Early Childhood Services provides home visits and classes to women who are pregnant, breastfeeding or parenting infants or young children. Our programs support healthy life choices for women and their children and families.

Any medical provider, nurse practitioner, social worker, case manager or other community services provider (including non-clinical staff) can refer a client to services.

Our services focus on:

  • First-birth parents
  • Infants and young children with high-risk medical conditions or disability
  • Pregnant African American women


All clients must live in Multnomah County and meet one or more of the following requirements:

  • Having her first baby and low income.
  • Client with a child less than 5 years who has a diagnosed medical condition or a physical or mental disability that may affect their health, growth or development.
  • Is a pregnant African American woman.

To Make a Referral:

  • Ask your client if she would like home visiting services. Discuss how she can benefit from services during and after pregnancy.
  • Inform your client you will be referring her to home visiting services.
  • Fax a completed Prenatal Referral Form (515.54 KB) to us at 503-988-5612.

Please indicate who should be contacted regarding the status of the referral. A community health nurse will contact your client to schedule an initial assessment or refer them to other community resources.

Why Should I Refer My Client?

Our nurses and community health workers meet with your client in their home or wherever they feel safe, developing a trusting partnership that helps families thrive. This allows us to assess the environment in which health and parenting decisions are being made.  We help your client develop a plan that addresses their health priorities, family safety and stability. 

We help ensure your client:

  • Has a healthy pregnancy.
  • Learns to care for her infant.
  • Is supported while breastfeeding.
  • Is able to create a safe environment for her and her children.
  • Has answers to questions about pregnancy, childbirth, infant care, child development and parenting.
  • Is able to support the socio-emotional development of her growing child.
  • Is connected to social and community services.
  • Has support and resources to reach her personal life goals.
  • Monitors the growth and development of her child.

Frequently Asked Questions

How is Early Childhood Services different from Multnomah Early Intervention/Early Childhood Services?

Multnomah Early Childhood Program (MECP) is a special education program, which serves families who have children with delays or disabilities, ages birth to five. MECP provides services to children with a variety of developmental delays and disabilities (e.g., Down Syndrome, cerebral palsy, autism, speech and language disorders or delays). Your client’s community health nurse can make referrals to this special program.

I have a client that needs help taking her medications. Can I refer her to Early Childhood Services?

No. We do not provide home health nursing. We only serve pregnant, postpartum and breastfeeding women, infants and young children.

I’m currently pregnant and meet the criteria for your program. Can I refer myself even though I’m not a healthcare professional?

Yes! Call Early Childhood Services at 503-988-3520 to see if you can receive services.