSTICE ODEN JOHNSON delivered the judgment of the court, with opinion.
Justice Walker concurred in the judgment and opinion.
Justice Walker also specially concurred, with opinion.
Presiding Justice Mikva dissented, with opinion.

OPINION

¶1 Respondent, A.C., appeals the trial court’s termination of her parental rights. The trial

court found her to be an unfit parent and found it to be in the best interests of her 10-year-old

son, D.D., to terminate A.C.’s parental rights. D.D.’s father is deceased, and D.D. is presently

in foster care with his father’s parents, or grandparents, who hope to adopt him. The father’s

parents have stated that they will not permit contact with A.C. if they are permitted to adopt.

For the following reasons, we reverse.
No. 1-22-0410

¶2 BACKGROUND

¶3 I. Parties and Proceedings

¶4 A.C., is the mother of D.D., who was born on February 24, 2012. D.D. is presently 10

years old and in the fourth grade. In November 2019, when D.D. was seven years old, the State

filed a petition for adjudication of wardship. On March 11, 2020, a few weeks after he had

turned eight years old, the trial court found that he was neglected due to a lack of care and an

injurious environment, and he was adjudged a ward of the court. When D.D. was nine years

old, the State moved on August 9, 2021, to permanently terminate A.C.’s parental rights and

to appoint a guardian with the right to consent to adoption. D.D.’s foster parents, who are also

his paternal grandparents, want to adopt him but will not permit him contact with his mother.

¶5 The State alleged that A.C. was an unfit mother on three separate grounds:

(1) “[f]ailure to maintain a reasonable degree of interest, concern or responsibility as to the

child’s welfare” (750 ILCS 50/1(D)(b) (West 2020)) (hereinafter, Ground B), (2) “[f]ailure

*** (i) to make reasonable efforts to correct the conditions that were the basis for the removal

of the child *** during any 9-month period following the adjudication of neglected *** minor

*** or (ii) to make reasonable progress toward the return of the child to the parent during any

9-month period following the adjudication” (750 ILCS 50/1(D)(m) (West 2020)) (hereinafter,

Ground M), and (3) “[i]nability to discharge parental responsibilities” due to “mental

impairment, mental illness or an intellectual disability” that “extend beyond a reasonable time

period” (750 ILCS 50/1(D)(p) (West 2020)) (hereinafter, Ground P). For Ground M, the State

chose a nine-month period, beginning on March 14, 2020, and ending on December 24, 2020,

when D.D. was eight years old. The nine-month period began two years prior to the termination

of A.C’s parental rights.

2
No. 1-22-0410

¶6 The fitness hearing was held via Zoom on January 25, 2022. The State called (1) Dr.

Krissie Smith (Dr. Smith), a clinical psychologist, who supervised Dr. Jokae Ingram but had

no direct contact with A.C. or D.D.; (2) Dr. Ingram, the psychologist who completed the

parenting capacity assessment on September 4, 2020, for A.C. which concluded that A.C. could

be an appropriate parent after completion of services; (3) Lashonda Ross, who was involved

in clinical staffing but had no direct supervision over this case; (4) Regina Ruffin, who held

monthly staff meetings with Deja Smith (Smith), a caseworker; (5) Gabrielle Ellison, who held

eight phone therapy sessions with A.C. starting in July 2020, but who terminated that therapy

as unsuccessful on September 29, 2020, a few weeks after Dr. Ingram’s September 4, 2020,

assessment of appropriateness; (6) Shannon Stewart, a case aide who observed one in-person

visit and two virtual visits between mother and child in 2020; (7) Shannon Dolan, who

supervised the caseworkers in this case from November 2019 to November 2020, but had little

contact with A.C. or D.D.; and (8) Smith, a caseworker who was first assigned to this case in

December 2020, when the nine-month period chosen by the State had ended. A.C. testified on

her own behalf and called Dr. Mohammed Tarawneh, a psychologist, who conducted a clinical

evaluation of A.C. on March 10, 2021, and held weekly therapy sessions with A.C. from March

to July 2021.The testimony of all witnesses is described in the section below.

¶7 After the evidentiary phase of the fitness hearing was complete, the court and the parties

adjourned and returned for final arguments on March 9, 2022. After listening to arguments,

the trial court found A.C. unfit, stating:

“In this case, the child was found, not only in a filthy, garbage strewn place with drugs

lying around, he didn’t know how to brush his teeth. He wasn’t potty trained. And

3
No. 1-22-0410

within a week or two of being sent to live with his uncle, he accomplished these

matters.”

This finding contradicted the testimony of Dolan, the caseworkers’ supervisor, who testified

at the fitness hearing that a report from D.D.’s therapy indicated that, in November 2020, or

almost a year after the case came to the Department of Children and Family Services (DCFS),

D.D. continued to wear Pull-Ups and sometimes wet himself during the night. The trial court

stated that it “found the witnesses, particularly Ms. Ellison to be very, very credible,” and the

court reiterated Ellison’s conclusion that A.C. had “circular thinking” which precluded A.C.

from forming age-appropriate expectations. When asked under which ground it had found

unfitness, the trial court replied all three.

¶8 After finding unfitness, the trial court proceeded to a best interests hearing. At the best

interests hearing, also held on March 9, 2022, two witnesses testified: (1) Smith, the

caseworker who had testified previously at the fitness hearing, and (2) M.K., the paternal

grandmother and foster mother. Their testimony is also described below in the following

section. At the conclusion of the best interests hearing, the trial court found:

“[I]n some ways it’s an easy case and in some ways it’s a difficult case. But, the child

was living in deplorable circumstances and was years behind his chronological age

when [he] came in. Now, he is participating in all kinds of activities and on the honor

roll at school. He shows magnificent improvement.

It’s clearly in his best interest that I terminate rights and appoint [a guardian] with

the right to place.”

The court then entered a goal of adoption.

¶9 II. Testimony

4
No. 1-22-0410

¶ 10 A. Fitness Hearing

¶ 11 At the start of the Zoom fitness hearing, the following 11 exhibits were admitted

without objection: exhibit No. 1, integrated assessment for the minor and family, dated

February 5, 2020; exhibits Nos. 2, 3, 4 and 5, four service plans dated, respectively, January 2,

2020, May 4, 2020, November 10, 2020, and May 18, 2021; exhibit No. 6, juvenile court clinic

parenting capacity assessment, completed on September 4, 2020, by Dr. Ingram; exhibit No.

7, records from Advocate Hospital for A.C.; exhibit No. 8, documents from Ellison, A.C.’s

phone therapist for two months in 2020; exhibit No. 9, a document, dated May 1, 2021, from

Dr. Tarawneh, who held weekly therapy sessions with A.C. from March to July 2021; exhibit

No. 10, notes from case aide Stewart; and exhibit No. 11, a document, dated May 29, 2020,

by Victoria Woodley, from Metropolitan Family Services.

¶ 12 We provide the testimony in detail below because it shows an almost bewildering array

of recommendations, sometimes contradictory, by a shifting assembly of providers and

caseworkers.

¶ 13 The first witness called by the State was Dr. Smith, a clinical psychologist, who was

associate director of the Cook County Juvenile Court Clinic. The clinic is a partnership

between Northwestern University and Cook County. Dr. Smith supervised Dr. Ingram, the

psychologist at the clinic who completed A.C.’s parenting capacity assessment, on September

4, 2020. In 2020, after the COVID-19 pandemic began, the clinic switched to remote

assessments. In this case, Dr. Ingram was able to observe remotely as A.C., her son, and a

caseworker played in-person in a park. Although Dr. Smith reviewed and signed Dr. Ingram’s

assessment of A.C., Dr. Smith herself had no interactions with either A.C. or D.D.

5
No. 1-22-0410

¶ 14 Dr. Ingram testified that her first interview of A.C. was on July 2, 2020, via Zoom. Dr.

Ingram received and relied on A.C.’s prior medical records which showed that A.C. had been

previously diagnosed with, and hospitalized for, anorexia nervosa, which is an eating disorder.

During the July 2, 2020, interview, A.C. told Dr. Ingram that D.D., who was eight years old,

needed to wear “Pull-Ups.” A.C. believed that D.D. needed to wear Pull-Ups for another

couple of years until he was able to judge when he needed to go to the bathroom. Dr. Ingram

testified that D.D. was “obviously” developmentally delayed with respect to “potty-training.”

During the July 2, 2020, interview, A.C. stated that D.D. needed a special diet, that he had

missed over 20 days of school back when he was in kindergarten, and that he did not interact

with other children in first grade when he was ill.

¶ 15 Dr. Ingram testified that she reviewed D.D.’s medical records and found that, often,

medical personnel did not corroborate A.C.’s reasons for bringing him to the hospital. For

example, A.C. reported that D.D. had seizures and that was not corroborated. School records

indicated that staff reported that he was unclean and that A.C. had called multiple times

regarding what D.D. ate at school and to make sure that he did not eat the food at school. 1 Dr.

Ingram had one parent/child observation, which occurred on August 3, 2020, for 78 minutes.

A caseworker was with A.C. and D.D. in the park, and Dr. Ingram observed the three of them

through “WebEx,” which Dr. Ingram explained was a video-conferencing application.

¶ 16 Dr. Ingram testified about her observations during the August 2020 visit: “[I]t appeared

that [A.C.] had a loving and caring relationship with her son, [D.D.]; and it was reciprocated.

1
Dr. Ingram’s testimony was somewhat confusing because she used the pronoun “they”
within the same sentence to refer both to A.C. and to medical and school staff. For example, Dr.
Ingram testified that “they” reported that D.D. had seizures, apparently referring to A.C., but that
“they” did not corroborate this fact, apparently referring to medical personnel.
6
No. 1-22-0410

He was, [sic] she was attentive to him throughout the observation. They laughed; they talked

during the whole visit that I observed so it was a very positive visit.”

¶ 17 Dr. Ingram memorialized these observations, as well as her recommendations, in her

report. Dr. Ingram recommended individual long-term therapy, medication management

sessions, eating disorder treatment, substance abuse treatment, and additional parenting

services. Dr. Ingram thought it was important that A.C. receive treatment to ensure that both

A.C and D.D. were receiving proper nutrition. Although A.C. denied drug abuse or overusing

her prescription medicine, Dr. Ingram noted that there were “allegations that she overused her

prescribed medications.” However, Dr. Ingram did not specify the source of these allegations.

¶ 18 Dr. Ingram testified that she reviewed “D.C.F.S. records” that indicated that A.C.’s

home was cluttered and unclean. The records included black-and-white photos of the home

that Dr. Ingram reviewed. In Dr. Ingram’s opinion, the issue was “more towards hoarding.”

The photos showed clothes and objects on the floor, and that some rooms were “impassable.”

¶ 19 On cross examination, Dr. Ingram testified that she believed A.C.’s reporting about her

history and history of events was reliable. A.C. informed Dr. Ingram that, after D.D. was taken

into DCFS custody, A.C had obtained a restraining order against her brother to prevent him

from living in A.C.’s house. Dr. Ingram had no reason to doubt that was true. Dr. Ingram did

not, herself, diagnose A.C. with anorexia or make any mental health diagnosis of A.C.

According to the medical records which Dr. Ingram received, A.C. was first diagnosed with

anorexia when A.C. was 13 or 14 years old. Dr. Ingram testified that her review of A.C.’s

medical records showed that, although A.C. had been hospitalized several times for anorexia,

including in her thirties, A.C. had not been hospitalized or treated for it in over 10 years, and

the last time was before D.D. was born.

7
No. 1-22-0410

¶ 20 Dr. Ingram testified that D.D.’s medical records indicated that, when he was born, he

was “[j]aundiced” and had “G-e-r-d.” 2 When D.D. was in the “N.I.C.U.,” someone called

DCFS concerned about A.C.’s mental health and how it would affect her parenting. When Dr.

Ingram was conducting her assessment, A.C. had met with her therapist, Ellison, three times.

Ellison reported that A.C. was “ ‘determined’ ” and “ ‘extremely committed.’ ”

¶ 21 During Dr. Ingram’s observation in August 2020 in the park, Dr. Ingram noted that

A.C. was very affectionate with D.D. and D.D. was very affectionate with A.C. While in the

park, A.C. and D.D. held hands, A.C. encouraged D.D. to drink water because it was very hot

outside, and A.C. provided D.D. with snacks. A.C. was concerned with D.D.’s comfort in light

of the heat. With respect to COVID-19 protocols, A.C. made sure D.D. used hand sanitizer and

wore a mask. A.C. and D.D. used the swings together, and A.C. gave D.D. a piggyback ride.

They laughed and talked the whole time. Dr. Ingram did not observe any deficits in A.C.’s

functioning at that time, and A.C. was responsive to D.D’s needs.

¶ 22 Dr. Ingram testified that a caseworker, Robert Hull, was physically present with D.D.

and A.C. in the park. Hull informed Dr. Ingram that Dr. Ingram’s observations of that particular

visit were consistent with the agency’s observations of prior visits. Dr. Ingram testified that

the conduct during the visit gave her no reason for concern. One of Dr. Ingram’s

recommendations was for dialectical behavior therapy, 3 which she testified could not be

completed in three weeks or three sessions and required, in her opinion, “at least six months”

of treatment. Dr. Ingram opined that the therapy required “at least six months to eighteen

months *** to be effective with people,” such as A.C., who “have more than one mental-health

2
This appears to be a reference to gastroesophageal reflux disease. “N.I.C.U” appears to be a
reference to a neonatal intensive care unit.
3
The trial court interjected that this was otherwise known as “[o]ld fashioned therapy.”
8
No. 1-22-0410

diagnosis.” Dr. Ingram stated that she wanted A.C. to make progress first in her individual

therapy before beginning the other services that Dr. Ingram had also recommended. One of the

other recommended services was “Medication Management.” Dr. Ingram was aware that A.C.

had been prescribed several medications by a psychiatrist.

¶ 23 In conclusion, Dr. Ingram testified that it was her opinion that, if A.C. “engage[d]

consistently with the therapeutic services recommended,” A.C. would be an appropriate parent

for D.D.

¶ 24 The State next called Ross, a program director for child welfare cases at Volunteers of

America (VOA). Although Ross was involved in arranging clinical staffing for this case, she

had no direct or supervisory authority over this case. 4 The next witness was Ruffin, a VOA

foster care supervisor since July 2021. Ruffin testified that her only connection with this case

was supervising D.D.’s caseworker, Smith. Ruffin testified that, prior to July 2021, A.C. had

texted D.D. about his “Adoption Goal,” and D.D. had texted his grandparents that he did not

want to be adopted. Based on this information, “the agency” 5 decided that “no unsupervised

contact should be granted.” Ruffin testified that VOA was not opposed to termination because

A.C. had “not engaged in the necessary services” required in “the Integrated Assessment.” On

cross, Ruffin testified that Smith, the caseworker, had told her about the texts.

¶ 25 The next witness, Ellison, a therapist at UCAN,6 testified that she had been A.C.’s

therapist for two months in 2020. Ellison is a licensed professional counselor. After A.C. was

referred for therapy by DCFS, Ellison held eight phone sessions with A.C. The first phone call

4
Ross testified that, from March to July 2020, all visits were virtual, and from July 2020 until
June 2021, there were bi-weekly in-person visits in addition to virtual visits. After June 1, 2021, VOA
began all weekly in-person visits.
5
Ruffin did not specify who at VOA made this decision.
6
Ellison did not testify what the acronym UCAN stood for.
9
No. 1-22-0410

was on July 21, and the last was on September 29, 2020. Ellison opined that, during these eight

phone calls, A.C. “made no progression. She felt as if everything was happening to her, and

she played no part in everything that happened.” As a result, Ellison discharged A.C. from

therapy on September 29 as “unsuccessful.” 7 When asked why therapy was done over the

phone as opposed to video, Ellison testified that, while typically she honored the client’s

request or “capabilities,” she did not recall why the phone was utilized in this particular case.

¶ 26 In September 2020, Ellison wrote a letter to A.C. informing A.C. that her sessions

would end. The letter stated: “Your circular thinking showcases an inability to recognize the

parental expectations for healthy, age-appropriate development, and physical and emotional

safety of your son.” At the hearing, Ellison explained that what she meant by circular thinking

was that, instead of accepting “accountability” that could lead to progress, A.C. thought

“[e]verything is happening to me and we in turn are the victims.” Ellison testified that, although

both D.D.’s father and one of A.C.’s brothers had died of drug overdoses, 8 A.C. seemed

unaware that the brother who lived with her was “on drugs.” Ellison noted that the presence of

drug paraphernalia was what led to this case being brought to DCFS’s attention.

¶ 27 In her September 2020 letter, Ellison also wrote that A.C. lacked the “commitment to

change and intra-personal honesty it takes to successfully make progress” in therapy. At the

hearing, Ellison explained that whenever the conversation veered to a topic that was

“substantial or could be of relevance to her progress, she would negate” it or “brush over it or

shut it down immediately.”

7
Ellison’s discharge of A.C. from this particular service occurred only a few weeks after Dr.
Ingram’s assessment that A.C. could be an appropriate parent upon completion of services.
8
A.C. later testified that her brother had not died of drugs.
10
No. 1-22-0410

¶ 28 Ellison testified that, after the last phone call on September 29, 2020, she had no contact

with A.C., except for a phone call from A.C. sometime later in 2020. Ellison could not recall

the month in 2020 when A.C. called. While A.C. was in the office with her permanent

caseworker, A.C. called to say that she was “totally caught off guard” by Ellison’s termination

of therapy. On cross, Ellison testified that the call was from both A.C. and A.C.’s caseworker

and that it occurred on September 29, 2020.

¶ 29 On cross, Ellison acknowledged that, although A.C. was referred in February 2020, the

first phone session was not held until months later, at the end of July. At the time of A.C.’s

therapy, Ellison had approximately 22 other clients. Prior to Ellison’s conversation with Dr.

Ingram in which Ellison reported that A.C. was determined and committed to the process,

Ellison had already held three of the eight phone sessions. Ellison could not recall whether she

received a copy of the “Parenting Capacity Assessment” that Ellison participated in and that

Dr. Ingram completed. Ellison agreed that she and A.C. had “not engage[d] in a full series of

D.B.T. or Dialectical Behavioral Therapy.” Ellison acknowledged that “circular thinking” was

not a clinical term, and she was using the term “colloquially.”

¶ 30 On cross, Ellison acknowledged that, in her discharge letter, she recommended that

A.C. complete other training, such as domestic violence and drug counseling, before resuming

individual therapy. Ellison was not aware, at the time, that this contradicted Dr. Ingram’s

recommendation regarding the sequence of these services.

¶ 31 After cross, the trial court examined Ellison, and respondent’s counsel objected to the

leading questions. The court summarized Ellison’s testimony as opining that A.C. viewed

herself as the victim, so that there was “no reason *** to get better,” and then asked, “is that

basically your testimony?” Ellison agreed.

11
No. 1-22-0410

¶ 32 The next witness, Stewart, a VOA case aide, testified that she observed a visit between

A.C. and her son, D.D. in a park during the second part of 2020. A.C. provided snacks and

bottles of water. At one point, A.C. gave D.D. a “PediaSure.” and when Stewart later dropped

D.D. off at home, the foster parent informed Stewart that D.D. was not supposed to have that.

Stewart explained that PediaSure helped with nutrition and weight gain, and D.D. was “a

healthy-sized boy.” Respondent’s counsel objected to the PediaSure testimony on relevance

grounds. The trial judge agreed that he did not see the relevance, explaining: “She gave him

one bottle of PediaSure; okay. What’s the big deal?”

¶ 33 On cross, Stewart testified that the first visit she observed was on July 6, 2020, in a

park. Stewart observed A.C. making sure that D.D. had an appropriate amount of water and

rest, because it was hot outside. Stewart observed A.C. and D.D. praying together and talking

about how his July 4 holiday went. She observed them playing games together on A.C.’s

phone. During that visit, Stewart did not observe anything inappropriate or concerning. The

next visit that Stewart observed was a virtual visit on November 16, 2020. Stewart observed

A.C. talking with D.D. about specific classes, homework assignments, and activities, including

karate and video games, and his plans for the upcoming Thanksgiving holiday. A.C. gave D.D.

some tips for doing his homework, such as showing his work for math problems.

¶ 34 Stewart observed another virtual visit on November 30, 2020, where they again talked

about particular classes and homework. A.C. and D.D. did an activity together, which was

making a paper airplane. A.C. shared some suggestions about how to make a better plane and

gave him encouragement to keep trying when his plane did not fly. They discussed COVID-

12
No. 1-22-0410

19 safety protocols and tips for being in quarantine, Christmas plans, and “The Grinch.” Again,

Stewart did not observe anything inappropriate or concerning during the virtual visits.9

¶ 35 Dolan, a supervisor in VOA’s foster care department, testified that she supervised

D.D.’s case from November 2019 until November 2020 but she had no direct contact with

A.C., other than attending one or two court hearings and one mediation. Dolan supervised

Deaundra Kerby, D.D.’s caseworker, from November 2019 to June 2020, and then again from

October 2020 to November 2020. From July 2020 through September 2020, Kerby was on

maternity leave, and during that time, VOA had a “Temp Worker” on the case. 10 During

Dolan’s supervision of the case, VOA did not recommend unsupervised visits, primarily

because of reports of “prolong[ed] emotional goodbyes” that left D.D. upset and confused.

Dolan testified that the reports of these goodbyes came to her from Kerby and some of the case

aides who supervised visits, but Dolan could not name the case aides.

¶ 36 Dolan testified that services “recommended for reunification included [1] Domestic

Violence Services, [2] a [Juvenile Court Assessment Program (JCAP)] Substance Abuse

Assessment, and possible follow-up services as needed; [3] Parenting Classes and Coaching,

[4] Individual Therapy, [5] Psychiatric Assessment, and [6] Parenting Capacity Assessment.”

Of these services, referrals were made only for (1) parenting classes, (2) individual therapy,

and (3) the JCAP substance abuse assessment. No referral was made for domestic violence

services because the decision was made to wait until individual therapy was completed, but

9
At the end of her testimony, Stewart testified that she observed approximately five visits
from July through November 2020, both in-person and virtual. However, she described only three in
her testimony.
10
The “Temp Worker” was Hull. Dr. Ingram had testified that Hull was physically present
with D.D. and A.C. in the park when Dr. Ingram observed them. Hull was the one who informed Dr.
Ingram that her observations of that visit were consistent with the agency’s observations of prior
visits.
13
No. 1-22-0410

that never happened. A.C. successfully completed parenting classes, but no referral was made

for parenting coaching, although required. No referral was made for coaching because they

were waiting for “input from the Individual Therapist.” No referral was made for eating

disorder services because that treatment was generally not covered by DCFS. After Ellison

terminated A.C.’s therapy, no further referral was made for individual therapy. Dolan’s

understanding was that Ellison recommended that A.C. complete domestic violence services

and substance abuse services before restarting individual therapy. However, as noted, Dolan

testified that no referral for domestic violence services was ever made.

¶ 37 Dolan testified that, in November 2020, a meeting was held with Dolan, Kerby and

Ross, the VOA program director for child welfare cases, and the three of them changed the

permanency goal for D.D. from reunification to “Substitute Care Pending Termination of

Parental Rights.” Dolan’s supervision of the case ended in 2020, when Kerby left the office

and the case was taken over by another caseworker, Smith, who had a different supervisor,

namely, Ruffin.

¶ 38 After direct examination, the court examined Dolan, asking the reason why D.D. came

into the system in the first place. Dolan answered that there were controlled substances in the

home that were in reach of the minor. The judge replied that he was “frustrated” because he

“thought the case came in because the house was a complete mess” and D.D. was in diapers

and not brushing his teeth. The court observed, “If there’s drugs in the house; there shouldn’t

be; they could still be a good parent. The question was: was she a good parent when all ***

this was going on? Did she make steps to improve; isn’t that really why we are here, Miss

Dolan?”

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No. 1-22-0410

¶ 39 The court then asked Dolan if, in her opinion, A.C. made steps to improve the situation.

Dolan replied that A.C. did make “some steps to improve” and “did make efforts to engage in

services.” Dolan observed that A.C. completed parenting classes and attended visits with D.D.

consistently. However, “there were many areas of care opening *** about the lack of care” for

D.D. “that appeared to not be comprehended.” The court asked, “She didn’t understand the

situation; is that correct?” Dolan agreed.

¶ 40 On cross, Dolan testified that the case first came into the office in December 2019. A.C.

complied with all of VOA’s requests to sign consent and release forms, initially and again in

March and August 2020. Respondent’s counsel then asked Dolan about VOA’s referrals. The

first referral that VOA made was in February 2020 for the “Nurturing Parent Program.”

However, that turned out to be an inappropriate referral because D.D. was too old for the

program. The next referral was for parenting classes in the spring, which A.C. completed

successfully in June 2020. VOA recommended a JCAP substance abuse assessment on June

16, 2020, which A.C. completed and which indicated that she did not qualify for substance

abuse services at that time. Dolan added that JCAP required a “drop” or drug test, which was

not completed. However, Dolan acknowledged that A.C. had completed a drug test or “drop”

with her agency prior to the assessment. The test had been positive for benzodiazepines and

barbiturates, although these substances could be accounted for by A.C.’s documented drug

prescriptions. 11 A.C. engaged in individual therapy until discharged, and no further referral

was made during the 2½ months between the discharge and the goal change. No further referral

was made because the therapist recommended that A.C. engage in domestic violence and

11
Smith, the caseworker who was assigned in December 2020, testified that A.C. had one
positive drug test in November 2020 and, since then, there had been three negative tests.
15
No. 1-22-0410

substance abuse services first.12 Dolan acknowledged that Dr. Ingram’s report recommended

just the opposite: that A.C. engage in individual therapy before beginning either domestic

violence or substance abuse services.

¶ 41 Next, respondent’s counsel asked Dolan about visitation. The plan, which A.C. signed

in early 2020, called for a minimum of twice a week in-person visits. The plan changed in

March 2020 due to COVID-19, and visits became virtual and for less time. Dolan testified that

there was no other reason than COVID-19 for the restriction of A.C.’s visits in March 2020.

Twice-a-week in-person visits resumed in July 2020. Dolan agreed that A.C. visited as much

as she was allowed. If there was a conflict with her work schedule, A.C. was “pretty good

about communicating with the caseworker” and rescheduling. On September 1, 2020, Dolan

engaged in a mediation regarding this case, and the result was an agreement that visits would

be twice a week and in person, plus phone calls. In December 2020, when the goal changed to

termination, Dolan was not the supervisor at that time. However, Dolan testified that her

agency would have stopped making referrals at that time because DCFS would have stopped

paying for services after the goal changed. Dolan stopped being the supervisor in November

2020, shortly before the goal changed.

¶ 42 Dolan testified that a report of D.D.’s therapy indicated that, in November 2020, or

almost a year after the case came to DCFS, D.D. continued to wear Pull-Ups and sometimes

wet himself during the night.

¶ 43 The next witness was Smith, a VOA caseworker, who became A.C.’s caseworker in

December 2020 after the former caseworker, Kerby, left the office. Smith did not make any

12
However, Dolan had just testified that JCAP had concluded that substance abuse services
were not warranted.
16
No. 1-22-0410

referrals for A.C. after becoming the caseworker. A.C. asked Smith “about how was she

supposed to go about doing services” because, once the goal changed to termination, no

referrals were made. Smith told her to “go through her insurance to possibly get services.”

¶ 44 Smith supervised a total of seven visits between A.C. and D.D., with five of those visits

being in-person. The five in-person visits occurred once a month, from January through May

2021, at a library, with each visit lasting approximately two hours. Smith asked A.C. to talk to

Smith prior to the in-person visits concerning what A.C. intended to bring with her, and A.C.

adhered to that directive. However, during the visit on May 17, 2021, Smith noticed that D.D.

had an uncomfortable look on his face. Smith testified that D.D. looked “confused,” and he

looked at Smith and then looked at A.C.’s phone. This action prompted Smith to ask what A.C.

had shown on her phone, but “he replied nothing.” A.C. stated that she had not shown D.D.

anything. After the May 17, 2021, visit, the agency moved the visits to Zoom so that nothing

“could be said or shown without [their] seeing it on the screen.”

¶ 45 Smith testified that, during the Zoom visits, Smith had the impression that A.C. was

going down a list of questions. Smith felt that A.C. talked more about her feelings, saying

things like “I love you.” rather than talking about D.D.’s feelings. Smith did not discuss these

impressions with A.C. since A.C. was not doing anything inappropriate.

¶ 46 On cross, the assistant public guardian asked what, if anything, did D.D. tell Smith

about what his mother had told him on May 17, 2020. A.C. told D.D. that he was going to be

adopted. Smith found that concerning because that should have been raised with D.D. by his

therapist in a clinical setting.

¶ 47 On cross, A.C.’s counsel asked about an in-person visit on February 22, 2021, and

Smith testified that A.C. brought Valentine’s Day gifts and a birthday present, that they played

17
No. 1-22-0410

the card game “Uno,” and that A.C. asked how school was going. Smith had no issues or

concerns about that visit. During the March 15, 2021, visit, A.C. brought toys for her son, and

they colored and did arts and crafts together. Again, Smith had no concerns about that visit.

During the April 19, 2021, visit, A.C. brought D.D. new clothes and snacks. After VOA

stopped making referrals, it was left to A.C to find those services on her own.

¶ 48 Smith testified that A.C. had one positive drug test in November 2020 and, since then,

there had been three negative tests. In May 2021, five months after the goal changed to

termination, VOA indicated that certain services, such as parent coaching, would be required

for unification, but that those services were not available due to the goal change. Smith agreed

that there were “no opportunities for [A.C.] to participate in those services at that time.”

¶ 49 After the State rested and the trial court denied respondent’s motion for a directed

verdict, respondent called Dr. Tarawneh, a clinical psychologist, who was A.C.’s therapist after

VOA terminated services. Dr. Tarawneh completed a mental health evaluation for her and saw

her on a weekly basis from March 2021, through early July 2021, for a total of 20 visits. During

those visits, A.C. improved and made progress in her therapy. As evidence of her progress, Dr.

Tarawneh cited the fact that A.C. was able to find a job and work consistently. Dr. Tarawneh

had no issues communicating with A.C. and no problems with her communication. Dr.

Tarawneh agreed that she had progressed “to the point where she was ready to make the [next]

step,” which he believed was to see a psychiatrist who could assess the medication that she

was taking. In the mental health evaluation, which he completed in May 2021 of A.C., he

indicated that she had depression but that her thoughts were coherent, congruent, and logical.

¶ 50 The next witness was A.C., who testified that, when her caseworker informed her that

the agency had changed the goal to termination, the caseworker also told her that she would

18
No. 1-22-0410

have to find her own “community-based” services. The services that A.C. was able to locate

on her own were Dr. Tarawneh and, subsequently, the “Trauma Recovery Center” (TRC). She

started services at TRC after her sessions with Dr. Tarawneh ended. A.C. testified that TRC

provided “Counseling, Psychiatry, and a Caseworker or Social Worker.” TRC provided a 16-

week program, and A.C. was still seeing the caseworker. Through TRC, A.C. was able to see

a psychiatrist. A.C.’s first doctor was Dr. Galecky, and A.C. was presently in the care of Dr.

Alejandra Besterfeldt, whom A.C. had seen twice and was scheduled to see next month.

¶ 51 A.C. testified that, since the case started in November 2019, she had been taking

prescription medicine that had been prescribed by a medical professional. The day after her

“son was taken,” she obtained a restraining order against her brother who had been living in

her house. Her brother and his friends had contributed to the mess in the house. First, she

obtained an emergency order and then a two-year order. When no one came to serve her brother

with the emergency order, she called the police and he moved out. The town in which she lived

restricted her ability to live in the house because of its condition, but she received permission

to enter it in order to clean it up, which she did. A little over a month later, the town inspected

the house and certified that it was clean. Respondent’s counsel then introduced a letter from

the town in December 2019 that certified that the house was clean and suitable for occupancy.

The State stipulated to its admissibility. A.C. testified that a representative from the town

visited the house again during the summer of 2021 and found no concerns.

¶ 52 A.C. testified that, after Kerby was assigned as her caseworker, A.C. made efforts to

stay in communication with her about the services recommended by VOA. For example, A.C.

found parenting classes and then asked VOA to send a referral for them. VOA communicated

with her only by e-mail, and A.C. was not permitted to call. In the e-mails, A.C. always

19
No. 1-22-0410

“c.c.’d” 13 her attorney. In these e-mail exchanges, A.C. asked if they had sent referrals and

advised them of when services were completed. Respondent’s counsel introduced the e-mails,

which the court admitted.

¶ 53 A.C. testified that her son knew how to brush both his teeth and his hair and that she

was working with him on his ability to know when he had to go to the bathroom. A.C. stated,

“I cannot imagine what my son thinks and feels since May 17th. He probably thinks that his

mommy did not care; that I gave up, and that is not the case.” The picture that she showed her

son on her phone during an in-person visit was the picture of “a flood” that occurred at her

work, and the surprised look was “his reaction.” A.C. clarified that her brother who died was

not on drugs, although he had attempted suicide. The brother who lived with her was the

brother on drugs. When D.D. started school, A.C. asked the school if he could see a

psychologist or counselor for therapy.

¶ 54 The trial court and A.C. then had the following exchange:

“THE COURT: Ma’am, I saw pictures of that house; and, when you say you did

everything you could, how could you live there with a little boy in a house in that

condition?

RESPONDENT’S COUNSEL: I would object to the form of the question.

THE COURT: No; that’s the whole; that’s what this case is about. This case came

in because this little boy was living in some of the worst circumstances I’ve ever seen

in photographs and descriptions; and as I’ve said, I have been in terrible homes. I was

the Public Guardian. I had to go into homes all the time with elderly people who suffer

13
Copied.
20
No. 1-22-0410

from Dementia and this; and I could not smell it; but, from what I saw there, ma’am, I

didn’t understand how you could have a little boy in that house.

A.C.: And I don’t blame you for feeling that way. I did everything I could to [sic]

coming home, having my brother have five friends in the house [sic] to making chicken

grease all over the place. They didn’t, they didn’t care. When my brother would leave,

I was throwing things away; doing everything I could. I could not stand living like that.

I could not stand it. I was trying so hard and—

THE COURT: You did get him out of the house the day after your son was

removed?

A.C.: Yeah, and I started, after I came home, I started cleaning. I was at the

courthouse. Right after I took my drug screen after half of the day waiting to get my

emergency [restraining order] until I got to see if I could get my two years [permanent

restraining order] or whatever [time] they were going to give me [sic] for, you know to

keep my brother away.

THE COURT: Now, you heard Miss Ellison testify, you know, it’s to me[,] it was

a terrible situation; but the child was taken away and there was a ruling made that you

neglect[ed] him; but now we are at a different phase and the question is: should I

terminate your rights and you heard Miss Ellison testify that you never would admit to

your role in the blame; that you considered yourself a victim.

What do you have to say about that?

A.C.: No; it wasn’t, it wasn’t that I played [the] victim or I blamed everybody else.

I honestly didn’t feel to a sense that I was hurt, and I was just being judged; and yeah,

it was bad. It was awful. It was disgusting when my brother—lifting up of couches;

21
No. 1-22-0410

there [were] milk jugs underneath the couch, like little, tiny jugs. It was so bad like it

was worse than what the pictures [showed] ‘cuz he was just putting stuff underneath

the couch like he didn’t do anything; no.

THE COURT: We are, I don’t know that. [Sic.] Now there was a Finding of

Neglect. Now, the question is: should we terminate your rights? The question I asked

was: Miss Ellison testified that, that you never seem to admit your fault in the situation;

and that you were the victim?

A.C.: No; that’s not—that’s not, I don’t feel that way at all. I mean, I admit my

faults; but my son is gone. I never had problems; and I did it all by myself with my son

for seven years. He’s my everything. My home is spotless.”

¶ 55 When the court asked about reports that her son did not know how to brush his teeth,

A.C. responded that was “not true,” and that her son brushed his teeth “every morning and

every night. However, when he was taken from her, it was “traumatizing to him” because he

had been with her “every day.”

¶ 56 After testimony finished, the court recessed until March 9, 2022, for closing arguments.

The trial court found A.C. unfit in a ruling described above and proceeded to the best interests

hearing, described below.

¶ 57 B. Best Interests Hearing

¶ 58 The State recalled Smith, one of the caseworkers, who had previously testified at the

fitness hearing. Smith testified that D.D. had been placed with his paternal grandparents in

June or July 2020 and that Smith had last seen him within the last 30 days. Smith opined that

the placement was safe and appropriate for D.D., who had just turned 10 years old and was in

the fourth grade and on the honor roll. D.D. was in therapy and had been in therapy since Smith

22
No. 1-22-0410

was assigned the case in December 2020. He was in therapy due to “issues that brought the

case in,” and Smith stated that it was helpful for him. Smith observed D.D. interact with his

grandparents twice a month, and he appeared “comfortable” and “playful” with his

grandparents, who had a lot of time to dedicate to hm. D.D. seemed happy in their home. In

January 2022, Smith had an opportunity to speak to D.D. alone. At that time, D.D. was opening

gifts and “very excited about his gifts,” and he told Smith that he liked it there and wanted to

stay. Smith did not discuss adoption with him because she felt it was better to leave that topic

to his therapist. In February 2022, Smith participated in a meeting and, as a result of that

meeting, her agency recommended termination of parental rights and appointment of a

guardian who could consent to adoption, with the grandparents providing the contemplated

adoptive home.

¶ 59 On cross, Smith testified that, since she was assigned to the case in December 2020,

the grandparents had refused all communication with the mother. The grandparents told Smith

that they had received a text from A.C. in December 2020 but A.C. denied sending the text.

Smith had not seen the alleged text and so had no means of verification. The grandparents did

not want to have any contact with A.C. and told Smith that they would not allow D.D. to have

any contact with his mother. Since Smith had been the caseworker, A.C. had repeated contact

with D.D., but those visits would entirely come to an end if her rights were terminated.

Although sometimes D.D. asked to end the virtual visits early, he never said to Smith that he

did not want to see his mother, and he participated in the visits.

¶ 60 The next witness was the foster mother and paternal grandmother. When D.D. came

into the system, she and her husband had been living in Florida since 2006. They moved back

to Illinois in order to care for D.D., and they want to adopt him. The foster mother testified that

23
No. 1-22-0410

D.D. had “a whole village of family members” here, and he visited regularly with his uncles,

aunts, and cousins.

¶ 61 After the State and respondent rested, the trial court found it was in D.D.’s best interests

to terminate his mother’s parental rights, in a two-paragraph ruling which we quoted above.

On March 29, 2022, A.C. filed a timely notice of appeal, and this appeal followed. On appeal,

the State adopted the Public Guardian’s brief. 14

¶ 62 ANALYSIS

¶ 63 On appeal, respondent A.C. argues that the trial court’s findings are against the

manifest weight of the evidence and should be reversed. We examine, first, the trial court’s

unfitness finding because it serves as the basis for the subsequent best interests ruling. “The

bifurcated nature of termination proceedings calls for the court to make a determination

regarding the parent’s fitness first, without considering the child’s best interests or the

likelihood of eventual adoption.” In re Tyianna J., 2017 IL App (1st) 162306, ¶ 89.

¶ 64 I. Standard of Review

¶ 65 The State alleged three separate grounds of unfitness. Although any one ground, if

properly proven, is sufficient to support a finding of parental unfitness, the State bears the

burden of establishing unfitness by clear and convincing evidence. Tyianna J., 2017 IL App

(1st) 162306, ¶ 88. On appeal, the reviewing court considers whether the trial court’s “clear

and convincing” finding was against the manifest weight of the evidence. Tyianna J., 2017 IL

App (1st) 162306, ¶ 88. Findings are against the manifest weight of the evidence when an

opposite conclusion is clearly apparent from the record. McAllister v. Illinois Workers’

Compensation Comm’n, 2020 IL 124848, ¶ 30. Although reviewing courts are reluctant to

14
As a result, when discussing their collective arguments, we refer to them as “the State.”
24
No. 1-22-0410

conclude that a determination is against the manifest weight of the evidence, we will not

hesitate to do so when the clearly evident weight of the evidence compels an opposite

conclusion. McAllister, 2020 IL 124848, ¶ 30.

¶ 66 “Decisions rendered in other cases are of limited assistance” in termination cases, as

“ ‘[e]ach case concerning parental unfitness is sui generis, unique unto itself.’ ” Tyianna J.,

2017 IL App (1st) 162306, ¶ 88 (quoting In re Adoption of Syck, 138 Ill. 2d 255, 279 (1990)).

As a result, factual comparisons to other cases are of little value. In re Nicholas C., 2017 IL

App (1st) 162101, ¶ 25.

¶ 67 In the case at bar, the trial court stated that it relied heavily on the testimony of Ellison,

the mother’s therapist for two months. On appeal, respondent argues that the conclusions of

Ellison’s phone therapy are not entitled to much weight

¶ 68 Courts have often stated that appellate courts generally owe deference to a trial court’s

evaluation of evidence because trial courts are in a unique position to observe witnesses’

demeanor and hear their tone of voice, in contrast to a reviewing court that has only a cold,

lifeless transcript before it. E.g., People v. Parker, 2016 IL App (1st) 141597, ¶ 29 (a reviewing

court owes deference to a trial court’s assessment of a witness’ credibility where the trial court

is in a superior position to observe the witness’ demeanor); People v. Herman, 407 Ill. App.

3d 688, 708 (2011) (“we give great deference to the trial court’s assessment of the [witnesses’]

demeanor”); Ayers v. Ayers, 142 Ill. 374, 375 (1892) (per curiam) (no certificate of evidence

“can reproduce fully and accurately the countenance, tone of voice and manner of the witness

while testifying”).

¶ 69 However, in an age of distant connections, the question arises: do we owe the same

level of deference when a trial court evaluates by Zoom a therapist’s assessment by phone?

25
No. 1-22-0410

Respondent argues against placing too much weight on phone therapy, and we have all heard

the old adage about “playing telephone.” While Zoom is certainly better than a paper record,

how many degrees of separation are needed before we, the reviewing courts, adjust our level

of deference? Cf. People v. Shaw, 2015 IL App (1st) 123157, ¶ 29 (“a trial court does not

occupy a position superior to the appellate courts in evaluating evidence that is not live

testimony” (citing People v. Radojcic, 2013 IL 114197, ¶ 34)); Addison Insurance Co. v. Fay,

232 Ill. 2d 446, 453 (2009) (“Without having heard live testimony, the trial court was in no

superior position than any reviewing court to make findings, and so a more deferential standard

of review is not warranted.”). However, even applying the manifest weight standard of

deference, we find we must reverse.

¶ 70 The evidence cited by the trial court was substantially drawn from the initial reasons

for the child’s removal from the home, which was principally the unkempt condition of the

home itself. In fact, the court stated that this was the “whole” case. However, if this was the

whole case, then there would have been no reason for all the proceedings and services that

subsequently occurred in the following two years: after all, courts presume that judicial

proceedings and required services are not a meaningless exercise. There is no question that

A.C. completely turned her life around after her son was removed: she obtained a court order

against her brother; she kept her home clean as certified by her town; she found and kept a job;

and she located therapy on her own, even after services were cut off, and attended therapy, at

least until the day of her testimony.

¶ 71 It is difficult to say that someone is an unfit parent for failing to progress if the

recommendations and referrals are confusing, contradictory, and at times unavailable, and the

staff in charge of the case cannot agree on the order in which the services should proceed.

26
No. 1-22-0410

Admittedly, these are just overarching observations at this point, but we discuss each of the

grounds, separately and in detail, below.

¶ 72 II. Interest, Concern, and Responsibility

¶ 73 The first alleged ground was Ground B: “[f]ailure to maintain a reasonable degree of

interest, concern or responsibility as to the child’s welfare” 750 ILCS 50/1(D)(b) (West 2020).

The disjunctive “or” means that a finding of unfitness may be found based on a failure of any

one of the three elements in the list: interest, concern, or responsibility. Nicholas C., 2017 IL

App (1st) 162101, ¶ 24.

¶ 74 Ground B does not focus on the parent’s success but, rather, on the reasonableness of

her efforts and takes into account the parent’s difficulties and circumstances. Nicholas C., 2017

IL App (1st) 162101, ¶ 24; In re Daphnie E., 368 Ill. App. 3d 1052, 1065 (2006). Examples of

unfitness under this ground include noncompliance with an existing service plan, a continuing

addiction to drugs, a repeated failure to obtain treatment, and infrequent or irregular visitation.

Nicholas C., 2017 IL App (1st) 162101, ¶ 24; Daphnie E., 368 Ill. App. 3d at 1054, 1065 (unfit

under this ground where the mother was infrequent in attending both child visits and outpatient

therapy and was noncompliant in taking her prescribed psychotropic medication for

schizophrenia). 15 In Nicholas C., for example, the reviewing court found that the trial court’s

unfitness finding under Ground B was not against the manifest weight, where the mother’s

urine drops began testing positive again for drugs, where the mother refused to obtain a

psychiatric evaluation and was terminated from therapy due to her failure to attend, and where

15
The State argued that “a failure to engage in those [mental health] services, despite visiting,
supported a finding of unfitness of ground (b)” in Daphnie E., 368 Ill. App. 3d at 1065-66. Actually,
in that case, the schizophrenic mother failed to attend both therapy and visits.
27
No. 1-22-0410

the mother never remedied the risks associated with her living situation. Nicholas C., 2017 IL

App (1st) 162101, ¶ 29.

¶ 75 In support of its finding on all three grounds, the trial court cited primarily: (1) the

initial conditions of the home which led to D.D.’s removal and (2) A.C.’s “circular thinking,”

as described by Ellison. However, the trial court did not apportion its findings among the three

grounds or address the three grounds separately. As a result, with respect to Ground B, the

court did not specify whether it found a lack of interest, concern or responsibility, or all three.

In its brief to this court, the State headlined its section on Ground B as A.C. “failed to show

responsibility” and focused its arguments on that particular element of Ground B. “Failure to

maintain a reasonable degree of *** responsibility as to the child’s welfare” (750 ILCS

50/1(D)(b) (West 2020)), by itself, is sufficient to support a finding of unfitness. Nicholas C.,

2017 IL App (1st) 162101, ¶ 24.

¶ 76 In support of its argument that initial conditions may sustain a trial court’s finding

under this ground, the State cited In re J.B., 2014 IL App (1st) 140773, ¶ 47. In J.B., the mother

severely beat her eight-year-old child, resulting in several fractures, including fractures of his

pelvis and femur bones. J.B., 2014 IL App (1st) 140773, ¶¶ 18-21. As the doctor in J.B.

observed, the femur is a very big bone and needs a substantial impact to break. J.B., 2014 IL

App (1st) 140773, ¶ 19. After this beating, the mother was incarcerated, a no-contact order was

entered, and DCFS did not provide any services toward reunification. J.B., 2014 IL App (1st)

140773, ¶¶ 4, 47. Based on the beating, the trial court found the mother unfit on several

grounds, including depravity. J.B., 2014 IL App (1st) 140773, ¶ 26. This court affirmed the

trial court’s finding based on the severe beating that brought the child into the system. J.B.,

2014 IL App (1st) 140773, ¶ 54 (although this case was respondent’s first contact with DCFS,

28
No. 1-22-0410

the trial court’s finding was affirmed, where her beating of her eight-year-old son “entailed

such force that it broke [his]” femur and pelvis bones).

¶ 77 As the State must realize, the J.B. case is to our case like night is from day, and it

illustrates the problem with comparing one case to another in this context. In J.B., the mother

beat her child severely, the trial court entered a no-contact order, and no services were provided

by DCFS toward reunification. J.B., 2014 IL App (1st) 140773, ¶¶ 4, 47.

¶ 78 By contrast, in the case at bar, Dr. Ingram testified that, in her opinion, if A.C.

“engage[d] consistently with the therapeutic services recommended,” A.C. would be an

appropriate parent for D.D. Dr. Ingram gave this opinion, fully aware of the reasons that

brought D.D. into the system. Not a single professional who looked at the original conditions

found those conditions to be an insurmountable barrier to reunification. Knowing full well

what the original conditions were, the social service professionals in this case provided

referrals and services toward a goal of reunification. Unless we were to find that all these

professionals were completely misguided and their recommended services worthless, we must

conclude that a finding of unfitness based on initial conditions is against the manifest weight

of the evidence. 16

¶ 79 In addition to the initial conditions, the trial court also found Ellison’s testimony

credible and quoted part of Ellison’s report, dated October 2, 2020, which stated, “the client’s

circular thinking showcases an inability to recognize the parental expectations for a healthy,

age appropriate development and physical and emotional safety of the client’s son.”

16
As noted above, the trial court noted, as part of its finding on initial conditions that, “He
wasn’t potty trained. And within a week or two of being sent to live with his uncle, he accomplished
these matters.” This finding was contradicted by the testimony of Dolan, the caseworkers’ supervisor,
who testified at the fitness hearing that a report from D.D.’s therapy indicated that, in November
2020, or almost a year after the case came to DCFS, D.D. continued to wear Pull-Ups and sometimes
wet himself during the night.
29
No. 1-22-0410

Immediately after quoting, Ellison, the trial court added, “I find the mother’s testimony, again

to be indicative of some serious issues. I’m not a therapist. I don’t know what they are. But,

obviously, they demonstrated themselves in the way her child was living and the way he was

acting.” At the hearing, Ellison testified that what she meant by “circular thinking was that,

instead of accepting accountability” that could lead to progress, A.C. thought “[e]verything is

happening to me and we in turn are the victims.”

¶ 80 However, the manifest weight of the evidence shows that the minute her son was taken

from her, instead of posing like a passive and helpless victim, A.C. acted like the protagonist

in her own story and took responsibility to turn her life around. The undisputed testimony

showed that (1) she obtained a protective order, the very next day, to get her brother out of the

house; (2) she personally went to work cleaning her house, as soon as her brother was out of

it, and kept it clean, as certified by her town; (3) she located a job and kept it; (4) she regularly

and consistently attended whatever visitation was allowed her; (5) she regularly attended the

services for which referrals were made; 17 and (6) after referrals were denied her, she located

therapeutic services, including psychiatric therapy as was recommended, on her own and

continued with it.

¶ 81 In August 2020, approximately eight months after this case came into the system, Dr.

Ingram testified about her observations during an in-person visit between A.C. and D.D.: “[I]t

appeared that [A.C.] had a loving and caring relationship with her son, [D.D.]; and it was

reciprocated. He was [sic], she was attentive to him throughout the observation. They laughed;

17
Referrals were made only for (1) parenting classes, (2) individual therapy, and (3) the JCAP
substance abuse assessment. A.C. completed parenting classes and the JCAP substance abuse
assessment and attended individual therapy with Ellison until discharged, when A.C. then sought out
and attended further therapy.

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No. 1-22-0410

they talked during the whole visit that I observed so it was a very positive visit.” Dr. Ingram

testified that she did not observe any deficits in A.C.’s functioning in August 2020 and that

A.C. was responsive to D.D’s needs. Dr. Ingram testified that a caseworker, Hull, who had

been physically present with D.D. and A.C. in the park, indicated that Dr. Ingram’s

observations of that visit were consistent with the agency’s observations of prior visits. Dr.

Ingram testified, while she was doing her assessment, A.C. had three phone sessions with her

therapist, Ellison, and Ellison had reported to Dr. Ingram that A.C. was “ ‘determined’ ” and

“ ‘extremely committed.’ ” Dr. Ingram opined that the therapy required “at least six months to

eighteen months *** to be effective with people,” such as A.C., who “have more than one

mental-health diagnosis.” When Dr. Ingram completed the parenting capacity assessment for

A.C. on September 4, 2020, Dr. Ingram concluded that if A.C. “engage[d] consistently with

the therapeutic services recommended,” A.C. would be an appropriate parent for D.D.

However, on September 29, 2020, after only two months and eight phone calls of therapy,

Ellison terminated A.C.’s therapy as unsuccessful. The termination occurred just a few weeks

after Dr. Ingram completed the parenting assessment opining that A.C. would be an appropriate

parent after completion of services. For her part, Ellison recommended that A.C. complete

other services before restarting therapy. However, despite the recommendations of both Dr.

Ingram and Ellison, referrals for required services were almost immediately denied.

¶ 82 Courts must consider a parent’s efforts in the context of the circumstances in which

they occur, including any difficulties that hinder those efforts. Daphnie E., 368 Ill. App. 3d at

1064 (citing Syck, 138 Ill. 2d at 278-80 (reversing the trial court’s finding of unfitness after

considering, among other things, the obstacles that the mother faced, such as the foster parents’

refusal to enable contact)). A.C. faced a catch-22—actually, a number of them. For example,

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although A.C. regularly attended individual therapy until discharged, no further referral was

made during the 2½ months between the discharge and the goal change. Dolan, the

caseworkers’ supervisor, testified that no further referral was made because the therapist

recommended that A.C. engage in domestic violence and substance abuse services first. Dolan

acknowledged that Dr. Ingram’s report recommended just the opposite: that A.C. engage in

individual therapy before beginning either domestic violence or substance abuse services. 18

However, Dolan also testified that JCAP had already concluded that substance abuse services

were not warranted. Dolan testified that, after VOA recommended a JCAP substance abuse

assessment, A.C. completed it and the resulting assessment indicated that A.C. did not warrant

and, thus, did not qualify for substance abuse services at that time.

¶ 83 On appeal, the State argues that A.C. was resistant to both drug treatment and domestic

violence services. However, A.C. completed the JCAP substance abuse assessment, which

concluded that further drug abuse services were not warranted, and VOA refused to issue

referrals for either drug or domestic violence services. Dolan testified that the services

“recommended for reunification included [1] Domestic Violence Services, [2] a J.C.A.P.

Substance Abuse Assessment, and possible follow-up services as needed; [3] Parenting

Classes and Coaching, [4] Individual Therapy, and [5] Psychiatric Assessment [6] Parenting

Capacity Assessment.” Of these services, referrals were made only for (1) parenting classes,

(2) individual therapy, and (3) the JCAP substance abuse assessment. A.C. completed

parenting classes and the JCAP substance abuse assessment and attended individual therapy

until discharged, when she sought and obtained therapy on her own. No referral was made for

18
On cross, Ellison acknowledged that, in her discharge letter, she recommended that A.C.
complete other training, such as domestic violence and drug counseling, before resuming individual
therapy. Ellison was not aware, at the time, that this contradicted Dr. Ingram’s recommendation
regarding the sequence of these services.
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No. 1-22-0410

domestic violence services because the decision was made to wait until individual therapy was

completed, but that never happened. A.C. successfully completed parenting classes but no

referral was made for parenting coaching, although required. No referral was made for parental

coaching because they were waiting for “input from the Individual Therapist.” After Ellison

terminated A.C.’s therapy, no further referral was made for individual therapy. Dolan’s

understanding was that Ellison recommended that A.C. complete domestic violence services

and substance abuse services before restarting individual therapy. However, as noted, Dolan

testified that no referral for domestic violence services was ever made.

¶ 84 In light of the uncontested evidence that the initial conditions were no longer a barrier

to reunification, that A.C. turned her life around when faced with the loss of her son (see supra

¶ 80), and that the referrals that she was tasked with following were confusing, contradictory,

and often denied, we have no choice but to conclude that the trial court’s finding that A.C.

failed to maintain reasonable efforts to assume responsibility is against the manifest weight of

the evidence. See Nicholas C., 2017 IL App (1st) 162101, ¶ 24 (Ground B does not focus on

the parent’s success but, rather, on the reasonableness of her efforts and takes into account the

parent’s difficulties and circumstances); 750 ILCS 50/1(D)(b) (West 2020) (the parent must

“maintain a reasonable degree of *** responsibility as to the child’s welfare”).

¶ 85 III. Reasonable Progress

¶ 86 The second alleged ground was Ground M:

“[f]ailure *** (i) to make reasonable efforts to correct the conditions that were the basis

for the removal of the child *** during any 9-month period following the adjudication

of neglected *** minor *** or (ii) to make reasonable progress toward the return of the

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No. 1-22-0410

child to the parent during any 9-month period following the adjudication.” 750 ILCS

50/1(D)(m) (West 2020).

The nine-month period chosen by the State was March 14 to December 24, 2020. 19 We may take

judicial notice of the fact that, on March 13, 2020, the President of the United States declared the

COVID-19 pandemic to be a national emergency, causing the courts and most service providers

to discontinue or curtail the provision of services and contact with the public. See Notice on the

Continuation of the National Emergency Concerning the Coronavirus Disease 2019 (COVID-19)

Pandemic, The White House (Feb. 18, 2022), https://www.whitehouse.gov/briefing-room/

presidential-actions/2022/02/18/notice-on-the-continuation-of-the-national-emergency-

concerning-the-coronavirus-disease-2019-covid-19-pandemic-2/ [https://perma.cc/7K59-TENN]

(“On March 13, 2020, by Proclamation 9994, the President declared a national emergency

concerning the coronavirus disease 2019 (COVID-19) pandemic.”). This most certainly

contributed to A.C.’s alleged inability to progress.

¶ 87 Since the trial court did not apportion its findings among the three grounds or address

the three grounds separately, the trial court did not specify, with respect to Ground M, whether

it found a lack of reasonable efforts or a lack of reasonable progress In its brief to this court,

the State headlined its section on Ground M as A.C. “failed to make reasonable progress in

services.” The State quoted only this element and devoted its arguments to this element.

¶ 88 Our supreme court has defined reasonable progress as “ ‘demonstrable movement

toward the goal of reunification.’ ” In re C.N., 196 Ill. 2d 181, 211 (2001) (quoting In re J.A.,

316 Ill. App. 3d 553, 565 (2000)). “Under the statute’s express language, a parent’s progress

19
We note that this period is actually 10 days over nine months. However, this extra 10-day
period does not seem to make a difference in the case at bar.
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No. 1-22-0410

toward this goal is judged under the familiar ‘reasonableness’ standard.” C.N., 196 Ill. 2d at

211. In considering whether reasonable progress has been made, a court may consider both

progress with respect to correcting the original conditions and progress with respect to

completing the service plan. See C.N., 196 Ill. 2d at 213-14 (rejecting both the view that a court

may look for progress only in correcting the original situation and the view that a court may

look only to compliance with a service plan).

¶ 89 With respect to a service plan, Ground M provides, in relevant part, that “[i]f a service

plan has been established *** and if those services were available, then, for purposes of the

Act, ‘failure to make reasonable progress ***’ includes the parent’s failure to substantially

fulfill his or her obligations under the service plan.” 750 ILCS 50/1(D)(m) (West 2020). Per

the express words of the statute, a parent’s fulfillment is contingent on the availability of

services, and the issue is whether she substantially fulfilled her obligations under the plan. 750

ILCS 50/1(D)(m) (West 2020).

¶ 90 The State stresses, first, A.C.’s discharge from therapy by Ellison. However, individual

therapy was just one component of a complex service plan that included a number of

recommended services, forms, and assessments, as well as regular visitation. As noted above,

A.C. completed the services for which referrals were made, 20 took advantage of whatever

visitation was allowed, and attended therapy with Ellison until that was terminated. 21 In light

of A.C.’s regular and substantial efforts to comply with the service plan and the visitation that

20
As A.C. argues in her brief, during this same nine-month period, A.C. completed parenting
classes in June 2020 and participated in a parenting capacity assessment with Dr. Ingram, which
included an over 2-hour interview with A.C. on July 2, 2020, and a 1½-hour parent-child observation
in August 2020.
21
In addition, A.C. sought out another therapist and continued therapy on her own, after
Ellison discharged her. However, that occurred outside the nine-month period chosen by the State,
which ended on December 24, 2020, and thus we do not consider it here.
35
No. 1-22-0410

it offered, we cannot agree that this discharge was clear and convincing evidence that A.C.

failed to substantially fulfill her obligations under the plan. See 750 ILCS 50/1(D)(m) (West

2020). The manifest weight of the evidence establishes reasonable and demonstrable progress

with respect to her obligations under the plan. See C.N., 196 Ill. 2d at 211.

¶ 91 In addition, A.C. argues on appeal that the discharge cannot even be considered under

this ground, since this ground requires that the service be available and this service was so

clearly withdrawn. However, we do not need to reach this question to find that A.C.

substantially complied.

¶ 92 The State argues that this case is analogous to In re C.E., 406 Ill. App. 3d 97 (2010).

In C.E., a 20-month-old infant was so severely beaten that she had multiple rib fractures,

multiple finger fractures, a femur fracture, lower vertebrae fractures, and a spinal cord

contusion. C.E., 406 Ill. App. 3d at 98. The trial court found that the infant had been physically

abused and tortured. C.E., 406 Ill. App. 3d at 98. Additionally, the mother was convicted of

endangering the infant’s life by allowing her to be abused and by failing to seek any medical

treatment. C.E., 406 Ill. App. 3d at 98. The trial court found the mother unfit on multiple

grounds, including Ground M, in that she “demonstrated minimal capacity to internalize the

parenting instruction she received.” C.E., 406 Ill. App. 3d at 111. A psychologist opined that,

as a result of having suffered gross neglect as a child herself, the mother suffered from complex

mental health issues, including an attachment disorder. C.E., 406 Ill. App. 3d at 102.

¶ 93 We cannot find “analogous” the severe beating and spinal cord injury in C.E., with

A.C.’s unkempt house. In fact, it is difficult to find any part of the C.E. facts analogous to the

facts at hand. The State argues that the cases are “analogous” because A.C., like the mother in

C.E., failed to internalize services, specifically, the therapy that Ellison was providing. Even if

36
No. 1-22-0410

we were to overlook most of the extreme differences in facts between the two cases, we cannot

overlook the fact that the mother in C.E. had been in individual therapy for several years, as

opposed to the two months of individual therapy in the case at bar. See C.E., 406 Ill. App. 3d

at 104, 112 (a trauma support specialist worked individually with the mother for two years but

“despite several years of therapy” the mother was “incapable of safely and effectively

parenting”).

¶ 94 The State argues under this ground, as it did under Ground B (supra ¶ 84), that A.C.

was resistant to domestic violence and substance abuse treatment and that this is evidence of a

lack of reasonable progress. As we noted above, A.C. completed the JCAP substance abuse

assessment, which concluded that further drug abuse services were not warranted, and VOA

refused to issue referrals for either drug or domestic violence services. Supra ¶ 83. The State

also argues that there is no evidence that A.C. participated in a psychiatric evaluation; however,

that assertion overlooks A.C.’s own testimony.

¶ 95 For the foregoing reasons, we find that the manifest weight of the evidence establishes

reasonable and demonstrable progress by A.C. in substantially fulfilling the obligations under

her service plan.

¶ 96 Although the State does not appear to argue this element of Ground M, we also find

that the manifest weight establishes reasonable efforts toward correcting the conditions that

led to the child’s removal. The undisputed testimony shows that: (1) A.C. obtained a protective

order the next day to remove her brother from the house; (2) she cleaned her house and kept it

clean, as certified by her town; and (3) she located a job and kept it.

¶ 97 IV. Mental Impairment

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¶ 98 The third and last alleged ground was Ground P: “[i]nability to discharge parental

responsibilities” due to “mental impairment, mental illness or an intellectual disability” or

“developmental disability” that “extend[s] beyond a reasonable time period.” 750 ILCS

50/1(D)(p) (West 2020). The alleged mental impairment, mental illness, or intellectual or

developmental disability must be shown “by competent evidence from a psychiatrist, licensed

clinical social worker, or clinical psychologist.” 750 ILCS 50/1(D)(p) (West 2020). However,

this ground “shall not be construed so as to permit a licensed clinical social worker to conduct

any medical diagnosis to determine mental illness or mental impairment.” 750 ILCS

50/1(D)(p) (West 2020).

¶ 99 The closest thing to a mental impairment cited by the trial court was Ellison’s

description of A.C. as having “circular thinking.” However, Ellison admitted that this was not

a diagnosis or a diagnostic term, and the State does not argue this factor on appeal to support

this ground.

¶ 100 The State argues this ground primarily based on A.C.’s prior diagnosis of anorexia and

Dr. Ingram’s testimony regarding it. However, Dr. Ingram testified that she did not diagnose

A.C. with anorexia or make any mental health diagnosis of A.C. Dr. Ingram testified that,

according to A.C.’s medical records, A.C. was first diagnosed with anorexia when she was 13

or 14 years old. Dr. Ingram further testified that her review of A.C.’s medical records showed

that, although A.C. had been hospitalized several times for anorexia, including in her thirties,

A.C. had not been hospitalized or treated for it in over 10 years, and the last time was before

D.D. was born.

¶ 101 Neither party disputes that anorexia is a mental impairment or mental illness. As such,

a “medical diagnosis” is required “to determine mental illness or mental impairment.” 750

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ILCS 50/1(D)(p) (West 2020). Although evidence under this ground is generally permitted

“from a psychiatrist, licensed clinical social worker, or clinical psychologist,” social workers

are excluded from the diagnosis of mental illness or impairment, thereby requiring a diagnosis

from a psychiatrist or clinical psychologist. 750 ILCS 50/1(D)(p) (West 2020). The State,

which bears the burden of providing clear and convincing evidence, did not seek a current

diagnosis from a psychiatrist or clinical psychologist. Dr. Ingram, who is a clinical

psychologist, testified that she did not diagnose A.C. with anorexia or make any mental health

diagnosis of A.C.

¶ 102 The State argues that this case is similar to In re S.K.B., 2015 IL App (1st) 151249. In

S.K.B., the mother was diagnosed with severe mental health issues while she was in the hospital

giving birth, and a DCFS case was opened immediately. S.K.B., 2015 IL App (1st) 151249,

¶ 3. During the pendency of the case, the mother was involuntarily psychiatrically hospitalized

three times. S.K.B., 2015 IL App (1st) 151249, ¶ 32. All three clinical psychologists treating

the mother opined at the fitness hearing that she was delusional. S.K.B., 2015 IL App (1st)

151249, ¶ 19. The appellate court found that “[t]here was really no dispute that, should [the

mother] stop taking her mediation, there would be reason for concern for the well-being” of

the child and that she had past inconsistency of remaining medicated. S.K.B., 2015 IL App

(1st) 151249, ¶ 31. Unlike the case at bar, there was a diagnosis in S.K.B., provided

contemporaneously with the opening of the case and again in the testimony of three separate

clinical psychologists at the fitness hearing.

¶ 103 The State argues that the S.K.B. case was similar in that “[t]he mother in S.K.B. was

also fixated on her child’s supposed weight problems.” However, to suggest or hint that this

was a major factor in the trial court’s finding in S.K.B., or that the issue there was weight,

39
No. 1-22-0410

misrepresents that case. In S.K.B., the mother accused the foster mother of trying to starve her

son, and this accusation came toward the end of a long list of about 20 delusional behaviors,

which began with threatening to kill her own mother and accusing her own husband of trying

to poison her. S.K.B., 2015 IL App (1st) 151249, ¶ 20.

¶ 104 There is no question that A.C. had food issues. But the question under this ground is

whether she had a clinically or medically diagnosed present mental impairment that rendered

her unable or unfit to parent her child and which “shall extend” into the future. 750 ILCS

50/1(D)(p) (West 2020). Stewart, one of the case aides, testified that D.D. was “a healthy-sized

boy,” and there was no testimony or evidence at the hearings that D.D. was too thin or, in any

way, nutritionally impaired. In its appellate brief, the State summed up its argument under

Ground P by saying: “Based upon [A.C.’s impaired sense of reality through insisting [D.D.]

still needs to wear pull ups and by bringing a Pediasure to a visit, the trial court properly relied

upon the expert testimony of Dr. Ingram to find [A.C.] unfit under ground p.” However, we do

not find this argument persuasive. First, the trial court specifically ruled that the one PediaSure

was not relevant; second, Dolan’s testimony established that D.D. still needed to wear pull ups

a year later; and third, Dr. Ingram concluded that A.C. could be an appropriate parent.

¶ 105 First, with respect to the PediaSure incident, Stewart, a VOA case aide, testified that

she observed a visit between A.C. and D.D. in a park, where A.C. provided snacks, bottles of

water, and one PediaSure. When Stewart later dropped D.D. off at home, the foster parent told

Stewart that D.D. was not supposed to have the PediaSure. Respondent’s counsel objected to

the PediaSure testimony on relevance grounds, and the trial judge agreed. Stating that he did

not see the relevance either, the trial judge ruled, “She gave him one bottle of PediaSure; okay.

What’s the big deal?” The State cannot rely on evidence that the trial court ruled was irrelevant.

40
No. 1-22-0410

Second, as for the pullups, Dolan testified that a report of D.D.’s therapy indicated that, in

November 2020, or almost a year after the case came to DCFS, D.D. still needed Pull-Ups.

¶ 106 Lastly, Dr. Ingram testified that she did not observe any deficits in A.C.’s functioning

at the time of her observation and that A.C. was appropriately responsive to D.D’s needs. Dr.

Ingram testified that Hull informed her that her observations were consistent with prior visits,

and Dr. Ingram concluded that A.C. could be an appropriate parent.

¶ 107 For all the foregoing reasons, we cannot find that the State provided clear and

convincing evidence under this ground.

¶ 108 CONCLUSION

¶ 109 In short, we find that the trial court’s finding that A.C was unfit was against the manifest

weight of the evidence, particularly where A.C. made reasonable efforts to assume

responsibility, the initial barriers were no longer a barrier to reunification, the evidence

established reasonable and demonstrable progress with respect to her obligations under the

plan, and Dr. Ingram concluded that A.C. could be an appropriate parent for D.D.

¶ 110 Reversing the finding of unfitness, we remand this case for further proceedings

consistent with this opinion.

¶ 111 Reversed and remanded.

¶ 112 JUSTICE WALKER, specially concurring:

¶ 113 I fully concur in the reasoning and results reached by Justice Oden Johnson. I write

separately to provide additional support for this court’s majority decision to reverse. First, I

note that “[i]t is beyond discussion that parents have a fundamental liberty interest in the care,

custody, and control of their children.” In re M.M., 2016 IL 119932, ¶ 26. The United States

Supreme Court recognized:

41
No. 1-22-0410

“[A] natural parent’s ‘desire for and right to “the companionship, care, custody, and

management of his or her children” ’ is an interest far more precious than any

property right. [Citation.] When the State initiates a parental rights termination

proceeding, it seeks not merely to infringe [upon a] fundamental liberty interest,

but to end it. ‘If the State prevails, it will have worked a unique kind of

deprivation… [Hence,] [a] parent’s interest in the accuracy and justice of the

decision to terminate his or her parental status is, therefore, a commanding one.’ ”

Santosky v. Kramer, 455 U.S. 745, 758-59 (1982).

¶ 114 A thorough review of the record shows the trial court’s findings that respondent did not

(1) maintain a reasonable degree of interest, concern, or responsibility as to D.D.’s welfare

under section 1(D)(b) (750 ILCS 50/1(D)(b) (West 2020)); (2) make reasonable efforts to

correct the conditions that were the basis for D.D.’s removal and/or did not make reasonable

progress toward the return of the child under section 1(D)(m) (750 ILCS 50/1(D)(m) (West

2020)); and (3) could not discharge her parental responsibilities due to her mental impairment

and/or mental illness under section 1(D)(p) were all against the manifest weight of the evidence

(750 ILCS 50/1(D)(p) (West 2020)).

¶ 115 There are several grounds upon which a trial court may find a parent to be unfit. See

750 ILCS 50/1 (West 2020). In this case, the State alleged unfitness based on section 1(D)(b),

reasonable degree of interest, concern, or responsibility; section 1(D)(m), reasonable efforts to

correct the conditions/reasonable progress toward return of the child; and section 1(D)(p),

mental impairment or mental illness. I will address each allegation in turn.

¶ 116 1. Reasonable Degree of Interest, Concern, or Responsibility

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No. 1-22-0410

¶ 117 The trial court’s finding that respondent did not maintain a reasonable degree of

interest, concern, or responsibility as to D.D.’s welfare under section 1(D)(b) was against the

manifest weight of the evidence because section 1(D)(b) “does not focus on the parent’s

success but, rather, the reasonableness of her efforts and takes into account the parent’s

difficulties and circumstances.” In re Nicholas C., 2017 IL App (1st) 162101, ¶ 24. “[A] court

is to examine the parent’s efforts to communicate with and show interest in the child, not the

success of those efforts.” (Internal quotation marks omitted.) In re M.I., 2016 IL 120232, ¶ 28.

¶ 118 Here, respondent consistently attended parent/child visits. Dr. Ingram testified that,

during the August 2020 visit, respondent and D.D. appeared to have a “loving and caring

relationship,” respondent “was attentive to him,” and “it was a very positive visit.” During the

November 2020 visits, respondent and D.D. played together and talked about D.D.’s

homework and school activities. Dr. Ingram did not observe anything inappropriate or

concerning during the visits. Respondent consistently took her prescribed medications to

manage her mental illness. She completed parenting classes and a substance abuse assessment.

Respondent had other uncompleted recommended services; however, they were not completed

because she never received a referral to participate in the services. Respondent was “good

about communicating with the caseworker” and rescheduling.

¶ 119 The evidence shows that respondent was discharged from therapy as “unsuccessful.”

However, the evidence also provides an explanation for respondent’s discharge that is

unrelated to her degree of interest, concern, or responsibility. While she did not receive the full

series of dialectical behavioral therapy as recommended by Dr. Ingram, she did nonetheless

attend alternative therapy. Thus, the circuit court’s finding of unfitness under section 1(D)(b)

was against the manifest weight of the evidence.

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No. 1-22-0410

¶ 120 2. Reasonable Efforts to Correct Conditions/Reasonable Progress Toward Return of

Child

¶ 121 The trial court’s findings that respondent did not make reasonable efforts to correct the

conditions that were the basis for D.D.’s removal and/or did not make reasonable progress

toward the return of D.D. under section 1(D)(m) are against the manifest weight of the evidence

because respondent showed reasonable progress toward the goal of reunification.

¶ 122 “[T]he benchmark for measuring a parent’s ‘progress toward the return of the child’

under section 1(D)(m) of the Adoption Act encompasses the parent’s compliance with the

service plans and the court’s directives, in light of the condition which gave rise to the removal

of the child, and in light of other conditions which later become known and which would

prevent the court from returning custody of the child to the parent.” In re C.N., 196 Ill. 2d 181,

216-17 (2001).

¶ 123 According to the State’s petition for adjudication of wardship, D.D. was removed from

respondent’s home because it was uninhabitable, and heroin was found inside the residence

(respondent’s brother was transported to hospital due to drug overdose). Respondent made

reasonable efforts to correct the conditions by (1) presenting a certificate that her home was

certified clean and suitable for occupancy and (2) removing her brother, who was a heroin user,

from the home and filing a restraining order against him.

¶ 124 Respondent also made reasonable progress toward the return of D.D. by (1) completing

her parenting classes; (2) completing a substance abuse assessment; (3) consistently attending

parent/child visits; (4) taking her prescribed medications; (5) regularly communicating with

caseworkers; and (6) exhibiting care, attention, and concern for D.D. during visits by

monitoring D.D.’s food intake and water, ensuring D.D. used hand sanitizer and wore a mask,

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No. 1-22-0410

engaging in activities with D.D., and showing concern for D.D.’s comfort in the hot weather.

See In re J.A., 316 Ill. App. 3d 553, 565 (2000) (“At a minimum, reasonable progress requires

measurable or demonstratable movement toward the goal of reunification.”).

¶ 125 While there is evidence regarding respondent’s inappropriate behavior during her

visits, the totality of the evidence largely shows support for her progress. The witnesses

testified that respondent’s overall behavior was appropriate and that there was no concern.

Although D.D. sometimes asked to end the virtual visits early, he never stated that he did not

want to see his mother. It was clear that respondent made reasonable progress toward the return

of D.D., and therefore, the circuit court’s finding of unfitness under section 1(D)(m) was

against the manifest weight of the evidence.

¶ 126 3. Mental Impairment or Mental Illness

¶ 127 The trial court’s finding that respondent could not discharge her parental

responsibilities due to her mental impairment and/or mental illness under section 1(D)(p) was

against the manifest weight of the evidence because the evidence lacks sufficient justification

to conclude that her inability will extend beyond a reasonable time. “Section 1(D)(p) does not

*** allow a finding of unfitness based on a mere showing of mental impairment, illness, or

retardation. Rather, the person’s mental condition must render him unable to discharge his

parental responsibilities and the inability to discharge parental responsibilities must ‘extend

beyond a reasonable time period.’ ” In re R.C., 195 Ill. 2d 291, 305 (2001) (quoting 750 ILCS

50/1(D)(p) (West 1994)). Hence, to find a parent unfit on the grounds of mental impairment or

mental illness (1) it must be shown by competent evidence that the parent suffers from a mental

impairment, illness, or disability that prevents the parent from discharging parental

responsibilities, and (2) there must be sufficient justification to conclude that inability will

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No. 1-22-0410

extend beyond a reasonable period. In re C.M., 319 Ill. App. 3d 344, 360 (2001); 750 ILCS

50/1(D)(p) (West 2020).

¶ 128 Generally, courts find sufficient justification where there is conclusive evidence, such

as expert testimony, that a respondent’s inability will extend beyond a reasonable period. See

C.M., 319 Ill. App. 3d at 359-60 (finding sufficient justification where psychologist testified

that respondent’s personality disorder prevented her from discharging her parental

responsibilities and that “this inability extends to the future, ‘limiting the likelihood that she

would respond to treatment in any reasonable time frame’ ”); In re M.M., 303 Ill. App. 3d 559,

567 (1999) (finding sufficient justification where psychologist testified that respondent “would

never have the capability to be an effective parent”); In re A.J., 269 Ill. App. 3d 824, 828 (1994)

(finding sufficient justification where psychiatrist testified that respondent “needs a prolonged

course of treatment in the future”); In re J.A.S., 255 Ill. App. 3d 822, 824-25 (1994) (finding

sufficient justification where psychologist testified that respondent would be “incapable of

assuming a parenting role within the foreseeable future”).

¶ 129 Here, the record is devoid of any conclusive evidence that respondent’s inabilities will

extend beyond a reasonable time. In fact, the record presents the opposite conclusion. Dr.

Ingram testified that during the August 2020 visit, she did not observe any deficits in

respondent’s functioning and respondent was responsive to D.D.’s needs. Further, Dr. Ingram

opined that, if respondent “engage[d] consistently with the therapeutic services

recommended,” she would be an appropriate parent for D.D.

¶ 130 It is true that the evidence need not be absolutely conclusive to satisfy section 1(D)(p).

J.A.S., 255 Ill. App. 3d at 824. Nonetheless, given Dr. Ingram’s testimony regarding the extent

of respondent’s mental condition and the effects it had on D.D., it cannot be inferred that she

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No. 1-22-0410

will have issues parenting beyond a reasonable time. According to Dr. Ingram, respondent

would be “an appropriate parent for D.D.” with about 6 to 18 months of therapy. Based on the

foregoing, the trial court’s ruling that respondent was unfit under section 1(D)(p) is against the

manifest weight of the evidence because the opposite conclusion is clearly apparent. The

judgment of the trial court must be reversed because the State did not establish by clear and

convincing evidence that respondent was an unfit parent for D.D. I recognize the emotional

and psychological effects on all involved with this matter, but fit, able, and loving “parents

have a fundamental liberty interest in the care, custody, and control of their children.” M.M.,

2016 IL 119932, ¶ 26. This matter must be remanded to the trial court so that a hearing may

be held to create a plan for reunification with respondent (D.D.’s biological mother).

¶ 131 PRESIDING JUSTICE MIKVA, dissenting:

¶ 132 The trial court in this case found that A.C. was an unfit parent on three different grounds

and terminated her rights on the basis that this was in D.D.’s best interests so that he could be

adopted by his foster parents, who were his paternal grandparents. The majority in this case

reverses all findings on unfitness and remands this case for further proceedings. I respectfully

and strongly disagree.

¶ 133 The standard for our review on the factual findings by the trial court that A.C. was an

unfit mother on three different grounds is manifest weight of the evidence. As our supreme

court has made clear:

“[A] finding of unfitness will not be reversed unless it is against the manifest weight of

the evidence *** [because] the trial court’s opportunity to view and evaluate the parties

*** is superior to that of a reviewing court. [Citation.] A court’s decision regarding a

parent’s fitness is against the manifest weight of the evidence only where the opposite

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conclusion is clearly apparent.” (Internal quotation marks omitted.) In re M.I., 2016 IL

120232, ¶ 21.

¶ 134 I reject the suggestion (see supra ¶ 69) that we owe some lesser level of deference

because the termination and best interests hearings were on Zoom and the therapy A.C.

received was on the telephone. The pandemic has forced the courts and mental health

professionals to use different communication tools to avoid in-person contact. I do not agree

that the use of these tools impacts our standard of review.

¶ 135 I would also note that in this case, as is common in child protection cases, by the time

this judge terminated A.C.’s parental rights on March 9, 2022, he had presided over this case

for more than two years, since at least November 26, 2019, when he set a date for the

adjudicatory hearing, and had conducted several evidentiary hearings regarding this family.

The court also took a recess of several weeks between the end of the evidence presented during

the fitness hearing and the argument and ruling so that he could review the voluminous

documents in this case. We must defer, as always, to the trial court’s factual findings in this

case.

¶ 136 I cannot agree that each of the trial court’s three findings on unfitness are against the

manifest weight of the evidence. I will focus on failure to make progress during the nine-month

period of March 14 through December 24, 2020, and inability to discharge parental

responsibilities because of a mental impairment. As the statute makes clear, any one ground is

a sufficient basis on which to find a parent unfit under the Adoption Act. See In re C.W., 199

Ill. 2d 198, 217 (2002) (“Although the State may rely on several grounds in its petition, a

finding adverse to the parent on any one ground is sufficient to support a subsequent

termination of parental rights.”(Emphasis in original.)).

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¶ 137 I focus on these two grounds because, in my view, this is where the evidence was

strongest. I express no view on the other grounds alleged and suggest that trial courts would

aid us in the appellate process if they would explain their findings in more detail than the trial

court did in this case.

¶ 138 In reference to ground (m), failure to make reasonable progress, the majority takes issue

with the trial court’s findings because the court focused heavily on the conditions that D.D.

was found to be living in when the case was first filed. In my view, however, this focus was

appropriate because A.C. did not make progress on the real problems that brought the case in.

¶ 139 Yes, the house was so dirty that it had been condemned by the City, and eventually

A.C. cleaned it, at least to the point it was no longer condemned. Yes, A.C. got a job. Yes,

A.C. got an order of protection against her brother who was a heroin user. However, the real

issue was that A.C. was not caring for her son in an even minimally satisfactory manner. The

dirty house and lack of food were symptoms of her inability to meet his basic needs. In addition

to D.D. being in a filthy home, he had missed weeks of school, he was not toilet trained

although he was eight years old, and he had not learned to groom himself. There was also

evidence that A.C. had taken D.D. to doctors reporting symptoms that did not exist, behaved

inappropriately at his school, and appeared oblivious to the fact that her brother, who lived

with them, was a heroin addict.

¶ 140 While, as the majority points out, A.C. did engage in some appropriate and loving

behavior with D.D. during visits, the caseworkers who observed visits also spoke about some

inappropriate behavior that continued into the nine-month period. There was testimony that

A.C. gave D.D. PediaSure during one visit—something that she had apparently been asked not

to do and suggested her ongoing need to infantilize him. There was also testimony about overly

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emotional goodbyes that caseworkers testified left D.D. upset and confused. Caseworkers

observed that D.D. appeared uncomfortable with his mother at times and wanted to end visits

early. One of the caseworker supervisors testified that, based on her observations, there

continued to be “many areas” about the “lack of care for [D.D.]” that A.C. “appeared” not to

comprehend. A.C. never progressed to unsupervised visits, which is the natural progression

toward overnights and then a return home.

¶ 141 Ms. Ellison, A.C.’s therapist at UCAN, testified explicitly that A.C. made no progress

in addressing the baseline reasons that brought the case in. According to the therapist, A.C.

expressed the view that she was not at fault for anything that had occurred. In Ms. Ellison’s

opinion, this made progress in addressing the real problems in the case impossible. According

to Ms. Ellison, A.C. engaged in “circular thinking” instead of accepting accountability that

could lead to progress. The trial court specifically noted that it found Ms. Ellison very credible.

¶ 142 As the majority points out, A.C. sought and obtained therapy from Dr. Tarawneh. This

is certainly evidence of A.C.’s desire to have her son returned home. However, while Dr.

Tarawneh testified in a conclusory way that A.C. made “progress” in therapy, the only specifics

he could point to were that she found a job and that she was ready to take the next step which

he testified was to see a psychiatrist. He had not reviewed the clinic report about A.C.’s mental

health issues. Certainly nothing in his testimony supported an argument that A.C. had accepted

responsibility for the problems in her mothering of D.D. Moreover, Dr. Tarawneh saw A.C.

from March to July 2021, so he had no basis for testifying about her progress during the

relevant nine-month period which ended in December 2020.

¶ 143 Even if I were to assume that the testimony of these two treaters—Ms. Ellison and Dr.

Tarawneh—created a conflict in the evidence, this is no basis for rejecting the trial court’s

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conclusion that A.C. failed to make progress. Where, as here, there may be conflicts in the

evidence, we defer to the trial court’s credibility findings. In re A.B., 308 Ill. App. 3d 227, 240

(1999). As the court noted there, we defer to the trial court “particularly where evidence is in

conflict.”

¶ 144 There was also ample evidence to support the trial court’s finding on ground (p), the

inability to discharge parental responsibilities because of a mental impairment. It is clear from

the record that the primary source for this finding is the Cook County Juvenile Court Clinic

parenting capacity assessment and the testimony of Dr. Ingram, who did that assessment, as

well as Ms. Ellison’s testimony.

¶ 145 Unfitness under ground (p) requires a finding, by clear and convincing evidence, that a

parent has the:

“Inability to discharge parental responsibilities supported by competent evidence from

a psychiatrist, licensed clinical social worker, or clinical psychologist of mental

impairment, mental illness or an intellectual disability as defined in Section 1-116 of

the Mental Health and Developmental Disabilities Code, or developmental disability

as defined in Section 1-106 of that Code, and there is sufficient justification to believe

that the inability to discharge parental responsibilities shall extend beyond a reasonable

time period. However, this subdivision (p) shall not be construed so as to permit a

licensed clinical social worker to conduct any medical diagnosis to determine mental

illness or mental impairment.” 750 ILCS 50/1(D)(p) (West 2020).

¶ 146 Although Dr. Ingram noted that A.C. clearly loved her son, the doctor also noted in the

clinic report several risk factors that suggested A.C. would not be able to adequately care for,

parent, or protect her son. The risk factors included her history of anorexia so severe that at

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one point she weighed 74 pounds, the unhealthy boundaries she had displayed with school staff

and DCFS workers, and her “inaccurate beliefs” about her son’s needs. Dr. Ingram observed

in the clinic report that “it is my clinical opinion that [A.C.] continues to present with mental

health needs that are not being adequately managed with services.” Dr. Ingram testified during

the fitness hearing that A.C.’s “unmet mental-health needs included things such as her extreme

focus and obsession; her impaired sense of reality; her lack of judgment for certain things; ***

and anxiety.” Dr. Ingram also opined that those mental health issues impacted her son.

According to the clinic report, A.C. “has difficulty applying her parenting knowledge to [D.D.]

because of her own mental health needs that need to be addressed.” Ms. Ellison’s testimony

also supported this finding in that she found that A.C.’s “circular thinking showcases an

inability to recognize the parental expectations for healthy, age appropriate development, and

physical and emotional safety for the client’s son.” The trial court also had before it A.C.’s

extensive hospitalization records, which reflected a lengthy history of mental health concerns.

¶ 147 The majority points out that, under the Adoption Act, the mental illness must be shown

by competent evidence from a psychiatrist, a licensed clinical social worker, or clinical

psychologist, and the statute does not permit a social worker to provide a medical diagnosis.

Dr. Ingram is a licensed clinical psychologist with a Ph.D. Thus, she was certainly competent

to testify. The majority also notes that the diagnosis of anorexia was made some time ago and

not by Dr. Ingram. Nothing in the statutory language requires that there be a current diagnosis

as to a specific mental illness. Rather, the statute requires “sufficient justification to believe

that the inability to discharge parental responsibilities shall extend beyond a reasonable time

period.” To the extent that the majority suggests there was insufficient evidence that A.C.’s

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inability to discharge parental responsibilities would extend beyond a reasonable period of

time, I disagree.

¶ 148 Dr. Ingram testified that A.C.’s “symptoms are chronic in nature.” Dr. Ingram had

reviewed A.C.’s hospitalization records and noted the following:

“Advocate hospital records note a consistent history of [A.C.] being focused and

‘obsessed, much like others with an eating disorder diagnosis, with food intake and

gastrointestinal issues. During majority of [A.C.’s] hospitalizations, medical staff

strongly recommended [A.C.] receive either inpatient psychiatric services or inpatient

eating disorder programs, which [A.C.] consistently refused. At the age of 30, [A.C.]

weighed 74 pounds and was not eating on her own due to her diagnosis of Anorexia

Nervosa.’ ”

¶ 149 Dr. Ingram’s testimony and the record as a whole support the trial court’s finding that

A.C. was unfit on the basis of ground (p). That finding was not against the manifest weight of

the evidence.

¶ 150 The majority does not reach “best interests” because, as it recognizes, this is only

relevant if A.C. is unfit. Because I would affirm on unfitness, I would reach the best interests

finding. Again, we can overturn only where the trial court’s finding that it was in D.D.’s best

interests to terminate A.C.’s rights and free him for adoption was against the manifest weight

of the evidence. In re N.B., 2019 IL App (2d) 180797, ¶ 43. There was ample evidence that the

paternal grandparents, who had moved to Chicago from Florida to take care of D.D. and hoped

to adopt him, would offer him a loving and supportive home. The grandparents were

transparent in advising the court that it was not their intent to allow A.C. to have a continued

role in her son’s life. While I would hope that they would have a change of heart on this issue,

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it is surely not a sufficient basis on which to overturn the trial court’s finding. I would affirm

the trial court’s best interests finding, as well.

¶ 151 I dissent.

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In re D.D., 2022 IL App (1st) 220410

Decision Under Review: Appeal from the Circuit Court of Cook County, No. 19-JA-1373;
the Hon. Patrick Murphy, Judge, presiding.

Attorneys Sharone R. Mitchell Jr., Public Defender, of Chicago (Suzanne A.
for Isaacson, Assistant Public Defender, of counsel), for appellant.
Appellant:

Attorneys Kimberly M. Foxx, State’s Attorney, of Chicago (Enrique
for Abraham, Gina DiVito, Assistant State’s Attorney, of counsel), for
Appellee: the People.

Charles P. Golbert, Public Guardian, of Chicago (Kass A. Plain,
Elise Melrose, of counsel), guardian ad litem.

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Source: Frix Law Library, https://www.frixlaw.com/law-library/cases/9324348. Public record. Not legal advice.