CRI LEP in Sullivan County, MO

Approximately 1.6 million Missourians have a low level of health literacy, which can cost the state up to $7.5 billion dollars each year.¹ In 2009, Sullivan County Memorial Hospital received a two-year grant from the Missouri Foundation for Health to conduct a health literacy program in collaboration with Canyon Ranch Institute.


Canyon Ranch Institute and Sullivan County Memorial Hospital (SCMH) partnered in 2009 to develop a Canyon Ranch Institute Life Enhancement Program (CRI LEP) focused on advancing the health literacy and the health and wellness of Sullivan County, MO, residents.

SCMH is a Critical Access Hospital in rural North Central Missouri and is the only hospital in Sullivan County. The mission of SCMH is “to meet the healthcare needs of our community by providing quality health services designed to restore and cultivate good health.”

How We’re Making a Difference

The CRI LEP in Sullivan County aims to increase the health literacy of Sullivan County residents through an integrative health model. Through increasing health literacy, participants change their behaviors related to improving nutrition and physical activity, enhancing self-efficacy, and reducing stress. The CRI LEP empowers participants to make small, healthy changes to their lifestyle and educates patients and communities to embrace a life of wellness.

The first group of participants in the CRI LEP in Sullivan County program graduated in October 2010. The group included city government representatives, schoolteachers, grocery store owners, hospital employees, self-employed farmers, and stay-at-home mothers. The second group started the CRI LEP in January 2011 and four more groups completed the program by mid-2012.

Canyon Ranch Institute and SCMH are actively working to continue the program beyond its initial two-year funding period made possible by the Missouri Foundation for Health.


Canyon Ranch Institute evaluates the CRI LEP’s effectiveness across the entire scope of our integrative model of health. We measure the impact of addressing health literacy in regard to participants’ changes in nutrition, physical activity, physical health, knowledge, stress, and attitudes. Results from the Canyon Ranch Institute Life Enhancement Program indicate participants experience a number of healthy changes. Data reveals participants adopted healthier behaviors, lost weight, are less depressed, know more about health, lowered their blood pressure, increased ability to manage stress and pain, and make healthier food and portion choices.

Quick Links

¹Health Literacy Missouri. Health Literacy Missouri overview. February 2010.