Maternal and Child Health

Family Health Survey / Encuesta de Salud Familiar

Children with Special Health Care Needs

The Children with Special Health Care Needs Program (CSHCN) serves children who have serious physical, behavioral or emotional conditions that require health and related services beyond those required by children generally. The mission of the CSHCN Program is to assure that children and youth with special health care needs achieve the healthiest life possible.

CSHCN Coordinators are public health nurses who can:

  • Help families access needed services for their child, such as medical care and other interventions.
  • Refer families to health insurance programs and information, both private insurance and the state funded Medicaid program.
  • Help families help each other though parent support organizations.
  • Help with concerns such as feeding, nutrition, growth, development and behavior.

There is no charge for consulting with a CSHCN Coordinator, regardless of family income.

Who Do We Serve?

  • Children birth to 18 years of age
  • who have, or are at risk of having, a serious physical, developmental, behavioral, or emotional condition;
  • who require health and related services of a type and amount beyond what is generally required;
  • who are residents of Washington State.
  • Youth ages 18 and older can get helpful information to make the transition to adult health care.

For more information, call (360) 740-1489 to leave a message for the CSHCN staff, or visit the Washington State Department of Health CSHCN website.

Work First Evaluations

The WorkFirst Evaluation program involves a Public Health Nurse evaluating children with special medical, developmental or behavioral problems. These evaluations are necessary to assist DSHS in determining the caregivers’ level of ability to take part in WorkFirst activities.

Our Services:

  • Initiate contact with the participant after receiving a referral by a DSHS WorkFirst Case Manager/Social Worker.
  • Conduct a skilled nursing evaluation of the special health care needs of the referred child, including medical, developmental, and/or behavioral needs.
  • Conduct follow-up evaluation of the child’s needs when authorized by DSHS.

For more information, call (360) 740-1224 and request to speak with Work First Evaluations staff.

Breastfeeding Coalition:

Welcome: The Breastfeeding Coalition of Lewis County is dedicated to create a culture that is supportive of breastfeeding in Lewis County.

Vision: Mothers are empowered to breastfeed in Lewis County.

Mission: To provide a strong unified voice to promote and support early and continued breastfeeding.


The Breastfeeding Coalition of Lewis County is comprised of members from various agencies and community members in Lewis County. Our coalition is committed to improve the health of Lewis County by working collaboratively to protect, promote, and support breastfeeding.

Nurse-Family Partnership

Nurse-Family Partnership is free for women who are pregnant with their first baby. When you enroll you will be connected to a registered nurse who will provide the support, advice and information you need to have a healthy pregnancy, a healthy baby and be a great mom.

Your nurse will support you to:

  • Have a healthy pregnancy and a healthy baby
  • Become the best mom you can be
  • Learn and practice things that make you more confident as a mom, like breastfeeding, nutrition, child development, safe-sleep techniques and much more
  • Get referrals for healthcare, childcare, job training and other support services available in your community
  • Continue your education, develop job skills or follow your dreams for the future.

Who can enroll in Nurse-Family Partnership? Any woman who:

  • Is pregnant with her first child
  • Is pregnant 28 weeks or less
  • Meets income requirements
  • Lives in an area where Nurse-Family Partnership is available

Interested or have a referral to make? Text 360-545-7979 or call 360-867-2545.