In re A.P. — West Virginia Supreme Court affirms termination of mother’s parental rights based on persistent mental illness and refusal to acknowledge diagnosis

Case
In re A.P., No. 25-798 (Cabell County CC-06-2023-JA-37)
Court
Supreme Court of Appeals of West Virginia
Date Decided
May 6, 2026
Docket No.
25-798
Topics
Parental Rights Termination, Mental Health, Child Welfare, Abuse and Neglect

Background

The West Virginia Department of Human Services filed a petition in April 2023 alleging that the mother, M.S., abused and neglected her child, A.P., citing extreme domestic violence, the mother’s erratic behavior, and severe mental health concerns. The mother displayed paranoid delusions, believing that her identity had been stolen, her phone had been cloned multiple times, a close friend had disappeared, and that unknown people were conspiring against her. She refused voluntary mental health assessment and was subsequently found to have severe mental health conditions.

A parental fitness evaluation conducted by Saar Psychological Group in October 2023 diagnosed the mother with “Unspecified Schizophrenia Spectrum and Other Psychotic Disorder,” finding significant delusional beliefs with paranoid themes. The evaluation noted that the mother lacked insight into her mental illness and admitted to not being truthful with her psychiatrist about her symptoms to avoid appearing “schizo.” The psychologist concluded the mother posed a significant risk to the child due to her likely erratic behaviors stemming from her delusions. The improvement period lasted approximately 29 months, during which the mother participated in parenting education, therapy, and medication management, but maintained only two hours of supervised visitation per week.

At the final dispositional hearing in October 2025, the mother testified that she had complied with all services but denied having any mental health diagnosis, attributing the case’s initiation to domestic violence that she claimed was resolved upon separation from the father. A former CPS worker testified that the mother remained in denial about her mental health issues throughout the case and showed no significant progress. The circuit court found no reasonable likelihood that the mother could correct the conditions of abuse and neglect based on her persistent failure to acknowledge her mental health issues.

The Court’s Holding

The West Virginia Supreme Court of Appeals affirmed the circuit court’s termination of the mother’s parental rights. The court held that although the mother’s compliance with court-ordered services was relevant, compliance alone is insufficient when a parent fails to address the root causes of abuse and neglect. The controlling standard in disposition decisions remains the best interests of the child, not merely whether a parent has technically complied with service requirements.

The court emphasized that “failure to acknowledge the existence of the problem . . . results in making the problem untreatable.” The mother’s continued rejection of the psychological evaluation findings and her insistence that she had no mental health diagnosis demonstrated her inability to address the core issues endangering the child. The court rejected the mother’s argument that the psychological evaluation was “outdated and unreliable,” holding that the trial court’s credibility determinations and weighing of evidence are exclusive functions of the trial court, not subject to appellate second-guessing. The court also clarified that when findings establish there is no reasonable likelihood a parent can substantially correct conditions of abuse or neglect, courts need not employ less restrictive alternatives before terminating parental rights under West Virginia Code § 49-4-604.

Key Takeaways

  • Parental compliance with court-ordered services is only one factor in termination decisions; the best interests of the child remains the controlling standard.
  • A parent’s failure to acknowledge mental health diagnoses or other root causes of abuse and neglect can be dispositive in termination cases, as lack of insight makes treatment impossible.
  • Trial courts have exclusive authority to weigh evidence and determine witness credibility; appellate courts will not reweigh evidence or second-guess credibility determinations based on uncorroborated parental testimony.
  • When findings support that there is no reasonable likelihood a parent can correct abuse or neglect conditions, less restrictive alternatives need not be employed before termination of parental rights.

Why It Matters

This decision provides important guidance for child welfare practitioners and family courts in cases involving parental mental illness. It establishes that while service participation is commendable, genuine insight and willingness to address diagnosed conditions are essential to successful family reunification. The ruling clarifies that courts are not required to impose incrementally restrictive alternatives when the evidence shows no reasonable likelihood of correcting the underlying conditions causing abuse or neglect.

The decision also reinforces appellate deference to trial courts’ factual findings in child abuse and neglect cases. This is particularly significant where parents’ credibility is undermined by evidence of dishonesty or lack of insight—courts need not accept uncorroborated parental testimony that contradicts professional evaluations when the evaluator has warned that the parent will be highly motivated to conceal ongoing symptoms. For parents and advocates, the decision underscores that acknowledging and actively treating identified mental health or behavioral issues is critical to preserving parental rights in abuse and neglect proceedings.

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