Public health agency for Snohomish County
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Children with Special Health Care Needs
Children with Special Health Care Needs (CSHCN) works to help children be as healthy as possible. CSHCN wants children to develop to their fullest potential. Public Health Nurses visit families and children with special needs.
What are the benefits of Children with Special Health Care Needs?
Public Health Nurses visit families to assess their child’s needs, refer to resources, talk with providers, and provide teaching and guidance to parents. Visits may be by telephone or in a family’s home.
Assessing child’s needs
With each visit, the child’s health and development and the parent’s care of the child are assessed. The child's highest priority needs are addressed first. Services are matched to the child's needs and the parent’s abilities.
Parents enrolled in the WorkFirst program that have a child with special needs may be referred by WorkFirst staff to a Public Health Nurse. The Nurse assesses how the child's condition impacts the parent's ability to work and recommends if a return to work is indicated. A plan is developed to ensure the family is engaged in activities leading to eventual economic self-sufficiency and to ensure the necessary support is in place to address the child's needs.
Education and counseling
Parents are taught how to help their child develop and assisted with recognizing infant cues and how to respond to the child’s distress. Families are helped to understand instructions for taking care of a special needs child at home. Options are explored and problem solutions developed with the family.
For a family who has a child with an elevated blood lead level, an interview, education, and periodic contact is continued until the blood lead level is below 10 mcg/dl.
Accessing healthcare
Public Health Nurses understand community resources and the health care system. They help a family connect to needed services for their child and coordinate appointments when the child has a number of doctors, specialty clinics, and different types of therapy.
Limited and restricted funding
Services, equipment, or supplies found to be medically necessary by the local Children with Special Health Care Needs Coordinator and not covered by any other sources may be eligible for funding through the Children with Special Health Care Needs program when funding is available and the family income is within certain limits.
Who qualifies for Children with Special Health Care Needs?
Children with Special Health Care Needs serves families that have a special needs child.
Children must be under age 18, live in Snohomish County, and have at least one of these conditions:
  • A serious problem in health or development
  • At risk for one of these problems
  • A serious issue in behavior or emotions
  • A need for health and related services more than those generally needed
For example, premature infants, a family that just learned their child has asthma or autism, and teens with diabetes may all receive Children with Special Health Care Needs services. Very often, a family needs help to understand the health care their child needs. A family new to the area, a family that does not speak English, and a first time parent may all benefit from Children with Special Health Care Needs services for their special needs child.
To qualify for the limited and restricted funding, the family must have a limited income. No income restriction for Public Health Nursing visits.
How do I apply for service?
Call 425.339.8652 to request CSHCN Services.
List of CSHCN Brochures
Child Health Notes
A newsletter for healthcare providers is mailed to Snohomish County providers 4 – 6 times each year in partnership with the Snohomish County Infant Toddler Early Intervention Program. Child Health Notes provide information for early identification and management of special health and developmental concerns. Formatted as a concise double-sided newsletter, each Child Health Note covers a specific topic and includes contact information for local, state, and national resources.
Issue No: 2013-08 (27.1.4)
Issue No: 2013-05 (27.1.4)
Issue No: 2011-03 (27.1.4)
Speech Disfluency and Stuttering in Early Childhood
Issue No: 2010-12 (27.1.4)
Collaboration with Public Schools for children over 3 years old
Issue No: 2010-08 (27.1.4)
Early Intervention Services
Issue No: 2010-05 (27.1.4)
Care Coordination For Children & Youth with Epilepsy
Issue No: 2010-03 (27.1.4)
Autism Spectrum Disorders: Early Identification
Issue No: 2009-12 (27.1.4)
Health Management of Children with Autism Spectrum Disorder
Issue No: 2009-10 (27.1.4)
Developmental Surveillance in Primary Care
Issue No: 2009-08 (27.1.4)
Adolescent Immunizations
Issue No: 2009-06 (27.1.4)
Early Hearing-Loss Detection, Diagnosis & Intervention
Issue No: 2009-04 (27.1.4)
Oral Health Tips for Parents - Ways Parents Can Protect Their Baby's Smile
Issue No: 2009-02 (27.1.4)
Decision Tree: Child with Special Needs Referral Process
Issue No: 2008-09 (27.1.4)
Issue No: 2008-07 (27.1.4)
A Tool for Youth Transition to Adult Health Care
Issue No: 2008-05 (27.1.4)
Expanded Newborn Screening in Washington State Updates for Your Practice
Issue No: 2008-03 (27.1.4)
Health Supervision for Children in Foster Care
Issue No: 2008-01 (27.1.4)
Tube Feeding
Issue No: 2007-10 (27.1.4)
Issue No: 2007-07 (27.1.4)
Oral Health
Issue No: 2007-04 (27.1.4)
Critical elements of care for Children with Special health care needs
Issue No: 2007-03 (27.1.4)
The Fathers Network
List of Resources:
  1. ARC of Snohomish County  web
    Advocates for persons with disabilities and their families. 425.258.2459 or 1.800.446.4980
  2. Camps for Children with Special Health Care Needs  web
    Washington summer camps and programs for children with special needs.
  3. Care Crisis Line  web
    24-hour telephone crisis intervention and information on mental health issues. 425.258.4357
  4. Division of Developmental Disabilities (DDD)  web
    All ages. Assists individuals with developmental disabilities and their families obtain services. 425.339.4833 or 1.800.788.2053
  5. Division of Special Education  web
    Policies and updated news regarding Washington State Division of Special Education
  6. Easter Seal Society  web
    Summer camps, respite and housing assistance 1.800.678.5708
  7. Family Village  web
    The Family Village is a web site for children and adults with disabilities, their families, and their friends and allies. Family Village brings together thousands of online resources in an organized, easy-to-use directory. The centerpiece of Family Village is the library, where visitors can find information on over 300 diagnosis. Visitors can also learn about assistive technology, legal rights and legislation, special education, leisure activities and much more.
  8. Fathers Network  web
    The Washington State Fathers Network (WSFN) advocates for and provides support and resources for all men and their families who have children with special needs.
  9. Infant Toddler Early Intervention Program  web
    Assists families with children birth to 3 years of age to access funds and coordinate services in Snohomish County. 425.388.7402 or 1.800.927.9308
  10. Insurance Commissioner Consumer Line  web
    Information regarding changing requirements for insurance. 1.800.562.6900
  11. Medical Home  web
    Offers you information, tools, and resources that support a medical home for children and youth with special health care needs and their families. A medical home is a team approach to providing comprehensive primary health care services in a high-quality and cost-effective manner.
  12. Parent to Parent  web
    The Parent-to-Parent program provides information and referrals to community resources, services, support groups, state support programs, and others as well as events and support groups to bring families together and gain relationships.
  13. Seattle Children’s Hospital  web
    Information for patients and families about the hospital and clinics, child health advice, newsletters, and events.
  14. Snohomish County Developmental Disabilities Resource Guide  web
    Provides information and education to Snohomish County residents with developmental disabilities and their families. 425.388.7320
  15. Special Needs Resource Project  web
    The Special Needs Resource Project web site provides a set of links for each state to help families become familiar with local resources. It also provides links to National Military and Native American resources, which help families and communities meet the needs of parents of children with chronic health issues, disabilities and special health care needs.
  16. Supplemental Security Income (SSI)  web
    SSI makes monthly payments to people with low income and limited resources who are 65 or older, or blind or disabled. Your child under age 18 can qualify if he or she meets Social Security's definition of disability for children, and if his or her income and resources fall within the eligibility limits.
  17. Volunteers of America (VOA)  web
    Provides telephone information about resources and services in Snohomish County. 425.259.3191
  18. Washington PAVE (Parents are Vital in Education)  web
    Washington PAVE is a parent directed organization that works with families, individuals with disabilities, professionals and community members in all walks of life and with all types of disabilities. Since 1979, PAVE has provided information, training and support for over 1,000,000 individuals with disabilities, parents and professionals.
  19. WithIn Reach  web
    Provides information on health-related issues for children including those with special health care needs. 1.800.322.2588

Last Reviewed and updated 3/28/2012