Quick answer
St. Louis County recorded 217 drug overdose deaths in 2024, down 28% from 2023, and the five-county Greater St. Louis area saw drug-involved deaths fall about 30%. St. Louis has 56 treatment facilities within 30 miles, including 16 medical detox programs. Here is how to navigate local care.
Last updated: Wed Oct 07 2026 00:00:00 GMT+0000 (Coordinated Universal Time)
St. Louis sits at the center of one of Missouri's hardest-hit overdose corridors - and one of its densest treatment markets. County and regional medical-examiner data show steep declines in 2024, while SAMHSA still lists dozens of licensed programs within a half-hour drive. Here is what the numbers show and how to start care.
What the local data show
- Saint Louis County recorded 217 drug overdose deaths in 2024, a 28% decrease from 2023 and the third consecutive yearly decline, per the County Department of Public Health (provisional medical-examiner data for deaths that occurred in the county).
- More than 67% of those 2024 county deaths involved two or more drugs.
- UMSL-MIMH reports that drug-involved deaths across the five Greater St. Louis counties (Franklin, Jefferson, St. Charles, St. Louis City, and St. Louis County) fell about 30% in 2024, with St. Louis City down about 36% and opioid-involved deaths down more than 40% regionally.
- Within 30 miles of downtown St. Louis (ZIP 63101), the SAMHSA locator lists 56 facilities, including 16 detox, 14 residential, and 53 outpatient programs.
Who provides treatment
Public-network anchors that help people navigate care without inventing a private facility endorsement list:
- Behavioral Health Network of Greater St. Louis (BHN) - regional planning, linkage, and recovery-support coordination.
- Places for People and other Missouri DMH-affiliated Certified Community Behavioral Health Clinics - outpatient mental health and substance use care with an obligation to serve people regardless of ability to pay where certified.
- Hospital systems and DMH-contracted providers across the city and county for detox, residential, and outpatient levels of care.
Confirm current openings and payment options on FindTreatment.gov rather than treating any directory as a bed list.
Paying for treatment
Missouri expanded Medicaid eligibility for adults under the ACA. MO HealthNet covers medically necessary substance use disorder treatment for eligible members. Many members enroll through managed care plans such as Healthy Blue, Home State Health, and UnitedHealthcare Community Plan. Confirm which plan serves your ZIP and whether the provider is in network. If you are uninsured, ask CCBHC and DMH-funded providers about sliding-fee options.
Alcohol, opioids, and other substances
Alcohol withdrawal can be life-threatening and should be medically supervised - see alcohol rehab and detox in St. Louis. Opioid use disorder is treated with medications such as methadone, buprenorphine, and naltrexone when clinically appropriate. Stopping benzodiazepines abruptly after regular use can also cause seizures and needs a supervised taper.
How to start today
- If this is a medical emergency, call 911. For a crisis, call or text 988.
- Call or text (800) 653-9376 to talk through your options with a treatment specialist, or use this form:
Calling is free; the referral service is paid for by treatment providers, and we check your benefits before you commit.
- Search findtreatment.gov with ZIP code 63101, or contact BHN / a local CCBHC about publicly funded openings.
- Ask any program whether they offer medical detox, residential care, or outpatient and intensive outpatient options that match your schedule.
St. Louis has the scale of a major metro treatment market and public agencies that publish timely overdose data. The next step is one phone call.
Treatment by substance in St. Louis
Questions about rehab in St. Louis
How many people die of drug overdose in the St. Louis area?
Saint Louis County Department of Public Health counted 217 drug overdose deaths that occurred in the county in 2024, a 28% drop from 2023. UMSL-MIMH reports that drug-involved deaths across the five Greater St. Louis counties fell about 30% in 2024, with St. Louis City down about 36%.
How many addiction treatment centers are near St. Louis?
The SAMHSA FindTreatment.gov locator lists 56 substance use treatment facilities within 30 miles of downtown St. Louis, including 16 offering detoxification, 14 with residential programs, and 53 offering outpatient care.
Does MO HealthNet pay for rehab in St. Louis?
Yes. MO HealthNet covers medically necessary substance use disorder treatment for eligible members. Many members enroll through managed care plans such as Healthy Blue, Home State Health, and UnitedHealthcare Community Plan. Confirm your plan and network before you commit.
What local help is available in St. Louis?
The Behavioral Health Network of Greater St. Louis coordinates regional linkage and recovery support. Places for People is a Certified Community Behavioral Health Clinic serving the city and county. Missouri DMH also funds publicly supported providers. In an emergency call 911; for a crisis call or text 988.
Where can I start right now?
In a medical emergency, call 911. For a mental health or substance use crisis, call or text 988. You can also call or text (800) 653-9376 to speak with a treatment specialist who can check your coverage and find an opening.