In August of 1977, the SB40 tax levy was passed to provide residential
and other related services to people with mental retardation/developmental
disabilities in Lincoln County.
A total of $60,280.00 was collected in tax revenues that year. Also, in 1978, the Lincoln County SB40 Board was appointed by the County Commission and our agency -the Lincoln County SB40 (now referred to as COMMUNITY OPPORTUNITIES for People with Developmental Disabilities) built the first group home off South Main Street in Troy (now Opportunity Court). In 1979 construction was completed on the second group home.
On September 4, 1985, Jim Struttman of Hannibal Regional Center (HRC) informed the SB40 Board that HRC was interested in constructing a multi-purpose building for Early Childhood and SELS (adult day program)—the Board was receptive to the idea of locating such a building. On November 6, 1985, the Board formed a building committee for planning construction on the multi-purpose building. On December 4, 1985, Bob Wermuth gave his notice of resignation to the Board of his position as Administrator for Housing, effective December 31, 1985. Bob retained the position of manager at the sheltered workshop.
On January 8, 1986, the Board approved signing a contract with Bob Kuda to draw plans, build and oversee the construction of the multi-purpose building. The County Court stated that after a treasurer was appointed to the SB40 Board the board could handle their own funds. On March 3, 1986, the first full-time Executive Director, Mary Sullivan-Thomas, was hired to oversee operations. On November 16, 1986, the ground breaking ceremony for the new multi-purpose building took place. The Board began to fund transportation to the workshop. In July 1987, Mary applied for and received a grant from Missouri Planning Council for $8100.00 to start Early Intervention services. In the Summer of 1987 The Learning Center (multi-purpose building) was completed (pictured) to house the Early Childhood and Adult Day Program (SELS –later called ACETS and now referred to as Community & Employment Services) and administrative offices. The Early Childhood Board and SELS program asked the SB40 Board to officially assume full responsibilities for the programs. December 2, 1987, the Board approved further preschool expansion of services by allowing enrollment of non-handicapped children ages 0-5 (into available spaces) into our preschool. Also in 1987, the Lincoln County SB40 became one of the first providers in the state of Medicaid Waiver Services.
On April 6, 1988, Darla Gamble was appointed SELS Program Specialist. We changed our name from Lincoln County Handicapped Housing Board to Lincoln County SB40 Board/Residential Facilities. July 16, 1990, the Department of Mental Health requested that the Lincoln County SB40 assume residential services responsibility for 19 residents of Rosewood Group Homes. Our agency began providing Individualize Supported Living Services (ISL Services) and leased three apartments at Marblehead. The agency purchased a house on Charles Street in Troy and began to build a 4-bedroom home in Trojan Lake Estates. In December 1990 we signed a contract with Vocational Rehabilitation to enable us to hire a Job Coach.
In August 1991, Supported Employment received a $13,500.00 grant from the Missouri Planning Council. In 1991 we began providing Community Integration Services. The Board started a deferred compensation (457) retirement plan for full-time employees. The agency received its first 3 year National Accreditation from CARF.
In January 1993, our agency began conducting Program Evaluation (n.k.a. Outcome Measurement). In 1993 we began contracting with all four school districts in Lincoln County for Early Childhood Special Education Services. The agency received a Respite Care Grant through the federal government. March 3, 1993, Mary informed the Board she was asked to serve as a MACDDS Representative on a DMH Committee to assist in developing state Certification Principles. In 1994 a grant was received to hire a Job Developer for Supported Employment. The Adult Day Program-SELS, was combined with Supported Employment to better serve individuals receiving those services.
June 1995, our agency wrote a grant, on behalf of the Sheltered Workshop, to the Department of Natural Resources to receive $100,000.00 to expand their recycling program. Our board agreed to provide the required matching funds. In July 1995, our agency received our second 3 year CARF Accreditation. In 1995 a portion of the Preschool classes were moved to an inclusive setting at Head Start. Susan Mudd was promoted to Director of Children’s Services. In 1996 we began providing Community Inclusion Services to individuals in the Day Program. 1996 our agency agreed to do the Sheltered Workshop’s bookkeeping and took over temporary management of the Sheltered Workshop at their board’s request.
In June 1997, our agency received an $8000.00 grant from Ronald McDonald House Charities for the preschool sensory integration room; The Troy Kiwanis helped McCarthy Bros. Construction complete the playground; Cuivre River Electric, Troy VFW and the Silex Lions Club awarded the preschool with grants to purchase kitchen appliances. In 1997 the new Preschool, which is located at 123 ABC Lane in Troy, was built and opened that August for the ‘97-’98 school year. October 19, 1997 was the Grand Opening of the new preschool building located at 123 ABC Lane. 1998 Kathy Williams was hired as Residential Director. 1998 construction of new residential offices in the main building was completed. In May of 1998, one of our residential clients fulfilled his lifelong dream and purchased his own mobile home. On February 10, 1998 a second residential consumer purchased her own home. In the Spring of 1998, Toyota donated a new Sienna Van to our agency which was presented by Bodine Aluminum. We began transition services with local school districts for students transitioning from school to work. Our Board approved an agency funded retirement plan for all full-time employees. In Spring of 1999 our agency began providing space for a satellite office for Vocational Rehabilitation. In January 1999, our agency underwent it’s third CARF Survey and was given zero recommendations which is an outcome achieved by less than 3% of the 3,000 agencies surveyed by CARF.
In 2000, our agency was featured in the Missouri Community Betterment Project.
We assisted in conducting a Transportation Needs Assessment for Lincoln
County through the Lincoln County Journal. In June 2001, our agency received
an operations grant from MO DOT. We received a new van through a grant from
December 12-14, 2001, our agency successfully completed its fourth CARF survey and received another 3 year accreditation. In 2001, the number of young children receiving services had reached an all time high with sixty-eight children receiving ECSE Services and seventeen infants/toddlers receiving Early Intervention Services. In March 2002, Lincoln County began providing public transportation through The Linc. In April/May 2002, the Elks Dental Van came to Lincoln County for the first time. We helped organize and held a Transition Fair for high school students and their families at the Troy High School. In 2002 Support Case Management was added to Employment Services and we began conducting Comprehensive Transition Assessments with the Troy School District.
In February 2003, Gina Dunard (Obrecht) was hired as the Director of Residential Services. During Fiscal Year 2005 SB-539 made wide-sweeping changes to Missouri’s Medicaid Program, eliminating coverage of durable medical equipment. Certain Medicaid Services (for persons 21 and over) were also eliminated such as dental, podiatry, optometric, orthopedic devices and prosthetics including dentures, comprehensive day rehabilitation services and hospice care. Income eligibility for people with disabilities & older adults was reduced to 85% of the federal poverty level, impacting approx. 23,635 people. MAWD (Medical Assistance for Workers with Disabilities) was also eliminated. In spite of these cuts, our agency began contracting with three new service providers: Boone Center, Inc; Family Support Services of St. Charles; and ShowMe Aquatics.
During the 2006-2007 school year, our preschool, in conjunction with the Troy R-III public school, applied for and was awarded a grant to operate a (Troy Preschool) MPP Classroom which was housed n the Community Opportunities Preschool Building. The MPP Classroom accommodated area youngsters who would not have otherwise been able to attend preschool due to their family’s economical status. In May of the 2007-2008 school year, Community Opportunities and Troy Preschool received a 3-year accreditation from Missouri Accreditation and was once again awarded a 2nd renewal grant for the MPP Classroom, and a 3rd renewal grant for the 2008-2009 school year.
During fiscal year ’07-’08 DMH Division of Developmental Disabilities throughout the state began the process of redesign and began transitioning Case Management responsibilities to County Board’s or third party non-profit providers. In order to decide whether to assume these duties as the County Board, our agency surveyed over three hundred consumers and/or their family or guardians and stakeholders, which responded with an overwhelming 95% in favor of our agency assuming Case Management duties. Based on the favorable responses, our Board of Directors decided to pursue providing Targeted Case Management (TCM). Jim Ruedin was hired as the Director of Case Management in May 2008. In June 2008, our agency rented office space at 395 Travis Blvd. in Troy, MO, to house Case Management Offices and officially began providing Targeted Case Management Services, serving adults from Lincoln County ages 18 years and older. By August 0f 2008, our Case Management Department added three full-time Case Managers. Within just two short months since beginning operation, was serving a caseload of eighty-four clients.
In February 2009 the Lincoln County R-III School Board decided to form a comprehensive in-house Early Childhood and Early Childhood Special Education program, beginning August 2009. Therefore, as of June 30, 2009 our agency ceased providing Early Intervention or Early Childhood Special Education Services and closed our Children’s Services department.
Our Residential Services has expanded to two group homes and twelve supported living locations. Thanks to additional grants from MO DOT our agency now has a fleet of sixteen vehicles. Agency-wide we serve approximately 220 clients and employ approximately 90 individuals. We provide: Targeted Case Management, Residential Services, Adult day program, Personal assistance, Supported employment, Transition services and Family reimbursement program.
The agency currently contracts with Earthwise Industries and Boone Center Incorporated for sheltered employment opportunities; with Family Support Services of St. Charles for recreation based programs for youth during summer break through their SOAR program and out of home temporary residential services; ShowMe Aquatics & Fitness for aquatic OT & PT water therapies; OATS for day program transportation and the LINC for public transportation; Options for Justice for liaison/support services for people with developmental disabilities who encounter the criminal justice system; Behavior Solutions, Inc. to teaching families of persons with developmental disabilities strategies to managing problematic behaviors; Community Living, Inc. for out of home temporary residential services.
Susan Mudd, the previous Director of Children’s Services transitioned to Director of Quality & Education where she provides and/or secures training for employees as well as advocates for clients’ rights as individuals and is responsible for public education. The building that used to house Children’s Services is currently being renovated to become a program building where Community & Employment Services (day program) and Residential Services Offices will be located. The main office will consist of administrative and TCM offices.
The agency’s budget for the new fiscal year is approximately $3,312,314.00.
The estimated SB40 (county) tax revenues to be collected for the 2009-2010
fiscal year is $626,423.77. The agency successfully completed our seventh
CARF survey which resulted in a 3-year accreditation.