Explore the top rated Houston drug rehabs with confidence. We've analyzed each of the 25 addiction treatment centers in Houston, MO for patient reviews, clinical credentials, transparency, and brand reputation to identify the best rehab programs.
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| Name / Address / Rating | Description | Treatments / Programs / Payment Options | Review / Contact | Images | |
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Houston, MO | Southeast Missouri Behavioral Health is an outpatient facility that offers treatment for individuals with a Mental Health diagnosis and/or Substance Addiction. Southeast Missouri Behavioral Health is located in Houston, Missouri Southeast Missouri Behavioral Health is dedicated to providing individualized treatment in order to meet the needs of the | Treatments Programs Payment Options | Tons of help here
Jessica Ray
7 years ago
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Mountain Grove, MO | Mountain Grove Medical Complex, located in Mountain Grove, Missouri is a private alcohol and drug rehab that offers treatment for a variety of substance abuse addictions including co-occurring mental health disorders. They offer flexible outpatient addiction therapy allowing patients to live at home while receiving regular treatment. Specialty reh | Treatments Programs Payment Options | The best I have ever been treated great attitude pleasant people and great care
Dorma Robertson
1 month ago
The nurses and doctor were caring and helpful.
Frank & Diana Tumminia
1 month ago
Been going to this place for years. Have nothing to complain about. Like all the doctors. And always fast in and out thank you....
Steve Campell
1 month ago
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Salem, MO | Southeast Missouri Behavioral Health Salem Center in Salem, Missouri, is in a rural area, flanked to the west by Fort Leonard Wood and to the right by Mark Twain National Forest. The Salem Center is one of several facilities in the Southeast Missouri Behavioral Health System where the community can receive various mental health and clinical service | Treatments Programs Payment Options | I have worked here for almost 4 years and truly believe in their mission to help others! I have also been a client in treatment here and this placed helped me get sober!!
Courtney Thompson
8 months ago
It's a good place to be if you are committed to getting sober.
Alexandria Daugherty
11 months ago
helped my friend. saved her life, eternally grateful
2 years ago
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Apex Recovery – BrentwoodAd This is an ad and Apex Recovery – Brentwood is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More Brentwood, TN | , located in Brentwood, Tennessee is a private alcohol and drug rehab that offers treatment for a variety of substance abuse addictions including co-occurring mental health disorders, alcoholism, and opiate addiction. They offer supervised medical treatment to safely manage withdrawal symptoms during detoxification, as well as flexible outpatient a | Treatments Programs | View Website (615) 703-4639 | Apex Recovery – Brentwood has no reviews yet. Leave a review.
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West Plains, MO | FCC Behavioral Health is a nonprofit substance use and co occurring mental health disorder treatment organization. They have locations throughout Missouri that offer different levels of care. The location on Lanton Road in West Plains provides residential and outpatient treatment services for adults. They accept private insurance, Medicaid, Medicar | Treatments Programs Payment Options | I want to point out Shayna care coordinator, she goes above and beyond to help someone ! My son was a patient here for a month and a half. I think treatment team did a lot to help him ! Unfortunately he made some choices good and bad really ! He did try but probably needed more attention with his medications for his mental health issues. They all did a lot to help him. I would recommend them if you want to stay clean and learn more skills to cope !! 💯 %.
Chandra Daye
9 months ago
I've not personally used your resources but know of several close friends and family members who have. Majority of them have kept to the guidelines and resources they learned from their time spent with your faculty. I've seen their lives do a 360 in just short period and true change. Keep up the life changing work y'all do!
Natasha Derryberry
1 year ago
I just GRADUATED today. This place changed my life. All bs aside. If you want to live in recovery this place is where you can make it happen.
6 years ago
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West Plains, MO | Behavioral Health Group, located in West Plains, Missouri is a private alcohol and drug rehab that offers treatment for a variety of substance abuse addictions including alcoholism, co-occurring mental health disorders, and opiate addiction. They offer supervised medical treatment to safely manage withdrawal symptoms during detoxification, as well | Treatments Programs Payment Options | Very kind and understanding staff, wish they had better doctors who had more experience and not just from books, and truly MO needs to up their Recovery Laws and policies, coming from WA state things here are much more rigorous and chronic pain is treated more seriously for addicts in WA, but all my care there was through the VA. So far so good, love my counselor, and all the staff are so nice and helpful!! Wish they had more group therapy options.
Casey Henderson
2 months ago
So grateful. Professionals who bend over backwards to make it work for you. Tess- you can FEEL the actual care and compassion she emotes toward every patient. Jason the dosing nurse is an exceptional human being. He thinks of how to
best serve every client individually based off of what he knows about you. He does so EVERYDAY regardless of how his day is going or how he feels.
PowerFool ThunderClown
2 years ago
BHG was and continues to be an answered prayer for my family and I. My wife never thought she could get better and now lives a full life that she credits to God and BHG. It is a miracle.
Aaron & Christina Hicks
3 years ago
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Rolla, MO | Based in Rolla, Missouri, Compass Health Network – NAVIG8 Adolescent Treatment Program is a specialized initiative designed to support teens and families affected by substance abuse. Teens aged 12-17 years can access treatment here. Substance Abuse Support for Teens in Phelps County This structured program is customized to meet the special n | Treatments Programs Payment Options | Compass Health is legit. They did not press me to get sober. They guided me into it. They used the teqniue of harm reduction. Seems weird and backwards. God tells us in his word not to argue about words. With my Father in heaven using Compass's Health Network. I am 4 months clean today and thankful. Glory to God in heaven. In Jesus Christ name. Amen. P.S. God sees you Compass Health Network and is proud of you.
Nicholas Canon
2 months ago
They have a helpful and friendly staff and 24/7 crisis prevention.
franz kindel
7 months ago
I was admittedly very nervous to go to a new office for my mental health care after Compass Health took over Phelps Health. However, I have never had better mental healthcare. I am so pleased. The first psychiatric NP they set me up with was a very bad match, but I was able to be switched to a new one, which I really appreciated. The new psychiatric NP I got was just amazing. My CSS (Community Support Specialist) is really helpful in my mental health journey. Every CSS I've met is caring, kind, and I feel like they genuinely care about my mental health and well-being. I recommend Compass Health as they have been instrumental in my life and mental health, as well as helping me grow as a person.
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8 months ago
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Salem, MO | John J. Pershing VAMC - Salem CBOC, part of the John J. Pershing VA Medical Center, is located in Salem, Missouri. John J. Pershing VAMC - Salem CBOC specializes in the treatment of Primary Care and Mental Health Care. John J. Pershing VA Medical Center honors America’s Veterans by providing exceptional health care that improves their health | Treatments Programs Payment Options | The place is great, but a few if the check in clerks could use a different position that doesn't deal directly with the patients. Rudeness and a cold attitude is not warranted towards any veteran. On the old hand, 95% of the staff are amazing human beings and value their patients. They are kind, respectful, cordial and patient towards their patients.
Micaela Gebelhardt
2 months ago
Always great care.
Randy Wade
2 months ago
This VA is one of the best in the US. They treat veteran care with compassion, dignity, respect and efficiency.
I am sure that every day brings challenges, but I have enjoyed my care experience.
Thank you to all the VA staff everywhere and especially those who have specifically provided my care.
Edward Reese
4 months ago
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Rolla, MO | Phelps Health Hospital is on West 10th Street in Rolla, Missouri. The hospital partners with The Compass Health Network to provide treatment for behavioral health disorders, including substance use and co-occurring mental health disorders. If you’re concerned about payment, they accept private insurance, Medicaid, Medicare, and military insurance | Treatments Programs Payment Options | Keep doing what you been doing, saving lives and healing the hurt
JW Noxon
2 months ago
Very caring staff and the doctors I had were amazing. Went in very nervous as I don't like hospitals but after a few minutes I felt like I was at home very relaxed comfortable and cared for.
Karen Neal
2 months ago
Everything was great
Margaret Lovings
2 months ago
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West Plains, MO | FCC Behavioral Health's RISE treatment center is an alcohol and substance abuse recovery center in West Plains, Missouri. RISE exclusively serves adolescents ages 12 through 17 with their Comprehensive Substance Abuse Treatment and Rehab (CSTAR) programs. The facility shares space with the larger FCC Behavioral Health campus, providing a relaxing s | Treatments Programs Payment Options | Rise was the best treatment I have had in years I have been in and out treatment facilities and once I got to rise I felt like my hole life changed I thank all the staff there especially mrs Kaitlyn
She changed me for the better
Juliana
7 months ago
The staff really cares, and is mostly made up of those in long term recovery, and the program they have is great. This place was the beginning of my new life.
Stephanie Steil
1 year ago
I was there twice the first time i was not ready and didn't want it the second time i completed successfully the staff are amazing and loving i would honestly recommend anybody that needs treatment to try to go there-Isaiah willis
2 years ago
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Apex Recovery – ColumbiaAd This is an ad and Apex Recovery – Columbia is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More Columbia, TN | Apex Recovery – Columbia, located in Columbia, Tennessee is a private alcohol and drug rehab that offers treatment for a variety of substance abuse addictions including co-occurring mental health disorders and alcoholism. They offer flexible outpatient addiction therapy allowing patients to live at home while receiving regular treatment. Addition | Treatments Programs Payment Options | View Website (877) 881-2689 | Apex Recovery – Columbia has no reviews yet. Leave a review.
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West Plains, MO | Ozarks Medical Center is located in West Plains, Missouri. It’s a community healthcare center that provides a number of services to local residents. Services include behavioral healthcare, crisis management, mental health resources, children’s services and emergency help for local residents. They take commercial insurance, Medicare, and Medicai | Treatments Programs Payment Options | I started the substance abuse program and had the best case workers!!!! Jenee, Colton, Misty, and Andrea! Because of my legal issues I have to leave but if I'm in need after the program I'm in.... I will definitely return! Breaks my heart i cant stay honestly! I had a great group helping me!!! And I trusted them all! Would highly recommend anyone dealing with addiction here!!! Thank you all! 😭💚💚💚 So thankful for the time I had with you all! Truly helped change my life around!!!
Amanda
2 months ago
I like everyone that works here.. Patient n kind... I am having trouble getting therapy but I understand... 4 stars⭐⭐⭐⭐
MaryBeth Lovett
5 months ago
I see Dr. Milton for my PTSD and med management. He along with the rest of my care team have been phenomenal! The new therapy manager was great about getting me in for an assessment- a stark contrast to the previous process in place. Would recommend to anyone needing mental health services!!
Wickless Wonders
8 months ago
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Lebanon, MO | Pathways Behavioral Health, located in Lebanon, Missouri is a non-profit alcohol and drug rehab that offers treatment for a variety of substance abuse addictions including alcoholism, co-occurring mental health disorders, and opiate addiction. They offer flexible outpatient addiction therapy allowing patients to live at home while receiving regular | Treatments Programs Payment Options | UPDATE SINCE BELOW REVIEW:
I went into office again today and Kim took great care of us. Found out case worker had been on vacation. New Peer worker called immediately and made arrangements. Thank you. It is encouraging now.
I give Derrick the assessor 5.0, but after the assessment we were told my son would be contacted within 24 hrs. 24 hours no contact, next day no contact. I've gone in office to inquire, told case worker would call. 2 additional phone calls...still no help. My son was so encouraged during accessment. Now I have to tell him no one there cares!! Btw...also left voice mail on case worker's phone...still nothing.
Tammy Jenkins
8 months ago
The mental health department was a smooth process from the assessment, to the psych appointment, to the receptionists & therapist. Thank you
E B
9 months ago
Everyone is so caring and will help you been going there since 2021. 😊
Michelle Frances Nelson
3 years ago
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Waynesville, MO | The Harry S. Truman Memorial Hospital is one of Veterans Affairs multi-department medical centers. It’s located in Columbia, Missouri and offers primary care and specialty health services including substance abuse disorder treatment. Trained staff will connect you to the services that suit your needs. This might be individual counseling, group t | Treatments Programs Payment Options | I've never been there 😭. But I bet it's
Tom Welch
1 year ago
First time at the VA and this facility. I did not know what to expect. I looked at the reviews prior and saw how low they were. My experience was quite pleasant, the staff was welcoming and kind.
Tyler Crouch
1 year ago
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Waynesville, MO | Pathways Behavioral Health in Waynesville, Missouri, is part of the Compass Health Network. The center offers comprehensive outpatient addiction and mental health treatment services for adolescents and adults. Additionally, they provide residential services for adults. Addiction services include an opioid addiction treatment program that offers m | Treatments Programs Payment Options | Pathways Behavioral Health has no reviews yet. Leave a review.
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Ava, MO | FCC Behavioral Health – Douglas County, located in Ava, Missouri is a non-profit alcohol and drug rehab that offers treatment for a variety of substance abuse addictions including alcoholism, co-occurring mental health disorders, and opiate addiction. They offer flexible outpatient addiction therapy allowing patients to live at home while receivi | Treatments Programs Payment Options | FCC Behavioral Health – Douglas County has no reviews yet. Leave a review.
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Springfield, MO | Synergy Counseling Center, located in Springfield, Missouri is a private alcohol and drug rehab that offers treatment for a variety of substance abuse addictions including alcoholism, co-occurring mental health disorders, and opiate addiction. They offer supervised medical treatment to safely manage withdrawal symptoms during detoxification, reside | Treatments Programs Payment Options | The staff is caring and authentic. The counselors that run the classes are very knowledgeable. Darla, your first point of contact is always welcoming with a smile and a friendly welcome. I highly recommend Synergy.
Teresa Cardella
3 months ago
I can never thank Synergy enough for their grace, understanding, and gentle ear. They are just stellar in helping through our roughest times!!! Rhonda is truly my hero.
Todd Estes
3 months ago
Synergy has been nothing but wonderful since we started taking our daughter in 2023. Everyone we have ever dealt with has been so kind and accommodating. My daughter has made incredible strides and adores “Mrs. Morgan.” We went from biweekly appointments to once a month— and now we go as needed because my daughter has learned the tools to work through big emotions as well as confidently knows she is SEEN! Thanks Synergy 🤍
Adrianne Hughes
7 months ago
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The Recovery Team – North Little RockAd This is an ad and The Recovery Team – North Little Rock is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More North Little Rock, AR | The Recovery Team, founded 10 years ago, is known as one of the top addiction treatment and mental health rehab centers in the country.
The treatment centers provide therapy and medications (if needed) that get to the root of the issue in a welcoming, comfortable environment. Treatment is covered by insurance and backed by hundreds of positi | Treatments Programs Payment Options | View Website (888) 270-7241 | The Recovery Team – North Little Rock has no reviews yet. Leave a review.
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Springfield, MO | Preferred Family Healthcare is a community based healthcare organization that offers a range of services in Springfield, Missouri. At this location, they provide primary care services and behavioral health services. They are a certified Community Behavioral Health Organization that takes a complete approach to behavioral health care. This includes | Treatments Programs Payment Options | 👍👍
Andrea Johnson
3 years ago
Just wanted to comment on the staff. I spoke with Julie in administration about a problem that I had and honestly I had no idea where to even begin. She took the time to be compassionate and understanding, even though her office just happened to be the first one that I knocked on. Thank you Julie for being a wonderful person and help steer me in the right direction.
B Bo
6 years ago
Good
Christina Fuget
7 years ago
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Fredericktown, MO | Community Counseling Center is a private, non-profit organization that serves individuals who are dealing with behavioral health issues. They offer a variety of programs for children and adults. Community Counseling Center is located at Fredericktown, Missouri. Community Counseling Center is private non-profit organization dedicated to individuals | Treatments Programs Payment Options | Case Worker works hard for me to find an apartment.
Mark Stewart
5 years ago
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Branson, MO | Veterans struggling with substance use and co-occurring mental health conditions can access outpatient, dual-diagnosis treatment at this branch of VA Fayetteville Arkansas Health Care. Located in Branson, Ohio, the Branson clinic provides consultation, evaluation, and treatment for a range of behavioral health concerns, including addiction disorder | Treatments Programs Payment Options | This is an awesome VA Clinic. These folks are just great and the location is extremely nice. I love going here when I visit the VA. !
Michael Pierce
2 months ago
Team 5 is awesome. Been coming here for 15 years. Moved to Ozark. Still come to Branson VA because of team 5
Mike Mueller
11 months ago
Very friendly and professional.
Sherri Myers
2 years ago
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Poplar Bluff, MO | Southeast Missouri Behavioral Health - New Era Center is a residential facility that offers treatment for individuals with a Mental Health diagnosis and/or Substance Addiction. Southeast Missouri Behavioral Health - New Era Center is located in Poplar Bluff, Missouri Southeast Missouri Behavioral Health – New Era Center is dedicated to provid | Treatments Programs Payment Options | They are strict in a silly way but there is only one nurse here & she is doing a great job. The day shift seems to be scared for their jobs. The staff at night are
seem to be mostly concerned for the clients
Charles Bratton
1 year ago
This place saved my life they genuinely care for the people its about helping you become a better you I owe them my life I was as addict who was drowning in addiction and they pulled me up and showed a new life thank you to the entire staff
Nick Day
7 years ago
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Springfield, MO | Mercy Clinic Family Medicine is an addiction and mental health treatment facility that focuses on providing comprehensive medical care to residents in Springfield, Missouri. An agent can help you determine if your insurance covers your treatment. If not, then the clinic offers payment plans. Certain individuals might qualify for Mercy’s Financial | Treatments Programs Payment Options | Lori Oviatt
3 months ago
Shawna Fidler
9 months ago
Cheshire Midnyt
1 year ago
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Salem, AR | Preferred Family Healthcare, located in Salem, Arkansas is a non-profit alcohol and drug rehab that offers treatment for a variety of substance abuse addictions including co-occurring mental health disorders. They offer flexible outpatient addiction therapy allowing patients to live at home while receiving regular treatment. Additional levels of ca | Treatments Programs Payment Options | Good doctors. Very well caring
Keven Anderson
3 months ago
This is an excellent example of the way health care should be. Casey Duncan and the professional staff including lab techs; their all very accommodating, and methodical workers. I feel confident trusting the team with my health care. Just a great bunch of people devoted to their careers. It's rare with the uncertain times today to find so many fine caring people who honestly wish to put you first. Thanks First Choice Healthcare for all you do for everyone.
Lee Baggett
2 years ago
1 CHOICE of Salem, Courteous, very Up to date on meds(Dr Phillips and Nurses) listens to patients,(lab folks) are experts in needle work(LOL) Front office very on top of everything.Thank You All.Look forward to a Long association.
R Green
3 years ago
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Southeast Addiction Center – Nashville Drug & Alcohol Rehab CenterAd This is an ad and Southeast Addiction Center – Nashville Drug & Alcohol Rehab Center is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More Nashville, TN | You can find the Southeast Addiction Center, Drug and Alcohol Rehab Center in Nashville, Tennessee. They provide detox services, partial hospitalization and intensive outpatient services along with therapy. They also offer access to sober living housing to help you heal from co-occurring mental health issues and substance use disorder. Medical De | Treatments | View Website (615) 326-6449 | Southeast Addiction Center – Nashville Drug & Alcohol Rehab Center has no reviews yet. Leave a review.
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Branson, MO | Burnell Behavioral Health is a community mental health center located in Branson, Missouri. They provide substance use disorder treatment services ranging from partial hospitalization (PHP) to general outpatient care. The center accepts Medicare, Medicaid, and other insurance plans. Frequent Care Through PHP The highest level of care available at t | Treatments Programs Payment Options | I love Burrell. Burrell is the reason im doing well today.
Chrystal Alderson
4 months ago
The only place that I've been to where they have treated me as a person and not as a thing or a dangerous individual, so grateful.
6 years ago
The only place in town that I could find a cognitive therapist . PTSD is difficult but with a cognitive therapist I came a long way. Highly recommend for your mental health issues . Several different psychiatry and therapist depending on your needs and type of health problem. Only issue is hello, We need a cognitive therapist in Branson Missouri. Springfield is at least a 35 to 45 min Drive.
Cindy Blevins
8 years ago
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Farmington, MO | John J. Pershing VAMC - Farmington CBOC , part of the Health System, is located in Farmington. John J. Pershing VAMC - Farmington CBOC specializes in the treatment of Primary Care and Mental Health Care. John J. Pershing VA Medical Center honors America’s Veterans by providing exceptional health care that improves their health and well-being. | Treatments Programs Payment Options | They care. Do I need to say more
Mike Edwards
6 months ago
Doctor Sayeed went out of here way to see me today when I did't even have an appointment wirh her. I had an urgent medical problem and she saw to it in a kind and professional manner!
Tim Sellars Sr
10 months ago
Great little clinic Candi the best
arthur freeburg
1 year ago
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Van Buren, MO | Southeast Missouri Behavioral Health is an outpatient facility that offers treatment for individuals with a Mental Health diagnosis and/or Substance Addiction. Southeast Missouri Behavioral Health is located in Van Buren, Missouri Southeast Missouri Behavioral Health is dedicated to providing individualized treatment in order to meet the needs of t | Treatments Programs Payment Options | I don't know anything about this place because there are no reviews. If you have been in business for over 30 years, you would expect tons of reviews. I don't know, makes me wonder where they all are or went.
Tork man70
4 years ago
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Doniphan, MO | Southeast Missouri Behavioral Health is an outpatient facility that offers treatment for individuals with a Mental Health diagnosis and/or Substance Addiction. Southeast Missouri Behavioral Health is located in Doniphan, Missouri Southeast Missouri Behavioral Health is dedicated to providing individualized treatment in order to meet the needs of th | Treatments Programs Payment Options | Southeast Missouri Behavioral Health in an excellent place to go for counseling they provided me with the necessary tools to cope with my problems and keep fighting to overcome my condition. Thanks to the help that I receive here now I'm a new person, full of energy and with the determination to change and leave behind my dark past.
6 years ago
This place saved my life they genuinely care for the people its about helping you become a better you I owe them my life I was as addict who was drowning in addiction and they pulled me up and showed a new life thank you to the entire staff
Nick Day
7 years ago
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Missouri is ranked 29th nationwide in terms of addiction treatment affordability, with an average cost of addiction treatment of $56,782.
The costs of drug and alcohol rehab in Missouri vary widely and depend on several factors, including:
The costs of addiction treatment listed for cities and states are averages based on the cost of the treatment types listed above. These averages are high due to the cost of medical detoxification and residential inpatient rehab programs.
These numbers also reflect the raw cost of drug rehab, before any insurance coverage. The typical individual seeking addiction treatment can expect to pay much less for outpatient or intensive outpatient services than the averages listed below.
There are many ways to pay for drug rehab in Missouri. Most treatment centers accept cash or self-payment, as well as private health insurance. However, there are many treatment centers in Missouri that accept Medicaid and Medicare, or offer sliding scale payments or other low-cost payment options. Here’s the complete breakdown of how to pay for addiction treatment in Missouri.
Blue Cross Blue Shield is the most widely-accepted insurance for drug rehabs in Missouri, with 203 treatment centers in the state accepting their insurance. UnitedHealth Group is the 2nd most popular with 197 treatment centers accepting it followed by Aetna in 3rd accepted by 181 drug rehabs.
Missouri is ranked 16th nationwide in drug rehab admissions, with 565 rehab admissions per 100,000 population in 2023, which is comparable to than the U.S. national average of 621 admissions per 100,000.
The following are the number of Missouri rehab admissions in 2023 for each of the 6 most frequently used drug classes, as well as the relative percent for each type of drug.
Source: Substance Abuse and Mental Health Services Administration. National survey of substance abuse treatment services (N-SSATS).
Missouri is ranked 24th nationwide in terms of annual drug overdoses, with an average of 30.2 overdoses per 100,000 population and a total of 1,879 overdoses in 2023. Opioid abuse accounted for 71% of all drug overdoses in Missouri, with a total of 1,340 opioid overdoses in 2024.
Centers for Disease Control and Prevention. Provisional drug overdose death counts. U.S. Department of Health and Human Services.
Missouri is ranked 18th for drug and narcotics-related violations, with an estimated 529 narcotics citations per 100,000 population which is higher than the National Average of 421.
All values are per 100,000 population.
Federal Bureau of Investigation. Crime data explorer: Crime trends. U.S. Department of Justice.
Missouri has the 14th highest rate of drunk driving in the nation, with a total of 279 DUI arrests per 100,000 people in 2023 (and 17,295 total DUI arrests).
All values are per 100,000 population.
SafeHome.org. DUI statistics and trends.