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Care Coordination offered by Community Care Hubs
Helps families and individuals connect to available services such as housing, health insurance, child care, food assistance programs, and other kinds of services. Care coordinators work out of local hubs.
Helps families and individuals connect to available resources. Resources available include housing, health insurance, child care, food assistance programs, and other kinds of services. The services available differ by area.
Services are provided at eight regional hubs. Local care coordinators work with a person to help them apply for programs such as unemployment benefits, subsidized housing or child care, food assistance programs such as SNAP or WIC, Apple Health, and more.
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Severe Weather Shelter offered by Jesus Is God Church
OPEN THRU 02/24/26: Offers severe weather shelter for adults. Breakfast, lunch, dinner, and snacks on-site. Provides transportation to the shelter. Connects clients to additional services.
Offers cold weather shelter for up to 20 people. Breakfast, lunch, dinner, and snacks on-site. Services include: wraparound case management, housing navigation, job search, peer support, documentation support, help accessing medical care, help accessing mental health or substance use care, access to free hygiene items, access to free clothing items, rides/transportation to the site.
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Recovery Coaching offered at Advance - Moses Lake Office
Provides outreach and case management services for people with substance use disorders (SUD) in need of a connection with peers who have similar experiences and can meet clients where they're at to provide hope for a better life.
Provides outreach and case management services for people with substance use disorders (SUD) in need of a connection with peers who have similar experiences and can meet clients where they're at to provide hope for a better life.
All Recovery Outreach Specialists are trained Recovery Coaches and Certified Peer Counselors in long term recovery from SUD and/or have lived similar experiences, i.e., homelessness, incarceration, involvement with Department of Corrections or law enforcement, or close connection to SUD during their life.
The program is 100% voluntary--no one is forced to participate and everyone is welcome.
Staff make referrals to local resources and organizations to meet the individual needs of clients. May refer clients to SUD treatment for behavioral health services, but does not provide these services in house.
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Recovery Coaching offered at Advance - Omak Office
Provides outreach and case management services for people with substance use disorders (SUD) in need of a connection with peers who have similar experiences and can meet clients where they're at to provide hope for a better life.
Provides outreach and case management services for people with substance use disorders (SUD) in need of a connection with peers who have similar experiences and can meet clients where they're at to provide hope for a better life.
All Recovery Outreach Specialists are trained Recovery Coaches and Certified Peer Counselors in long term recovery from SUD and/or have lived similar experiences, i.e., homelessness, incarceration, involvement with Department of Corrections or law enforcement, or close connection to SUD during their life.
The program is 100% voluntary--no one is forced to participate and everyone is welcome.
Staff make referrals to local resources and organizations to meet the individual needs of clients. May refer clients to SUD treatment for behavioral health services, but does not provide these services in house.
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Housing Services offered at Blue Mountain Action Council
Administers the first point of entry for those who are currently homeless or at risk of becoming homeless to get assistance with their housing condition. Provides various programs, including the Coordinated Entry System.
Administers the first point of entry for those who are currently homeless or at risk of becoming homeless to get assistance with their housing condition. Provides various programs, including the Coordinated Entry System.
Services may include assistance finding housing, eviction prevention/rental assistance, rental deposit, transitional housing.
Offers a program for homeless youth ages 12-24, specially designed for youth between 12-24 who are homeless or at risk of becoming homeless. Legal assistance is also available.
Provides a standardized access, assessment, and referral process for housing and other services, such as case management, housing stability plan, legal assistance, and referrals to emergency or permanent housing. Placement in a program is dependent on funding and program availability.
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Care Coordination offered by Chinese Information and Service Center in Seattle
Helps individuals understand and access available community resources that might help them continue to live independently. Primarily serves non-English-speaking Chinese older adults. CLC referral only.
Provides short-term assistance with helping individuals understand the resources available in the community that might best address their needs, then helping the person in coordinating their services so they are able to continue to live independently. Case managers conduct interviews to assess the clients' needs, develop culturally appropriate care plans, work in coordination with home care and service providers and monitor client progress.
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Substance Use Disorder Treatment offered at Comprehensive Healthcare in Walla Walla
Offers the Youth and Family Tree Program, which provides treatment to youth aged between 12-25 years old who are using substances.
Provides a range of addiction and substance use disorder treatment services to support individuals and families to get on the road to recovery from substance use disorders. Includes assessments, DUI evaluations, co-occurring disorders treatment, prevention/education, and outpatient counseling.
Pasco and Walla Walla Offices offer the Youth and Family Tree Program, which provides treatment to youth aged between 12-25 years old who are using substances. Uses evidence -based practices to provide treatment and case management to youth and their families. Provides substance use disorder treatment through groups and individuals sessions, mental health treatment to those with co-occurring disorders. Also offers services to family members struggling with substance use.
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Central Intake/Assessment for Substance Use DisordersSubstance Use Disorder Treatment OrdersComprehensive Outpatient Substance Use Disorder TreatmentCase/Care ManagementGeneral Addictions/Substance Use Disorder Support GroupsGeneral Assessment for Substance Use DisordersSubstance Use Disorder Intervention ProgramsSubstance Use Disorder Counseling
Women's Health offered at CHAS Health's Valley Clinic
Provides comprehensive health care services for women at every stage of life. Offers contraception, cancer screening and STI testing/treatment. Treats menstrual disorders, and offers prenatal and post-partum care. Offers First Steps case management.
Provides comprehensive health care services for women at every stage of life.
Reproductive Healthcare Services
Offers contraception, breast, cervical and colon cancer screening, STI testing/treatment, and menopause hormone replacement therapy or symptom management.
Treats menstrual disorders (heavy periods, painful periods, irregular periods, abnormal uterine bleeding) and acute concerns of the breast or pelvic organs.
Pregnancy & Postpartum Care
Provides prenatal care with a team of Midwives and Family Practice providers. Services include routine prenatal visits, preparing for birth and staying up to date on important pregnancy immunizations, screenings and post-partum follow up.
First Steps
Helps meet the medical and social service needs of pregnant women covered by Medicaid. Registered nurses, registered dietitians, behavioral health specialists, community health workers, and infant case managers teach and support women throughout their pregnancy and up to two months post-partum.
Offers infant case management until the baby’s first birthday by providing parents with information and linkage to community resources such as medical, social, educational, and environmental services.
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Health Home offered at Rural Resources Community Action in Republic
Services support participants that have serious chronic health conditions and social service needs. Includes provider management, appointment assistance and connecting with community resources.
Services support participants that have serious chronic health conditions and social service needs. The program provides care coordination with medical and behavioral health as well as long term services and support through a person-centered action plan at no cost to the participant. Services include provider management, appointment assistance and connecting with community resources.
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Counseling offered at Vashon Youth & Family Services
Offers counseling and case management for Vashon youth, families, individuals and couples.
Offers counseling and case management for youth, families, individuals and couples.
Home visits/Telehealth available on a case-by-case basis. Crisis stabilization
Substance Use disorder treatment and counseling.
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Maternity Support Services offered at Sea Mar Community Health Centers in Yelm
Provides support and information related to prenatal and postpartum health including family planning, breastfeeding, and nutrition for women enrolled in Medicaid. Offers guidance in the care of the new infant through their first birthday.
Provides support and information related to prenatal and postpartum health. Offers support and brief counseling in order to prevent stress and depression. Provides information and referrals for appropriate services and resources in the community.
Provides information related to prenatal and postpartum care including:
- Family planning
- Breastfeeding
- Physical discomforts due to pregnancy
- Nutrition
Provides support and guidance in the care of the new infant from the time the baby is 2-3 months old through his or her first birthday.
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Financial Assistance offered at DSHS Community Services Office in Alderwood/Lynnwood
Provides financial assistance programs to low-income families, immigrants and refugees, pregnant women, and people who are aged, blind, or disabled. Programs include TANF/WorkFirst, AREN, Diversion Cash Assistance, Refugee Cash Assistance, and ABD.
Provides financial assistance to Washington residents in need who meet eligibility requirements.
Temporary Assistance for Needy Families (TANF/WorkFirst):
- Provides monthly cash grants and medical assistance to eligible low-income families with minor children in the home.
- Applicants attend a WorkFirst orientation and eligibility interview.
- Pregnant and parenting minors may be eligible for TANF benefits if they meet additional eligibility requirements, as determined by a DSHS social worker.
- Adults may also be eligible for WorkFirst support, which will pay for items clients must have in order to look for work, prepare for work or accept a better job.
- Assistance may include transportation, car repairs, interview and work clothes, licenses and tools and equipment.
- Assistance will be provided via vouchers or pre-paid merchant cards.
Aged Blind and Disabled (ABD):
- Provides financial assistance for people with a long-term or permanent disability, or who are blind, or who are age 65 or older and meet income and resource requirements.
Emergency Assistance:
- TANF, Workfirst, SFA and RCA clients may apply for supplemental financial assistance when faced with an emergency caused by circumstances out of their control.
- Funding may be approved for rent (EVICTION NOTICES); electric, gas, heating fuel, water/sewer or telephone utility shut-off notices; or deposit move-in costs for homeless individuals and families.
- Includes Additional Requirements for Emergent Needs (AREN). AREN payments may be made up to a maximum of $750 in a 12-month period.
- Also includes WorkFirst support services, which helps with rent, mortgage, taxes, insurance, utilities, moving costs, all housing-related fees, hookup fees, refundable and non-refundable deposits, and temporary housing for households participating in WorkFirst. Up to $5,000 is available in a 12-month period.
Pregnant Women's Assistance:
- Provides financial assistance for pregnant women who are not eligible for TANF but meet TANF income and resource requirements.
Diversion Cash Assistance (DCA):
- Provides a cash grant program designed to prevent households with children from having to enroll in public assistance, by assisting with living expenses for needs such as:
- Housing
- Transportation
- Child care
- Food and employment-related expenses.
Clients may be referred to DSHS non-cash programs such as food stamps.
Staff may also refer to other social service programs including domestic violence services, clothing banks, food pantries, etc.
Housing and Essential Needs (HEN):
- Provides housing and essential needs vouchers for adults who have a shorter-term disability and meet income and resource requirements.
Refugee Cash Assistance (RCA):
- Cash assistance is available to refugees with no minor children for the first eight months after their arrival.
- Refugees with minor children are likely eligible for TANF.
State Family Assistance:
- Cash assistance program established for legal immigrants with dependent children who are ineligible for TANF because of immigrant status.
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Heating Fuel Payment AssistanceRefugee/Entrant Cash AssistanceTANF ApplicationsRental Deposit AssistanceState Disability Insurance ApplicationsSewer Service Payment AssistanceGas Service Payment AssistanceWater Service Payment AssistanceTANF Appeals/ComplaintsCase/Care ManagementState Disability Insurance Appeals/ComplaintsCash Assistance Program for ImmigrantsRent Payment AssistanceElectric Service Payment Assistance
Family Support Worker Program offered by Seattle Public Schools No. 1
Offers support for at-risk Seattle School District elementary students and their families.
Provides case management, support, and access to social services, increases parental involvement in their children's education and improves the academic achievement of at-risk students.
Activities to accomplish the program goals vary from school to school, including parent education, family focused interventions, crisis support and referral to appropriate social service agencies.
Family support workers assist low-income families with referrals to medical and dental services.
Program available on-site at many elementary schools in Seattle Public Schools.
However, since not all schools have an on-site worker, Family Support Workers serve the remaining schools on an as needed basis.
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Social and Transition Support offered at Wallingford Community Senior Center
Provides social work appointments, resource navigation and referrals, Medicare advice, conversation and discussion groups, men's group and topical workshops.
Provides:
- Social work appointments
- Resource navigation and referrals
- Medicare advice
- Conversation and discussion groups
- Topical workshops
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Case Management offered by Health Care Authority's Recovery Navigators at Compass Health
Provides community-based outreach, intake, assessment, and connection to services and, as appropriate, long-term intensive case management and treatment and recovery support services. Serves adults and youth with substance use disorders.
Statewide program provides community-based outreach, intake, assessment, and connection to services and, as appropriate, long-term intensive case management and recovery coaching services. Recovery Navigator staff facilitate and coordinate connections to a broad range of community resources for youth and adults, including treatment and recovery support services.
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Children with Special Health Care Needs offered at Pacific County Public Health and Human Services Department Long Beach
Provides development and health status assessment, resource coordination, and referrals for children with special needs.
Provides development and health status assessment, resource coordination, and referrals for children with special needs.
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Women's Drop-In Center offered by Elizabeth Gregory Home
Provides a drop-in center for women ages 18 and older; no kids. Offers limited emergency food, breakfast & lunch, laundry, showers, hygiene kits, mailing address, voicemail, & light case management. Service animals may be allowed. Serves as a cooling center.
Provides a daily drop-in center for unhoused women and non-binary individuals; no children allowed. Offers the following services:
- Limited food to-go
- Breakfast, lunch and snack
- Computer use
- Recliner chairs for resting
- Phone available for use
- An address for receiving mail
- Job search assistance
- Resume writing support
- Laundry facilities
- Shower facilities with wheelchair accessibility, grab bars and a shower chair
- Emergency clothing
- Hygiene kits
Offers light case management services with information, referrals and advocacy for various needs.
Clients are welcome to stay at the day center all day or drop in to access specific services.
Food and snacks are available throughout the day, not only at mealtimes.
Interpreter services are available by advance request.
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Maternity Support Services offered by Answers Counseling Tacoma TG Campus
Provides services in the home, clinic, hospital, or community. Services include nursing, nutrition, counseling and unlimited basic needs, resources (housing, diapers, financial, medical, and more). Pierce County clients are typically connected to the MultiCare health system.
Program designed to help pregnant women receive the medical and social services they may need.
All pregnant women covered under Medicaid (WA Apple Health) are eligible for services.
Offers a team that helps advise and support mothers through their pregnancy. Team includes a:
- Registered Nurse
- Nutritionist
- Behavioral Health Specialist
- Community Health Worker
- an Infant Case Manager.
Services are provided wherever convenient for participants whether that be in home, clinic or in the community.
Services may include, but are not limited to:
- free pregnancy testing
- assistance in obtaining early and regular medical care
- assistance in applying for Medicaid Medical Insurance/Apple Health
- nursing information and education about pregnancy, labor and delivery
- diet and nutrition counseling
- information and education about baby care and parenting skills
- assistance in accessing dental and vision care
- childbirth education classes
- care seat safety and car seats
- family planning services
- assistance in obtaining paternity information
- assistance with housing
- transportation to all medical and dental appointments
- substance abuse counseling
- lactation, breastfeeding support and breast pumps
- free crib program
- perinatal, prenatal and postpartum anxiety/depression support and counseling.
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Financial Assistance offered by DSHS Community Services Office in King Eastside
Provides financial assistance programs to low-income families, immigrants and refugees, pregnant women, and people who are aged, blind, or disabled. Programs include TANF/WorkFirst, AREN, Diversion Cash Assistance, Refugee Cash Assistance, and ABD.
Provides financial assistance to Washington residents in need who meet eligibility requirements.
Temporary Assistance for Needy Families (TANF/WorkFirst):
- Provides monthly cash grants and medical assistance to eligible low-income families with minor children in the home.
- Applicants attend a WorkFirst orientation and eligibility interview.
- Pregnant and parenting minors may be eligible for TANF benefits if they meet additional eligibility requirements, as determined by a DSHS social worker.
- Adults may also be eligible for WorkFirst support, which will pay for items clients must have in order to look for work, prepare for work or accept a better job.
- Assistance may include transportation, car repairs, interview and work clothes, licenses and tools and equipment.
- Assistance will be provided via vouchers or pre-paid merchant cards.
Aged Blind and Disabled (ABD):
- Provides financial assistance for people with a long-term or permanent disability, or who are blind, or who are age 65 or older and meet income and resource requirements.
Emergency Assistance:
- TANF, Workfirst, SFA and RCA clients may apply for supplemental financial assistance when faced with an emergency caused by circumstances out of their control.
- Funding may be approved for rent (EVICTION NOTICES); electric, gas, heating fuel, water/sewer or telephone utility shut-off notices; or deposit move-in costs for homeless individuals and families.
- Includes Additional Requirements for Emergent Needs (AREN). AREN payments may be made up to a maximum of $750 in a 12-month period.
- Also includes WorkFirst support services, which helps with rent, mortgage, taxes, insurance, utilities, moving costs, all housing-related fees, hookup fees, refundable and non-refundable deposits, and temporary housing for households participating in WorkFirst. Up to $5,000 is available in a 12-month period.
Pregnant Women's Assistance:
- Provides financial assistance for pregnant women who are not eligible for TANF but meet TANF income and resource requirements.
Diversion Cash Assistance (DCA):
- Provides a cash grant program designed to prevent households with children from having to enroll in public assistance, by assisting with living expenses for needs such as:
- Housing
- Transportation
- Child care
- Food and employment-related expenses.
Clients may be referred to DSHS non-cash programs such as food stamps.
Staff may also refer to other social service programs including domestic violence services, clothing banks, food pantries, etc.
Housing and Essential Needs (HEN):
- Provides housing and essential needs vouchers for adults who have a shorter-term disability and meet income and resource requirements.
Refugee Cash Assistance (RCA):
- Cash assistance is available to refugees with no minor children for the first eight months after their arrival.
- Refugees with minor children are likely eligible for TANF.
State Family Assistance:
- Cash assistance program established for legal immigrants with dependent children who are ineligible for TANF because of immigrant status.
What's Here
TANF Appeals/ComplaintsRefugee/Entrant Cash AssistanceRent Payment AssistanceState Disability Insurance ApplicationsElectric Service Payment AssistanceHeating Fuel Payment AssistanceState Disability Insurance Appeals/ComplaintsRental Deposit AssistanceSewer Service Payment AssistanceCase/Care ManagementTANF ApplicationsWater Service Payment AssistanceCash Assistance Program for ImmigrantsGas Service Payment Assistance
Care Coordination offered by Catholic Community Services' African American Elders Program
Helps individuals understand and access available community resources that might help them continue to live independently. Serves low-income African-American adults age 60+ and 18+ with a disability. CLC referral only.
Provides short-term assistance with helping individuals understand the resources available in the community that might best address their needs, then helping the person in coordinating their services so they are able to continue to live independently.
Staff ask questions to develop specific goals to create a plan and partners with clients to implement the plan.
Clients are seen in their own homes.
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Family Wellness Support Services offered by International Rescue Committee in Seattle
Provides case management services for refugee and immigrant individuals and families in crisis, particular those experiencing domestic abuse/conflict.
Provides case management services for refugee and immigrant individuals and families in crisis, particular those experiencing domestic abuse/conflict.
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Case Management offered at Aging and Disability Resource Center in Ellensburg
Provides case management and assistance for adults who would require Medicaid services in a nursing facility.
Provides case management for adults and assists with enrollment into Community First Choice, which offers in-home care, assistance with essential household tasks, adult family home care, assisted living, and congregate care. This is for adults who would require Medicaid services in a nursing facility.
Services include the following:
- In-home Personal Care: Provides assistance with activities, such as: housework, laundry, meal preparation, eating, shopping, bathing, dressing, transfer assistance, ambulation, self-medication, transportation and escort, and skin, hair and nail care.
- Health Care Services: Care is provided by licensed health care professionals. Medical care must be prescribed by a physician.
- Personal Emergency Response System: Offers emergency help to assist seniors and others with remaining independent in their own homes. By pressing a button worn as a pendant or wristband or connected to one's home phone, medical help can be summoned immediately.
- Assistive Technology
- Personal Care/Relief Care
- Comprehensive Options Counseling for Long Term Care Planning
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Infant Case Management offered by Answers Counseling in Whatcom
Provides outreach case management services until baby is one year of age. Referrals, linkages & warm hand off to numerous resources and basic needs.
Provides case management services from the baby's 3rd month to one year.
Services include resources for daycare, housing, financial assistance, transportation, medical, dental, counseling, employment, education, advocacy, legal issues, WIC and parenting classes.
Also includes referral, linkage, and warm hand-off to many community agencies and resources.
May also provide information on Safe Sleep and access to cribs to those receiving services.
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Case Management offered by Health Care Authority's Recovery Navigators at Northeast Washington Alliance Behavioral Health
Provides community-based outreach, intake, assessment, and connection to services and, as appropriate, long-term intensive case management and treatment and recovery support services. Serves adults and youth with substance use disorders.
Statewide program provides community-based outreach, intake, assessment, and connection to services and, as appropriate, long-term intensive case management and recovery coaching services. Recovery Navigator staff facilitate and coordinate connections to a broad range of community resources for youth and adults, including treatment and recovery support services.
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Parent Child Assistance Program (PCAP) offered at Triumph on Summitview
Provides a 3-year, intensive, home visitation program for mothers who experienced substance use disorder during pregnancy. Helps mothers access services, achieve and maintain recovery, and create a healthy family environment.
Provides a 3-year, intensive, home visitation program for mothers who experienced substance use disorder during pregnancy. PCAP helps mothers access services, achieve and maintain recovery, and create a healthy family environment.
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