Making Democracy Work

Know Hamilton County

Table of Contents

County Structure
Special Districts
County Finances
    Administration of Justice
Health & Human Services
Safety Services
Development & Housing
    Environment & Infrasturcture
Regional Affiliations

Health & Human Services

Healthcare Services

Health Districts

Ohio law provides or both city and county health districts, and requires them to provide specified health services. In addition to the Hamilton County Public Health (HCPH) District, there are four independent city health districts: Cincinnati, Norwood, Sharonville and Springdale.

Hamilton County Public Health

HCPH is made up of two departments - the Department of Community Health Services and the Department of Environmental Health Services. Each department is made up of divisions and programs that carry out unique public health functions, and work together to prevent disease and injury, promote wellness, and protect people from environmental hazards. Hamilton County Public Health is governed by a Board of Health and day to day functions are carried out by the Health Commissioner. The Board has the authority to adopt rules, regulations and resolutions, which have the same status as law, and to enact policies within Hamilton County Public Health.
Hamilton County Public Health website

Hamilton County Hospital Commission

The commission reviews requests from health care organizations that wish to finance capital expenditures, including construction and equipment, through the sale of Chapter 40 hospital facilities revenue bonds, and to make recommendations to the Board of County Commissioners (BOCC) about the advisability of such bonds.
Hospital Commission website


Besides the many private hospitals, 2 partially tax-supported hospitals serve the county.
University Hospital is a teaching hospital serving Greater Cincinnati and beyond.
More information about University Hospital is available on the website

Cincinnati Children's Hospital provides child health care through research, education and innovation.
More information about Childrens's Hospital is available on the website

The Mental Health and Recovery Services Board

Under state law, the Board is the county government agency responsible for planning, funding and evaluating the effectiveness of community mental health services and alcohol and drug addiction services available to Hamilton County residents. The Board develops and manages a system of alcohol, other drug, and mental health services responsive to individual needs and differences. An 18-member board of trustees governs the Board. Ten trustees are appointed by the Hamilton County Commissioners, 4 by the Director of the Ohio Department of Mental Health (ODMH), and 4 by the Director of the Ohio Department of Alcohol and Drug Addiction Services.
Mental Health and Recovery website

Human Services

Job & Family Services

HCJFS administers state, federal and local programs designed to help those in need. The department provides public assistance, children's services, child support and workforce development programs to the community.

The department's duties include: local child protection, adult protection, child care, child support enforcement, workforce development, cash assistance, food assistance and Medicaid assistance. HCJFS is the largest department within Hamilton County government and reports to the Board of Hamilton County Commissioners. Hamilton County Job and Family Services Planning Committee serves as an advisory body to the Hamilton County Board of County Commissioners with regard to the full continuum of family, employment and social services which are locally developed to meet local needs and state and federal law.
Job & Family Services website

Hamilton County Family and Children First Council

State legislation requires that there be an Ohio Family Children First Cabinet at the state level and that each county in Ohio have a local Family and Children First Council. Hamilton County Job and Family Services currently serves as the administrative and fiscal agent of the Hamilton County Family and Children First Council. The Council works in cooperation with several community partners to provide early intervention services for children in at-risk families.
Family and Children First website

Hamilton County Developmental Disabilities Services

DDS, a county organization established by state law, provides services to infants, children and adults with developmental disabilities. The agency's governing Board is made up of seven people from the Hamilton County community, and the Superintendent of Hamilton County DD Services. The Board of County Commissioners appoints 5 members, and the senior probate court judge appoints the 2 others.
Developmental Disabilities Services website

Council on Aging of Southwestern Ohio(COA)

COA is a non-profit organization serving older adults, their caregivers and their families. COA is designated by the Ohio Department of Aging to be the Area Agency on Aging for the southwestern corner of the state. COA is the central planning and coordinating authority for services to older adults in Butler, Clermont, Clinton, Hamilton and Warren counties. The Council is governed by a Board of Trustees and employs a professional staff under the direction of an Executive Director. An Advisory Council of older adults, business people and service providers helps plan and coordinate services. Council on Aging`s mission is to enhance the lives of adults by assisting them to remain independent at home through a range of quality services.
Council on Aging website