Access Crisis Intervention (ACI) serves adults and children experiencing a behavioral health crisis in Missouri 24/7 by: assessing and providing information; linking to services; resources and supports; and maintaining individuals in the least restrictive setting.
Information for the General Public
COVID-19 resources: Missouri Department of Mental Health.
Missouri Coronavirus Information Hotline: 877-435-8411
- The hotline will be operated by medical professionals and is available 24 hours a day, 7 days a week.
Disaster Distress Helpline Phone: 800-985-5990 Text: "TalkWithUs" to 66746
- The toll-free Disaster Distress Helpline can provide immediate counseling to anyone who needs help dealing with the aftermath of a traumatic incident. This is a free, confidential, and multilingual crisis support service. Callers and texters are connected to trained and caring professionals from crisis counseling centers.
myStrength: follow link to register
- Amidst the stress of the current coronavirus crisis, the Missouri Coalition for Community Behavioral Healthcare is offering the application myStrength. myStrength is a self-help resource that is available 24/7, is private and confidential, and provides information and inspiration on a multiple topics. myStrength offers content and resources on including coping skills during COVID-19, stress management, depression, anxiety, substance use disorders, chronic pain, sleep disturbance issues, and more.
MO CADV: For immediate help in Missouri, click here or call the National Domestic Violence Hotline 1-800-799-7233 or the National Sexual Assault Hotline 1-800-656-4673. For the Deaf Crisis Line videophone call 321-800-3323 or text HAND to 839863.
- 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.
Substance Awareness Traffic Offender Program (SATOP)
- Due to COVID-19 the SATOP Call Center will be open Monday to Friday, 12:00 PM to 4:00 PM. For SATOP questions and completion status please call (573) 522-4020 or send an email to: email@example.com. Email inquiries will be responded to within 24 hours.
- Online Recovery Support
- WEconnect and Unity Recovery: four daily all-recovery meetings worldwide, open format and available to anyone in or seeking recovery, 8:00 AM, 11:00 AM, 2:00 PM, and 8:00 PM CST daily
- In the Rooms-Global Recovery Community: 130 weekly online meetings, 12 step, non 12-step, wellness, mental health
- Smart Recovery: forums, tools, and discussion, many topics including Veteran specific
- Recovery Dharma: daily video and phone meetings, meditation practice
- Alcoholics Anonymous: many AA meetings via telephone or online
- Narcotics Anonymous: many AA meetings via online
- SAMHSA Virtual Recovery Resources: resources that can be used to virtually support recovery from mental and/or substance use disorders, also provides resources to help local recovery programs create virtual meetings.
- 12 Steps.org: listing of online 12-step meetings on various platforms
- Al-Anon Electronic Meetings: this forum and recovery chat room for Narcotics Anonymous members features voice chat, Skype, and text chat meetings connecting people from around the world
- Adult Children of Alcoholics: phone and online meetings
- Bridge Club Virtual Meetings: meetings that are specifically focused on women and LGBTQIA+ folks who are sober or interested in sobriety
- Refuge Recovery Online Meetings: listing of daily online meetings
- Families Anonymous Virtual Meetings: online meetings for parents, grandparents, siblings, spouses, significant others, other family members and friends of those with a current, suspected or former drug problem.
- Life Ring Recovery: listing of online meetings
- The Temper: an online publication/site that explores life through the lens of sobriety, addiction, and recovery, includes links to resources
My Recovery: online 12-step meetings
- Sober Grid: a free online social networking platform for people in recovery, available in mobile app stores
Information for Providers
This section provides the most current DBH policy, information and resources for our providers regarding COVID-19. This page will be continuously updated as federal and state guidance becomes available.
DBH COVID-19 Memos and Policy Guidance
- COVID-19 Memo #1 Immediate Provider Guidance Treatment and Recovery Support Service
- Revised COVID-19 Memo #2 Temporary Program Changes and Billing Guidance
- Memo for Office of Licensure and Certification Onsite Reviews: Suspending On-site Surveys for DMH OLC Due to COVID-19
- Memo for DBH Certification Reviews: Suspending Certification Surveys for DMH/DBH Due to COVID-19
- Memo for DBH Certification Onsite Fidelity Reviews: Suspending Surveys for DMH/DBH Due to COVID-19
- Memo for DBH Billing and Service Reviews: Suspending all Billing and Service Reviews for DMH/DBH Due to COVID-19
- DMH Management of COVID-19 Positive Patients - This is a policy that DMH has established for use in DBH and DD inpatient and residential facilities. The policy contains information for how DMH will manage COVID positive individuals within DMH facilities. This policy is being shared an FYI to community providers in case any of the information could be useful for reference. This is only for your information and as a potential resource. It is NOT policy that DMH expects providers to implement.
- COVID-19 CMS Expands Telehealth Press Release Final
- The forms below were developed by DBH, an initiative led by our CMD Angeline Stanislaus, for use at our state operated facilities. Those of you who have congregate, residential, or comparable environments may find some of this information helpful – you may modify for other populations or outpatient settings. This is not a directive for use, just a potential resource.
Program Specific Guidance
- ACT Guidance
- DM Guidance
- ERE & ACI Guidance
- HCH Guidance
- SUD Treatment, Medication for OUD, Drop-In Centers, & Shelter Guidance
- DBH Provider Tools
- MO HealthNet and Child Care Subsidy benefits extended: DSS Response to COVID-19
- MO HealthNet Provider Hot Tips
- The MO HealthNet Division (MHD) has set up an email address for provider questions related to billing for COVID-19 testing, treatment, services provided via telehealth, etc. MO HealthNet will respond to these questions and track the inquiries to compile FAQ’s. Email: MHD.COVIDfirstname.lastname@example.org.
U.S. Department of Justice, Drug Enforcement Administration, Diversion Control Divisions: COVID-19 Information Page
- The mission of Drug Enforcement Administrations (DEA), Diversion Control Division is to prevent, detect, and investigate the diversion of controlled pharmaceuticals and listed chemicals from legitimate sources while ensuring an adequate and uninterrupted supply for legitimate medical, commercial, and scientific needs. During this National Emergency the Diversion Control Division will continue to work with our Federal partners, DEA registrants, and their representative association to assure that there is an adequate supply of controlled substances in the United States. The DEA will also work to assure that patients will have access to controlled substances.
- Provision of Methadone and Buprenorphine for the Treatment of Opioid Use Disorder in the COVID-19 Emergency
- Considerations for the Care and Treatment of Mental and Substance Use Disorders in the COVID-19 Epidemic: March 20, 2020
- Considerations for Crisis Centers and Clinicians in Managing the Treatment of Alcohol or Benzodiazepine Withdrawal during the COVID-19 Epidemic: March 19, 2020
- Considerations for Outpatient Mental and Substance Use Disorder Treatment Settings
- Covid19: Interim Considerations for State Psychiatric Hospitals
- Training and Technical Assistance Related to COVID-19
- DEA and SAMHSA Buprenorphine and Telemedicine COVID-19 Guidance
- SAMHSA COVID-19 Public Health Emergency Response and 42 CFR Part 2 Guidance. Summary of relevant regulatory changes-March 20, 2020:
- DEA waives requirement for first in-person visit to prescribe controlled substances (including buprenorphine). Service providers can use telemedicine (including with a smartphone). Link: https://www.deadiversion.usdoj.gov/coronavirus.html
- Opioid Treatment Programs (OTPs; methadone providers) granted permission to ALL STATES to give 28-day take home doses for stable clients, 14-day take home doses for newer or less stable clients. Link: https://www.samhsa.gov/sites/default/files/otp-guidance-20200316.pdf
- HHS waives HIPAA concerns related to communication on day-to-day devices; service providers can use regular phones for service delivery. Link: https://www.hhs.gov/hipaa/for-professionals/special-topics/emergency-pr…
- 42 CFR Part 2 regulations related to disclosing the identity of people receiving diagnoses or treatment for substance use disorders are suspended. Providers may share information about patients if it is in the interest of improving their care in the midst of this emergency without written patient consent. Link: https://www.samhsa.gov/sites/default/files/covid-19-42-cfr-part-2-guida…
- Lifeline Support for Affordable Communications
- To help keep Americans connected during the coronavirus pandemic, the FCC has temporarily waived Lifeline usage requirements and general de-enrollment procedures until May 29, 2020. An FCC order, released on March 30, will help ensure that no current Lifeline subscribers are involuntarily removed from the Lifeline program during this time of national crisis. The order also extended a recent waiver of the program's recertification and reverification requirements to May 29, 2020, and directed the Lifeline program administrator to pause any involuntary de-enrollment of existing subscribers until that date.
- Free/Reduced pricing for Cell Phone Access
- Personal Protective Equipment (PPE) Ordering Form
- DBH Provider Resources
For general information regarding COVID-19 please visit: Missouri Department of Mental Health.
- Consult an SSM Health provider online about most minor illnesses. $25 per visit, price subject to change.
National Council for Behavioral Health
- You are not alone. There are 3,325 member organizations that, like you, are working to keep their doors open, their staff safe and their communities healthy. To help you navigate this rapidly evolving situation, we are building a coronavirus resource directory and sharing tools and information to inform you every step of the way. National Council for Behavioral Health
Guidance for infection control and COVID-19 prevention can be hard to find. We can help. The National Council’s COVID-19 Guidance for Behavioral Health Residential Facilities offers general guidance for residential programs on how to respond if a client develops symptoms of COVID-19, handle clients returning from the hospital and prepare for the return of health care personnel to work. Our new report also offers insights into work practice and work restrictions, as well as crisis strategies to mitigate staffing shortages.
Telehealth Learning and Consultation (TLC) Tuesdays is a weekly online series for providers who are unfamiliar with telehealth. Our specialists will devote the first 20 minutes of each hour-long session to a specific topic, then address questions submitted by registrants. Register by clicking one of the dates below. You must register separately for each TLC Tuesdays session. Certificates of completion are available.