Women and Children's 
Substance Use Disorder's
The Women and Children’s CSTAR Program provides substance use treatment services for women aged 17-years and 9-months and older with an Axis I diagnosis of substance abuse or dependence. Special provisions can also be made for pregnant adolescents (ages 12-17). Priority shall be given to women who are pregnant, postpartum or have children in their physical care and custody. Postpartum shall be defined as up to six (6) months after delivery. The program is designed for women and children will ensure that that treatment occurs in the context of a family system model. The program will provide therapeutic activities designed for the benefit of children. Thus, it is important that children should accompany their mother, unless contraindicated by medical, educational, family, legal or other reasons which are documented in the individual’s record.
The Women and Children’s CSTAR Program offers level I residential treatment, level I day treatment, intensive outpatient treatment, outpatient supported recovery treatment and transitional housing services. The business office at both locations is open Monday – Friday 8:00 AM to 5:00 PM. All levels of treatment include intake screening, comprehensive assessment, community support, group education, drug screen services, academic education, group counseling, nursing services, recreation/healthy living, family therapy, individual counseling and co-occurring counseling services.
  • Level I Residential Treatment component provides 24-hour supervision, with up to sixty (60) hours of structured therapeutic activities per week. Clinical Services are provided seven (7) days a week.
  • Level I Day Treatment program is provided Monday – Friday from 8:00 AM to 5:00 PM.
  • Intensive Outpatient Treatment and Outpatient Treatment services are offered Monday – Friday from 8:00 AM to 5:00 PM.
Person(s)-served attend based on their individualized needs. The length of each level of care is based on individualized needs. 
Funding Sources for the Women and Children’s CSTAR Program include private healthcare insurance, POS funds, Medicaid and private fees. The ability to pay is based on the Department of Behavioral Health sliding scale and the income of the person(s)-served. The fees are determined by family income and number of dependents. If it is determined that an individual 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 individual remains active in treatment services.
The person(s)-served 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; Division of Youth Services; attorneys; hospitals; physicians; community agencies; private practitioners; schools and community mental health centers.
Information regarding program structure and services is provided to all person(s)-served, family members and referral sources upon admission into the program. This information is provided in written form in the program handbook. The Scope of Service is also provided to payers and other relevant stakeholders as needed in order to help them understand what the program has to offer and determine whether it will meet the needs of the individual. Community relations activities also allow for the distribution of program information to the public through printed brochures, speaking engagements and at our website fccinc.org. The Scope of service is reviewed at least annually and updates are made to it as needed.
Clinical services are provided directly by program staff to include licensed social workers, licensed counselors, certified substance abuse 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 Professional (QMHP) through FCC Behavioral Health or in cooperation with our local community mental health center. 
Summary of Services
The Women and Children’s 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 person(s)-served; to enhance their quality of life, to reduce needs and build resiliency, improve functioning and support their integration back into the community. 
During the assessment process, a variety of assessment tools are utilized to obtain a comprehensive overview of the person(s)-served and their family. Each person(s)-served will meet face-to-face with a licensed clinician to establish person-centered care plan goals based on the individual’s strengths, needs, abilities and preferences. Once the goals are established, the person(s)-served will work with various staff members to develop specific steps for meeting these goals.   
Group Counseling is face-to-face, goal oriented therapeutic interaction among a counselor and two (2) or more person’s as specified in individual recovery care plans designed to promote the individual’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) individuals and shall not exceed twelve (12) person’s-serviced in order to promote full participation, disclosure and feedback. Specialized group counseling topics include, but are not limited to: 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 person(s)-served 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 to include medication education; medication efficacy; health education; TB, HIV, STD screenings and preventative education. Primary care needs can be obtained for the person(s)-served 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 individuals in services at the Women and Children’s CSTAR Program 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, which consists 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 which 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 an individual 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. 
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) person(s)-served.  

Individual Placements and Support (IPS) Competitive employment is defined as a job that any person can apply for (not a job designated for people
who have disabilities). These positions are full or part time. The worker is paid minimum wage or the same
wages as her co-worker if that is more than minimum wage. The duration of the job is not determined by the
employment program.

IPS Supported Employment Practice Principles:

• Employment specialists help people find regular jobs in the community (competitive employment).
• Every person who is interested in work is eligible for services regardless of symptoms, substance use
disorders, treatment decisions, or any other issue.
• Employment services are integrated with mental health treatment.
• Personalized benefits planning is provided.
• The job search begins soon after a person expresses interest in working.
• Employment specialists develop relationships with employers by learning about their business needs.
• Individualized job supports are time unlimited.
• Client preferences for jobs, and preferences for service delivery, are honored
Examples of topics discussed in group education are:
  • Anger management
  • Self-esteem
  • Communication
  • Wellness/Health
  • Family issues        
  • Coping skills
  • PAWS symptoms
  • Adult 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
  • Substance use and its effects
  • 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
  • Sexual issues/sex education
  • Community meets with person(s)-served to discuss program operations, concerms, problems and plans
  1. Managing Director
  2. Managing Director
  3. Managing Director
  4. Managing Director
  5. Managing Director
  6. Managing Director
  7. Managing Director
  8. Managing Director
  9. Managing Director
  10. Managing Director
  11. Managing Director
  12. Managing Director
Clinical Manager
Stephanie Downing
Residential Manager
Cathryn Maya
Program Director
Misty Brazel
Tel.: (573) 651-4177
Fax: (573) 651-3636
Hours: Monday - Friday 8am-5pm
20 South Sprigg Street #2
Cape Girardeau, Mo 63703