Missouri Department of Mental Health

What Missouri Department of Mental Health does

Missouri Department of Mental Health (DMH) is a state government agency headquartered in Jefferson City, Missouri, established in 1974 and employing 5,001–10,000 staff, responsible for delivering publicly-funded behavioral health, substance use disorder, and developmental disability services to Missouri residents. Services are delivered through a hybrid model combining four state-operated psychiatric hospitals (including Fulton State Hospital with 440 beds and the St. Louis Forensic Treatment Center), contracted community mental health centers, regional offices, school-based Youth Behavioral Health Liaisons, mobile care teams, the 24/7 988 Suicide & Crisis Lifeline, and telemedicine platforms for opioid treatment. Priority populations include individuals with serious mental illness, families in crisis, homeless individuals with mental illness, court-ordered individuals, children with severe emotional disorders, pregnant women with substance use disorders, IV drug users, and individuals with developmental disabilities.

The underlying technology infrastructure includes CIMOR (Comprehensive Integrated Mental health Operations and Reporting) for statewide operations and reporting, the Technology First Initiative deploying assistive technology and remote supports (sensors, webcams, GPS, medication dispensers) for individuals with developmental disabilities, the DMH CARES microlearning platform, and telemedicine for opioid use disorder treatment. Programmatic offerings span CSTAR substance use treatment (with specialized women/children, adolescent, and opioid tracks), Assertive Community Treatment (ACT) teams, Healthcare Homes, Community Psychiatric Rehabilitation (CPRP), the CCBHC demonstration pilot, the MO-HOPE naloxone distribution program, and disaster behavioral health services via the FEMA/SAMHSA-funded Show Me Hope Crisis Counseling Program across 26 counties.

DMH does not generate commercial revenue; it is funded through Missouri state general revenue appropriations, federal SAMHSA grants ($143M across 94 awards in the prior year, $66M cumulative in STR/SOR opioid grants), Medicaid/MO HealthNet (with ~60% federal match on CPRP), constitutionally earmarked marijuana tax revenue, a proposed 65-cent monthly phone-bill surcharge for 988, and sliding-scale client fees. Sliding-scale fees are based on ability to pay rather than market pricing. Operational scale is significant but capacity-constrained: the system meets only 14% of state mental health need (ranked 43rd of 59 jurisdictions), has only 127 mental health providers per 100,000 residents, faces a 524-person backlog for competency evaluations with only 8 outpatient and 440 inpatient beds (all full), and is contending with a proposed $80.7M cut to developmental disability services.

Name

Missouri Department of Mental Health

Legal name

Missouri Department of Mental Health

Website

https://dmh.mo.gov

Company type

Private

Founded year

1974

Operating status

Operating

Headcount range

5,001–10,000 employees

Short description

Missouri Department of Mental Health is a state government agency operating psychiatric hospitals, community mental health centers, the 988 crisis lifeline, substance use treatment programs, and developmental disability services for Missouri residents, funded through state appropriations, SAMHSA grants, and Medicaid.

Ownership category

akta.pro rank

Product category

Public Behavioral Health Services

NAICS

Outpatient Mental Health and Substance Abuse Centers (621420), Psychiatric and Substance Abuse Hospitals (622210), Residential Mental Health and Substance Abuse Facilities (62322)

SIC

Services-Social Services (8300), Services-Health Services (8000), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Community Mental Health Centers (CMHCs) & Public Behavioral Health Providers (HLAFACAI)

akta.pro secondary industries

Inpatient Psychiatric Hospitals (HLAFAHAH), Outpatient Mental Health Clinics & Counseling Centers (HLAFACAA), Crisis Stabilization Units & Psychiatric Emergency Services (HLAFACAH), Behavioral Health for Children & Adolescents (Youth Services) (HLAFACAL), Behavioral Health & Substance Use Program Funding (Public Health) (HLAJALAI), Behavioral Health & Cognitive Support Coordination (Dementia, Depression, SUD) (HSABAIAF)

Keywords

• Behavioral health services
• Mental health treatment
• Substance use treatment
• Developmental disability services
• Crisis intervention services

Headquarters

HQ city

Jefferson City

HQ country

United States

HQ region

North America

Offices5 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Others

Revenue model

1. State General Revenue: Primary funding from Missouri state government general revenue appropriations through the state budget process.
2. Federal SAMHSA Grants: Federal grants from Substance Abuse and Mental Health Services Administration including State Targeted Response (STR) and State Opioid Response (SOR) grants totaling $66 million. Missouri also received 94 grants worth over $143 million from SAMHSA last year for services including trauma care and naloxone distribution.
3. Medicaid/Healthcare Funding: Medicaid-funded services through MO HealthNet Division. Community Psychiatric Rehabilitation (CPRP) is a Medicaid-supported program where the federal government pays approximately 60 percent of costs for eligible clients.
4. Earmarked Marijuana Tax Revenue: Constitutionally mandated marijuana tax revenue earmarked by Missouri voters in 2022 for veterans services, public defenders, and substance use treatment programs. Nearly $95 million in marijuana tax revenue remains unspent.
5. 988 Lifeline Phone Charge: Missouri legislature considering 65-cent monthly charge on phone bills to fund the 988 mental health helpline for stable state funding to support crisis services.
6. Sliding Scale Client Fees: Cost of services is based on a person's ability to pay, with sliding scale fees determined by income and financial circumstances.

Pricing tiers

Go-to-market motion1 record

Distribution channels7 records

Marketing channels10 records

Core offering

Missouri Department of Mental Health is a state government agency that delivers comprehensive behavioral health, substance use disorder treatment, and developmental disability services to Missouri residents. It operates the 988 Suicide & Crisis Lifeline, runs state psychiatric hospitals (including Fulton State Hospital and the St. Louis Forensic Treatment Center), and contracts with community mental health centers across the state. It also administers the Technology First Initiative, opioid crisis response programs (SOR/STR), CSTAR substance use treatment, and developmental disability supports such as remote monitoring and assistive technology.

Product overview

Missouri Department of Mental Health operates as a state government agency offering a broad portfolio of mental health, substance use, and developmental disability services primarily through its website (dmh.mo.gov) and contracted community providers. The core offerings include the 988 Suicide & Crisis Lifeline for immediate crisis support, Opioid Crisis Response programs (SOR/STR grants and MO-HOPE Project) for addiction treatment, and CSTAR programs providing substance use treatment across multiple populations. The Technology First Initiative enables individuals with developmental disabilities to achieve greater independence through assistive technology and remote supports. Additional services include Youth Behavioral Health Liaisons, Missouri Alliance for Dual Diagnosis (MOADD), wellness programs (DMH CARES, TeachWell, Digital Detox Challenge), and various treatment modalities including Assertive Community Treatment, Healthcare Homes, and Community Psychiatric Rehabilitation. The department's Division of Behavioral Health and Division of Developmental Disabilities coordinate services across the state through regional offices and contracted providers.

Differentiator

Problem solved

Functional benefit

Brands

• Missouri Alliance for Dual Diagnosis (MOADD): Collaborative effort between DMH staff and providers focused on best practices for supporting individuals with dual intellectual/developmental disabilities and behavioral health diagnosis
• 988 Suicide & Crisis Lifeline
• Missouri Opioid-Heroin Overdose Prevention and Education (MO-HOPE) Project
• CSTAR (Comprehensive Substance Treatment and Rehabilitation)
• CCBHC (Certified Community Behavioral Health Clinics)

Products and services

• 988 Suicide & Crisis Lifeline
• State Opioid Response (SOR) Program
• Missouri Opioid-Heroin Overdose Prevention and Education (MO-HOPE) Project
• Comprehensive Substance Treatment and Rehabilitation (CSTAR)
• Technology First Initiative
• Remote Supports
• Assertive Community Treatment (ACT)
• Community Psychiatric Rehabilitation (CPRP)
• Youth Behavioral Health Liaisons (YBHLs)
• Healthcare Homes
• Certified Community Behavioral Health Clinics (CCBHC)
• State-Operated Psychiatric Hospitals
• Show Me Hope Disaster Crisis Counseling Program
• Missouri Alliance for Dual Diagnosis (MOADD)

Quantifiable outcome

• Pediatric boarding rates dropped by more than two-thirds since pandemic peak through youth mental health collaboration programs
• +3 more outcomes

Named customers5 records

Segments7 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration12 records

Feature4 records

Partnerships

Twelve partnerships are on record, tiered core, major and minor.

• Missouri Institute of Mental Health (MIMH)coreStrategic or Co-development Partner · 1 May 2017MIMH serves as the academic and research arm partnering with DMH on opioid STR/SOR grants, NoMODeaths initiative, MO-HOPE Project evaluation, and behavioral health research. MIMH leads administration and evaluation of prevention and treatment programs statewide.
• National Council on Alcoholism & Drug Abuse (NCADA)coreStrategic or Co-development Partner · 1 September 2016NCADA leads implementation of the MO-HOPE Project (Prevent Drug/Opioid Overdose-Related Deaths Grant), providing naloxone distribution and overdose prevention training to emergency responders and community members statewide.
• Missouri Behavioral Health Council (MBHC)coreStrategic or Co-development PartnerMBHC partnered with DMH in 2022 to integrate behavioral health and developmental disabilities services, creating new support programs through nine Missouri providers.
• Missouri Association of County Developmental Disability Services (MACDDS)majorStrategic or Co-development PartnerCounty DD boards (SB40 boards) partner with DMH for local developmental disability services, funding, and coordination of community-based supports statewide.
• Missouri Department of Social ServicescoreStrategic or Co-development PartnerInter-agency collaboration including Missouri Children with Developmental Disabilities (MOCDD) waiver coordination with Family Support Division for Medicaid eligibility and services.
• Missouri Veterans CommissionmajorStrategic or Co-development PartnerCollaboration on veterans mental health services, suicide prevention resources, and caregiver support programs for service members and veterans.
• Missouri Nurses Association (MONA)minorImplementation/ SI/ Consulting PartnerUnion agreement for nursing professionals working within DMH facilities, representing registered nurses and nursing staff across state psychiatric hospitals.
• AFSCME (American Federation of State, County and Municipal Employees)minorImplementation/ SI/ Consulting PartnerMaster labor contract covering DMH employees for collective bargaining on wages, benefits, and working conditions.
• Missouri Hospitals and Health SystemsmajorStrategic or Co-development PartnerPartnership with hospital systems statewide for the Missouri Well-Being Playbook, emergency room enhancement programs, and integration of mental health services in healthcare settings.
• Missouri Assistive TechnologycoreTechnology or IntegrationState assistive technology program partnered with DMH's Technology First initiative for device loans, demonstrations, financial loans (Show Me Loans), recycling programs, and telecom access for individuals with disabilities.
• Missouri Division of Vocational RehabilitationmajorChannel Partner/ Reseller/ DistributorCollaboration for employment services and customized employment programs for individuals with developmental disabilities, supporting the Employment First initiative.
• Missouri Family to FamilymajorImplementation/ SI/ Consulting PartnerStatewide resource center providing information, support, and training for families of children with disabilities and special healthcare needs.

Scale indicators10 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• New York State Office of Mental Health: State government agency operating psychiatric hospitals and community mental health programs across New York. Directly comparable to Missouri DMH in mandate, structure (state-operated hospitals + contracted community providers), and scope of behavioral health services.
• California Department of Health Care Services: Administers California's Medicaid behavioral health programs, county mental health plans, and state hospital operations. Peer to Missouri DMH in role as statewide behavioral health administrator and Medicaid-funded services coordinator.
• Texas Health and Human Services Commission: Manages mental health and substance use services, state hospitals, and community programs for Texas. Comparable to Missouri DMH as a large state behavioral health authority with inpatient and outpatient services and crisis intervention.
• Massachusetts Department of Mental Health: State agency operating psychiatric hospitals and community mental health centers in Massachusetts. Co-partner with Missouri DMH on the youth mental health collaboration program serving 950+ youth across 21 hospitals since 2021, indicating direct operational similarity.
• Ohio Department of Mental Health and Addiction Services: Ohio's state behavioral health authority combining mental health and addiction services under a single agency. Direct peer in service scope (MH + SUD integration), state hospital operations, and community-based service contracting model.
• Florida Department of Children and Families: Florida's state agency administering behavioral health, substance abuse, and developmental disability services. Comparable to Missouri DMH in integrated public behavioral health mandate and statewide service delivery through contracted providers.
• Pennsylvania Department of Human Services - Office of Mental Health and Substance Abuse Services: Pennsylvania's state behavioral health authority managing county mental health systems, state hospitals, and addiction services. Direct peer in structure and mission to Missouri DMH, with comparable mix of state facilities and county-based service delivery.
• Illinois Department of Human Services - Division of Behavioral Health and Recovery: Illinois' state behavioral health division operating state psychiatric hospitals and funding community mental health and substance use services. Directly comparable to Missouri DMH in role, services, and Medicaid-funded program administration.

Others

• Substance Abuse and Mental Health Services Administration (SAMHSA): Federal agency that funds and regulates state behavioral health systems. Acts as primary federal grant source and policy setter for Missouri DMH; not a direct competitor but a critical funder, regulator, and ecosystem participant.
• National Association of State Mental Health Program Directors (NASMHPD): Membership organization representing state mental health commissioners/directors. Peer-adjacent through shared governance model and cross-state learning, useful for understanding how Missouri DMH benchmarks against peer-state systems.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• YouTubedmh.mo.gov/youtube-directory
• Facebookfacebook.com/MentalHealthMO
• Xx.com/mentalhealthmo

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Missouri Department of Mental Health