Document Type

Occasional Paper

Publication Date



Agency Organization & Operation, Employment, DD, Developmental Disabilities, Access to Integrated Employment, AIE, ThinkWork


Organization Development | Rehabilitation and Therapy | Social and Behavioral Sciences | Social Work | Vocational Rehabilitation Counseling | Work, Economy and Organizations


Case management services in Missouri’s Division of Developmental Disabilities underwent a shift from a state structure to a regional structure. Within this structure, 12 regions each serve approximately 12–15 counties. Each region has a technical assistance (TA) position designed to support each of the designated priority work areas. These include self-determination, family supports, individual supports and services, Employment First, and accessible housing. When the change from a state to regional structure occurred, administrators had to look for staff who could support those priorities. In addition, they created a central technical assistance staff person to act as the state content expert in each priority area. This person provides technical assistance to the regional technical assistance providers. For example, the central Employment First TA staff person acts as an ongoing resource to all of the regional Employment First TA providers across the state.


To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.