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NEVADAData Book 2017County, Regional, and State Profiles of Child and Youth Well-Being in Nevada

This Data Book is dedicated to the children of Nevada.Nevada KIDS COUNT thanks the following individuals and organizations fortheir assistance in providing key information for this publication:NEVADA DEPARTMENT OF EDUCATIONGunes Kaplan, Ph.D., Education Programs Professional, Assessment, ProgramAccountability & CurriculumNEVADA DEPARTMENT OF HEALTH AND HUMAN SERVICESDoug Banghart, RN, MSPH, Health Resource Analyst, Office of AnalyticsAlexia Benshoof, Management Analyst III, Division of Child and Family Services DCFS Data TeamLeslie Bittleston, MSQA, Juvenile Justice Chief, Juvenile Justice Programs OfficeLatisha Brown, MSW, Child Care Licensing Program Manager, Health Care Qualityand Compliance, Division of Public and Behavioral HealthEsmilsen (Millie) Cady, Social Services Specialist II, Nevada Department of Healthand Human Services, Division of Welfare and Supportive ServicesStephen Dotter, Management Analyst I, Data Team, Division of Child and FamilyServicesKatie Higday, Management Analyst, State Public Charter School AuthorityPandora Lewis, Social Services Program Specialist III, Child Care and DevelopmentProgram, Division of Welfare and Supportive ServicesAmy Lucas, Health Resource Analyst, Division of Public and Behavioral Health,Office of AnalyticsDanielle Loomis, Social Services Program Specialist III, Child Support EnforcementProgram, Division of Welfare and Supportive Service*Katherine Mayhew, Clinical Program Planner III, DCFS Planning and EvaluationUnit, Division of Child and Family ServicesRobert A. Moore, MIS, Management Analyst III, Supervisor, MMIS and MedicaidAnalytics, Nevada Division of Health Care Financing and Policy, Nevada MedicaidKyra Morgan, Chief Biostatistician, Nevada Division of Public and BehavioralHealth, Office of Public Health Informatics and EpidemiologyKelly Nichols, Management Analyst III, Coordinator of Research and Statistics,Division of Welfare & Supportive ServicesJoseph Rand, Health Resource Analyst, Division of Public and Behavioral Health,Office of Public Health Informatics and EpidemiologyJon Thomas, Clinical Program Manager I, DCFS Planning and Evaluation Unit,Division of Child and Family ServicesDanika Williams, MPH, HIV Surveillance Coordinator, Nevada Division of Publicand Behavioral Health, Office of Public Health Informatics and EpidemiologyPatti Oya, Head Start State Collaboration Office, Child Care Development, Welfareand Supportive ServicesOTHER CONTRIBUTORSPatrick Gavin, Executive Director, State Public Charter School AuthorityJeff Hardcastle, Nevada State Demographer, Nevada Department of TaxationJennifer Kimball, Data Query Specialist, Washoe County School DistrictTaylor Lensch, MPH, Graduate Research Assistant, School of Community HealthSciences, University of Nevada, RenoAlejandra C. Livingston, MS, MBA, Economist III, Research, Planning, & Statistics,Nevada Department of CorrectionsDanny Peltier, Management Analyst 1, State Public Charter School AuthoritySheila A. Salehian, Deputy Treasurer for Prepaid Tuition, 529 College Savings Plans& Financial Literacy, Office of State TreasurerWei Yang, MD, PhD, Professor of Epidemiology & Biostatistics School ofCommunity Health Sciences, Director, Nevada Center for Health StatisticsInformatics, University of Nevada, Reno*A special thanks to Danielle Loomis for her super-speedy response to our data request.

Nevada KIDS COUNT Data Book 2017Prepared by the Center for Business and Economic Research (CBER)Rennae Daneshvary, PhD, CBER associate director of research and administrationStephen M. Miller, PhD, CBER directorWith contribution from Hasara Rathnasekara and Nicolas Prada, CBER graduate assistantsThis research was funded in part by the Annie E. Casey Foundation. We thank them for their supportbut acknowledge that the findings and conclusions presented in this report are those of the authorsalone and do not necessarily reflect the opinions of the Foundation.Improving children’s well-being through research and service.Permission to reproduce and disseminate information is granted provided acknowledgement is given and thesource is cited as: Nevada KIDS COUNT Data Book 2017.The views expressed are those of the authors and do not necessarily represent those of the University ofNevada, Las Vegas or the Nevada System of Higher Education.Center for Business and Economic Research, UNLV http://cber.unlv.edui

Table of ContentsOverview of KIDS COUNTNevada Demographics13Health958Millennium Scholarship62High School Dropouts65Graduation67Special Education69Nevada and the United States10Special Populations71Low-Birthweight Babies11Head Start72Infant Mortality14School Discipline74Prenatal Care16Public Health Programs19Family and CommunityHealth Insurance23Immunizations25Mental Health26AIDS29Child Deaths31Teen Deaths33Economic Well-BeingiiCollege Entrance Examinations37Nevada and the United States38Poverty39Income41Unemployment of Parents42Child Care43Child Support48Education51Nevada and the United States52Formal Education System5377Nevada and the United States78Teen Births79Foster Care83Adoption87Safety and Risky Behaviors91Child Abuse and Neglect92Children of Incarcerated Parents97Juvenile Crime99Substance Use109STDs111Sexual Behaviors116Body Weight117119AppendixNevada County Data120Notes122Acknowledgements126Center for Business and Economic Research, UNLV http://cber.unlv.edu

Overview of KIDS COUNTWHAT is KIDS COUNT?KIDS COUNT, the well-known, well-respected project of the Annie E.Casey Foundation (AECF), tracks the well-being of children at both thenational and the state levels. All 50 states have a KIDS COUNT project,allowing for state-by-state comparisons of child well-being indicators. Projectsare also located in the District of Columbia, the Virgin Islands, and theCommonwealth of Puerto Rico.WHAT is the layout of the Nevada KIDS COUNT Data Book2017?This year’s Data Book, as in past years’ books, provides indicators reflectingcritical elements of child and youth well-being. The indicators are organizedas follows: Definition:Description of what the indicator is and what it measuresIn Nevada, the KIDS COUNT project primarily: Map:Rates or percentages presented for each county collects, analyzes, and distributes the best available data measuring theeducational, social, economic, and physical well-being of children andyouth in Nevada; Nevada:Most recent state data for each indicator Counties:Most recent county data where applicable educates and informs decision-makers, citizens, service providers,providers of funding, and community partners regarding data, policy,and resource analysis; provides linkages with community efforts to reach decision-makers withinformation concerning relevant issues for children and youth.HOW were the data indicators selected?Nevada KIDS COUNT selected indicators that were: relevant substantially researched regularly measuredWHAT is the Nevada KIDS COUNT Data Book 2017?This report, the ongoing effort of the Nevada KIDS COUNT project, providesa profile of the children and youth in our state.WHAT is the Center for Business and Economic Research(CBER)?The Center for Business and Economic Research (CBER) was establishedin 1975. CBER conducts applied research vital to business and government.CBER cooperates with partners to extend the benefits of the University ofNevada, Las Vegas’ research community throughout the state of Nevadaand the country. CBER’s relationship with KIDS COUNT began in 1996,when it began providing data for the Nevada KIDS COUNT Data Book. Since2000, CBER has published the Data Book.Center for Business and Economic Research, UNLV http://cber.unlv.edu representative of selected segments of children and youth available at the county level verifiable with reliable data sourcesWHAT are the limitations of the data?Data LimitationsBecause many Nevada counties have small populations, three-year averageswere calculated to stabilize and improve the usefulness of the birth and deathdata. Nonetheless, when a county has a small number of events, we do notreport the rates. Instead, we note NM Not Meaningful in a table; and rawdata are provided as appropriate in the appendix.Overview1

Overview of KIDS COUNTOur data providers may need time to compile and disseminate accurateinformation. Therefore, current-year data were sometimes not availablewhen this report was produced. Also, the sum of the county data maynot equal the state total due to rounding and/or missing data.WHAT is new in the Data Book?This year’s book features essays on what it takes to move Nevada tothe top ten states in child well-being. Several essays were written bymembers of the Nevada KIDS COUNT Executive Committee.The suppression criteria for the birth and death data have changedsince the last KIDS COUNT Data Book. Numbers are suppressed if thenumber is less than 5 and the difference between that and the totalnumber of events is less than 20. For example, the number of teendeaths would be suppressed if there were 3 teen deaths in a populationof 21 teens. This changed from 2016, when the average three-yearrates were suppressed for counties with fewer than 12 births or deathsor the age specific population was not met. For example child deathrates were suppressed for counties with fewer than 12 child deaths oran age specific population of less than 10,000.2OverviewCenter for Business and Economic Research, UNLV http://cber.unlv.edu