foster family rather than returning to Mother. Bre’Ana D.
               told Dr. Tom Biller, one of the pyschiatrists who counseled the children after
               they were placed with DCS, that if she (Bre’Ana) were a parent, it would be
               wrong to treat her children like Mother treated her.

       •       A change of caretakers and homes is likely to have a negative effect on the
               children. See Tenn. Code Ann. § 36-1-113(i)(5). The trial court emphasized
               that the children have been in foster care for four years during the pendency
               of this proceeding, yet “they have achieved an amazing level of permanency
               despite this lengthy process.” The court expressed concern that “[i]t is highly
               unlikely that other such good opportunities for permanency will be available
               if full advantage is not taken of these right away.” Finally, the court noted
               that continuation of Mother’s parental relationship with the children “greatly
               diminishes the Children’s chances of early integration into a stable and
               permanent home.”

       •       Because of Mother’s antisocial personality disorder, Mother “cannot provide
               a safe environment for the Children and she will not change.” See Tenn.
               Code Ann. § 36-1-113(i)(8). The trial court reiterated testimony from Dr.
               Bertin Glennon, the psychiatrist who conducted a parenting assessment of
               Mother, that “[Mother’s] personality disorder will cause her to consistently
               fail to follow the normal process of thinking for a mother and that the
               condition will not change.” The court emphasized that none of the mental
               health service providers who testified would recommend that custody of the
               children be restored to Mother.

        While discussing the statutory grounds for terminating Mother’s paren