Clinical Treatment and Recovery Services

A wide array of Division of Behavioral Health (DBH), formerly the Divisions of Alcohol and Drug Abuse and Comprehensive Psychiatric Services, supported clinical treatment and recovery support services are located across the state. In the past, inpatient or residential treatment temporarily removed a person from the problem environment with little or no follow-up care. DBH has developed treatment programs that focus on providing a complete continuum of recovery services, including extended outpatient services in the community and, where possible, close to home. Multiple levels of care and comprehensive service packages are offered to provide Missourians with ready access to treatment and to assist them in achieving and maintaining recovery from alcohol and drugs. Services are individualized and have three basic levels of intensity. Treatment 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 drug free environment early in the treatment process.

Primary Recovery Plus

Modeled after the CSTAR General Population Program, PR+ offers a full continuum of services within multiple levels of care to assist those individuals without Medicaid coverage.


Developed by DBH and funded by Missouri’s Medicaid program and DBH's purchase-of-service system, the Comprehensive Substance Treatment and Rehabilitation (CSTAR) Program also provides a full continuum of care approach to substance use disorder treatment. CSTAR offers a flexible combination of clinical and supportive services, to include temporary living arrangements when appropriate, that vary in duration and intensity depending on the needs of the consumer. To better address the specific needs of those seeking treatment, four specialized CSTAR programs were developed:

CSTAR Women and Children

Substance use disorder affects women in unique ways, both physically and psychologically. 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 multiple levels of care are important in averting substance use disorder and resulting problems that might otherwise follow a young person for a lifetime. Designed for children 12 to 17 years in age, these programs offer the full spectrum of treatment services to Missouri’s youth.

CSTAR General Population

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

Compulsive Gambling

The Division of Behavioral Health is designated as the administrator of treatment programs for problem gamblers and affected family members. Individuals with gambling problems and their families can receive counseling services along with referrals for other supportive interventions, to include 12-step support groups, financial planning and remediation, and legal assistance. Treatment is individualized and services include individual and group counseling and family therapy. Family members affected by a loved one’s gambling can receive counseling services independent of the problem gambler. Services are paid for through the Compulsive Gamblers Fund, which is derived from the fees paid by Missouri casino properties.

Substance Awareness Traffic Offenders Program (SATOP)

Drinking and driving behaviors have a serious impact on the citizens of Missouri. Each year, thousands of people are injured or killed in alcohol-related crashes resulting in serious financial impacts on our communities. The Department of Mental Health, Division of Behavioral Health certifies programs to provide services to individuals who have had an alcohol or drug related traffic offense. The Substance Awareness Traffic Offenders Program (SATOP) serves more than 30,000 DWI offenders annually who are referred as a result of an administrative suspension or revocation of their driver's licenses, court order, condition of probation, or plea bargain. When a person's driver license is suspended or revoked due to an alcohol related offense, SATOP is, by law, a required element in driver's license reinstatement by the Department of Revenue. All SATOP offenders enter the system via an Offender Management Unit. Offenders receive a screening assessment where a review of their driving record, breath alcohol content at the time of their arrest, computer-interpreted assessment and an interview with a qualified substance abuse professional is conducted. Based upon the information gathered during the screening an appropriate referral is made to one of several types of SATOP programs.

Additional information on substance use disorder treatment and recovery is available from the Division of Behavioral Health district office serving your area.