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County reviews Daymark crisis case‑management program; board asks for budgets and geo‑mapped data before deciding on $139,000 carryover

2873172 · April 3, 2025
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Summary

Daymark representatives presented updated reporting on a partner‑funded crisis case‑management program embedded with DSS, schools and courts. The board asked for more granular data (geo‑mapping, placement preservation, budgets) before approving partner fund carryover of $139,000.

Representatives from Daymark (program provider) and county Department of Social Services staff updated the Davidson County Board of Commissioners on a partner‑funded crisis case‑management program at the April 3 meeting and requested direction on carrying over $139,000 in partner funds to continue the crisis position into the next fiscal year.

Daymark presenters said five case management positions have been filled and cross‑trained across schools, DSS, the jail/court and other county programs. Cheryl Salpom, introduced as Center Director of Outpatient Services, said the program has received 315 referrals since 2022 and that staff work with whole families, not just the identified child. "We hit the ground running, December 19. We got 5 referrals that day," a Daymark representative said, describing the crisis case manager who is on call 24/7.

Presenters gave a quarterly snapshot (Jan. 1–March 31): 87 families were served during the quarter; active caseloads reported were 8 active families for Lexington City Schools, 9 for Davidson County Schools, 0 for Thomasville City Schools, 33 active DSS cases, 26 court/jail cases and 50 active cases for the crisis position. Daymark staff said the crisis position averages about 4 after‑hours calls per week and cited examples in which crisis intervention preserved foster placements or avoided emergency involuntary commitments.

Commissioners pressed for clearer metrics and cost‑effectiveness evidence. Board members asked for geo‑mapping of service locations, breakdowns of how many families avoided placement or emergency hospitalization because of crisis interventions, and detailed budget figures for the program. "If we do that, we're going to have to redefine the intensity," one commissioner said; another asked Daymark to provide the total program budget so the board could evaluate carryover of partner funds.

Daymark and county staff said they will provide additional data and analysis to the board, including: geo‑mapped referrals, outcomes showing preserved placements or other downstream cost savings, the full annual program budgets for both the initial case‑management program and the crisis add‑on, and a proposal for continued partner funding. Commissioners did not vote on program continuation at the April 3 meeting but asked staff to return with the requested information for a decision before the partner's carryover deadline.