Fulton State Hospital, located in Fulton, MO, specializes in forensic psychiatric care. Established in 1851, it is the oldest public mental health facility west of the Mississippi River. This 399-bed hospital treats patients with serious mental illnesses using evidence-based methods and features high-security and minimum-security centers.
In 2024, Fulton State Hospital received the State of Missouri Governor's Award for Quality & Productivity in the Efficiency & Process Improvement category. Their Six Sigma project enhanced medication delivery and reconciliation, improving operational efficiency significantly.
- Provides specialized forensic psychiatric care, particularly for those involved in the criminal justice system.
- Offers various evidence-based treatments, including individual psychotherapy, group therapy, and cognitive-behavioral therapy.
- Programs include the Social Learning Program and Sex Offender Rehabilitation and Treatment Services.
- Received recognition for its efficient medication delivery and reconciliation processes.
Treatments focus on schizophrenia-spectrum disorders, mood disorders, intellectual disabilities, personality disorders, and paraphilic disorders. Services benefit individuals referred through the criminal justice system, including those found incompetent to stand trial.
- 2 Conditions Treated
- Insurance Accepted
- 2 Levels of Care
- Speaks English
- 11 Therapies & Programs
- Multiple Locations
Conditions and Issues Treated
Dual-Diagnosis
When someone in struggles with both addiction and mental or emotional illness, this is considered a dual diagnosis. Dual diagnosis treatment can include therapy for these issues to happen simultaneously, which will allow either of them to be treated effectively.
Sometimes people who have suffered from addiction disorder also suffer from co-occurring disorders such as depression, anxiety, bipolar disorder, etc., making them “dual diagnoses.” Dual diagnoses require specialized treatment programs where drug and alcohol addiction are addressed along with psychiatric illnesses. Some rehabilitation facilities provide patients suffering from cooccurrences a program with highly integrated services and a clean environment with few distractions to help them succeed.
Levels of Care
This center offers a variety of custom treatment tailored to individual recovery. Currently available are Dual-Diagnosis, Inpatient, with additional therapies available as listed below.
Inpatient treatment for alcoholism or drug addiction is an option that provides the addict with a supportive environment in which they can stop using. After detox, an inpatient treatment center provides a structured environment for the addict to recover from their addiction and begin taking steps toward a lifetime of sobriety.
This type of treatment is appropriate for addicts that are most in need of intensive care and supervision. This includes those who were unable to quit on their own, those who need more structure than they can get in outpatient treatment, and those whose addiction has led them into legal trouble or severe health problems.
Therapies & Programs
Because no single treatment is effective for all addicts, the goal of treatment and therapy should be to figure out what works best for each individual. Tolerance and withdrawal levels differ from person to person, affecting the treatment intensity required. Addiction treatment should aim to help addicts develop healthy coping mechanisms for dealing with their addiction and its underlying causes.
Group therapy can help build a stronger support system and give addicts in Fulton, MO insight into their addiction that they gain through shared conversations. Group therapy occurs in a controlled group environment, exclusive of one on one meetings. This makes it safer for patients to feel comfortable sharing the struggles they’re going through and gaining perspective.
Trauma therapy is beneficial for people who are recovering from drug addiction because it helps them heal from past traumas that may have caused them to turn to harmful substances or led them to experience negative emotions that contributed to their destructive behaviors.
This type of treatment works by processing difficult experiences so individuals can learn how to process these events without having to turn to substances for coping.
Trauma therapy can help addicts in the following ways:
- Helps individuals understand their experiences and emotional responses to difficult events, including why they turned to drugs or alcohol
- Provides them with comfort and support while working through difficult emotions related to these traumatic experiences
- Offers an opportunity for addicts to have a voice and be heard, which can improve their self-esteem
- Can help them develop coping skills so they can better respond to triggers instead of turning to substance abuse.
Dialectical Behavior Therapy (DBT) is a cognitive-behavioral therapy that helps patients understand the relationship between their thoughts, feelings, and behaviors. It is beneficial for those whose addictions and behaviors stem from severe mental health issues. The term “Dialectic” means the integration of opposites. In substance abuse, DBT refers to accepting the patient’s addiction and working to change their thoughts and behavior. It improves life skills such as controlling intense emotions without reacting impulsively, resolving interpersonal conflicts effectively, and promoting awareness about self and others.
Cognitive-behavioral therapy is a technique that is used to help people with addiction. Specifically, it is a way of identifying thoughts and behaviors that cause the addiction. It is typically used in an individual counseling session.
The content explains cognitive behavioral therapy and how it works to address some behaviors that may be leading to unintended consequences in their life, as well as its benefits for those seeking sobriety.
It works by helping people to talk through their issues and addressing the thoughts that cause said behaviors. It is an excellent way of learning about oneself and one’s perception of the world.
It’s important to remember that malnutrition can affect your mood and energy level, which affects your desire to get sober. Good nutrition helps keep your body strong against the familiar ravages of drug use–tuberculosis, hepatitis, abscesses, infections, etc. — as well as the physical symptoms of withdrawal. If you’re eating right, you’ll have more energy for productive activities and will have more strength to fight cravings.
Nicotine Replacement Therapy (NRT) has many benefits for drug addicts who also choose to quit smoking. It is an effective technique at this treatment center that provides smokers with the nicotine they are addicted to without inhaling carcinogens from cigarettes to wean them off entirely. You can reduce your risk of heart disease and cancer, irritability, bone loss, stroke, type II diabetes, fertility in women, an enhanced sense of taste and smell.
Patient Experience
Experiential Therapy at Fulton State Hospital - Individual Psychotherapy
Experiential therapy uses engaging activities to help patients access deeper, often hidden emotions. For example, the patient could role-play a problematic situation or engage in activities like drawing, painting, poetry writing, music composition, exercising, or journaling to help process intense feelings.
Experiential therapy is a type of therapeutic approach that focuses on having patients work through problems, issues, or emotions by engaging directly in some real experience. Experiential therapy occurs face-to-face with a therapist who helps these people to explore their feelings first hand.
It is based on the belief that to truly understand and gain insight into oneself and behavior; it is necessary and helpful to have real experiences with the issues involved. Some therapists have developed the experiential therapy approach as a way of treating addictive behaviors or dealing with impulses related to addiction. It comes from an existential school of psychotherapy called ‘experiential existential.’
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Location & Contact

600 E 5th St
Fulton, MO 65251
Phone Number
(573) 592-4100
Additional Locations
- Hawthorn Childrens Psychiatric Hospital in Saint Louis, MO
- Fulton State Hospital - Mental Health Treatment in Fulton, MO
Learn More About Fulton State Hospital
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Fulton, Missouri Addiction and Treatment
Opioid-related overdoses in Missouri have been increasing steadily for the past three decades. In 2018, more than 1,130 people in Missouri died from opioid abuse. Methamphetamines and marijuana abuse have surpassed opioid abuse in Missouri. Missouri is the number 1 methamphetamine manufacturer in the country with more than 27 meth labs per 100,000 people.
Fulton, Missouri has a moderate drug addiction and abuse problem. 9.8 percent of the population in Fulton, MO, abuse drugs or alcohol. Over 1,000 hospitalizations were due to drug overdoses in Fulton County in 2016. The most commonly abused drugs in Fulton, MO, include alcohol, marijuana, methamphetamine, and heroin. By doing your research, you can find a treatment facility that will give you the best chance at recovery.
Treatment in Nearby Cities
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