Skamania County offers fitness classes and sports including Traditional Shotokan Karate, Tae Kwon Do, Tai Chi-Yang, pickle ball, and basketball. Youth Enrichment programs are also available.

Primary care clinics provide   -  Preventive health care -  Family medicine -  Geriatrics -  Internal medicine -  Lab -  Pediatrics -  General primary health services -  Women's health care

Approved to provide medical exams, vaccinations and health screening required for immigrants who are applying for permanent residency or visas. Included are a general physical examination, a tuberculin skin test (for all persons age two and older), blood tests for HIV and syphilis, and routine immunizations such as chickenpox (varicella), MMR (measles, mumps and rubella), and tetanus-diphtheria (Td).   A pediatric examination of children ages 14 and younger requires a physical examination, a TB skin test and a review and update of routine pediatric immunizations, but no blood tests necessary.

Provides support and information to families of children with disabilities and/or special health care needs. Services offered: public awareness and outreach to the community regarding people, emotional support, information about school and transition services, social and recreational events, quarterly newsletter, lending library, assistance accessing DDA, SSI and more.

Public Health Nurse available to answer health questions via phone. Health questions can be asked by calling the Health Department directly and requesting to speak to a Public Health Nurse.

Offers instant drug testing with results within hours for negative results. .  Offers reduced costs due to having our own testing labs and Medical Review Officers, Non-negative results are lab verified within 2-3 business days, FDA approved, 5 and 10-panel tests offered, Federally mandated testing, and breath alcohol testing. Also offers DOT testing.   Rapid results - within hours for negative results, all non-negative results are laboratory verified at no additional cost within 2-3 working days, proven laboratory accuracy, FDA approved, specimen collection, drug test and medical review of positive laboratory results all included, certified National MROs available   5 PANEL TEST  Cocaine Metabolites  Marijuana Metabolites  Phencyclidine (PCP, "Angel Dust")  Amphetamines, Methamphetamines ("Speed")  Opiates (Codeine, Morphine, Heroin)   10 PANEL TEST (5 panel test +)  Barbiturates  Benzodiazepines  Propoxyphene  Oxycodone  MDMA (Ecstasy)

Provides on-demand point to point public transportation services in the recreations zones along Highway 16 in the Gig Harbor Community, generally between the Purdy Park and Ride and the Kimball Park and Ride. Uses vans that can accommodate wheelchairs and bicycles so the service is easy for anyone to use. Vehicles pick up and drop off anywhere a car can go, including parking lots and pull-outs along. Designated pick-up and drop off areas are also available. Service animals are welcome, but pets cannot be accommodated. This is a pilot project and service may be limited especially at peak times and when events are happening in the zone. Does not operate on some federal holidays.

Provides courses designed to learn English, improve basic reading, writing, math, college prep, job skills or earn a high school diploma or GED.

Provides integrated mental health and substance use services in an outpatient setting. Services include psychiatric diagnostic assessment and evaluation, medication management, brief therapy, group treatment, case management, peer support services, integrated medical services, supported employment, supportive housing, geriatric psychiatry services, dialectical behavioral therapy, and specialized treatment of early psychosis. Our dedicated staff includes board-certified psychiatrists, psychiatric residents, primary care providers, nurses, case managers, peer support specialists, master’s level therapists and substance use disorder professionals. In person and telehealth offered

Provides public education for children in K-5th grades.

Wraparound Intensive Services (WISe) provides comprehensive behavioral health services and support to Medicaid-eligible individuals up to 21 years of age and their families. These services are for youth with complex behavioral health needs. The goal is to help eligible youth stay and thrive in their homes and communities, while avoiding or reducing costly and disruptive out-of-home placement.

Offers mental health and substance use disorder services including Brief Intervention Treatment, individual and group therapy, psychiatric medication and Suboxone and Vivitrol maintenance programs.  Alcohol & Drug Information School State-approved instruction fulfills legal requirements for individuals court-referred to attend an Alcohol Drug Information School (ADIS). The educational, 8-hour course provides students with valuable information about alcohol and other drugs. The course is designed to enhance responsible decision-making with regards to alcohol and other drug use. Students are encouraged to explore the effects of alcohol and other drug use on themselves, their families and their world.   DUI Evaluations Provides a court-ordered assessment of individuals who have been convicted of driving under the influence of drugs and/or alcohol to evaluate the severity of their problem and make a recommendation to the court regarding appropriate treatment.   Outpatient Treatment Provides outpatient substance use disorder services that usually requires fewer than nine hours per week of attendance, which may include individual and group counseling, 12-step meetings, social and recreational activities, educational and vocational services, life skills training, primary health care, perinatal health care, a program for family members, relapse prevention services, a continuing care program and supportive services (such as child care, transportation and parenting skills development). Length of service can be anywhere between six months to two years depending on the needs of the individual and/or court order.   Intensive Outpatient Treatment   Provides outpatient substance use disorder services that usually requires 9-20 hours per week of attendance, which may include individual and group counseling, 12-step meetings, social and recreational activities, educational and vocational services, life skills training, primary health care, perinatal health care, a program for family members, relapse prevention services, a continuing care program and supportive services (such as child care, transportation and parenting skills development).   Agency provides DBHR-certified service(s).

Provides residential integrated substance use disorder and mental health treatment for pregnant and post-partum women (PPW), including a Therapeutic Childcare program which places focus on the reunification and relationships between mothers and children. The program duration is typically six months, and mental health services, primary care, and medication management are also provided as a part of the program.

Provides 38 beds for older adults experiencing a mental health condition. Services are provided in two separate units, one for emotional wellness for adults age 50 and older, and a memory wellness unit for adults age 60 and older. Physicians are also able to treat medical conditions as necessary. Provides counseling, medication management, personalized rehabilitation, and therapeutic group activities.  

Providing back-to-school backpacks with plenty of school supplies and snacks for students in need.

Provides clothing for mothers and infants, infant furniture, and diapers.

Provides employment and adult education services to connect community members with meaningful employment at livable wages and other opportunities to build critical skills. Employment case managers and economic empowerment coaches help set goals and viable steps to achieve them. Partners with local community colleges and other partners to connect individuals to vocational training, internship programs, and help with job placement.

Provides a nationwide drug discount savings card to participating pharmacies.

Provides mental health services for children, adolescents, adults, and seniors, including individual, family, and group counseling. Care Teams help clients with the full range of mental health and substance use disorder issues, including depression, anxiety, bipolar disorder, PTSD, personality disorders, substance use disorders, ADHD, schizophrenia, disruptive behavior disorders, and autism spectrum disorders. Services may include crisis intervention, psychiatric evaluation, case management, therapy, peer support, medication management, and more. New Journeys Provides comprehensive treatment to individuals who are experiencing a first episode of psychosis.

Offers intensive mental health care and team-based case management for youth with complex needs and their families. Looks for community-based options to support multi-system-involved children and youth. Staff members trained in team facilitation meet with a family, listen to their story, help the youth build a team of natural and formal supports, and guide this team through the wraparound process. Team members include natural supports (such as family, friends, and religious leaders) and the professionals who work with the family (such as counselors, schools, Child Protective Services and probation officers).

Investigates and enforces violations to Shoreline's Municipal Code. Complaints include -  Graffiti -  Accumulation of refuse, trash, junk, and debris   -  Inoperative, abandoned, vehicles on private property -  Conditions of an existing structure that constitutes a clear and present danger to the public   -  Building Code violations (building, plumbing, electrical, mechanical, etc. ), including construction or change of occupants without the required permits   -  Minimal standards for safe, sanitary and habitable housing   -  Violations for structures (such as use and building without permits), and land use requirements   -  Signs, including signs in the public right of way, failure to have required permits, illegal inflatable displays, balloons and pennants, advertisement flyers and portable A-Boards   -  Illegal dumping of oils and other hazardous materials into storm drains   -  Encroachments in the public right of way (basketball goals, skateboard ramps)   -  Overgrown foliage blocking stop signs, impeding sight of driveways or making corners dangerous -  Zoning or occupancy issues   -  Business License and home occupation issues   Cannot take action on behalf of one behalf of one citizen against another. Also cannot enforce a neighborhood homeowners association covenants, codes and or restrictions.

Provides general information and referral focusing on the Asian American and Pacific Islander community for: -- Elder issues -- Family resources -- Mental health resources -- Vocational program information -- Health resources -- Legal issues -- Financial resources

Provides fire and emergency medical services to the communities of Kingston, Suquamish, Miller Bay, Indianola and Hansville. Also performs bike helmet and life jacket fittings, smoke alarm installations, some commercial building inspections, child car seat checks, CPR/First Aid training and blood pressure checks.

Helps low-income Medicare recipients pay for their Medicare Part A and Part B premiums. Pays the co-payments and deductibles as well for very low-income Medicare beneficiaries.

Provides rental assistance (when funding is available) to single adults with developmental disabilities as well as families of individuals (whose children adult or otherwise reside in the home) with developmental disabilities.