In Re: Yve S.

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In re: Yve S. Nos. 24 & 50, September Term, 2002 FAMILY LAW - PARENTAL RIGHTS AND DUTIES - CARE AND CONTROL OF CHILDREN - PARENT WITH MENTAL ILLNE SS - Juvenile Judge’s orders of long term and permanent foster care were clearly erroneous where evidence at relevant permanency plan hearings mandated by statute showed no likelihood of future neglect or abuse by the parent who concededly had been diagnosed previously as suffering from mental illness, but controlled it through medication and other treatment for the prior 2 years. Circuit Co urt for Mo ntgomery C ounty, Juvenile Division Case No. 6-J-98-1032A IN THE COURT OF APPEALS OF MARYLAND Nos. 24 & 50 September Term, 2002 IN RE: YVE S. Bell, C.J. Eldridge Raker Wilner Cathell Harrell Battaglia, JJ. Opinion by Harrell, J. Filed: March 27, 2003 I. These combine d cases aro se initially from a d etermination by the District C ourt of Maryland, sitting in Montgomery County as the Juven ile Court, 1 to change the permanency plan for a twelve year-old child, Yve S., from the goal of reunification with her biological mother, Yvonne S., to one of long-term foster care. The Montgom ery County Department of Health and Human S ervices (the “Departm ent”) initiated the proceedings on 26 February 1997 by filing a petition with the District Court alleging that Yve S. was a Child in Need of Assistance (“CINA” ).2 On 10 June 1997, following thre e days of hearings, the juvenile co urt found Yve S. to be a CINA and committed her to the Department for foster care. After 13 months, on 31 July 1998, Yve S. was returned, temp orarily as it turned out, to her mother, Yvonne S., under an Order for Protective Supervision. Eleven days later, on 11 August 1998, the juvenile c ourt held an emergen cy hearing and, again, placed Yve S. in the Department’s custody and returned her to foster care. A little over 7 months later, in March of 1999, the juvenile court convened a permanency planning hearing for Yve S. At the end of four non-consecutive days of hearings, the court ordered, on 20 September 1999, that the goal of the permanency plan for Yve S . should be term ination o f paren tal rights ( “TPR ”) and a doptio n. 1 Late in the c ourse of th ese procee dings, the ju risdiction for actions involving juveniles in Montgomery County was moved from the District Court to the Circuit Court for Montgom ery County. See Chapter 41 4, Laws 200 1 (effective 1 M arch 2002). 2 See Maryland Code (1974, 2002 Repl. Vol.), Courts & Judicial Proceedings Article, Subtitle 8, Juvenile Causes - Children in Need of Assistance. On 20 M arch 200 0, the court c onvened a perman ency plannin g review that would spread over more than a year. By the time of a hearing on 20 October 2000, the Department advocated changing the permane ncy plan goa l from TP R/adoptio n to reunific ation with the mother; however, the court declined to change the goal of the plan. The court held additional review hearings on 13 and 20 December 2000, 15 and 1 6 February 2001, and 28 March 2001. On 28 March 2001, at the conclusion of the last day of the hearing process that had begun the previous March, the court changed the permanency plan from TPR/adoption to long-term foster c are. Yv onne S . noted a timely app eal to the Court o f Spec ial App eals. On 8 November 2001, while Yvonne S.’s first appeal was pending in the Court of Special Appeals, the juvenile court convened another review hearing.3 The juvenile court concluded that hearing on 20 December 2001, at which time it issued an order reaffirming the conten t of its 28 M arch 200 1 order. Y vonne S . noted a sec ond app eal. On 23 January 2002, the Court of Special Appeals filed an unreported opinion in the first appeal affirming the juvenile court’s 28 March 2001 order, which had changed Yve S.’s permanency plan to long-term foster care. Yvon ne S. filed a petition for writ of ce rtiorari asking this Court to review that decision . Thereafte r, Yvonn e S. petitioned this Court to 3 The actual purp ose of this hearing w as made s omew hat unclear by the juvenile judge’s comment on the record. She stated that it was not a “review hearing,” but rather was to receive information and psychologica l evaluations of the child which had been ordered at the conclusion of the prior permanency hearing. Nevertheless, this hearing resulted in the judge issuing a reaffirmation of the 28 March 2001 permanency plan determination, which suggests that this was indeed a review h earing und er the applica ble statue, as explained infra. 2 issue a writ of certiorari to the Court of Special Appeals before it could decide her second appeal regarding the 20 December 2001 order of the juvenile court. On 8 May 2002, this Court granted both petitions an d cons olidated the case s. In Re: Yve. S., 369 Md. 178, 798 A.2d 551 (20 02). Sub sequ ently, on 20 April 2 002 and 16 July 2002, the ju venile cou rt - now the Circuit Court for Montgo mery County (see n. 1 supra), but with the same judge sitting by special designation during cale ndar 200 2 - held another review hearing in Yve S.’s case and entered a new order establishing permanent foster care as the goal of the permanency plan. Yvonne S. noted a third appeal to th e Court of Special A ppeals and shortly thereafte r filed with regard to that appeal a petition for writ of certiorari with this Court. On 22 August 2002, we granted that petiti on, In re Yve S., 370 Md. 268, 805 A.2d 265 (2002), and transferred the appeal to our regular docket. Because the third appeal raised issues concerning the jurisdiction of the juve nile court to act while an appeal of its earlier order on the same subject matter was pending, it was not consolidated with the earlier cases, but w as br iefe d sep arate ly. All of the cases, however, were argued on the same day. We shall decide all issues raised with th is single opinio n. II. Issues Petitioner, Yvonne S., presents the following questions for our consideration, which we rephrase as follows: 3 1. Does the fact that a parent has a mental illness that is b eing succe ssfully managed nevertheless provide a “compelling reason” to deny reunification and instead adopt a permanency plan of long-term foster care? 2. Is it proper to allow a social worker to give her opinion as to the demeanor of the parent w hen the pa rent testified, an d to give her opinion of the substance of th e par ent’s test imony? 3. Did the trial court err in refusing to recuse itself from further participation in his case? 4. Whether the trial court erred in changing the perm anency plan from lon g-term foster care to permanent foster care during the pendency of the appeal on the former determination? III. Yve S. entered into the Mo ntgomery County foster care system in February of 1997, at the age of six, after the Departm ent received reports that sh e was no t being fed adequate ly and that she and her mother, Yvonne S., were homeless. Prior to this, Yvonne S. and Yve S. led a no madic lifestyle. In 1990, th ey lived in Ke y West, Florida, where Yve S. was born. In 1991, they lived in Maryland; in 1992, they lived in M artinsburg, West Virginia. In 1993, they lived in Millville, West Virginia, where Y ve S. was first taken into fo ster care. In 1994, they moved to G aithersburg, Maryland, and the n to Westminister, M aryland, in 1995. In 1996, they moved to North C arolina. Fina lly, in 1997, the y returned to M ontg ome ry Co unty. Soon after Yve S. was placed in foster care in Montgomery County, the Department learned that Yv onne S . had been diagnosed with bipolar disorder and schizo-affective disorder, dating back to her teens. A psychiatric e valuation o f Yve S . resulted in a d iagnosis of “acute stress reaction,” ch ronic post-traumatic stress disorder, and dissociative disorder. 4 Yve S. also displa yed symptoms of possible physical and s exual abu se and, in July of 1997, alleged that she had been molested by a boyfriend of Yvonne S. Yvonne S. complied with the Department’s recomm endations f or mental h ealth treatment and parenting classes. As a result, she and Yve S. were reunited in June of 1998. In July 1998, the juvenile court ap proved Yvo nne S.’s request to move to the Outer Banks of North Carolin a, where she had leased a mobile hom e. Montgom ery County, however, never initiated a home study nor completed a proper interstate compact for the D are C ounty, North Carolina, fam ily welfare autho rities to implem ent. After o nly a few da ys in North Carolina, the Dare County Department of Social S ervices fou nd it necessary to remove Yve S. from Yvonne S.’s care . Yvonne S. had been evicted from the trailer, and allegedly had left Yve S. in the ca re of a “ know n sex o ffend er,” though there is no reco rd that this person’s status as such was known to Yvonne S. T he Dare C ounty Dep artment plac ed Yve S. in emergency shelter care and then returned her to Montgomery County, where she was placed with a fos ter ca re fa mily. Yvonne S. remained in North Carolina for a time following Yve S.’s return to foster care in Maryland. During that time, in August 1998, she entered into a service agreement with the Montgomery County Department in which she agreed to obtain treatment for her mental illness and maintain stable ho using and emp loyment. Yvonne S .’s tenure in North Carolina concluded with a psychiatric hospitalization, after she stopped taking her 5 medications. When she was discharged in late February 1999, she was given a two-week supp ly of h er medic ation s and a one-w ay bus tick et to M ontg ome ry County. In March, 1999, Yvonne S. began receiving mental health treatment at St. Luke’s Hospital in Montgomery County, under the care of Dr. James Harold, a psychiatrist, and also began having visitation with Yve S. on a regular basis With further assistance from the therapists and social workers at St. Luke’s, as well as guidance and support from her church com mun ity, Yvonne S. stabilized, became employed, and established a home. In June 1999, she obtained a job at a local nursing home as a housekeeper. By the end of August 1999, Yvonne S. had adv anced to the position of activities coordinator and had obtained her own apartm ent. By the summer of 2000, Yvonne S. had maintained the same job and apartment for more than a year. She consistently attended her treatment at St. Luke’s. By the end of that summer, Yvonn e S. was h aving w eekend-lo ng visits with Yve S., and, in light of Yvonne S.’s apparen t stab ility, the Department advocated that the permanency plan for Yve S., which previously had been “T PR / adoption,” be c hanged to “reunifica tion” with her mothe r. In a letter to the juvenile court, dated 26 September 2000, the foster parents made a plea for the court to reject the Department’s recommendation for reunification, arguing that Yvonne S., with her mental illness, could not raise a child with Yve S.’s needs. At a review hearing held on 20 October 2000, the court distributed copies of this letter to the parties, and 6 shortly thereafter, the Department changed its position from reunifying Yve S. with her mother to one of placing Yve S. in long term foster care with the foster parents. On 20 December 2000, 15 and 16 February 2001, and 28 March 200 1, the juven ile court condu cted the perma nency pl anning hearing require d by statute . 4 Only a few days before her testimony in this important hearing, Yvonne S. lost her job at the nursing home. Despite the fact that she also was working part-time as a pet sitter, doing housecleaning for hire, and volunteering at a woman’s homeless shelter at the time of the hearing, she was understan dably nervous during he r testimo ny. On the Sunday prior to the 28 March 2001 hearing, Yvonne S. and Yve S. drove from Yvonne S.’s home in Gaithersburg to Bethesda to tour the grounds of the Bethesda Naval Hospital, so that Y ve S. could see a particular statue deemed pertinent to her heritage. They then traveled to Rockville for a 10:00 a.m. church service, which they attended with a woman whom Yvonne S. had met while working at the homeless shelter during the preceding week. This level of activity was viewed as extraordinary by the Department’s assigned social worker, Ms. Carolyn Rose. Ms. Rose testified, over objection, to that effect, and that, in her view, that level of activity, combined with Yvonne S.’s nervousness on the witness stand, indica ted to her the imminent onset of a manic episode on the part of Yvon ne S. Despite testimony by the treating psychiatrist, Dr. Harold, that a manic episode was not imminent, Ms. Rose, immediately following the 16 4 Maryland Cod e (1974, 2002 R epl. Vol.), Cts. & Jud. Proc. A rt., § 3-823(b). 7 February 2001 hearing, reduced the vis itation from weekend-long visits to one hour of superv ised visi tation, late r increa sed to a few h ours on ce a w eek. On 28 Ma rch 2001 , the juvenile judge ordered that the permanency plan pursue long term foster care as its goal. The hearing judge affirmed her permanency plan determination at the conclusion of another review hearing on 20 December 2001, despite testimony that Ms. Rose’s forecast of a manic episode had failed to materialize, Yvonne S. was employed making a higher income than before, and all visitation had gone well. Similarly, the Departm ent, through M s. Rose, con tinued to ref use to return visitation to its prior frequency and duration. The plan goal became permanent foster care by virtue of the court’s 16 July 2002 order. Additional facts will be supplied as appropriate to our discussion of each issue. IV. From time to time we confront cases which present issues which merit even more extensive discussion of the legal principles involved than flows from our normal close attention of each c ase. Sometimes this is becau se of the highly technical or com plex nature of the case. Other times it is because of the fundamental nature of the rights and responsibilities of the parties involved. The present case is situated on the frontier of what State action may be permissible in the face of fundamental rights possessed by its citizens,5 5 As recently noted in Shurupo ff v. Vockroth , 372 M d. 639, 814 A.2d 54 3 (2003), it is meaningful in the proper analysis of cases where parental rights collide with the best interest of the child standard what the context is in which the con flict arise s. Id. at 656-59, 814 A.2d at 554-55. For example, on one hand the Court’s due process analysis, under Matthews v. (contin ued...) 8 and involves standards which, while their names suggest intuitive definitions and means of application, are in fact highly technical and complex in nature, an d contain well established elemen ts whic h are no t as self-e vident in applica tion as th eir titles su ggest. The fundam ental doctrina l problem presented by this case is the proper definition and application of the “be st interest of the child” standard. The problem arises in large part because the name of the standard itself invites an “intuitive” understanding which, upon examination, bears little resemblance to how the standard has been defined by our cases. The standard does not re quire simp ly that a determination be made that one environment or set of circumstances is sup erior to another. If that were the case, child custod y matters wo uld involve relatively simple c hoices. Alt hough much of wh at we inclu de in this opin ion is derivati ve, there is value in mass ing it in th is appro priate ca se. A. THE FUNDAMENTAL RIGHTS OF A PARENT 5 (...continued) Eldridge, 424 U.S . 319, 96 S .Ct. 893, 47 L.Ed. 2d 18 (1976), in a termination of parental rights (TRP ) case. differs from that in a p arent ve rsus third party cust ody case . Id. The distinction in analysis is prem ised on the f ormer inv olving “a singular private interest [the parent’s righ t to raise his or he r child] being attacked by the State, in its capacity as parens patriae” (Shurupo ff, 372 M d. at 657, 81 4 A.2d a t 554), wh ile the latter invo lves two p rivate interests in a mo difiable custod y situation . Id. at 256- 57, 814 A.2d at 554 . In the present case, the juvenile c ourt orders in question ca ll for long term and, later, permanent foster care, coupled with an administrative decision by the Departm ent to limit severely visitation by the mother. The present situation, for analytical purposes, falls between the two paradigms considered in Shurupo ff, but closer to a TPR situation. 9 The proper startin g point for legal analysis w hen the Sta te involves itse lf in family relations is the fundamental constitutional rights of a parent. Certain fundamental rights are protected under the U.S. Constitution, and among those rights are a parent’s Fourteenth Amendment 6 liberty interest in raising his or her children as he or she sees fit, without undue interference by the State. The rights and protections afforded a parent, as recognized by the United States Supreme Court, were gathered recently in the well researched opinion of Wolinski v. Browneller, 115 Md. App. 285, 693 A.2d 30 (1997), from which w e shall quote at length. Beginning with Meye r v. Neb raska, 262 U.S. 390, 67 L. Ed. 1042, 43 S. Ct. 625 (1923) and Pierce v. Society of Siste rs, 268 U.S. 510, 69 L. Ed. 1070, 45 S. Ct. 571 (1 925), the Supreme Court, in a variety of contexts, has recognized that freedom of personal choice in matters of marriage, family life, and the upbring ing of child ren is a liberty interest protected by the Fourtee nth Amen dment. See M.L.B v. S.L.J., U.S. LEXIS, 136 L. E d. 2d 473 , 117 S. Ct. 555 (Dec. 16, 1996) (termination of parental rights); Santosky v. Kramer, 455 U.S. 745, 71 L. Ed. 2d 599, 102 S. Ct. 1388 (1 982) (sam e); Parha m v. J.R ., 442 U.S. 584, 61 L. Ed. 2d 101, 99 S. Ct. 2493 (1979) (right to care for mental health of child); Moo re v. City of East Clevel and, 431 U.S. 494, 52 L. Ed. 2d 531, 97 S. Ct. 1932 (1977) (right of extended fam ily to live together); Wisconsin v. Yoder, 406 U.S. 205, 32 L. Ed. 2d 15, 92 S. Ct. 1526 (1972) (right to direct children's education, coupled with right to freedom of religion); Stanley v. Illinois, 405 U.S. 645, 31 L. Ed. 2d 551, 92 S. Ct. 1208 (1972) (right to raise children ); Prince v. Massachusetts, 321 U.S. 158, 88 L. Ed. 645, 64 S. Ct. 438 (194 4) (right to allow child to wo rk); Pierce v. Society of Sisters, 268 U.S. 510, 69 L. Ed. 1070, 45 S. Ct. 571 (1925) (right to direct upbringing and education of children ); Meye r, 262 U .S. 390 , 399, 67 L. Ed. 1042, 43 S. Ct. 6 See In re Adoption/Guardianship Nos. J9610436 and J9711031, 368 Md. 666, 67173, 796 A.2 d 778, 78 1-82 (200 2); In re Adoption / Guardianship No. TPR970011, 122 Md. App. 462, 473 -74, 712 A.2d 5 97, 602 (1998). 10 625 (announ cing the liberty inte rest "to engage in any of the common occupatio ns of life, to acquire useful knowledge, to marry, establish a home, and bri ng up c hildren "). Within the narrower context of the parent-child relationship, the Supreme Court has deemed the right to rear a child "essential," id., and encompassed within a parent's "basic civil rights." Skinner v. Oklahoma, 316 U.S. 535, 541, 86 L. Ed. 1655, 62 S. Ct. 1110 (1942). Maryland has consistently echoed the Supreme Court, declaring a parent's liberty interes t in raising a child a fundamental o ne that cann ot be taken away unles s clearly justified. In re Adoption/Guardianship No. 10941, 335 Md. 99, 112, 642 A.2d 201 (1994); In re Adoption/Guardianship Nos. CAA92-10852 & CAA9210853, 103 Md. App. 1, 12, 651 A.2d 8 91 (1994) ("This righ t is in the nature of a liberty interest that has long been recognized and protected u nder the state and federal constitutions."). In In re Adoption/Guardianship No. 10941, the Court of Appeals quoted with approval from Justice Blackmun's dissent in Lassiter v. Dep artme nt of So cial Ser vs., 452 U.S. 18, 68 L. Ed. 2d 640, 101 S. Ct. 2153 (1981): At stake here is "the interest of a parent in the companionship, care, custody, and management of his or her children." T his interest occupies a unique pla ce in our leg al culture, given the centrality of family life as the focus for personal meaning and respon sibility. "[Far] mo re precious ... than property rig hts," parental rights have been deemed to be among those "essential to the orderly pursuit of happiness by free men ...". Id. at 38 (citations omitted), quoted in In re Adoption/Guardianship No. 10941, 335 M d. at 113 . See also In re Ado ption/Gu ardiansh ip No. 93321055/ CAD, 344 Md. 45 8, 491, 687 A.2d 68 1 (1997); In re: M atthew R., 113 Md. App. 701, 721, 688 A.2d 95 5 (1997); Coffey v. Dep't of Social Servs., 41 Md. App. 340, 357, 397 A .2d 233 (1979). 115 Md. App at 298-99 , 693 A.2d at 36 (som e internal citation s omitted). W e recently reiterated the importance of these constitutional protections of parental interests in In re Adoption /Guardia nship Nos. J9610436 and J9711031, 368 Md. 666, 796 A.2d 778 (20 02), where w e pointed o ut that: 11 Most recently, in In re Mark M., 365 Md. 687, 705, 782 A.2d 332, 34243 (2001), this Court reiterated the notion of parentin g as a fun damenta l right: "A parent's interest in raising a child is, no doubt, a fundamental right, recognize d by the Un ited States Suprem e Court an d this Court. The United States Supreme Court has long avowed the basic civil right encompassed by child rearing and family life. See Troxel v. G ranville, 530 U.S. 57, 66, 120 S. Ct. 2054, 2060, 147 L. Ed. 2d 49 , 57 (2000 )(stating that 'the F ourteenth Amendment protects the fundamental right of parents to make decisions concernin g the care, cu stody, and con trol of their children'); See also Santosky v. Kramer, 455 U.S. 745, 753, 102 S. Ct. 13 88, 139 4-95, 7 1 L. Ed . 2d 599, 606 (1982) (discussing 'the fundam ental liberty interest of natural parents in the care, custody, and management of their child'); Stanley v. Illinois, 405 U.S. 645, 651, 92 S. Ct. 1208, 1212-13, 31 L. Ed. 2d 551, 558-59 (1972) (stating that 'the righ ts to conceiv e and to raise one's children have been deemed "essential,"' and that 'the integrity of the family unit has found protection in the Due Process Clause of the Fourteenth Amendment ... the Equal Protection Clause of the Fourteenth Amendment ... and the Ninth Amendment ..." (internal citations omitted)). Maryland, too, has declare d a parent's inte rest in raising a child to be so fundamental that it 'cannot be taken away un less clearly justified .' Boswell v. Boswe ll, 352 Md. 204, 218, 721 A.2d 662, 669 (1998) (citing In re Adoption No. 10941, 335 Md. 99, 112, 642 A .2d 201 (1994 )).” 368 Md. at 671, 796 A.2d at 780-81; see also Sh urupoff v. V ockroth, 372 Md. 639, 649-50, 814 A.2d 54 3, 550 (2003). 7 B. THE BEST INTEREST OF THE CHILD 7 For a discu ssion of the history of paren tal rights at com mon la w, see Montgomery County Department of Social Services v. Sanders, 38 Md. App., 406, 414-21, 381 A.2d 1154, 1160-63 (197 8). 12 The rights of a p arent in the raising of his or her children, however, are not absolute. One need not w ander far in to the thickets of family law before running into situations and circumstances where application of an absolute right of the parent would fail to produce a just result. Divorce is perhaps the most obvious situation. Where two parents have equal constitutional rights as parents, and both are exercising those rights to opposing ends, what is to become of the child or children involved? What are the child’s rights in such a situation, and by what standard is a court to avail itself in order both to uphold the rights of the parents while reaching an outcome society finds acceptable for the blameless offspring? Further, in a variety of situations, such as the one sub judice, a court must ask to what extent the State has an interest in the child as parens patriae – a corollary of the State's interes t in protecting the health, safety, and welfare of its citizenry. Again, quoting extensively from Wolinski: The Supreme Court has emphasized, however, that "rights of parenthoo d are [not] beyond limitation," and that the "state has a wide range of power for limiting parental freedom and authority in things affecting a child 's welfare ....". Thus, a parent's right to direct his or her child's upbringing is not absolute. Rather, Due Process analysis requires the delicate balancing of all of the com peting interests involved in the litigation. In the context of most family law disputes over children, the State's interest is to protect the child's best interests as parens patriae – a derivatio n of the S tate's interest in protectin g the heal th, sa fety, a nd w elfa re of its cit izen ry. The importance of those State interests that successfully override parental autonomy in raising children is determined by the nature of the individual liberty interests upon which the State laws or regulations impinge. A regulation or law significantly curtailing a fundamental right must undergo strict scrutiny -- it must be na rrowly tailored to serve a com pelling pub lic interest. Restrictions upon rights not deemed fundamental need only be rationally related to some purpose within the competency of the S tate. Fina lly, 13 there are those restrictions upon rights deemed "substantial," though not fundam ental, that must undergo intermediate-level scrutiny -- governmental interference is sanctio ned only w hen the in terfe renc e is su pported by a substantial go vernmen tal interest. As noted abo ve, the State's inte rest in all custody, adoption, and visitation disputes is to protect the best interests of the child caught in the middle of the fight. The Court of Appeals has often reaffirmed that this interest takes precedence ove r the fundamen tal right of a parent to raise his or her child. The cou rts have said time and a gain that the b est interest stand ard is dispositive in custody awards. In the context of adoption cases, the Court of Appea ls has labeled "compelling" the State's interest in securing permanent homes for children placed into its custody because of an inability or unw illing ness of th eir paren ts to c are f or them p rope rly. 115 M d. App . at 300- 302, 69 3 A.2d at 37-3 8 (intern al citation s omitte d). In the case of In re Mark M., 365 Md. 687, 782 A.2d 33 2 (2001), th is Court rec ently reiterated these considerations: That fundamental interest [in rasing a child], however, is not absolute and does not e xclude oth er importan t consideratio ns. Pursua nt to the doctrine of parens patriae, the State of Maryland has an interest in caring for those, such as minors, who cannot care for themselves. We hav e held that "the best interests of the child may take precedence over the parent's liberty interes t in the course of a custody, visitation , or adoption dispute." Th at which w ill best promote the child's welfare becomes particularly consequential where the interests of a child are in jeopardy, as is often the case in situations involving sexual, physical, or emotional abuse by a parent. As we stated in In re Adoption /Guardia nship No. A91-71A, 334 Md. 538, 640 A.2d 1085 (1994), the child's welfare is "a consi dera tion that i s of 'trans cend ent im portance '" when the child might o therwi se be in jeopard y. Id. at 561, 640 A.2d at 1096 (citation omitted). Therefore, visitation may be restricted or even denied when the child's health or welfare is threatened. We have recognized that in cases where abuse or neglect is evidenced, particularly in a CINA case, the court's role is necessarily more pro-active. In fact, whe reas the stand ard f or de nying pare ntal v isitat ion is gen erall y quite strict - i.e. "it would only be in an exceptional case and under extrao rdinary circumstances that the right of visitation will be denied" (see Boswell v. 14 Boswe ll, 352 M d. at 220, 721 A.2d at 670 (1998)(stating that "visitation rights... are not to be denied even to an errant parent unless the best interest of the child would be endangered by such contact")(quoting Roberts v. Roberts , 35 Md. App. 497, 507, 371 A.2d 689, 694 (1977)) - in cases where evidence of abuse exists, courts are required by statute to deny custody or unsupervised visitation unless the court makes a specific fin ding that the re is no likelihood of further child abuse or neglec t. See Maryland Code, § 9-101 of the Family Law Article (1984, 1999 Re pl. Vol.).[8] Thus, courts have a higher degree of respon sibility wh ere abu se is pro ven. 367 Md at 705-06, 782 A.2d at 342-43(emph asis in original)(some internal citations omitted). The best interests of the child standard embraces a strong presumption that the child’s best interests are serv ed by ma intainin g paren tal rights. See In Re: Adoption J9610436, 368 Md. 666, 692-93, 796 A.2d 778, 793 (2002). If it were otherwise, the most disadvantaged of our adult citizens always would be at greater risk of losing custody of their children than those more f ortuna te. Id. 368 Md. at 673-74, 699-700, 796 A.2d at 782-83, 797-98. Those of our citizens coping with emotional or mental difficulties could be faced with such discrimination. As the C ourt of Sp ecial App eals pointed out in In re: Barry E., 107 Md. 8 Md. Code (1974, 1999 R epl. Vol.), Family Law Article, § 9-101 states: (a) Determination by court. - In any custody or visitation proceeding, if the court has reasonab le grounds to believe that a child has be en abuse d or neglec ted by a party to the proceedin g, the court sh all determine whether abuse or neglect is likely to occur if cu stod y or visitati on rights are g ranted to the p arty. (b) Specific finding required. - Unless the court specifically finds that there is no likelihood of further child abuse or ne glec t by the par ty, the court shall deny custody or visitation rights to that party, except that the court may approve a supervised visitation arrangem ent that assure s the safety and the physiologic al, psychologic al, and emotional well-being of the child. 15 App. 206, 667 A.2d 931 (1995), the emotional or mental difficulties experienced by a parent are not sufficient reason for removing a child except in more extreme cases:9 The fact that appellant has a mental or emotional problem and is less than a perfect parent or that the children may be happier with their foster parents is not a legitimate reason to remove them from a natural parent competent to care for them in favor of a stranger. 107 Md. App. at 220, 667 A.2d at 938. The Supreme C ourt placed its imprimatur on the presumption that parents act in the best interests of their children in Parham v. J.R., 442 U.S. 584, 99 S.Ct. 2493, 61 L.Ed. 2d 101 (1979), noting that in most cases, “the child’s interest is inextricably linked with the parents’ interest in and obligation for the welfare and health of the child....” Id. 442 U.S. at 600. Explaining the basis for this conclusion, the Court stated: The law’s concept of the family rests on a presumption that parents po ssess wha t a child lacks in maturity, experience, and capacity for judgm ent required for makin g life’s difficult decisions. More importantly, historically, it has recognized that natural bonds of affec tion lead pa rents to act in the be st interests of their children. Id. 442 U.S. at 602. This presumption also is a w ell established principle of M aryland law. As the Co urt of Special Appeals pointed out in Wolinski: 9 See also In re Adoption/ Guardianship Nos. J9610436 and J9711031, 368 Md. at 704-707, 796 A .2d at 800-802 (dissenting opinion). 16 Maryland has adopted, in termination of parental rights, adoption, and custody proceedings, a prima fac ie presumption that a child's welfare will be best served in the care and custody of its parents rather than in the custody of others. That presumption is overcome if opposing parties show that the natural parent is unfit to have custody, or exceptional circumstances make parental custody detrimental to the best interests of the child. Wolinski, 115 Md. App. at 311, 693 A.2d at 42-43 (internal citations omitted). In whatever context the best interest of the child is the applicable standard, the presump tion exists, until rebutted, that it is in the child’s be st interest to be p laced with a parent. C. THE RELATIO NSHIP OF THE STA TUTES AND THE COMMON LAW STANDARDS 1. THE STATUES The fundamental right of parents to raise their offspring is not only well established in our common law traditions, but also in the relevant enactments of the federal and Maryland legislatures. Due to the prominent role of these statutes in the case sub judice, we shall include at length here the seminal dissertation on them found in In re: Adoption /Guardia nship No. 10941, 335 Md. 99, 642 A.2d 201(1994), in which Judge Karwa cki, writing for the Court, c ompreh ensively addressed the state and federal statutory schemes. Judge Karwacki stated: The Maryland General Assemb ly has enacted a comprehensive statutory scheme to address those situations where a child is at risk because of his or her parents' inability or unw illingness to care for him or her. Title 5 o f the Fam ily Law Article of the Maryland Code (1984, 1991 Repl. Vol.) (hereinafter "F.L.") governs the custody, guardianship, adoption and general protection of children 17 who because of abuse or neglect come within the purview of the Department of Human Resources. This case involves the interplay between the child welfare statutes, F.L. § 5-501 et seq., under juvenile jurisdiction, and the adoption statutes, F.L. § 5-301 et seq., under e quity jurisd iction. Subtitle 7 of Title 5 of the Family Law Article concerns the protection of children who have been abused or neglected by their biological parents. Pursuant to this subtitle, certain authority figures, such as health practitioners, police officers, educators and human service workers, are required to report cases of suspected abuse or neglect. F.L. § 5-704. The local department of social services is then required to investigate such reports. F.L. § 5-706. Thereafter, in accordance with its findings and treatment plan, the local department is required to render appropriate services in the best interests of the child,2 including, w hen indica ted, petitioning the juvenile c ourt to commit the child to its care and custody. F.L. § 5-710(a). If the juvenile court determines that the child is a child in need of assistance (C INA), 3 it has discretion to order that the child be committe d to the local department "on terms that the court considers approp riate ... including d esignation o f the type of fa cility where the child is to be accommodated, until custody ... is terminated with approval of the court" or the child turns 21 years old. M d. Cod e (1974 , 1989 R epl. Vo l.) § § 3-820(c)(1)(ii) and 3-825 of the Courts & Judicial Proceedings Article. Such out-of-home placement can include placement in a licensed foster home, F.L. § 5-525, or placement with relatives. 2 The local department should first assist in preventing the necessity of removing the child from the child's natural parent or guardian. If removal does become nece ssary, the department should then attempt to reunite the child with the child's natural parent or guardian . Where e fforts at reunification fail, however, the Legislature has provided a comprehensive statutory scheme to enable the child to find a permanent home with another fam ily. 3 Md. Code (1974, 19 89 Rep l. Vol., 1993 Supp.), § 3-801 of the Courts and Judicial Proceedings Article defines "child in need of as sista nce" thus ly: (e) Child in need of assistance. - 'Child in need of assistance' is a child who requires the assistance of the court because: (1) He is mentally handicapped or is not receiving ordinary and proper care and attention, and 18 (2) His parents, guardian, or custodian are unable or unwilling to give proper care and attention to the child and his proble ms pro vided, h owev er, a child shall not be deemed to be in need of assistance for the sole reason he is being furnished nonmedical remedial care and treatment recognized by State law. During the 1970's, nationwide co ncern grew rega rding the large number of children wh o remaine d out of the homes o f their biolog ical parents throughout their childhood, frequen tly moved from one foster care situation to another, the reby reaching majority witho ut belonging to a p ermanen t fam ily. This phenomenon became known as "foster care drift" and resulted in the enactment by Congress of Public Law 96-272, the "Adoption Assistance and Child Welfare Act of 1980," codified at 42 U.S.C. § § 670-679 (1988). One of the important purposes of this law was to eliminate foster care drift by requiring states to adop t statutes to facilitate permanent placement for children as a condition to receiving fed eral fundin g for their foster care and adoption assistance programs. Under the federal act, a state is required, among other things, to provide a written case plan for ea ch child for whom the state claims federal foster care maintenance paymen ts. 42 U .S.C. § 671(a)(16). The case plan must include a description of the home or institution in to whic h the ch ild is plac ed, a discussion of the appropriateness of the placement, and a description of the services provided to the parents, c hild and fo ster parents to facilitate return of the child to his or her own home or to establish another permanent placement for the child. 42 U.S.C. § 675(1). The state must also implement a case review system that provides for administrative review of the case plan at least every six months and judicial review no later than eighteen months after placement and periodically thereafter. 42 U.S.C . § 675(5)(B) and (C). The purpose of the judicial review is to "determine the future status of the child" including whether the child should be returned to its biological parents, continued in foster care for a specified period, placed for adoption, or because of the child's special needs or circumstances, continued in foster care on a long term basis. 42 U.S.C. § 6 75(5)(C). Maryland receives considerable federal funds pursuant to this Act. Acc ordingly, the Maryland General Assembly has enacted legislation to comply with the federal requ irem ents. Under M arylan d's statutory scheme, for 19 those children committe d to a local department of social services the department is required to develop and imple ment a pe rmanenc y plan that is in the best interests of the child. F.L. § 5-525. In developing the perm anency plan, the depa rtment is requ ired to consider a statutory hierarchy of placement options in descending order of priority. F.L. § 5-525(c). First and foremost, the department must consider returning the child to the ch ild's natur al paren ts or gua rdians. F.L. § 5525(c)(1). If reunifica tion with the biological parents is not possible, the department must consider placing the child with relatives to whom adoption, guardianship, or care and custody, in descending order of priority, are planned to be granted. F.L. § 5-52 5(c)(2). If placement with relatives is not possible, then the department must consider adoption by a current foster parent or other approved adoptiv e famil y. F.L. § 5-525(c)(3). Only in exceptional situations as defined by rule or regulation is a child to be placed in long term foster care. F.L. § 5-525(c)(5). If it is determined that reunification is not possible and that adoption is in the child's best interests, the juvenile court lacks ju risdiction to fin alize this plan. In re Darius A., 47 Md . App. 232 , 235, 422 A .2d 71, 72 (1 980); see also F.L. § 1-201. Instead, unless the parents consent to the adoption of their child, the department is required to p etition the circuit court for guardian ship pursuant to F.L. § 5-313. If the circuit court finds by clear and convincing evidence, after considering the statutorily enumerated factors, that it is in the best interest of a child previously adjudicated a CINA for parental rights to be terminated, the circuit court h as authority to grant the department's petition for guardianship. Such award carries with it the right for the department to consent to the adoption of the child. F.L. § § 5-31 1 and 5-317(f). The overriding theme of both the federal and state legislation is that a child should have permanency in his or her life. The valid prem ise is that it is in a child's best interest to be placed in a permanent home and to spend as little time as possible in foster care. Thus, Title 5 of the Family Law Article seeks to prevent the need for removal of a child from its home, to return a ch ild to its home when possible, and where returning home is not possible, to place the child in another permanent placement that has legal status. 335 Md. at 103-06, 642 A.2d at 203-05. 20 2. THE ROLE OF AND REQUIREMENTS ON THE TRIAL COURT We explained the role of and requirements on trial courts in applying Subtitle 8 of Maryland’s Family Law Article in our opinion in In re: Damon M., pointing ou t that: Prior to 1998, the responsibility for developing a perm anency plan for a child in foster care was entrusted to the local department of social services. Md. Code (1984, 1991 Rep l. Vol., 1995 Cum. S upp.) § 5-5 25 (c) of th e Family Law Article. Before 1996, a plan developed by the local department was reviewed by the court, together with the report and recommendation of the Foster Care Review Board, as a part of the disposition review hearing the court was required to conduct. M d. Code (1984 , 1991 Repl. Vo l. ) § 5-544 (3) of the Family Law Article. As a result of the amendment of the Juven ile Causes Act in 1996, see Ch. 595, Laws of 1996, the juvenile court was mandate d to "hold a hearing to review the implementation of a permanency plan" for each child in foster care within 10 months of the disposition hearing in which the CINA finding was made. Md. Code (1996 , 1997 C um. Su pp.) § 3 -826.1 of the Co urts and Judicial Proceedin gs Article. It is of interest to note that the statute provided that if the child was to be "continued in placement for a specified period ," then the co urt would have to de termine "the extent of c omplianc e with the permanency plan." § 3- 826.1 (d). The subsequent amendment to § 3-826.1, see ch. 539, Laws of 1998, to make it conform with the Federal Adoption and Safe Families Act of 1997 effected a significant change. Now, the court has the responsibility for determining the permanency plan, § 3-826.1 (a) (1) and justifying the placement of children in out of home placements for a specified period or on a long-term or perm anent basis , § 3-826.1 ( d), in addition to condu cting pe riodic, six month review s. § 3-82 6.1 (f). In re: Damon M., 362 Md. at 430-31 n.1, 765 A.2 d 624 n.1 . We con tinued, exp laining that: 21 Section 3-826.1, [now c odified as §3-823] [10] requires the court, not 10 Effective October 1, 2001, the portion of Title 3 of the Courts and Judicial Proceedings Article con taining the sta tutory provision s governin g child in need of assistance proceedings (the “Juvenile Causes Act”) was recodified. Section 3-826.1, recodified as §3823, now reads as follows: § 3-823. P ermanen cy plan for ou t-of-hom e placeme nt (a) Definition. -- In this section, "out-of-home placement" has the meaning stated in § 5-50 1 of the Family L aw A rticle. (b)permanency plann ing hearing. -(1) The co urt shall hold a permane ncy planning hearing: (i) No later than 11 months after a child in a CINA proceeding enters an out-of-home placement to determine the permanency plan for the child committed under § 3-8 19 (b) of th is subtitle; or (ii) Within 30 days after the court finds that reasonab le effo rts to reun ify a child with the child 's parent or guardian are n ot required based on a finding that a circumstance enumerated in § 3-812 of this su btitle has occurr ed. (2) For purposes of th is section, a ch ild shall be co nsidered to have ente red an ou t-of-hom e placeme nt 30 days afte r the child is placed into an o ut-of-h ome p laceme nt. (3) If all parties agree, a permanency planning hearing may be held on the sam e day as th e reaso nable e fforts h earing. (c) Same -- Reque sts for review. -(1) On the written re quest of a party or on its own motion, the court may schedule a hearing at any earlier time to determine a permanency plan or to review the implementation of a permanency plan for any child committed und er § 3-819 of this subtitle. (2) A written requ est for review shall state the reason for the reques t and ea ch issue to be rais ed. (d) Distribution of permanency plan. -- At least 10 days before the permanency planning hearing, the local department shall provide all parties and the court (contin ued...) 22 10 (...continued) with a c opy of th e local d epartm ent's perm anenc y plan fo r the chil d. (e)Determinations to be made at hearing. -- At a permanency planning hearing, the court sh all: (1)Determ ine the child's p ermanen cy plan, whic h may be: (i) Reunific ation with th e parent or g uardian; (ii) Placeme nt with a rela tive for: 1. Adoption; or 2. Custody an d guardian ship; (iii) Adoption by a nonrelativ e; (iv) Guard ianship by a no nrelative; (v) Continuation in a specified placement on a permanent basis because of the child's special needs or c ircumstanc es; (vi) Continuation in placement for a specified period because of the child's special needs or circumstances; or (vii) Independent living; and (2) For a child who has attained the age of 16, determine the services needed to assist the child to make the transition from placem ent to ind epend ent livin g. (f) Continuation of placement for a specified period. -- The court may not order a child to be c ontinued in a placeme nt under su bsection (e) ( 1) (v) or (vi) of this section unless the court finds that the person or agency to which the child is committed has documented a compelling reason for determining that it would n ot be in the b est interest of th e child to: (1) Return h ome; (2) Be referred for termina tion of parental rights; or (3) Be placed for adoption or guardianship with a specified and appropriate relative or legal guardian willing to care for the child. (g) Placement for adoption. -- In the case of a child for wh om the court determines that the plan should be changed to adoption under subsection (e) (1) (iii) of this sec tion, the cour t shall: (1) Order the local dep artment to file a petition for guardians hip in accordan ce with Title 5, Sub title 3 of the Fa mily Law A rticle within 30 days or, if the local department does not support the (contin ued...) 23 10 (...continued) plan, within 60 days; and (2) Sched ule a TPR hearing instead of the next 6-month review hearing . (h) Periodic reviews. -(1) (i) Except as provided in subparag raphs (ii) and (iii) of this paragraph, the court shall conduct a hearing to review the permanency plan at least ev ery 6 month s until commitm ent is rescind ed. (ii) The court shall conduct a review hearing every 12 months after the court determines that the child shall be continued in out-of-home placement with a specific ca regiver w ho agrees to care fo r the chil d on a p erman ent bas is. (iii) 1. Unless the court finds good cause, a case shall be terminated after the cou rt grants custody and guardians hip of the c hild to a relative or other individ ual. 2. If the Court finds good cause not to termina te a case , the court shall conduct a review hearing every 12 months until the case is terminated. (2) At the rev iew hearin g, the court sh all: (i)determine the continuing necessity for and appropriate ness of the commitm ent; (ii)determine the extent of compliance with the permanency plan; (iii)determine the extent of progress that has been made toward alleviating or mitigating the causes necessitating commitm ent; (iv) Project a reasonab le date by which a child in placement may be returned home, placed in a preadoptive home, or placed under a legal guardians hip; (v) Evalua te the safety of the child and take necessary measures to protect the child; and (vi) Change the perma nency plan if a change in (contin ued...) 24 later than 11 months after a child found to be in need of assistance has been placed in foster care, see also Md. Code (1989, 1991 Repl. Vol., 1997 Cum. Supp .) § 5-501 (m) of the Family Law Article, to hold a permanency planning hearing to de term ine th e per man ency plan for that child. § 3-826.1 (a) (1) [now §3-823(b)(1)]. At that hearing, for each child in placemen t and in determining the plan, the court is required to make certain decisions and findings, § 3-826.1 (c), [now §3-823(e )] specifically, wh ether the ch ild should be: returned to the parent or guardian, § 3-826.1 (c) (1) (i) [now §3823(e)(1)(i)]; placed w ith relatives to whom adoption o r guardians hip is granted, § 3-826.1 (c) (1) (ii) [now § 3-823(e)(1)(ii); placed for adoption , § 3-826 .1 (c) (1) (iii) [now §2-823(e)(1)(iii)]; emancipated, § 3-826.1 (c) (1) (iv) [now dele ted]; or because of the child's special needs or circumstances, 10 (...continued) the permanency plan would be in the child's best interest. (3) Every reasonable effort shall be made to effectuate a permanent placement for the ch ild within 24 months a fter the date of initial pla cemen t. (i) Notice and opportun ity to be heard. -(1) In this subsection, "preadoptive parent" means an individual whom a chi ld placem ent a gency, as defined in § 5-301 of the Family Law Article, approves to adopt a child who has been placed in the individual's home for adoption before the final decree of ado ption. (2) If practicable, the local department shall give at least 7 days' notice before any hearing con ducted under this section to the child 's foster parent, preadoptive parent, or relative providing care fo r the chil d. (3) The foster paren t, preadop tive parent, relative, or an attorney for the foster parent, preadoptive parent, or relative shall be given a n oppo rtunity to b e heard at the he aring. (4) The foster parent, preadoptive parent, relative, or attorney may not b e con sidered to be a par ty sole ly on the basis of the right to notice and opportun ity to be heard provided under this subsec tion. (j) Written reports. -- At a review h earing und er this section, th e court shall consider any written report of a local out-of-hom e placement review board require d unde r § 5-54 5 of the Family L aw A rticle. 25 continued in placement on a permanent or long-term basis or for a specified period ." § 3-826.1 (c) (1) (v) and (v i) [now § 3-82 3(e)(1)(v) and (vi)]. There are restrictions on the court's ability to continue a child in placement because of the child's special needs or circum stances. § 3-826.1 (d) [no w §3-823(f)]. That section prohibits the court from using that option "unless it finds that the agency to which the child is committed has docume nted a com pelling reaso n for determ ining that it would not be in the best interest of the child to: "(1) Return home; "(2) Be referred for termination of parental rights; or "(3) Be placed for adoption or guardianship with a specified and appropriate relative or legal guardian willing to care for the child." Section 3-826.1 (f) [now §3-823(h)] mandates periodic reviews of the permanency plan by the court. Subsection (f) (1) (i) [now §3-823 (h)(1)(i)] provides that such reviews will be "no less frequently than every six months until commitment is rescinded." If, however, at the permanency planning hearing or a subsequent review hearing, the court, inter alia, orders a child continued in permanent foster care, the court is no longer required to h old the review hearings at six month intervals. Subsection (f) (1) (ii) [now §3823(h)(1)(ii), now revised to req uire review hearings ev ery 12 mon ths.]. As is true of the initial pe rmanenc y planning hearing, the court must make some determinations at the he aring to review the perm anenc y plan. § 3-826.1 (f) (2) [now §3-823(h)(2)]. Among other things, in addition to determining whether the commitment remains necessary and appropriate, subsection (f) (2) (i) [now §3-823(h)(2)(i)], and evaluating the progress made toward alleviating or mitigating the causes of the commitment, subsection (f) (2) (iii) [now §3823(h)(2)(iii)], the court is required to "determine the extent of compliance with the permanency plan," subsection (f) (2) (ii) [now §3-823(h)(2)(ii), and to change it "if a change in the permanency plan would be in the child's best interest." Subse ction (f ) (2) (v) [ now § 3-823 (h)(2)(v i)]. The permanency plan is an integral part of the statutory scheme designed to expedite the movement of Maryland's children from foster care to a permanent living, and hop efully, family arrangem ent. It provides the goal toward which the parties and the court are committed to work. It sets the tone for the parties and the court and, indeed, may be outcome determinative. Services to be provided by the local social service departme nt and com mitments that must be made by the parents and children are determined by the permanency plan. And, because it may not be changed w ithout the court first determin ing that it is in 26 the child's best interest to do so, the permanency p lan m ust b e in th e chi ld's best interest. These are the reasons, no doubt, that th e court is cha rged with determining the plan and w ith perio dically rev iewing it, evaluating all the while the extent to which it is being complied with. It is true, of cou rse, that a pare nt will have lost custody before a permanency plan will have been developed. Nevertheless, once determined, because the permanency plan sets out the anticipated permanent placement, to the achievem ent of wh ich the "reaso nable effo rts," r equired by § 3-826.1 (f) (3) [now §3-823(h )(3)], must an d will be dire cted, it can no t be totally divorced from the iss ue and, in p oint of fac t and in a rea l sense, actua lly is a part of it. Moreover and in fact, when the plan is reunification, there necessarily is, on the part of the court and, certainly, the parent, an expectation - more than a hope - that the parent will regain custody. That is, after all, the point of the plan and the reasonable efforts, including the provision of services to the family, so necessary to achieving compliance. Id., 362 Md. at 435-37, 765 A.2d at 627-28. As In re: Damon M. observes, the purpose of a permane ncy plan is to set th e direction in w hich the pa rent, agencie s, and the co urt will work in terms of reaching a satisfactory conclusion to the situation. Once set initially, the goal of the permanency plan is re-visited periodically at hearings to determine progress and whether, due to historical and contemporary circumstances, that goal should be chang ed. It is not the purpose of the initial permanency plan hearing, however, to resolve all issues involved in that final resolution. If that were the case, there would be no need for review of how, on a regular basis, the plan is progressing or not. Also as In re: Damon M. indicates, the initial permanency plan hearing is to be held and conducted expeditiously. Protracted proceedings in establishing the initial plan defe at the purpo se of the statu te. The statute presumes that, unless there are compelling circumstances to the contrary, the plan should be 27 to work toward reunification, as it is presumed that it is in the best interest of a child to be returned to h is or her natu ral parent. D. THE STANDARD OF REVIEW In In re: Damon M. we held th at, despite their in terlocutory nature, orders of court regarding perman ency plan s are im media tely appea lable. Id. 362 Md. at 438, 765 A.2d at 628-29. The appellate standard of review as to the overall determination of the hearing court is one of “abuse of discretion.” Because children and fundamental rights are at stake, and the fact that speed and stability are desirable where permanency plans are concern ed, it is useful to discuss at some length what precisely “abuse of discretion” means in the context of review of a permanency plan order. In In re Adop tion/Gua rdianship No. 3598, 347 Md. 295, 701 A.2d 110 (1997), we described “abuse of discretion” as follows: Judicial discretion was defined in Saltzgaver v. Saltzgaver, 182 Md. 624, 635, 35 A.2d 810, 815 (1944) (quoting Bowers' Judicial Discretion of Trial Cou rts at P 10) as "th at power of decision exercised to the necessary end of awarding justice and based upon reason and law, but for which decision there is no special governing statute or rule." It has also been defined as a "reasoned decision based on the weighing of various alternativ es." There is an abuse of discretion "where no reaso nable person would take the view adopted by the [trial] court," or when the cou rt acts "without reference to any guiding rules or princip les." An abuse of discretion may also be found w here the ruling under consideration is "clearly against the logic and effect of facts and inferences before the cou rt," or w hen the ruling is "volatile of fac t and log ic." Questions within the discretion of the trial court are "much better decided by the trial judges tha n by appellate courts, and the decisions of such judges should only be disturbed where it is apparent that some serious error or abuse of discretion or autocratic action has oc curred." In sum, to be reversed “the 28 decision under consideration has to be we ll removed from a ny center mark imagined by the reviewing court and beyond the fringe of w hat that court deems minimally acceptable.” 347 Md. at 31 2-13 , 701 A.2d at 118-19 (some intern al citations omitted). For cases involving the custody of children generally, our precedents establish a three part review of the decisions of the lower courts, addressing the findings of fact, conclusions at law, and the determination of the court as a whole. We set forth the rule for review of custody cases in Davis v. Dav is, 280 Md. 119, 372 A.2d 231 (1977), where we explained: Maryland Rule 886 (applicable to this Court) and, in identical language, Rule 1086 (applicable to the Court of Special Appeals) provide the standard of review of actio ns tried w ithout a j ury. [11] In such actions, the app ellate courts of this State "review the case upon both the law and the evidence, but the judgment of the lower court will not be set aside on the evidence unless clearly erroneous and due regard will be given to the opportunity of the lower court to judge the credibility of the witnesses." Rule 886 & 1086. The "clea rly erroneous" concept is no newcomer to Maryland procedure: The predecessor of Rule 886 (adopted effective January 1, 1957 as Rule 886 a), General Rules of Practice an d Proced ure, Part Th ree, III, Rule 9 c (effectiv e September 1, 1944), contained the same scope of review embodied in the present rule; moreover, prior to the standard's codification as a rule, it was the time-honored practice on appeals to this Court in equity actions to give great weight to the chan cello r's findings of fact. And we have heretofore noted that these rule s in essence merely conformed the scope o f review in nonjury action s at law to the scope of review we had always applied in equity appeals. Nothing in Rule 886 indicates that it does not apply to all cases tried without a jury, and we have explicitly held that the rule applies when we review nonjury criminal causes (under Rule 772), nonjury defective delinquency cases, child support awards, and child custody cases. Hild v. Hild , 221 Md. 349, 359, 157 A. 2d 442, 448 (1960). Since Hild we have consistently applied the "clearly erroneous" portion of Rule 886 (or that standard without citation to the rule) in o ur review of child 11 The clearly erroneous standard of Rules 886 and 1086 are now combine d in Rule 8-131 (c). 29 custody awards. Moreover, even prior to our explicit recognition in Hild of the applicability of Rule 8 86, our pre decessors in essence u tilized the clearly erroneous standard when reviewing factual determinations on appeals of child custody actions. Since Rules 886 and 1086 are identical, w hat we sa y with respec t to one is equally ap plicable to the oth er. Having determine d that Rule 886 is controlling in child custody cases, we now consider the extent to which th e "clearly errone ous" portio n of it applies in such appeals. The words of the rule itself make plain that an appellate court cannot set aside factual findings unless they are clearly erroneous, and this is so even when the chancellor has not seen or heard the witnesses. On the other hand, it is equally obvious that the "clearly erroneous" portion of Rule 8 86 does n ot apply to a trial co urt's determinations of legal questions o r conclusio ns of law based up on finding s of fact. Although these two proposition s are clear, there is some co nfusion in our cases with respect to the standard o f review a pplicable to the c hancello r's ultimate conclusion a s to w hich party shou ld be awa rded custody. Notwithstanding some language in our opinions that this conclusion cannot be set aside unless clearly erroneous, we believe that, because such a conclusion technically is not a matter of fact, the clearly erroneous standard has no applicab ility. However, we also repudiate the suggestion contained in some of our predecess ors' opinions, a nd relied up on by the Co urt of Spe cial Appeals in Sullivan v. Auslaender, 12 Md. App. 1, 3-5, 276 A. 2d 698, 700-01 (1971), and its progeny, that a ppellate cou rts must exe rcise their "own sound judgmen t" in determining whether the conclusion of the chancellor was the best one. Quite to the contrary, it is within the sound discretion of the chancellor to award custody according to the exigencies of each case, and as our decisions indicate, a reviewing court may interfere with such a determination only on a clear showing of abuse of that discretion. Such broad discretion is vested in the cha ncel lor becau se on ly he sees the witnesses and the parties, hears the testimony, and has the opportunity to speak with the child; he is in a far better position than is an appellate court, which has o nly a cold record before it, to weigh the evidence and determine what disposition will bes t promo te the w elfare o f the m inor. In sum, we point out three d istinct aspe cts of review in child custody disputes. When the appellate court scrutinizes factual findings, the clearly erroneous standard of Rules 886 and 1086 applie s. [Seco ndly,] [i]f it appear s that the c hancello r erred a s to matte rs of law, furth er 30 proceedings in the trial court will ordinarily be required unless the error is determined to be harmless. Finally, when the appellate court views the ultimate conclusion of the chancellor founded upon sound legal principles and based upon factual findings that are not clearly erroneous, the chance llor's decision should be disturbed only if there has been a clear abuse of discr etion. 280 Md. at 12 2-26, 372 A.2d at 232-34 (some intern al citations omitted; emphasis add ed). See also Robinson v. Robinson, 328 Md. 507, 513, 615 A.2d 1190, 1193 (1992); McCready v. McCready, 323 Md. 476, 484, 593 A.2d 11 28, 1131 (1991); Lipiano v. Lipiano, 89 Md. App. 571, 576, 598 A.2d 854, 857 (1991 ), cert. denied, 325 Md. 620 , 602 A.2d 710 (1992). In CINA cases where there has been found a past instance of abuse or neglect, the Legislature dictates that specific supporting facts be determined by the hearing court. Md. Code (1974, 2002 Repl. Vol.), Cts.& Jud. Proc. Article, § 3-801 defines a “child in need of assistance (CINA) as “a child who requires court intervention because: (1) the child has been abused, has been neglected, has a develo pmental disability, or has a mental disorder; and (2) the child’s parents, guardian, or custodian are unable or unwilling to give proper care and attention to the child and the child’s needs.” As noted supra, Md. Co de (1974 , 2002 Re pl. Vol.), Cts. & Jud. Proc. Article, § 3-823(f) requires that the trial court not order long term foster care unless the court finds “that the person or agency to which the child is committed has documented a compelling reason for determining that it would not be in the best interest of the child to: (1) return home; (2) be referred for termination of parental rights; or (3) be placed for adoption or guardianship with a specified and appropriate relative or legal guardian willing to take care for the child” (emph asis added ). As we h ave pointe d out, 31 supra, §3-823(f ) sets forth a statutory hierarchy of placement options in descending order of priority. First and foremost, the court must consider returning the child to the child’s parent or parents . In re Adoption/Guardianship Nos. J9610436 and J9711031, 368 Md at 677-78, 796 A.2d at 78 4-85; In re: A doptio n/Gua rdians hip No . 10941, 335 Md. at 105-106, 642 A.2d at 204-205. Where the child has been declared a “child in need of assistance” because of abuse or neglect, the trial court is further constrained by the requirements of §9-101.12 This section directs the court to den y custody to the parent unless the court makes a specific finding that there is no likelihoo d of furthe r abuse or n eglect. 13 Md. Code (1974, 1999 Repl. V ol.), Family Law A rt., § 9-101(b ); see also In re Mark M., 365 Md. at 706, 782 A.2d at 343. The burden is on the parent previously having been found to have abused or neglected his or her child to adduce evidence and persuade the court to make the requisite finding under § 9101(b). See In Re: Adoption No. 12612, 353 Md. 209, 232-39, 725 A.2d 1037, 1048-52 (1999). The language of §9-101(b) notwithstanding, it does not require that the hearing judge be a prophet or soothsayer and somehow “know” that there w ill never be a future incident of abuse or neglect. Such a finding would require unobtainable proof on the part of 12 For the full text of §9-101, see supra n. 8. 13 “The Legislature and the Supreme Court have both expressed their view that children should not be uprooted from their family but for the most urgent reasons. We add to that admonition the further suggestion that the reasons should be clearly explicated by the trial judge who assumes that awesom e responsib ility and that his find ings of fac t should expressly support his conclusions.” In re Jertude O., 56 Md. App. 83, 99, 466 A.2d 885, 894 (1983). 32 the parent, and omniscience on the part of the judge. Such a construction would render the statute nonsense.14 As we pointed out in In re: Adoption No. 12612, 353 Md. 209, 238, 725 A.2d 1037, 10 51(1999): Section 9-101 focuses the court’s attention and gives clear direction in the exercise of its discretion. It does not set an insurmountable burden; even upon substantial evidence of past ab use or neglect, it does not require a finding that future abuse or neglect is impossible or will, in fact never occur, but only that there is no likelihood – no probability – of its recurrence. Webster defines likelihood as probab ility, something tha t is likely to happen. (emphases add ed). “The fear of harm to the child or to society must be a real one predicated upon hard evidence, it may not be simply gut reaction or even a decision to err-if-at-all on the side of caution.” In re Je rtrude O ., 56 Md. App. at 100, 466 A.2d at 894. A. As we noted supra, the first step in our review of the case sub judice is to scrutinize the factual findings of the juv enile court under the clearly erroneous standard. W e reiterate that one of the findings re quired here is a finding by a preponderance of the evidence that there is no likelihood abuse or neglect is likely to reoccur. 15 The juvenile judge’s findings, presented from the bench in support of her 28 March 2001 order, were as follows: 14 This Court stated in D & Y, Inc. v. Winston, 320 Md. 534, 538, 578 A.2d 1177, 1179 (1990), that “construction of a statute which is unreasonable, illogical, unjust, or inconsistent with common se nse should be avo ided.” (Citations omitted.) See also Blandon v. State, 304 Md. 316, 319, 498 A.2d 1195, 1196 (1985) (“[R]ules of statutory construction require us to avoid construing a statute in a way which wo uld lead to absurd results.”); Erwin and Shafer, Inc. v. Pabst Brewing Co., 304 Md. 302, 311, 498 A.2d 1188, 1192 (1985) (“A court must shun a construction of a statute which will lead to absurd consequences.”) 15 See Shur upoff, 372 Md. at 657, n.3, 814 A.2d at 554, n.3. 33 At long last, the ev idence is all over, and I’m going to do what I promised Yve I would do. An d it’s not an ea sy thing to do. It hasn’t been easy. This case has not been easy from the very beginning , because o f the parties involved in it. And I don’t mean the attorneys and the foster parents and the social workers. I don’t mean that at all. I mean, because of Yve and her mom. I think that I remarked the last time, and I will reiterate again that I think tha t I’ve had this c ase almost 100 percent of the time the hearings have come in. I believe that I even had the eme rgen cy, I had the adjudication, I had the disposition, uh – I’m the judge who returned Yve to her mom, uh – and obviously hindsight’s 20/20, but that was a major disaster. I’ve been the judge that’s seen Yve and watched her progress since she came back from North Carolina. I’ve seen Yve on many oc casions. Sh e’s come in to see m e. We usu ally don’t have her sitting here. Sometimes w e do, for the court hearings, if they weren’t too controversial, we had her here. She’s drawn me man y pictures. She’s w ritten me many letters. We’ve had many conversations at foster care picnics. She’s one of the first children that always comes up to me and says hi, Judge [ ], how are you, and tells me what’s going on with her, and introduces me to all her friends. Sh e’s a lovely , delightful little g irl. But, during all the year s that I’v e know n Yve , I know that she’s not what she appears on the surf ace. She also has m any, many proble ms. Her mom is a wonderful person, and for the most times that she’s been in the c ourtroom, sh e’s been very, very appropriate, very polite, respectful, uh, trying to answer questions that were given to her, trying to give information and has never, ever shown anything but complete love and concern for Yve. And I think that [Counsel for Yve S.] is right, that Yve has always wanted to be with her mom. There’s no question about it, and her mom has alwa ys wanted Yve with her. The problem has been that for a good portion of this case, Mom’s not 34 been capable o f taking care of Yve. And for also a good portion of the case, even if Mom were c apable, at certain times, Yve’s had some real severe problems. I remember when she first went to live with [Yve S .’s first foster family]. She had some real acting-out proble ms. As a m atter of fact, before she even came into care, the sch ool were so concerned, her problems were such, she was acting out in school. They were very, very conce rned abo ut her, with what was going on, which is, I think wh at eventually bro ught the D epartmen t into the case, was the school’s concern, because they saw her on an everyday basis, and her inability to conform her b ehavior, uh -brought her to the attention of, uh, the authorities. There’s no doub t in my mind that Ms. S . absolutely adores Yve , and there’s n o doubt in my mind that Yve adores her mom. But, I cannot at this time return Yve to her mom. Although she’s doing much better than at any time that I’ve ever seen her, just a few things stand out that are indicative of decisions that she made that put Yve at risk. One of the reasons that she lost her job, and who knows what the real reason is, but we’ve had a lot of people testify about it. Ms. S. testified about it, Ms. Rose [the social services case wo rker] testified a bout it, the min ister testified about it, uh - - is that week she chose to go to Suburban Hospital rather, with a friend that was having a problem, rather than go to wor k. Now , I certain ly admire her for doing t hat. She is a good friend and wants to help the person, but that was one of the straws th at broke the camel’s back, about why she lost her job. On Sunday, I think that it’s wonderful that she works with women at the homeless center, because she herself was there for a w hile. She und erstands ho w impo rtant that it is to be involved there. But, she doesn’t need to bring that woman around Yve. Yve’s a child who needs constant care, attention, structure, as well as love. Uh - - I’m very aware of Y ve’s condition when she came back from North Carolina and all of the things that happened to her in North Carolina. Uh - - that situation was very detrimental 35 to her. She ended up being plac ed, by her mo m, left in the care of some p eople w ho we re pretty ba d peop le. Hopefully nothing happened to her. We don’t kn ow for sure w hether it did or it didn’t, but she en ded up h aving to go into foster care there, and then coming back here. As recently within the last two weeks, she says she wanted to kill herself. That’s definitely a child with special needs. Most ten-year-olds do not go aro und saying th ey want to kill themse lves. She says tha t she wan ts to be with her mom, because her mom needs her. She wants to make her mom happy. That’s a very big burden for a ten-y ear-old g irl. It’s really hard for her to take care of herself, much less feel the responsibility of having to take care of her mom. I don’t know, there’s no way to ever know whether Ms. S. will be able to take care of Yve. I hope so, but it is certainly not now. And Yve asked me to make a decision, and I’m not going to have that decision be that we’ll work towards getting her home with her mom, because I don’t see th e realistic expectation of that. I hon estly don’t. Taking care of her on weekends, and I’m so glad that the visits have been su ccessful, is one thing, but trying to manage a child like Yve, with a ll of the, the special attention that she needs, and all the coordination th at is involved w ith getting her to the therapist that she needs, working with the school system. Mom’s tried, she really has tried, and I give her all kinds of credit for tha t. I think that she’s done a wonderful job with that. But no one today says that she’s able to do it, and I don’t know when she’ll ever be able to do it. The job situation is c ertainly part of it, but that’s not the whole thing. It’s a judgment consideration. I understand what Ms. Rose talked abou t her conce rn about the escalation in behavior, and I also understand that Dr. Harold [Y vonne S’s psychiatrist] sees that not as a problem. He talked about the lack of communication. I was struck not by the same things that Ms. Rose was struck by, with Ms. S.’s testimony, but her - inability sometimes to listen to what the question is, and answer 36 it. She often answ ers questions that are asked. A nd Dr. H arold alluded that with - - Ms. Rose testified that she tried to say to Ms. S., I can’t read his writing, I don ’t understan d what he means, you’ve got to tell me what the exp lanation w as, and it became a big problem. Somehow or another, that lack of communication, and I don’t really know why, but it happens a lot. And today, when Ms. S. was testifying, she often answered questions that were not the questions that were asked. The information was certainly beneficial and appropriate, but it was not the question that was asked. My point in bringing that up is that Yve is a child who requires consta nt, vigila nt atten tion, and she needs clear guidelines, structure. She needs to know, she has to act within something that she can anticipate. And the progress that she’s ma de in the [current foster parent’s] home, from the testimony has been, because of the structure that they’ve been able to provide for her. I have extreme concerns about the mom ever being able to provide the structure that Yve needs. So, I know that it’s taken me a long time to get here, b ut it’s taken us a long time, and we’ve heard a lot of evidence. And, I don’t think that any of it wasn ’t beneficial. I was very interested to hear from, us - - Ms. S.’s m inister, and I’m so happy fo r her that she has him in her life, and that she has the extended church. I think that information was very, very beneficial, and I’m glad for her that she has that. And it’s a real netw ork that can help her. I think that it’s wonderful that she has Dr. Harold. Clearly, they have an ex cellent relationship, and she’s made so much progress from where she’s ever since the 50 - - how many months, four, six, since we’ve been inv olved in th is case, uh, she’s made wonderful progress, and she’s doing really, really well. But I just cannot make the decision that she’s going to be able to take care of Yve. So, I am goin g to a dopt the p ermanen cy plan of longterm foster care. I feel that it’s appropriate that she remain, where she has been, for over thirty-some months, where she 37 has done very well. She’s blossom ed the re. On the other hand, I think that it’s very appropriate that she continue to have visitation with her mom, and as frequent - - certainly a minimum of once a week, and as long as both of them are able to ma intain safe ty. Again, my priority i s Yve. She is number one. It’s my understanding from listenin g to Ms. Rose testify that she’s hoping to get back to weekend visits, very, very soon, and I would certainly hope tha t’s what ha ppens. B ut, I am goin g to put the visitation minimum of once a week, under the direction of the Department, because clearly, in this case, things change. Things change with Yve, and things change with her mom. (emphases added ). It is apparent to us from these “findings” that the best interest of the child standard was misapplied in this case. As detailed supra, the proper issue before the hearing judge was whether there was sufficient evidence that further a buse or ne glec t was unl ikely. 16 Except to the extent that the parent’s ability, or lack thereo f, to deal w ith the need s of a child rise to the level of neglect, findings tha t the child has “some real sev ere problems” or “has special needs” or “requires constant, vigilant attention,” or has mentioned suicide,17 are not relevant to this determ inati on. S imila rly, as we h ave p ointed out repeat edly, the fact that the child may be “doing very well,” or may have made progress in the environment of foster care, or even “blossomed there,” or may feel that she needs to take on the burden of caring for the parent, are also largely no t telling o n the m ain issue . “The fact that [a parent] has a 16 We note that the form orders em ployed in this case, such as the 28 March 2001 and the 20 December 2001 orders, left one line blank for the reasons jus tifying remov al. In both instanc es, typed o n the line provid ed wa s “welf are and /or safe ty of the re spond ent.” 17 This Court is unable to find any mention in the record of Yve S. discussing suicide prior to the hearing judge’s 28 March 2001 ruling. A remote mention of such a conve rsation, h owev er, does occur a fter the in itial ruling . We are puzzled, the refore, as to how s uch a f inding could b e mad e whe n it was . 38 mental or emotion al problem and is less tha n a perfec t parent or that the children may be happier with their foster parents is not a legitimate reason to remove them from a natural parent competent to care for them in favor of a stranger.” In re: Barry E., 107 Md. App. at 220, 667 A.2d at 938. Reading the remaining “findings” in a light mo st charitable to the hearing judge, we note that she seemed to be concerned about the m other’s ability to ex ercise soun d judgm ent, doubt about which the trial judge felt somehow placed Yve S. at risk. The hearing judge neither states how these concerns rose to the level of, or somehow indicate a future likelihood of, abuse or neglect, nor is it particularly clear ho w any of the judge’s co ncerns, indiv idually or collectively, actua lly put Yve S. at any perceivable risk. More to the point, however, the “findin gs” the mselve s are no t suppo rted by the relevan t record eviden ce. The first of these findings is the assumption by the trial judge that one of the reasons Yvonne S. lost her job was because she chose to visit a sick friend in the hospital instead of going to work on time. Yvonne S did testify that she went to the hospital one day as the result of a friend passing away, and that as a result she was slightly over two hours late for work that day. The undisputed testimony, however, was that she nonetheless worked over eight hours tha t day. T here is no testim ony in the recor d by anyone that her being late for work that day was the reason for the loss of the particular job. To the contrary, the uncontraverted testimony from Yvonne S. and from her psychiatrist, Dr. Harold, was that the reason she lost her job was because of the scheduling demands made upon Ms. S. by the 39 case worker, Ms. Rose, and by the numerous cou rt hearings in this case. Regard ing Ms. S.’s employment discharge, Ms. Rose testified on cross-examination: Petitioner’s Counsel: How many phone contacts did she have with the employer prior to his informing her that she was going to be fired? Respondent’s C ounsel: A nd I w ould obje ct as to releva ncy. COU RT: I’ll allow it. A: Since Ms. S. first began working there? Q: Yes A: This will just be off the top of my head, because I - - would have to go back through my notes. I would say probably about six. Q: And, uh , most of th ose occurred prior to her being fired, didn ’t the y? A: All but one occurred prior to her being fired. Q: But within the month prior to her being fired? A: No. Q: Was there one prior to the one where he told you she was fired? A: One - Q: Tell – A: All of them but one were prior to the - - her being fired. Which one a re you - - 40 Q: Okay. In the month before she was fired, how many times did you talk to her employer? A: Uh - - I don’t recall talking to him at all that previous month. Q: Do you remember talking to Ms. S about having a visit with Yve that w ould go over into a Mo nday? A: Yes, thank you for refreshing my memory. There was one. Q: And w hat did you say to the employer? A: I, uh - - we were trying to offer Ms. S. extended visits. She had mentioned at her school meeting that she didn’t have as much information as the rest of us, ‘cause she felt that she didn’t have that much time w ith her daughter.’ And I was trying to come up with some plan where we could extend that. So I offered her a visit beg inning from Friday evenin g until she could keep her through Monday morning. Q: And she told you that she couldn’t do that, because she had to be at work early on Monday morning? A: She had to be at work at nine o’clock Monday morning, yes. Q: And in order to do that, she would have to drive Y ve to Silver Spring in the morning, and they would have to get up too early in the morning. It wouldn’t be good for Yve. A: That w as her statem ent. Q: And sh e also told you th at this was je opardizing her job , if she continued to m ake requests of her em ployer? A: I don’t remember her saying that it was jeopardizing her job. My memory is that she said that her employer did not want her to do this, because she might come in late. Q: Was it after that, that you talked to the em ployer? 41 A: Yes Q: And what did you say to him? A: I asked him if this was a concern that he had? Q: And that was before the conversation that you had with him, where he told you that she was fired? A: Yes There is nothing in Ms. Rose’s testimony that supports the “finding” of the trial judge that poor judgment was the reason for Yvonne S.’s discharge, and certainly nothing connecting the discharg e to a visit to a frie nd in the ho spital. Similarly, there is no su ch conne ction in any of the testimony by others who addressed the issue of Yvonne S.’s employment. Yvonne S. testified as follows: Q: Did Christop her Trump (Ph onetic) - A: Uh – Q: Tell you that you were discharged? A: Uh - - well, I had, after that, I had a meeting with two staff people. One was human resources, two were human resources, one was Chris Trump, and he said to me, you’ve been canceled, which I don’t really know what canceled means. And then I spoke to the director, who – I mean, he’s the director of the activities department, who I’ve had excellent performance with, who had written several letters of recommendation and excellent job performance, which is under, the Court does have. The situation is this. Your Honor, uh, he is, unfortunately, the Department of Health and Human Services has placed a lot of uh - - pressure on my schedule, uh, and he has been so accommodating with my scheduling and you know, court dates, 42 letters that he’s written in my, on behalf of my support, which I apprecia te im men sely. And, uh - - because of tha t, he’s very, very concerned that uh, because of that, I’m not going to be the re for th e reside nts... * * * * * Q: Did Chris Trump tell you yesterday, that you were being discharged from the job because you were being tardy so often and absent so often? A: What he said w as, I said that I w as rarely ever late, th at I would come in early much of the time to compensate for any of the work that I missed, up - - uh, for, for court hearings or what have you. And that is absolutely true. Rarely have I ever been late. I would, I would go early, and not get paid for it, and that comment w as made by the Hu man Resou rces, well, you’re not allowed to do that. And I said, well I , I just, you know, wanted to compensate for the time, you know, that I have missed concerning court orders. Chris Trump a nd I discuss ed at length about uh, the Department and - - making demands on my time, and he accommodated one hun dred perce nt, and he ju st, I made a comment about the possible appeal, if I didn’t get this situation with Yve back. And said, oh no, you mea n - - I said it might not be now, or three months from now. He said, oh no, you mean I’m going to h ave to look forward to going th rough this again with you through the court system and with the Department of Health and Human Services? And then right after that, the word cance ling you c ame o ut. Dr. Harold, Yvonne S.’s psychiatrist, also testified as to how the demands made by the Depa rtment we re creating stre ss regarding Yvonn e S.’s emp loyment: Q: And have you n oted that she’s under som e stress no, or not under stress now? A: Uh, the current stress is around, you know, this court hearing, regarding custody. And so uh - - that obviously has been of 43 some stress to her. Uh, there has been some stress recently around just the requirements that she’s had to keep, uh, regarding caring for her daughter, and uh, complying with the County and Co urt stipulations for uh – you know, regarding custody. Q: Could you explain to [the Judge] in a little detail what some of the stresses are you are dealing with, that she’s had to face, and what - - what she’s expressed to you, and how you’ve helped he r deal with th at? A: A lot of it has been around, around scheduling, uh, as has been brought out. Uh, there has been some impact on her job, because of , uh, sche duled activ ities regardin g, uh – school, or meeting with Ms. Rose, or uh - - uh, scheduled things with her daughter and her the rapist, and, her daughter’s doctor. Schedules, in terms of family visits uh, with the Scheibels, and that weekend exchange. So, the impact on her work schedule, and that, that has been stressful. (E- 265-66) The only other individual who testified on this score was Yv onne S.’s pastor, Reverend Robinson. He testified as follows: Q: Reve rend, do you have a ny connectio n with this administrator at her prior employment? Is she involved in your church, or were you just w orking with her, for - A: She’s a parishioner of our church. Q: She’s a parishioner? And what is her name? A: Leah Bowden. Q: How do you spell that last name? A: B-o-w-d-e-n. Q: And is it your understanding that Ms. S. has lost her job at the Potomac Nursing Home and is looking for a new job? 44 A: I don’t know if I have the liberty to - Petitioner’s Counsel: Ob jection, Your Hon or, I – A: really answ er that. COURT: Well, I’ll allow him, her to inquire on th e basis of h is conversation with this lady, be cause he te stified to that, as to being sure that she w ould be able to get her a job. So, I’ll allow him to answ er that. A: Okay, uh, to m y understand ing that she lo st the job, def initely from that department that she was in. That the administrator has indicated uh, there m ay be a possib ility in another d epartmen t. I know that she’s also their link to several other homes in the area, with uh, some kind of working ag reement, p artnersh ip, I don’t know exactly, but uh – Q: And is it your understanding that she lost the job because she was unreliable and u ndependable - Petitioner’s Counsel: Objection. Q: in coming to work? Petitioner’s Counsel: Objection. COURT: Overruled A: Uh - - no, I was n ot told th at. I’m not fu lly acquainted w ith exact- – all the reasons why she lost the job. Based upon this record, the pertinent finding of the trial judge is clearly erroneous. There is simply no competent evide nce in the record to supp ort the “finding” that choosing to visit a friend in the hospital was given meaningful weight in the prior employer’s decision to let go Yvonne S. As such, it cannot support a “finding” as an example of poor decision- 45 making “that put Yve at risk.” On the contrary, the record indicates, if anything, that the loss of her former position was a consequence of dealing with the hearing court’s and the Department’s requirements and proceedings. Similarly, we are at a loss to understand how Yvonne S.’s religious conviction and her volunteering to work at a homeless shelter were transformed into a de triment to Ms. S.’s ability to give appropriate attention to her child (at the time of the 28 March 2001 hearing an eleven year old girl) or how it placed her child at risk. Giving a homeless woma n a ride to church is not evidence of a deficiency in judgment, and certainly is not evidence of potential future a buse o r neglec t on the p art of th e moth er. The third “finding” of the hearing judge explicated how she viewed, in essence, Ms. S.’s testimonial demeanor. Apparently the trial court shared the view reflected in the testimony of the social worker, Ms. Rose, that because M s. S. gave more information than was requested in response to questions posed to her when testifying indicated that Ms. S. potentially was relap sing into a m anic phase of her me ntal illness. W e shall address Ms. Rose’s testim ony infra. The only other testimony as to M s. S.’s testimonial demeanor came from the only participa nt qualified a nd in a position to draw a medical conclusion from such observation, Ms. S.’s treating psychiatrist, Dr. Harold. At the 28 March 2001 hearing, D r. Har old testif ied a s follow s reg arding M s. S.’ s ear lier te stimony: Q: A nd, u h, were yo u able to o bser ve her tes timo ny? A: Yes. 46 Q: And, uh, what did you observe about he r demeanor and her, uh, u h - - h er lan guage, d uring tha t testi mon y, specific ally? A: Really nothing out of the ordinary, from what I ob served w ith her, having met with her over our time of, uh - - my treating her. Q: And that would be over two years? A: Yes. Q: And, uh - - the social w orker exp ressed con cern, specif ically about her jumping from subject to subject. What did you observe a bout that? A: I haven’t seen that in my meetings with her, nor during that hearing. Q: What did you observ e about her, uh – he r answers to questions during that hearing. A: They were directed. I guess the problem came when Ms. S. made her statements involving religion and her views of how that would figure into the court outcome.[18] 18 In her 15 February 2001 testimony, which apparently everyone involved assumed would b e Ms. S.’s la st opportun ity to address the c ourt, she stated that: I want Y ve back, Ju dge [ ], and she wan ts to be with me. I love my daughter, and I really, really believe that I can provide a loving, nurturing, safe home. And yes, I have used poor judgement in the past, an d I did disap point you, in North Carolina, but I do have better support systems now. I just wish I could restore your faith in me. I’m trying so hard, Judge [ ], and I’m hone stly going to say this, tha t I believe, and I’ve told the attorney this over and over again, that you’ve been appointed by God to mak e the right decision, and the w ord says that I need to pray for you, and I always do, and Yve ha s complete faith in you, and so do I. And it’s not our will be done, but God and the (contin ued...) 47 Q: Wh at was your tak e on that? A: Uh - - it wa sn’t anything, I thin k excessiv e, in terms of, uh - concern about hyperre ligiosity, as related to say, a m anic episode. I didn’t see that evident there. Q: What, what’s your, uh, thought on the fact that she raised, uh, religion at all? A: It, it - - you know, once again, it really wasn’t excessive to the degree that it would, you know, w arrant conc ern abou t this being indicative of a manic ep isode. An d actually, in fact, uh, having taught Sunday school myself for about six years, uh, - I’ve seen very similar kind of statements, uh - - or not so much statements, but level of expression of faith. It wasn’t anything unusual, I tho ught. Also, in terms of working with people who have bipolar illness, who do becom e excessive with their religious thou ghts and statements, it wasn’t anything near that, that degree. Q: What are the - - what kinds of behaviors would give you concern? A: If the majo rity of her statem ents, say during the entire hearing and also during meetings with myself, uh - - if those were present, that to me would indicate some excessive religious thoughts. 18 (...continued) Lord’s and the Judge. And that’s the way that it is, because I can’t see into her future, as the author and finisher of h er faith of her life. And he’s deemed you to make the right decision, and I believe in you. I’m just asking for you to believe in me, and give me a chance to be her mother again. These stateme nts, und er the cir cumsta nces, w ere neith er exce ssive no r inapp ropriate . 48 Q: And, uh - - what about her demeanor during the hearing ? Did you have an y concern ab out that? A: Uh - - you kn ow, it, this has been a long hearing. I mean, we have been at this since Decemb er, looking for a decision. And you know, to me, it seems like everybody’s kin d of dealin g with the stress of when a decision would be made. And, you know, at the time, that was loo king to be, th e time som ething wo uld be decided, you know , was like, this is her, her last ditch effort in a sense. T his is her p uttin g in h er plea, her em otions, h er, you know, h er view o f how sh e would like this to com e out. Q: Was there anything at all during that testimony that raised any concern on you part? A: No Q: What about expressing sadness and crying? A: Uh - - in light of what’s just at stake here, it seemed appropriate. Q: What w ould you see in someone that was going into a manic episode tha t would b e differen t from that? A: It’s much more, much more excessive. It’s much more frequent, uh, it’s much more elevated, in terms of the degree of the expression, and it’s also, you know, coupled with other behaviors indicative of a manic-type episode. We agree with Petitioner that she is no t a professional witness and, as such, fairly can be expected not to give precise, clipped answers to questions, especially given the stakes involved. We also agree with Petitioner that “equating her demeanor on the witness stand to a lack of structure indicative of an inability to attend to a child who ‘needs vigilant attention’ is a strained inferential leap at best...,” in light of the testimony of the psychia trist, 49 and particularly where the hearing judge herself quixotically states in her findings that the additional informatio n supplied by Yvonn e S. was b oth “bene ficial and ap propriate.” T his is hardly compelling evidence of a likelihood of future abuse or neglect. The hearing judge’s finding is clearly erroneous. Fina lly, the trial court found that Ms. S. was unable to care for a child with the needs of Yve S. because “no one today says that she ’s able to do it....” That finding also it is unsupported on this record. Dr. Harold testified on direct examination as follows: Q: Do you, based on your work with Ms. S. for the last two years, is it your professional opinion that she can provide a stable, consistent and supportive family environment for Yve? A: I would say that her case record or track record with us, and if she contin ued to do th is well, she’s a ble to do tha t. Q: Is there any contraindication to having custody of your children where you have bipolar illness? A: It depends on one’s s tability. Certainly, if som eone is actively uh, in a manic episode, or depressed episode, uh, and if that, depending on the severity of that, that certainly can affect one’s ability to rear childre n. With Ms. S., uh, an d honestly, we have tried to be as objective about this as we can, we being myself, [and my psychiatric practice colleagues] D r. Sommers and Ms. K azinsk i, in looking at her uh, treatments, her uh, wellness and her abili ty to do this . And we all conclude that uh, with her complian ce, uh - - and her lack of symptoms a t this point, she’s ab le to do th at. And , we certainly would not recommend otherwise, if we thou ght so. And w e’ve - - done that with others in the past who we thought couldn’t, you know, met obligations. 50 More germane, however, was Dr. Harold’s testimony on the level of stress full custody would have on Yvon ne S., and the likelihood of relapse as a result of that stress: Q: What about the effect of working with the social worker in this case? A: That’s been stressful, because there’s been a lot of demands placed on Ms. S ., in regards to, uh, what she has to provide for the social worker, in terms of documentation, uh, visits, uh - - just compliance with wh at’s ordered by the Court. Q: What kin d of dem ands hav e been m ade that you think are somewhat stress-pro ducing for her? A: Uh, Ms. S., has talked about problems with her visits, particularly weekend visits, that were unannounced and unexpected, uh - - that’s been stressful. She’s talked about just having to basically prove herself, how she’s gotten some feedback from the social worker about uh, uh - -uh, what uh, she considers uh, I guess her duty, or her objective, uh, in working with Ms. S - Q: W hose duty? A: Ms.S. Q: Th e social w orker, o r Ms. S .? A: Uh, M s. - - the social worker’s Q: What uh - - what about the reporting requirements? What does the social worker ask Ms. S. to do that is somewhat stressful? Was there something specifically that she’s asked her to do after e very visit? A: She’s talked about how she has to write a report, chronicling what happens with each visit, what took place. 51 Q: What about meetings w ith therapists and other people? Are there report re quiremen ts for that as w ell? A: Uh - - I believe so. I’m not totally sure. Responden t’s Counse l: I would o bject, You r Honor, a s to relev ancy. This witness is testifying about what may be uh, appropriate for a child welfare agen cy to do. I don’t know how it’s relevant. Petitioner’s Counsel: Well, I’m asking him about stressors on Ms. S., and whether it’s really worthwhile for this to continue. COURT: Well. I don’t think that that’s what this case is abo ut, stressors on M s. S. [19] Why don ’t we go o nto another question. Petitioner’s Counsel: Well, I think that it is. I think that the Department is saying that she’s going to be mo re stressed if she gets the child in her custody, and I’m saying that she will be less stressed. COURT: Well, I don’t think that you’ve said that. Why don’t you ask that question then. Q: Would she be more stressed or less stressed, if she’s placed, uh, if the child is placed in her custody? Wo uld that be more stressfu l or less str essful f or Ms . S.? A: At this point, I would have to say uh, less stressf ul, and like I said before, I think that the best way to uh, to uh, determine that would b e to increase the visitation time and see h ow we ll she hand les that. Q: Wh y would it be le ss stressful? 19 In fact, stressors on Ms. S. are relevant to the stabili ty of her illness and the likelihood of a relapse, which in turn is directly related to the issue of the likelihood of future neglect. 52 A: Uh, this is what she wants. It’s what she feels able to do, uh - - she would have proven she’s a capable parent. Uh, the situation of custody and her uh, parenting competency will have been resolved. Q: When you say that she wouldn’t have to report to anyone, you’re talking about the written reports that she has to write at the end of every visit? A: Yes. Q: Have you met with the social worker a nd talked to her about the stres ses, the re quirem ents tha t she ma kes of Mrs. S .? A: I’ve met with the social worker once. The subject of these things came up, although I did not talk with her directly about that. Q: Did you have an opportunity to observe her demeanor, and uh - - an d man ner wit h Ms. S .? A: Yes. Q: And what conclusions did you come to, if any, about how she treats her? A: Uh – Responden t’s Coun sel: Ag ain, Yo ur Ho nor, I w ould ob ject. I mean, he’s indicated that he’s had one meeting with the social worker. I just don’t think that this witn ess is, is an expert, I mean, in that, I man - CO UR T: I’ll let h im te stify. Responden t’s Counsel: He was called as an expert, as a psychiatrist for the, for the mother. COURT: I don’t consider this to be an expert o pinion . I’ll allow him to answer it, if he has an opinion. He might not have one. 53 A: Uh - - I think that Ms. Rose uh, is certainly acting as an advocate for Yve. I think where we, uh, disagreed was what Ms. S. had to do in order to prove her competency, in being Yve’s full-time parent. I think that Ms. Rose is concerned about Ms. S., uh, having some relapses as far as her illness goes, and how that would affect Yve. And uh, my response to her was that certainly I can’t give you a guarante e. I think M s. Rose is looking for a time facto r, of how long M s. S. could rem ain stable, and I said, you know, myself or nobod y can do that. Howeve r, uh, the indicators that we have at this time are that for two years, she ’s been stable. A nd for situation s like tha t, with this illness, that’s a good prognostic indicator of her likely to do well. I’m not sure it that was satisfactory for her, uh - - probably the fact that w e’re still here m eans that it w asn’t. 20 20 We have some concern, from this record, whether the Depa rtment’s req uirements of Petitioner were part of the problem, rather than the solution. Because we are not finding facts, it is not necessary to detail every instance where evidence of this conduct is brought to light, but the following excerpt from Dr. Haro ld’s testimon y, at a hearing su bsequen t to a reduction in visitation ordered by Ms. Rose, is revealing. Q: Have you talked to Ms. Rose about her concerns about Ms. S.? A: Yes. Q: What hav e you told her? A: That I hear her, in terms of her being concerned about Ms. S.’s , uh- - lack of cooperation with her, her irritable mood around her. I said I haven’t seen it with m y meeting with her. From my interpretation of wha t’s going on , it’s their relationsh ip that has been a problem. From my talk with Ms. S., with Ms. Rose, and looking at just the conditions around this wh ole hearing, this whole situation, Ms. S. as been aware for several months the Coun ty’s opinion that s he should not have f ull custody of her daughter. That, on top of successive, uh - - cut backs on visitation, problems that she’s had with trying to meet (contin ued...) 54 20 (...continued) some of the demands that the County’s put on Ms. S ., what I’m seeing, that has been Ms. S’s sources of antagonism. She has to work with somebody on a weekly basis who really doesn’t feel that she can do that job. And Ms. Rose has not hidden that fact from me, that that’s how the County sees it, that she’s not able to become a full-time mom. And they’ve acknowledged that, that’s their opin ion. Uh, an d I’ve tried to report that to Ms.S., that this is what you’re dealing with. In spite of that, you’ve still got to wo rk w ith th e lad y. You still have to work with the County. You still have to prove that you can d o it. I’ve tried to express to Ms. Rose, Ms. S.’s side of the argument in terms of, her I’m asked to do all the things in terms of compliance, get a job, find housing, be responsible, make my visits, etcetera, etcetera, and in spite of each of those conditions being met, I still get penalized. We also are mindful of the imbalance of resources sometimes inherent in such cases. As the Court of Special Appeals pointed out in In re Jertrude O.: The State’s ability to assemble its case almost inevitably dwarfs the parent’s ability to mount a defense. No predeterm ined limits restrict the sums an agency may spend in prosecuting a given ... proceeding. The State’s attorney usually will be expert on the issues contested and the procedures employed at the fact finding hearing, and enjoys full access to all public records concerning the family. The S tate may call on experts in fa mily relations, psychology, and medicine to bolster its case. Furthermore, the primary witnesses a t the hearing will be the agency’s own professional caseworkers whom the State ha s empow ered both to investigate the family situation and to testify against the parents. Indeed, because th e child is alread y in agen cy cus tody, the State even has the pow er to shape the historical events that form th e basis f or term ination. 56 Md. App. at 95, 466 A.2d at 891-92, quoting Santosky v. Kramer, 455 U.S. 745, 762-63, 102 S.Ct. 1388, 139 9, 71 L.Ed .2d 599 (1 982). Perh aps exam ples of ho w historica l events can be shaped by social services exist in the case sub judice involving the circumstances (contin ued...) 55 Dr. Harold reiterated on cross-examination his earlier testimony that Ms. S. was capable of being a full-time mothe r: Q: You in dicated in respo nse to a questio n, and I’ m quo ting, I think that I’m quoting you directly that if the mother remains on the medication and remains in treatment, there’s a good chance of being an a dequate p arent. Is that an adequate parent to any child, or to Yve? A: Any child. The finding that reunification would be improper because there was no testimony that the mother was capable of being a parent is clearly erroneous. B. Petitioner contends that the substance of M s. Rose’s testimony, and specifically her opinion testimony derived from and relying on her observations of Ms. S.’s deme anor wh ile testifying, were not proper subjects of op inion testimony by her. Petitioner claims that such 20 (...continued) surrounding Ms. S.’s employment and visitation conflicts. Another might be the following exchange between Petitioner’s counsel and the social worker, Ms. Rose, which occurred at the 29 April 2002 hearing reviewing the permanency plan: Q: And for the last year, [M s. S.] has com pletely complied with your service agreement with her, hasn’t she? A: No, because she disagrees with the plan. Q: Other than disagreeing with the plan, she is complete ly cooperative in doing what she needs to do? A: Yes. 56 testimony invaded the province of the fact-finder and was therefore tantamount to one witness testifying as to the veracity of another witness’s testimony. Petitioner further asse rts that Ms. Rose was not qualified to offer any such opinions and that her observations “were speculative, led to no ‘reasonably accurate conclusions,’ and thus they had no ‘probative force.’” We agree in pa rt, but only as to Ms. Rose’s effo rt to offer a psychiatric diag nosis or prognosis. It was entirely proper, however, for Ms. Rose to testify as to factual observations within her personal knowledge and to offer relevant opinions within the sphere of her admitted expertise discussed infra. We begin our analysis with a cautionary reminder of how trial courts should weigh the testimony of the typical kinds of experts appearing in cases of this type. Evidence offered by social workers, psychologists and psychiatrists may be necessary in custody cases. The equity court, however, is entitled to weigh th at evidence along w ith contradictory testimony and its own observations. Reliance upon "the auxiliary services of psychiatrists, psychologists, and trained social workers . . . should not be too obsequious or routine or the ex perts too casual." Such relian ce could lead the courts, in acts of misapplied psychology, to sep arate unjustly family members. Sanders, 38 Md. App. at 423, 381 A.2d at 1164-65 (internal citations om itted). In the case sub judice, Ms. R ose, the social worker assigned to this case by the Department, was qualified an d testified, in rele vant part, as f ollows: Responden t’s Counsel: Your Honor, a t this point, I would offer Ms. Rose as an expert in child welfare and in the uh, uh, I would say assessment and evaluation of children and their families. 57 Petitioner’s Counsel: I would object, Your Honor. I don’t think that we’ve established, certainly we haven’t established assessment and evalu ation of children and their families. We don’t have anythin g that wou ld approac h that. Exp ert in child welfare, I’m not sure what that means, Your Honor. It seems very broad, so I would o bject to that as w ell. COUR T: [Counsel fo r Yve S.]? Counsel for Yve S.: I would agree that we haven’t established that she’s an ex pert in evalu ation of anybody. But I ce rtainly would, would go with the expert in child welfare. COURT: Child welfare is certainly a very broad field. You want to limit that somewhat as to - Responden t’s Counsel: I guess, let me try this again. I’ll offer her as an exp ert social wo rker, in uh, ch ild welfare and working with abused and neglected children in foster care uh - - settings. COUR T: [Petitioner’s Counse l]? Petitioner’s Counsel: I’ll agree that she’s an expert in social work, in a limited area. COURT: Well, I think that I probably know Ms. Rose, through all of her care er, and in he r different ro les, and I certa inly will recognize her as an expert in dealing with foster children and foster homes and their needs, the needs of the children. Respondent’s Counsel: Thank you COU RT: So I ’ll recognize her as that. Respondent’s Counsel: Ms. Rose, in your work as a social worker, and specialized, do you have to assess the, the risk of children in both their foster homes and in uh, visiting situation with their parents? A: Yes. 58 Q: And, can you tell the Court what was it about [Ms. S.’s] testimony yesterday that caused you to have concerns about continuing these expanded, overnight visits? A: It was the change that I had observed in uh, her demeanor, and in her uh, ability to Petitioner’s Counsel: Objection. COURT: Overruled. A: Ability to answer the qu estions that were put to her. Q: And w hat was it about the m other’s demeanor that you saw yesterday that was different than what you had seen more rece ntly? A: She appea red to me to be a little more ag itated - Q: You’ve got to keep your voice up so that I can hear you. A: Okay, she ap peared to b e a little more agitated, uh, than I had seen her in previous weeks, although I have sensed some of this, over th e past fe w we eks. But it was more pronounced yesterday. I was concerned that she w ould answer the question and get off target fr equen tly. The other concern I had was that uh, she did bring some of her religious beliefs into her testimony, which was concerning. Q: And why was that concerning? A: When I first met M s. S. in ‘ninety-eight, uh, she presented, uh, talking very quickly, uh, not being able to stay on the subject matter, and also speaking frequently on religious issues. I was concerned at that time, and, but not knowing her, did not know what, whether this was her, uh, - - demeanor for the most part. But, as I worked over the next, through December and Janu ary, I got increasingly concerned because of her telephone calls and her telephone messages that she would leave for me to the point that I had to inquire, to contact her therapist in North Carolina 59 and report my concerns that I felt that uh, she was becoming more agitated and was hoping tha t they would be able to see h er, address the issues that I felt that I was hearing over the phone. Q: Just so I c an clarify that, that w as back in ‘n inety-eight? A: That wa s the end o f ‘ninety-eight a nd Ja nuary of ‘ nine tynine, and unfortunately, Ms. S ., had to be h ospitalized in February of ‘ninety-nine. Q: And ho w do you c ompare M s. S.’s testimon y yesterday with what you w ere seeing in ‘ninety-eight? A: Much milder form, not nearly as uh - - progressive as I saw it, at that point, but different than what I saw a month ago. Q: In terms of the sub ject matter tha t the mothe r testified to yesterday, in terms of w hat she did w ith Yve on , on the last weekend that she had her, did you have any concerns about that testim ony? A: I, She had sent me a note that said that they attended church and went on a tour, uh, at the Bethesda Naval Hospital, I believe it was. And, which you know, sounded reasonable on the pa per. But, in her testimo ny, she indicated that she had gone to Bethesda Naval H ospital, prior to going to church. She lives in Gaithersburg, of course the hosp ital’s in Bethesda, and the church is in Rockville, and she was, she said that church began at ten o’clock. I - - am concerned, because it seemed like that might be something that would be a little out of the ordinary to do, to make that choice to go tour, or walk around the grounds of Bethesda Naval Hospital prior to church. It seemed different from what, the w ay that she prese nted doing things in the p ast. 21 21 Ms. S. testified that they visited the hospital because her father had studied there as a medic and she wanted Yve S. to see som ething relev ant to her he ritage. Wh y this visit seemed relevant to the social worker, or indicative of anything of concern to her, is a bit of a mystery to us. 60 Q: And when you say different, how does that different impact on her - - mental status? A: I don’t know how it impacts on h er mental status. I just - Petitioner’s Counsel: Ob jection - A: It’s a concern. Petitioner’s Counsel: Move to strike. COU RT: Th e answe r was, it’s a co ncern. I’ll allow that. Q: When you saw, first saw the mother in n ineteen nin ety-eight, was she in a manic phase? A: I did not know that she was in a manic phase, because I just met her. I did not know how she appeared. I was concerned, because she, as I mentioned, she ap peared to be very agitated, she spoke very rapidly, she changed subjects frequently. And she had a lo t of uh - - religiou s talk. I am not in a p osition to diagnose whether she was in a m anic phase or not, but that was the way that she appeared to me. Q: And your understanding was that she was h ospitalized sh ortly after that? A: Within two m onths of my first meeting of her. In Beahm v. Shortall, 279 M d. 321, 368 A.2d 10 05 (1977 ), we pointe d out that: the determination of whether a w itness is qualified as an expert witness is generally within the discretion of the trial court, and will not be overturned unless the discretion has been manifestly abused to the prejudice of the complaining party. In Stickell v. City of Baltimore, 252 Md. 464, 471, 250 A. 2d 541 (1969), we observed: "It is well estab lished that a p erson mu st demon strate a minimal amount of competence or 'expertise' on the subject on which he is allegedly an expert in order to be qualified to testify as an expert witness." 61 279 Md. at 338-39 , 368 A.2d at 101 5 (some internal citations om itted). As this language suggests, the mere f act that a witn ess has bee n accepted to testify as an exp ert in a given field is not a license to testify at will. Such a witness only will be allowed to testify as an expert in areas where he or she has been qualified and accepted. Where a witness who is qualified as an expert in one area strays beyond the bounds of those qualifications into areas reserved for othe r types of e xpertise, issu es may aris e as to the prop er ad miss ibility of th at tes timo ny. As the Court of Special Appeals noted in Globe S ecurity Systems Co. v. Sterling, 79 Md. App. 303, 556 A.2d 731 (19 89): The Court ruled [in Simmo ns v. State, 313 M d. 33, 41-42, 542 A.2d 1258, 1262-63(1988)] that an expert m ay be permitted to address an ultimate issue upon which the jury must reach a conclusion. See also Md.Cts. & Jud.Proc.Code Ann. §§ 9-120 (1984) (a psychologist licensed in Maryland and qualified as an expert may testify on ultimate issues). The expert's opinion, however, is admissible only if it is based upon a legally sufficient factual foundation. "The f acts upon which an expert bases his opinion m ust permit reasonably accurate conclusions as distin guishe d from mere c onjectu re or gu ess." 79 Md. App . at 307- 08, 556 A.2d a t 733-3 4 (som e interna l citations omitted ). See also Bohner t v. State, 312 Md. 266 , 274-76, 539 A .2d. 657, 661-62 (19 88). The penultimate question in this case was whether the mother’s mental illness had stabilized to the p oint whe re sh e cou ld tak e car e of h er da ughter prope rly. No court or exp ert is in possession of a magical crystal ball capable of answering with certainty this question, as the psychiatrist, Dr. Ha rold, po inted ou t, supra. The standard, rather, is whether it is not 62 likely that neglect will be repeated, which in this case ultimately becomes a question of whether the mother was stable and seemed likely to remain so. Prior to 1978, on ly a licensed psych iatrist was per mitted to ma ke a diagnosis as to whether an individual was suffering from, or suffering a relapse of, a mental illness because the making of such a diagno sis cons tituted th e practic e of m edicine . State v. Williams, 278 Md. 180, 184, 187, 361 A.2d 122, 125-26 (1976); State v. Tull, 240 Md. 49, 55-57, 212 A.2d 729, 732-33 (1965 ); Spann v. Bees, 23 Md. App. 313, 320-22, 327 A.2d 801, 805-806 (1974) Saul v. State, 6 Md. App. 540, 549-50, 252 A.2d 282, 286-87 (1969). Md. Code (1974, 2000 Repl. Vol.), Health Occupations Art., § 14-301 states: “Except as otherwise provided in this title or § 13-516 of the Education Article, an individual shall be licensed by the B oard before the individual may practice medicine in this State.” Md. Cod e (1974, 2000 R epl. Vol.), Health Occupations Art., § 14-101(k)(1), in relevant part, defines the practice of medicine as engag ing, “with o r without co mpensa tion, in medical: (i) Diagnosis.” Md. Code (1974, 2000 Repl. Vol.), Health Occupations Art. , § 14-101(k)(2) states, in relevant part, that the “‘practice of medicine’ includes doing, undertaking, professing to do, and attempting any of the following: (i) Diagnosing, healing, treating, preventing, prescribing form or removing any physical, mental, or emotional ailment or supposed ailment of an individual.” With the passage of Chap ter 481 of th e Acts of 1978, no w codifie d at Md . Code (19 74, 2002 Repl. 63 Vol.), Cts. & Jud. Proc. Art., § 9-120, psychologists were allowed give a mental diagnosis.22 State v. Bricker, 321 Md. 86, 95-98 , 581 A.2d 9, 13-1 5 (1990); State v. Conn, 286 Md. 406, 413-15, 408 A.2d 700, 703-704 (1979). Subsequently, in In Re: Ad option/G uardians hip No. CCJ14746, 360 M d. 634, 7 59 A.2 d 755 (2000), we held that the Legislature, in Md. Code (1974) Health Occupations Art., § 19-101(m)(4)(ii) specifically allowed licensed clinical social workers to make a mental diagnosis, and theref ore, they could testify to the same. 321 Md. at 641-47, 759 A.2d at 759-62. There have been no additional changes, and th e rule remains the sam e at pres ent. A witness m ay not testify to the ef fect of m aking a dia gnosis concerning mental illness unless he or she is a physician qu alified to ma ke such a diagnosis or prognosis, or unless they are otherwise authorized by statute to make such diagnosis. The Department’s apparent theory in the case sub judice was th at Ms. S ., a woman diagnosed with a bi-po lar disorder, was not a fit parent bec ause, during a critical court appearance, where the future of her family was at stake, she evidenced nervousness and agitation, which, according to the social worker, Ms. Rose, was indicative of a relapse into another manic episode, notwithstanding the testimony of Yvonne S.’s treating psychiatrist 22 Md. Code (1974, 2002 R epl. Vol. ), Cts. & Jud. Proc. Art., § 9-120 states: Notwithstanding any other provision of law, a psychologist licensed under the “ Maryland P sychologists Act” and qualified as an expert w itness may testify on ultimate issues, including insanity, competency to stand trial, and matters within the scope of that psychologist’s special knowledge, in any case in any court or in any administrative hearing. As to the Maryland Psycholog ist’s Act, see Md. Co de (1974, 2000 R epl. Vol.), Health Occupations Art., §§ 18-101 to 18-502. 64 to the contrary. Ms. Rose, however, went one step too far, a step well beyond the scope of her expertise. Apparently trying to have it both ways, she stated: “I am not in a pos ition to diagnose whether she was in a manic phase or not, but that was the way that she app eared to me.” Ms. Rose also testified that “[U]nfortunately, Ms. S.’s history is such that it’s very questionab le as to whether or not she’s going to be able to maintain her stability” and also that “Ms. S. has done an amaz ing job in the last two years o f being ab le to stabilize herself. But, it, it’s such that I, it appears to me that it takes a lot of her energy to keep herself stable. To add to the p ressure of c aring for a v ery special need s child such as Yve, the p lacement’s [with the mothe r] not going to last.” These statements are not only speculative, but amount to a lay diagnosis or prognosis regarding a comple x medica l issue. Ms. R ose is not qualified to do that, as she was not qualified as a psychiatrist, psychologist, or licensed clinical social worker. The testimony was improper and should have been stricken. The trial judge erred in over ruling P etitioner ’s objec tions to th is testimo ny. Nevertheless, this does not constitute a per se ground f or reversal. The burden is upon Petitioner to show that the erroneously admitted testimony was material and prejudicial. In Beahm, we pointe d out that: In the interest of the orderly administration of justice, and to avoid useless exp ense to the state and to litigants in its cou rts, it has long been settled policy of this court not to reverse for harmless error." This policy was iterated in Balto. Transit Co. v. Castranda, 194 Md. 421, 439, 71 A. 2d 442 (1950) and reiterated in Adams v. Benson, 208 Md. 261, 269, 117 A. 2d 881 (1955). As a corollary of that policy, it is firmly established that the complaining party has the burden of showing prejudice as 65 well as error. If prejudice is shown, this Court w ill reverse. We summed up the policy with respect to the erroneous admission of hearsay evidence in Kapiloff v. Locke, 276 Md. 466, 472, 348 A. 2d 697 (19 75): "It is, of course, true that the erroneous admission of evidence will not justify reversal unless the complaining party can show that the admission was prejudicial to h im. . . . How ever, it is also clear that this Court will not hesitate to reverse where hearsay evidence is erroneously admitted and prejudice is shown. . . . The burden of proving prejudice in a civil case is on the complaining party . . . ." (citations omitted). Precise standards for the degree of prejudice required for reversal, have not been, and perhaps cannot b e, established. In Rippon v. Mercantile-Safe Dep., supra, 213 Md. at 222, we noted that the complaining party made no effort to show "unfairness or harm." In Hance v. State Roads Comm., 221 Md. 164, 176, 156 A. 2d 644 (19 59) we observ ed: "Courts are reluctant to set aside verdicts for errors in the admission or exclusion of evidence unless they cause substantial injustice," so "substantial prejudice" must be shown. In Rotwein v. Bogart, 227 Md. 434, 437, 177 A. 2d 258 (196 2) we de clared that "th is Court will not reverse for an error below unless the error 'was both manifestly wrong and substantially injurious'", quoting 2 Poe on Pleading and Practice (Tiffany's ed.) §§ 287, p. 249. In State Roads Comm. v. Kuenne, supra, 240 Md. at 235, we spoke in terms of the error having "a prejudicial effect on the outcome of the case." In I. W. Berman Prop. v. Porter Bros., 276 Md. 1, 11-12, 344 A. 2 d 65 (197 5), we rep eated the "b oth manif estly wrong and substantially injurious" language of Rotwein v. Bogart, supra, and added: "An error which does not affect the outcome of the case is 'harmless error'." In Dorsey v . State, 276 Md. 638, 659, 350 A. 2d 665 (1976), we enunciated the rule of harmless error applicable to criminal trials. We traced the history of the eff ect of an erroneous admission or rejection of evidence. Id., at 646-647 . We con cluded: 66 "In modern times, appellate review in all jurisdictions is subject to tenets that a judgment may be affirm ed, under c ertain circumstances, despite errors committed in the conduct of the trial. Such rule s in their application represent appellate judgmen ts that a retrial is not justifie d if the error has no t affected th e rights of the parties. These rubrics, o f constitutional, statutory or judicial origin, employ a variety of standards for determining whether a particular error is 'harmless,' but all require 'the resolution of whether the error significantly affected the interests of the complaining party'." Id., at 647 citing C. M cCorm ick, Evidence, §§ 183 at 429430. The short of it is that what constitutes prejudice w arranting reversal in the errone ous adm ission or rejec tion of eviden ce is to be de termine d on the circum stances of eac h case. 279 Md at 330-32, 368 A.2d at 1011-12 (some internal citations omitted). In Maryland Deposit Insurance Fund Corp. v. Billman, 321 Md. 3, 580 A.2d 1044 (1990), we refined the standard f or when reversal w as warran ted, holding that : In determining whether improperly admitted evidence, or extraneous matter considered by a jury, prejudicially affected the outcome of a civil case , the appellate c ourt balanc es "'the probability of prejudice from the face of the extraneous matter in relation to the circu mstanc es of th e particu lar case . . . .'" It is not the possibility, but the probability, of prejudice which is the obje ct of the a ppellate inqu iry. 321 Md a t 17, 580 A.2d at 10 51 (internal citations omitted). We are unable to conclud e here that the improperly admitted evidence was harmless. The only competent medical testimony properly admitted into the record regarding Ms. S.’s 67 present mental state and future prognosis was that o f Dr. Ha rold, her treating psychiatrist. The juvenile judge apparently discounted his testimony and appeared to draw conclusions identical to those improperly admitted as a part of M s. Rose’s testim ony. Reversa l would be warranted on this ground alone. C. As w e stated, supra, we conclude that the hearing court misapplied the best interest of the child standard in this case. As we pointed out, the standard does not mean that the child should be placed in th e best possib le environm ent. The statu tory mandate requires that reunification of the child with the pa rent be the g oal of the permanency plan if there is competent and credible evidence that future abuse or neglect is not likely. “The fear of harm to the child or to society must be a real one p redicated u pon hard evidence ; it may not be simply a gut reaction or even a decision to err-if-at-all on the side of caution.” In re Jertrude O., 56 M d. App. at 100, 46 A.2d at 894. A fair reading of the findings and ruling of the hearing court indicate that the focus of the court was on what would be the best environment for Yve S., not wh ether future neglect or abuse was n ot likely if returned to her mother’s custody. The trial judge commented on the allegedly superior stability and structure of the foster home, and whether Yvonne S. would be ab le to provide the level of structure the court felt Yve S. needed. Reinforcing this notion, the court ruled that Yve S. should remain in long-term foster care, stating “I feel that it’s appropriate that she remain, where she has been, for over thirty-some months, wh ere she has do ne very w ell. She’ s blosso med th ere.” 68 Because the hea ring judge focused on where Yve S. w ould be better off, as opposed to the competent evidence o f future ab use or neg lect, insufficie nt consider ation was given to whether the goal of the permanency plan should be reunification rather than long-term or permanent foster care. D. Regarding the juvenile judge’s ultimate conclusion, we particularly find telling the statement by the trial judge that “I’m the judge who returned Yve to her mom [in 1998], uh and obviously hindsight’s 20/20, but that was a major disaster.” A natural reluctance to risk the possibility of a repeat “disaster” is a pervasive theme throughout the record of this case, reflecting a philosop hy “to err-if-at-all on the side of caution” on the part of the Departm ent, as represented by Ms. Rose, and the juvenile judge. The ove rriding them e was “W hat if Ms. S. suffers a relapse of her illness?” The legitimate question, however, should have been: What is the likelihood of a relapse by Y vonne S . sufficiently seve re that Yve S. likely would suffer abuse or n eglect? T he only prop erly admissible testimony on th is issue came from the treating psychiatrist, who stated that as M s. S. had bee n stable for over two years and her prognosis was good. The future is never certain for every child and for every family in these cases. The presence of a mental illness is not in and of itself a compelling reason for not pursuing reunificatio n of a family unit, any more than would be the discovery that a parent had a terminal illness or was on the brink of financ ial ruin. An illus tration of this c oncept, 69 presented by Petitioner’s counsel at oral argument, observed that the State would not be allowed to take a child away from a diabetic, who has managed successfully his or her ailment through self-administered insulin, on the mere fear that he or she might stop taking the insu lin and f all into a d iabetic c oma a t any time. The evidence before the hearing judge regarding a reunification goal for the permanency plan was substantial. Ms. S. had remained stable and on her medications for over the last two years prior to the court’s 28 March 2001 hearing and order. Her treating psychiatrist testified that her prog nosis was good, and that she was capable of taking care of “any child.” She had secured housing and the financial means to support herself and Yve S. She complete d successf ully all of the requ irements de manded by the Depa rtment. The juvenile judge noted that all of the allowed visitations had gone well, and that Ms. S. was “a wonderful person, and for the most times that she’s been in the cou rtroo m, sh e’s b een v ery, very appropriate, very polite, respectful, uh, trying to answer questions th at were given to her, trying to give information an d has never, ever sho wn anything but com plete love and conce rn for Yve.” While Yvonne S. bore the burden of demonstrating no likelihood of future abuse or neglect, there is nothing in the record to su ggest a likelih ood of f uture abus e or neglec t, nor is the re any suc h findin g by the tria l judge. As was noted supra, on 20 December 2001, the hearing judge affirmed her permanency plan order at the conclusion of what appears to be a review hearing. The hearing judge did so desp ite testimony that the manic episode forecast eight months earlier by Ms. 70 Rose had fa iled to m aterialize , that Yvonne S. was gainfully employed and making a higher income than she had been in February 2001, and that all of the allowed visitation between Yvonne S. and Y ve S. had g one we ll.23 Thus, in addition to reversing the 28 March 2001 order, we shall reverse similarly the 20 December 2001 order as an abuse of discretion on the part of the hearing judge, for the same reasons explained supra for reversing the 28 March 2001 o rder. 23 The Department, in the person of Ms. Rose, continued to refuse to return visitation to its prior frequency and duration. The Department’s perspective regarding visitation is reflected in the follow ing colloqu y between M s. Rose an d Petitioner’s Counse l, which occurred during the 20 December 2001 review hearing: Q: And is there a possibility that the Department might consider going back to the full weekend visits that the mother was having with Yve last year? A: With the plan being, the permanent plan being long-term foster care, the Department would probably not recommend every weekend. Y ve needs to unde rstand that the Court’s decision was fo r her to b e raised by the [fo ster fam ily]. At this point it appears that it might be too confusing for her if she’s spending every w eeken d with h er moth er. It’s something that has to be assessed as we go along. Q: But aside from g iving Yve the w rong impression, the Department wou ldn’t hav e any concerns about Yve’s safety w ith her mothe r at this point? A: A t this poin t, I do n’t have a ny concer ns ab out h er sa fety. 71 VI. Petitioner raises the issue of whether the hearing judge’s impartiality reasonably might be in question, given the record of the case. Petitioner cites as her primary evidence a statement made by the hearing judge to Yve S. during a recorded in terview w ith the child in chambers. The statement of the hearing judge occurred during her 29 April 2002 interview with Yve S. as a part of the review of the permanency plan: THE COURT: . . . . But one thing I think you need to understand is that when we had that long hearing that stretched out for a long time, that is called a perman ency planning hearing - Yve S.: Uh-huh THE COUR T: - - we took a lot of evidence and we heard a lot of things and I took a lot of things und er consider ation and I decided after all of that, and also the whole history - Yve S.: Yeah THE COURT: - - that it was better for you to stay with [the foster parents]. Yve S.: I know. THE COURT: And so it’s not something I am going to change m y mind ab out. Yve S.: I know. THE COURT: You know? So I want you to understand that, I don’t want you to think every time we have a review and ev ery time we come to court that there is a possibility that you are going to live with your mom. Yve S.: I k now tha t. 72 THE COU RT: Yo u know that? Good. Because I don’t want you to get upset and think things are going to happen real fast or anything like that because see, I got to think about you long term, because you are how old now? Yve S.: Now , I am 11 turning 12 in S eptember. THE COURT: I can’t believe that. So I have a lon g time until you turn 18 and there are a lot of things that can happen between now and then . (Emphasis added ). Petitioner argues that this exchange indicates that the hearing judge already had decided the outcom e of the review hearing before receivin g Petitio ner’s ev idence . We shall not decide directly this issue. Because w e reverse the juvenile court’s ord ers for the reasons explained in this opinion, the only remaining relief Yvonne S. seeks is prospective recusal of the hearing judge for any proceedings held on remand. Because, as we discovered in the course of our deliberations, the hearing judge has retired and is not eligible to sit in the Circ uit Court af ter 31 De cember 2 002, she m ay not sit in any hearings held in Yve S.’s cas e on rem and. A ccordin gly, we need not consider the merits of Petitioner’s rec usal argum ent. VII. The parties are in some disagreem ent as to the meaning a nd impact of the trial court’s ruling and orde r at the conc lusion of the 16 July 2002 review hearing. Respondent apparently is of the opinion that the order was merely a reaffirmation of the 28 March 2001 order, also reaffirmed by the court’s order of 20 Decem ber 2001. Petitioner argues that there 73 was a substantial change worked in the permanency plan by the 16 July 2002 ord er, na mely, a change from “long-term” foster care to “permanent” foster care. We understand wh y the parties disagree. It is not clear to us whether the juvenil e judge intended by her 16 July 2002 order a substantive change in the goal of the permanency plan. In her oral ruling rendered at the conclusion of the 16 July 2002 hearing, the judge, in pertinent part, stated: If I determine she cannot safely go home, then I must determine from a list of plans in ran king wh ich one is appropriate for her. I made that decision about a year [and] half ago when I had the original permanency planning hearing, and certainly nothing has changed to indicate that I would make any other decision than what I made then as far as what the appropriate place for her is because she cannot safely go home. So I will reaffirm the plan of permanent foster care.... (Emphasis added)[24] After explaining her reasoning, the judge summarized her ruling by stating: So basically, for all those reasons I am going to reaffirm the permanency plan of long-term foster care in a specific - with a specific ca regiver. Th e law requ ires that I set ano ther review in a year, which I will do, a review of permanency plan. (Emphasis add ed). App aren tly, later on 16 July 2002, the judge signed a written “Order For Commitment of Juvenile” intended to memorialize her oral ruling.25 In that short document was included the following operative paragraph: 24 As no prior permanency plan ordered by the court reflected “permanent” foster care, the parties were left, as are we, to wonder what was being reaffirmed. 25 A notation at the bottom of this order indicates that th e “next rev iew hearin g will be Ap ril 10, 20 03 at 8:3 0 a.m.” 74 ORDERED, This 16th of [July] 2002, by the Circ uit Court for Montgomery County, Maryland, Sitting as a Juven ile Court, that the R espon dent C hild, Yve S. is committed to the Montgom ery County Department of Health and Human Services for continued permanent foster care placement . . . .(Emphas is added) It is not entirely clear whether the statutory framework relevant to this case makes a clear distinction of substance between permanent versus long-term foster care. Section 3823(e)(1) o f the Cou rts and Judic ial Proceed ings Article p rovides, in rele vant part: Determinations to be made at h earing. - At a permanency planning h earing, the co urt shall: (1) Determine the child’s permanency plan, which may be: * * * * * (v) Continuation in a specified placement on a permanent basis because of the child’s special needs or circumstances; (vi) Continuation in placement for a specified period because of the child’s special needs or circumstances; Whether “long-term” is synonymous with “a specified period” as described in (vi) makes (or breaks) the question of w hether it is different in substance from “ permanent” foster c are within the meaning of sub-s ection (v). No help is to be found on this point in the general definitional section of the C INA statute (§ 3-80 1). Further muddying the water regarding this question is the fact that the judge, in her 16 July 2002 ord er, established for the first time a 12 month cycle of permanency plan reviews. Previous h earings had been held at roughly 6 month intervals. The significance, 75 if any, of this distinction to this issue depends on Md. Code (1 974, 200 2 Repl. Vol.) C ts. & Jud. Proc. A rt., § 3-823(h) (1), which reads, in relev ant part: (i) Except as provided in subparag raphs (ii) and (iii) of this paragraph, the court shall conduct a hearing to review the permanency plan at least every 6 m onths until co mmitme nt is rescinded. (ii) The court shall conduct a review hearing every 12 months after the court determines that the child shall be co ntinued in out-of-home placemen t with a spec ific caregive r who ag rees to care for the child on a p ermanen t basis There is nothing w e could fin d, nor was anything relevant brought to our attention by the parties, that better illuminates the proposition that permanent foster care differs substantive ly from long-term foster care. Because we are reversing the court’s prior orders, upon which the 16 July 2002 order appears at least somewhat dependent, the juvenile court’s possibly intended distinction between “perman ent” and “long term,” if one exists, may be e xplained a nd clarified b y it in its next review proceeding, if that point retains any relevance. Accordingly, the 16 July 2002 order is reversed as well. The court may give a fresh consideration to the entire situation, including Yvonne S.’s current mental health as it bears on a proper plan for Yve S. ORDERS IN #24 AND #50 REVERSED; CA SE REMANDED TO THE CIRCUIT COURT FOR MONTGOMERY COUN TY, SITTING AS THE J U V E N I L E C O U R T , FO R F U R T H ER PROCEEDINGS NOT INCONSISTENT WITH THIS OPINION; MONTGOMERY COUNTY TO PAY THE CO STS. 76 77