Emergency Room Enhancement (ERE)

The Emergency Room Enhancement (ERE) projects are for people with mental illness or substance use disorders who seek treatment in emergency rooms. Stabilization can be difficult and often requires considerable time and resources. Even when the crisis is resolved,

these patients may be kept for hours – if not days – waiting for placement in psychiatric care or substance sue disorder treatment.


The projects have been implemented in over 75 hospitals and health centers in 15 regions of the state to develop models of effective intervention in the emergency room setting, creating alternatives to unnecessary hospitalization and extended emergency room stays.


Areas designated for ERE projects are Cape Girardeau, Kansas City, Springfield, Columbia, Hannibal, St. Louis, Rolla, Poplar Bluff, Joplin, Monett, St. Joseph, Trenton, Jefferson City, West Central and West Plains. Each region collaborates with representatives from community mental health centers, substance use disorder treatment programs, hospitals and law enforcement. They have strategies for identifying target individuals in the ER, assessing needs, coordinating care and assuring linkage to ongoing services and supports in the community.