Missouri Substance Abuse Treatment Facilities

Missouri Alcohol and Drug Rehabilitation Programs

Compared to other states, Missouri does not have a large number of drug rehab facilities. According to SAMHSA, the state has 281 substance abuse treatment centers serving the state's more than 6 million residents. As of March 2019, these centers were treating 19,996 patients. These centers are comprised of many different treatment types, including

In addition, Missouri offers specialized services for at least 18 certain groups of people whose circumstances require a tailored approach to ensure a successful recovery. These groups include the following:

• Active duty military members
• Pregnant and postpartum women
• Patients with co-occurring disorders
• Adolescents
• Members of the LGBT community.
• Missouri Drug Rehab Breakdown
• Demographic Breakdown (By percentage of drug rehab facilities):
• Patients with co-occurring mental health disorders: 43.8 percent
• Adult women: 37.4 percent
• Adult men: 32.7 percent
• Patients who have suffered domestic abuse: 19.6 percent
• Adolescents: 18.5 percent
• Pregnant or postpartum women: 17.4 percent
• Seniors: 14.2 percent
• Veterans: 13.9 percent
• LGBT community members: 13.2 percent
• Active duty military: 9.3 percent
• Payment Options Breakdown (By percentage of drug rehab facilities):
• Cash or self-payment: 94.3 percent
• Sliding fee: 79.7 percent
• Private insurance: 71.9 percent
• Medicaid: 68.3 percent
• Minimal charge or no-charge treatment for patients in need: 63.7 percent
• Federal military insurance: 58.4 percent
• State-financed plans: 45.9 percent
• Medicare: 36.3 percent
• ITU funds: 3.6 percent
• Free treatment: 1.8 percent

The result of this diversity in payment options and specialized services makes it easier for patients in Missouri to access the treatment they need to pursue a successful rehab.

Treatment Approaches in Missouri

12 Step

In Missouri, almost three-quarters of rehab facilities (74.7 percent) offer 12-step facilitation for patients. 12-step programs, the most famous of which is Alcoholics Anonymous, have been providing a path toward recovery for addicts since the early 1930s, and their structured approach and supportive meetings have been having a positive effect. Today, as in Missouri, about 74 percent of facilities nationwide use 12-step programs on at least an occasional basis to help patients pursue and maintain their recoveries from both drug and alcohol addiction.

Dual Diagnosis/Co-Occurring

According to the National Survey on Drug Use and Health, about 17 million Americans suffered from both a mental illness and a substance use disorder (SUD) in 2020. Called a dual diagnosis, the presence of both illnesses is often intertwined: Sufferers of a mental illness often turn to addictive substances to manage the symptoms of their illness. Addressing both disorders together (Often called integrated therapy) is essential in helping patients recover, which is why 43.8 percent of facilities in Missouri provide these services.

Detox

Withdrawal from drugs or alcohol can be uncomfortable and even dangerous for addicts. The safest and most comfortable way for addicts to go through this process is by attending a detox facility, where they can receive 24/7 support and medical care to help them through. Detox can increase patients' chances of a successful recovery and set them up with additional rehab services after the addictive substances leave their bodies. In Missouri, most detox services are available in outpatient facilities, but are also present in inpatient and hospital-based centers.

Short-Term Inpatient Rehab

24/7 addiction recovery treatment is often helpful for patients who suffer from severe addiction. Short-term inpatient rehab refers to residential treatment that lasts less than 30 days. In Missouri, 18.5 percent of facilities provide this type of service.

Long-Term Residential Rehab

The National Institute on Drug Abuse recommends patients receive at least 90 days of treatment in order to effectively break their dependence on drugs and alcohol. In Missouri, 11 percent of drug rehab facilities offer long-term residential rehab, defined as rehab that lasts longer than 30 days.

Rehab Costs In Missouri

Rehab costs are not consistent from patient to patient, thanks to patients' individual circumstances and treatment needs. Some of the factors that can influence the cost of a patient's recovery include the following:

• Type of program
• Medication received
• Services used
• Length of treatment

The best way for a patient to determine their exact treatment costs is to discuss their needs with their preferred treatment center. Some of the payment options that centers in Missouri will offer patients include the following:

Private Health Insurance for Addiction Rehab

Private health insurance, through an employer or a health exchange, can offer a variety of drug rehab benefits to patients. The exact coverage, including copays and deductibles, will vary depending upon the insurance policy, so patients will need to consult with their insurance provider to determine their exact coverage. 71.9 percent of drug rehab centers in Missouri accept some form of private health insurance.

Medicaid and Medicare for Addiction Rehab

Patients who meet certain low income thresholds may qualify for federal healthcare coverage through Medicaid or Medicare. These programs allow patients to pursue rehab and receive full coverage for those services. In Missouri, 68.3 percent of facilities accept Medicaid and 36.3 percent of facilities accept Medicare.

Uninsured Addiction Rehab

Uninsured individuals can still afford addiction rehab services in Missouri, as long as they choose a facility that offers one of these options for affordable treatment:

Sliding Scale Payments

When a facility adjusts its rehab costs based on a patient's income, they are said to offer sliding scale fees. Lower income patients will pay less than higher income patients in order to make treatment available to everyone who needs it. In Missouri, 79.7 percent of rehab facilities offer their services on a sliding scale.

Free drug rehab

A very small percentage of rehab facilities in Missouri (1.8 percent) provide free services to all patients. Almost two-thirds of facilities (63.7 percent) provide rehab at no cost or a minimal cost to patients who cannot otherwise afford their treatment.

As a result of these multiple payment options and affordable choices, addiction treatment is relatively accessible and affordable in Missouri.

Missouri Drug Treatment Overview

Missouri's drug rehab facilities have a number of advantages, and drawbacks, for patients to consider when choosing a treatment facility to use in the state.

Pros

74.4 percent of facilities in the state are private nonprofit organizations, which often correlates to more affordable care and payment options for patients.

58.4 percent of facilities in Missouri accept federal military insurance. As a result, military members and their families can find treatment more easily in Missouri than in many other states.

Cons

Missouri's bed utilization rate is extremely high: 131.7 percent for residential rehab facilities. As a result, patients may have a difficult time finding an available bed if they urgently require treatment.

Only 1.8 percent of facilities offer free treatment for any patient.

Missouri Drug Use Statistics

Many people in Missouri struggle with dependence upon drugs or alcohol. Here are some f the statistics regarding drug use in the state.

From the SAMHSA NSDUH Report:

• 354,000 people over the age of 12 in the St. Louis area used an illicit substance in the last year.
• 9.5 percent of people in the St. Louis area had a diagnosed substance use disorder in the last year. 60 percent of these deaths were related to opioids.

From the SAMHSA:

• 36,302 individuals over the age of 12 were admitted for substance abuse treatment in Missouri in 2019.
• 27.5 percent of these admissions were for amphetamines.
• 15.8 percent of these admissions were for heroin.
• 10.2 percent of these admissions were for other opiates.