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Clark County Dept. of Family Services: Clinical Expenditures, Non-Medicaid

Explore the clinical expenditures of the Clark County Department of Family Services (DFS) and gain insights into their child welfare services, mental health programs, specialized foster care, psychiatric hospital care, and more.

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Clark County Dept. of Family Services: Clinical Expenditures, Non-Medicaid

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  1. Clark County Dept. of Family Services: Clinical Expenditures, Non-Medicaid Lisa M. Linning, Ph.D. Manager of Clinical services and advanced foster care Jan. 30, 2019

  2. Who is DFS? • CC Child Welfare Services (Foster Care) • Serves avg. of 3,000 children in protective care from abuse or neglect • Approx. 900 staff in the agency

  3. Who is DFS? • Additional Medical and Mental Health: • SNCAC – sex abuse investigations • MH Referrals to providers • Physicians performing sex abuse and physical abuse exams; exams for CSEC in custody • Child Haven: Nursing &Positively Kids

  4. FCS Salaries and Benefits • Family Clinical Services: • Manager – Licensed Psychologist • Supervisors -2 Licensed MA-level • 14 Clinicians, plus non-paid interns • $1,802,700

  5. Comprehensive Mental Health Contract(s) • Healthy Minds • First Med – pending • ~$5,000,000

  6. Assessments • Neuropsychological, Psychological, and Substance Abuse Assessments • Parents – court ordered • Children • $116,672

  7. SB107 Specialized Foster Care • Therapeutic Foster Care for children with highest needs; ~350 children • High mental and behavioral health needs • Multiple placement disruptions • Acute and RTC care • $7,825,898 Rm & Bd; will be changing

  8. RTC Care • Payment for children with coverage denial from Medicaid; youth with unique needs, where facility was not a Medicaid provider (e.g., Jasper Mountain) • Out-of-State Placements • $56,373

  9. Acute Psychiatric Hospital Care • Acute Psychiatric Hospitalization • Days not covered by Medicaid • $8,624

  10. Professional Training • Professional Clinical Training • $20,000

  11. Unforseen Costs • DCFS Mandated SFC Assessments • Required Emergency CC funding • ~ $600,000 (POs still being processed)

  12. Hidden Costs Within Agency Care • Child Haven Emergency Shelter services • Respite or “Sitter Supervision” in acute medical/psychiatric setting or LV Post Acute

  13. Total Identified Clinical Expenses • Usual Expenses $14,330,270 • Unusual Expenses ~$600,000

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