Treatment & Services for Substance Use or Mental Illness
The Division of Behavioral Health (DBH) has programs around the state to help individuals with substance use disorders or their mental illness. There are programs for youth, adolescents, and adults. If you or a loved one struggles with substances or have questions regarding their mental illness, you can contact a treatment program for help. They can help you get the services you or a loved one needs. The Division and its contracted programs offer services that have been proven to help individuals with mental illness and substance use struggles. Those services help to prevent crime and make communities safer, reduce emergency room visits, and prevent school dropout. Many individuals are able to keep their job or get help finding a job when they receive services.
The cost of services is based on the individual's ability to pay. Those who have first priority for mental illness services are: individuals with a serious mental illness; individuals and families in crisis; individuals who are homeless and mentally ill; individuals committed for treatment by the court system; and children with severe emotional problems. Those who have first priority for substance use treatment are: pregnant women; intravenous (IV) drug users; and, certain referrals from other state agencies.
The Missouri Division of Behavioral Health is committed to supporting children, adolescents and their families and caregivers by providing best practice treatment and building resiliency skills through our local Community Mental Health Clinics, Adolescent Comprehensive Substance Use Treatment Providers, and Certified Community Behavioral Health Organizations. Click here for more information regarding Children's Services.
Locate Treatment & Services
For more information on where to locate treatment and services, click here.
You may contact us directly by calling (573) 751-4942 or (800) 575-7480 or you may e-mail us at firstname.lastname@example.org.
- Crisis Assistance
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.
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.
- Information for Individuals Who Need Services, Their Families, and Communities
- Clinical Treatment and Recovery Services for Substance Use
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.
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.
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.
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 or “Know Your Rights” Brochure for Individuals in Medication-Assisted Treatment.
- Clinical Treatment and Recovery Services for Mental Illness
Outpatient Community-Based Services
Outpatient services provided to a person in their community. Services are provided by a team that uses the resources of the individual, his/her family, and the community. Outpatient programs offer individual, group, and family therapy, medication management, etc.
Targeted Case Management
Targeted Case Management services are used to assist individuals in finding and getting psychiatric, medical, social, and educational services and supports.
Day Treatment/Partial Hospitalization
Day treatment offers care to individuals diagnosed as having a psychiatric disorder and requiring a level of care greater than outpatient services can provide, but not at a level requiring full-time services in a hospital. The focus is on developing supportive medical and psychological and social work services. Day treatment may include rehabilitation services, educational services and vocational education.
Residential Services provide a variety of housing alternatives to meet the diverse needs of individuals. The Department of Mental Health assists Missourians challenged by mental illness in obtaining and maintaining safe, decent and affordable housing options that best meet their individual and family needs. Housing is a key to helping Missourians with disabilities and their families attain independent living. The vision of the Department is that all Missourians challenged by mental illnesses have housing options that are affordable and accessible, integrated into communities, and provide real choice.
Individuals whose psychiatric needs cannot be met in the community and who require 24-hour observation and treatment are placed in inpatient treatment. These services are considered appropriate for persons who may be dangerous to themselves or others as a result of their mental disorder. Children with Serious Emotional Disturbances or in acute crisis may receive the above-mentioned services as well as services provided through the programs listed below.
Temporary care given to an individual by specialized, trained providers for the purpose of providing a period of relief to the primary care givers.
Treatment Family Home Program
This service provides individualized treatment within a community-based family environment with specially trained parents. It allows out-of-home services for those needing them, but also allows children to remain in their own communities and often in their home school districts.
Community Psychiatric Rehabilitation (CPRP)
This program is a person-centered approach that emphasizes individual choices and needs; features flexible community-based services and supports; uses existing community resources and natural support systems; and promotes independence and the pursuit of meaningful living, working, learning, and leisure-time activities in normal community settings. The program provides an array of key services to persons with severe, disabling mental illnesses. Services include evaluations, crisis intervention, community support, medication management, and psychosocial rehabilitation. Because CPRP is a Medicaid supported program, the federal government pays approximately 60 percent of the costs for eligible clients.