
Missouri ranks above most of the nation for both drug and alcohol abuse, especially among younger people. This is especially true for alcohol; in 2007, about 464,000 Missouri citizens were abusing or dependent upon alcohol, compared with 40,000 with a drug problem. However, marijuana and methamphetamine abuse in the state are both on the rise, contributing to the tripling of drug-only admissions to Missouri drug and alcohol treatment centers since 1995.

Drugs of varying types are a concern across the state. Families in rural western Missouri may consider themselves to be at less risk of ever needing a drug or alcohol treatment program, but that perception is flawed. Crystal meth is prevalent in western Missouri, as heroin and cocaine are popular in St. Louis and Kansas City, along with a variety of club drugs available to young people through raves, parties, and gyms. Note the high rate of admission among younger age groups to Missouri drug and alcohol treatment centers in 2008:

The network of drug and alcohol treatment and rehabilitation centers in Missouri includes 257 treatment facilities of all types. By far the greatest number were private nonprofit (196) or private for-profit (48) operations, with the rest owned and managed by state agencies. “Private” in this regard does not mean exclusive, as 73% of all Missouri treatment centers receive some type of public funding in the form of county, state, or federal grants and other funds. This greatly expands the availability of services to Missouri residents.
Most patients receiving treatment for substance abuse in Missouri do so as outpatients. The majority of all Missouri facilities provide outpatient services, but 67 Missouri rehab centers also offer residential care. For some patients, such programs are best able to heal the damage from long-term abuse, and additionally provide an environment free from daily stresses where they can focus on recovery.
No two treatment centers in Missouri are likely to offer an identical mix of programs and services, so patients should educate themselves on their options. Many addicts hope for opioid treatment programs that provide maintenance medications like methadone or buprenorphine to ease withdrawal symptoms and control cravings. However, only 10 Missouri rehabilitation centers offered such programs as of 2006, and just 14 programs and 70 doctors were certified to administer buprenorphine. The majority of rehab centers use other treatment modalities for addiction, generally a combination of detoxification, counseling, behavior modification, and long-term group support.
Regardless of the type of program chosen, Missouri families should seek treatment at the first suspicion of drug or alcohol abuse. This is especially true when the addict is a teen. Many studies have shown that the majority of addictions begin with exposure to drugs and alcohol in adolescence, and the younger the age of first exposure, the greater the likelihood of eventual dependence. Over 11% of all Missouri 9th graders had tried marijuana before age 13; 45% of all 12th graders had tried it at least once. Early intervention and treatment through a rehabilitation center in Missouri or elsewhere is the best way to keep experimentation from becoming addiction.