Helping families get the support they need to care for their loved ones at home.

Help in the HomeIn-home Residential Support (Respite)

If you are a family member caring for a child or adult with an intellectual or developmental disability, St. Louis Arc’s ARCH program (Assistance with Residential Care in the Home) can give you the extra support you need. ARCH, also referred to as “respite”, reimburses primary caregivers at a standard rate for short-term relief services they receive either in their own home, or in the home of a care provider.  The ARCH program is available only to families living in St. Louis County at this time.

As a registered ARCH participant, you’ll qualify for a specified number of in home support hours annually—when you decide to use them is up to you. You can choose anyone whom you feel is qualified to be a care provider, as long as he or she is over the age of 15, does not live in your home, and is not a parent or stepparent of the person who needs care. If you do not already have someone to provide short-term care, registered families can log in and access our care provider listing to find potential caregivers in your area. You may also call us at 314-817-2275 for assistance.

For new families:

To apply for ARCH Services, you must meet the following guidelines:

  • You must be the primary caregiver for a person with a diagnosed intellectual or developmental disability who lives in his or her natural home.
  • Documentation of diagnosis will be required.
  • The person’s natural home must be located in St. Louis County.

If you meet the above guidelines, please complete the following interest form and an intake coordinator will contact you shortly.

For current families:

If you are a registered ARCH Participant, login below.



For ARCH program related questions or login problems, please contact Lori Milton, Administrative Manager Family Support Services, at 314-817-2270.