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County reports 2025 spike in out-of-home and inpatient costs, cites high-acuity Mendota placements
Summary
Washington County’s Health and Human Services Committee learned that out-of-home care and inpatient hospitalization were the department’s largest budget drivers in 2025, with high-cost Mendota Mental Health placements and shelter-care changes cited as key causes of higher expenditures.
Presenter (Health and Human Services department) told the committee on Feb. 25 that out-of-home care and inpatient hospitalization were the department’s two biggest budget drivers for 2025 and that the county closed the year “in the black” though with slimmer margins than in prior years.
The report identified two main cost drivers. First, residential care daily rates have risen sharply since 2020 and the remaining placements tend to be the highest-acuity youth, which require more intensive—and more…
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