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Mark Twain Behavioral Health

In Crisis?

Overview

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Located in Hannibal, Missouri, Mark Twain Behavioral Health provides a full continuum of community-based substance use and mental health care for adults. Treatment plans include cognitive behavioral therapy (CBT), trauma-informed counseling, and medications for addiction treatment (MAT) when needed to ease withdrawal symptoms and cravings. Medications for mental health can also be prescribed. Clients in crisis situations can receive care regardless of ability to pay.

Address

146 Communications Drive
Hannibal, MO 63401

Directions

Ages Served

  • Adults (Ages 26-64)
  • Young Adults (Ages 18-25)

Genders Accepted

  • Female
  • Male

Languages Served

  • English

Treatment

  • Outpatient (methadone/buprenorphine or naltrexone treatment)
  • Outpatient day treatment or partial hospitalization
  • Outpatient detoxification
  • Regular outpatient treatment
  • Residential detoxification
  • Short-term residential

Special Programs

  • Adult men
  • Adult women
  • Court referrals

Full Continuum of Substance Use Treatment

Adults can step into care at different levels: standard outpatient visits, intensive outpatient programs (IOP), and structured day-treatment or partial-hospitalization (PHP) services. Hannibal Recovery also provides withdrawal management supported by on-site medical staff. Medications for addiction treatment (MAT) and medications for mental health conditions can be prescribed as needed. Outpatient services include options for telemedicine, allowing adults to maintain work and family commitments while in treatment.

Integrated Care for Co-Occurring Disorders

The program is equipped to treat adults with both substance use and mental health conditions. These include PTSD, eating disorders, self-harm, and trauma-related concerns. Treatment approaches include cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), eye movement desensitization and reprocessing (EMDR), motivational interviewing, relapse-prevention counseling, anger-management work, and trauma-informed therapy. Adults can participate in individual, group, and family or couples counseling. Gender-specific programming for adult men and women and services for justice-involved adults, including DUI/DWI programming, help tailor care to specific life situations.

Practical Support for Daily Living, Work, and Housing

Support extends beyond therapy sessions. Case management and community psychiatric rehabilitation services help adults navigate benefits, medical care, and social services. Life skills groups focus on practical tasks like communication, organization, and symptom management. Supported employment and supported housing services can assist adults in securing work and stable living arrangements. Peer support, mentoring, and self-help groups offer additional connections. Health education, smoking and tobacco-cessation counseling, naloxone and overdose-prevention education, and transportation assistance are built in to reduce common barriers to staying in care.

Access and Financial Assistance

Mark Twain Behavioral Health has a policy not to refuse certain crisis and recovery care because of inability to pay, and offers reduced-fee options, payment plans, and low-cost therapy with graduate-level interns. Staff can also help adults apply for Medicaid and explore financial assistance.

Cost and Insurance

Insurance Accepted

  • Medicaid
  • Some Private Insurance

Disclaimer: Additional insurance plans may be accepted. Please contact the provider directly to confirm current coverage details, as this information may change.


Cost

$ - Low Cost Facility

Cost ratings are our best estimates to help guide you, not guarantees. Actual costs may vary with treatment, insurance, and other factors. While we aim for accuracy, details may change.

Financial Assistance

  • Does not offer Free
  • Does not offer Payment assistance
  • Does not offer Sliding fee scale

Treatment

Treatment Setting

  • Outpatient (methadone/buprenorphine or naltrexone treatment)
  • Outpatient day treatment or partial hospitalization
  • Outpatient detoxification
  • Regular outpatient treatment
  • Residential detoxification
  • Short-term residential

Treatment Approaches

  • 12-step program support
  • Anger control support
  • Brief intervention
  • Cognitive behavioral therapy (CBT)
  • Motivational interviewing
  • Relapse prevention support
  • Substance use counseling
  • Trauma-focused counseling

Additional Support and Services

  • Case management support
  • Help with transportation
  • Social skills training

Counseling and Education

  • Couples counseling
  • Family therapy
  • General health education services
  • Group therapy
  • Hepatitis education and support
  • One-on-one counseling
  • Substance use education

Transition Support

  • Discharge and next steps planning
  • Ongoing recovery care
  • Overdose prevention and naloxone education
  • Post-discharge follow-up

Testing & Pre-Treatment

  • Breathalyzer testing for alcohol
  • Intervention and education support
  • Mental health screening
  • Oral fluid testing for drugs or alcohol
  • Substance use assessment
  • Temporary support for clients
  • Tobacco use assessment
  • Urine testing for drugs or alcohol
  • Substance use screening

Amenities and Experiences

Activities

  • Gender-specific support groups
  • Job training
  • Life skills workshops

Settings

  • City

Policies

  • Smoking allowed in designated areas
  • Vaping allowed in designated areas

Ownership Type

  • Non-profit

Quality and Trust

A

Trust Score

A simple A–E grade that offers a quick view of how much confidence you might place in a facility. It’s not a guarantee of quality or outcomes, but a data-informed tool to help guide your search. More on our methodology.

Commission on Accreditation of Rehabilitation Facilities

CARF reviews rehab programs to make sure they provide respectful, effective, and personalized care. For addiction treatment, CARF uses standards developed with the American Society of Addiction Medicine (ASAM), so this accreditation shows the program follows trusted, evidence-based guidelines for treating substance use.

Learn more

Mark Twain Behavioral Health
Call 573-248-1196

How we research treatment facilities

Across the site, our team has conducted over 1,000 pre-admissions calls to better understand the patient experience, interviewed facility clinical leaders, performed facility background checks, and compared our information against trusted public data sources.

Our research process begins with data from the Substance Abuse and Mental Health Services Administration (SAMHSA), accrediting bodies including The Joint Commission and CARF, government licensing agencies, and other trusted sources. From there, our team conducts significant original research, including:

- Pre-admissions calls: We speak with admissions staff to get a candid picture of patient experience.

- Background checks: We review complaints from past clients, media reports, actions taken by accrediting bodies, and positive recognition from notable organizations.

- Clinical interviews: We have in-depth conversations with clinical leadership, often lasting up to one hour, that give us a better understanding of clinical care.

- Data partnerships: We ingest and analyze exclusive data that provides information about in-network insurance status, cost, and more.

Research varies by facility. Each facility profile shows which research steps we completed and when each step was last performed. Learn more about our research process and background checks.

How we evaluate treatment facilities

These data help us develop a Trust Score for each facility—a simple letter grade that helps you assess how much confidence to place in a facility based on the information available to us. Trust Score considers accreditation, operating history, notable recognition, and concerns identified during our background check. Our Trust Score is an objective rating that is never influenced by advertiser payment. Learn more about our Trust Score methodology.

Important disclaimer

We cannot guarantee the quality of treatment at any facility. We cannot independently confirm the accuracy of every data point, and some information may become outdated or change over time. A Trust Score is a starting point, not a guarantee of treatment quality or outcomes. Please contact us if you would like to update or correct facility information.