mental health services
Community and Hospital Outreach
Community and Hospital Liaisons
We provide support services, education on conditions, and counseling to community members and other health workers in our community. Our team provides resources and teaches skills to increase awareness of mental health needs and best practices.
Emergency Room Enhancement
We work with hospital staff to identify Jefferson County residents who frequently admit to the ER. Our team assesses the individual's needs, providing referral information to COMTREA and additional community resources. Our team will provide up to six months of services following the referral.
Community Support / CASE MANAGEMENT
Case management services are available for current clients needing assistance gaining care, navigating applications, or receiving support in day-to-day tasks. Furthermore, we offer community support to increase health education, community resource knowledge, and individual support.
Assisted Living Facility
The Keaton Center Assisted Living Facility offers housing and around-the-clock care to residents. The facility provides two semi-private and 12 private bedrooms, two common areas, full kitchen service, and scheduled activities and outings for residents. Residents have access to all COMTREA services to ensure their overall health and well-being.
Community Housing Services
We seek to reduce the incidence of homelessness and domestic violence in Jefferson County and assist individuals and their families with mental illness, addiction disorder, and other disabilities with obtaining and sustaining safe and stable housing.
Our staff provides resources and intervention as appropriate to the goals and needs of the individual as assessed during the intake evaluation or initial contact. Our staff provide a minimum of linkage and referrals to individuals who request services but are not eligible for a specific program.
Referrals may come from the individual or from hospitals, family members, guardians, state inpatient psychiatric facilities, and other professionals providing services. The current housing program is the Supportive Community Living Program.
COMTREA is involved in the Missouri Balance of State Continuum of Care to assist those who are currently *literally homeless or fleeing or attempting to flee domestic violence or stalking. Those who meet the criteria can apply to the housing-first prioritization list (this is not a waiting list). To apply, current clients should contact their case manager or community support specialist; new clients may contact the Housing Department.
*Literally homeless, according to Housing and Urban Development (HUD) is defined as: someone living in an INHABITABLE environment, such as sleeping outside, sleeping in an abandoned building, sleeping in a vehicle, staying at a homeless or DV shelter, etc. The applicant can be staying in a hotel and motel and apply if their stay is being paid for by an agency, church, organization, etc. and not paid for by self, friends, or family. ‘Couch surfing’ does not account as being literally homeless according to HUD.
CO-OCCURrING DISORDERS Treatment
Integrated Treatment of Co-Occuring Disorders (ITCD) is an evidence-based practice for individuals with mental health and current or past substance use disorders. Treatment is designed to address co-occurring disorders and accommodate individuals in various stages of change with mental illness and substance use. Treatment is offered until the individual is completely recovered, and is based on individual needs and preferences.
ITCD has an integrated team approach to treatment including:
Individuals may be referred for further care with a COMTREA case manager, therapist, or community support specialist. Staff working within the ITCD program receive ongoing specialized training and supervision.
Peer and Family Support
Individuals with mental health disorders meet with others who have lived through similar experiences. Peer support provides real-life examples, stories, and applicable care resources for the individual.
Family support offers tools, resources, and coaching to families with a loved one who has a mental health disorder. Families are given goals, structure, and a framework to navigate as they care for their loved one.
Psychosocial rehabilitation program
The Psychosocial Rehabilitation Program (PSR) is designed to meet the needs of individuals with serious and persistent mental illnesses living in residential care, assisted living facilities, and private residences. PSR services are offered Monday, Tuesday, Wednesday, and Friday at the COMTREA Annex in Festus. The program focuses on stabilization, time, teaching, effort, progress, and success (STEPS).
PSR Full-Day STEPS
The STEPS group functions to assist and provide support to the individual in community integration. The overall goals:
- Independent Living Skills
- Health and Wellness
- Diet and Nutrition
- Management of Illness and Symptoms
- Activity Therapy
- Support and Advocacy
PSR Half-Day STEPS
The half-day STEPS program is designed to develop skills, interests, self-satisfaction, and independence to the individual's maximum potential. Program objectives are to develop and educate individuals to be self-reliant and function to their highest ability.
Participants are involved in all program aspects including selecting group education topics, outing choices, nutrition and menu planning, and maintaining the program area. Counseling professionals and paraprofessionals conduct the program. Other mental health professionals are available for additional services and support.
Individual Placement and Support (IPS) helps individuals with behavioral health issues find employment. IPS uses evidence-based practices through supported employment.
Approximately 60% of participants receiving this service achieve employment, compared to a 23% success rate for more traditional avenues. Research shows having a job increases personal recovery goals and performance.
Principals and services of IPS:
Therapy / Counseling / coaching
Our skilled and licensed therapists and counselors offer a variety of evidence-based practices when providing services to children, adults, and families. Our team works with you to find the most suitable services in meeting your goals. Services are provided in offices and school settings.
- Child-Centered Play Therapy
- Cognitive Behavioral Therapy
- Dialectical Behavior Therapy
- Eye Movement Desensitization Reprocessing Therapy (EMDR)
- Family Therapy
- Motivational Interviewing
- Parent-Child Interaction Therapy
- Play Therapy
- Trauma-Focused Cognitive Behavioral Therapy
- Wellness Coaching
COMTREA is a Certified Community Behavioral Health Organization in the State of Missouri