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Work That Fits. Life That Follows.

Employment Support Services for Individuals with Developmental Disabilities — Columbia, MO

Palmer’s Home Care provides employment support services to help individuals with intellectual and developmental disabilities discover their strengths, explore career interests, and build the skills and confidence to thrive in the real workforce. Our staff don’t place people in jobs and walk away — they work alongside individuals in actual work settings, teaching, modeling, and advocating every step of the way. We believe every person deserves work that fits who they are, not just what’s available.

Individualized Job Matching
On-Site Job Coaching
Ongoing Employer Advocacy
Employment support specialist working alongside an individual at a job site in Mid-Missouri

Because finding the right job isn’t just about employment — it’s about identity, purpose, and becoming a valued member of your community.

Real Jobs. Real Support. Real Results.

Employment support at Palmer’s Home Care isn’t a program that runs in the background. It’s a hands-on, individualized process that starts long before a first shift and continues well after one.

Job Exploration & Discovery

Before anyone applies anywhere, we take the time to understand the individual — their interests, their strengths, their conditions for success, and the kind of work environment where they’re most likely to thrive. We call this discovery. It’s the foundation everything else is built on, and it’s what separates a job that lasts from a placement that doesn’t.

Customized Employment

Customized Employment is a flexible process designed to personalize the relationship between a job candidate and an employer in a way that works for both. It’s built on an individualized match between the strengths, conditions, and interests of the candidate and the real, identified needs of an employer. The result isn’t a compromise — it’s a fit.

Skills Training & Job Readiness

Not every individual is ready to walk into a job on day one — and that’s fine. Our staff work with individuals on the practical and social skills that employment requires: workplace communication, routines, time management, task completion, and the confidence that comes from doing those things well repeatedly.

Job Coaching & Supported Employment

Once an individual is placed, a job coach doesn’t disappear. Our staff provide on-site support during the early stages of employment — modeling expected behaviors, helping navigate workplace relationships, and gradually stepping back as the individual builds independence. The goal is always to fade support as confidence grows, not to create dependency.

Ongoing Advocacy

We work with employers too. That means educating workplaces on how to best support their new team member, advocating for reasonable accommodations when needed, and staying available when situations change. A job is only sustainable if both sides of the relationship are supported.

Day program participants building vocational skills at Palmer's Home Care

The Natural Next Step

For many individuals at Palmer’s Home Care, the path to employment starts in our day programs.

Our community-based day programs are built around real goals — not just scheduled activity. Vocational skill-building is a core component of what happens there: work-readiness training, task sequencing, community participation, and the kind of repeated practice that builds genuine competence and confidence over time.

When a day program participant is ready to explore employment, the transition isn’t a leap — it’s a natural next step. The skills are already developing. The support relationship is already established. Employment services picks up where day programming leaves off and carries individuals further into independent community participation.

For families and case managers: if the individual you support is currently in a day program and showing vocational interest or readiness, that’s a conversation worth having. We’re happy to talk through what that progression looks like.

Is This the Right Fit?

Palmer’s Home Care Employment Services supports adults with developmental and intellectual disabilities who are:

  • Interested in exploring work for the first time
  • Ready to move from a sheltered or workshop setting into community-based employment
  • Currently employed and in need of ongoing job coaching or support
  • Transitioning out of school and building toward competitive, integrated employment

We work closely with Missouri Department of Mental Health support coordinators, families, and referral partners to ensure individuals are matched to the right level of support from the start.

Serving Mid-Missouri

Palmer’s Home Care Employment Services currently supports individuals across these counties — contact us to confirm current availability in your area.

Boone County Columbia and surrounding communities
Randolph County Moberly and surrounding communities
Cole County Jefferson City area
Additional Counties Contact for availability in your area

Start the Conversation

Whether you’re a family member, a support coordinator, a DMH case manager, or an individual ready to explore what work could look like — we’d like to talk. Employment support starts with a conversation, not a form. Reach out and someone from our team will follow up within one business day.

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(573) 777-1459
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dhayes@phc.team
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