A Person-Centered Approach to Hourly Support Services
At RISE Services, Inc., our Community Support Services are carefully designed to support adults with intellectual disabilities by removing any obstacle that limits their ability to lead an independent life. Services are delivered through guided instruction and hands-on support in our clients’ homes and in safe, comfortable community settings. We teach skills for daily living while working alongside clients and their natural supports – family and friends – with the goal of creating greater independence. We introduce a variety of new opportunities where participants can apply what they’ve learned, empowering self-direction and autonomy. Contact us to discover how our personal assistance services can support your loved one in St. Louis, MO and the surrounding areas.
Contact Us
How Our Programs Work
Our services begin with an Independent Life Skills assessment to determine eligibility and interest. This assessment, along with information from the participant, family, and natural supports is used to build an Individualized Service Plan (ISP).
Program participants must be 18 years of age or older and have a qualifying diagnosis. Eligibility is further determined by county of residency and availability of funding sources.
General Eligibility Requirements:
- Participants must be 18 years of age or older.
- Must have a qualifying diagnosis.
- Final eligibility is determined by county of residence and the availability of specific funding sources for programs.
Transitional In-Home Program
Our Transitional, In-Home Adult Brain Injury Program assists individuals 22 years or older who have sustained a brain injury later in life. Acknowledging their unique challenges, the ABI program focuses on helping people regain their independence and live fully through a variety of supports tailored to them.
Personal Assistant Support through Independent Supported Living Assistance (ISLA)
ISLA services are provided to individuals who currently live independently in a home of their choice. Participants receive personalized instruction to improve their current independent living skills while being guided and encouraged to establish new ones. Our staff also assists participants in linking to natural and professional supports to ensure long-term, independent success.
Pre-ISLA Services
Pre-ISLA services are available to individuals who currently live in their natural home or with other family members, and have a desire to live independently. This 2-year program focuses on the fundamental skills needed to assume personal responsibility and achieve self-sufficiency. Our support team provides individualized training in topics such as:
- Safety in the home and in the community
- Personal finance
- Health and wellness
- Nutrition and meal planning
- Housekeeping, laundry, and basic maintenance skills
- Understanding and applying disability benefits
- Exploring housing options and identifying the best living environment
Supporting Independence, Promoting Choice, Enhancing Quality of Life
At RISE, we are dedicated to helping individuals with developmental disabilities achieve greater independence and community inclusion through high-quality Personal Assistant (PA) Services. Our compassionate and trained staff provide individualized support based on each person’s needs, goals, and preferences.
Personal Assistant Services, funded through the Missouri Department of Mental Health (DMH) and applicable Medicaid Waiver programs, provide assistance that helps individuals live safely and independently in their homes and communities.
- Independence
- Self-determination
- Community participation
- Personal growth
- Health and safety
- Personal care assistance
- Bathing and personal hygiene
- Dressing and grooming
- Toileting assistance
- Mobility and transfer support
- Home living support
- Meal planning and preparation
- Light housekeeping
- Laundry assistance
- Home organization
- Community integration
- Transportation assistance
- Shopping and errands
- Recreational activities
- Community events and outings
- Independent living skills
- Money management
- Budgeting assistance
- Time management
- Daily routine development
- Health and wellness support
- Medication reminders
- Appointment scheduling
- Health advocacy
- Exercise and wellness activities
- Individuals who have a developmental disability
- Are eligible for Missouri DMH Division of Developmental Disabilities services
- Have an Individual Support Plan (ISP) identifying the need for PA services
- Are enrolled in an approved Medicaid Waiver program
Medicaid Waiver Services
Community Integration Services
We offer specialized community integration services tailored to individual goals, such as:
Safety outside the home, navigating familiar and unfamiliar spaces in the community
Support and navigation of varying activities, such as volunteering, sports, or other recreational
Individual Skills Development
Safety
Personal finance
Health and wellness
Food and nutrition
Housekeeping
Disability benefits
Housing
Additional Services
Our St. Louis campus offers full-service programming for adults living with autism, brain injuries, cognitive deficiencies, and developmental disabilities. Day programs, employment support, and in-home and community support services are customizable for each individual who comes through our doors. We provide several additional supports to meet the distinct needs of our clients, including adaptive equipment, therapy, Adult Self Programs, and social enterprise opportunities.

Community Support Services for Independent Living
At RISE, we believe every individual deserves the opportunity to live, work, and participate fully in their community. The person-centered services we provide through our Community Support Services are based on each person’s diverse needs, unique capabilities, and personal passions. Contact us today to learn how we enhance the lives of individuals in the St. Louis community. We serve St. Charles, St. Charles County, Jefferson County, Lincoln County, Warren County, Franklin County, and beyond.
FREQUENTLY ASKED QUESTIONS
Hourly support is flexible and designed to meet the specific needs of the individual. This can include assistance with daily living tasks (like grocery shopping or meal preparation), community engagement (attending events or classes), transportation support, or help with managing personal schedules and appointments.
The goal of our hourly support is to provide “just enough” help. By offering support only where it is needed, we empower individuals to remain in control of their lives and maximize their autonomy, ensuring they have the tools to live as independently as possible in their own homes and communities.
The schedule is driven by the individual’s needs and preferences. We work with the individual and their support team to create a flexible, consistent schedule that supports their lifestyle, whether they need support for a few hours a week or more frequent assistance with their daily routines.
Our Funding Partners
RISE recognizes and is grateful for our funding partners: the Missouri Department of Mental Health (DMH), the Productive Living Board (PLB), and the Developmental Disabilities Resource Board of St. Charles County (DDRB).