According to SAMHSA, there are over 270 drug rehab centers in Missouri. Programs include over 50 detoxification centers and over 250 outpatient programs. In addition, there are over 20 long-term programs and 50 short-term programs. There are 35 drug rehab centers in St. Louis, Missouri. These options include drug and alcohol detox centers, outpatient drug rehab, inpatient and residential substance use treatment, and aftercare. and its qualified professionals help you find drug rehabilitation that meets your treatment and recovery goals. Our extensive directory listing provides information for many of these services in the state. No one form of substance use treatment is suitable for every person. The process should help physically, mentally, and even spiritually.

When you first contact, you are connected with a counselor who gathers preliminary information. Based on the information provided, we can recommend and refer you to the best possible treatment options in the state.

TIPS: If you feel you're going to use

  • Find a peer support group: Missouri 12-step meetings and other resources through
  • Stay active and distracted—consider taking short or long walks, jogging, running, or joining a gym or fitness center.
  • Access free behavioral health counseling or contact Missouri 2-1-1.
  • Find an extroverted activity— experience the Zoological Park, Botanical Gardens, museums, Lake of the Ozarks, or the Katy Trail.
  • Avoid risky situations that lead to relapse. Cocaine and heroin remain common in the state.

TIPS: If you want to help someone

  • Refer them to local resources through or the Missouri Department of Mental Health.
  • Be aware of overdose risks—resources available through the Missouri Overdose Rescue and Education project (M.O.R.E.)
  • Assessment and screening are vital tools. These resources are available through the Missouri Department of Health.
  • Family intervention is an excellent option; consider hiring a professional interventionist.
  • Avoid enabling anyone addicted to drugs or alcohol.

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Missouri Long-Term Drug Rehab

It is the professional opinion of that long-term residential treatment or any form of long-term care produces the best results. Here are some reasons why:

  • Extended care options and continuous support. Long-term treatment programs in Missouri provide months of care and treatment. In addition, patients are connected to suitable aftercare support.
  • Attending to multiple needs. A significant benefit of any long-term treatment center is the ability to attend to various needs, not just your substance use. For example, this may include social, legal, vocation, nutritional, and physical health problems.
  • You are removed from a potentially dangerous environment. Long-term treatment programs are primarily residential. This means you have an opportunity to get away from the environment you were once in and be in a supportive environment.
  • Provides more than one therapy option. No one form of drug rehabilitation is suitable for every person. Generally, long-term residential programs tailor treatment to individual needs—for example, behavioral therapies, 12-step therapy, holistic therapy, or spiritual therapy.
  • Around-the-clock medical support. In Missouri, long-term treatment centers, especially residential programs, typically provide 24/7 medical support. Anyone struggling with difficult withdrawal symptoms or a physical ailment benefits from this level of care.

According to SAMHSA and the N-SSATS:

Only 11% of substance use treatment programs in Missouri are classified as residential long-term. However, there are excellent options to consider. Here is a breakdown of some of what is provided in Missouri.

Long-Term Drug Treatment Options for Specific Demographics:

  • 7 programs that work with adult men.
  • 9 treatment centers for adult women.
  • 13 programs that work specifically with adolescents.
  • 6 treatment programs for pregnant or post-partum women.
  • 4 programs for seniors and older adults.
  • 10 treatment programs for anyone within the LGBTQ

Payment Options for Long-Term Drug Rehab:

  • 19 programs accept Medicaid.
  • 22 treatment centers accept private health insurance.
  • 25 treatment centers are cash or self-payment.
  • Nine programs offer a sliding fee scale for payment.

Overall, there are numerous substance use treatment options to consider. Drug rehab programs in Missouri include services for every demographic. In addition, payment options and health insurance make it easier to access services, regardless of your financial situation. For more information and to find immediate help consult our directory or contact an counselor at any time.

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Different Rehab Options in Missouri

Detoxification Programs  
Outpatient Treatment  
Centers for Women  
Men-Only Rehab  

List of rehabs in Missouri

Here is a list of the different drug rehab programs in Missouri. The list can be incomplete so please do not hesitate to contact one of our treatment specialists at 1-800-304-2219.


According to SAMHSA, there are eight inpatient drug and alcohol rehab centers in Missouri. Generally, when a treatment center is classified as inpatient, it provides more medical support for each client. For example, this may involve 24-hour supervision. However, these drug rehabilitation programs provide much of the same treatment as standard residential treatment centers. Options include detox, therapy, and aftercare.

Inpatient Drug Treatment Options for Specific Demographics:

  • Two inpatient treatment centers provided programs specifically for women.
  • Two treatment programs are men-only facilities.
  • Three inpatient centers offer help to adolescents only.

Payment Options for Inpatient Drug Rehab:

  • Five inpatient drug rehab centers accept Medicaid health insurance.
  • Seven drug rehabilitation programs take private health insurance plans.
  • One treatment center provides a sliding-fee scale to patients.

Breakdown of Drug Rehab in Missouri

According to SAMHSA:

Detox Programs

Detoxification programs are limited in Missouri when compared to other states. There are 55 detox services. Programs include inpatient and outpatient detox. The most common options are medical detox and clinical detox facilities. Treating substance use involves multiple steps, and this is the first.

Short-Term Inpatient Treatment

Short-term inpatient rehabilitation is a commonly accessed modality of rehabilitation. There are over 50 of these facilities in Missouri. Short-term means programs last no longer than 30 days. It is a common rehabilitation approach because of the short time commitment.

Long-Term Treatment

Long-term residential treatment is defined as a program that lasts three to six months or longer. Unfortunately, there are only 27 of these programs in Missouri. However, long-term substance use treatment is the best approach to treating addiction. Committing to this length of time means there is more opportunity to achieve lasting sobriety.

Outpatient Drug Rehab

Outpatient treatment for substance use is the most commonly accessed form of treatment in Missouri. There are 252 different outpatient services in the state. The program includes regular outpatient care, outpatient detox, outpatient day treatment, partial hospitalization, and other services.

Cost of Drug Rehab in Missouri

Missouri is a state that's no stranger to addiction. And much like the rest of the US, there are several options for treating substance use. The cost of treatment in Missouri may depend on several factors, but one of the most important is if the patient has any health insurance to help pay for treatment.

According to SAMHSA:

  • Over 180 substance use treatment programs in Missouri accept Medicaid.
  • Over 190 programs in the state take private health insurance.
  • There are 272 treatment programs that accept cash or self-payment.
  • Missouri has 139 facilities that offer sliding scale payment assistance.

Paying for Treatment with Medicaid in Missouri

Missouri offers Medicaid coverage as all states do through the federal Medicaid program. In 2021, Missouri opted into the Medicaid expansion program and began aiding those who don't qualify for standard Medicaid. With traditional Medicaid, coverage is free and usually pays for all necessary services. But often, people who don't qualify for Medicaid cannot afford the inflated costs of private health insurance and so have no assistance paying for treatment.

Using Private Insurance to pay for Drug Rehab in Missouri

For those who can afford private insurance, it may be easier to find help quickly. But privately funded programs usually don't accept Medicaid, making private insurance coverage and cash payment the only options. The benefit to these programs is that they usually provide higher quality care and do not have waiting lists.

Expanded Medicaid is offered at the state level and is a program to help people pay for private insurance premiums based on their income level. This helps those residents who fall within the uninsured gap between Medicaid and being able to afford private health insurance. As of 2021, more than 1 million residents of the state were enrolled in one of Missouri's Medicaid programs.

The following insurers are available through Missouri's expanded Medicaid program:

  • Aetna
  • Anthem
  • Cigna
  • Ambetter/Celtic
  • Medica
  • SSM/WellFirst
  • Cox
  • Oscar
  • Blue KC

Paying for Treatment when Uninsured

Despite the assistance that's available in Missouri, many people still end up uninsured. When someone needs treatment for addiction, there's no time to waste trying to enroll in insurance that will cover the cost. Often, it takes weeks to enroll in Medicaid, and private insurers only offer new coverage during periods known as "open enrollment." This stops people from picking up a policy simply to cover one service, like rehab, and then dropping it.

Thankfully, many treatment programs in Missouri understand this issue and offer assistance for those who have no insurance coverage whatsoever. For example, over 100 programs in the state offer sliding scale payment options. This type of assistance takes into account the persons' income and offers correlating discounts. For more information on how to pay for treatment, you can reach out to one of the treatment specialists at or contact the center directly.'s Evaluation of Drug Rehab in Missouri

After reviewing state statistics and options available for Drug and Alcohol Rehabilitation in Missouri, has discovered the following:


  • Approximately 74% of the substance use treatment facilities in Missouri are private non-profit services—this is a pro because the costs are much lower and more accessible for individuals with Medicaid, no insurance, and low-income families. (Source N-NNATS)
  • Roughly 96% of substance use treatment facilities have proper licensing, certification, and accreditation. For example, 65.1% are accredited through the Commission on Accreditation of Rehabilitation Facilities or CARF.
  • Roughly 79% of substance use treatment centers provide a sliding fee scale and 63% offer treatment at no charge or minimal payment for clients who can not pay.


  • Roughly 22.4% of the substance use treatment facilities in Missouri are private for-profit services. Generally, the range of treatment methodologies is more extensive within a private treatment service.
  • Transitional housing, halfway houses, and sober homes are limited, with only 19 operating within the state.
  • Demand for substance use treatment at times has exceeded spots available.

Overall, there is excellent affordable access to treatment in Missouri, despite wait times often exceeding spots available within some jurisdictions. The number of non-profit services and programs accepting Medicaid and private health insurance is a significant plus. In addition, to the number of services providing payment options and sliding fee scales, etc.

Missouri Drug Use and Rehab Stats

Like many other states, marijuana use is increasing. Missouri adults are using more, especially those aged 25 and older, who have driven the increase.

According to the Missouri Department of Mental Health:

  • Between 2016 and 2017, an estimated 13.95% of Missouri adults used marijuana in the past year.
  • Sine 2011, marijuana use among those aged 25 and older has increased from 6% in 2011 to 11% in 2017.

According to SAMHSA:

  • 6% of treatment admissions involved amphetamines.
  • 7% of treatment admissions involved marijuana
  • Roughly 12.8% of treatment admissions involved alcohol and another drug.

According to the NSDUH:

  • Among those aged 12 and older, 2.5% had an illicit drug use disorder between 2017 and 2019.
  • Roughly 5.1% of those aged 12 and older had an alcohol use disorder.
  • 1% of those aged 12 and older had some form of a substance use disorder.

What's new in Missouri

2 May 2022

The Latest News on Addiction and Recovery in Missouri

Drug-related deaths in St. Louis metropolitan area continue to far outpace any region of the state—

Like many other states, Missouri is turning to more harm reduction, now authorizing needle exchange programs. In addition, promoting access to opioid addiction medication.

The aim continues to be to reduce the spread of serious infection and reduce the incidence of HIV among the population. However, like most harm reduction programs, it fails to show what percentage of people who use these programs enter drug rehab when offered.

The fentanyl crisis worsens—

The opioid epidemic is worsening in Missouri, and patients are struggling to access drug rehab. The existing efforts to treat substance use disorders are not helping the people who need it most.

Fentanyl’s toll on Missouri was devastating and immediate. In 2016, the opioid overdose rate among black men across the state began climbing to nearly three times the overdose rate among white men.

Frequently Asked Questions

Does the state of Missouri have one of the worst drug problems in the country?
Are there drug courts in the state of Missouri?
What drug prevention initiatives are available in Missouri?
How do Missouri colleges rank for drug and alcohol arrests?


Marcel Gemme, DATS

Marcel Gemme, DATS


on May 13, 2022

More Information

Marcel Gemme has been helping people struggling with addiction for over 19 years. He first started as an intake counselor for a drug rehabilitation center in 2000. During his 5 years as an intake counselor, he helped many addicts get the treatment they needed. He also dealt with the families and friends of those people; he saw first-hand how much strain addiction puts on a family and how it can tear relationships apart. With drug and alcohol problems constantly on the rise in the United States and Canada, he decided to use the Internet as a way to educate and help many more people in both those countries. This was 15 years ago. Since then, Marcel has built two of the largest websites in the U.S. and Canada which reach and help millions of people each year. He is an author and a leader in the field of drug and alcohol addiction. His main focus is threefold: education, prevention and rehabilitation. To this day, he still strives to be at the forefront of technology in order to help more and more people. He is a Licensed Drug and Alcohol Treatment Specialist graduate with Honours of Stratford Career Institute. Marcel has also received a certificate from Harvard for completing a course entitled The Opioid Crisis in America and a certificate from The University of Adelaide for completing a course entitled AddictionX: Managing Addiction: A Framework for Succesful Treatment.

Dr. Rohit S. Adi, MD, DABAM

Dr. Rohit S. Adi, MD, DABAM

Medically Reviewed

on May 13, 2022

More Information

Dr. Rohit S. Adi is certified in addiction medicine, through examination, by the American Board of Addiction Medicine. While in Louisiana, he worked as an emergency-room physician at Our Lady of Lourdes Regional Medical Center in Lafayette, Louisiana, but then transferred to Our Lady of the Lake Regional Medical Center in Baton Rouge, where he works to this day. Holding numerous positions throughout his medical career, Dr. Adi has seen the devastating effects caused by drugs and alcohol. Having the ability to do something about the problem, he co-founded a holistic drug rehabilitation center in Louisiana, where he serves as the facility's Medical Director.