In re Jesse B. — 2017 ME 90

MAINE SUPREME JUDICIAL COURT 	Reporter of Decisions
Decision: 	2017 ME 90
Docket: 	Pen-16-519
Submitted
On Briefs: April 27, 2017
Decided: 	May 9, 2017
Panel: 	SAUFLEY, C.J., and ALEXANDER, MEAD, GORMAN, JABAR, HJELM, and HUMPHREY, JJ.
IN RE JESSE B.
HJELM, J.
[¶1] 	The parents of Jesse B. appeal from a judgment of the District
Court (Bangor, Jordan, J.) terminating their parental rights to Jesse pursuant to
22 M.R.S. § 4055(1)(A)(1)(a) and (B)(2) (2016). 	Both parents challenge the
sufficiency 	of 	the 	evidence 	to 	support 	the 	court’s 	findings 	of 	parental
unfitness, 	and 	the 	mother 	also 	challenges 	the 	court’s 	discretionary
determination of the child’s best interest. We affirm the judgment.
[¶2] 	Contrary to the parents’ contentions, there is competent evidence
in the record to support the court’s findings, by clear and convincing evidence,
that the parents are unwilling or unable to protect the child from jeopardy or
take responsibility for the child within a time reasonably calculated to meet
the child’s needs. 	See 22 M.R.S. § 4055(1)(B)(2)(b)(i)-(ii); In re Logan M.,
2017 ME 23, ¶¶ 2-3, 155 A.3d 430. 	That evidence, described in the court’s
thorough decision, included the following.

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[¶3] 	The child, who was nearly three years old at the time of the
termination hearing, suffers from chronic, severe medical conditions causing a
number of developmental delays. 	His conditions include a missing corpus
callosum—a band of nerve fibers that would normally connect the two halves
of 	his 	brain—which 	diminishes 	some 	of 	his 	intellectual 	functions; 	an
underdevelopment of the optic nerve that makes it difficult for him to learn
language and may prevent him from reading; spastic quadriparesis, a type of
cerebral palsy affecting both sides of his body, which results in muscle rigidity
and impaired mobility; and an atrial septal defect, which is a hole between the
upper two chambers of his heart. 	He is also being monitored for hormonal
and urological issues.
[¶4] Because of his conditions, the child requires regular treatment and
monitoring by a team of more than ten educational specialists and medical
providers. 	The child also requires an unusually high degree of competence
and engagement by his caretakers, who must provide in-home treatment and
accurately inform the child’s specialists and providers about his progress. The
failure 	to 	ensure 	that 	the 	child 	attends 	close 	to 	100 	percent 	of 	his
appointments would pose a serious risk that the child would regress and
suffer additional medical issues, as demonstrated by the following:

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• 	The child’s developmental pediatrician testified that if the child does not
receive consistent physical therapy his joints may become “frozen” in
place, negatively affecting his mobility—a condition that could only be
corrected with surgery, if at all; and that if the child does not “get
regular care” his doctors “may miss some medical complications that
could certainly impair [his] quality of life” and that his development
“would at best plateau” and may decline.
• 	The 	child’s 	speech 	therapist 	testified 	that 	if 	the 	child 	does 	not
consistently attend appointments there would be “safety concerns”
because the child might be unable to comprehend verbal warnings
about dangerous situations.
• 	The child’s neurologist testified that the failure to follow through with
the child’s speech therapy could cause him to become frustrated and
aggressive 	due 	to 	challenges 	with 	communication, 	and 	that 	the
frustration could become so severe that he might need to be sedated
with an anti-psychotic medication.
• 	The child’s pediatric endocrinologist testified that if the child’s hormone
levels are not regularly monitored they may become imbalanced to a
degree that could be fatal.
[¶5] 	Despite 	receiving information 	about 	the 	child’s appointment
schedule and the crucial importance that he receive consistent treatment, the
parents 	attended 	only 	approximately 	50-60 	percent 	of 	the 	child’s
appointments during the pendency of these proceedings. 	In February 2016,
more than two years after the child had been placed in foster care, the father
told a psychologist that he had “no clue” about the child’s appointment
schedule because the mother usually kept track of it. There was evidence that
when 	the 	parents 	did 	attend 	medical 	appointments 	they 	were 	actively

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engaged and asked appropriate questions. 	As the trial court found, however,
the parents’ overall 50-60 percent attendance rate was grossly inadequate
given the child’s severe health issues. 	The parents’ failure to reliably attend
nearly 	all of 	the child’s 	appointments 	was 	sufficient, standing alone, to
support the court’s ultimate finding of two grounds of parental unfitness. See
22 M.R.S. § 4055(1)(B)(2)(b)(i)-(ii); In re I.R., 2015 ME 93, ¶ 11, 120 A.3d 119.
[¶6] The court’s finding of parental unfitness was further supported by
evidence that both parents use marijuana at least once a day to cope with
anxiety and depression, that they have no intention to modify their behavior
and have not consistently engaged in therapy and substance abuse treatment,
and that their marijuana use reduces their motivation and ability to attend to
the child’s substantial needs.
[¶7] 	As the father argues, his court ordered diagnostic evaluation did
“not reflect a formal substance abuse diagnosis,” but that evaluation also
states that the father has “chronic and pervasive” mental health and substance
abuse problems that “limit his ability to mobilize motivation to change,”
“perceive and understand reunification goals,” and “integrate information.”
The psychologist who administered the evaluation testified that the father’s
substance abuse issues pose a serious risk to the child, in part because

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marijuana “affects motivation,” impairs cognition, and diminishes a person’s
ability to “focus[] and stay[] on track.” 	Finally, a licensed clinical social
worker’s 2013 assessment of the father stated that the father relied on
marijuana to “self-medicate” and recommended substance abuse treatment,
which the father never completed.
[¶8] 	Based on this evidence, the court did not err by finding that the
parents’ marijuana use had an adverse effect on their ability to care for the
child and was therefore a factor supporting the termination of their parental
rights. 	See 22 M.R.S. § 4055(1)(B)(2)(b)(i)-(ii); In re Logan M., 2017 ME 23,
¶ 3, 155 A.3d 430.
[¶9] 	The child has made hard-earned developmental gains since being
placed in foster care, largely because of the foster parents’ diligence and
dedication to the child’s treatment. 	The child’s foster parents wish to adopt
him.
[¶10] 	In sum, although it is clear that the parents love the child, given
the child’s extraordinary medical needs and the parents’ failure to reliably
meet those needs, the court did not err by determining that the parents were
unwilling or unable to take responsibility for the child or to protect him from
jeopardy within a time reasonably calculated to meet his needs. See 22 M.R.S.

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§ 4055(1)(B)(2)(b)(i)-(ii); In re I.R., 2015 ME 93, ¶ 11, 120 A.3d 119; In re
A.H., 2013 ME 85, ¶ 15, 77 A.3d 1012. 	The court also did not err or abuse its
discretion by determining that the best interest of the child is to be placed in a
permanent, adoptive home where he will receive the type of “consistent,
thoughtful and loving care being provided by his current placement.” 	See
22 M.R.S. § 4055(1)(B)(2)(a); In re Logan M., 2017 ME 23, ¶ 5, 155 A.3d 430;
In re I.R., 2015 ME 93, ¶ 11, 120 A.3d 119.
The entry is:
Judgment affirmed.
Aaron M. Frey, Esq., Bangor, for appellant father
Christopher D. Smith, Esq., Law Office of Christopher D. Smith, Esq., Dexter, for
appellant mother
Janet T. Mills, Attorney General, and Meghan Szylvian, Asst. Atty. Gen., Office of
the Attorney General, Augusta, for appellee Department of Health and Human
Services
Bangor District Court docket number PC-2013-122
FOR CLERK REFERENCE ONLY