Missouri · data as of October 7, 2026
Missouri addiction treatment deserts
807,433 Missouri residents live 30+ miles from medical detox, 13% of the state. 31 of 115 counties have no treatment program of any kind inside the county line. For methadone the number is 1,121,634 people (18%).
807,433people 30+ mi from detox
1,121,634people 30+ mi from methadone
31counties with no program
#19of 51 (#1 = worst detox access)
Longest trips
- The county farthest from detox is Livingston County, about 66 mi from Circle of Freedom in Seymour.
- The longest trip to a methadone clinic is from Sullivan County: about 76 mi to Knoxville, IA.
- 47 of 115 counties are more than 30 miles from medical detox; 61 are more than 30 miles from a methadone clinic.
- 34 counties are more than 15 miles from any listed buprenorphine (Suboxone) provider.
Counties farthest from medical detox
| County | Population | Miles | Nearest detox |
|---|---|---|---|
| Livingston County | 14,658 | 66 mi | Circle of Freedom, Seymour IA |
| Linn County | 11,910 | 61 mi | Valley Hope of Boonville, Boonville MO |
| Macon County | 15,177 | 56 mi | CenterPointe Hospital of Columbia, Columbia MO |
| Atchison County | 5,139 | 55 mi | Northwest Health Services, St. Joseph MO |
| Pemiscot County | 14,407 | 54 mi | Burrell Inc, Poplar Bluff MO |
| Harrison County | 8,186 | 53 mi | Circle of Freedom, Seymour IA |
| Scotland County | 4,698 | 53 mi | Circle of Freedom, Seymour IA |
| Clark County | 6,623 | 52 mi | Mark Twain Behavioral Health, Hannibal MO |
| Worth County | 1,872 | 52 mi | Northwest Health Services, St. Joseph MO |
| Knox County | 3,740 | 51 mi | Mark Twain Behavioral Health, Hannibal MO |
| Miller County | 25,668 | 49 mi | Harry S Truman Memorial, Columbia MO |
| Camden County | 44,135 | 48 mi | Butterfield Park Medical Center, Bolivar MO |
| Grundy County | 9,766 | 48 mi | Circle of Freedom, Seymour IA |
| Carroll County | 8,414 | 46 mi | Recovery Lighthouse, Warrensburg MO |
| Montgomery County | 11,511 | 46 mi | CenterPointe Hospital of Columbia, Columbia MO |
Counties farthest from a methadone clinic
| County | Population | Miles | Nearest OTP |
|---|---|---|---|
| Sullivan County | 5,750 | 76 mi | United Community Services, Knoxville IA |
| Linn County | 11,910 | 70 mi | BHG Columbia Treatment Center, Columbia MO |
| Grundy County | 9,766 | 67 mi | Northwest Health Services, St. Joseph MO |
| Mercer County | 3,452 | 67 mi | United Community Services, Knoxville IA |
| Schuyler County | 4,069 | 66 mi | United Community Services, Knoxville IA |
| Livingston County | 14,658 | 66 mi | Northwest Health Services, St. Joseph MO |
| Adair County | 25,660 | 65 mi | Family Guidance Centers, Inc., Quincy IL |
| Phelps County | 45,672 | 62 mi | Family Counseling Center Inc, Mountain Grove MO |
| Crawford County | 22,808 | 61 mi | Burrell Inc, St. Louis MO |
| Maries County | 8,506 | 60 mi | BHG Columbia Treatment Center, Columbia MO |
| Iron County | 9,420 | 58 mi | BHG Poplar Bluff Treatment Center, Poplar Bluff MO |
| Macon County | 15,177 | 58 mi | BHG Columbia Treatment Center, Columbia MO |
| Putnam County | 4,539 | 58 mi | United Community Services, Knoxville IA |
| Gasconade County | 14,655 | 57 mi | Metro Treatment of Missouri, LP, St. Charles MO |
| Harrison County | 8,186 | 56 mi | Northwest Health Services, St. Joseph MO |
Using these numbers
Free to republish with a link to this page. Download the Missouri county CSV or the full U.S. dataset.
FindRehabMap, "Missouri addiction treatment deserts", 2026. https://findrehabmap.com/missouri/treatment-deserts/
Want one county on your page? Use the embed card. For a cut by legislative district or a different mileage cutoff, email [email protected].
Method
Program locations: SAMHSA FindTreatment.gov. Population centers (2020) and population estimates (2024): U.S. Census Bureau. Distances are straight-line from each county's population center; real driving distances are longer. See the full methodology.