Behavioral health providers are based in the community and provide psychologists, social workers and psychiatrists, to respond to the needs of clients from diverse backgrounds. Their focus is Missourians in our communities suffering from severe and persistent mental illness, substance use and addiction disorders, poverty, homelessness and multiple trauma.
Our members have developed treatment programs that focus on providing a complete continuum of recovery services, including extended outpatient services in the community and, where possible, close to home. Multiple levels of care and comprehensive service packages are offered to provide Missourians with ready access to treatment and to assist them in achieving and maintaining recovery from alcohol and drugs.
Services are individualized and have three basic levels of intensity. Treatment routinely includes assessment, individual and group counseling, family counseling, education, participation in self-help groups, and other structured, therapeutic measures.
PSYCHIATRIC TREATMENT SERVICES
Outpatient Community-Based Services
Outpatient services provided in an individual's community offer the least-restrictive environment for treatment. An evaluation and treatment team provides services utilizing 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 intended to assist individuals in gaining access to psychiatric, medical, social, and educational services and supports.
Day Treatment/Partial Hospitalization
Day treatment offers the least-restrictive 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 inpatient services. Day treatment may include vocational education, rehabilitation services, and educational services. The focus is on developing supportive medical and psychological and social work services.
Residential Care/Community Placement
Moderate-term placement in residential care provides services to persons with non-acute conditions who cannot be served in their own homes. A residential setting has more focused goals of providing a structured living environment in which to develop functional adaptive living skills, self esteem, self control of impulses social skills, insight into personal issues, and enhanced family interactions.
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.
Temporary care is given to an individual by specialized, trained providers for the purpose of providing a period of relief to the primary caregivers.
Treatment Family Home Program
This program licenses private family residences to provide specialized, 24-hour support, case management, and out-of-home care for youths with serious emotional disturbances.
Community Psychiatric Rehabilitation (CPR)
This program is a client-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.
SUBSTANCE USE AND ADDICTIONS TREATMENT SERVICES
Alcohol and Drug Abuse Treatment Detoxification
The first step to recovery, detoxification, the individual is assisted in withdrawing from alcohol or drug addiction in a safe, supportive environment.
In a residential treatment program, a person receives around-the-clock care, seven days a week. Rehabilitation includes assessment, individual and group counseling, family counseling, participation in self-help groups, and other supportive measures designed to help a person live an alcohol and drug-free life.
Persons whose substance abuse is less severe or chronic do not require residential settings for treatment. Outpatient rehabilitation also is designed for persons who have graduated from residential programs and need follow-up and after-care services, counseling, and
referral to support groups.
The Comprehensive Substance Abuse Treatment and Rehabilitation Program (CSTAR)
CSTAR is a unique approach to substance abuse and addiction treatment. It offers a flexible combination of clinical services, living arrangements and support services that are individually tailored for each client. In the past, inpatient or residential treatment temporarily removed a person from the problem environment with little or no follow-up care. CSTAR focuses on providing a complete continuum of recovery services, including extended outpatient services, in the community and, where possible, close to home.
CSTAR Women's Treatment Programs
Substance abuse affects women differently than men, both physically and psychologically. Single women, pregnant women and women with children may enter specialized women's CSTAR treatment programs. These programs provide a complete continuum of treatment services and housing supports tailored to the unique needs of women and children.
CSTAR Adolescent Treatment Programs
Early intervention, comprehensive treatment, academic education, and aftercare are important in averting chronic abuse and accompanying problems that might otherwise follow a young person for a lifetime. The specially trained staffs of adolescent CSTAR programs utilize individual, group and family interventions.
Opioid Treatment Programs
The Opioid (methadone) Treatment Program (OTP) is designed for medically supervised withdrawal from heroin and other opiate drugs, followed by ongoing treatment and rehabilitation or addiction and related life problems. Missouri’s OTP meets federal guidelines for such programs.
Substance Awareness Traffic Offenders Program (SATOP)
Drinking and driving behaviors have a serious impact on the citizens of Missouri. Each year, thousands of people are injured or killed in alcohol-related crashes, resulting in serious financial impacts on our communities.
The Department of Mental Health, Division of Alcohol and Drug Abuse certifies programs to provide services to individuals who have had an alcohol or drug related traffic offense. The Substance Abuse Traffic Offenders Program (SATOP) serves offenders who are referred as a result of an administrative suspension or revocation of their driver's licenses, court order, condition of probation, or plea bargain. When a person's driver license is suspended or revoked due to an alcohol related offense, SATOP is, by law, a required element in driver's license reinstatement by the Department of Revenue.