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 thirteen regions across the state for the Emergency Room Enhancement Program (ERE). Areas designated for ERE projects were Kansas City, Springfield, Columbia, Hannibal, St. Louis, Rolla, Poplar Bluff, Joplin, Cape Girardeau, Jefferson City, St. Joseph, Monnett and Trenton and encompass 80 of Missouri’s 114 counties. Each of the thirteen regions have partnered with local hospitals, community mental health centers, law enforcement agencies, substance use treatment facilities, and social service providers to coordinate care for the whole person by addressing behavioral, physical, and basic needs.

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

Missouri Coalition For Community Behavioral Healthcare ERE webpage

2018 ERE Collaborative Survey

Year 5 ERE Focus Group Report

ERE Data Collection Tools

ERE Data Dictionary

ERE Map By County

ERE Procedures by Site

ERE Contact Profile

ERE Staff Listing

MIMH Year 1 Final Report

MIMH Year 2 Final Report

MIMH Year 3 Final Report

MIMH Year 4 Final Report

MIMH Year 5 Final Report