ADSD Autism Treatment Assistance Program ATAP Brook Adie

ADSD Autism Treatment Assistance Program ATAP Brook Adie, LSW Social Services Program Specialist 3 Snapshot report through August 2014 prepared by Aging and Disability Services

200 40725 40756 40787 40817 40848 40878 40909 40940 40969 41000 41030 41061 41091 41122 41153 41183 41214 41244 41275 41306 41334 41365 41395 41426 41456 41487 41518 41548 41579 41609 41640 41671 41699 41730 41760 41791 41821 41852 41883 41913 41944 41974 42005 42036 42064 42095 42125 42156 Year to Date Actual & Projected Caseload Growth Total Active Cases 700 600 572 500 452 400 300 250 154 107 118 120 SFY 2012 130 134 132 136 SFY 2013 180 200 SFY 2014 SFY 2015 524 382 310 320 August 2014 134 100 0

Ju l Au -1 g- 1 Se 11 p. O 11 ct N -11 ov D -11 ec Ja 11 n. Fe 12 b M -12 ar Ap -12 r M -1 ay 2 Ju 12 n. Ju 12 l Au -1 g 2 Se -12 p. O 12 ct N -12 ov D -12 ec Ja 12 n. Fe 13 b M -13 ar Ap -13 r M -1 ay 3 Ju 13 n. Ju 13 l Au -1 g- 3 Se 13 p. O 13 ct N -13 ov D -13 ec Ja 13 n Fe -14 b M -14 ar Ap -14 r M -1 ay 4 Ju 14 n. Ju 14 l Au -1 g- 4 14 Referrals to date 60 20 10 New Applications 50 49 46 40 30 17 18 9 6 4 4 0 18 13 6 7 3 0 2 5 8 11 9 6 9 9 10 7 7 9 14 17 18 9 18 SFY 2012 SFY 2013 SFY 2014 SFY 12 Average 11 per month SFY 13 Average 8 per month SFY 14 Average 25 per month SFY 15 Average 37 per month so far… 43 45 38 43 28 31 9

us t 2 01 4 4 Au g 14 20 3 Ju ly Ju ne ay 6 M 14 20 14 0 ril 20 0 Ap h 14 14 2 ar c 20 20 3 M ar y ru Fe b nu ar y 13 2 20 13 13 20 20 4 Ja r be em D ec em be r ov N er ct ob O r be em pt Se Closures – past 12 months Closed Cases 14 12 12 10 8 6 5 2 2 1 2

ATAP � Wait Time ~ August 31, 2014 total children waiting * 236 average days waiting 70 0 ü 506 65 0 658 60 0 603 560 512 509 502 50 0 55 0 576 506 Jul-14 Aug-14 500 453 40 0 45 0 487 505 Aug-13 Sep-13 Oct-13 Nov-13 Dec-13 Jan-14 Feb-14 Mar-14 Apr-14 May-14 Jun-14

ADSD ~Developmental Services Michele Ferrall, M. Ed. , CPM Deputy Administrator Snapshot report through June 30, 2014 Prepared by Aging and Disability Services

Regional Centers � Number of Children Still Receiving Autism Services at a Regional Center ü Sierra Regional Center: Level 1 (ages 18 months to 5 years) = 0 Level 2 (ages 6 -8) = 2 Level 3 (ages 9 -10) = 4 ü Rural Regional Center: Level 1 (ages 18 months to 5 years) = 0 Level 2 (ages 6 -8) = 2 Level 3 (ages 9 -10) = 3 ü Desert Regional Center Level 1 (ages 18 months to 5 years) = 0 Level 2 (ages 6 -8) = 9 Level 3 (ages 9 -10) = 27

ADSD WAIVER WAITLIST DETAIL

ADSD ~Nevada Early Intervention Services Julie Kotchevar, MA Deputy Administrator Snapshot report through June 30, 2014 Prepared by Aging and Disability Services

NEIS: Summary of Screenings � Initial screeners completed: 430 � Screeners failed: 100 � Screeners Declined: 12 � Number of failed screeners by reason: � Global Delays: 27 � Another Diagnosis: 16 � Autism Concerns: 27 � Behavioral Concerns: 12 � Social/Emotional Concerns: 3 � Other: 15 ~Data includes July and August 2014

NEIS: Summary of Clinic Activity � 54 children currently undergoing assessment � 46 Children pending assessments, but have a scheduled appointment � 25 Children pending assessment, not yet scheduled � 16 Children have received a diagnosis year to date � 7 Families have declined the assessment � 10 Children were assessed but did not receive a diagnosis ~Data includes July and August 2014

NEIS: Current Status � Average at diagnosis: 28 months ◦ Down from 36 months in FY 13 and 30 months in FY 14 ◦ Ages ranged from 18 months to 42 months ◦ All children who meet criteria receive a medical diagnosis � 47 active children with autism

NEIS: Planned Changes � ESDM will be used for children with any behavioral concerns ◦ Families of children with more significant concerns will be offered additional focused parent training � Once a diagnosis of Autism occurs: ◦ Child is assigned a BCBA for development and implementation of a behavioral plan � Once they near Age 3 we work to transition to ATAP and/or Developmental Services

NEIS: Progress � Contracting staff to provide ESDM training to NEIS ◦ Trainings are for about 100 staff at a time and will be offered North/South and include community partners � Hiring more behavioral aids � Contracting with UNR to supplement current services with psychiatric fellows � Hiring more bachelor’s level behavioral consultants