Children and Youth with Special Health Care Needs (CYSHCN)


Klickitat County Public Health supports families with children and youth with special health care needs. All children who are at risk or have health and/or developmental problems are eligible. The program promotes an integrated system of services for infants, children and youth up to age 18 years who have or are at risk for chronic physical, developmental, behavioral, or emotional conditions and require health and related services of a type or amount beyond what is generally needed.

A Nurse Care Coordinator will:

  • Refer you to local resources for early intervention services – physical, occupational and speech therapy, and pre-school.
  • Assist with specific areas of concern, such as nutrition, feeding, growth, development and behaviors issues.
  • Provide referrals to parent support organizations.

Examples of a few conditions’ children may have: Asthma, autism spectrum disorder, cerebral palsy, down syndrome, cleft lip and/or palate, cystic fibrosis, prematurity, speech/language delay, hearing loss, gross and/or fine motor delay.

Online Resources

Early Support for Infants and Toddlers

Early support for infants and toddlers is available through Klickitat County Early Support for Infants and Toddlers. They offer services to children with developmental delays or disabilities, ages birth to three years. Services are available to families residing in Klickitat County. The family resource coordinators will help get you connected to services. They can be contacted at 306-921-2309. 

Help Me Grow

All children should be able to grow, develop and thrive to reach their full potential. Help Me Grow is an organization that can help connect families to resources. Call the friendly, knowledgeable staff at the Help Me Grow Washington Hotline at 1-800-322-2588 to get started today! You can visit their website at

CDC Milestone Online Checkup

Skills such as taking a first step, smiling for the first time, and waving “bye bye” are called developmental milestones. Children reach milestones in how they play, learn, speak, act, and move. Click here to complete a milestone checklist online.

Parent to Parent

Parent to Parent provides services to families that have a child or children with intellectual and developmental disabilities. Some of the areas of support are; Birth-three transition, IEPs, 504s, DDA, SSI, High School transition, guardianship and alternative options, housing, and employment. Shelley Gacusana is the Parent to Parent Coordinator and can be reached at 360-513-6682.

Informing Families Resource

Contact Information

115 W Court Street 

Office #103 

Goldendale, Washington

Phone: 509-773-4565

Fax: 509-773-5991

Apple Health Managed Care Contacts