Gateway was a complete waste of money and most importantly time for us, we had really high expectations about this place but clearly it was a step back for our son's recovery. 1/10!!
About Gateway Free & Clean
Gateway Free & Clean in St. Louis, Missouri, is a drug and alcohol treatment program that provides intensive and supportive outpatient counseling and counseling while you are incarcerated. For over 40 years, they've been a nonprofit provider of therapy within correctional institutions offering alcohol and drug treatment services and cognitive programs within the prisons and jails.
The goal is to reduce recidivism and rebuild lives. The substance abuse assessment and treatment services first began in Cook County Jail in 1970. Today the programming is designed to meet your individual needs identified through an initial psychosocial and clinical assessment. These assessments continue throughout the treatment process ensuring that your clinician provides you with the targeted and specific services needed to reduce your risk of relapse and support your sustainable recovery.
The clinical assessments use evidence-based and standardized instruments including the Addiction Severity Index and a battery of assessments developed by Texas Christian University’s Institute of Behavioral Research. While assessments are a significant part of developing your treatment program, they have years of experience evaluating and assessing those in the criminal justice population. This has allowed them to offer assessment services as a standalone product.
They offer specialized institutional programs for special needs offenders, including people with co-occurring mental health conditions and those with physical or emotional disabilities. The gender specific, trauma informed programs use a variety of evidence based therapies to improve the efficacy and effectiveness of treatment.
They have been providing in custody correctional services for over 40 years in prisons with a 103% to $376% return on their investment. The programs are structured for those in jail, on probation, prison, and parolees. The therapeutic treatment model operates in collaboration and partnership with correctional facilities to successfully operate addiction treatment and mental health condition programs.
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Location
Accepted Insurance
Other Forms of Payment
Self-pay involves paying for treatment out of your own pocket. You can use savings or credit, get a personal loan, or receive help from family and friends to fund your treatment. If you don't have insurance or your insurance plan doesn't cover a specific program, self-pay can help ensure you still get the care you need.
Private insurance refers to any kind of healthcare coverage that isn't from the state or federal government. This includes individual and family plans offered by an employer or purchased from the Insurance Marketplace. Every plan will have different requirements and out of pocket costs so be sure to get the full details before you start treatment.
Medicaid is a state based program that helps lower-income individuals and families pay for healthcare. Medicaid covers addiction treatment so those enrolled can use their coverage to pay for rehab. When a program accepts Medicaid the client often pays very little or nothing out of their own pocket.
Addiction Treatments
Levels of Care
Outpatient Outpatient programs are for those seeking mental rehab or drug rehab, but who also stay at home every night. The main difference between outpatient treatment (OP) and intensive outpatient treatment (IOP) lies in the amount of hours the patient spends at the facility. Most of the time an outpatient program is designed for someone who has completed an inpatient stay and is looking to continue their growth in recovery. Outpatient is not meant to be the starting point, it is commonly referred to as aftercare.
With the flexibility of Gateway's outpatient drug rehab programs, adults and adolescents can work through drug addiction treatment without putting life on hold. Programs are ideal for people with a strong support system, a stable living situation and the internal motivation to change.
Medically Assisted Detox Drug and alcohol addiction often takes a heavy toll on one's body. Over time, a physical dependence can develop, meaning the body physiologically needs the substance to function. Detox is the process of removing drugs and/or alcohol from the body, a process that can be lethal if mismanaged. Medical detox is done by licensed medical professionals who monitor vital signs and keep you safe, healthy, and as comfortable as possible as you go through detox and withdrawal.
Intensive Outpatient Intensive Outpatient programs are for those who want or need a very structured treatment program but who also wish to live at home and continue with certain responsibilities (such as work or school). IOP substance abuse treatment programs vary in duration and intensity, and certain outpatient rehab centers will offer individualized treatment programs.
In Gateway's intense yet effective outpatient substance abuse treatment programs, individuals generally engage in multiple counseling sessions per week, over four to six weeks before transitioning into weekly Aftercare counseling sessions.
24-Hour Clinical Care At certain points in the recovery process, it's important to have support available 24/7. 24-hour clinical care offers a safe environment in which to recover from drug or alcohol addiction in peace, knowing medical detox and other treatment will happen with professionals on hand.
12-Step 12-step programs are addiction recovery models based on Alcoholics Anonymous (AA). A number of substance abuse programs (including some drug and alcohol rehab centers) use the 12 steps as a basis for treatment. Beginning steps involve admitting powerlessness over the addiction and creating a spiritual basis for recovery. Middle steps including making direct amends to those who've been hurt by the addiction, and the final step is to assist others in addiction recovery in the same way. 12-Step offshoots including Narcotics Anonymous (NA), Cocaine Anonymous (CA), Dual Recovery Anonymous (DRA), Sex & Love Addicts Anonymous (SLAA) and Gamblers Anonymous (GA).
Individuals in Gateway's drug rehab programs are encouraged to attend twelve-step meetings while in treatment, and given referrals to meetings and resources as part of the discharge process.
Aftercare Support Rehab aftercare programs offer continuing care for clients in the maintenance phase of recovery and are designed to evolve over time. Outpatient treatment is generally categorized as drug rehab aftercare, but many clients continue to receive services after being discharged from formal care. These services are customized to clients' unique recovery goals, but typically include medical, mental health, and social services. Clients' case manager and recovery team play a key role in developing the client's care plan.
Treatments
The goal of treatment for alcoholism is abstinence. Those with poor social support, poor motivation, or psychiatric disorders tend to relapse within a few years of treatment. For these people, success is measured by longer periods of abstinence, reduced use of alcohol, better health, and improved social functioning. Recovery and Maintenance are usually based on 12 step programs and AA meetings.
Drug rehab in Missouri usually involves several phases: detox, rehab, and aftercare. The rehab phase may include a combination of inpatient and outpatient treatments, as the individual moves through a continuum of care on their recovery journey.
Dual Diagnosis simply refers to two or more disorders or illnesses occurring in the same person. Among those with substance abuse problems, the most common co-occurring mental health problems include depression, anxiety and trauma-related issues. Gateway is a recognized leader among behavioral health care providers in offering substance abuse treatment, as well as treatment for individuals that are diagnosed with a co-occurring disorder. Gateway treats dual diagnosis through comprehensive drug rehab programs that use proven, or "evidence-based" approaches and best practices.
Opioid rehabs specialize in supporting those recovering from opioid addiction. They treat those suffering from addiction to illegal opioids like heroin, as well as prescription drugs like oxycodone. These centers typically combine both physical as well as mental and emotional support to help stop addiction. Physical support often includes medical detox and subsequent medical support (including medication), and mental support includes in-depth therapy to address the underlying causes of addiction.
Substance rehabs focus on helping individuals recover from substance abuse, including alcohol and drug addiction (both illegal and prescription drugs). They often include the opportunity to engage in both individual as well as group therapy.
Programs
Adult Program
Adult rehab programs include therapies tailored to each client's specific needs, goals, and recovery progress. They are tailored to the specific challenges adult clients may face, including family and work pressures and commitments. From inpatient and residential treatment to various levels of outpatient services, there are many options available. Some facilities also help adults work through co-occurring conditions, like anxiety, that can accompany addiction.
Hearing Impaired Program
A sensory disability, such as hearing impairment, can compound the challenges of addiction recovery. Drug rehabs that are specially designed to accommodate the needs of persons with hearing impairments will include special accessibility features and accommodations to make treatment as comfortable and effective as possible. This may include access to American Sign Language interpreters.
Program For Men
Men face specific challenges and concerns when seeking addiction treatment. Gender-specific recovery programs help them tackle these issues head-on in an environment that's focused, targeted, and distraction-free. It also gives them the opportunity to connect with and learn from other men who have been through a similar journey and can offer support for the next step.
Program For Women
Rehabs for women provide a safe, nurturing space for female clients to heal. These treatment programs consider the specific obstacles that women can face during recovery and place a special emphasis on mental, social, physical, and reproductive health. They explore how each woman's experience has shaped the trajectory of their substance use, addressing issues such as sexual abuse and past trauma.
Young Adult Program
Young adulthood can be an exciting, yet difficult, time of transition. Individuals in their late teens to mid-20s face unique stressors related to school, jobs, families, and social circles, which can lead to a rise in substance use. Rehab centers with dedicated young adult programs will include activities and amenities that cater to this age group, with an emphasis on specialized counseling, peer socialization, and ongoing aftercare.
Clinical Services
Research clearly demonstrates that recovery is far more successful and sustainable when loved ones like family members participate in rehab and substance abuse treatment. Genetic factors may be at play when it comes to drug and alcohol addiction, as well as mental health issues. Family dynamics often play a critical role in addiction triggers, and if properly educated, family members can be a strong source of support when it comes to rehabilitation. Gateway recognizes the immediate and long-term benefits to individuals in recovery when their families are involved in drug rehab, and engages families in counseling and substance abuse education programs. Their Family Programs are designed to answer the questions families have and to help parents, spouses, siblings and significant others learn how to better cope with the substance abuse issues of loved ones in treatment.
Group therapy is any therapeutic work that happens in a group (not one-on-one). There are a number of different group therapy modalities, including support groups, experiential therapy, psycho-education, and more. Group therapy involves treatment as well as processing interaction between group members.
In individual therapy, a patient meets one-on-one with a trained psychologist or counselor. Therapy is a pivotal part of effective substance abuse treatment, as it often covers root causes of addiction, including challenges faced by the patient in their social, family, and work/school life.
Motivational Interviewing has strong scientific support for being a highly effective therapy for those with a substance abuse problem. Instead of trying to convince an individual of the benefits of stopping substance abuse, Gateway Alcohol & Drug Treatment's professional counselors help each person weigh the pros of this behavior against the cons while in drug rehab. Counselors assist individuals in exploring their core values and deeply held goals. These values and goals are usually inconsistent with continued substance abuse, so they become the guiding force toward behaving in a way that is consistent with positive, healthy living.
If you or someone you care about has experienced or witnessed a life-threatening event and is abusing alcohol or drugs to ease painful memories, trauma may be the primary driver of substance abuse. Rather than avoiding the issue, Gateway Treatment Centers can help individuals work through traumatic events and instill in them a sense of resilience with our personalized approach. Through integrated treatment, trauma victims may simultaneously addresses addiction and mental health concerns with trauma-specific treatment approaches to meet individual needs.
Amenities
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Recreation Room -
Meditation Room
Accreditations
The Joint Commission, formerly known as JCAHO, is a nonprofit organization that accredits rehab organizations and programs. Founded in 1951, the Joint Commision's mission is to improve the quality of patient care and demonstrating the quality of patient care.
Joint Commission Accreditation: Yes
Contact Information
(816) 559-8079 
1430 Olive Street
#300
Saint Louis, MO 63103
Get Help Now - 800-985-8516
Who Answers?
Who Answers?
Fact checked and written by:
Gayle Morris, BSN, MSN
Edited by:
Peter Lee, PhD
