Adolescent Substance Use Disorders
Comprehensive Substance Treatment and Rehabilitation (CSTAR)

The Adolescent CSTAR Program provides substance use treatment services to male and female adolescents specifically 12-17 years of age. Individuals are accepted without regard to race, creed, national origin, gender, disability, or sexual orientation. To qualify for services, adolescents must have a substance use diagnosis as determined by a licensed diagnostician. Adolescents in the level 1 residential treatment component must also be certified for services by a physician.
  • The Kennett Adolescent CSTAR treatment center is located off Highway V V in Kennett, MO at 1109 Jones Street. The Kennett Adolescent CSTAR program has two (2) residential group homes which are located on the same campus as the business office/treatment center.
  • The West Plains Adolescent CSTAR treatment center is located off Highway 63 in West Plains, MO at 3411 Division Drive. The West Plains residential group home is also located on the same campus as the business office/treatment center at 3403 Division Drive.
The group homes provide separate living quarters for male and female adolescents. Both group homes provide a relaxing, comfortable home like environment. Activities in the group homes include structured therapeutic group sessions, relaxing positive leisure time activities and life skills lessons.
The Kennett and West Plains Adolescent CSTAR programs offer level I residential treatment, level I day treatment, intensive outpatient treatment and outpatient supported recovery treatment services. The business office at both locations is open Monday through Friday from 8:00am to 5:00pm.
All levels of treatment include intake screening, comprehensive assessment, community support, group education, drug screen services, academic education, group counseling, nursing services, recreation, family therapy, individual counseling and co-occurring counseling services.
  • The Level I Residential Treatment component provides 24-hour supervision, with up to 60-hours of structured therapeutic activities per week. Clinical Services are provided seven (7) days a week.
  • The Level 1 Day Treatment program is provided Monday through Friday from 8:00am to 4:30pm.
  • Intensive Outpatient Treatment and Outpatient Treatment Services are offered on Tuesdays and Thursdays from 4:00pm to 8:00pm. Adolescents attend based on their individualized needs. The length of each level of care is based on individualized needs. 
Adolescent CSTAR also provides outpatient services at two (2) satellite locations; 20 South Sprigg Street in Cape Girardeau, MO and 3001 Warrior Lane in Poplar Bluff, MO. Both satellite locations provide: Intake screening, comprehensive assessment, community support, group counseling, group education, co-occurring counseling, individual counseling and drug screen services. Business hours for both satellite offices are Monday through Friday from 8:00am to 5:00pm.
Funding Sources for the Adolescent CSTAR programs include private healthcare insurance, POS funds, Medicaid and private fees. The ability to pay is based on the Department of Behavioral Health (DBH) sliding scale and the income of the adolescent and/or parent/guardian. The fees are determined by family income and number of dependents. If it is determined that adolescent and/or parent/guardian has a monthly fee from the sliding scale, that fee is collected upon admission and at the first of each month thereafter as long as the adolescent remains active in treatment services.
Adolescents are referred from a variety of sources to include, but not limited to, self and family referrals; juvenile office; court system; Division of Family Services (DFS); Division of Youth Services (DYS); attorneys; hospitals; physicians; community agencies; private practitioners; schools and community mental health centers.
Clinical services are provided directly by program staff to include licensed social workers, licensed counselors, certified substance use professionals and nursing staff. Primary care needs are provided in cooperation with local medical providers. Mental health and psychiatric services are provided by on-site Qualified Mental Health Professionals (QMHP) through FCC Behavioral Health or in cooperation with our local community mental health center.
Summary of Services
Adolescent CSTAR is a certified treatment program offering the component of residential care for specific needs of adolescents, ages twelve to seventeen (12-17), addressing the issue of chemical use and/or dependency. The Adolescent CSTAR Program is compliant with applicable state and federal Medicaid requirements. Service delivery models and strategies are based on accepted practice in the field and the practice of evidence based treatment modalities. Services are designed and delivered to support the recovery, health and well-being of the individual(s); to enhance their quality of life, to reduce needs and build resiliency, improve functioning and support their integration back into the community.                                       
Academic Education services provided appropriate to the developmental needs of each adolescent. The Academic Coordinator (AC) works with the local school settings to address all educational needs. The AC coordinates with the community schools to facilitate reintegration. Adolescent CSTAR utilizes the Edmentum Plato Learning Courseware system. Plato Courseware is a standards-based online curriculum that provides a wide range of core subjects, electives and some and advanced placement offerings. The Plato Courseware system also allows the students to work on credit recovery. The AC links the student with the Plato Courseware Program in order to establish the appropriate prescribed courses that are specifically centered on the individuals’ needs and abilities.
Group Counseling is face-to-face, goal oriented therapeutic interaction among a counselor and two (2) or more adolescent’s as specified in individual recovery care plans designed to promote the adolescent’s functioning and recovery through personal disclosure and interpersonal interaction among group members. The usual and customary size of group counseling sessions is eight (8) adolescent’s and shall not exceed twelve (12) adolescent’s in order to promote full participation, disclosure and feedback. Specialized group counseling topics include, but are not limited to: Moral Reconation Therapy, Anger Management, Relapse Prevention, gender specific groups, trauma groups and co-occurring specific groups.
Individual Counseling is a structured, goal-oriented therapeutic process in which the adolescent interacts on a face-to-face basis with a counselor in accordance with the individual’s rehabilitation plan in order to resolve problems related to substance use which interferes with the person(s)-served functioning. Various treatment modalities are provided by appropriately trained staff to include, but are not limited to: Motivational Interviewing, Cognitive Behavioral Therapy, Moral Reconation Therapy, Integrated Dual Disorders Treatment and Relapse Prevention Therapy.
Recreation/Healthy Living Activities are structured to promote development of positive leisure time activities to include the involvement in community, social, fitness, cultural, athletic and leisure activities offered as part of the program.
Nursing services are provided in order to monitor the overall health and wellness of person(s)-served to include medication education; medication efficacy; health education; TB, HIV, STD screenings and preventative education. Primary care needs can be obtained for the adolescents through referral and collaboration with community resources. 
Medication Assisted Treatment (MAT) is an evidenced based practice that combines pharmacological interventions with substance use counseling and social support. All adolescents in services at CSTAR will be educated on available medication assisted treatment interventions. The program will provide staff that are trained and certified in the delivery of Medication Assisted Treatment services. 
Community Support services, consist of specific activities in collaboration with, or on behalf of the person(s)-served, are delivered in accordance with the recovery care plan. Community Support services maximize adjustment and functioning within the community while achieving sobriety and sustaining recovery, maximizing the involvement of natural support systems, and promoting independence and responsibility. Care Coordinators assist the individual in identifying available community resources and services to help them achieve recovery care plan goals. Care Coordinators have a working knowledge of health care, social services, employment, safe housing, recreational opportunities, transportation, and other services and systems available in the community. Care Coordinators also provide educational services regarding various daily living skills such as budgeting, meal planning and personal care. Care Coordinator services are provided in any setting that allows the best access to services. Settings may include the treatment center, medical clinics, schools and/or community businesses. 
Co-Occurring Counseling is a service that provides counseling to those identified as having both a substance use diagnosis and a mental health diagnosis. Co-occurring issues are integrated into the recovery care plan and are provided by qualified personnel. Co-occurring specific groups are also provided. If it is determined that a person(s)-served needs a psychiatric evaluation, this service can be coordinated through the agency telemedicine program. The program is equipped with telemedicine equipment that will allow us to access agency psychiatrists as needed for routine and/or crisis psychiatry services. 
Family Therapy is strongly encouraged and is scheduled on a case-by-case basis in order to promote access to services. The Family Therapist works directly with the family to schedule appointments. Family Therapy is a planned, face-to-face, goal oriented therapeutic interaction with a qualified staff member in accordance with an individualized recovery care plan. The Family Therapist works with each family to identify family strengths, needs and preferences. The purpose of family therapy is to address and resolve problems in family interaction related to the substance use problem and recovery. 
Psychological Testing is provided at the West Plains Adolescent Program in cooperation with Midwest Assessment and Psychotherapy Solutions in Springfield, MO to provide psychological testing for identified person(s)-served. Testing is provided on-site at the West Plains Adolescent CSTAR facility only. Payment for testing is covered through self-pay options or Medicaid.
Alcohol and Drug Education consists of the presentation of general information regarding substances of use, and the application of the information to participants through group discussion designed to promote recovery. 
Group Education consists of the presentation of general information and application of the information to participants through group discussion in accordance with individualized treatment plans which are designed to promote recovery and enhance social functioning. The usual and customary size of group educational sessions shall not exceed thirty (30) adolescents.  
Examples of topics discussed in group education are:
  • Anger management
  • Self-esteem
  • Communication
  • Wellness/Health
  • Family issues
  • Coping skills
  • PAWS symptoms
  • Teen issues
  • Substance use and its effects
  • Sexual issues and sex education
  • Gender specific issues
  • Relapse prevention strategies
  • Life skills
  • Early recovery
  • Domestic violence
  • Co-occurring issues
  • 12-Steps
  • Vocational Skills
  • Parenting
  • Peer Support Groups
  • Study Skills
  • Criminal Thinking
  • Suicide Prevention
  • Self-Harm Prevention
  • Budgeting and Money Management Skills
  • Decision Making
  • Critical Thinking
  • Problem Solving
  • Nutrition
  • Community Living Skills
  • Social Skills
  • Social Supports
  • Emergency Preparedness and Personal Safety
  • Community Meetings with consumers to discuss program operations, concerns, problems and plans.