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COMTREA's Children's Advocacy Center of East Central Missouri (CACECM) is a non-for-profit agency that opened its doors in November of 2000 whose mission is to provide community based collaborative effort to improve the system's response to allegations of child abuse and neglect by following the child first doctrine.  

The CACECM accomplishes this through digitally-recorded forensic (fact finding) interviews, sexual abuse forensic examinations, advocacy, mental health referrals, training and coordination of multidisciplinary teams, case review and tracking and community awareness and education regarding child abuse issues. 

The CACECM operates in three locations, Festus, Union and Farmington.  The Center serves a ten county region, including Crawford, Franklin, Gasconade, Iron, Jefferson, Madison, Osage, St. Francois, Ste. Genevieve, and Washington counties.

Children are referred by our multidisciplinary team members including Law Enforcement, Children's Division, Juvenile Office and Prosecutor's Office. An interview is held in a child-friendly, safe environment. The interview is viewed on a closed circuit television by the multidisciplinary team. A copy of the recording is given to the law enforcement agency for evidence and copies of the report summary are forwarded to the multidisciplinary team members. The Festus office also has the capability of providing SAFE/CARE exams (Sexual Abuse Forensic Examination).

The benefits to utilizing the CACECM:

  • Restructure the interview process to meet the needs of the child who is an alleged victim of child abuse/neglect
  • Fewer interviews lead to less trauma to the child
  • Facilitate collaboration between agencies involved in child abuse investigations
  • Identify needed services for children and families
  • Provide coordination and collaboration of medical and mental health treatment services
  • Identify gaps in services and the investigation process
  • Provide specialized training for staff and multidisciplinary teams, and
  • Provide quality assurance through case review with all agencies involved.




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COMTREA Main Office: Festus, Missouri   Phone: 636-931-2700   Fax: 636-931-5304                                     

This health center receives HHS funding and has Federal Public Health Services (PHS) deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals.

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