Residential Treatment Services: General Mental Health


Great Circle’s Residential Treatment program offers therapeutic services in a 24/7-supervised facility for children and teenagers with acute emotional and behavioral problems. Treatment is based on each child’s unique needs and utilizes a combination of therapeutic services, including individual, group and family therapy, psychiatric services, medical services and 24-hour supervision.


Program Details

Families seeking a mental health diagnosis or treatment are often left to navigate a broken system on their own.

That’s why our approach to residential treatment is trauma-informed, strength-based, child- and family-focused, and stresses the importance of attachment and building healthy relationships.


Biopsychosocial Assessment

Upon admission, each child will receive a thorough assessment, designed to gather clinical information related to their history, current diagnosis, family history and more. At this point, staff will work to develop a treatment plan including plans for discharge.


Psychiatric Services

Thorough initial psychiatric assessments are completed using all relevant DSM-V criteria. Psychiatrists are also available for regular consultation with parents, therapists and case managers to provide medication checks and crisis assessments.


Therapy Services

Master-level therapists provide individual, group and family therapy on a weekly basis and therapists/case managers act as the central contact for family, internal communication, and with all external stakeholders.

Family therapy is a critical component of this program and is provided in person, if possible, at least weekly by a master-level therapist. Additional family engagement and treatment may also be supported via video, phone and other communication methods depending on location and family availability.

Group therapy is provided multiple times each week by master-level therapists.
Individual psychotherapy is provided weekly by a master-level therapist, as well as substance abuse education and therapy, as required by diagnosis.

Respite care provides lodging, food, and 24-hour supervision from highly trained staff, state-of-the-art security and monitoring systems, crisis intervention, skills training, structured and unstructured recreation activities. Process groups and skills training groups are facilitated regularly in the milieu that focus on emotion regulation, social skills, anger management, conflict resolution, problem solving, and self-esteem building. Outdoor experiential learning is an important part of our therapeutic intervention and an important part of our milieu programming.


Education Services

Great Circle educational services are accredited by the Independent Schools Association of the Central States (ISACS) and approved by the Missouri Department of Elementary and Secondary Education (DESE). Instruction is provided by highly qualified special education teachers trained in social skills, anger management, and conflict resolution. All classrooms are facilitated by teacher/paraprofessional teams. Structured recreational and other therapeutic services will be provided throughout day. Depending on program and current need, some children attend education programming in the cottages and some are able to attend public schools in the community.

Specialized treatment programming, such as substance abuse education and therapy, self-injury treatment, dialectical behavior therapy, and trauma-focused cognitive behavior therapy are offered on all of the residential campuses.


For more information on our mental health services or support programs, contact Great Circle at 1-844-424-3577.



Age 15

"What I like best about the staff at Great Circle is that they will help me through my saddest and angriest times. I never had someone that I could talk to that didn't judge me for my past, but since i have been here I can talk to the staff and know that they care about me and aren't going to put me down. The staff here are like my family - they are always here for me. I am really grateful for that. I feel like this is my new home, andI am glad that I came here!"


The Joint Commission

Sponsors of this Program

Missouri Department of Social Services – Missouri Children’s Division
Missouri Department of Mental Health
Missouri Department of Social Services – Division of Youth Services
Missouri Department of Mental Health
Missouri Alliance for Children and Families
United Way of Greater St. Louis