After an extensive investigation, the United States Department of Justice (DOJ)
concludes there is reasonable cause to believe that the State of Nevada violates Title II of the
Americans with Disabilities Act (ADA), 42 U.S.C. § 12132, by failing to provide services to
children with behavioral health disabilities1 in the most integrated settings appropriate to their
needs.

DOJ attorneys and expert consultants conducted an extensive review of documents, including individual treatment records of a sample of children
who had recently lived in residential treatment facilities. They conducted dozens of interviews of State officials and staff. They also spoke with community-based providers, county
officials, advocates, family members of Nevada children with behavioral health disabilities, and
children who had received services in institutional settings. Additionally, they conducted remote
and on-site visits to 12 facilities, including psychiatric hospitals, residential treatment facilities,
juvenile justice facilities, and a child welfare shelter.