Veterans & first responders

Who else pays for this, when you cannot.

Cost is the reason most people who need this care never start it. For veterans and first responders in Missouri there are funding paths that most people, including most clinicians, have never heard of. Here they are, plainly, including the ones that have nothing to do with us.

Not affiliated with, or endorsed by, the VA, any branch of the military, any union, or any benefits pool. We do not administer any of these programs and we are not paid by them.
A man having coffee by the window in the early morning
You carried it long enough alone.
Missouri first responders

PTSD is a covered work injury here. Most people do not know that.

The law

RSMo 287.067, since August 2023.

Missouri made post-traumatic stress disorder a compensable occupational disease for first responders, with no physical injury required, when it follows one of the qualifying events the statute lists. Firefighters, police, sheriffs and deputies, EMS, and 911 dispatchers are all named in the law.

The window

52 weeks, not 30 days.

Notice runs from the qualifying event or the diagnosis, whichever comes later, and the statute allows 52 weeks. That is far longer than the ordinary workers compensation deadline, and it is why a claim you assumed was too old may not be.

The pool

Up to $10,000 toward treatment.

The same law expanded a Missouri benefits pool to cover PTSD, with up to $10,000 available toward treatment. Eligibility and process are set by the pool and your employer's participation, not by us. Your department or local is where to start.

We are not lawyers and none of this is legal advice. Your union representative or a workers compensation attorney is the right person for your own claim. We are telling you it exists because too many people never hear it.

Other doors

Places worth calling, whether or not you ever call us.

  • Your local's peer support team. IAFF Local 2665 covers eight Missouri counties and runs an active peer support program. Most departments and locals have one, and it costs nothing.
  • The VA. If you are enrolled, your VA mental health provider is the front door, and community care referrals exist for treatment the VA does not provide directly. Ask them directly what is available to you.
  • First responder assistance organizations. Several Missouri nonprofits fund mental health care for responders and their families. Your local or your department chaplain usually knows which ones are real and currently funded.
  • Your employer's EAP. Underused, confidential, and already paid for. It will not cover a full course of treatment, but it is a fast way to get seen and get a referral.
  • 988. The Suicide and Crisis Lifeline, and there is a Veterans Crisis Line at 988 then press 1. Call or text, any hour.
Talk it through

No cost, no obligation, and we will point you elsewhere if that is the right answer.

Tell us your situation and a real person walks through which of these paths actually fits, including the ones that lead somewhere other than this clinic. No call center, no pressure, no sales script.

In crisis right now? Call or text 988. This form is not monitored for emergencies.

Straight answers

The questions everyone asks first.

Do you offer free treatment?

No. We do not run a free-care program, and we would rather tell you that plainly than let you find out later. What we can do is help you understand every path that might pay for treatment, including ones most people have never heard of, and be honest about which ones we can and cannot bill today.

I am a first responder. Is PTSD really covered as a work injury in Missouri?

Under Missouri law (RSMo 287.067, effective August 2023), post-traumatic stress disorder is a compensable occupational disease for first responders, with no physical injury required, when it follows one of the qualifying events the statute lists. Firefighters, police, sheriffs and deputies, EMS, and 911 dispatchers are all named. The notice window is 52 weeks from the qualifying event or the diagnosis, whichever is later, which is far longer than the usual 30 days. We are not lawyers and this is not legal advice. Talk to your union representative or a workers compensation attorney about your own situation.

What is the critical illness pool?

The same 2023 law expanded a Missouri benefits pool to cover PTSD, with up to $10,000 available toward treatment. Eligibility and the claim process are set by the pool and by your employer's participation in it, not by us. Your department or local is the right place to start.

Are you in network with my insurance?

Right now, no. We are not in network with TRICARE, Medicare or MO HealthNet, and we are pursuing participation. Commercial plans and self-pay are the paths available today. We tell you exactly where we stand with your specific plan, in writing, before anything is scheduled.

Can you help me figure out which of these applies to me?

Yes, and there is no cost or obligation for that conversation. Tell us your situation using the form on this page and a real person walks through the options with you, including the ones that lead somewhere other than here.

Safety information

From the SPRAVATO Medication Guide, revised 09/2026. These are excerpts, word for word.

What is the most important information I should know about SPRAVATO?

SPRAVATO may cause serious side effects, including:

How can I watch for and try to prevent suicidal thoughts and actions in myself or a family member?

Pay close attention to any changes and tell your healthcare provider right away if you develop any new or sudden changes in mood, behavior, thoughts, or feelings, or if you develop suicidal thoughts or actions. This is very important when SPRAVATO is started or when the dose is changed.

Tell your healthcare provider or get emergency help right away if you or your family member have any of the following symptoms, especially if they are new, worse, or worry you:

If you're in crisis right now, call or text 988 (Suicide & Crisis Lifeline), or go to your nearest emergency room. Brain Recovery Centers is not an emergency service.

Who should not take SPRAVATO?

Do not take SPRAVATO if you:

If you are not sure if you have any of the above conditions, talk to your healthcare provider before taking SPRAVATO.

Before you take SPRAVATO, tell your healthcare provider about all of your medical conditions, including if you:

What should I avoid while taking SPRAVATO?

Do not drive, operate machinery, or do activities that require you to be fully alert and coordinated after taking SPRAVATO. Do not take part in these activities until the next day following a restful sleep.

What are the possible side effects of SPRAVATO?

Increased blood pressure. SPRAVATO can cause a temporary increase in your blood pressure that may last for about 4 hours after taking a dose. Your healthcare provider will check your blood pressure before taking SPRAVATO and for at least 2 hours after you take SPRAVATO. Tell your healthcare provider right away if you get chest pain, shortness of breath, sudden severe headache, change in vision, or seizures after taking SPRAVATO.

Problems with thinking clearly. Tell your healthcare provider if you have problems thinking or remembering.

Bladder problems. Tell your healthcare provider if you develop trouble urinating, such as a frequent or urgent need to urinate, pain when urinating, or urinating frequently at night.

The most common side effects of SPRAVATO include:

If these common side effects occur, they usually happen right after taking SPRAVATO and go away the same day.

These are not all the possible side effects of SPRAVATO. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Read the full Medication Guide (PDF)

Read the full Medication Guide (PDF)