Resource Directory
September 2013
District 1
Audrain County
Lincoln County
Montgomery County
Pike County
Warren County
INTRODUCTION
The Masonic Home of Missouri is committed to providing the best possible
services to the Fraternity that will benefit you, your family, as well as your community.
The Masonic Home of Missouri is pleased to present this Directory which was
developed by the Masonic Home of Missouri’s Social Services Caseworker. In this
Resource Directory, you will find helpful information regarding social services in your
community, by agency, organization or business (see disclaimer). Each service or
resource is divided by Masonic Districts and Counties for your convenience.
Please use this information for yourself, a loved one or a friend. If you have any
questions regarding this Directory or the Masonic Home of Missouri’s programs,
please contact the Corporate Office at 1-800-434-9804 or 1-573-814-4663.
DISCLAIMER
The Masonic Home of Missouri does not accept responsibility for errors, omissions, or quality of services
provided by the agencies, organizations or businesses listed in this directory.
IMPORTANT TELEPHONE NUMBERS
ADA Project ............................................................................................................ 800-514-0301
Adult & Elder Abuse and Neglect Hotline .............................................................. 800-392-0210
All Emergencies-Medical, Fire, Police ................................................................................... 911
Alzheimer’s Disease and Related Disorders ........................................................... 800-272-3900
American Cancer Society ........................................................................................ 800-227-2345
American Council of the Blind ................................................................................ 800-424-8666
American Diabetes Association .............................................................................. 800-343-2383
American Heart Association .................................................................................... 800-242-8721
Arthritis Foundation ................................................................................................ 800-406-2491
Attorney General (Consumer Fraud) ....................................................................... 800-392-8222
Better Hearing Institute ........................................................................................... 800-327-9355
Child Abuse Hotline ................................................................................................ 800-392-3738
Dept. of Health and Senior Services Information & Assistance Hotline ................ 800-235-5503
Dept. of Mental Health ............................................................................................ 573-751-4122
Dept. of Veteran Affairs-Benefits Information ....................................................... 800-827-1000
Hearing Aid Help Line ............................................................................................ 800-521-5247
Home Health Agency Hot Line ............................................................................... 800-345-1453
IRS Tax Information ................................................................................................ 800-829-1040
Medicare Assistance/CLAIMS Program ................................................................. 800-390-3330
Missouri Bar Lawyer Referral Service .................................................................... 573-636-3635
Missouri Department of Insurance .......................................................................... 800-726-7390
Missouri Department of Revenue ............................................................................ 573-751-4450
Missouri Department of Social Services ................................................................. 800-735-2466
National Kidney Foundation ................................................................................... 800-622-9010
Poison Control ......................................................................................................... 800-222-1222
District 25
TABLE OF CONTENTS
Alphabetical by Organization
Pages
Alzheimer’s Association, Greater Missouri Chapter
Audrain, Montgomery Counties ............................................................................. 1, 2
Alzheimer’s Association, St. Louis Chapter
Lincoln, Pike, Warren Counties ................................................................................. 3
American Red Cross
Audrain, Lincoln, Montgomery, Pike, Warren Counties ....................................... 4, 5
Central MO Area Agency on Aging (CMAAA)
Audrain County ...................................................................................................... 6, 7
County Health Department
Audrain County .................................................................................................... 8-10
Lincoln County ...................................................................................................11, 12
Montgomery County ........................................................................................... 13-15
Pike County ........................................................................................................ 16-19
Warren County ......................................................................................................... 20
Delta Center for Independent Living (DCIL)
Lincoln, Warren Counties .................................................................................. 21-24
Department of Social Services
Audrain, Lincoln, Montgomery, Pike, Warren Counties ................................... 25-27
Experience Works, Inc. Senior Employment
Audrain, Lincoln, Montgomery, Pike, Warren Counties ...................................28, 29
Governor’s Council on Disability
Audrain, Lincoln, Montgomery, Pike, Warren Counties ......................................... 30
Legal Services of Eastern Missouri (LSEM)
Lincoln, Montgomery, Pike, Warren Counties ..................................................31, 32
Long Term Care Ombudsman Program
Audrain, Lincoln, Montgomery, Pike, Warren Counties ......................................... 33
Masonic Home of Missouri
Audrain, Lincoln, Montgomery, Pike, Warren Counties ................................... 34-38
Mid-Missouri Legal Services
Audrain County ........................................................................................................ 39
Missouri Division of Workforce Development
Audrain, Lincoln, Montgomery, Pike, Warren Counties ................................... 40-42
Missouri Protection and Advocacy Services
Audrain, Lincoln, Montgomery, Pike, Warren Counties ......................................... 43
Missouri Veterans Commission
Audrain, Lincoln, Montgomery, Pike, Warren Counties ...................................44, 45
Northeast Independent Living Services (NEILS)
Pike County ........................................................................................................46, 47
Northeast MO Area Agency on Aging (NEMOAAA)
Lincoln, Montgomery, Pike, Warren Counties ..................................................48, 49
OATS, Inc. Transportation
Audrain, Lincoln, Montgomery, Pike, Warren Counties ......................................... 50
Salvation Army
Audrain, Lincoln, Montgomery, Pike, Warren Counties ...................................51, 52
Services for Independent Living (SIL)
Audrain, Montgomery Counties ......................................................................... 53-57
Smart911
Audrain, Lincoln, Montgomery, Pike, Warren Counties ...................................58, 59
Social Security Administration
Audrain, Lincoln, Montgomery, Pike, Warren Counties ................................... 60-62
Subsidized Housing/Rental Assistance
Audrain, Lincoln, Montgomery, Pike, Warren Counties ......................................... 63
USDA Rural Development
Audrain, Lincoln, Montgomery, Pike, Warren Counties ...................................64, 65
Wolfner Talking Book and Braille Library
Audrain, Lincoln, Montgomery, Pike, Warren Counties ...................................66, 67
DISTRICT 25
Alzheimer’s Association
Greater Missouri Chapter
AUDRAIN COUNTY
MONTGOMERY COUNTY
2400 Bluff Creek Drive
Columbia, MO 65201
(573) 443-8665
FAX: (573) 499-9701
24 Hour Help Line: 1-800-272-3900
www.midmoalz.org
Services/Programs:
 Family Support Groups – Provides an opportunity for families and friends to share
information, to give and receive support and learn caregiving skills
 Respite Funds – Provides financial assistance to families of persons with Alzheimer’s
disease and related disorders. The caregiver is responsible for the selection and
arrangement of the respite provider. There is no income requirement for program
eligibility. The primary caregiver and the person with dementia must reside together,
provide a statement from a treating or diagnosing physician that the patient has
Alzheimer’s or a related disorder, provide a recommendation for respite services from
a treating physician or a social service agency, submit an application for respite care
assistance services.
 Library – This chapter offers a wealth of information for families dealing with the
challenges of Alzheimer’s and other related diseases. Books, videos and brochures are
available for check out.
 Bookstore – Contact this chapter or look at the web site for books for sale.
 Newsletters – Have an Alzheimer’s Association newsletter mailed to you or check it
out on the web site.
 Speaker’s Bureau – Aims to improve public awareness and understanding of
Alzheimer’s and related diseases.
 Public Policy Advocacy – Helping those with the disease, family member, friends and
others become advocates.
1
Alzheimer’s Association, The Mid-Missouri Chapter Continued,
 Empowerment Groups – A community respite group for persons in the earlier stages
of Alzheimer’s. A time for discussion, art, literature, storytelling and more.
 Helpline – To respond to the information and support the needs of people with
Alzheimer’s disease and their care partners, healthcare professionals and the general
public.
 Research – Donations are forwarded to the National office for research grants. The
Chapter assists with local studies and can help those families wishing to participate in
the brain autopsy program to increase scientific understanding of Alzheimer’s disease
and to confirm diagnosis.
 Safe Return – A nationwide identification, support and registration program working
at the community level. Safe Return provides assistance whether a person becomes
lost locally or far from home. Financial assistance is available.
 Male Caregiver’s Initiative – Changing Places: Men emerging as caregivers. A series
of educational workshops for men caring for someone with memory loss.
2
Alzheimer’s Association
St. Louis Chapter
LINCOLN COUNTY
PIKE COUNTY
WARREN COUNTY
9370 Olive Blvd.
St. Louis, MO 63132
(314) 432-3422
FAX: (314) 432-3824
24 Hour Helpline: 1-800-980-9080
stl-helpline@alz.org
Services/Programs:
 24 Hour Helpline – Trained volunteers lend a listening ear to cargiving families,
suggest resources and provide basic information. Available 24 hours a day, 7 days a
week.
 Safe Return – A nationwide identification program to enable others to identify, locate
and return people with dementia who are lost.
 CareFinder Service – A new online tool to help people living with Alzheimer’s and
caregivers make informed choices when selecting a care provider for home-based or
residential care.
 Family Education Classes, Library Services
 Speaker’s Bureau – Addresses community groups to help with the understanding of
Alzheimer’s
 Care Consultation – Can be done face-to-face in the office, in the home of the person
with dementia or over the phone. Care Consultations provide professional guidance
on caregiving options, resources and decision making about your loved ones care. A
fee is charged for in-office and in-home consultations. Scholarships are available
upon request. Please call for an appointment.
 Support Groups – Trained facilitators meet with small groups of caregivers to share
experiences and offer mutual support.
 Respite Care Assistance – Eligible families receive information, consultation and
financial reimbursement for adult day care, in-home and short-term residential care
services.
3
American Red Cross
AUDRAIN COUNTY
MONTGOMERY COUNTY
Heart of Missouri Chapter
431 E. McCarty
Jefferson City, MO 65101
(573) 635-1132
866-815-2738
LINCOLN COUNTY
St. Charles County Service Center
224 Mid Rivers Center
St. Peters, MO 63376
(636) 397-1074
St. Louis Area
Chapter Headquarters
10195 Corporate Square
St. Louis, MO 63132
(314) 516-2800
FAX: (314) 516-2821
PIKE COUNTY
Northeast MO Chapter
3062 Highway 61
Hannibal, MO 63401
(573) 221-0320
WARREN COUNTY
St. Louis Area Chapter
10195 Corporate Square
St. Louis, MO 63132
(314) 516-2800
FAX: (314) 516-2821
Services/Programs:
 Disaster Services – Learn how the Red Cross responds to disasters and what you can
do to protect yourself, your family and your property.
 Health and Safety – Red Cross training programs include First Aid and CPR,
lifeguarding, HIV/AIDS education and much more.
4
American Red Cross continued,
 Military Services – Emergency communications, financial assistance and counseling
services for active military, their families and veterans.
 Youth Services – Meaningful opportunities for training, community service and peerto-peer education for teens.
 International Services – Holocaust and war victims tracing and other international
humanitarian services.
 Lifesaver Award – Recognizing local citizens who prepared themselves to respond in
an emergency situation and actually saved a life.
 Blood Services – Giving blood saves lives. Learn how and where you can donate.
 Ready Rating – A comprehensive membership program to help businesses,
organizations and schools improve their emergency preparedness.
5
Central MO Area Agency on Aging - CMAAA
AUDRAIN COUNTY
1121 Business Loop 70 East, Suite 2A
Columbia, MO 65201
1-800-369-5211
(573) 443-5823
FAX: (573) 875-8907
TTY: (573) 443-0105
cmaaa@cmaaa.net
www.cmaaa.net
CMAAA is a private, non-profit corporation. CMAAA plans, develops and coordinates a
network of services for family caregivers and older persons. The essential goal is to enable
older persons to live in their own homes for as long as possible.
Services/Programs:
 Congregate Meals
o Mexico Senior Center – 573/581-7743
606 E. Park St.
Mexico, MO 65265
 Home-Delivered Meals – Older persons who are physically unable to attend their local
senior center can receive the meals in their own home.
 Information and Assistance – This service lets people know about the many resources
available to older persons and their caregivers. Contact the Audrain County Care
Coordinator at 573-581-7678.
 Care Coordination – The Care Coordinator will visit the older person in their home to
make an assessment of the person’s needs. The Care Coordinator draws up a plan of
action which specifies needed services and how to obtain them. The Care Coordinator
can detail the cost of each service and determine whether the person might be eligible
for any public financial assistance in paying for those services. Contact the Audrain
County Care Coordinator at 573-581-7678.
 Respite Care – CMAAA contracts with home health agencies to provide respite care in
the home for 4 hours a week. Contact the Audrain County Care Coordinator at 573581-7678.
 Silver Eclectic – Monthly newspaper on activities and programs for senior in central
Missouri as well as articles on aging issues.
 Legal Services – Assistance regarding such matters as elder abuse, housing disputes,
consumer fraud, retirement benefits, guardianships and government benefits such as
Social Security, Medicare and SSI is available through contracts with attorneys or
6
Central MO Area Agency on Aging (CMAAA) Continued,
legal aid agencies. Fee-generating cases such as divorces and criminal defense are not
accepted.
 Long Term Care Ombudsman Program – Recruits and trains volunteer ombudsmen to
hear complaints and to help find solutions to problems associated with living in a longterm care facility. Ombudsman help residents understand the laws and regulation
governing long-term care facilities. In particular, the ombudsmen teach about
residents’ rights.
7
County Health Department
AUDRAIN COUNTY
605 East Promenade
P.O. Box 957
Mexico, MO 65265
(573) 581-1332
FAX: (573) 581-6652
lowrak@lpha.dhss.mo.gov
http://www.acchu.org
Services Offered:
 Birth/Death Certificates
o There is a $15.00 charge per birth certificate. Death certificates are $13.00 for the
first copy and $10.00 for each additional copy requested on the same visit.
 Blood Pressure Screening
o Blood pressure screenings are provided at the Audrain City-County Health Unit on
a walk-in basis Monday through Friday 8:00 a.m. to 3:00 p.m
 Home Health and Hospice Services
o Audrain City-County Health Unit provides a full range of Home Health & Hospice
services throughout our service area (within thirty miles of Mexico)
o Home Health and Hospice Care is provided by local professionals serving
local people. The team consists of skilled nurses, home health aides,
rehabilitation therapists (physical, occupational, and speech), social workers,
and more.
 Immunization Clinic
o Vaccine is provided for any person who needs the required immunizations and
meets vaccine eligibility criteria. This clinic is held twice a month on the 2nd and
4th Wednesdays from 8:00 a.m. - 10 a.m
o The Meningitis Immunization is available at Audrain City-County Health Unit. If
you are 17 or 18 years of age the cost is $15, for anyone else you should call for the
price
o Vaccine for shingles (Zostavax) is available for adults over 60 for a cost of
approximately $183 (Subject to change without notice)
o For children 18 years and under, they must be accompanied by a parent or guardian
and have a current immunization record with them. A parent or another adult must
be present at the time immunizations are given and the child cannot be sick. There
is a minimum fee of $15 per immunization visit. We do accept Healthcare USA,
MC+, Mercy and MO HealthNet you must have your card with you
8
Audrain County Health Department Continued,
 Women, Infants and Children (WIC)
o Special Supplemental Food Program for Women, Infants and Children, provides at
no cost, specific nutritious supplemental foods and nutrition education to pregnant
and breastfeeding women, postpartum women, infants and children up to age 5. To
qualify for WIC, clients must meet certain income guidelines and complete a
nutrition assessment form. During the WIC visit a height, weight and hemoglobin
check will be done. We provide nutritional food instruments (checks) for milk,
juice, eggs, cereal, peanut butter, whole grain foods, fruits, vegetables, and formula
(upon request) etc. that can be redeemed at the grocery store.
o 7:30 a.m. - 4:00 p.m. on Tuesdays at the Audrain City-County Health Unit in
Mexico, MO and from 9:20 a.m. - 3:00 p.m. in Vandalia, MO on the 2nd Thursday
by appointments only. Call Audrain City-County Health Unit at 573-581-1332 for
appointment.
 Foot Clinic
o Foot care, instruction/training, nail clipping, nail filing, callous reduction, skin
conditioning and massage for $12.00 per visit. Appointments are required.
 Communicable Diseases
o Provides epidemiological surveillance and follow-up services for all reportable
communicable diseases.
 STD Testing
o Syphilis, Gonorrhea, Chlamydia, HIV, Herpes, Hepatitis B and C testing and
counseling are available costing from $15 to $75 depending on the tests.
 Family Planning
o Physical exam by a Nurse Practitioner
o Contraceptive care with a variety of birth control options
o Pap Smears and follow-up
o Breast exams
o Testing for Sexually Transmitted Diseases
o Day and evening clinics
o Clinic for women age 13 to 39 who are interested in preventing pregnancy or
planning for a pregnancy
o Official pregnancy tests are available through the Health Unit. The pregnancy test
is a urine pregnancy test. $15.00 charge
 Walk-In Patients – minimal fee
o We see walk-in patients daily to do sexually transmitted disease testing, pregnancy
tests, blood sugars, refill medication packs, irrigate Port-A-Caths, change dressings
and various injections are provided with a doctor's order for a nominal fee. TB
Testing can usually be accomplished everyday but Thursday's, but call the Health
9
Audrain County Health Department Continued,
Unit to check if that is available. Come to Audrain City-County Health Unit
between 8a.m. and 3:30 p.m. or call us at 573-581-1332
 Emergency Preparedness
 Grief Support
o This meeting is free and open to the public. It would be beneficial to anyone that
has experienced the loss of a child, parent, grandparent, aunt, uncle, sibling, friend
or neighbor.
10
County Health Department
LINCOLN COUNTY
#5 Health Department Drive
Troy, MO 63379
(636) 528-6117
FAX: (636) 528-8629
SiefeB@lpha.mopublic.org
www.lchdmo.org
Services Offered:
 Birth/Death Certificates
o There is a $15.00 charge per birth certificate. Death certificates are $13.00 for the
first copy and $10.00 for each additional copy requested on the same visit.
 Blood Pressure Clinics and Screenings
o The Lincoln County Health Department holds free Blood Pressure screening clinics
at each of the Senior Nutrition Centers (TACOA, WINCO, Elsberry Nutrition
Center, Silex Nutrition Center, and Hawk Point Community Center) once a
month. Call for schedule of clinics or check the Calendar of Events. Walk-in blood
pressure checks are also offered at the Troy office during regular working hours,
Monday through Friday, 8 AM until 4:30 PM.
 Communicable Diseases
o One of the most important responsibilities in public health is to control and report
communicable disease. The first step in the control of any communicable disease is
prompt identification. For this reason health departments around the world collect
data on reportable cases of infectious disease.
 Children’s Dental Clinic
o Children's Dental Clinic at the Health Department provides dental care for the
children of Lincoln County between the ages of 6 and 18 who have MO HealthNet
MC+ (Molina, Harmony, and Healthcare USA) and who are uninsured.
 Family Planning Clinic
o pap smears, breast exams, STD testing, pregnancy testing, birth control, and more
o services are provided on a sliding scale fee based on income and Missouri poverty
guidelines
 Flu Clinics
o We now offer Seasonal Flu Vaccine here at the HD on a walk-in basis, during
regular business hours, Monday thru Friday, for anyone over 6 months of age at no
charge
11
Lincoln County Health Department Continued,
 Immunizations
o Infant, child, and adult immunizations are offered at the Lincoln County Health
Department. All mandatory childhood vaccines are available.
o There is no charge for these immunizations, but donations are appreciated.
 In-Home Services
o Lincoln County Health Department can provide Registered Nurse home visits
and/or personal care assistant/homemaker visits to persons who do not qualify for
visits through Medicare, Medicaid or private insurance. To qualify, client must be
homebound or have a severely restricted activity level. Visit cost is determined by
Sliding Scale Fee Schedule, based on income and Federal Poverty Level
Guidelines.
o For Registered Nurse home visits, client must have a referral from a physician with
a reasonable expectation that medical, social and nursing needs can be met in
client's place of residence. There may be an additional charge for any medical
supplies provided by RN. If we are unable to provide requested services, client will
be referred back to physician.
o Purpose of Personal Care Assistant/Homemaker visits is to perform personal care
duties, such as bathing, skin care, etc., and/or limited homemaker duties such as
laundry, housecleaning, grocery shopping, cooking, errands, etc., which will enable
the client to continue living with dignity at "home" as long as possible. Client is
responsible to provide any personal care and/or cleaning supplies needed during
the visit.
 TB Skin Test
o TB skin testing (Mantoux PPD) is done on Fridays, with results read on
Mondays. There is an $8 charge for the test.
 Women, Infants and Children (WIC)
o Women, Infants and Children (WIC) is a special supplemental nutrition program
which provides services to pregnant women, new mothers, infants and children up
to their 5th birthday based on nutritional risk and income eligibility. The primary
services provided are health screening, risk assessment, nutrition education and
counseling, breastfeeding promotion and referrals to health care. Supplemental
food is provided at no cost to participants.
o All applicants must meet income guidelines
12
County Health Department
MONTGOMERY COUNTY
400 Salisbury
Montgomery City, MO 63361
(573) 564-2495
FAX: (573) 564-5059
LongsD@lpha.mopublic.org
www.montgomerycountyhealth.org
Services Offered:
 Death & Birth Certificates
o Birth certificates are available for births in the State of Missouri from 1920 to the
present time. Cost is $15.00 per copy. Must provide proof of identity. Births from
1910 through 1919 must be obtained through the Vital Records office in Jefferson
City, MO - call 573-751-6387
o Death certificates are available for deaths occurring in the State of Missouri from
1980 to the present. The cost is $13.00 for the first copy and $10.00 for every copy
thereafter of the same certificate. Must provide proof of identity. Deaths before
1980 must be obtained through the Vital Records office in Jefferson City, MO call 573-751-6387
 Communicable Diseases
o The purpose of the communicable disease program at Montgomery County Health
Department is to prevent a county outbreak of a contagious disease.
o Disease surveillance reports are collected from local schools and physicians
weekly.
 Environmental Services
o Inspection of all food establishments including - daycares, schools, restaurants,
grocery stores, convenience stores, motels
o Test water from private wells
o Issue sewage permits and approve sewage systems, follows up on sewage
complaints
 Health Promotion
o Blood Sugar Screening by appointment
o Cholesterol Screening by appointment
o Ellis Fischel Mobile Unit offering Mammograms by appointment
 Home Health
o Montgomery County Health Department/Home Health Agency provides in-home
services to patients who qualify for skilled services
o A patient must have insurance coverage whether Medicare, Medicaid, or private
insurance
13
Montgomery County Health Department Continued,
o A patient must be homebound – he/she must have a physical inability to leave
home
o A physician must order medical skills, treatment, assessment or instruction in the
home for the patient
 Maternal Child Health
o Home Visits for Newborns
 Visits can be made for a baby who has a medical problem or at risk of
a problem, for teaching the "first time " mom, or breastfeeding moms
 Visits are arranged ahead of time for the convenience of the mother
 Assessment of the mother and baby are done and appropriate teaching
completed
 Some things discussed in the visit include: infant feeding (breast or bottle,
general infant care, and car safety seats. Referrals to P.A.T., Women's
Health clinic, immunizations, and WIC. Literature is provided to the mother
on a variety of subjects
o Child Safety Restraints (Carseats)
 Convertible seats available for infants under 12 months of age
 High back boosters available for children between 1 and 8 years of age
 Car seat checks available for your current car seat
 Women, Infants and Children (WIC)
o Supplemental Food Program helps pregnant or breastfeeding women, infants and
children under age five eat right to ensure healthy pregnancies and proper growth
of infants and children
o WIC Provides
 Vouchers for free foods
 Nutrition education
 Breastfeeding Support Group (third Wednesday each month from 10:00
a.m.-11:00 a.m.) Children Welcome!!!
 Referrals to other services
o Eligibility Guidelines
 Pregnant or breastfeeding women
 Infants and children under age five
 Medically or nutritionally at risk
 Meet income guidelines
 Women’s Health Clinic
o The clinic serves teens and women through age 45 who need comprehensive health
care. Fees are based on family size and income level. Medicaid is accepted. No
one will be turned away. This service is available to women in Montgomery
County and surrounding counties. Services are strictly confidential
o Counseling and education
o Physical examination
14
Montgomery County Health Department Continued,
o
o
o
o
o
o
o
o
Pap smear for cancer screening
Blood test for anemia
Blood pressure
Breast cancer screening
Pregnancy testing
Infertility counseling
Sexually Transmitted Disease testing and treatment
Contraceptive supplies such as birth control pills, Depo Provera shot, condoms,
and contraceptive foam
 Immunization Clinic
o provides immunizations to infants, children, and adults
o Immunization clinic is held monthly on the 2nd Thursday from 3:00 -5:40 p.m. by
appointment
o Immunizations may be given during regular office hours by appointment
o There is an administration fee of $5.00 per immunization visit. Medicaid clients
are not required to pay this fee
o Vaccines available to infants through age 18 include: Diphtheria-Tetanus-Pertussis
(Dtap), Tetanus-Diphtheria-Pertussis (Tdap), Polio, Haemophilus B (Hib),
Hepatitis B, Measles-Mumps-Rubella (MMR), Varicella (Chicken Pox), Prevnar,
Rotavirus, Hepatitis A, Menactra (meningococcal), HPV (if qualify for VFC) and
Influenza
o Adult vaccines available include: Tetanus-Diphtheria (for those who qualify),
Tetanus-Diphtheria-Pertussis (Tdap), Influenza, MMR for college students,
Varicella, and Shingles (Zostervax for age 60 or older and cost is $175.00).
15
County Health Department
PIKE COUNTY
Pike County Health Department
1 Health Care Place
Bowling Green, MO 63334
(573) 324-6373 or (573) 324-6374
FAX: (573) 324-3057
Home Health and Hospice
(573) 324-2111 or (573) 324-2147
FAX: (573) 324-5517
sellej@lpha.mopublic.org
www.pikecountyhealth.org
Services Offered:
 Women, Infants and Children (WIC)
o Supplemental nutrition program which provides services to pregnant women,
new mothers, infants and children up to their 5th birthday based on nutritional
risk and income eligibility. The primary services provided are health screening,
risk assessment, nutrition education and counseling, breastfeeding promotion
and referrals to health care. Supplemental food is provided at no cost to
participants
 Environmental Health
o Environmental health addresses all the physical, chemical and biological factors
external to a person. It encompasses assessment and control of environmental
factors that can potentially affect health. It is targeted towards preventing
disease and creating health-supportive environments
 Inspecting food establishments at least twice per year
 Inspecting all daycares once per year
 Inspecting all lodging facilities once per year
 Inspecting sewage system installations
 Performing sewage complaint investigations
 Performing food borne disease outbreak investigations
 Performing temporary food establishment inspections at events
 Holding meetings with citizens to discuss sewage system options/food
permits, etc
 Immunizations
o Offers various adult immunizations such as tetanus boosters, hepatitis A and
hepatitis B vaccinations, influenza vaccinations and pneumonia vaccinations to
the adult public
o Special influenza vaccination clinics are held at various locations during the
influenza seasons
o Prices vary per vaccine. Some vaccines may be available at no charge
16
Pike County Health Department Continued,
 Maternal/Child Health
o Health Priority Issues - the maternal and child health program focuses on one
health priority issue over a three year contract period. This issue has been
determined a need within the county and is the focus of system developments
around the issue. The focus through 2010 is obesity
o Prenatal Case Management - pregnant women with increased risk factors can
receive individual counseling and education to ensure a healthy pregnancy and
delivery
o Immunizations - immunizations are provided to infants and children in the
community at no charge via the Vaccines for Children program. Eligibility
requirements do have to be met for this service
o Lead Case Management - children with elevated lead levels are educated and
managed with follow-up counseling until levels return to normal levels
o Child Care Health Consultation - a registered nurse oversees this program
and acts as an advocate and educator to ensure local daycare facilities are
providing the best care possible to our residents. Health promotions are also
done at the centers for the children to learn healthy habits
o Car Seat Program - the Pike County Health Department currently has two
certified child passenger technicians on staff to install and verify proper
placement of car seats. Seat installations and checks are done by appointment
o Newborn Screenings - these screenings are performed by a registered nurse
and education is provided on the testing conducted for this screening. There is a
fee for this service
 Safe Sitter® Training
o The medically accurate program teaches 11- to 13-year-old girls and boys how
to handle emergencies when caring for younger children
 LifeLine Medical Alert
o offers a medical alert service to help independent older adults and individuals
with chronic medical conditions feel more confident to continue living
independently in the one place they feel most comfortable - their own home
o Lifeline gives quick access to help, 24 hours a day. When help is needed, the
individual presses the help button that is worn as a pendant. A certified Personal
Response Associate responds quickly, assesses the situation and summons help,
whether it is a neighbor, relative or ambulance
 TB Control Program
o Tuberculosis (TB) testing and interpretation is available at the Pike County
Health Department, Home Health & Hospice on Mondays and Wednesdays
o The fee for TB testing and interpretation is $5.00 and is due at the time of test
administration. In addition, a nurse is available to arrange for further testing if
indicated
17
Pike County Health Department Continued,
o Medications for the treatment of a TB infection or active TB can be arranged
through the Public Health agency
 STD Testing
o Free HIV and Syphilis testing is available through Pike County Health
Department, Home Health & Hospice and the Missouri State Public Health
Laboratory. Hepatitis C testing is free by an arrangement with Missouri
Hepatitis C Alliance
 Diabetic Program
o The sessions are perfect if you are new to diabetes and have lots of questions.
It’s also great even if you have had diabetes for years. There is always new
information to learn. The group setting allows you to share with and learn from
others just like you!
o Diabetes Meal Planning
 A registered dietitian is available to develop an individualized meal plan
for people with diabetes. These one on one sessions with the dietitian
cover carbohydrate counting, meal preparation, shopping and
incorporating diabetes meal planning into your everyday life.
 Medicare and most private insurance companies cover this service. Call
the customer service number on the back of your insurance card to see if
diabetes education is covered or contact us to help
 Chronic Disease Self Management
o chronic disease self-management program - "I'm In Control" - is available at the
Pike County Health Department, Home Health & Hospice. Residents with
chronic diseases such as heart or lung disease, pain, cancer, etc. are candidates
for this program
o “I’m In Control” is aimed at teaching self-management skills designed to assist
those with chronic illness to gain overall control and improve overall wellbeing
 Birth and Death Certificates
o The fee for a certified copy of a Birth Certificate is $15.00 each. The fee for a
certified copy of a Death Certificate is $13.00 for the first copy and $10.00 for
each copy thereafter that is purchased at the same time.
o Required identification - one primary document with your name and photo such
as a driver's license, U.S. military ID card, U.S. passport, work or school ID OR
at lease two alternate identification documents which contain your name and
the name of the company or organization issuing the document
 Emergency Preparedness
18
Pike County Health Department Continued,
 Communicable Diseases
o The Communicable Disease Program includes surveillance, prevention, and
prophylaxis. Pike County Health Department, Home Health & Hospice
receives daily and weekly communicable disease reports from local hospitals,
clinics and schools. This allows the health department to take measures to
prevent outbreaks and protect the public
 Health Education
19
County Health Department
WARREN COUNTY
101 Mockingbird Lane, Suite 100
Warrenton, MO 63383
(636) 456-7474
FAX: (636) 456-4966
walter1@lpha.mopublic.org
www.warrencountyhealth.com
Services Offered:
 Health Services
o Immunizations - We offer all childhood immunizations based on the
recommendations of the Advisory Committee on Immunization Practices, the
American Academy of Pediatrics and the American Academy of Family
Physicians.
 Screenings
o High Blood Pressure
o TB
 Communicable Disease Surveillance
 Environmental Services
o Sewage and Septic Inspections
o Food and Lodging Inspections
o Water Testing

Vital Records
o Birth Certificates - $15.00 per copy
o Death Certificates - $13.00 for first copy, $10.00 for additional copies at the
time of the same visit.
20
Delta Center for Independent Living - DCIL
LINCOLN COUNTY
WARREN COUNTY
5933 S. Highway 94, Suite 107
St. Charles, MO 63304
(636) 929-8761
FAX: (636) 447-0341
866-727-3245
info@dcil.org
www.dcil.org
Our Vision:
"We envision a world of acceptance, access, independence and self-determination for all."
Services/Programs:
 Personal Attendant Services - Personal Attendant Services (CDS) are a consumerdirected approach to attendant services. The program allows an adult (18 and older)
with a significant physical disability, as defined by the program, to retain the services
of a personal attendant, and actually control his or her care. Services are paid for by
state and federal funds through MO Healthnet (formerly known as Medicaid). If you
qualify for CDS, you make the decisions about who provides your care, and when and
how this care is provided. For example, CDS consumers hire, train, supervise (and
even fire!) their own attendants. They are actually the employer, complete with an IRS
Employer ID number. Delta Center administers CDS in the Missouri counties of St.
Charles, St. Louis, Franklin, Lincoln, Warren and St. Louis City according to
guidelines established by MO Healthnet and the Missouri Division of Health and
Senior Services (DHSS).
o Who Pays for Personal Attendant Services? –
 CDS is funded by MO Healthnet (Medicaid) and administered by DHSS.
(In some cases, CDS can be accessed by non-Medicaid eligible
individuals, but there is a lengthy waiting list.)
o How Does Delta Center Support Personal Attendant Services?
 First, Delta Center works with you to determine and verify your
eligibility. We review a number of factors, including your MO Healthnet
eligibility, ability to direct your care, current support systems, and
medical status, to ensure eligibility before processing your application.
The CDS program is not available for persons residing in a residential
care facility.
 Once we verify your eligibility, we make a referral to have an
assessment performed, which we can help you plan for, if you wish.
During the assessment, services may be authorized for personal care
(bathing, toileting), housekeeping, laundry, meal preparation, shopping
and other needs as identified.
21
DCIL Continued,
 Delta Center offers any training or support you may require to manage
your care. For example, we'll help you learn to:
 Recruit prospective attendants
 Interview and screen applicants
 Manage paperwork, including timesheets and MO Healthnet
(Medicaid) requirements
 Advocate with the appropriate state agencies to assure your needs
are being met
 Schedule and supervise your attendant(s)
 Delta Center manages on your behalf:
 Criminal and abuse/neglect background checks on attendant
candidates
 Processing timesheets and payroll for your attendant(s)
 Adaptive Telephones and Hearing Impaired Phones
 Advocacy - We provide training and skills development to improve your ability to
promote your own needs. For example, we can help identify programs for which you
might qualify and guide you through the application processes. We also can coach you
in navigating the bureaucratic maze that is often associated with acquiring the
assistance you need and deserve. In addition to this individual assistance, we also work
at the community and state levels to advocate for services benefiting those with
disabilities.
 Assistive Devices and Equipment - For assistive devices which promote independent
living and which are not covered by insurance, Delta Center may be able to assist you
in accessing devices such as:
o Tub Transfer Benches
o Raised Toilet Seats
o Grab Bars
o Equipment Repairs
o Cushions for Wheelchairs
 Information & Referral - Delta Center provides you with the information, resources,
and options you need to make informed choices. We maintain an extensive database
on a wide variety of resources. Our staff will research a topic and compile information
upon request. We also provide referrals to other appropriate agencies and can help
locate accessible housing, adaptive aids, recreational opportunities, interpreters, and
even emergency financial assistance
 Low Vision Aids & Equipment - If your reading has become more difficult, you may
qualify for Low-Vision Equipment such as:
o Magnifiers
o Signature Guides
22
DCIL Continued
o Check Writing Guides
o Additional In-House Equipment
 Peer Support - Members of our staff and volunteers, who have dealt successfully with
their own challenges, draw upon their experiences to help you explore options, solve
problems and develop new skills. We can refer you to local support groups or put you
in touch with someone with similar circumstances.
 Skills Training for Independent Living - Training in skills for independent living is
designed to match the needs of each consumer, and might include money management,
cooking, community resources, and other areas critical to your independent lifestyle
 Transportation –
o Do you have health-related appointments or need to go to the store but have no
way to get there? You may qualify for transportation services through Delta
Center at little or no cost if you:
 Have a verifiable disability
 Are at least 18 years old or traveling with your parent or guardian
 Meet certain income requirements
 Are a resident of St Charles, Lincoln or Warren counties
o Individuals approved for the transportation program may request a ride for any
of the following trips:
 Medical appointments and doctor-ordered therapies (e.g. mental health
appointments, AA meetings, aqua therapy and podiatrists) NOT
provided under Medicaid (MO HealthNet) transportation
 Essential shopping
 Social service appointments
 Support groups and
 Work (for individuals living in St Charles City)
o Typically, trips are scheduled once per week based on the geographic area in
which you live. Trips to St. Louis are limited to once per month.
o In order to access rides, you must first enroll into the program. To enroll or for
more information, please call Vito Lucido, Transportation Advocate at 636926-8761 ext 246. He will explain the enrollment process to you and schedule
a time for an intake over the telephone.
 Wheel Chair Ramps and Home Modifications - The Access Modification Program
provides for modifications (such as ramps, widened doorways, lowered countertops,
etc.) that will provide access or increased independence for people with significant
disabilities.
23
DCIL Continued
o Income Guidelines - To qualify for funding for home modifications, applicant
must meet income guidelines for the program. Funding is determined first by
the health and safety needs of the applicant and is on a first come, first serve
basis thereafter.
o Demonstrated Need - In order to obtain approval for a DCIL funded access
modification, there must be inability to use a single point of entry/exit to the
home independently.
o Additional Requirements
 The basic structure of the dwelling must be of such condition as to
provide a secure and safe support for the proposed access modifications.
The contractor determines suitability.
 All access modifications must meet federal guidelines for accessibility as
well as local building codes.
 If dwelling is rented or leased, written permission from the owner of the
dwelling must be obtained for any permanent access modification.
 Both the recipient and the owner of the dwelling (if applicable) must preapprove the plan of work to be done (in writing). Alterations to the plan
of work may not be made after work has begun unless deemed necessary
by the contractor.
 The dwelling must be the primary residence of the person with a
disability.
 At completion, a waiver is signed stating that the access modification
belongs to the recipient and is not the property of DCIL. All
responsibilities of upkeep, relocation, or disposal after completion are
those of the recipient.
 Any expenses to the recipient or someone acting on behalf of the
recipient will not be reimbursed by DCIL unless there is documented
approval in advance.
 Labor will be contracted by DCIL and require at least two competitive
bids for work costing $100-$300, and three bids for work costing more
than $300.
 All available community resources must be exhausted before DCIL
funding can be considered.
24
Department of Social Services
Children’s Division and Income Maintenance &
Self Sufficiency Programs
AUDRAIN COUNTY
Boone/Columbia Customer Service Center
1500 Vandiver Dr., Ste. 103
Columbia, MO 65202
(573) 882-9180
FAX: (573) 884-5110
P.O. Box 1227
Columbia, MO 65205
LINCOLN COUNTY
384 N. Lincoln Dr.
P.O. Box 318
Troy, MO 63379
(636) 528-8521
FAX: (636) 528-3861
MONTGOMERY COUNTY
501 Niedergerke Dr.
Montgomery City, MO 63361
(573) 564-2258
FAX: (573) 564-3167
PIKE COUNTY
1610 Business Hwy 54 West
Bowling Green, MO 63334
(573) 324-2243
FAX: (573) 324-2930
WARREN COUNTY
513 W. Booneslick Rd.
Warrenton, MO 63383
(636) 456-3307
FAX: (636) 456-4518
Department of Social Services Continued,
25
Department of Social Services Continued,
Services/Programs:
www.dss.mo.gov
 Children’s Division
o Adoption services, activities
o Career Foster Parent Program
o Child abuse and neglect hotline: 1-800-392-3738
o Child care, early childhood services
 Family Support Division
o Child support enforcement
o Income maintenance & self sufficiency programs
 Food stamps
 Food distribution programs
 Temporary assistance – provides assistance to needy families with
children so they can be cared for in their own home and to reduce
dependency by promoting job preparation, work and marriage.
 MO HealthNet
 Uninsured women’s health services
 Supplemental nursing care – provides monthly cash benefits. An
eligible adult living in a licensed nursing facility and found medically
eligible may receive a maximum of $390. If not found medically
eligible while living in a nursing facility, or if living in a licensed
assisted living or residential care facility II, an eligible adult may receive
a maximum of $292 monthly. If living in a licensed residential care
facility the maximum is $156. Persons eligible for these case benefits
also receive a $30 personal needs monthly allowance. This benefit is
paid directly to the nursing facility for nursing care charges above the
amount the resident is expected to pay.
 Home and Community Based Program – assistance providing
homemaker chore or respite care services. No direct cash benefit.
 Prevention of Spousal Impoverishment – (Division of Assets) – when a
married person enters a nursing facility, a special provision may help
protect some of the couple’s resources for the spouse who is not in a
nursing facility.
 Supplemental Aid to the Blind – eligible individuals receive a monthly
cash grant up to $651, as well as MO HealthNet coverage.
 Supplemental Security Income (SSI) – assistance to the aged, blind and
disabled. Income guideline applies.
 Qualified Medicare Beneficiary (QMB) – for persons enrolled in
Medicare Part A (hospital insurance) whose income and resources are
within the program guidelines. This program will provide payment of
Medicare premiums and coinsurance and for deductibles for Medicare
covered services.
26
Department of Social Services Continued,
 Specified Low Income Medicare Beneficiary (SLMB) – provides
payment of Medicare Part B premiums to individuals who would be
eligible for this program.
o Rehabilitation Services for the Blind
 Creates opportunities for eligible blind and visually impaired persons in
order that they may attain personal and vocational services.
 Provides services to people with varying degrees of visual impairment,
ranging from those who cannot read regular print to those who are totally
blind.
 Vocational Rehabilitation – Eligible individuals are provided with
services needed to enter, remain in or return to suitable employment.
Services include:
 Diagnosis and evaluation
 Counseling and guidance
 Physical or mental restoration
 Training – including college or university, technical or trade
 Job development and job placement
 Rehabilitation engineering
 Follow-up Services
 Assistive Technology – Information, tips and resources for computer
assistive technology for blind and visually impaired computer users.
 Independent Living Rehabilitation – assists blind and visually impaired
persons so they can function independently in their homes and
communities.
 Older Blind Services – Free rehabilitation services in the home.
o Transition Services – provides services to help high school students prepare for
the transition from school to either post-secondary education or work.
o Business Enterprise Program – Self employment opportunities are provided to
legally blind persons. The program includes vending facility operations in
public buildings, in private industry and in roadside rest areas of the interstate
highway system.
o Prevention of Blindness – Diagnostic services and needed eye care are provided
to medically indigent persons in order to prevent blindness. Vision screening
and glaucoma testing clinics are provided for early detection of eye pathology
that could lead to blindness.
o Low Income Home Energy Assistance Program – Provides financial assistance
to help pay heating bills during the months of October through March.
27
Experience Works, Inc. Senior Employment
AUDRAIN COUNTY
LINCOLN COUNTY
MONTGOMERY COUNTY
PIKE COUNTY
WARREN COUNTY
P.O. Box 414
Buffalo, MO 65622-0414
(417) 345-2797
FAX: (417) 345-2998
1-800-368-7569
www.experienceworks.org
Experience Works helps low-income seniors, with multiple barriers to employment, get the
training they need to find good jobs in their local communities.
Services/Programs:
 Senior Community Service Employment Program (SCSEP)
o This program, funded under Title V of the Older Americans Act as well as state
and local grants, enables us to help thousands of low-income individuals, age
55 and older, throughout the United States.
o Through this program, seniors benefit from training, counseling, and
community service assignments at faith-based and community organizations in
their communities, prior to transitioning into the workforce.
o Participants are placed at eligible host agencies (primarily at faith-based and
community organizations) for which they are paid the minimum wage for an
average of 20 hours per week. A host agency is either a private nonprofit
organization (other than a political party) that is tax exempt under section
501(c) (3) of the Internal Revenue code of 1954, or a public agency operated by
a unit of government.
o Thirty-eight percent of Experience Work's SCSEP participants found permanent
jobs, notably as teachers' aides, emergency dispatchers, care providers, and
clerical assistants.
o Develop new skills and upgrade existing skills.
o Understand safe work practices and healthful work environments.
o Learn effective job search skills and develop good work habits.
o Annual family income must not be more than 125% of the established federal
poverty income guidelines.
o Be eligible to work in the United States.
o Be currently unemployed.
28
Experience Works, Inc. Senior Employment continued,
 JobReady Assessment Tool and Job Search system
o The JobReady Assessment System can empower you to open doors to new
career options and to find new job opportunities. JobReady will:
 Provide you with informed choices regarding your employment interests
 Assess your interests, personal characteristics, and skills
 Match you to a personalized list of job options based on your assessment
results
 Allow you to access the system as many times as you wish
 Allow you to look for a job match without completing a minimum
number of assessments
 Allow you to browse job openings by categories in your community
 Experience Works for Older Veterans
o Will serve honorably discharged veterans, age 50 and older, who need
assistance in getting a job.
o Veterans will receive intensive job training, job development and placement
services customized for older job seekers so that they can successfully compete
for employment.
29
Governor’s Council on Disability
AUDRAIN COUNTY
LINCOLN COUNTY
MONTGOMERY COUNTY
PIKE COUNTY
WARREN COUNTY
Truman State Office Building
301 West High St., Room 250-A
P.O. Box 1668
Jefferson City, MO 65102
800-877-8249
http://www.gcd.oa.mo.gov/
Services/Programs:
 Assists disabled with re-entry into the workforce and addressing all of the barriers to
employment and full participation in community life.
 Educational Programming – Provides educational programming on disability rights and
disability awareness.
 Technical Assistance – Provides technical assistance to any Missourian interested in
learning more about the legal universe of disability rights.
 Disability Rights – Works with the legislature to ensure that proposed laws respect the
rights of persons with disabilities. Works with national and state governmental
agencies to ensure that their rulemaking is sensitive to the needs and rights of persons
with disabilities
 Free Publications – Offers a variety of free publications dealing with disability
awareness and disability rights.
 Bridges – A newsletter for people with and without disabilities to provide Missourian
information and disability resources. Bridges is published 4 times a year.
 Directory Resources for Missourian with Disabilities – A manual of disability related
organizations, agencies and services published every other year.
 Legislative Update – A newsletter published weekly during the legislative session to
follow the progress of all disability related legislation in the state general assembly.
30
Legal Services of Eastern Missouri - LSEM
LINCOLN COUNTY
MONTGOMERY COUNTY
PIKE COUNTY
WARREN COUNTY
St. Louis (Main Office
4232 Forest Park Ave.
St. Louis, MO 63108
(314) 534-4200
FAX: (314) 534-1425
1-800-444-0514
www.lsem.org
Legal Services of Eastern Missouri, Inc. (LSEM) is an independent, non-profit organization
that provides high quality civil legal assistance and equal access to justice for low-income
people in Eastern Missouri.
Services/Programs:
 Consumer - Accepted cases include deceptive practices, breach of contract, breach of
warranty, wrongful repossession, illegal collection tactics and bankruptcies.
 Education – Assists clients who need temporary transfers of custody in order to keep
children in their school districts.
 Elderly – Assists with nursing home problems, wills, Power of Attorney and
healthcare directives.
 Employment – Loss or denial of employee benefits.
 Family – Cases involving domestic abuse, child abuse and child snatching.
 Housing – Cases primarily involve clients who are in danger of losing their shelter.
Cases often include actions for rent and possession, actions for unlawful detainer,
breach of the implied warrant of habitability, foreclosures.
 Family Court Project – Assists low-income parents who need legal representation in
hearings that could end in termination of their parental rights.
 Public Benefits/Income Maintenance – Helps assist with questions and resolutions to
problems with programs such as Blind Pension/Supplemental Aid to the Blind,
Childcare, EBT/Quest Card issues, Food Stamps, General Relief, MO HealthNet and
Temporary Assistance (TANF)
31
Legal Services of Eastern MO, Inc. (LSEM) Continued,
 Children’s Legal Alliance – Advocacy program that focuses on the unmet educational
and mental health needs of economically disadvantaged children and youth.
 The Aids Project – Provides legal assistance to people living with HIV/AIDS. Clients
are assisted with problems in housing, employment and insurance discrimination,
public benefits, family issues such as custody, divorce or visitation, wills, Durable
Power of Attorney, healthcare directives, school access and HIV testing.
 Pinnacle Arbitration and Mediation Services – Provides alternative dispute resolution
when parties need assistance in resolving their differences without the involvement of
the courts.
32
Long Term Care Ombudsman Program
AUDRAIN COUNTY
Central MO Area Agency on Aging
1121 Business Loop 70 E., Ste. 2A
Columbia, MO 65201
(573) 443-5823
FAX: (573) 875-8907
www.cmaaa.net
LINCOLN COUNTY
MONTGOMERY COUNTY
PIKE COUNTY
WARREN COUNTY
LTC Ombudsman Program
8702 Manchester Rd.
Brentwood, MO 63144
1-866-918-8222
FAX: (314) 918-9188
Services:
 Missouri ombudsman program consists of volunteers serving residents of nursing
homes and residential care facilities to provide support and assistance with any
problems or complaints. Complaints concerning abuse, neglect and financial
exploitation should be reported first to the Missouri Division of Senior Services Elder
Abuse Hotline, 800-392-0210. Individual volunteers are recruited by Area Agencies on
Aging (AAAs) or their service providers. Following screening and training, the
volunteer is assigned to a facility that has agreed to participate in the program. The
ombudsman receives orientation to the facility and its procedures, prior to making
regular contact with the residents.
 Ombudsman volunteers are special. They are asked to make a significant commitment
to the program, not only in terms of pre-placement and on-going in-service training but
through weekly contact with residents, reporting and travel.
33
Masonic Home of Missouri
AUDRAIN COUNTY
LINCOLN COUNTY
MONTGOMERY COUNTY
PIKE COUNTY
WARREN COUNTY
6033 Masonic Dr., Suite A
Columbia, MO 65202
(800) 434-9804
(573) 814-4663
Fax: (573) 814-4660
www.mohome.org
Services/Programs:
 Outreach Programs
o Long Term Financial Assistance – The Masonic Home of Missouri is able to
provide eligible senior adults with financial assistance to remain in their homes,
apartments, independent living facilities, and assisted living facilities. Some
applicants qualify for this long-term assistance each month, while others only
need assistance with individual payments, such as medical bills, hearing aids or
dental work.
o Short Term Financial Assistance – The Outreach Program is also able to
provide short-term assistance to eligible adults who are experiencing
unforeseen hardship. The short- term assistance program is designed to help
individuals while they are helping themselves out of difficult situations. For
example, short-term assistance may help members experiencing medical
emergencies and temporary unemployment.
o Age and length of membership guidelines:
 Member prior to the age of Forty (40) must have been in continuous
good standing for five (5) years prior to application.
 Member between the ages of Forty (40) and Forty-Nine (49) years,
inclusive, must have been in continuous good standing for at least ten
(10) years prior to application.
 Member between the ages of Fifty (50) and Fifty-Nine (59) years,
inclusive, must have been in continue our good standing for at least
fifteen (15) years prior to application.
 Member at or subsequent to attaining the age of Sixty (60) years must
have been in continuous good standing for at least twenty (20) years
prior to application.
34
Masonic Home of Missouri Continued,
o Children’s’ Outreach - provides financial assistance to legal dependents of
Missouri Master Masons or Missouri female members of the Order of the
Eastern Star. Assistance provided through this program may help with medical
care and services such as dental, hearing, vision, therapy and equipment. This
program alleviates the financial strain on parents who may have health
insurance, but are struggling to afford co-payments and other medical expenses
not covered by insurance. The flexibility of the Children's Outreach Program
makes it possible for parents to seek services in their own communities.
 Applying for assistance: The parents or legal guardians of the child
should make application on the child's behalf. Once an applicant's
information is received, the Outreach staff will contact the guardian to
obtain additional information. All inquiries are given prompt attention.
Age & Length of Membership is reviewed on all applicants.
 Eligibility Requirements:
 Legal dependent(s) of Missouri Master Masons or female
members of the Order of the Eastern Star.
 Master Mason or Eastern Star member must be in good standing
at time of the application.
 Age and Length of Membership guidelines
 Guardian of applicant must demonstrate a financial need
 Age & Length of Membership Guidelines (Subject to approval by Board
of Directors):
 Legal dependent (s) up to 21 years of age of Master Masons or
female members of the Order of the Eastern Star who are in good
standing in Missouri Lodge/Chapter and have a minimum of two
years of continuous good standing prior to application.
 Legal dependent (s) of Mater Masons or female members of the
Order of the Eastern Star over the of 21 who are physically or
mentally disabled.
o Creating A Partnership
 Individual child/children - Lodges and Chapters can work within their
community to identify a child or children in need (i.e. through schools or
local community organizations/families). Assistance can help to provide
clothing, basic school supplies, coats, shoes, hats and gloves, hygiene
items, eye glasses, dental work etc.
 Project-Based - Lodges and Chapters can identify projects within their
communities through charitable or other non-profit organizations, such
as schools. Recipients of the CAP Project-Based funds must be a 501 (c)
(3) public charitable organizations, as defined by the IRS, or public
entities such as school districts. An example of a project that may qualify
is the backpack food program found in communities statewide.
(Matching funds must go toward the purchase of a specific item(s). The
Masonic Home will not match funds for general operating expenses.)
35
Masonic Home of Missouri Continued,
o Masonic Family Cares - The Masonic Family Cares is a new program that will
help facilitate connections between lodges, chapters and youth organizations
and the Masonic brothers and sisters in their communities. Interested
lodges/chapters can contact the masonic Home to inquire abut establishing
relationships with Masonic brothers, widows or O.E.S. members in their area
who would enjoy visiting with a fellow Masonic member. This program is a
great opportunity to connect with those members within your communities who
might not be able to attend Lodge, or a widow who would benefit from seeing a
friendly face. If your lodge is already participating and doing these great works
within your community, please share your stories with us. Contact Rhonda
Lightfoot, Membership Relations Specialist, at 800-434-9804, or email her
about how your Lodge is making a difference. If you are trying to find ways to
reach out to those members amongst you, please contact Chantana Irvin,
Masonic Family Cares Coordinator at 800-434-9804, or
email cirvin@mohome.org.
o Social Services - The Masonic Home of Missouri provides updated Resource
Directories (biannually) to each Masonic Lodge. These resource directories
provide information on available social services, specific to each county. Our
Social Services Department maintains up-to-date information regarding
programs and services throughout the state and can provide you with this
information should you need it.
o Widow’s Program - The Masonic Home of Missouri’s Outreach Programs
provide widows with information regarding our programs and services. In an
effort to inform our brethren’s widows about our programs and services, we
hold luncheons throughout the State. At these luncheons, the Masonic Home
honors our ladies with a pin recognizing them as Masonic widows. We are
currently making plans for holding luncheons in your area and would be
honored if you would wear your pin to them. Please be looking for more
information about where these luncheons will be held or visit this page to find
out about our programs and visits. A postcard has also been included in the
mailing that can be returned to us, if you are interested in learning more about
our Outreach Programs, need services or would like to refer someone for
assistance.
o Financial Counseling - The Financial Counseling Program will begin working
with Master Masons, the wife or widow of a Master Mason, and female
members of the Order of the Eastern Star who have applied for or are receiving
assistance through the Masonic Home’s Financial Assistance Programs. Unlike
the Financial Assistance Programs, the Financial Counseling Program does not
have Age & Length of Membership guidelines. The Financial Counseling
Program was born from the growing need for short-term assistance for younger
members, realizing that by helping members to organize their finances and set
36
Masonic Home of Missouri Continued,
financial goals, they would not need financial assistance in the future. They
would be prepared should their financial situation unexpectedly change again.
For those members who are referred to the Financial Counseling Program after
having applied for short-term financial assistance, the program will focus
mainly on: budgeting, prioritizing payment of expenses and debt, lowering
variable expenses, identifying and eliminating unnecessary expenses,
determining solvency, Net Worth, and Basic Liquidity, assisting in creating
financial goals and creating a plan to obtain those goals, and referral to other
financial services that the Home cannot provide (such as debt consolidation and
bankruptcy). The Financial Counseling Program will also be beneficial for
those applicants applying for long-term financial assistance. These clients are
Masonic widows, elderly Master Masons, and elderly female OES members.
Financial Counseling will focus on budgeting, understanding Medicaid
eligibility rules, referral to other services that they might qualify for (such as
Mo HealthNet, VA benefits, etc.), and other financial services the Home cannot
provide (such as investment services, estate planning, retirement strategies,
etc.). Financial Counseling will help them to organize their finances and create
a budget, with the goal of helping them to continue living independently. This
will also be helpful for older couples, widows, Master Masons, and female OES
members who are planning to make major changes to their lifestyles, such as
moving to an Assisted Living Facility. Financial Counseling can assist them in
determining if their income and assets are adequate for the move, how the move
will change their expenses and monthly budget, and assist them in identifying
additional potential income sources.
o Truman Club - The Truman Club recognizes those individuals and couples
who support the Masonic Home and its programs through on-going annual
giving. With the support of Truman Club members, we are able to transform the
Masonic tenets into reality for our fraternal brothers and sisters in need across
the state.
 Annual Membership - to be eligible for annual membership in the
Truman Club, a donor must give at least $100 in tax-deductible
donations during the calendar year. Annual memberships are renewable
on January 1st each year. Benefits of annual Truman Club membership
include:
 Welcome Packet
 Membership Pin
 Invitation to annual Truman Club Dinner
 Special mailings and advance registration for events
 Annual membership gift
o Special Events – Annual Leaves of Autumn golf outing
37
Masonic Home of Missouri Continued,
o Museum - The Masonic Home and Grand Lodge of Missouri are thrilled to
announce the Grand Opening of Missouri’s first Masonic Museum to the public
on February 25, 2008, preceded by previews for members, distinguished guests
and press. The exhibit incorporates 5 themed galleries, each gallery
representing a leader a particular quality. The first gallery titled “Pathmakers
and Patriots” highlights the impact Meriwether Lewis and William Clark had
on the early period in Missouri and how they became involved in the Masonic
fraternity. The second gallery titled “Living Well” focuses on Laura Ingalls
Wilder, her involvement with the Order of the Eastern Star and how music and
education are valued in Masonry and at the Masonic Home. The third gallery
themed “Generosity” depicts Jacob Lampert, Past Grand Master, and other
Masons and Masonic groups who have provided generous support to the
Masonic Home. The fourth gallery depicts “Leadership” centering on President
and Past Grand Master Harry S Truman and how democratic methods guide
lodges. The Fifth theme titled “Everyman” is a rotating exhibition gallery. In it
Masonic lodges and Eastern Star Chapters will have the opportunity to share
individual history and symbols used within the Lodges and Chapters over the
years. Admission is FREE. Self-guided tours are available during normal
business hours (weekdays 8:00a.m. to 4:30p.m.). Other viewing times available
by appointment.
38
Mid-Missouri Legal Services
AUDRAIN COUNTY
805 East Forest Avenue
Columbia, MO 65201
(573) 442-0116
FAX: (573) 875-0173
1-800-568-4931
Services/Programs:
 Free legal services to qualified low-income persons
 Call for an appointment
 Types of cases handled by this office:
o Divorces involving abuse and custody
o Uncontested divorce
o Custody issues
o Ex Parte
o Some support issues
o Tenants’ rental problems in private and public housing
o Section 8
o Unemployment compensation claims
o Aid for dependent children/welfare
o Food Stamps
o Mo HealthNet
o Access to health care
o Consumer problems
o Some bankruptcies
o Utilities
 Advice, referrals, negotiations of settlements, preparation of legal documents and
representation of clients in court and at administrative hearings.
 Services NOT provided – Criminal cases, fee generating cases and frivolous cases.
39
Missouri Division of Workforce Development
AUDRAIN COUNTY
1500 Vandiver Dr., Ste. 115
Columbia, MO 65202
(573) 882-8821
FAX: (573) 884-5055
LINCOLN COUNTY
MONTGOMERY COUNTY
WARREN COUNTY
111 Steinhagen Rd.
Warrenton, MO 63383
(636) 456-9467
FAX: (636) 456-2329
PIKE COUNTY
203 North 6th Street
Hannibal, MO 63401
(573) 248-2520
FAX: (573) 248-2526
Services/Programs:
www.jobs.mo.gov
 Career Center
o Missouri Career Center staff can help focus your job or career goals, identify
skills and abilities and identify available jobs.
o The National Career Readiness Certificate (NCRC) verifies your skills to
employers anywhere in the United States and is available to earn at your local
Career Center.
o Missouri Career Center staff will assist you with assessment tools to measure
and understand your skills, knowledge, abilities, strengths and interests to help
you find the job that is right for you.
o Missouri Career Centers offer specialized workshops to help you brush-up your
job seeking skills or assist if you've been laid-off.
o Career Centers offer software and experienced staff to help you develop a
professional resume that stands out.
o Career Center staff can determine your eligibility for a variety of training
programs to assist in gaining new skills needed to obtain employment.
40
Missouri Division of Workforce Development continued,
 Education and Training
o Workshops - Missouri Career Centers offer workshops to help maximize your
job search efforts. We also include workshops to assist laid off workers at the
time of the layoff.
 Career Exploration - This workshop gives you the tools to assess your
knowledge, skills, personal interests and priorities on the journey to
finding the job that is best for you (or not a good fit) and identify
resources available to find a rewarding career.
 Career Networking - Learn the benefits of effective and strategic
‘networking’ and how these interpersonal resources and contacts could
lead to a new job. This workshop applies what you learn, so you will
develop a plan to present yourself to networking groups, a networking
source list, and develop a list of the types of networking groups.
 Resume Preparation - Find out what employers are looking for when they
read a resume and cover letter. Identify and optimize all the basic
components of a resume - skills and abilities, work history, and education
- so that you stand out above the others. Learn how to use the same
strategies in completing excellent online applications.
 Interview Process - With this workshop you get practical advice on how
to best showcase your skills and experience through research, practice,
and preparation. Get helpful tips on how to dress and groom for an
interview. Learn the different types of interviews and develop a strategy
for each one.
 Basic Computer Skills - Using a computer competently is essential for
today’s job seeker. Learn the basic computer skills necessary to search
and apply for jobs. This workshop includes everything from using the
keyboard to accessing the Internet to creating and saving files. In
addition, learn to use jobs.mo.gov to search for your next job.
 Workshops for Laid Off Workers
 Take Control Of Your Finances - Managing your bills until a new
job opportunity appears is less stressful when you have a plan.
Training topics include: how to track your spending and how to
develop a budget, how to cut expenses, HOPE NOW mortgage
services, how to prioritize debts and maintain good relation with
creditors, understanding COBRA Continuation Health insurance
coverage, how to avoid debt and credit scams, and how to identify
resources in your community that can help you save money.
 FastTrac New Venture - FastTrac New Venture workshops are
available to dislocated workers with an interest in starting their
own business. FastTrac New Venture workshops help you research
your business idea and decide whether starting a business is right
for you.
41
Missouri Division of Workforce Development continued,
 Training Provider Search Tool (previously the Missouri Education and Career Hotlink)
o Allows you to research Missouri’s educational institutions and programs.
Maybe you've been approved for training assistance through the Workforce
Investment Act (WIA) and told you need to use an "Eligible Training Provider" where do you find that? Our new Training Provider Search Tool will allow you
to limit your search results to eligible providers.
 WorkReadyMissouri - If you are receiving Unemployment Insurance benefits, you may
be able to use the WorkReadyMissouri Program. WorkReadyMissouri provides an
opportunity to receive occupational worksite training on a part-time basis for up to six
weeks. Program trainees continue to receive UI benefits, plus up to a $500 training
allowance.
 On The Job Training - OJT is available for eligible job seekers through the Workforce
Investment Act and the Trade Readjustment Assistance Act. Contact your
local Missouri Career Center for staff assistance in determining your eligibility for
these programs.
42
Missouri Protection and Advocacy Services
AUDRAIN COUNTY
LINCOLN COUNTY
MONTGOMERY COUNTY
PIKE COUNTY
WARREN COUNTY
925 South Country Club Drive
Jefferson City, MO 65109
(573) 893-3333 or
1-800-392-8667
FAX: (573) 893-4231
www.moadvocacy.org
Services/Programs:
 Federally mandated system in the state of Missouri which provides protection of the
rights of persons with disabilities through legally based advocacy.
 Investigation and review of a complaint of improper of inadequate services provided to
a SSDI/SSI beneficiary with a disability by a service provider, employer or other entity
involved in the SSDI/SSI beneficiary’s return to work efforts.
 Information & Referral – Information to SSDI/SSI beneficiaries about work incentives
and employment, including information on the types of services and assistance that may
be available to help them in securing or regaining gainful employment.
 Consultation & legal Respresentation, based on annual program priorities.
43
Missouri Veterans Commission
AUDRAIN COUNTY
Monday through Friday, 8:00 a.m. to 4:30 p.m.
Missouri Veterans Home
#1 Veterans Drive
Mexico, MO 65265
(573) 581-1088 ext. 258
108660838-4636
Ken.Gore@mvc.dps.mo.gov
Mail all correspondence to: Kenneth Gore, Veterans Service Officer
#1 Veterans Home
Mexico, MO 65265
LINCOLN COUNTY
No office information for Lincoln County. Please contact Dan McFarland at the
address below.
Dan.McFarland@mvc.dps.mo.gov
(636) 949-7900 or 800-822-4012 ext. 7210 St. Charles County Office
Mail all correspondence to: Dan McFarland, Veterans Service Officer
St. Charles County Administration Building
201 N. 2nd St., Suite 323
St. Charles, MO 63301
MONTGOMERY COUNTY
No office information for Montgomery County. Please contact Kenneth Gore at the
address below.
Kenneth.Gore@mvc.dps.mo.gov
(573) 581-1088 ext. 1258 Audrain County Office
Mail all correspondence to: Kenneth Gore, Veterans Service Officer
MO Veterans Home
#1 Veterans Drive
Mexico, MO 65265
44
Missouri Veterans Commission continued,
PIKE COUNTY
No office information for Pike County. Please contact Celia Thompson at the address
below.
Celia.Thompson@mvc.dps.mo.gov
(573) 248-2550 Marion County Office
Mail all correspondence to: Celia Thompson, Veterans Service Officer
Missouri Veterans Commission
203 North 6th St.
Hannibal, MO 63401
WARREN COUNTY
No office information for Warren County. Please contact Mary Kientzy at the address
below.
Mary.Kientzy@mvc.dps.mo.gov
(660) 949-7900 or 1-800-822-4012 ext. 7213 St. Charles County Office
(636) 528-6300 Lincoln County
(636) 584-6211 Franklin County
Mail all correspondence to: Mary Kientzy, Veterans Service Officer
St. Charles County Administration Bldg.
201 N. Second St., Suite 323
St. Charles, MO 63301
1-866-838-4636
www.mvc.dps.mo.gov
Through the Service to Veterans Program, the Veterans Service Officers and Assistants
provide counseling and assistance to thousands of veterans and their dependents throughout
the state. Not only do these trained professionals counsel veterans and what VA and State
Veterans Benefits are available, but they also complete and submit claims application with all
necessary documentation. They are available for any follow-up work necessary with the
Dept. of Veterans Affairs to obtain the maximum amount of benefits due any eligible veterans
and/or dependent. Veterans Service Officers and Assistants are thoroughly trained and
knowledgeable in all areas of veterans’ benefits, including compensation, pension, education,
burial and widow’s benefits. They will also assist claimants with health care eligibility, VA
Home Loan Guaranty and other veterans’ benefits, including those offered by the state.
Occasionally an office may be closed due to illness/weather etc. Please call the office the
morning of your visit to insure the office is open.
45
Northeast Independent Living Services - NEILS
PIKE COUNTY
109 Virginia, Suite 560
Hannibal, MO 63401
(573) 221-8282
FAX: (573) 221-9445
1-877-713-7900
neils@neilscenter.org
www.nielscenter.org
Mission: To assist persons with disabilities to live as independently as they choose within
their community.
Services/Programs:
 Information and Referral – Information about disability related issues, resources and
services is provided to people with disabilities, professionals and the general public.
Staff members are available to listen and assist with locating resources and developing
strategies for individuals to resolve problems, including but not limited to the
following areas: housing issues, benefit issues, accessibility of private and public
areas, discrimination, finding employment to enhance independent living. Requests
for information are researched and provided in appropriate format. Referrals are made
to other agencies or service providers for existing services in the community.
 Peer Support – One on one support is available from trained volunteers and staff. The
goal of peer support is to assist the person in learning coping skills for today’s world.
The peer support program uses the motto “been there, done that”, meaning that
experience is the best education. Staff and volunteers who have acquired positive
strategies for managing their disabilities assist consumers to explore options, solve
problems and develop new skills.
 Advocacy – NEILS is available to help people learn how to speak for themselves. We
will help all individuals who would like to become better self-advocates. Building
skills and self-esteem enable individuals to ask for what they need to become or
remain as independent as possible. It is necessary for a person with disabilities to
develop these skills to more effectively impact their needs, and to impace local, state
and national disability policy. NEILS provides training, networking with other
agencies, plus timely information to individuals about disability issues in its news
letter.
 Transition Program – NEILS strongly believes in integrating persons with disabilities
who are institutionalized back into community living.
 Independent Living Skills Training – Individualized training in daily living activities
that are essential to living independently, safely, effectively and successfully. Training
46
Northeast Independent Living Services (NEILS) Continued,
topics available include but are not limited to: budgeting and personal finances,
cooking, grovery shopping, menu preparation, leas and tenant/lanlord responsibilities,
recreating and social security application, training on management of attendant
services, pre-employment skills, interpersonal and other skills, utilizations of other
services available and goal setting to achieve increased independence.
 Personal Assistance Services (PAS) – Some persons with disabilities require assistance
with activities of daily living to enable them to live independently withing their
communities. PAS allows individuals with disabilities to receive assisance with their
daily living activities and other tasks while remaining in their home. Qualified
individuals direct their own care by hiring the attendant(s) of his or her choice and
managing/directing the services that meet the individual’s needs. Eligibility: must be
a resident of Missouri, meet the criteria of a needs assessment, have a disability that
limits one or more functions of daily living such as bathing, dressing, meal
preparation, etc. Must be 18 years of age or older, be MO HealthNet eligible and be
able to direct own self care.
 Acessibility Services – Ramps, hand rails and wider door openings are all accessibility
features that can literally open doors that have, until recently, been closed to a
significant portion of the population and not just those in wheelchairs, but those using
a walker or can, as well as those who just have difficulty negotiating stairs and
experience architectural barriers. NEILS can perform and on-site survey of your
home, building or business to determine the compliance with the Americans with
Disabilities Act (ADA).
 Benefits Counseling – Benefits counseling can range from a simple question and
answer to an in-depth analysis of a person’s current benefits and how working at any
level would affect those benefits. Topics addressed may include but are not limited to
the following: Social Security benefits, MO HealthNet, Medicare, private disability
benefits, county services, subsidized housing, Veterans benefits and energy assistance.
 Assistive Technology – NEILS staff members are trained to provide an assessment of
a person with a disability and their technology needs. NEILS can provide assistance
with obtaining anything from lifts to vehicle hand controls to assistive computer
devices and much more. Staff will provide recommendations for technology choices
and will assist with locating and apploying for financial assistance. People also have
an option of trying out items of adaptive equipment available for loan.
 Equipment Loan Progarm – This equipment loan program has been designed to
provide consumers with temporary equipment required for daily living. Examples of
equipment are, but not limited to: walkers, shower chairs, transfer bench, commodes
and wheelchairs.
47
Northeast MO Area Agency on Aging - NEMOAAA
LINCOLN COUNTY
MONTGOMERY COUNTY
PIKE COUNTY
WARREN COUNTY
815 N. Osteopathy
Kirksville, MO 63501
(660) 665-4682
1-800-664-6338
www.nemoaaa.com
NEMO’s mission is to help older adults maintain maximum independence and dignity in a
home environment.
Services/Programs: Nominal donatons for persons age 60 and older
 Congregate Meals:
o Lincoln County
Troy Senior Center – 636/528-7000
1380 Boone St.
Troy, MO 63379
Winfield Senior Center – 636/688-8448
225 Elm St.
Winfield, MO 63389
Elsberry Nutrition Center – 573/898-2296
206 N. 3rd St.
Elsberry, MO 63343
Silex Senior Center – 573/384-5561
115 Main
Silex, MO 63377
o Montgomery County
Montgomery County Senior Center – 573/564-3224
138 S. Allen
Montgomery, MO 63361
o Pike County
Pike County Council on Aging – 573/754-6511
521 Georgia St.
Louisana, MO 63353
48
Northeast MO Area Agency on Aging – NEMOAAA continued,
Pike Pioneer Nutrition Center – 573/324-5001
510 W. Champ Clark Dr.
Bowling Green, MO 63334
o Warren County
Warren County Senior Center – 636/456-3379
501 Ashland Ave.
Warrenton, MO 63383
 Home delivered meals – The same meal served for congregate meals are delivered to
senior citizens who are homebound due to illness, isolation or incapitation. Evening
and weekend meals, as well as special diets are also available if needed.
 In-Home Services – NEMO contracts with 5 service proficers to offer personal care,
respite and home/chore assistance.
 Legal – Services are contracted by NEMO from Mark Twain Legal Services, Inc.
 Employment – NEMO subsidizes employment/training programs for individuals 55
years of age or over who meet income guidelines.
 Information and Assistance – Assists the elderly and their caregivers in finding help in
their area.
49
OATS, Inc. Transportation
AUDRAIN COUNTY
Mid-MO Region
Jack Heusted, Regional Director
2501 Maguire Blvd., Ste. 103
Columbia, MO 65201
(573) 449-3789
jackh@oatstransit.org
www.oatstransit.org
LINCOLN COUNTY
MONTGOMERY COUNTY
PIKE COUNTY
WARREN COUNTY
Northeast Region
Sheree Webb, Regional Director
3006 Jims Rd.
Shelbina, MO 63552
(573) 395-3041
swebb@oatstransit.org
www.oatstransit.org
The mission of OATS is to provide reliable transportation for transportation disadvantaged
Missourians so they can live independently in their own communities.
Services/Programs:
 Door to door transportation
 Donations
 Call to schedule a ride
50
Salvation Army
AUDRAIN COUNTY
MONTGOMERY COUNTY
WARREN COUNTY
Jefferson City MO Corps
927 Jefferson Street
Jefferson City, MO 65102
Captains Terry & Cheryl Selvage
(573) 635-1975
Columbia MO Corps
1108 West Ash
Columbia, MO 65203
Majors John & Faye Flanagan
(573) 442-3229
www.usc.salvationarmy.org
Center of Hope, Family Shelter
907 Jefferson Street
Jefferson City, MO 65101
Majors Kendall
Katrina Mathews
(573) 634-8357
Columbia MO Harbor House
602 North Ann
Columbia, MO 65203
Majors Kendall
Katrina Mathews
(573) 442-1984
LINCOLN COUNTY
O’Fallon MO Corps.
1 William Booth Drive
O’Fallon, MO 63366
Captains Jesus & Kelli Trejo
(636) 240-4969
St. Charles MO Corps.
2140 N. Fourth
St. Charles, MO 63301
Captains Ronald & Laura Key
(636) 946-7966
Thrift Store/Donation Center
2700 Droste Rd.
St. Charles, MO 63301
(636) 947-8489
http://www.stlouis.satruck.org
Family Haven
10740 W. Page Ave.
St. Louis, MO 63132
Kimberly Beck
(314) 423-7770
PIKE COUNTY
200 South Ninth Street
Hannibal, MO 63401
Captain Normalene A. Daniels
(573) 221-7072
www.usc.salvationarmy.org
51
Salvation Army continued,
Services/Programs:
 Emergency Assistance
 Emergency Shelter
 Thrift Stores/Donation Centers
 Worship Center
 Sunday School
52
Services for Independent Living - SIL
AUDRAIN COUNTY
MONTGOMERY COUNTY
1401 Hathman Place
Columbia, MO 65201
(573) 874-1646
TTY: (573) 874-4121
FAX: (573) 874-3564
1-800-766-1968
sil@silcolumbia.org
www.silcolumbia.org
Services for Independent Living (SIL) is a non-profit Center for Independent Living that
promotes independence for persons with disabilities by following the Independent Living
Philosophy. The Independent Living Philosophy states, “All persons, regardless of disability,
are entitled to and should have equal access to the rights and responsibilities that other citizens
are provided; to be as active and productive a member of society as theychoose.”
Services/Programs:
 Advocacy – SIL assists individuals acquire needed services and benefits. On a
systemic level, we advocate for policies and regulations that prohibit discrimination
against individuals with disabilities.
 Independent Living Skills Traning – SIL offers group classes and individualized
training based on consumer needs in areas such as cooking, home management and
work readiness.
 Information and Referral – SIL Porivudes both internal and community resources to
individuals to make informed decisions and macimize independence.
 Peer Support – SIL provides peer support through groups that meet on a regular basis
and through one-on-one support. Individuals learn from others with disabilities by
sharing personal experiences. Peer support also forms the basis of all other SIL
programs and services.
 Accessible Transportation – SIL offers accessible transportation with door-to-door
service Sunday through Friday, 8 a.m. to 5 p.m.
o Fee schedule:
 $2.00 per stop City
 $3.00 per stop Outside Cit Limits
 $5.00 per stop from County to County
o Eligibility:
 Must be a senior or have a disability that limits access to transportation
53
Services for Independent Living (SIL) Continued,





Must live in our services area
Must have unmet transportation needs
Must be willing to complete intake paperwork
Must be able to ride independently or provide your own attendant
Must be ready when driver arrives
*Transportation for all Services for Independent Living sponsored events is no charge *
 American with Disabilities Act (ADA) Accessibility Technical Assistance – SIL offers
technical support and accessibility surveys to individuals, organizations and businesses
to meet ADA requirements and incorporate universal design.
 Assistive Technology
o Demonstration Center – provides information and demonstrations on assistive
technology (AT). The AT Demonstration Center displays a wide variety of
low, medium and high tech devices for individuals with disabilities, their
families, agencies, businesses, school districts and the community.
Appointments are encouraged but walk-ins are welcome. Presentations for
groups or organizations are also available.
o Short Term Loans – The AT Demonstration Center lends assistive technology
and durable medical equipment through a Short Term Loan Program. We also
have access to a wider range of equipment for demonstration, training or loan
through the statewide Equipment Technology Consortium. Loans can be made
for up to six weeks.
o Durable Medical Equipment (DME) Recycling – accepts gently used, clean and
fully functional medical equipment for redistribution to individuals with unmet
needs. Please call for additional details regarding acceptable items and to
arrange drop off.
o Durable Medical Equipment Purchases – SIL has the ability to make small
durable medical equipment purchases that help increase independence. Needs
are assessed by an Independent Living Specialist or the AT Manager.
o Telecommunication Access Program (TAP)
 The Telecommunication Access Program for Telephone (TAP-T) –
provides adaptive telephones for individuals with a wide range of
disabilities.
 The Telecommunication Access Program for Internet (TAP-I) provides
adaptive hardware and software for internet access. SIL meets with
individuals to determine eligibility, assess needs and complete and
application.
o Residential Ramp Project – This project builds ramps and makes small home
modifications to improve residential access. Individuals must reside in the SIL
service area and meet income guidelines. Individuals must own their home or
be a renter in good standing for at least three years.
54
Services for Independent Living (SIL) Continued,
 Blind and Low Vision Services
 Community Education and Awareness Training (PAVE) – Educates the community
about disabilities. Presentations are given throughout the area and members speak
about their abilities and disabilities.
 Deaf and Hard of Hearing Services
 Housing Information - SIL assists individuals acquire accessible and/or adaptable
housing, and advises consumers on modifying housing to enhance accessibility. SIL
keeps abreast of current accessible housing information within our service area and
advocates for more affordable accessible housing options and non-discrimination in
housing availability
 Independent Living Skills Training Class
o Columbia
 Adult Work Readiness Class - teaches adults each phase of the
employment process such as creating employment goals, organizing their
job search, using job search resources, filling out applications, creating
resumes and cover letters, interview skills, dressing for success, and
procedures for disclosure of disability and requesting accommodations.
 Cooks In The Kitchen - encourages individuals to eat healthier meals and
snacks as a result of hands-on cooking experiences. Participants learn to
prepare simple, healthy foods they can make for themselves and their
families. Individuals with disabilities, ages 18 and older are welcome.
 Kids In The Kitchen - teaches middle school through high school aged
youth the fundamentals of cooking, kitchen safety and
nutrition. Participants are involved with hands on cooking from food
preparation to the finished meal.
 Kids In The Kitchen Summer Camp - a weeklong extension of the Kids
in the Kitchen course. In addition to learning about cooking, participants
shop to learn the layout of grocery stores as well as how to make healthy
and cost effective food choices.
 Money Smart Budgeting Class - provides an introduction to general bank
services, checking accounts, credit cards, loans, renting and home
ownership. Saving, budgeting and setting financial goals are also taught.
 Money Smart Youth Budgeting Class - provides an introduction to
general bank services, checking accounts, credit cards, loans, renting and
home ownership. Saving, budgeting and setting financial goals are also
taught.
 Youth Work Readiness Class - teaches youth through age 29 each phase
of the employment process such as creating employment goals,
organizing their job search, using job search resources, filling out
applications, creating resumes and cover letters, interview skills,
55
Services for Independent Living (SIL) Continued,
dressing for success, and procedures for disclosure of disability and
requesting accommodations.
o Mexico
 Community Awareness - provides a forum to discuss current topics
relevant to individuals with disabilities to maximize their independence.
 Missouri Youth Leadership Forum - the Forum is a unique career leadership-training
program for high school students with disabilities, ages 16 – 21. Youth delegates are
selected from their local communities to cultivate leadership, citizenship and social
skills at this four-day summer program.
 Peer Support Groups
o Columbia
 Brain Injury Support Group - for individuals with diverse brain injuries.
The group discusses issues related to employment, perception and
memory loss. Guess speakers are also invited to address the group.
Group members are active in systems advocacy and participate in
legislative rallies and activities.
 Meet and Greet - Meet and Greet is a peer support program designed for
social interaction for people with disabilities. It consists of a diverse age
range and interests. Some common activities are fishing, visiting art
galleries and participating in community events. The group meets bimonthly and activities are planned by participants.
 Parent Network of Mid-Missouri - Parent Network of Mid-Missouri
encourages, educates and empowers families of individuals with
disabilities to maximize independence. Parents of individuals with
disabilities meet twice a month to socialize and learn from one another
 Sibling Saturdays - Sibling Saturdays meets several times a year to allow
siblings with and without disabilities to learn from other siblings and
discuss what it’s like to be, or to have a sibling with a disability
 Vision Impairment and Blindness Exploration and Support (VIBES) Individuals with long standing vision loss and those with more recent
experience are welcome to discuss daily living skills, exploration of
options, and coping with specific aggravations and frustrations of vision
loss in a world designed for the convenience of visual access.
 Wii Excellerate – provides a place for youth with and without disabilities
to hang out, play games and have fun!
 Women’s Support Group - meets on a weekly basis. Guest speakers are
invited to discuss topics of interest, which the group chooses. Some
common topics have been emergency preparedness, living with a
disability, how to self direct personal care services, staying healthy in the
new year and sexuality.
o Mexico
 Disability Support Group
56
Services for Independent Living (SIL) Continued,
o Moberly
 Disability Support Group
 Personal Care Services
o In-Home Services - In-home services meets the personal care needs of
individuals with disabilities and the elderly. Personal Care, Homemaker Chore,
Respite Care and Authorized Nurse Visits make it possible for individuals to
remain in their homes or leave nursing homes.
o The Consumer Directed Services (CDS) program - empowers individuals with
disabilities to hire personal care attendants to assist with activities of daily
living. SIL has been administering Personal Care Services since 1984. Our
number one goal in providing assistance is helping individuals maintain
independence in their own homes.
 Transition From Nursing Homes - The Money Follows the Person (MFP) program
assists individuals transition from nursing facilities or habilitation centers to the
community. Individuals desiring to move into the community will receive help
finding housing, applying for community supports and setting up their new
household. Services for Independent Living serves as a transition coordinator for this
program.
 Youth Transition Services
o Youth Work Readiness Class - This classes teaches youth through age 29 each
facet of the employment process such as creating employment goals, organizing
the job search, using job search resources, filling out applications, creating
resumes and cover letters, interview skills, dressing for success and procedures
for disclosure of disability and requesting accommodations.
o Person Centered Career Planning, Exploration and Employment Support - is
offered to individuals interested in one-on-one instruction in the work readiness
process. Youth, along with their support team of parents or mentors, set
employment goals, create a plan for overcoming employment obstacles, and
explore career paths through inventories, aptitude assessments and job
shadowing. Employment support is also offered to individuals needing
assistance with job searching, preparing for interviews or any other portion of
the work readiness process.
o IEP/504 Advocacy - is offered to parents and families of students with IEPs or
504s that are moving toward the transition process by providing information,
guidance and support.
o Transition Mentoring - MPACT Certified Transition Mentoring assists parents
and families of youth with disabilities that are in the transition process by
helping them become established with and utilize regional transition networks.
57
Smart911
AUDRAIN COUNTY
LINCOLN COUNTY
MONTGOMERY COUNTY
PIKE COUNTY
WARREN COUNTY
www.smart911.com
Smart911 is a free service that allows citizens across the U.S. to create a Safety Profile for
their household that includes any information they want 9-1-1 to have in the event of an
emergency. Then, when anyone in that household dials 9-1-1 from a phone associated with
their Safety Profile, their profile is immediately displayed to the 9-1-1 call taker providing
additional information that can be used to facilitate the proper response to the proper location.
At a time when seconds count, being able to provide 9-1-1 with all details that could impact
response the second an emergency call is placed could be the difference between life and
death.
 What is a safety profile?
o The Safety Profile you create when you sign up for Smart911 is completely
private and only shared with 9-1-1 when you call from a registered phone.
 How Does Smart911 help?
o Physical Disabilities - For those who have a physical disability or mobility
restrictions, it is vital for responders to know about the person, their disability
and what type of assistance or special equipment they may need to evacuate
their home or receive transport.
o Developmental Disabilities - For families affected by autism or who may have
difficulty communicating verbally with 9-1-1 their individual conditions as well
as rescue notes indicating how responders will need to approach the individual
can be include in their Safety Profile.
o Medical Conditions - For citizens who are affected by epilepsy, diabetes,
Alzheimer's, allergies or other medical conditions Smart911 can inform
responders of your condition as well as medications and emergency contacts.
o Seniors and Elderly Care - For active seniors living alone a Safety Profile can
provide peace of mind that in the event of an emergency 9-1-1 would have
details on their home and their medical needs. For caretakers, they can be
assured that if the person they care for needs to dial 9-1-1 when they are alone,
their details are available and the caretaker can be listed as an emergency
contact.
58
Smart911 continued,
o General Emergencies - For all citizens, there is always the risk of unplanned
accidents or events. Whether in a vehicle or in your home, even the most basic
details such as the address association with a mobile phone can be available to
9-1-1 and response teams to send help fast.
o Pet and Service Animals - For citizens with pets or other animals your Safety
Profile can alert police to their presence when entering your home and Fire
crews can be aware of exactly how many people and pets need to be evacuated
from your home. For owners of a service animal, you can alert responders that
your animal needs to be transported with you.
59
Social Security Administration
AUDRAIN COUNTY
803 Gray Oak Drive
Columbia, MO 65201
1-866-563-9108
LINCOLN COUNTY
PIKE COUNTY
155 Forrest Dr.
Hannibal, MO 63401
1-866-331-7094
MONTGOMERY COUNTY
129 Scott Station Rd.
Jefferson City, MO 65109
(573) 893-8155
1-800-772-1213
WARREN COUNTY
4800 Executive Center Parkway
St. Peters, MO 63376
1-800-772-1213
Benefits:
www.ssa.gov
 Retirement – A monthly check for those aged 62 and older that have worked and paid
into social security
 Social Security Disability Insurance – Pays benefits to you and certain members of your
family if you are “insured” meaning that you worked long enough and paid social
security taxes.
 Survivor’s Benefits – When an individual dies, certain members of their family may be
eligible for benefits on their Social Security record if they earned enough credits while
working. Family members who can collect benefits include a widow/widower who is
age 60 or older; a widow/widower who is age 50 or older and disabled; a
widow/widower at any age if he/she is caring for a child under age 16 or a disabled
child who is receiving Social Security Benefits; children if they are unmarried and
60
Social Security Administration Continued,
under age 18, under age 19 but in an elementary or secondary school as a full-time
student; or age 18 or older and severely disabled (disability must hve started before age
22); and your parents; if they were dependent on you for at least half of their support. If
the deceased has enough credits, a special one-time payment of $255 will also be made
after death. This benefit is paid only to the widow/widower or minor children.
 Divorced Widow/Widower’s Benefits – If you are divorced (even if you have
remarried), your ex-spouse will be eligible for benefits on your record when you die. In
order to qualify, your ex-spouse must: be at least 60 years old (or age 50 if disabled)
and have been married to you for at least 10 years; be any age if caring for a child who
is eligible for benefits on your record; not be eligible for an equal or higher benefit on
his or her own record; and not be currently married; unless the remarriage occurred
after age 60 or age 50 for disabled widow/widowers.
 Supplemental Security Income (SSI) – Federal income supplement program funded by
general tax revenues. It is designed to help aged, blind and disabled people who have
little or no income, and provides cash to meet basic needs for food, clothing and shelter.
 Retirement Benefits for Widow/Widowers – If you’re receiving widow/widowers
(including divorced widow/widowers) benefits, you can switch to your own retirement
benefits as early as age 62. REMEMBER: Age 62 is the earliest you can collect
Social Security retirement benefits and the age at which you can receive full retirement
benefits is rising.
 Medicare – There are four parts to Medicare: Medicare Part A, Hospital Insurance,
Medicare Part B, Medical Insurance; Medicare Part C (Medicare Advantage), which
was formerly known as “Medicare+Choice” and Medicare Part D, prescription drug
coverage. Generally, people who are over age 65 and getting Social Security
automatically qualify for Medicare Parts A and B. So do people who have been getting
disability benefits for two years, people who have amyotrophic lateral sclerosis (Lou
Gehrig’s disease) and receive disability benefits, and people who have permanent
kidney failure and receive maintenance dialysis or a kidney transplant.
o Part A is paid for by a portion of Social Security tax. It helps pay for inpatient
hospital care, skilled nursing care, hospice care and other services.
o Part B is paid for by the monthly premiums of people enrolled and by general
funds from the U.S. Treasury. It helps pay for doctors’ fees, oupatient hospital
visits and other medical services and supplies that are not covered by Part A.
o Park C (Medicare Advantage) plans allow you to choose to receive all of your
health care services through a provider organization. These plans may help
lower your costs of receiving medical services, or you may get extra benefits for
61
Social Security Administration Continued,
an additional monthly fee. You must have both Parts A and B to enroll in Part
C.
o Part D (prescription drug coverage) is voluntary and the costs are paid for by the
monthly premiums of enrollees and Medicare. Unlike Park B in which you are
automatically enrolled and must opt out if you do not want it, with Part D, you
have to opt in by filling out a form and enrolling in an approved plan.
62
Subsidized Housing/Rental Assistance
AUDRAIN COUNTY
Mexico Public Housing Authority
828 Garfield
Mexico, MO 65270
(573) 581-2294
FAX: (573) 581-6636
Low Rent and Section 8
HUD Missouri
St. Louis Field Office
1222 Spruce St.
St. Louis, MO 63103
(314) 418-5400
FAX: (314) 539-6384
Vandalia Public Housing Authority
1001 South Maple
Vandalia, MO 63382
(573) 594-3712
FAX: (573) 594-2861
Low Rent and Section 8
LINCOLN COUNTY
Lincoln County Housing Authority
16 N. Court St.
Bowling Green, MO 63334
(573) 324-2231
FAX: (573) 324-3960
Section 8
HUD Missouri
St. Louis Field Office
1222 Spruce St.
St. Louis, MO 63103
(314) 418-5400
FAX: (314) 539-6384
MONTGOMERY COUNTY
WARREN COUNTY
HUD Missouri
St. Louis Field Office
1222 Spruce St.
St. Louis, MO 63103
(314) 418-5400
FAX: (314) 539-6384
PIKE COUNTY
Bowling Green Public Housing Authority
501 W. Champ Clark Dr.
Bowling Green, MO 63334
(573) 324-5203
FAX: (573) 324-3227
Low Rent
HUD Missouri
St. Louis Field Office
1222 Spruce St.
St. Louis, MO 63103
(314) 418-5400
FAX: (314) 539-6384
63
USDA Rural Development
AUDRAIN COUNTY
4615 S. Clark
Mexico, MO 65265
(573) 581-1406
FAX: (573) 581-7283
LINCOLN COUNTY
112 Frenchman Bluff Rd.
Troy, MO 63379
(636) 528-4113
FAX: (636) 528-9582
MONTGOMERY COUNTY
1013 S Sturgeon St.
Montgomery City, MO 63361
(573) 564-2262
FAX: (573) 564-3967
112 Frenchman Bluff Rd.
Troy, MO 63379
(636) 528-4113
FAX: (636) 528-9582
PIKE COUNTY
1220 S Bus Hwy 61
Bowling Green, MO 63334
(573) 324-3313
FAX: (573) 324-2475
112 Frenchman Bluff Rd.
Troy, MO 63379
(636) 528-4113
FAX: (636) 528-9582
WARREN COUNTY
635 W Booneslick Rd.
Warrenton, MO 63383
(636) 456-3433
FAX: (636) 456-3712
112 Frenchman Bluff Rd.
Troy, MO 63379
(636) 528-4113
FAX: (636) 528-9582
Services/Programs:
www.rurdev.usda.gov/mo
 Direct Home Ownership Loans – Loans made by USDA to low and very low income
applicants to buy, build or repair homes (payments are subsidized).
64
USDA Rural Development continued,
 Guaranteed Home Ownership Loans – Loans made by conventional lenders and
guaranteed by USDA to low and moderate income applicants to buy or build homes
(30 year fixed interest rate).
 Home Repair Loans/Grants – One Percent interest loans made by USDA up to $20,000
to very low income applicants to repair the home they now own, and grants made by
USDA Rural Development up to $7,500 to very low income applicants to repair their
home they now own to remove safety and health hazards. Grant recipients must be 62
years of age or older and show they cannot afford a 1% repair loan.
 Rural Rental Housing – Loans made by USDA to individuals or organizations to
construct apartments for very low to moderate income tenants (operated on a not-forprofit or a limited profit basis with subsidized rents – can include congregate or
cooperative housing.
 Guaranteed Rural Rental Housing – Loans made by conventional lenders and
guaranteed by USDA to individuals or organizations for construction of apartments for
very low to moderate income tenants (operated on a non-for-profit or a limited profit
basis with subsidized rents – can include congregate or cooperative housing).
 Farm Labor Housing Loans/Grants – Loans/grants made by USDA to public bodies,
not-for-profit entities or individuals to finance rental units for domestic farm labor.
 Rural Housing Site Loans – Loans made by USDA to public bodies or not-for-profit
entities to buy and develop lots to sell to very low to moderate income housing
applicants at the cost of development.
 Self Help Technical Assistance Loans/Grants – Self-Help Housing Loans are made by
USDA to a group of housing applicants who agree to work together to build their own
homes. Technical Assistance Grants are made by USDA to not-for-profit entities to
provide the technical assistance to Self-Help Housing Loan applicants to build their
own homes.
 Housing Preservation Grant Program – Grants made by USDA to non-for-profit
entities to operate a program which finances repair and rehabilitation activities to
individuals/rental housing owners for very low and low income tenants.
 Electric Program – Makes loans and loan guarantees to finance the construction of
electric distribution, transmission and generation facilities, including system
improvements and replacement required to furnish and improve electric service in
rural areas, and for demand side management, energy conservation programs and ongrid and off-grid renewable energy systems.
65
Wolfner Talking Book and Braille Library
AUDRAIN COUNTY
LINCOLN COUNTY
MONTGOMERY COUNTY
PIKE COUNTY
WARREN COUNTY
600 West Main St.
Jefferson City, MO 65101
1-800-392-2614
(573) 751-8720
FAX: (573) 751-3612
TDD: 1-800-347-1379
http://www.sos.mo.gov/wolfner/
Services/Programs:
 The Wolfner Library is a free library service to anyone in the State of Missouri who is
unable to use standard print materials due to a visual or physical disability. Materials
are mailed to and from library patrons at their homes, postage paid. There is no charge,
whatsoever, to the patron. Currently, over 11,000 Missourians actively use Wolfner
Library.
 The library's collection includes fiction and nonfiction audio and braille books for all
ages. Over seventy (70) magazine subscriptions are available, and the library loans
playback machines to those using audio books.
 School Services - This is for teachers, counselors, special services directors, school
librarians and media specialists, principals and others who work with students in
Missouri schools. Almost every school has students who are eligible for this free
library service. Wolfner Library serves people who are blind and visually impaired, as
well as those who cannot use standard print materials due to a physical disability or a
reading disability. To find out more about who can use this service, read through the
Eligibility and Certification section of our application.
 Institution Services - Here at Wolfner Library, we understand that providing activities
for residents of nursing homes and visitors to senior centers is a fulfilling, yet timeconsuming job. The same is true for activity directors and administrators of other
institutions serving individuals with disabilities ranging from blindness to severe
physical disabilities. This is why we offer institutions a number of ways to utilize
Wolfner Library services and are consistently working to create and provide interesting,
energizing activities. To be eligible for Wolfner Library services, which include
lending braille books and books on tape, an institution must serve individuals who are
66
Wolfner Talking Book and Braille Library continued,
eligible for services. Institutions may provide Wolfner Library services in one of three
ways: as a referral agent, providing demonstration services, or checking out books and
equipment on behalf of individuals. To act as a referral agent, we ask organizations to
stock Wolfner Library brochures and individual applications for their visitors. Merely
fill out the order form for materials or call
Wolfner Library. As a referral agent, you may also use materials to present a Wolfner
Library display.
 Volunteer Services - The Wolfner Library volunteer program offers opportunities for
people willing to plant trees for others to enjoy. We record books for Missourians who
cannot read those books in print. After a book is recorded and goes through a rigorous
quality assurance process, it is put into our circulation system for our patrons to check
out. The volunteers who work on the book may never know how many people listen to
it, or how much they enjoy it. They simply have to trust that what they are doing is
making life more enjoyable for others. If you are a person who understands how much
books enrich our lives, you may want to be involved in our recording program. Our
recording booth is in the library in Jefferson City, so the recording has to be done here.
An audition is required for those people who want to read books. However, there are
three people involved in the recording process: a narrator, a monitor, and a reviewer.
All three are essential in the production of a book. Those who do not want to read can
still be involved by working as a monitor or reviewer. If you interested in these
volunteer activities, please contact Deborah Stroup at 1-800-392-2614 or 573-5222766, or by email at deborah.stroup@sos.mo.gov.
 Books and magazines are mailed free to and from library patrons, wherever they reside.
There is no charge, whatsoever, to the patron. Currently, over 17,000 Missourian
actively use the Wolfner Library service.
 Wolfner Library is open Monday through Friday, 8:00 a.m. to 5:00 p.m. The library is
located in the James C. Kirkpatrick State Information Center at 600 West Main Street in
Jefferson City, Missouri.
67
GLOSSARY
Adult Abuse – Elder abuse may include physical abuse, financial exploitation (someone
taking advantage of a senior citizen’s financial situation), emotional abuse, sexual abuse, selfneglect and neglect.
Adult Day Care - A service designed to enable senior citizens who need some form of
assistance to remain in their own home or the home of a family member, by providing a
protective environment either in the home or in a licensed center. Services provided may
include health monitoring, a nutritious meal, including special diets, exercise, individual and
group activities, transportation and social interaction.
Advance Directives – Commonly known as a Living Will and Medical Power of Attorney.
The point of this document is to make sure your wishes are followed in a case when you are
unable to communicate them yourself. In this document you could name someone to make
healthcare decisions for you if you become incapacitated.
Assisted Living Facility – Facility provides 24-hr care, services and protective oversight to
residents who are provided with shelter and board, and who may need assistance with
activities of daily living which include eating, dressing, bathing, toileting, transferring and
walking. Facility also provides oversight for storage, distribution, or administration of
medications; and health care supervision under the direction of a licensed physician, and
consistent with a social model of care. A social model of care includes long-term care
services based on the abilities, desires, and functional needs of individuals delivered in a
setting that is more home-like than institutional and which promotes the dignity, privacy,
independence, and autonomy of the individual. A licensed Nursing Home Administrator is
required. This type of facility may accept or retain residents who require minimal assistance
in their safe evacuation from the facility.
Assistive Technology – equipment, electronics, computers, gadgets and household items that
can make life and work easier for people with disabilities. They can range from devices of
low cost up to expensive computer systems.
Co-Pay (Medicare) – A percentage of health expenses for which you are responsible after
paying the deductible amount.
Congregate Meal Site – A place where seniors can eat together.
Conservatorship – The court authorization (voluntary or involuntary) allowing one person to
make financial decisions for another, who is not capable. Conservator, (manager), handles
the person’s finances. Court proceedings may be voluntary or involuntary – bookkeeping
checked by the court. This ceases at the moment of death.
Division of Assets – A Missouri Department of Social Services, Family Support Division
program that divides a married couple’s assets evenly when one of the person enters a nursing
home. The reason for this is to allow the person remaining at home to have money to live on
and the nursing home resident to spend down his/her share of the money to become eligible
for MO HealthNet to take care of nursing home costs.
Durable Power of Attorney for Health Care – A document through which another person
is named by you to make health care decisions for you if you are unable to make them. Often
done in conjunction with an Advance Directive.
Guardianship – A court authorization (voluntary or involuntary) of a person or agency
(Public Administrator) to make personal care decisions for someone who is not capable to
making those decisions for themselves. The Guardian and Conservator may be the same
person.
Homemaker Care/Non-Medical Care – help with household chores such as: meal
preparation, cleaning, laundry, ironing and grocery shopping
Hospice – Special care for terminally ill patients and their families. It can be offered in the
home or in a residential care facility, an assisted living facility or in a nursing home. The
patient’s doctor must feel the patient has 6 months or less to live and the patient must be
receiving only comfort measures and not treatments to cure their disease.
Intermediate Care Facility - Facility provides 24-hour accommodation, board, personal
care, and basic health and nursing care services under the daily supervision of a licensed
nurse and direction of a licensed physician to three or more residents dependent for care and
supervision. Licensed Nursing Home Administrator is required.
Living Will – See Advance Directives
Occupational Therapy – Health rehabilitation that helps individuals regain and build skills
for normal activities of daily living.
Ombudsman – A personal that investigates and mediates nursing home residents’ problems
and/or complaints regarding the nursing home they reside in.
Personal Care Services – Assistance with activities of daily living such as, grooming,
bathing, dressing, toileting and eating.
 Advanced Personal Care Services – personal care for persons who require medically
related assistance. The medically related assistance can include things like: ostomy
care, catheter care, bowel program, application of ointments or lotions to unbroken
skin, aseptic dressings, passive range of motion, assisting those who can’t bear any
weight on their legs.
 Basic Personal Care Services – personal care for those who do not have special
medical needs such as those mentioned above.
Residential Care Facility I - Facility which provides 24-hour care to three or more residents
who need or are provided with shelter, board, and protective oversight, which may include
storage, distribution or administration of medications and care during short-term illness or
recuperation. Residents who live in a RCF are required to make a path to safety unassisted. A
licensed Nursing Home Administrator is not required.
Residential Care Facility II - Facility which provides 24-hour accommodation, board, and
care to three or more residents who need or are provided with supervision of diets, assistance
in personal care, storage, distribution or administration of medications, supervision of health
care under the direction of a licensed physician, and protective oversight, including care
during short-term illness or recuperation. Residents who live in a RCF* are required to make
a path to safety unassisted. A licensed Nursing Home Administrator is required.
Respite Care – help that provides temporary relief for a caregiver of a dependent adult.
Respite care can be provided in the home or outside the home such as an adult day care
center.
 Advanced Respite Care – respite care for those with special medically related needs.
 Basic Respite Care – respite care for those without special medically related needs.
For those who need only supervision and/or someone to simply be present with them.
 Nurse Respite Care – respite care for those with special needs that only a nurse or
trained family member could meet.
Skilled Nursing Facility - Facility provides 24-hour accommodation, board and skilled
nursing care and treatment services to at least three residents. Skilled nursing care and
treatment services are commonly performed by or under the supervision of a registered
professional nurse for individuals requiring twenty-four hour care by licensed nursing
personnel including acts of observation, care and counsel of the aged, ill, injured or infirm,
the administration of medications and treatments as prescribed by a licensed physician or
dentist, and other nursing functions requiring substantial specialized judgment and skill.
Licensed Nursing Home Administrator is required.
Spend Down – The amount of money determined by Division of Social Services, Family
Support Division that has to be spent before a person would be eligible for Medicaid
assistance. Must reapply quarterly
SSI (Supplemental Security Income) – A Social Security Administration program that
provides extra monthly income to the blind, disabled and elderly persons with very low
income. Individuals must meet income requirements.