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Asthma Health Outcomes Project

Overviews of Surveyed Asthma ProgramsSeptember 2005

Domestic Programs: Missouri (cont’d)Back to Index

Project Concern

Asthma and Allergy Foundation of America St. Louis Chapter

St. Louis, MO

Denise McCluskey

(314) 645-2422 ext. 103    



Project Concern is managed by the Asthma & Allergy Foundation of America (AAFA), St. Louis Chapter, in St. Louis, MO. The goal of this safety-net program is to eliminate the barriers that underserved children have that prevent them from managing their asthma and leading normal lives.  Since 1981, the  project has provided prescription assistance to uninsured/underinsured children and life-saving asthma/allergy resources such as medicines and equipment for children and adults up to age 21. It is the only program of its kind in the St. Louis area.

Clients are referred to Project Concern via a simple application which is reviewed to ensure the client meets the eligibility criteria: diagnosis of asthma, age 0-21, low income, and living in the area of service. If eligible, the client is registered into the program and immediately receives any assistance needed to obtain medications and medical equipment including prescriptions, peak flow meters, nebulizers, etc. Project Concern works with a network of pharmacies to establish an account for the child and maintain it as long as needed. The project staff also work to secure long-term insurance for the family through any available programs offered by the state or other agencies.

In addition to this assistance, clients complete a survey to identify specific educational needs or topics of interest, and tailored asthma educational materials are provided. As part of AAFA, Project Concern staff also conduct ongoing asthma education sessions for school children and the community at large, as well as trainings for staff of hospitals, daycares, and schools.

Pre-post program evaluation with a sample of approximately 100 clients showed a positive impact on ED visits, school absences, medication use, and functional status. The program is ongoing.

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