OPINION
1. Jade is the biological daughter of Roy and Sheila).
2. In February 2008, investigators found Sheila at a hotel with drug paraphernalia in the room and arrested her on an outstanding warrant. Sheila did not reveal the children's location. Roy was in Washington state and was difficult to contact. OCS located the children at a family friend's home in July 2008 and placed them in emergency custody. While Jade was generally healthy, her teeth were described as in "horrible" condition, blackened and with visible holes in the top teeth.
3. Both Roy and Sheila lived outside of Alaska for several months after their children were taken into custody. Roy was often unreachable; upon returning to Alaska in February 2009, he canceled or failed to attend several meetings with OCS social workers. OCS often did not have a working number to reach him. Roy participated in the Ernie Turner Center's detoxification program in February 2010. He was diagnosed with opioid dependence with a recommendation for six months' high-intensity residential treatment. Roy told counselors that he had used heroin daily for three years, although he later testified he only said this to get into a residential treatment program and comply
4. - Since being taken into OCS custody in July 2008, Jade has lived in five separate placements. OCS investigated several relative placements. Multiple uncles were unavailable to take the children. Jade was briefly placed with a great-aunt but removed when the great-aunt failed her background check due to a negative reference from a mental health clinician. - Jade's paternal grandmother, Donna, who lived in Illinois, was also identified as a potential placement in the fall of 2008. Because she lived in another state, placing the children with Donna necessitated opening a request with Illinois under the Interstate Compact for the Placement of Children (ICPC), which OCS did in November 2008.
5. From January to July 2009, the children lived with their maternal grandmother, Marilyn. The OCS social worker at the time testified that she helped Marilyn with housing, clothing vouchers, furniture, heating assistance, transportation, and referrals to food banks and day care. Marilyn struggled financially and was in treatment for aleoholism. She had trouble getting Jade to medical and dental appointments and told OCS on several occasions that although she wanted to keep the children, she was struggling with the financial responsibility.
6. After a team meeting in July 2009, OCS moved Jade to a foster family, the Mackenzies. The superior court reviewed the decision to send Jade to the Mackenzies at least five times:
e Permanency Hearing (August 2009): OCS informed representatives of Jade's tribe that Jade was placed with the Mac-kenzies. The tribal representative expressed concern that the siblings were not placed in the same home, but OCS responded that no placement had been found to take all the children. The tribal representative stated: "As long as they're doing fine ... we'll agree to the placement." The court therefore found that the children's current placements were "in-state, appropriate, and in their best interests." No party objected to these findings or appealed the placement decision. Following the hearing, in early 2010, Jade's maternal cousin, Delia, identified her own home in Alakanuk as a potential placement for Jade.
e Termination Trial, Part I (June 2010): Roy clarified at the outset of the termination trial that his primary goal was reunification with Jade and that he wanted Jade placed with her paternal grandmother, Donna, only if reunification was impossible. Roy later noted that he was willing to consent to an adoption by Donna. The superior court found it was not in Jade's interests to live with Donna in Illinois. The court also found that Jade "understands the realness of her connection" to her biological parents and the Mackenzies but did not necessarily have the same connection to Donna. Again, there was no objection to this finding, and no party appealed it. The court continued the termination trial to give the parents another chance to make nee-essary lifestyle changes.
e Permanency - Hearing - (September 2010); Permanency Order (October 2010); The court recognized the tension between the ICWA placement requirements and the importance of keeping Jade close to her family in Anchorage. Regarding placement, the court stated that "in the long run it's going to be interesting to see ... what the evidence finally drives us to. But for now, I think the state has made its proofs." The court clarified that it was finding good cause for Jade to stay with the Mac-kenzies. No party objected to this ruling. The superior court committed its oral ruling to writing: "[TJhe court finds that at this time there is good cause to go outside of the placement preferences stated in 25 U.S.C. $ 1915." No party appealed the order.
e Termination Trial, Part II (March 2011): Months after the trial court continued the termination proceeding, the trial recommenced. At that point, it be*890 came apparent that the parents were continuing to have difficulties following their case plans. Roy had stopped participating in drug tests for several months. Sheila was discharged from her outpatient treatment and failed to return to treatment. At trial, Roy noted his willingness to give consent for his mother Donna or Jade's cousin Delia, who lived in Alakanuk, to adopt Jade. OCS argued the trial should go forward and that, after 20 months of Jade's placement with the Mackenzies, there was good cause to deviate from the ICWA placement preferences. For the first time, Roy and Sheila argued that if OCS had "done what it should have done back in 2008" regarding placement, "we would have had ... an entirely different result," The superior court ruled that the decision not to place Jade in Illinois with Donna was reasonable in light of the goal of maintaining Jade's ties with family in Anchorage: "[Wle can understand that intention to maintain the tie to the extended family here. So I don't think that the choice not to place with [Donna] early on was ... unreasonable."
© Termination Order (May 2011); The superior court ruled that good cause continued to exist to deviate from the ICWA placement preferences contained in 25 U.S.C. § 1915(b), based upon testimony of Dr. Laura Jones, the State's expert witness, presented in March 2011, that breaking the bond between Jade and the Mackenzies would have been harmful to Jade. The court adopted the expert's view that "if [Jade], who is now 6 years old, were to be moved from the [Mackenzie]l home, she would probably not begin to bond with another care provider until she was between 8 and 11 years old."
7. In its termination order, the superior court also found that termination of parental rights was in Jade's best interests and that OCS made active efforts to prevent the breakup of the Indian family.
8. Roy contests three of the superior court's findings: that OCS made active efforts to prevent the breakup of the Indian family; that termination was in Jade's best interests; and that good cause existed to deviate from the ICWA placement preferences.
9. To terminate parental rights to an Indian child, the superior court must find by clear and convincing evidence that OCS made active efforts to help the parent remedy the problematic behavior or conditions that placed the child in need of aid, and that those efforts were unsuceessful.
10. Roy also argues that OCS failed to make active efforts to place Jade in an ICWA-compliant household. But ICWA does not "require[ ] consideration of placement options in determining whether to terminate parental rights."
11. Although the superior court continued the termination trial for ten months to give the parents another chance to make necessary changes, in the intervening period Roy stopped taking drug tests and did not inform OCS of his living arrangements, and Sheila ceased attending drug treatment and left the state more than onee without OCS's knowledge. The superior court did nor err in finding that Roy and Sheila did not make "the long-term changes that would be necessary to successfully parent" Jade. Roy cites the State's expert witness's acknowledgment of Jade's bond to her biological family. But Dr. Jones's testimony in full indicates that Jade was more strongly bonded to her foster family than her biological family. Roy also argues there was insufficient evidence of harm caused to Jade. But the superior court did not err in finding, based upon Dr. Jones's testimony, that the parents' prolonged absence from Jade's life has itself caused harm. The superior court considered the factors listed in AS 47.10.088(b) and did not err in finding that a preponderance of the evidence supported termination.
12. Roy also appeals the superior court's finding that there was good cause to deviate from the ICWA placement preferences. We have recognized "the importance of early placement decisions that are compliant with ICWA."
13. We have explained that placement decisions in CINA cases are "final for purposes of appellate review" when they leave "nothing further for the court to do with respect to" the placement question.
14. By the end of the termination trial, the State's expert witness, Dr. Jones, testified that Jade was very fully bonded with and "embedded" in her foster family, and losing contact with them would be "a very significant loss" for Jade. Jade has been sent to five separate placements throughout the pendency of this case. Dr. Jones found that if Jade were to be moved from the Mackenzie family, with whom she had bonded, she would likely form a new attachment only "cautiously ... because of the previous experiences of loss she's had." It was Dr. Jones's opinion that it would take Jade from two to five years to bond with another caregiver. The superior court relied upon that evidence in finding good cause to deviate from the ICWA placement preferences and keep Jade in the Mackenzie home.
15. We have affirmed decisions to deviate from the ICWA placement preferences based on findings that "another separation is certain to cause serious emotional harm and would create a significant likelihood that [the child's] ability to attach would be irrevocably destroyed."
16. Finally, Roy argues that the superior court abused its discretion by allowing Jade's adoptive parents to have excessive control over the biological parents' post-termination visitation with Jade. Here, the superior court noted expert testimony that Jade would benefit from visitation as long as it was "appropriate and emotionally healthy." The superior court therefore ordered Jade's adoptive parents to follow her "counselor's recommendations regarding future contact with the parents." Roy has not shown that this order is an abuse of discretion.
17. We therefore AFFIRM the superior court's rulings on termination and placement, and we AFFIRM its order providing for post-termination visitation.
Notes
. - Pseudonyms are used throughout to protect the privacy of the parties.
. 25 U.S.C. § 1903(4) (2006).
. Roy has waived all arguments not briefed on appeal. See Frank E. v. State, Dep't of Health & Soc. Servs., Div. of Family & Youth Servs.,
. 25 U.S.C. § 1912(d) (2006).
. S.H. v. State, Dep't of Health & Soc. Servs., Div. of Family & Youth Servs.,
. - Id. (citing M.W.,
. A.A. v. State, Dep't of Family & Youth Servs.,
. Jon S. v. State, Dep't of Health & Soc. Servs., Office of Children's Servs.,
. See id. (" [Incarceration is a significant factor' that ... ['Jaffects the scope of the active efforts that the [sltate must make.'") (quoting A.A.,
. Lucy J. v. State, Dep't of Health & Soc. Servs., Office of Children's Servs.,
. See David S. v. State, Dep't of Health & Soc. Servs., Office of Children's Servs.,
. Id. at 779.
. We decline to adopt Roy's interpretation of the statute, advanced at oral argument, that "reasonable proximity" refers to something other than geographic proximity.
. See Dashiell R. v. State, Dep't of Health & Soc. Servs., Office of Children's Servs.,
. David S.,
. S.S.M. v. State, Dep't of Health & Soc. Servs., Div. of Family & Youth Servs.,
. Id.
. Id.
. We emphasize that the parents' failure to appeal the earlier placement decisions does not legitimize or minimize the serious concerns raised by OCS's failure to adequately investigate placements with Donna in Illinois and with Delia in Alakanuk.
. L.G. v. State, Dep't of Health & Soc. Servs.,
. C.L. v. P.C.S.,
