Emergency Room Enhancement Program

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.

To address this service gap, the Missouri Department of Mental Health provides funding to fifteen regions across the state for the Emergency Room Enhancement Program (ERE). Since 2013 ERE programs have been operating in multiple hospitals in and around Rolla, Kansas City, Springfield, St. Louis, Columbia, Poplar Bluff, and Hannibal. In 2017, ERE programs were implemented in Joplin, Monett, St. Joseph and Trenton. In 2019, the Jefferson City region, comprised of four additional counties, joined. Most recently in 2020, the newest regions, West Central, including 10 additional counties and West Plains, including 7 counties, were added. Currently, ERE services are available in 101 of 114 Missouri counties, accounting for approximately 80% of Missouri’s population. 

The primary goals of ERE are to prevent repeated ED visits and hospitalizations and decrease rates of homelessness, unemployment and arrests/law enforcement involvement.

Map of ERE Regions & Behavioral Health Agencies

FY 2021 ERE Infographic

FY 2020 ERE Infographic

For additional information: Missouri Behavioral Health Council ERE

Information for Providers