Average Median Costs of Adult Community Based Services

Adult DMH Services  (POS Only)	
Name	Enrollments	Avg Cost Per Client	
		DMH*	Non-DMH**	Total
Cost	
RESIDENTIAL~	7,480	$33,800	$4,300	$38,100	
CRS***	8,786	$3,700	$400	$4,100	
CLUBHOUSE****	4,122	$5,400	$400	$5,800	
PACT	935	$13,700	$3,100	$16,800	
RTC	227	$12,200	$300	$12,500	

^Average based on Median Cost for each group of contracts by Service.

~ Residential Cost Per Client figures are averages that incorporate Supported Housing and Group Home Services into a single Cost per Client Average.

Please note: that the Avg Cost Per Client for Supported Housing is substantially lower than for Group Home. (see below)

*POS Contracted Expenditures.

**Non-DMH Costs are estimates based on off-sets as reported in vendor UFR's and comprise client contributions for Adult Residential services and Mass Health/ Partnership dollars for CRS services.

***As of July 1, 2009, CRS, RTC and Residential will be combined into Community Based Flexible Supports (CBFS).

****Clubhouse enrollments only include DMH clients who receive services through a Clubhouse (non-DMH clients who receive services through a Clubhouse are not shown)

Cost Range of Residential Services

The Median Average Total Cost per Client from least intensive (supported housing) to most intensive (24/7 supervised living arrangement) = $19,000 to $60,000. The Mean Average provides a relatively close comparison with cost estimates ranging from $15,000 to $56,000, respectively

~ Est Total Avg Cost represents the DMH Cost Plus Non-DMH Cost (Using UFR Revenue Data)

State Operated Residential
 
Median Average Total Cost per Client for State Operated 24/7 supervised living arrangement residential service is approximately $80,000 (includes indirect cost estimate of 10%). The Mean Average cost estimate is $65,000. There is a greater difference between the measures of average due to the greater variance in average costs. 

DMH Inpatient Study Commission
6/24/09