Treatment Services

The Division of Behavioral Health (DBH) has programs across the state to help children, teens, and adults with substance use disorders and mental illness. If you or someone you care about is struggling with substance-use or mental health concerns, you can contact a treatment program for help. They can connect you to the services you or a loved one may need. 

The Division and its contracted providers offer services that are proven to help people with mental illness and substance use challenges. These services can help prevent crime, make communities safer, reduce emergency room visits, and lower school dropout rates. Many people are able to keep their jobs or find employment after receiving services. 

The cost of services is based on a person's ability to pay. 

For mental health services, first priority is given to: 

  • Individuals with a serious mental illness 
  • Individuals with families in crisis 
  • People who are homeless and have a mental illness 
  • Individuals ordered by the court to receive treatment 
  • Children with severe emotional disorders

For substance use treatment, first priority is given to: 

  • Pregnant women 
  • Individuals who use intravenous (IV) drugs 
  • Certain individuals referred by other state agencies

Locate Treatment Services

Treatment services are accessible through behavioral health providers in the community which are contracted by the Division of Behavioral Health.  Anyone can contact their local providers or visit in person to learn about services, get information, or schedule an appointment. 

For help finding treatment or services, you may also contract the Division of Behavioral Health directly by calling (573)-751-4942 or (800) 575-7480, or by sending an e-mail. 

Crisis Assistance

988 Suicide & Crisis Lifeline 

If you or someone you know is in a mental health, suicide, or substance use crisis or emotional distress, reach out to the 988 Suicide & Crisis Lifeline by calling or texting 988, or chatting at chat.988lifeline.org. Trained crisis specialists are available to listen, provide immediate support, and connect you with resources and care. 

Learn more about Suicide Prevention. 

Crisis Services

Crisis Services are for anyone, anywhere and anytime. They are the first line of care in helping people in crisis or emotional distress and preventing tragedies. DMH strives to use the best tools and practices to meet the needs of people in crisis. 

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.

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.

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. 

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