Ashley House provides care for medically fragile, medically complex, and psychologically & behaviorally complex children, teens and young adults. We provide 24-hour nursing care in small group home settings. Our care is focused on the unique individual client through individual treatment plans that include physical, occupational & speech therapies, social work, and education as well as medical and rehabilitative care. Ashley House staff work very closely with primary and specialty care physicians, DSHS, DCYF, DDA, local schools and others pertinent to providing care so that every aspect of our clients’ needs are addressed. Ashley House seeks to provide a warm, caring environment, where parents can learn to provide the care their children need.
we meet you at every stage in your journey
Transitional care
for children who still need a high level of nursing care, but no longer need acute hospitalization.
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Long term care
for children whose care needs are so extensive that Ashley House remains the best option.
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Respite Care
for families caring for their medically fragile children in their own homes.
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End-of-Life Care
for children whose life expectancy is known to be limited.
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Children, teens and young adults may spend several hours as an Ashley House resident, several months or the remaining years of their lives. Every effort is made to normalize life for Ashley House residents. When possible, they attend public school, participate in recreational and cultural outings and interact with other non-medically fragile individuals.
Ashley House is part of a continuum of care that provides transition from hospitalization to the family/caregiver home.
Our ultimate goal is to have the care needs stabilize and to teach families (biological, foster or adoptive) how to care for them so they can return home.
We work closely with area hospitals and caregivers to make the reintegration into the home as smooth as possible.
We ensure the medical condition is stabilized and that it can be adequately treated in the home.
We work with parents and other caregivers to make sure you can competently perform the care and treatment required by your child.
We provide training to meet your schedule and we take as much time as you need.
When you are ready to take your child home, you’ll feel confident that you can provide the care he/she needs.
And once you get home, we’ll be there for you if you feel you need more instruction
There are times when it is not possible for a child to return home. This can occur for many reasons and includes situations where families are intact and functioning well and times when no family is available or when families have obligations that don’t allow for their child to return home.
If they cannot return home, all efforts are made to include the family in care provided at Ashley House. For those who do not have family, the dedicated Ashley House staff step in to provide nurture, love and support.
Ashley House is experienced in providing long term care for children who need it.
We are glad to facilitate involvement by the family as much as the situation allows.
Visit when you can, every day if you wish, or as much as circumstances will allow.
Your child will be safe and well cared for and when you visit, we’ll make sure you have a comfortable visit.
At Ashley House we know it can be very difficult to care for a child or teen with special medical needs.
Even in the best circumstances, and with in-home nursing care, the ongoing intensity of providing care can prevent families from exercising adequate self-care.
We’re here for you for a day, a week of longer if needed.
Respite care can provide a family an opportunity to get some much-needed rest, take a business trip, remodel a child’s room or accompany a sibling on a class trip.
We’ll provide excellent personalized care, keep you informed and give you a full report when you come to pick up your child.
Call our referral line and talk to a social worker if you are interested in respite care
Dealing with the impending death of a young family member may be the most difficult task we may ever face. Ashley House is here to provide comprehensive and compassionate end-of-life care.
We will work to provide your family member with the best life possible.
We will actively strive to make your family member comfortable.
We will honor and support your cultural and spiritual beliefs throughout the end-of-life process.
We will support and assist you in the difficult decision-making and planning.
We work together so you don’t have to.
Ashley House has extensive experience working with the Department of Social and Health Services. We work closely with Child Protective Services and Children’s Administration social workers to facilitate children moving through the child welfare system. We provide supervised visitation as needed, reports to the court and ongoing information about the child’s medical, behavioral and developmental needs and functioning. We’ll help facilitate foster placements and adoption as deemed appropriate. Referrals are accepted from homes, other placements or hospitals.
how it works
Ashley House provides care for medically fragile and medically complex children, teens and young adults. We typically hear from local hospitals that a child and family need services, but we also hear directly from families and from state social workers.
Our Clients
Ashley House is all inclusive with clients and families representing many racial and ethnic groups, and all economic classes. Most of our clients are from Washington State, though some come from other states and even from other countries.
Our clients range in age from birth to 18 years (occasionally 20 years when there are special circumstances) in our pediatric programs and from 18 to 30 in our young adult programs.
Typical medical conditions/needs include
TPN and IV therapy
ventilator dependency or frequent respiratory therapy
complex wound and ostomy care
cardiac problems, chromosomal abnormalities
organ transplants and apnea
seizure disorder
complications of prematurity
bronchopulmonary dysplasia
short gut syndrome
oxygen dependency
children with traumatic brain injury
spinal cord injury or coma
our ultimate goal
In addition to around the clock nursing care, Ashley House provides social services support to the individuals we serve and their families. The ultimate goal is to have the care needs stabilize and to teach families (biological, foster or adoptive) how to care for them so they can return home. If they cannot return home, all efforts are made to include the family in care provided at Ashley House. For those who do not have family, the dedicated Ashley House staff step in to provide nurture, love and support. Children, teens and young adults may spend several hours as an Ashley House resident, several months or the remaining years of their lives. Every effort is made to normalize life for Ashley House residents. When possible they attend public school, participate in recreational and cultural outings and interact with other non-medically fragile individuals.