Drug and Alcohol Rehab Centers in Shaw, Saint Louis, MO
This page lists the drug and alcohol treatment providers serving Shaw and the surrounding part of Saint Louis, including those covering Tower Grove, The Grove, Southampton and The Hill. Scroll down to compare what each one offers, from assessment through to aftercare, and how to get in touch.
Listings for Shaw, and for providers covering Crestwood, University City and Benton Park, are reviewed against records held by the Missouri Department of Mental Health, SAMHSA, The Joint Commission and CARF International. Compare the programs and contact any provider directly.
5 Drug and Alcohol Rehab Treatment Centers in Shaw (Saint Louis)
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Drug and Alcohol Rehabs in Shaw, St. Louis
Shaw sits south of Interstate 44 around the Missouri Botanical Garden, founded by Henry Shaw in 1859 and among the oldest botanical institutions in the country.
The neighborhood holds substantial late nineteenth-century housing and Tower Grove Park along its western edge.
It has been racially integrated by deliberate community effort since the 1970s.
The city of St. Louis has recorded a substantial decline in overdose deaths, from 284 in the twelve months to December 2021 to 185 in the twelve months to December 2025 on provisional CDC counts, a fall of 35 percent.
Shaw is settled, mixed and among the more stable neighborhoods in south St. Louis.
The community’s integration was a deliberate project rather than an accident, and the neighborhood organization that drove it remains active.
What presents here is largely alcohol across a mixed population, with quite different routes into treatment depending on cover.
The neighborhood sits close enough to the central corridor that the metro’s provision is genuinely reachable.
Neighboring Tower Grove, The Grove and Southampton carry their own listings, with the full metro picture on the St. Louis page.
Which Level of Care Do You Need
The figures below describe what is listed in Shaw and the streets immediately around it. The whole metro shares one treatment market, so the St. Louis page carries the full catchment. Tower Grove Park runs along the neighborhood’s western edge. The neighborhood organization that drove the integration project remains active.
Medically Supervised Detox
Anyone whose body has adapted to the substance starts with detox, a short supervised period while withdrawal passes. Around seven providers sit within twelve miles, the widest choice in Missouri. Alcohol withdrawal carries its highest risk in the first seventy-two hours, so overnight medical cover is a fair question before admission. Henry Shaw founded the Missouri Botanical Garden here in 1859. The Missouri Botanical Garden is among the oldest botanical institutions in the country and sits at the neighborhood’s center. Substantial late nineteenth-century housing runs through the surrounding streets. Withdrawal from alcohol, benzodiazepines and opioids each follow different courses, and a program should say which it is set up to manage.
Inpatient Residential Treatment
Residential care means moving into a program, usually for a month and sometimes for three. Around thirteen sit within twelve miles and the choice from south St. Louis is as wide as anywhere in the state. The 2025 waiver added Medicaid coverage for ASAM residential levels, which should increase availability over time. Asking what happens in the final week tells you more about a residential program than asking what happens in the first.
Outpatient, IOP and PHP Treatment
Missouri places people using American Society of Addiction Medicine criteria, so an assessment should produce a defined tier rather than whatever a program happens to offer. MetroBus service into the central corridor is frequent and journeys are short. A waiting list for one level of care does not mean a wait for all of them, so ask what could start sooner.
Dual Diagnosis and Co-Occurring Disorders Treatment
Around half of people with a substance use disorder also have a diagnosable mental health condition, and treating one while ignoring the other rarely holds. Barnes-Jewish is a short drive north and the CCBHCs are the route for anyone without cover. Anxiety alongside steady evening drinking is what local practices report most. The CCBHCs handle mental health and addiction within one organization, which removes a handover that causes problems elsewhere.
Sober Living Homes and Transitional Living
Sober living means shared substance-free housing for the months following treatment, and the Missouri Coalition of Recovery Support Providers certifies homes voluntarily, so ask directly. South St. Louis holds a reasonable amount of suitable stock. Checking the certification register before committing is worth doing whichever route you take.
Addiction Treatment Cost and Insurance Coverage in Shaw
Shaw sits around the St. Louis median, with a wider internal range than the figure suggests.
How Much Does Addiction Rehab Cost?
Medical detox across St. Louis runs roughly $1,500 to $5,000 a week, residential treatment $6,200 to $26,000 a month, partial hospitalization $7,200 to $14,000 a month, intensive outpatient $2,700 to $9,200 a month and standard outpatient $1,300 to $5,200 a month.
PR+ covers the full continuum for anyone without Medicaid and CSTAR does the same on MO HealthNet, so establishing eligibility comes before comparing any of the figures below. Missouri expanded Medicaid in 2021 following a voter-approved amendment, so a substantial number of adults now qualify who did not before.
| Level of care | Monthly | Daily |
|---|---|---|
| Medical detox (7–14 days) | $1,500 – $5,000 per week | $215 – $715 |
| Residential inpatient | $6,200 – $26,000 | $205 – $865 |
| PHP | $7,200 – $14,000 | $240 – $465 |
| IOP | $2,700 – $9,200 | $90 – $305 |
| Outpatient | $1,300 – $5,200 | $43 – $172 |
| Level of care | Monthly | Daily |
|---|---|---|
| Residential inpatient | $18,000 – $52,000+ | $600 – $1,730 |
| PHP | $14,500 – $33,000 | $485 – $1,100 |
| IOP | $10,000 – $25,000 | $335 – $835 |
| Outpatient | $5,200 – $16,000 | $175 – $535 |
Does Insurance Cover Rehab?
Yes. Addiction treatment sits among the essential health benefits most plans are required to include. What a plan actually pays varies with the employer, the network and the level of care, so two people with the same insurer can face very different bills. Employer plans, Medicare and MO HealthNet are all present here.
Coverage and approval are separate steps. Detox and residential admissions almost always need prior authorization first, and whether a program is in network usually determines the bill.
Free and State-Funded Addiction Rehab in Shaw
CSTAR, the Comprehensive Substance Treatment and Rehabilitation program, is Missouri’s flagship model and covers the full continuum including temporary living for anyone on MO HealthNet. It runs four specialized versions, among them one for women with children.
PR+ is modeled on CSTAR and built for people without Medicaid, offering the same continuum. Anyone uninsured should ask for it by name rather than assuming a private rate applies, because it is the single most useful thing to know about paying for treatment in this state.
Around twenty Certified Community Behavioral Health Clinics cover all 114 Missouri counties and must serve anyone who asks regardless of ability to pay.
More Help and Recovery Support
Barnes-Jewish Hospital is the region’s Level I trauma center and among the largest hospitals in the country, with SSM Health Saint Louis University Hospital, Mercy Hospital St. Louis and St. Luke’s also serving the metro.
Alcoholics Anonymous and Narcotics Anonymous both meet widely across south St. Louis, and the churches in Shaw have carried recovery groups for decades. SMART Recovery meets nearby. Tower Grove, Southampton and The Hill carry further listings, with more across St. Louis and Missouri.
Free and confidential, available now
Missouri Access Crisis Intervention — 1-800-356-5395 988 Suicide & Crisis Lifeline — call or text 988
References and Citations
- Missouri Department of Mental Health — Division of Behavioral Health certification, CSTAR program specification and PR+ eligibility.
- Missouri Medicaid — 1115 substance use disorder waiver approved March 2025, adding ASAM residential coverage.
- CDC National Center for Health Statistics — VSRR provisional county-level drug overdose death counts, St. Louis city and St. Louis County, twelve months ending December 2021 and December 2025, data as of 5 July 2026.
- Rehab Seekers directory listings, Shaw and St. Louis, August 2026, and market rate research, Missouri, 2026. Ranges are indicative and vary by facility, length of stay and coverage.