Services and Resources

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.

Locate Treatment & Services

For more information, see Locating Treatment & Services.

You may contact us directly by calling (573) 751-4942 or (800) 575-7480 or by e-mail(link sends email). 

Children's Services

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.  Learn more about Children's Services. 

Crisis Assistance

Suicide Prevention

If you or someone you know is in a mental health, suicide, or substance use crisis, help is available.
Reach out to the 988 Suicide & Crisis Lifeline by calling or texting 988 or the 988 LifelineChat(link is external). For more resources on this topic visit: Suicide Prevention.

988 Suicide & Crisis Lifeline 

If you are thinking about suicide, are experiencing a mental health or substance use crisis, or are worried about a friend or loved one, reach out to the 988 Suicide & Crisis Lifeline by calling or texting 988 or the 988 LifelineChat(link is external).

Crisis Services

Crisis services are for anyone, anywhere and anytime. Please see the Crisis Services Webpage for more information.

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.

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.

CSTAR

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.

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(link is external). 

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

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.

Inpatient (Hospitalization)

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.

Respite

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.  

DBH Programs, Initiatives, & Services
Behavioral Health Resources and Information

Links for Consumers and Families

Domestic and Family Violence Prevention Resources

Hotlines, domestic violence programs, and rape crisis centers continue to provide services. People affected by sexual and domestic violence still can get access to the support of an advocate through a hotline call, during a sexual assault forensic exam, to seek a court-issued Order of Protection, and for help getting other crucial resources. Systems are being put in place to be able to provide remote advocacy as much as possible, using phone, text, telehealth, video and other strategies to connect with and support people who need help.

For immediate help in Missouri, see How to Get Help(link is external) or call the National Domestic Violence Hotline 1-800-799-7233 or the National Sexual Assault Hotline 1-800-656-4673.

Mental Illness Fact Sheets

Booklets

Mental Illness Facts

Anxiety Disorders:

Attention Deficit Hyperactivity Disorder (ADHD):

Bipolar Disorder:

Childhood Mental Illness:

Civil Involuntary Detention

Co-Occurring Disorders in Adults:

Depression:

Depression and Older Adults:

Eating Disorders:

Maintaining Good Mental Health:

Schizophrenia:

Sexual Abuse:

Stress:

Women's Depression:

Substance Use Fact Sheets

Alcohol

Marijuana

Tobacco

Methamphetamine

Club Drugs

Inhalants

Cough, Prescription and Over the Counter Misuse

Street Drugs

Compulsive Gambling

National Institute on Drug Abuse

Special Populations

Resources for Recovery

Online Recover Support Services