state of nevada department of health and human...
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Helping People. It’s who we are and what we do.
Steve SisolakGovernor
Richard WhitleyDirector
State of Nevada Department of Health and Human Services
2020-2021 Governor Recommends BudgetPre-Session Budget Hearing
Division of Child and Family ServicesJanuary 23, 2019
Helping People. It’s who we are and what we do. 2
DCFS Vision and Mission
Vision: Safe, Healthy, and Thriving Kids in Every Nevada Community
Mission: The Division of Child and Family Services (DCFS), together in genuine partnership with families and communities, provides support and services to assist Nevada’s children and families in reaching their full human potential. We recognize that Nevada’s families are our future and that families thrive when they:• Live in safe, permanent settings.• Experience a sense of sustainable emotional and physical well being.• Receive support to consistently make positive choices for family and common good.
Helping People. It’s who we are and what we do.
DCFS Organizational ChartRoss ArmstrongAdministrator
Sherri VondrakHuman Resources
VacantDeputy AdministratorResidential Services
Summit View Youth CenterBA 3148
Caliente Youth Center BA 3179
Nevada Youth Training CenterBA 3259
Desert Willow Treatment CenterBA 3646
Adolescent Treatment Center, Family Learning Homes, Oasis
BA 3281 and 3646
John MunozDeputy AdministratorCommunity [email protected]
Mobile Crisis, Early Childhood Mental Health Services,
Children’s Clinical ServicesBA 3281 and 3646
Wraparound in NevadaBA 3281 and 3646
Rural Child Protective andWelfare Services
BA 3229
Youth Parole ServicesBA 3263
Krystal CastroExecutive [email protected]
Kathryn RooseDeputy AdministratorQuality and Oversight
Family Programs OfficeBA 3145, 3250, 3251 and 3242
Planning and EvaluationBA 3145
Juvenile Justice Programs OfficeBA 1383
County Child Protection and Welfare OversightBA 3141 and 3142
Systems AdvocateBA 3145
Youth Alternative PlacementBA 3147
Mandi DavisDeputy AdministratorAdministrative [email protected]
Information ServicesBA 3143
Fiscal SupportBA 3145
Grants Management UnitBA 3145
Victims of Domestic ViolenceBA 3181
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Helping People. It’s who we are and what we do. 4
Accomplishments• Juvenile Justice Reform
• Facilitated the establishment of a statewide risk and needs assessment for juvenile justice youth by the Juvenile Justice Oversight Commission
• Implemented a consistent data management system across juvenile justice agencies for better tracking of recidivism and other data analysis.
• System of Care• Ensured evidence and data-based decision making to improve
child and family outcomes and to provide transparency at all levels.
• Enhanced workforce development to provide ongoing training, technical assistance, and coaching to ensure providers are prepared to provide effective services and support.
• Victim Services Collaborative• Helped establish and lead the Nevada Victim Services
Collaborative to partner with other victim service funding agencies.
Helping People. It’s who we are and what we do.
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Summary of Agency OperationsThe Division of Child and Family Services (DCFS) is responsible for serving Nevada’s most vulnerable children and families, including direct services, general system planning, and oversight. A non-exhaustive list of DCFS’ program areas includes:
Community Services: DCFS provides services in all Nevada communities including rural child welfare services, youth parole services, early childhood services, outpatient therapy, wraparound case management, clinical and case management services, and mobile crisis response teams. Budgets include 3229 Rural Child Welfare; 3242 Child Welfare Trust; 3250 Transition from Foster Care; 3263 Youth Parole Services; 3281 Northern Nevada Child and Adolescent Services (NNCAS); and 3646 Southern Nevada Child and Adolescent Services (SNCAS).
Residential Services: DCFS operates 7 residential service facilities including 4 mental health facilities and 3 juvenile justice facilities. Budgets include 3148 Summit View Youth Center (SVYC); 3179 Caliente Youth Center (CYC); 3259 Nevada Youth Training Center (NYTC); 3281 NNCAS – AdolescentTreatment Center and Family Learning Homes; and 3646 SNCAS – Desert Willow Treatment Center andOasis.
Quality and Oversight: DCFS provides system planning and oversight for the Child Welfare, Juvenile Justice, and Children’s Mental Health Systems. Budgets include 1383 Community Juvenile Justice programs; 3145 Children, Youth and Family Administration; 3147 Youth Alternative Placement; 3141 Washoe County Child Welfare; 3142 Clark County Child Welfare; and 3251 Child Death Reviews.
Administrative Services: DCFS administrative services includes information systems, fiscal, and other support, including the DCFS Grants Management Unit. Budgets include 3143 Information Services; 3145 Children, Youth and Family Administration; and 3181 Victims of Domestic Violence.
Helping People. It’s who we are and what we do.
Agency Updates
• Specialized Foster Care• The Division and a workgroup crafted a proposed State Plan
Amendment to Medicaid. The proposal was not successful.• Contracted with an expert firm to assist with the development of
a 1915(c) Home and Community Based Services Medicaid waiver application for health services related to specialized foster care youth needs.
• Desert Willow Treatment Center• Evaluated the logistics of partnering with a community health
provider to utilize the available space in the facility.• Determination made to suspend the project and re-evaluate use of
the facility.
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Major Initiatives
• A total of 96 new positions across the three Juvenile Justice facilities to comply with Prison Rape Elimination Act (PREA) staffing ratios.
• Conversion of the division’s residential behavioral health treatment centers to Psychiatric Residential Treatment Facilities in order to enhance standard of care and bill for Medicaid under a daily bundled rate for services.
• Technology Investment Notification proposal to enhance the Child Welfare UNITY system to support secure bi-directional data exchanges with other external systems to comply with federal Comprehensive Child Welfare Information System (CCWIS) project requirements.
Helping People. It’s who we are and what we do.
DCFS Budgeted Funding Sources2018-19 and 2020-21 Biennium
Legislative Approved 2018‐2019 Biennium
$557,498,323
Other$88,020,277
16%
General Fund$265,778,022
48%
Federal$203,700,024
36%
Governor Recommends 2020‐2021 Biennium
$623,691,774
Other$90,932,246
15%
General Fund$290,301,667
46%
Federal$242,457,861
39%
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Adoption Subsidy Caseloads
4,8475,067
5,318 5,5765,829
1,379 1,466 1,566 1,649 1,718
482 492 501 509 520
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
2017
07
2017
09
2017
11
2018
01
2018
03
2018
05
2018
07
2018
09
2018
11
2019
01
2019
03
2019
05
2019
07
2019
09
2019
11
2020
01
2020
03
2020
05
2020
07
2020
09
2020
11
2021
01
2021
03
2021
05
Clark Washoe Rurals
Helping People. It’s who we are and what we do. 10
Foster Care Caseloads
1,3841,454 1,502 1,513 1,515
621 615 620 620 620
210 224 213 213 213
0200400
600800
1,0001,200
1,4001,600
Family Foster Care
Clark Washoe Rurals
331 345363 373 382
83 104 87 87 87
14 9 9 9 90
50100150200250300350400450
2017
07
2017
10
2018
01
2018
04
2018
07
2018
10
2019
01
2019
04
2019
07
2019
10
2020
01
2020
04
2020
07
2020
10
2021
01
2021
04Specialized Foster Care
Clark Washoe Rurals
15
44
33 32 3227
20
20 20 20
17
19
23 24 25
05
101520253035404550
2017
0720
1709
2017
1120
1801
2018
0320
1805
2018
0720
1809
2018
1120
1901
2019
0320
1905
2019
0720
1909
2019
1120
2001
2020
0320
2005
2020
0720
2009
2020
1120
2101
2021
0320
2105
Advanced Foster Care
Clark Washoe Rurals
Helping People. It’s who we are and what we do.
Average Average
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Children’s Mental Health Facility Populations
Facility NameFY 2018 FY 2019*
Oasis On Campus Homes 16 14
Desert Willow Treatment Center – Acute Services 4 5
Desert Willow Treatment Center – Residential Services 11 11
Adolescent Treatment Center 13 15
Family Learning Homes 15 9
Total Average Facility Population 59 54*Through November 2018
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Juvenile Justice Facility Populations
Facility Name Average AverageFY 2018 FY 2019*
Caliente Youth Center – Females 43 46
Caliente Youth Center – Males 76 64
Nevada Youth Training Center – Males 46 59
Summit View Youth Center – Males 34 41
Total Average Facility Population 199 210*Through November 2018
Helping People. It’s who we are and what we do.
Summary by Budget Account
Governor Recommends Budget (G01) Fiscal Year 2020 Fiscal Year 2021
409 Child and Family Services GeneralFund
FederalFunds Other Total General
FundFederalFunds Other Total
1383 Juvenile Justice Services 2,968,157 434,937 8,750 3,411,844 3,004,574 435,067 8,750 3,448,391 3141 Washoe County Child Welfare 17,834,542 19,025,256 133,987 36,993,785 18,022,803 19,385,112 133,987 37,541,902 3142 Clark County Child Welfare 53,981,447 58,183,731 9,774 112,174,952 54,627,891 59,475,999 9,774 114,113,664 3143 Information Services 4,635,608 3,364,861 462,052 8,462,521 4,645,530 3,381,949 460,923 8,488,402
3145Children, Youth and Family Administration 6,867,379 29,678,623 3,633,702 40,179,704 6,824,687 29,938,594 3,598,357 40,361,638
3147 Youth Alternative Placement 2,184,481 - 2,186,312 4,370,793 2,184,481 - 2,186,312 4,370,793 3148 Summit View Youth Center 7,113,064 - 69,940 7,183,004 7,734,588 69,940 7,804,528 3179 Caliente Youth Center 10,146,666 - 525,156 10,671,822 12,524,334 - 525,156 13,049,490 3181 Victims of Domestic Violence - - 3,236,683 3,236,683 - - 3,206,175 3,206,175 3201 Children's Trust Account - - 1,528,711 1,528,711 - - 1,616,349 1,616,349 3229 Rural Child Welfare 8,667,502 8,224,667 6,522,841 23,415,010 9,096,462 8,365,057 6,596,863 24,058,382 3242 Child Welfare Trust - - 263,560 263,560 - - 274,499 274,499 3250 Transition from Foster Care - - 1,582,219 1,582,219 - - 1,501,693 1,501,693 3251 Review of Death of Children - - 589,686 589,686 - - 588,902 588,902 3259 Nevada Youth Training Center 8,080,517 - 257,869 8,338,386 9,053,570 - 257,869 9,311,439 3263 Youth Parole Services 3,334,652 - 3,441,454 6,776,106 3,408,818 - 3,521,463 6,930,281
Northern NV Child and 3281 Adolescent Services 4,320,852 - 6,232,601 10,553,453 3,642,986 - 7,372,610 11,015,596
Southern NV Child and 3646 Adolescent Services 12,907,165 2,127,564 13,717,756 28,752,485 12,488,911 436,444 14,599,571 27,524,926
Child and Family Services Total 143,042,032 121,039,639 44,403,053 308,484,724 147,259,635 121,418,222 46,529,193 315,207,050
Biennial Tot al 290,301,667 242,457,861 90,932,246 623,691,774
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Summary of Major EnhancementsChild Welfare• Technology Investment Notification proposal to enhance the Child Welfare UNITY system to
support secure bi-directional data exchanges.• Addition of 5 FTEs to meet federal Program Improvement Plan requirements.• Addition of 5 FTEs to meet federal Commercial Sexual Exploitation of Children (CSEC) and
Comprehensive Addiction Recovery Act (CARA) requirements.• Addition of 5 FTEs to conduct licensing activities to approve relative and non-relative family
foster homes.• Increase in funding to support child care and respite services in order to provide temporary
relief for families caring for foster children.
Juvenile Justice• Addition of 96 FTEs across the three Juvenile Justice facilities to comply with Prison Rape
Elimination Act (PREA) staffing ratios.• Addition of 1 FTE for a new Criminal Investigator to conduct PREA investigations in the
three Juvenile Justice facilities.
Children’s Mental Health• Conversion of the division’s behavioral health treatment centers to psychiatric residential
treatment facilities in order to bill for Medicaid under a daily bundled rate for services.
Helping People. It’s who we are and what we do.
Position SummaryBudget
1383 - Juvenile Justice Services
Base
4
Maintenance
1
Enhancement
0
Total FTE
5
3143 - Information Services 45 0 3 48
3145 - Children, Youth and Family Administration
3148 - Summit View Youth Center
92.02
67
0
16
1
2
93.02
85
3179 - Caliente Youth Center 95 54 0 149
3229 - Rural Child Welfare 143 10 5 158
3259 - Nevada Youth Training Center
3263 - Youth Parole Services
81
46.51
26
0
0
0
107
46.51
3281 - Northern NV Child and Adolescent Services 105.53 0 7 112.53
3646 - Southern NV Child and Adolescent Services 283.59 0 -3 280.59
Total FTE 962.65 107 15 1,084.65
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Helping People. It’s who we are and what we do.
Bill Draft Requests
BDR # NRS Description Impact
19A4092104 432B.219 Under the Fostering Connections Approval of this bill will allow for Act, Pub. L. 110‐351 requires a General Fund adoption savings to title IV‐E agency to spend any be reinvested back into child savings generated from welfare services instead of implementing the revised reverting at fiscal year end. adoption assistance eligibility Impacts BA 3141, 3142 and 3229 criteria on child welfare services Base decision unit. that may be provided under titles IV‐B and IV‐E (section 473(a)(8) of the Act).
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• ACF Administration for Children and Families • JJ Juvenile Justice
• AFC Advanced Foster Care • KinGAP Kinship Guardianship Assistance Payment Program
• BST Basic Skills Training • MCRT Mobile Crisis Response Team
• CCDFS Clark County Department of Family Services • NCANS National Child Abuse and Neglect Data System
• CCWIS Comprehensive Child Welfare Information System • NNCAS Northern Nevada Child and Adolescent Services
• CDR Child Death Review • NYTC Nevada Youth Training Center
• CMH Children’s Mental Health • PEU Program Evaluation Unit
• CPS Child Protective Services • PREA Prison Rape Elimination Act
• CSG Council of State Government • SACWIS Statewide Automated Child Welfare Information System
• CW Child Welfare • SED Severe Emotional Disturbance
• CYC Caliente Youth Center • SFC Specialized Foster Care
• DAFS District Attorney Family Support • SNCAS Southern Nevada Child and Adolescent Services
• DCFS Division of Child and Family Services • SOC System of Care Grant
• DWTC Desert Willow Treatment Center • SVYC Summit View Youth Center
• EITS Enterprise Information Technology Services • TIN Technology Investment Notification
• FMAP Federal Medical Assistance Percentage • UNITY Unified Nevada Information Technology for Youth
• FPO Family Programs Office • VOCA Victims of Crime Act
• ICJ Interstate Compact for Juveniles • WCHSA Washoe County Human Services Agency
• ICPC Interstate Compact on the Placement of Children • WIN Wrap-around in Nevada
• IS Information Services • YP Youth Parole
Acronyms