Treatment, Services, & Supports

Treatment for Substance Use 

The Division of Behavioral Health (DBH) has programs around the state to help people with substance use disorders. There are programs for youth, adolescents and adults. If you or a loved one has a problem with substances, you can contact a treatment program for help. They can help you get the services you or a loved one needs.

If you would like more information, please contact us at (573) 751-4942 or (800) 575-7480 or you may e-mail us at  For more information on how to find quality treatment for a substance use disorder and steps to accessing treatment: SAMHSA - Finding Quality Treatment for Substance Use Disorders.

National Substance Abuse Treatment Facility Locator

The Substance Abuse and Mental Health Services Administration (SAMHSA) maintains a web based tool to locate Substance Abuse Treatment Facilities near any location in the United States: Nationwide Treatment Facility Locator.

Medication Assisted Treatment

All DBH certified and contracted adult treatment programs offer, or can arrange for, medication assisted treatment. FDA-approved medications specifically for people dependent on alcohol, heroin or other drugs containing opiates are now available. The medication makes withdrawal easier and helps stop cravings, which can help people get more benefits from their counseling treatment services.  For more information visit: Medication Assisted Treatment.

“Know Your Rights” Brochure for Individuals in Medication-Assisted Treatment 

Crisis Assistance

Suicide Prevention

If you are thinking about suicide, are worried about a friend or loved one, or want emotional support call the National Suicide Prevention Lifeline 1-800-273-TALK (1-800-273-8255).  The Lifeline is available for everyone, is free, and confidential.  For more resources on this topic visit: Suicide Prevention or Additional Resources.

Access Crisis Intervention

Access Crisis Intervention (ACI) provides access to services for individuals experiencing a behavioral health crisis. ACI will provide an opportunity for individuals to receive necessary behavioral health crisis services in an effort to reduce unnecessary interventions such as hospitalization or detentions.  By calling the ACI hotline, individuals have access to behavioral health crisis services that are free and available to both youth and adults. For more information visit: Access Crisis Intervention.

Disaster Services

The Office of Disaster Services (ODS) conducts planning and development activities to support a coordinated mental health response for Missourians in disaster situations.  For more information please visit: Disaster Services.

Civil Involuntary Detention

Missouri Statutes, Chapter 632 RSMo, provide the statutory authority to allow involuntary treatment under certain conditions with appropriate due process. This process is called Civil Involuntary Detention. Individuals who have substance use disorders may be unable to make decisions about caring for their basic human needs such as food, shelter, and medical care. Substance use disorders may also place a person in danger of hurting themselves or others.  For more information please visit: Civil Involuntary Detention.

Find Treatment

Behavioral Health Service Providers

Agencies who offer mental health and/or substance use services.

Directory of Certified Providers

This is a list of all Division of Behavioral Health Certified providers. This alphabetical listing includes contracted and non-contracted alcohol and drug treatment providers and psychiatric services providers.

Alphabetical Listing of Division of Behavioral Health Certified Programs 

Certified Community Behavioral Health Clinics

Certified Community Behavioral Health Clinics (CCBHCs) are behavioral health organizations that provide comprehensive, coordinated and quality behavioral health services which includes substance use and mental health services.   

All CCBHCs provide the following services for youth, adolescents and adults: Crisis Mental Health Services,  Screening, Assessment, and Diagnosis, Patient-centered Treatment Planning, Outpatient Mental Health, Substance Use Disorder Treatment Services, Screening and Monitoring of Health Risks and Targeted Case Management. For more information visit: Certified Community Behavioral Health Clinics.

Directory of Certified Community Behavioral Health Clinics

Help for Adolescents

There are special programs to help children and youth between the ages of 12 and 17 who have a substance use disorder. Minors can be signed into a program by their parents or guardians. In some cases they will placed in treatment by Youth Services, Children’s Services, or by the courts. For more information regarding early childhood mental health visit: Healthy Kids.

Directory of ADOLESCENT Substance Use Treatment Programs

Help for Women

There are programs around the state that serve women only. For those programs offering residential services, women can bring their young children into services with them. Women who are pregnant, have a newborn, or have children living with them have first priority to get help from these programs. Women often have other circumstances in their lives beyond substance use, and these programs provide individualized services to meet the needs of women. 

Directory of WOMEN AND CHILDREN Substance Use Treatment Programs 

Help for Adults

A wide array of clinical treatment services for adults are located across the state. Individualized services are available to provide Missourians with access to treatment and to assist them in achieving and maintaining recovery from substance(s). Treatment routinely includes assessment, individual and group counseling, family counseling, education, participation in self-help groups, and other structured, therapeutic measures. Detoxification and residential support services are offered for those who need a safe, substance-free environment early in the treatment process. 

Directory of ADULT Substance Use Treatment Programs 

Help for Opioid Dependence

These specialty medication-assisted treatment programs are designed for medically-supervised withdrawal from heroin and other opiate drugs, followed by ongoing treatment and rehabilitation for addiction and related life problems. Priority admission is given to women who are pregnant and persons who are HIV positive. Missouri's opioid treatment programs meet required federal guidelines. 

Directory of OPIOID (Methadone) Treatment Programs 

Help for Compulsive Gambling

The DBH administers outpatient treatment services throughout Missouri for people who compulsive gamble and their families. Treatment services are funded through fees collected from Missouri’s casino properties. Contracted agencies employing counselors specially trained to provide treatment for compulsive gambling offer services free of charge.  For more information visit: Compulsive Gambling Services.

Directory of COMPULSIVE GAMBLING Treatment Programs

Clinical Treatment and Recovery Services

A wide array of DBH supported clinical treatment and recovery support services are located across the state.  DBH has developed treatment programs that focus on providing a complete continuum of recovery services, including extended outpatient services in the community and close to home where possible. Individualized service packages are offered to provide Missourians with ready access to treatment and to assist them in achieving and maintaining recovery from substance use. Treatment is individualized and routinely includes assessment, individual and group counseling, family counseling, education, participation in self-help groups, and other structured, therapeutic measures. In addition, families can also participate in individual and group codependency counseling. Detoxification and residential support services are offered for those who need a safe, substance free environment during the treatment process.


The Comprehensive Substance Treatment and Rehabilitation (CSTAR) Program provides a full continuum of care approach to substance use disorder treatment. CSTAR offers a flexible combination of clinical and supportive services.  These services may include temporary living arrangements when appropriate, that vary in duration and intensity, depending on the needs of the individual. To better address the specific needs of those seeking treatment, five specialized CSTAR programs were developed:

CSTAR Women and Children

These programs are designed for women and their children. Priority is offered to women who are pregnant, postpartum, or have children in their physical care and custody. Depending on assessed needs, additional services may include daycare, housing support and community support for children that accompany their mother into treatment.  

CSTAR Adolescent

Early intervention, comprehensive treatment, academic education and individualized treatment are important in averting substance use disorder and resulting problems that might otherwise follow a young person for a lifetime. Designed for Missouri's adolescents 12 to 17 years in age, these programs offer the full spectrum of treatment services. 

CSTAR General Population

These programs offer intensive outpatient treatment services to both men and women with substance use disorder problems. The full array of treatment services is available.

CSTAR Opioid

These medication-assisted treatment programs are designed for medically supervised withdrawal from heroin and other opiate drugs, followed by ongoing treatment and rehabilitation for addiction and related life problems. Priority admission is given to women who are pregnant and persons who are HIV positive. Missouri's opioid treatment programs meet required federal guidelines. 

Primary Recovery Plus

Modeled after the CSTAR General Population Program, PR+ offers a full continuum of services with individualized treatment to assist those individuals without Medicaid coverage.

Specialized Treatment Programs

Assertive Community Treatment

Assertive Community Treatment (ACT) is a way of providing many types of service to people with very serious mental illnesses. ACT teams provide services directly to people in their community. People who get ACT services receive the round-the-clock staffing of a psychiatric unit, but within the comfort of their own home and community. ACT team members are trained in the areas of psychiatry, social work, nursing, substance use disorders, and supported employment so they have the skills they need to meet the many needs of the people they serve. The ACT team provides these services 24 hours a day, seven days a week, each day of the year.  For more information visit: Assertive Community Treatment.

Emergency Room Enhancement

Health care professionals throughout Missouri have seen an increase in the number of individuals seeking help for behavioral health concerns in hospital emergency departments (EDs), where they are often stabilized and released or discharged without being offered assistance in obtaining preventative follow-up care within their community. This practice leads to an increase of return ED visits among this high-utilizing population.  For more information visit: Emergency Room Enhancement Program.

Healthcare Home

Missouri's CMHC Healthcare Homes (HCH) are designed to integrate care for chronic health conditions into the CMHC setting. The CMHC HCHs assist individuals in accessing needed health services and supports, in learning to manage their health conditions, and in improving individuals’ general health by monitoring health conditions, healthcare needs and intervening when health conditions are not properly controlled or managed.  For more information visit: CMHC Healthcare Homes.

Recovery Support Services

Recovery support programs offer services such as care coordination, recovery coaching, spiritual counseling, group support, recovery housing and transportation, before, during, after, and in coordination with other substance use disorder service providers.  For more information visit: Recovery Support Services.

Substance Awareness Traffic Offenders Program (SATOP)

The Substance Awareness Traffic Offenders’ Program (SATOP) serves more than 16,000 individuals annually who are required to complete the program as a result of an administrative suspension or revocation of one’s driver license due to a Driving While Intoxicated (DWI) or Driving Under the Influence (DUI) offense, court order, condition of probation, or plea bargain. SATOP is also required of individuals charged with minor in possession and zero tolerance offenses.  For more information visit: SATOP.

Directory of SATOP Agencies by County.   

Other Services & Supports

Employment Services

The opportunity to work should be open to everyone served by the Division, despite recent substance use, hospitalizations, clinical diagnosis or mental health symptoms.  Individuals with substance use, mental health disorders and/or criminal justice backgrounds have strengths, talents and abilities that are frequently overlooked. The Division seeks to integrate clinical and vocational supported employment services though state-wide partnerships with the Division of Vocational Rehabilitation, agencies providing employment programs, community mental health centers, ADA providers and state-operated facilities. The goal is to help individuals who are interested in employment, participate in the competitive labor market, hired to do a job of their preference, with the appropriate level of professional help needed to be successful.  For more information visit: Employment Services.


The Department of Mental Health (DMH) believes that housing is a key to helping Missourians with disabilities and their families attain self-determination and independent living.  The DMH coordinates both state and federal funds to provide direct rental assistance to individuals and families with disabilities who are homeless or experiencing housing crisis.  DMH funds recovery housing and housing for special populations.
For more information visit: Housing Resources.

Peer Support Services

Peer support services are delivered by individuals who have been successful in recovery from mental and/or substance use disorders who help others experiencing similar situations. Through shared understanding, respect, and mutual empowerment, peer support services help people become and stay engaged in the recovery process and reduce the likelihood of relapse. Peer support services can effectively extend the reach of treatment beyond the clinical setting into the everyday environment of those seeking a successful, sustained recovery process.  For more information visit: Peer Support Services.

Prevention Services

The Division of Behavioral Health provides services through a network of contractors who operate alcohol and drug use prevention programs. The Division monitors these providers and their staff, who must meet certification standards. Preventing substance use not only prevents the tragic consequences of addiction, but allows for better use of the limited resources available. Therefore, the Division strives to reduce the number of persons needing treatment through an extensive prevention effort.  For more information visit: Prevention.


Fact Sheets





Club Drugs


Cough, Prescription and Over the Counter Abuse

Street Drugs

Compulsive Gambling

National Institute on Drug Abuse

Special Populations