CORA G. v. STATE OF ALASKA, DEPARTMENT OF HEALTH & SOCIAL SERVICES, OFFICE OF CHILDREN‘S SERVICES; JUSTIN D. v. STATE OF ALASKA, DEPARTMENT OF HEALTH & SOCIAL SERVICES, OFFICE OF CHILDREN‘S SERVICES
Supreme Court Nos. S-17254/17272 (Consolidated); Superior Court No. 3SW-16-00001 CN
THE SUPREME COURT OF THE STATE OF ALASKA
April 24, 2020
Opinion No. 7444
Appeal from the Superior Court of the State of Alaska, Third Judicial District, Seward, Charles T. Huguelet, Judge.
Appearances: Olena Kalytiak Davis, Anchorage, for Appellant Cora G.
Before: Bolger, Chief Justice, Winfree, Stowers, Maassen, and Carney, Justices.
WINFREE, Justice.
BOLGER, Chief Justice, dissenting.
I. INTRODUCTION
The superior court terminated a mother‘s and father‘s parental rights based on a finding that they caused mental injury to their child. Relevant to this finding, the child in need of aid (CINA) statutes provide that a court may find a child in need of aid due to parental conduct or conditions causing the child “mental injury“;1 they also provide that a “mental injury” exists when there has been “a serious injury to the child as evidenced by an observable and substantial impairment in the child‘s ability to function in a developmentally appropriate manner and the existence of that impairment is supported by the opinion of a qualified expert witness.”2 The main issue before us is one of evidence rule and statutory interpretation in the context of a judge-tried CINA matter: Must the statutorily required expert witness be offered and affirmatively accepted as a qualified expert witness by the superior court? We conclude that the answer is “yes“; that we will review a claim of error in this regard despite a lack of objection in the superior court; and that we will conclude any such error is harmless only if—considering the parent was not necessarily on notice to make an on-record challenge to the expert‘s qualifications—we can conclude the putative expert clearly was qualified to render the specific testimony required by statute.
The superior court‘s child in need of aid finding in this case, made without a specific expert witness offer by OCS or a determination by the court qualifying an expert witness, is statutorily deficient and cannot be upheld as harmless error. And without a proper child in need of aid finding, we are unable to analyze the court‘s other termination findings; we therefore vacate the termination order and remand for further proceedings.
II. FACTS AND PROCEEDINGS
We explain in some detail the facts and proceedings to provide context for our conclusion regarding the expert witness requirement.
A. Family Background3
In 2007 Cora G., a Romanian with limited English language skills, and Justin D., an American, had a son, Carlos, in Romania. Cora and Justin later married and relocated to the United States; Justin joined the military, and the family moved frequently between states while he served. The family eventually moved to Seward, where they lived in a small trailer with no toilet or running water. Cora and Justin informally separated in 2015, although they sometimes lived together afterward.
Carlos is very intelligent, but he also has special needs. Carlos‘s social and emotional development has been described as “quite delayed,” and during early childhood he was “non-verbal, non-communicative, very shut down” and “non-function[ing].” He has an individualized education plan to address delays in speech, language, social skills, and motor skills. He also has been known to “walk into walls,” “scream,” “cry,” and “[u]rinate on himself.” He has been described as having “trouble hearing” and can be overwhelmed by “[t]oo much noise.”
In August 2017 a clinical neuropsychologist—relying in part on OCS‘s reports about Carlos‘s alleged trauma from parental abuse—diagnosed Carlos primarily with reactive attachment disorder, social (pragmatic) communication disorder, and attention-deficit/hyperactivity
B. Removal From Cora
In April 2016 OCS received a report alleging that then-eight-year-old Carlos had been sexually and physically abused by Cora and neglected by Justin. According to OCS‘s emergency custody petition, Carlos reportedly said at school that his mother referred to him as “pee boy” and “poo boy,” that she had been “touching his ‘penis’ and ‘poop’ ” and that the previous night she “kept ‘ripping his blankets off the bed[,” and] picking him up and dropping him on the floor.” According to the petition, Justin‘s mother, who lived near the family, also had reported a recent incident when she had entered the home and Carlos apparently had been “nude from the waist down [and] was lying with his buttocks facing [Cora].” OCS‘s petition noted that Justin‘s mother said Carlos had “quickly covered himself with a blanket” upon seeing her and “seemed upset or like he‘d been crying.” The petition noted that Justin‘s mother also reported that “this was not the first time she‘[d] walked in on odd or uncomfortable, uneasy situations” between Carlos and Cora. Finally, the petition noted that in an interview with law enforcement, Carlos reported that his mother “regularly ‘plays with his penis,’ ” “touches his penis and butt,” “that ‘it feels bad’ and ‘sort of hurts,’ ” and that his mother touches him “all the time.”
Justin initially corroborated sexual abuse concerns; he reported Cora being hyper-sexual and sexually fixated, and he reported having observed her playing with Carlos‘s penis. Justin also expressed concern about Cora showering with Carlos, wanting to have sex while Carlos was present, and being naked or dressing inappropriately around Carlos. But Justin later “vacillate[d],” informing the OCS supervisor and testifying at the termination trial that Cora “has an over-nurturing problem“; he characterized her actions as treating Carlos like a baby and “inappropriate,” rather than abuse.
Cora never was charged with an offense, and she consistently has denied abusing Carlos. According to OCS, Cora said that to avoid accidents she placed Carlos in a diaper before going to sleep in their trailer, with no toilet or running water, and that this caused diaper rash and skin irritation. She stated
OCS removed Carlos from Cora‘s care and placed him with Justin. At a contested temporary custody hearing the next month,6 the superior court found probable cause for Carlos‘s removal from Cora and that Carlos was in need of aid under
C. Removal From Justin
When OCS placed Carlos with Justin, it relayed “specific [placement] guidelines” and “expectations.” OCS advised Justin to attend Carlos‘s therapy sessions and, pursuant to a court order, prohibited unauthorized contact between Carlos and Cora. Carlos also was not to be left alone in Justin‘s mother‘s care; according to OCS, she “had her own significant history of domestic violence and abuse,” she “wasn‘t able to be protective of [Carlos,] and [she] would not tell [Cora] no, ever.”
In late May 2016 an OCS supervisor met with Carlos after learning that Justin‘s mother had taken Carlos to a therapy session. The OCS supervisor learned that Justin had taken Carlos to the store where Cora worked and that she had hugged Carlos. The OCS supervisor removed Carlos from Justin‘s home without prior notification based on concerns about Justin‘s potential reaction. OCS filed an emergency petition to adjudicate Carlos as a child in need of aid and for temporary custody two days later.8
The superior court upheld the removal after a hearing in June, based in part on testimony from Carlos‘s therapist, who held a master‘s degree and license in social work and had been working in children‘s behavioral health for nearly 20 years. The therapist recounted her previous five visits with Carlos and two discussions with Justin; she stated that, although she did not “have enough information” to have a negative view of Cora, she recommended no contact between Cora and Carlos.
The therapist stated that when she asked Carlos about his home life, “he was not able
D. Adjudication Hearing
In late August 2016 the superior court held a contested adjudication hearing.9 The court attempted to use a Romanian translator, but Cora appeared to understand without help and the court quickly abandoned the attempt. The OCS supervisor testified that Cora had requested that any assessments OCS wanted her to complete be translated into Romanian, which OCS was “sort of trying to work through.” The OCS supervisor stated that she “used [a translation] app at one point to have [a] conversation with [Cora] and that did help just to clarify . . . certain words or things that could be misunderstood.” The OCS supervisor reaffirmed that Carlos‘s therapist continued to recommend no contact with his mother: “He has a physical or negative reaction whenever her name is brought up or whenever there‘s efforts to talk about her or refer to her.” The OCS supervisor stated that Cora “has actually been very consistent” in requesting visitation but that Carlos‘s therapist believed he was “just not there yet.”
The court made oral findings at the end of the hearing. The court found that Carlos “is very unwilling [to have visits with his parents] and has been traumatized by both parents.” The court “rel[ied] very heavily on the [therapist‘s] recommendations” from the earlier probable cause hearing to again order no contact between Cora and Carlos. The court found Carlos in need of aid based on both parents’ conduct under
E. Case Plans; Visitation Hearing
OCS finalized the parents’ case plans in October 2016. Justin‘s plan required attending individual and group parenting sessions; attending scheduled visits consistently; completing psychological, substance abuse, and domestic violence assessments; and participating in Carlos‘s meetings and appointments. By then Justin had moved out of state for work, but he returned to Alaska for medical appointments and court proceedings. Although he remained out of state for much of the case, he eventually completed many of his case plan elements, including starting the intake process for mental health evaluations, taking Carlos to a therapy appointment, attending some anger management classes,
According to the OCS supervisor‘s later testimony, Justin failed to maintain contact with Carlos during this period and at one point had “completely disconnected as far as communication or contact with [Carlos].” Justin later responded that he had requested OCS‘s help in re-establishing contact with Carlos. At a June 2017 permanency hearing the OCS supervisor stated that Carlos‘s therapist had determined contact with Justin no longer was in Carlos‘s best interests.
Cora‘s case plan required attending individual and group parenting sessions; completing psychological, sex offender risk, and domestic violence assessments; and, somewhat confusingly given she was not allowed contact with Carlos, attending and participating in his meetings and appointments. The plan‘s goals were that Cora “recognize[], understand[], and value[] [Carlos‘s] capabilities, needs, and limitations“; “express[] empathy and concern for his experiences“; and “acknowledge[] harm to her son and accept[] responsibility for her actions.”
Despite initial reluctance, by June 2017, over a year before the termination trial, Cora had completed much of her case plan, but she still was not allowed visitation with Carlos. In January and February 2018 the superior court held hearings on Cora‘s motions to reinstate her visitation rights.12 The court acknowledged the severity of the denial, stating that it “didn‘t expect something this controversial” and that it “didn‘t know [the therapist] was going to say no contact with the mother.” The court stated that the complete denial of visitation “effectively terminated” Cora‘s rights.
Carlos‘s guardian ad litem (GAL) relayed that Carlos continued “regressing” when hearing about Cora, “crawling around, hiding under things, that kind of difficult behavior.” Carlos had been seeing a second therapist, who held a master‘s degree in marriage and family therapy and was working toward obtaining her professional marriage counselor license. The second therapist had seen Carlos weekly since November 2017. Because her relationship with Carlos was “still fairly new,” she had not “push[ed] further” about visitation after twice witnessing a negative reaction. Although she believed Carlos could in the future benefit from speaking to his mother, the second therapist believed visitation could harm him: “It could be damaging to the point where it would extend the need for therapy for years.”
The OCS supervisor reiterated that Carlos “had a very negative reaction” to the suggestion of visits with Cora. His “reactions were so severe and significant that . . . he was not able to function.” She relayed that after broaching the visitation subject Carlos exhibited behavioral issues, causing multiple school suspensions and a new foster placement. Carlos‘s first therapist reiterated her earlier testimony that Carlos “did not seem to be able to emotionally tolerate the topic of [his] parents.” She stated that he continued having problems with “verbal aggression, physical aggression, toileting accidents, sleep issues, [and] school performance.” She stated that Cora had sent Carlos letters and gifts, as she was allowed to do, but OCS removed many of the letters because it believed they would be “too triggering.”
The superior court stated that it had “read through the [assessments provided] and there seems to be a language barrier that [the evaluators are] not able to penetrate.” The court expressed concern that Carlos‘s therapists were “not psychologists” and asked whether someone else might be able to “better figure him out.” OCS represented that Carlos also had seen a neuropsychologist, who confirmed what the therapists reported. The court maintained that “there has to be somewhere, somebody who would have a better idea of how to deal with him than maybe just our standard therapist” and that it was “just not satisfied that we‘re reaching his needs.” But, based on the recommendations
F. Termination Trial
OCS petitioned to terminate Cora‘s and Justin‘s parental rights in February 2018.13 During the two-day termination trial in August and September 2018, the court heard from the OCS supervisor, Carlos‘s second therapist, Cora‘s therapist, an OCS caseworker, and both parents. Neither Carlos‘s first therapist nor the clinical neuropsychologist who earlier had evaluated Carlos testified. A Romanian translator was present. Cora initially asked that everything be translated, but she later dismissed the word-for-word translation, stating that she would ask for it when needed. Cora exhibited some difficulty during cross-examination and used the translator.
The OCS supervisor testified consistently with her earlier testimony, recounting how Carlos “physically would turn his body away” when his family was discussed. She recalled that “he grinned” when he learned he would be living with Justin after being removed from Cora‘s care. She also discussed Justin‘s absence from Carlos‘s life: “The duration between his contacts had been so long that [Carlos‘s] therapist recommended not to restart . . . face-to-face or phone [contact], but to have [Justin] maybe connect with [Carlos] through written letters, emails, those sorts of activities.” She stated that Justin was often “belligerent” and “irrational” in his conversations with OCS and “would sometimes, for hours on end, repeatedly text or call and say things like if he wasn‘t sleeping, then I wasn‘t going to get to sleep.” She stated he “repeatedly” said that he “does not believe there‘s an issue or that [Carlos] was harmed or suffered.”
The OCS supervisor asserted that, although Cora had completed her case plan‘s requirements, Cora had failed to meet the goal of understanding Carlos‘s needs and limitations. The OCS supervisor recalled holding a lengthy meeting with Cora, her attorney, and a Romanian translator to help “explain things to [her] and to help her to understand” the issues she faced. The OCS supervisor said OCS wanted to “give [Cora] the opportunity to be heard in a way that was comfortable for her” and “to attempt to help her again to understand how things might feel or be from [Carlos‘s] perspective.”
The OCS supervisor stated that Cora‘s “thick accent” can be difficult to understand and that she sometimes appears to have difficulty understanding and struggles with “more complex language.” The OCS supervisor said she attempted to “mak[e] sure that there wasn‘t anything lost in the meaning of words.” She acknowledged that Cora‘s neuropsychological assessment showed there was a language barrier. Despite acknowledging language difficulties, the OCS supervisor stated that Cora “lacks the . . . ability to see things from [Carlos‘s] point of view and understand[] that he was hurt or harmed.” According to the OCS supervisor, Cora was unable to “empathize with [Carlos]” which was “key for . . . her to parent [Carlos] safely and successfully.” The OCS supervisor stated that Cora “treated [Carlos] more like something that she owned and that she could do [with] what she wanted. . . . It was about her and her needs and what she wanted and how he fit into that for her versus the other way around.”
The OCS supervisor testified that Carlos was in a therapeutic home with wraparound services. Although he was not in a pre-adoptive placement, she believed termination was in his best interests because “there‘s been absolutely no progress on the case plan and
Carlos‘s second therapist testified that she had discussed visitation with Carlos multiple times, that he consistently had adverse reactions, and that for this reason she did not tell him about Cora‘s letters. The therapist acknowledged a neuropsychological evaluation reporting that Carlos has issues with lying, and she noted his continuing issues with crying and bed-wetting, including having “purposefully wet his bed when he was in a foster home because there was another foster boy in the bunk below him.” She also acknowledged that autism spectrum disorder could explain some behaviors she had observed.
OCS at no point expressly offered Carlos‘s second therapist as an expert witness or asked the court to qualify her as an expert witness regarding mental injury to children. The only relevant background information OCS elicited was that the therapist had a master‘s degree in marriage and family therapy, was in the process of becoming a licensed marriage counselor, had been a clinician for about six years, and before that had been a behavioral health associate for four years; the majority of her caseload was with “younger youth and families.” The therapist nonetheless testified without objection that she had diagnosed Carlos with reactive attachment disorder,14 attention-deficit/hyperactivity disorder,15 and acute stress disorder.16
After the therapist stated that she based her diagnoses in part on Carlos‘s neuropsychologist‘s evaluation, OCS sought to admit the neuropsychologist‘s report into evidence. The court initially sustained Justin‘s objection that the report lacked foundation, but it noted that an expert witness can rely on documents that themselves are not admissible. The court later admitted the report into evidence after a certified copy was submitted and no further objection was raised. There was no discussion about OCS‘s purpose in offering the report into evidence or about the court‘s purpose in admitting the report, if one existed beyond lack of objection.
Cora‘s therapist testified that Cora had been working weekly with a different clinician, but that clinician no longer was with the agency. Cora‘s therapist had seen Cora only three times and was not focused on Carlos‘s case, but rather on helping her understand that Carlos likely would not return to her care, helping her cope with the stress, and helping her manage her own mental health. The therapist reported that Cora “remain[ed] in denial of the accusations” against her and that she had “no sense of [Carlos‘s] needs or wants.”
An OCS caseworker who had worked with the family since the previous November also testified. She stated that she had been in “constant contact” with Cora, “seeing how she‘s doing and giving her updates about [Carlos], as well as providing pictures of his progress.” Like the OCS supervisor, the caseworker stated that Cora completed most of her case plan but that she failed to “actually understand[] the gravity of the situation or why the child was removed.” The caseworker recalled that one aspect of Cora‘s case plan was to “maintain and develop a strong bond” with Carlos, and that had not happened; the caseworker did not explain whether there was a connection between prohibited contact and lack of bonding. The caseworker later acknowledged that, although not allowed telephonic or in-person contact, Cora consistently sent gifts. The caseworker stated that Justin had failed to stay in contact with Carlos and had acted in an “extremely hostile” manner. The caseworker believed termination was in Carlos‘s best interests, despite no prospective permanent home.
Justin, who was living out of state, testified that he did not contact Carlos because he believed OCS‘s no-contact recommendation included all forms of contact. He stated that he found working with OCS very difficult, that he and Cora had separated, and that he had never been violent with her. Justin stated that Cora played with Carlos‘s penis “like you would do to a baby” and that it was “inappropriate.”
OCS asked the court to find Carlos in need of aid solely because he “has suffered mental injury” resulting from the parents’ conduct. The GAL agreed, stating that Carlos had been so traumatized that termination would be best.
G. Superior Court‘s Findings
The superior court issued oral findings at the end of the termination trial, starting with whether Carlos was a child in need of aid under
The court found that Cora “ha[d] checked all the boxes.” The court was “sympathetic” to her language issues, stating that “it is troubling that, you know, she‘s from another country. . . . The language barrier is just too different. . . . I don‘t know what kind of therapeutic relationship you can have when you‘re trying to talk about thoughts, emotions, deep, complicated things in a language that you haven‘t fully mastered.” The court
The court stated that “definitely [OCS] made reasonable efforts“—by clear and convincing evidence—without stating what those efforts were. After prompting by OCS, the court found by clear and convincing evidence that the parents failed to remedy the conduct causing Carlos‘s mental injury. The court declined to make an ultimate termination decision with its oral findings, stating that the lack of pre-adoptive placement was a “troubling situation.” But the court found that “[n]either parent [was] anywhere close to ready to take the child.”
The court issued its written order terminating parental rights in October 2018, summarily finding—by clear and convincing evidence—that, “[f]or the reasons stated on record,” Carlos was in need of aid under
The court acknowledged that OCS had not “found a suitable adoptive home” and that “both parents feel a strong connection to the child.” The court noted it was aware Cora “ha[d] been handicapped by a language barrier during this process” but found she had “not accepted any responsibility for her child‘s condition.” The court stated that “[v]isitation ha[d] not been possible because of the child‘s extreme reaction to the memory of his parents.” The court found that Justin had “done far less” than Cora, “having only completed a short anger management class,” and that he is “still very quick to anger and reluctant to accept any responsibility for his son‘s severely damaged condition.” The court reiterated that shortly after Carlos was removed Justin left Alaska, refused to grant OCS access to his medical records, and failed to meaningfully engage in treatment. The court was “convinced” that “if [Carlos] [were] returned to either of his parents, he would quickly return to the acute mental state that he was found in when he was removed” and that terminating parental rights was “the only real option.”
H. Appeals
Cora and Justin separately appealed, and we consolidated their appeals for consideration and decision. Cora challenges the findings that she failed to remedy the conduct or conditions placing Carlos in harm‘s way and that OCS made reasonable reunification efforts. Justin challenges the findings that Carlos was in need of aid based on mental injury and that termination was in Carlos‘s best interests.
Justin‘s challenge to the superior court‘s mental injury finding specifically focuses on the court‘s failure to qualify an expert witness to support the finding. OCS rejects Justin‘s legal argument and alternatively argues that any such error was harmless. We focus on these points, upon which the parents’ consolidated appeals turn.
III. DISCUSSION
A. Standard Of Review
We review questions of law de novo, including evidence rule interpretation,19 statutory interpretation,20 and whether “factual findings satisfy applicable child in need of aid . . . statutes and rules.”21
B. Relevant Rules For Statutory Interpretation
“When determining a statute‘s meaning, we consider three factors: ‘the language of the statute, the legislative history, and the legislative purpose behind the statute.’ ”22 “The objective of statutory construction is to give effect to the intent of the legislature, with due regard for the meaning that the statutory language conveys to others.”23 “We give unambiguous statutory language its ordinary and common meaning, but the ‘plain meaning rule’ is not an exclusionary rule; we will look to legislative history as a guide to construing a statute‘s words.”24
C. “Qualified Expert Witness”
1. Evidence rule and statutory context
In most cases expert witness testimony is governed solely by the Alaska Evidence Rules.
[E]xpert opinion evidence is admissible if the trial court (exercising its authority under
Rule 104(a) ) determines that (1) the evidence is relevant (Rule 401 ); (2) the witness is qualified as an expert (Rule 702(a) ); (3) the trier of fact will be assisted (Rule 702(a) ); (4) the facts or data on which the opinion is based are of a type reasonably relied upon by experts in the particular field in forming opinions upon the subject (Rule 703 ); and (5) the probative value of the evidence is not outweighed by its prejudicial effect (Rule 403 ).27
In most civil and criminal matters it is thus left to the trial court‘s discretion whether expert testimony is appropriate in a given case, and if so, whether a proposed expert witness is qualified to testify on a particular issue.28 But it seems clear from the Rules,
In some instances a legal framework will not leave to the trial court‘s discretion the question whether an issue is suitable for expert testimony. The opinion of a qualified expert witness may be required as a matter of law, and expert qualification standards also may be set as a matter of law. A long-standing example is in the medical malpractice context. In 1976 the legislature statutorily defined items that a medical malpractice plaintiff must prove.29 And as early as 1984 we held that expert witness testimony is necessary to prove breach of a health care professional‘s duty, excepting non-technical matters involving negligence evident to lay people.30 The legislature later enacted a statute establishing specific expert witness qualification standards for one aspect of any professional malpractice action:
(a) In an action based on professional negligence, a person may not testify as an expert witness on the issue of the appropriate standard of care unless the witness is
(1) a professional who is licensed in this state or in another state or country;
(2) trained and experienced in the same discipline or school of practice as the defendant or in an area directly related to a matter at issue; and
(3) certified by a board recognized by the state as having acknowledged expertise and training directly related to the particular field or matter at issue.31
When enacting the statute, the legislature expressly noted that this section had “the effect of amending
A somewhat similar example of legislatively mandated expert participation in the judicial process is the involuntary civil commitment context. The legislature has established that a petition for involuntarily committing an individual must contain certain allegations and be signed by “two mental health professionals who have examined the respondent, one of whom is a physician.”33 The legislature also has defined who qualifies as a “mental health professional“:
[A] psychiatrist or physician who is licensed by the State Medical Board to
practice in this state or is employed by the federal government; a clinical psychologist licensed by the [S]tate Board of Psychologist and Psychological Associate Examiners; a psychological associate trained in clinical psychology and licensed by the Board of Psychologist and Psychological Associate Examiners; an advanced practice registered nurse or a registered nurse with a master‘s degree in psychiatric nursing, licensed by the State Board of Nursing; a marital and family therapist licensed by the Board of Marital and Family Therapy; a professional counselor licensed by the Board of Professional Counselors; a clinical social worker licensed by the Board of Social Work Examiners; and a person who (A) has a master‘s degree in the field of mental health;
(B) has at least 12 months of post-masters working experience in the field of mental illness; and
(C) is working under the supervision of a type of licensee listed in this paragraph . . . .34
Closer to this case, the Indian Child Welfare Act35 (ICWA) requires, before termination of parental rights to an Indian child,36 qualified expert witness testimony supporting a finding “that the continued custody of the child by the parent or Indian custodian is likely to result in serious emotional or physical damage to the child.”37 Formal ICWA regulations provide further guidance for who may be a qualified expert witness.38 We recently noted that these provisions require the appropriately qualified expert witness to draw a connection between the conditions of the home and the threat to the child‘s emotional or physical well-being.39
2. Statutory ambiguity
The statute‘s plain language requiring “the opinion of a qualified expert witness” is ambiguous. Does “qualified” merely, and passively, describe a witness‘s background and experience regarding a particular issue, without regard to whether the trial court affirmatively determines that the witness has the necessary background and experience to testify as an expert on a particular issue? Or does “qualified” describe an express formal application of the evidence rules’ process for the trial court‘s affirmative determination that the expert has the necessary background and experience to testify on a particular issue? As this case demonstrates, the difference may matter substantively, and, with respect to our standard of review, procedurally.
3. Legislative history
The current “mental injury” definition in
During a legislative hearing a committee member inquired about “mental injury” in the proposed statutory amendment; an assistant attorney general “explained that a qualified expert witness is a ‘term of art’ ” and that “[t]here is a specific statute which deals
Our many previous efforts to discern legislative intent have led us to consider a variety of legislative history sources. We have looked to statements made by legislators, individually or in committee reports,50 and those made by legislators’ staff.51 We also have acknowledged and given at least some weight to statements of individuals who are neither legislators nor staff of legislators, including executive branch members,52 advocates,53 and the general public.54 Although we have not created bright-line rules determining how much weight to give different sources of legislative intent, we have indicated that one of the most important considerations is reliability.55
4. Relevant case law
Two conflicting views of the ICWA statute‘s “qualified expert witnesses” language help inform us about the effect of the “qualified expert witness” language in the CINA “mental injury” definition.
We first consider the Montana Supreme Court‘s In re K.H. decision.57 In that case a trial court ultimately terminated a mother‘s parental rights to an Indian child.58 At trial the State presented a state social worker as a witness. The limited foundation laid for her testimony was that she had a bachelor‘s degree in education, health, and human development; was working on a master‘s degree in community counseling; had contact with Native American people on a regular basis; had contact with children on a regular basis; and was familiar with children‘s needs and minimally acceptable parenting skills needed to meet those needs.59 The State did not expressly offer the social worker as an ICWA expert, and the trial court did not expressly rule on her qualifications to be an ICWA expert.60 The social worker testified — apparently to meet
The mother appealed the termination order, arguing that because the trial court failed to qualify an appropriate ICWA expert — someone with credentials beyond those of a normal social worker — the trial court erred in its termination order.63 The State argued that the mother waived her argument by not objecting during the trial court proceedings.64
The Montana Supreme Court first considered the State‘s waiver argument and rejected it.65 The following discussion is instructive:
We refuse to endorse the unreasonable notion, implicit in the [State‘s] position on appeal, that [the mother] was under an obligation to object to each and every witness offered by the [State] if she wished to preclude a witness from being deemed, after the fact, an ICWA expert. The burden under ICWA is not upon [the mother] to preclude such expert testimony, but on the [State] to produce it: an essential “prerequisite” to the termination of Indian parental rights under § 1912(f) of ICWA is the testimony of a qualified expert that a continuation of the parental relationship would likely result in serious emotional or physical damage to the Indian child in question. . . . [And] “information set forth in a vacuum — that is, without any disclosure
that the witness is being offered and qualified as an expert” — is neither sufficient to put the Indian natural parent on notice that the witness is being put forward as an ICWA expert, nor to establish an adequate foundation for the admission of such expert testimony.66
The Montana Supreme Court stated that its non-waiver decision was congruent with ICWA‘s remedial nature and with the court‘s responsibility to remain vigilant on behalf of those protected by ICWA.67 The court concluded that “in light of the curative function of ICWA, [the mother‘s] challenge to the [State‘s] expert witness . . . is properly before us.”68
The Montana Supreme Court then addressed the merits of the mother‘s appeal.69 The court first noted that although its version of
A contrary position has been taken by the Arkansas intermediate appellate court. In Howell v. Arkansas Department of Human Services a tribal child welfare specialist was the State‘s witness at a termination trial.76 The tribal representative testified that she had been assigned the case when the tribe was notified the children were eligible members and had participated in the case and at hearings prior to the termination trial; she also discussed the services the State and the tribe provided the parents.77 The State did not offer the tribal representative as an ICWA expert for
The intermediate appellate court concluded that the mother had waived her appeal points
Two of the six panel members dissented.84 The dissent concluded that ICWA‘s expert witness requirement was a statutory element of the State‘s case and part of the State‘s heavy burden of proof for terminating parental rights to an Indian child.85 The dissent therefore concluded that the issue was one of sufficiency of the evidence rather than a mere waivable evidentiary issue, relying in part on the In re K.H. decision discussed above and on an Arkansas civil rule provision that, in a bench trial, a party does not waive the right to appeal on sufficiency of the evidence grounds by failing to raise the objection in the trial court.86
5. Our view of the effect of “qualified expert witness”
We believe the Montana Supreme Court‘s “qualified expert witnesses” analysis under
The statutory use of “qualified expert witness” establishes a critical part of OCS‘s burdens of proof and persuasion when seeking to terminate parental rights under
Only when OCS lays an appropriate foundation for a proposed expert witness and offers the witness for the court‘s qualification to testify on a specific issue must a parent take action. The parent might ask to voir dire the witness regarding the witness‘s qualifications, either to persuade the trial court to not qualify the expert or, if the court qualifies the witness as an expert, to establish a record for a later appeal that the witness should not have been qualified as an expert.89 The
Like the Montana Supreme Court‘s reliance on the nature of ICWA proceedings, we rely on the nature of the larger set of CINA proceedings to reach our conclusion. We have held that when addressing “issues of such fundamental importance as parents’ rights to raise their children, it is imperative . . . the legal system act with great care to protect parties’ rights. Adherence to . . . foundational principles and the safeguards put in place to ensure fair treatment of litigants must therefore be strict in such cases.”91
We therefore conclude that, in this limited context of a judge-tried CINA matter, it is legal error for a trial court not to expressly qualify an expert witness to testify
about a child‘s mental injury under
6. Application to this case
Justin argues, and OCS does not dispute, that “only one therapist testified at the termination trial” and that “OCS never sought to qualify her as an expert witness.” OCS argues that this does not warrant reversal because testimony and other evidence clearly establishing Carlos‘s mental injury were offered from clinicians who “could have been qualified as ... expert witness[es]” and, therefore, “any failure to actually qualify the witnesses as expert witnesses ... was harmless error.” OCS contends that the superior court properly looked to the neuropsychologist‘s written report, the first therapist‘s earlier hearing testimony, and the second therapist‘s termination trial testimony. (OCS does not argue that either the OCS supervisor or the OCS caseworker who testified at the termination trial could have been qualified as an expert in mental injury to children.)
Assuming a harmless error analysis could apply, OCS‘s arguments are unpersuasive on the facts of this case.93 First, the
had the credentials to be a qualified expert witness on mental injury to children,94 never was a witness at a hearing in the case or at the termination trial; the statute requires “the opinion of a qualified expert witness.”95 The legislature considered, but rejected, using non-testimonial statements on diagnoses by psychologists and physicians for a “mental injury” finding.96
Second, Carlos‘s first therapist‘s earlier hearing testimony was not introduced at the termination trial and the superior court did not purport to take notice of it.97 And at that hearing the superior court expressly declined
Finally, the second therapist never was offered or qualified by the trial court as an expert witness on any topic at the termination trial. Because the superior court never exercised its discretion to qualify the therapist as an expert in the area of mental injury to children, we cannot review a hypothetical qualification for abuse of discretion.98
To accept the State‘s argument that testimony from a witness who could have been qualified by the trial court as an expert should satisfy the CINA statute and our evidence rules, we would have to conclude that the proposed expert witness undeniably was qualified as a matter of law to provide some relevant expert testimony, and at the same time we would have to take into account that the parent was not given an opportunity to contest the putative expert‘s qualifications.
The second therapist‘s background does not necessarily reflect the required expertise for this case. Although she held a master‘s degree in marriage and family therapy and was working toward her professional marriage counseling license, there is no ready indication she could have been qualified as an expert for diagnosing complex mental injury to a child or opining on the cause of such an injury. On the record before us, she would not, for example, be qualified as a mental health professional under
A trial court‘s express qualification of an expert witness may be critical when the witness‘s area of expertise is limited. For example, in Caitlyn E. v. State of Alaska, Department of Health & Social Services, Office of Children‘s Services100 we rejected a challenge to an ICWA expert‘s testimony about substance abuse because the trial court limited the expert‘s testimony to how a tribal member‘s substance abuse may impact the tribe, rather than qualifying the expert to testify about substance abuse in general, and nothing in the record suggested the expert‘s testimony improperly went beyond this limited context.101 In this case the unlicensed therapist might have been qualified as an expert in the area of mental injury treatment, but that would beg the question of the nature of the injury and its cause.102
Without appropriate qualified expert witness opinion testimony explaining Carlos‘s alleged mental injury and the reasons for it,
Although
Because the superior court‘s CINA finding is deficient, we also are unable to properly analyze Cora‘s and Justin‘s arguments about the court‘s other findings. These findings — failure to remedy, reasonable efforts, and best interests — revolve around why Carlos was removed from his parents’ homes and why he was in need of aid.104 We cannot determine, for example, the appropriateness of completely denying visitation between Cora and Carlos, nor the validity of OCS testimony that Cora wrongfully denied injuring Carlos. Nor can we properly analyze the court‘s finding that Cora lacked understanding of Carlos‘s needs and thus failed to remedy the conduct placing him at risk of harm, particularly when viewed in light of the language barrier between Cora and OCS. In short, without a proper finding regarding the cause of Carlos‘s mental injury — supported by qualified expert witness testimony — we are unable to uphold the superior court‘s termination decision.
D. OCS‘s Failed Alternative Argument
OCS alternatively contends that we should affirm the superior court‘s mental injury finding “because of the substantial risk of mental injury based on exposure to domestic violence.” The court in its written order found that Carlos was in need of aid under
OCS likens this case to Barbara P. v. State, Department of Health & Social Services, Office of Children‘s Services, because, like this case, the superior court did not specify the subsection on which it relied.106 In that case we evaluated the finding under (8)(B), because “the court made no reference to [the child] suffering actual mental injury.”107 But unlike in Barbara P., the superior court‘s written findings in this case more than suggest that subsection (A) applied: The court stated that Carlos “ha[d] been significantly damaged by abuse.” The court also stated in its oral findings that “conduct or conditions created by the parent resulted in mental injury to the child, and it was substantial mental injury.” And — even assuming that qualified expert witness testimony might not be required to establish “mental injury” for a finding under subsection (B) — the court made no findings that Carlos was at risk of injury due to a pattern of behavior or exposure to domestic violence as required for a subsection (B) finding.108 Moreover, during trial summation OCS asked the court to find Carlos in need of aid because “that child has suffered mental injury as a result of contact by the parents.” The superior court‘s mental injury finding thus was based on (8)(A) — that the parents’ conduct “resulted in mental injury to the child” — rather than (8)(B), requiring only a “substantial risk of mental injury” based on a pattern of behavior or domestic violence.109 We decline OCS‘s request to affirm the superior court‘s findings based on the latter.
IV. CONCLUSION
We VACATE the superior court‘s termination of Cora‘s and Justin‘s parental rights and REMAND for further proceedings.
BOLGER, Chief Justice, dissenting.
I believe the court‘s opinion misconstrues the term “qualified expert witness” as used in
If the opposing party believes that a witness is not properly qualified, then that party must raise an objection to the witness‘s expert testimony when it is offered. For this reason, we have consistently held that the
The Alaska Court of Appeals followed this reasoning in a case where the issue was whether four victims were “mentally incapable.”5 To prove this issue, the prosecution presented the testimony of a supervising staff member at the group home where the victims resided.6 She testified about the victims’ “social functioning level[s],” “expressive language abilit[ies],” and I.Q. levels without any objection from the defendant.7 On appeal, the court held that the admission of this testimony was not plain error because it was possible that the State could have qualified the staffer as an expert if the defendant had objected.8
In another criminal case, the prosecution presented testimony from an emergency room physician that the victim suffered from battered-woman syndrome.9 The physician had testified about his qualifications, but the trial judge failed to make an explicit finding that he was qualified to testify on this subject.10 The court of appeals held that the defendant‘s failure to object to the physician‘s qualifications constituted a waiver of this issue.11
In this case, the State presented substantial evidence that Carlos suffered from mental injury as defined by
In the absence of any objection, we review the qualifications of the State‘s witnesses for plain error.12 The question is not whether the record establishes these qualifications beyond dispute. The question is whether the witnesses obviously lacked such qualifications or whether it is possible to infer that they possess them.13
Carlos‘s clinical therapist testified that she held a master‘s degree in marriage and family therapy. She had worked as a behavioral health associate for four years and as a clinician for six years. She testified without objection that Carlos suffered from reactive attachment disorder and attention deficit disorder with hyperactivity.
The clinical therapist testified that she relied on a neuropsychological evaluation as part of her treatment plan. The evaluation was completed by a clinical neuropsychologist. The evaluation details a psychological interview, a questionnaire provided by the guardian ad litem, a review of records from recent mental health treatment and psychiatric evaluations, and a battery of neuropsychological tests. Based on this comprehensive review, the neuropsychologist diagnosed Carlos with reactive attachment disorder caused by the emotional, sexual, and physical abuse he suffered while he was under the care of his biological parents. Neither parent objected to the admission of the neuropsychological evaluation. In my opinion, the clinician‘s testimony
It may be that the clinician was no more qualified than an ordinary social worker to rely on the neuropsychological evaluation or to offer an opinion on the child‘s mental injury. If the parents wanted to raise that issue, then they should have offered an objection to this testimony. But “[b]ecause it was possible to infer from [the clinician‘s] known qualifications that she possessed the [necessary expert qualifications], it was not plain error for the trial court to accept [the parents‘] acquiescence.”14
Notes
[T]he court may find a child to be a child in need of aid if it finds . . . that the child has been subjected to any of the following:
. . . .
(7) the child has suffered sexual abuse, or there is a substantial risk that the child will suffer sexual abuse, as a result of conduct by or conditions created by the child‘s parent, guardian, or custodian or by the failure of the parent, guardian, or custodian to adequately supervise the child . . .
(8) conduct by or conditions created by the parent, guardian, or custodian have (A) resulted in mental injury to the child; or (B) placed the child at substantial risk of mental injury . . .
(9) conduct by or conditions created by the parent, guardian, or custodian have subjected the child . . . to neglect.
Id.(a) In a malpractice action based on the negligence or wilful misconduct of a health care provider, the plaintiff has the burden of proving by a preponderance of the evidence
(1) the degree of knowledge or skill possessed or the degree of care ordinarily exercised under the circumstances, at the time of the act complained of, by health care providers in the field or specialty in which the defendant is practicing;
(2) that the defendant either lacked this degree of knowledge or skill or failed to exercise this degree of care; and
(3) that as a proximate result of this lack of knowledge or skill or the failure to exercise this degree of care the plaintiff suffered injuries that would not otherwise have been incurred.
(b) In malpractice actions there is no presumption of negligence on the part of the defendant.
In Wetherhorn v. Alaska Psychiatric Institute, 156 P.3d 371 (Alaska 2007), overruled on other grounds by In re Hospitalization of Naomi B., 435 P.3d 918 (Alaska 2019), we concluded that it was not plain error to allow a facility psychiatrist, who was not a petition signer and not otherwise listed in the petition as a likely hearing witness, to testify at a commitment hearing. Id. at 379. We also concluded — in the context of that expert testifying in serial commitment hearings after being sworn-in and qualified by the court in a prior hearing — that because the expert was “still under oath” and already had “been qualified as an expert,” the court‘s failure to swear in and qualify the expert in that specific case was not reversible legal error in light of the expert‘s professional qualifications, the trial court‘s prior qualification of the expert as a witness, and the lack of any suggested prejudice. Id. at 383.
§ 23.122 Who may serve as a qualified expert witness?
(a) A qualified expert witness must be qualified to testify regarding whether the child‘s continued custody by the parent or Indian custodian is likely to result in serious emotional or physical damage to the child and should be qualified to testify as to the prevailing social and cultural standards of the Indian child‘s Tribe. A person may be designated by the Indian child‘s Tribe as being qualified to testify to the prevailing social and cultural standards of the Indian child‘s Tribe.
(b) The court or any party may request the assistance of the Indian child‘s Tribe or the [Bureau of Indian Affairs] office serving the Indian child‘s Tribe in locating persons qualified to serve as expert witnesses.
(c) The social worker regularly assigned to the Indian child may not serve as a qualified expert witness in child-custody proceedings concerning the child.
