Mark Twain Behavioral Health - Adults


Excellent behavioral healthcare is the goal at Mark Twain Behavioral Health (MTBH). By targeting the needs of our clients and providing individualized care, we promote the restoration of health and wellness.

Whatever life challenges a person may be struggling with, MTBH strives to provide a variety of services that will guide an individual to a path of recovery and allows them to lead productive and meaningful lives.

MTBH has offices located in Hannibal, Kirksville and Macon, Missouri. Hannibal and Kirksville offices are open for business Monday through Friday from 8 AM till 5 PM. Special appointment times may be available upon request. Our Macon office hours of operation vary and appointments may be scheduled by contacting that location.

Services for Adults

Crisis response services are made available 24 hours per day, seven days per week to persons experiencing a mental health crisis. Support is available by phone or mobile visits as necessary, providing assessment, treatment and referral to services when needed.

If you are having thoughts of suicide or considering harming yourself or others, help is available 24 hours every day.



National Suicide Prevention Lifeline

Call 1-800-273-8255

Available 24 hours everyday



MTBH 24 HOUR CRISIS LINE – 1 (800) 356-5395

The Clinical Intervention Program is a 50-hour outpatient counseling program consisting of individual counseling, group counseling, and group education.  Ten hours must address impaired driving issues. 

The Community Psychiatric Rehabilitation Program (CPR) supports persons with mental illness focusing on individual needs and choices, helping them to live as independently as possible in their community.  Those enrolled in the CPR program may use these services based on their specific needs:


  • Community Support – Clients served routinely meet with a Community Support Specialist to address their identified needs.
  • Crisis Intervention – Immediate response for crisis situations is available 24 hours per day and 7 days per week by phone support and mobile visits as necessary. Persons with mental illness are helped to regain their best level of function and decrease hospital services and detention.
  • Healthcare Home – Services support the clients’ health, behavior, and social needs.  A Nurse Care Manager provides or arranges services based on identified needs from health screening and assessment.  
  • Illness Management and Recovery (IMR) – IMR empowers clients served to learn about their mental illness, manage symptoms by learning coping strategies, develop their own goals for recovery, and make informed decisions about their treatment. Individual or group meetings are used for psycho-education, behavioral tailoring, relapse prevention, and coping skills training.
  • Integrated Treatment for Co-occurring Disorders (ITCD) –  Integrated treatment for clients served with substance use and mental health conditions, helps to develop hope, knowledge, skills, and the support they need to manage their problems and to pursue meaningful life goals.
  • Medication Services – Doctors and Nurse Practitioners may prescribe and monitor usefulness of medications being used by clients served to decrease symptoms and increase the ability to function.
  • Peer Support Specialist - Provides mentoring, guidance, and support services and offers their skills to others facing behavioral health challenges or substance use issues.  Their expertise comes from a lived experience vs traditional training.
  • Psychosocial Social Rehabilitation (PSR) – In a group setting, this program helps with social, leisure and living skills.  
  • Supported Employment – Interested clients are assisted toward the goal of gainful employment.  Preferences of clients served are supported and may include access to benefits counseling, vocational rehabilitation, and job coaches.

Integrated Treatment for Co-Occurring Disorders (ITCD) is a program under the umbrella of our Community Psychiatric Rehabilitation (CPR) Program.  Through the use of individual therapy, educational groups and community resources; our goal is to assist clients with Co-Occurring diagnoses by helping them develop hope, knowledge, skills and support to manage their problems and pursue meaningful life goals.

InteProgram Philosophy:

"Meeting clients where they are at to address their co-occurring needs simultaneously by utilizing our integrated treatment team.  We work with clients regardless of whether their goal is abstinence or just harm reduction."

The Offender Education Program is a 10-hour education course designed for lower risk clients in understanding the choices they made that led to their intoxication and arrest.

Our psychiatrists and providers specialize in the diagnosis, treatment, and management of mental illness and substance use disorders beginning with a comprehensive psychiatric evaulation.  They frequently work as part of a team which also includes nurses, licensed therapists, social workers, and case managers to provide comprehensive services to our clients.  When necessary medication can be an effective part of the treatment designed to meet the client's unique mental health needs, decrease symptomsand increase the ability to function in one's life.  

The Emergency Room Enhancement (ERE) Program warmly engages adults who are experiencing mental health distress to achieve optimal health by guiding them into services that meet their unique needs.  The ERE Team, coupled with community partners, work together to link persons in need with the appropriate services to move toward the goals of developing long term supports and resources for them while improving rates of homelessness, unemployment, arrests and law enforcement involvement, and preventing repeated emergency room visits and hospitalizations.

Certified Peer Support Specialist services are available to provide mentoring, guidance, and support services and offer their skills to others who are facing behavioral health challenges or substance use issues in our Hannibal Clinic.  Their expertise comes from a lived experience vs traditional training.

The Substance Awareness Traffic Offender Program serves individuals that are required to complete this program as a result of an administrative suspension or revocation of one’s driver license due to Driving While Intoxicated (DWI) or Driving Under the Influence (DUI) offense, court order, condition of probation, or plea bargain.  It is also required of individuals charged with minor in possession and zero tolerance offenses.  Missouri Law requires all persons arrested for an alcohol or drug related offense to complete an assessment screening at an OMU.  The result of the evaluation is used to determine the appropriate level of SATOP placement. 

Medication Assisted Treatment (MAT) offers medication interventions in combination with counseling and behavioral therapies to provide a whole-person approach to substance use disorders.  Services are available for the following:

Opioid Use Disorder treatment is provided for eligible persons using both medications and therapies to help suppress withdrawal symptoms and decrease cravings in a home-based or office setting.

Alcohol Use Disorder treatment is provided to assist with withdrawal and cravings from alcohol use and dependency.  Medications, counseling and recovery groups are available as needed to reach the agreed upon goals for the person served.

Tobacco Cessation treatment is provided for interested tobacco users who participate in our Medication Assisted Treatment program.  Medications along with counseling and social support by our team including our nationally accredited Tobacco Treatment Specialist are provided to assist the individual to successfully complete the planned treatments and become tobacco free.

Substance Use Social Detoxification is designed to assist clients with managing the initial symptoms of intoxication and withdrawal from alcohol and drugs.  Detox can be voluntary and court-ordered 96-hour holds are also accepted.  Detox is open 24/7 and accepts both men and women.

Outpatient and Residential services are offered for Substance Use Treatment.  Educational and Support groups are also available.  


  • Dialectal Behavioral Therapy (DBT) is a treatment designed to help a person learn new skills to be able to cope with and manage their emotions. DBT helps a person become more aware of how one’s own behavior may impact their life and helps to develop more effective methods of achieving personal goals.
  • Eye Movement Desensitization and Reprocessing (EMDR) is a structured therapy that encourages the person to briefly focus on the trauma memory while at the same time experiencing bilateral stimulation (typically eye movements) which is associated with a reduction in the vividness and emotion associated with the traumatic memories.
  • Grief Therapy is a process that encourages expression or emotion about loss and facilitates the process of resolution. 
  • Individual Therapy is a process through which clients work one on one with a licensed therapist, exploring their feelings, beliefs, and behaviors while being guided toward emotional growth.  This service may benefit persons with mental illness and/or substance use disorders.

The Weekend Intervention Program is a 20-hour level of service designed for repeat or high-risk clients.  Using intensive education and counseling intervention methods these structured activities are completed over a weekend in a restrictive environment.  

Mark Twain Behavioral Health operates its programs and services without regard to race, color, national origin or disability in accordance with Title VI of the Civil Rights Act of 1964.

If you believe you have been discriminated against on the basis of race, color, national origin or disability by Mark Twain Behavioral Health, you may file a Title VI/ADA complaint by completing, signing, and submitting the agency’s Title VI/ADA complaint Form. Click on these links for Public Notice and MTBH Title VI/ADA Complaint Form.