227 E Main Street, Festus, Missouri, 63028



Avg. score from 3 reviews


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Founded in 1973 and headquartered in the small town of Festus, Mo., nonprofit COMTREA (Community Treatment Incorporated) operates 19 mental, physical, and dental health treatment facilities for adults and youth across Jefferson County, including the county-designated mental health facility.

The network's substance misuse treatment centers are among the 72 percent of rehabs in Missouri that operate as private nonprofits. In addition, the network is among the 19.8 percent of Missouri rehabs that offer dedicated programming for adolescents.

COMTREA's addiction treatment services include CSTAR, an outpatient program for youth aged 12 to 17, and education and outpatient treatment for adults.


The organization’s website notes that all treatment programs target the physical, mental, social, and spiritual aspects of addiction, and include individual and group counseling as well as family education. COMTREA doesn't specify how intensive its programming is for adults struggling with substance misuse, though all programming is provided on an outpatient basis.

Some of the network's addiction treatment centers also provide psychiatric services such as medication prescriptions and management, as well as mental health counseling — positioning the centers among the 70 percent of Missouri-based rehabs that also offer mental health counseling.

CSTAR, the program for adolescents, is provided under a contract from Missouri's Department of Mental Health. Clients work with an individual counselor and a community support specialist, participating in individual, group, and family therapy to address their addiction and any related relational issues they're experiencing, as well as learn how to apply what they've learned outside of treatment. Participants are subject to regular urinalysis screenings.


The team includes at least one psychiatrist, plus master's-level counselors and mental health technicians. The three individuals polled by to date on the staff's level of training and experience gave it a three-star, a four-star, and a five-star rating.


All individuals enrolled in COMTREA’s addiction treatment programs automatically qualify for medical and dental care through the agency.


The two alumni polled by to date gave polarized feedback, one indicating that they would strongly recommend treatment at COMTREA and the other that they would not recommend it. The positive reviewer gave the network five-star ratings in all 15 evaluated treatment metrics, including its treatment effectiveness, family participation, counseling options, and ability to treat co-occurring disorders. "The counselirs were good. I'm still clean," they wrote anonymously.

"Too many people in the groups.Some counselors haven't ever done drugs,but are quick to judge about something they really dont know about," was the appraisal of the other reviewer, M.M. They gave COMTREA four stars for its ability to treat co-occurring disorders, three stars for its treatment effectiveness, two stars for its counseling options, and one star for its holistic offerings.

On secondary sites, COMTREA has mixed feedback, skewing positive, with average ratings of 4.2 stars based on 33 reviews on Google and 3.2 stars based on 44 reviews on Facebook (where the facility can manage its own page), and on Yelp, a one-star rating and two "not recommended" five-star ratings.[1] [2] [3]

The negative reviews invariably cite administrative problems and disorganization: "They don't call you back. So they never call meds in when your out. it causes me anxiety when I run out," Alona write in a representative comment on Facebook.

However, other reviewers stressed how helpful and even lifesaving they had found the organization: "The best place in Jefferson County for the treatment of Behavioural Mental disorders. It's there people that make the difference," Bradley wrote in a representative comment on Google. "Comtrea has been a Lifesaver," David added in another.


"Not enough success stories," was the appraisal of the single loved one polled by to date. The anonymous reviewer gave the facility five stars for its treatment effectiveness, four stars for its family participation and counseling options, and three stars for its holistic offerings and ability to treat co-occurring disorders.


According to COMTREA’s website, the network accepts Medicaid, Medicare, and most private insurance plans (accepted at 67.7, 33.1, and 71.2 percent of Missouri facilities, respectively).

A sliding fee scale is available for qualifying clients, and COMTREA also offers a work service program, under which clients can work in exchange for a reduction or elimination of their fees. The three individuals polled by to date on the center's affordability gave it a one-star, a four-star, and a five-star rating.

[1] GoogleReviews

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3 Reviews

  • Accommodations & Amenities
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  • MM
    • Treatment Effectiveness
    • Accommodations
    Willing to help you with your problems quickly. Too many people in the groups.Some counselors haven't ever done drugs,but are quick to judge about something they really dont know about. I don't recommend it.
  • Anonymous
    • Treatment Effectiveness
    • Accommodations
    • Meals and Nutrition
    The counselirs were good. I'm still clean
  • Anonymous
    • Treatment Effectiveness
    • Accommodations
    • Meals and Nutrition
    Availability of rooms was good. Not enough success stories Most rehabs are for court appointed treatment not for serious people wanting to get clean. They are so over priced that people who do want to get clean can't afford it.