In re H.V.: Drug-Test Refusal and Positive Results May Establish Threatened Harm and Support Termination

Court: Supreme Court of Appeals of West Virginia

Case: In re H.V., No. 25-716

Issued: September 22, 2026

Disposition: Termination of the father’s parental rights affirmed.

Introduction

In re H.V. concerns whether a parent’s drug use, refusal to submit to court-ordered drug testing, and subsequent failure to participate in services were sufficient to support adjudication for neglect and termination of parental rights. The petitioner, Father B.V., challenged the Circuit Court of Morgan County’s September 2, 2025 order terminating his parental rights to H.V.

The Department of Human Services (“DHS”) initially treated the father as a nonoffending parent in a proceeding arising from a serious, allegedly nonaccidental injury to H.V.’s infant half-sibling. DHS later amended the petition to allege that the father’s alcohol and drug abuse impaired his ability to parent, that he refused court-ordered testing, and that he attempted to evade testing. The father denied current illegal drug use and disputed the authenticity of a positive blood test.

Although issued as a memorandum decision rather than as a new syllabus-point opinion, the decision establishes an important practical rule: evidence of positive drug testing and refusal to test may demonstrate a present threat to a child even without proof that the child has already suffered physical injury. It also confirms that the incarceration-specific analysis in In re Cecil T. does not apply when termination rests on drug use and persistent nonparticipation rather than incarceration.

Factual and Procedural Background

  • DHS filed its original petition in February 2025 after H.V.’s three-month-old half-sibling sustained an “extremely concerning,” “non-accidental” arm fracture allegedly inflicted by the mother.
  • DHS initially designated the father as nonoffending.
  • An amended petition alleged that the father abused drugs and alcohol to a degree that impaired his parenting and created an imminent risk to H.V.
  • The father refused drug testing ordered immediately after the preliminary hearing and allegedly made a false report against a probation officer to avoid testing.
  • At the first adjudicatory hearing, the father attributed his refusal to harassment and admitted only prior drug abuse and current prescribed Suboxone use.
  • At the second hearing, a day-report-center employee testified that the father’s blood tested positive for methamphetamine and amphetamine. His urine was abnormally dilute and positive only for buprenorphine.
  • The father denied submitting either specimen and suggested that the results might belong to his father, who shared his name.
  • The mother testified that a hypodermic needle fell from the pocket of the father’s girlfriend at H.V.’s birthday party and that the father’s aggressive behavior caused her to suspect drug use.
  • The circuit court adjudicated the father as an abusing and neglecting parent.
  • At disposition, the father failed to appear and had largely ceased contact with DHS, drug testing, services, and court proceedings. His participation was limited to a few video calls with H.V.

Summary of the Opinion

The Supreme Court of Appeals affirmed both adjudication and termination. It held that the evidence satisfied the clear-and-convincing standard required by West Virginia Code § 49-4-601(i). The father’s positive blood test, testing refusals, abnormal urine specimen, and the mother’s testimony collectively supported a finding that his drug use threatened H.V.’s health and supervision.

The Court rejected the argument that testing noncompliance was irrelevant because no actual injury to H.V. had been shown. West Virginia Code § 49-1-201 includes within the definition of a neglected child one whose physical or mental health is threatened by a parent’s present refusal, failure, or inability to provide necessary supervision or care.

The Court also rejected the father’s reliance on In re Cecil T.. He was not incarcerated at disposition, and the circuit court based termination on his drug use, refusal to test, failure to engage in services, and failure to participate in the proceedings—not on his prior incarceration.

Analysis

Precedents Cited

In re K.S.

In re K.S. supplied the appellate standard of review. Substantive rulings in abuse-and-neglect proceedings are reviewed for abuse of discretion, factual findings for clear error, and legal questions de novo. This framework was significant because the father’s challenge depended heavily on the circuit court’s assessment of conflicting testimony. The circuit court was entitled to credit the testing employee and reject the father’s claim that the samples were not his.

In re F.S.

Relying on Syllabus Point 3 of In re F.S., the Court explained that West Virginia’s abuse-and-neglect statute does not require DHS to prove its case through any particular form of testimony or evidence. Accordingly, DHS could rely on laboratory results, testing refusals, witness observations, and circumstantial evidence rather than direct proof that the father used drugs while physically caring for H.V.

In re Christina L.

In re F.S. quoted Syllabus Point 3 of In re Christina L.. That earlier authority reinforces the principle that the clear-and-convincing burden governs the strength of the proof, not the particular method by which it must be presented. The circuit court therefore could evaluate the entire evidentiary record rather than requiring one conclusive test or eyewitness account.

In re A.M.

In re A.M. defined clear and convincing evidence as more than a mere scintilla but less demanding than proof beyond a reasonable doubt. Applying that standard, the Court found that the combined evidence exceeded speculation: there was a positive blood result for methamphetamine and amphetamine, repeated testing noncompliance, an abnormally dilute urine specimen, and corroborating testimony about behavior associated with suspected drug use.

In re Cecil T.

The father argued that the circuit court failed to apply the incarceration-related factors identified in Syllabus Point 3 of In re Cecil T.. Those factors govern when incarceration is the only circumstance raised concerning a parent’s ability to remedy abuse or neglect in the near future.

The Court held that In re Cecil T. was inapplicable because the father had been released before adjudication and was not incarcerated at disposition. More importantly, the termination order did not rely on his former incarceration. It relied on independent parental deficiencies: drug use, refusal to test, lack of contact with DHS, failure to participate in services, and failure to attend proceedings.

Legal Reasoning

1. Threatened harm is sufficient

The father maintained that refusing drug tests did not expose H.V. to harm. The Court rejected the premise that adjudication required proof of completed injury. Under West Virginia Code § 49-1-201, neglect includes circumstances in which a child’s health is “harmed or threatened” by a parent’s inability or refusal to provide necessary supervision and care.

Drug use that impairs parenting may therefore establish neglect when it creates a present risk to the child. The amended petition expressly connected the alleged substance abuse to impaired parenting and imminent danger, distinguishing the case from one based solely on unrelated adult criminal allegations.

2. Refusal to test was relevant evidence of continued drug use

The circuit court treated the father’s refusal to submit to testing as a presumptive positive result. The Supreme Court approved consideration of that refusal as evidence of continued substance abuse, particularly when combined with an actual positive blood test and other corroborating circumstances.

The opinion does not create an automatic rule that every missed drug screen conclusively proves neglect. Rather, noncompliance may be considered within the totality of the evidence and may support adverse factual inferences when testing was properly ordered to investigate alleged parental impairment.

3. Credibility determinations favored the circuit court’s findings

The father denied submitting the samples and suggested a namesake mix-up. The circuit court nevertheless credited the day-report-center evidence. Because appellate courts review factual findings only for clear error, the Supreme Court did not reweigh that testimony or substitute its judgment for the trial court’s credibility assessment.

4. Nonparticipation supported termination

West Virginia Code § 49-4-604(c)(6) permits termination when there is no reasonable likelihood that the conditions of abuse or neglect can be substantially corrected in the near future and termination is necessary for the child’s welfare. The father’s continued failure to test, engage with DHS, participate in services, or attend disposition demonstrated that the underlying conditions were unlikely to be corrected promptly.

The circuit court also considered H.V.’s young age and need for permanency. It was not required to delay a stable placement while the father remained disengaged from the remedial process.

Potential Impact

  • No actual injury requirement: Future courts may find neglect when parental substance abuse threatens adequate supervision, even if the child has not yet suffered a documented injury.
  • Testing refusals are probative: A refusal or failure to complete court-ordered testing may support an inference of continuing drug use, especially when accompanied by positive or suspicious test results.
  • Evidence is assessed collectively: Laboratory evidence, witness testimony, parental conduct, and service participation may together satisfy the clear-and-convincing standard.
  • In re Cecil T. remains limited: Its special analysis applies when incarceration is the operative or sole barrier to correction, not merely because a parent was incarcerated earlier in the case.
  • Participation matters at disposition: A parent’s failure to communicate with DHS or engage in services may independently support a finding that conditions cannot be corrected in the near future.

Complex Concepts Simplified

Adjudication
The stage at which the court decides whether the child is abused or neglected and whether the parent is responsible for that condition.
Disposition
The later stage at which the court determines the appropriate remedy, including services, an improvement period, or termination of parental rights.
Clear and convincing evidence
A level of proof stronger than a mere probability but lower than the criminal standard of proof beyond a reasonable doubt.
Threatened harm
A substantial risk to a child’s health or welfare. The law does not require the court to wait until the anticipated injury occurs.
Presumptive positive screen
An inference that a refused or missed drug test would have been positive. It is an evidentiary inference rather than a laboratory result.
No reasonable likelihood of correction
A finding that the parent is unlikely to remedy the conditions causing abuse or neglect within a timeframe compatible with the child’s needs.
Clear error review
An appellate court will generally uphold factual findings unless the record leaves it firmly convinced that a mistake was made.
Guardian ad litem
An attorney appointed to represent the child’s interests during the proceeding.

Conclusion

In re H.V. confirms that West Virginia’s child-protection laws address threatened as well as completed harm. Positive drug-test evidence, refusals to test, and related witness testimony may collectively establish that substance abuse impairs a parent’s ability to provide safe supervision.

The decision further emphasizes that termination may rest on persistent nonparticipation and an inability to correct the underlying conditions in the near future. A parent’s prior incarceration does not trigger the special framework of In re Cecil T. when incarceration was neither ongoing nor the basis for termination. Because the father’s conduct demonstrated continued substance-abuse concerns and disengagement from remedial efforts, the Supreme Court of Appeals affirmed termination as consistent with H.V.’s welfare and need for permanency.