Mark Twain Behavioral Health - Youth


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 Youth

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

Adolescent Diversion Education Program is a 10-hour education course for minors who have received Abuse and Lose, Minor in Possession, or Zero Tolerance offenses.

This service teams the case manager with the youth, providing additional support to help the individual function at home, school or in the community more successfully. The case manager works with the individual in areas of skill building, illness management and relapse prevention which promote healthy lifestyles and independence with recovery and wellness as a goal.

Youth are supported in this program by a case manager who focuses on the individual needs of the client with mental illness and/or emotional disturbances, meeting regularly in the home, at school, in the community or at one of our facilities. Within this program, there are available a variety of elective specialty services to focus on skill building activities.  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.  
  • 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.
  • Psychosocial Social Rehabilitation (PSR) – In a group setting, this program helps with social, leisure and living skills.  

Our psychiatrist specializes in the diagnosis, treatment and management of mental illness beginning with a comprehensive psychiatric evaluation. They frequently work as part of a team which also includes nurses, licensed therapists, and case managers to provide comprehensive services to our patients. When necessary, medication can be an effective part of the treatment designed to meet the client’s unique mental health needs, decrease symptoms and increase the ability to function in one’s life.

The goal of this program is to help youth develop the social, emotional and intellectual skills that are necessary in order for them to live well-adjusted and happy lives. Coping skills are taught so the child can be successful handling stressful situations and assists them in developing resources that will reduce future stressors. Peer interaction is encouraged in group activities and helps the patient learn to navigate successfully through mental and behavioral health challenges. Groups take place in various settings such as the community, schools and within the agency.


  • 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 patient 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.
  • 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.  
  • Parent-Child Interaction Therapy (PCIT) is an intervention developed to treat children with disruptive behavior problems, placing emphasis on improving the quality of the parent-child relationship and changing interaction patterns. 
  • Play Therapy uses techniques where play is used with children to help them express or act out their experiences, feelings, and problems by playing with toys and other play materials, under the guidance and observation of a licensed play therapist.
  • School-Based Therapy is a creative approach to providing rapid access to mental health care for youth in a school setting. Providing an onsite behavioral health professional, we work directly with students, educators and families in order to help youth cope effectively with their personal problems and experience success in school.

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 or ADA complaint by completing, signing, and submitting the agency’s Title VI or ADA complaint Form located at the bottom of this page. The Title VI Public Notice and ADA Public Notice can be found at the bottom of this page.