Delivers meals to the homes of homebound elderly and disabled persons throughout the greater Spokane Valley area during the work week. Frozen meals are provided for the weekends and liquid nutrition is also available.

Adult Protective Services (APS) investigates reports of abandonment, abuse, financial exploitation, neglect and self-neglect of vulnerable adults, and provides protective services to those residing in their own homes or in facilities. Services are voluntary and require client consent. Services or referrals may include connecting individuals to other DSHS programs, assistance with locating medical care, long term care services, legal services and other community resources. APS coordinates during investigations with other agencies such as law enforcement, mental health, prosecuting attorneys, case managers and medical professionals.

Offers outreach, biopsychosocial needs assessment, and tailored referrals to support services for older adults who may be at risk due to behavioral health issues. Does not provide emergency services or crisis response. Please consider eligibility carefully before giving out contact info and note that the program preference is to take referrals from professional providers (e.g., primary care or social services) or those directly involved in assisting an at-risk elder (e.g., caregiver or family member).

Maintains records of births, deaths, marriages and divorces in Washington state.   Birth certificate records are held from July 1, 1907, to the present. Death certificates are held from July 1, 1907, to three months before the present.   Marriage certificates are held from Jan 1, 1968, to four months before the present. Divorce certificates are held from Jan 1, 1968, to four months before the present.   For certificates outside of these dates, contact local county auditors or health departments.

Offers intensive inpatient and a recovery house with substance use disorder and co-occurring capable behavioral services in a live-in residential setting. Separate facilities for men and women. Provides Native American support services as well as outreach for homeless individuals with chronic substance abuse and mental health disorders to assist with moving toward stabilization. Clients must bring their suboxone prescription with them. Agency provides DBHR-certified services.

Provides opioid dependency, MAT services, client assistance in navigating multiple levels of treatment. Includes medication management, counseling, mental health therapy, and in-patient treatment. Accepts Medicaid and Medicare.

Provides long-term rental assistance to eligible individuals in Okanogan County who have behavioral health needs and are homeless or at risk of homelessness. The program supports housing stability through rental subsidies paired with ongoing case management and support services. Participants must engage in behavioral health treatment and work with a care team. Services are intended to help clients avoid institutionalization, reduce crisis service use, and maintain stable housing.

Offers childcare and pre-school for children 1 month to 6 years of age.

Emergency Medical Services (EMS) comprises the majority of total call activity for the Spokane Fire Department. EMS care ranges from minor injury and calls for welfare assistance to immediate medical intervention of life-threatening situations. To provide the best emergency care service possible, all Spokane Fire Department uniformed staff are trained Emergency Medical Technicians or paramedics. All 16 stations are staffed with at least one paramedic 24/7.

Manages state assistance programs that help participants pay for attendant care and non-care related assistance services designed to help older adults and people with disabilities remain independent.   Assistance may be provided in any of three settings:   -  Participant's home   -  Assisted living facility -  Adult family home   Community First Choice -  Provides attendant care and non-care related assistance services to older adults who would otherwise require nursing home placement    -  Program participants can choose from whom they receive care services, including hiring family members as care providers     Community Options Program Entry System (COPES) -  Generally provided to clients who are also enrolled in Community First Choice   Medicaid Personal Care -  Provides personal care services for clients who do not require nursing-home-level care   Program of All-Inclusive Care for the Elderly (PACE) -  Offers all services through one provider.   -  PACE can be funded either through Medicaid, Medicare or private-pay.     New Freedom -  Participants manage their own service plan and budget and take primary responsibility for obtaining services.   Medicaid Transformation Demonstration Medicaid Alternative Care (MAC) - Supports unpaid caregivers of Medicaid recipients over the age of 55 Targeted Supports for Older Adults (TSOA) - Supports older adults over the age of 55 who do not receive Medicaid  Participants enrolled in one of the in-home care programs may also qualify for other forms of support including assistive technology and personal emergency response systems.

Allows people with disabilities who are working to purchase medical coverage by paying a monthly premium that is based on their income. Benefits include: -  Medicaid benefit package, including Medicaid personal care services -  Greater personal and financial independence -  Members can earn and save more without the risk of losing their healthcare coverage

Manages state assistance programs that help participants pay for attendant care and non-care related assistance services designed to help older adults and people with disabilities remain independent.   Assistance may be provided in any of three settings:   -  Participant's home   -  Assisted living facility -  Adult family home   Community First Choice -  Provides attendant care and non-care related assistance services to older adults who would otherwise require nursing home placement    -  Program participants can choose from whom they receive care services, including hiring family members as care providers     Community Options Program Entry System (COPES) -  Generally provided to clients who are also enrolled in Community First Choice   Medicaid Personal Care -  Provides personal care services for clients who do not require nursing-home-level care   Program of All-Inclusive Care for the Elderly (PACE) -  Offers all services through one provider.   -  PACE can be funded either through Medicaid, Medicare or private-pay.     New Freedom -  Participants manage their own service plan and budget and take primary responsibility for obtaining services.   Medicaid Transformation Demonstration Medicaid Alternative Care (MAC) - Supports unpaid caregivers of Medicaid recipients over the age of 55 Targeted Supports for Older Adults (TSOA) - Supports older adults over the age of 55 who do not receive Medicaid  Participants enrolled in one of the in-home care programs may also qualify for other forms of support including assistive technology and personal emergency response systems.

Investigates workplace complaints related to the following issues: - Wages, including minimum wage rules, overtime and tips - Workplace policies such as breaks, termination, personnel records and non-compete agreements - Leave policies such as sick leave, vacation leave and bereavement leave. - Safety complaints - Workplace discrimination if it relates to safety and health Enforces Washington state labor laws. It is against the law for a business to fire or otherwise retaliate against a worker for filing a complaint about a possible violation of their workplace rights. Interpreter services are available upon request with one day notice.

Provides one-time emergency assistance funds for undocumented immigrants in Benton-Franklin Counties who are dealing with emergencies, like severe illness, loss of a job, accidents, etc., and because of their legal status, do not qualify for other state or federal programs. If applicant is approved, a check in the amount of $250-$400 will be mailed.

Offers an online volunteer matching system, providing access to hundreds of volunteer opportunities. Manages other community initiatives and group projects for corporate partners.

Maintains a list of healthcare practitioners allowed to authorize marijuana for medicinal purposes. Additionally, maintains a list of marijuana retail stores that are medically endorsed to accept medical marijuana patients. Medically-endorsed retail stores will have a certified consultant on staff who can assist with the registration process and product selection. Patients with medical marijuana cards can - Purchase products sales tax free - Possess up to three times the current limit from any medically-endorsed retail store - Buy high-THC compliant products from a medically-endorsed retail store, where available

Provides a subsidized housing list of available units.

Provides through a partnership with City of Seattle- toilets and hand washing station at six Seattle locations for those experiencing homelessness. Daily maintenance will be provided including sharps disposal, waste removal and supplemental cleaning. Locations include: - City Hall Park - Lake City Community Center - Jefferson Park - Westcrest Park - Cal Anderson Park - Benvenuto Viewpoint

Manages state assistance programs that help participants pay for attendant care and non-care related assistance services designed to help older adults and people with disabilities remain independent.   Assistance may be provided in any of three settings:   -  Participant's home   -  Assisted living facility -  Adult family home   Community First Choice -  Provides attendant care and non-care related assistance services to older adults who would otherwise require nursing home placement    -  Program participants can choose from whom they receive care services, including hiring family members as care providers     Community Options Program Entry System (COPES) -  Generally provided to clients who are also enrolled in Community First Choice   Medicaid Personal Care -  Provides personal care services for clients who do not require nursing-home-level care   Program of All-Inclusive Care for the Elderly (PACE) -  Offers all services through one provider.   -  PACE can be funded either through Medicaid, Medicare or private-pay.     New Freedom -  Participants manage their own service plan and budget and take primary responsibility for obtaining services.   Medicaid Transformation Demonstration Medicaid Alternative Care (MAC) - Supports unpaid caregivers of Medicaid recipients over the age of 55 Targeted Supports for Older Adults (TSOA) - Supports older adults over the age of 55 who do not receive Medicaid  Participants enrolled in one of the in-home care programs may also qualify for other forms of support including assistive technology and personal emergency response systems.

Manages state assistance programs that help participants pay for attendant care and non-care related assistance services designed to help older adults and people with disabilities remain independent.   Assistance may be provided in any of three settings:   -  Participant's home   -  Assisted living facility -  Adult family home   Community First Choice -  Provides attendant care and non-care related assistance services to older adults who would otherwise require nursing home placement    -  Program participants can choose from whom they receive care services, including hiring family members as care providers     Community Options Program Entry System (COPES) -  Generally provided to clients who are also enrolled in Community First Choice   Medicaid Personal Care -  Provides personal care services for clients who do not require nursing-home-level care   Program of All-Inclusive Care for the Elderly (PACE) -  Offers all services through one provider.   -  PACE can be funded either through Medicaid, Medicare or private-pay.     New Freedom -  Participants manage their own service plan and budget and take primary responsibility for obtaining services.   Medicaid Transformation Demonstration Medicaid Alternative Care (MAC) - Supports unpaid caregivers of Medicaid recipients over the age of 55 Targeted Supports for Older Adults (TSOA) - Supports older adults over the age of 55 who do not receive Medicaid  Participants enrolled in one of the in-home care programs may also qualify for other forms of support including assistive technology and personal emergency response systems.

Provides free, unbiased and confidential help with Medicare and health care choices through bilingual staff and SHIBA volunteers. - Assesses client’s health care coverage needs - Determines general eligibility for health care coverage programs - Evaluate and compare Medicare plans - Assists with Medicare enrollment. Collects and report potential Medicare fraud complaints, ensuring that Medicare beneficiaries are protected from fraudulent activities related to Medicare.

Staff is available by phone 24 hours a day to assist parents who are feeling overwhelmed or stressed out.

Offers free 24-hour access to Washington 211's online database of social and human service agencies.   Online database features links to information and referrals for the following categories and more:   -  Disabilities -  Domestic Violence -  Education and Employment -  Financial Assistance, Information, and Education -  Food and Clothing -  Health and Dental Care -  Housing and Shelter -  Mental Health -  Older Adults -  Substance Use Disorder -  Transportation -  Veterans   The online database is a modified version of the in-house database used by Washington 211.

Offers year-round programs for girls and boys including positive peer groups, leadership opportunities and skill and self-esteem building. Programs are offered at numerous sites throughout Seattle and King, Kitsap and North Mason counties.

SFD serves the City of Spokane via 16 fire stations strategically located throughout the city.