Presbyterian Children's Homes and Services - STL

Presbyterian Children's Homes and Services (PCHAS) began in 1914 as an orphanage in Farmington, Missouri. Since then, PCHAS has grown into a three-state organization offering a continuum of care that serves an average of 4,500 children and families each year through 12 programs at 39 locations across Missouri, Texas, and Louisiana.

Each day, we witness the struggles of parents striving to keep their families together and children seeking to heal from past trauma. At PCHAS, we look beyond immediate challenges to envision brighter futures.

PCHAS envisions a world where every child is safe, every family is strong, and hope outshines hardship.

We understand that every child, youth, and family's journey is unique, and true healing means addressing the root causes of their struggles, not just the symptoms.

Our approach is rooted in the power of relationship-based healing. Through Trust-Based Relational Intervention (TBRI®) and the Strengths Model, we help children and youth process their experiences and build healthy relationships. We also partner with parents, helping them uncover their inherent strengths and develop the skills they need for long-term stability. This work is more than just a service; it's about walking alongside families toward healing and self-sufficiency.

When a child, youth, or family comes to PCHAS, they find more than just services—they find a community that believes in their potential. Our doors are open to all, regardless of background or belief, united by the conviction that every child deserves the chance to thrive.

St. Louis Region Programs

Child & Family
This in-home family preservation program stabilizes families during crises such as poverty, abuse, neglect, or homelessness.

In 2024, we served 1,204 children and 605 families, with 83% of families achieving two-thirds or more of their goals through personalized service plans.

Elevate Mentoring
Mentors meet weekly with children at home, school, or in the community to implement customized plans that help children overcome a crisis or long-term struggle.

In 2024, we served 605 children and youth, with 100% demonstrating improved well-being from admission to discharge.

Family Solutions for Kids
Experts visit families in their homes to change behaviors and break cycles of harm, allowing families to provide loving and nurturing environments for their children.

In 2024, we served 159 families, with 90% of youth achieving at least two-thirds of their personal goals.

Foster Care Case Management

In partnership with the Missouri Alliance, PCHAS places children in loving foster homes and supervises their care until permanency. Specialists ensure that children experience stability and minimize foster placement changes.

In 2024, we served 677 children and youth, with 72% achieving permanency.

Behind each number is a child and youth who found stability, a parent who discovered their strength, and a family moving toward a brighter future.

This work is possible through the generosity of supporters like you. Your investment ensures PCHAS can provide expert care, consistent relationships, and evidence-based interventions that create lasting change. When you give to PCHAS, you're not just supporting a moment; you're transforming a lifetime.

Join us in building a community where every child is safe, every family is strong, and hope outshines hardship.