COMTREA has been dealing with the problems associated with drinking and driving since 1974. We were one of the first programs in Missouri to develop a DWI training program.

COMTREA provides the full range of S.A.T.O.P. (Substance Abuse Traffic Offender Program) services in response to the community’s collective and individual needs for alcohol and other drug education, treatment, and rehabilitation. All of COMTREA's S.A.T.O.P. programs are certified by the Missouri Department of Mental Health, Division of Alcohol and Drug Abuse.

The Assessment
The assessment is the first step in the S.A.T.O.P. process. The assessment consists of a personal interview with the client and completion of the Drivers Risk Inventory (DRI). The DRI is a screening instrument designed to identify persons with, or at risk for, substance abuse issues. The Division chose the DRI over other screening instruments. The National Highway Traffic Safety Administration (NHTSA) described the DRI as "the best, this instrument appears to be --by far --the most carefully constructed." Any counselor interpreting the DRI for the purpose of making a S.A.T.O.P. referral assignment must meet the Division's standard as a Qualified Professional and be specifically trained and certified as a S.A.T.O.P. service provider. The Qualified Professional interprets the DRI, considers relevant client disclosures, and makes an assignment referral. The client has a right to a second opinion and a list of other service providers will be made available to the individual receiving the assessment. Although COMTREA provides all three levels of S.A.T.O.P. services, the client is not obligated to employ COMTREA as their service

The Offender Education Program (OEP)
The OEP is a ten hour education process. It is designed primarily for first time offenders with no other discernable substance issues. The program is designed to prevent further substance related traffic offenses through education and information. COMTREA conducts an OEP every month in our Suburban Office.

The Weekend Intervention Program (WIP)
The WIP is the S.A.T.O.P. level two, 48 hour program. It is designed, primarily, for second offenders and, or, those clients who have significant indicators of substance abuse issues. The program is formatted, by statute, for 48 consecutive hours. The participants enter the program on Friday and graduate on Sunday. COMTREA provides for each participant's safety, education, meals, and lodging. A medical intake and a safety officer are provided to insure participant safety. Participants with no, limited, or fixed income may be eligible for financial assistance. The majority of clients presenting themselves for this service receive some financial assistance. COMTREA conducts a WIP once a month in our Festus location.

The Clinical Intervention Program (CIP)
The CIP is the S.A.T.O.P. level three 50 hour program intervention for clients with clear indications of substance abuse or chemical dependence (20 hours of group education, 20 hours of group counseling and 10 hours of individual counseling). Some participants may be in the early stages of dependence (psychological) or in early recovery. Other participants may be in the crucial or chronic phases of dependence (alcoholism or other drug addiction). The program consists of fifty hours of individual and group counseling, and education delivered in an outpatient setting. The program can be done in either 5 or 8 week sessions.

For many, DWI is not the only area of harmful involvement with alcohol or other drugs. COMTREA is unique in that we provide a full range of mental health services, with fees based on income level and ability to pay. Some S.A.T.O.P. clients are unable to maintain abstinence in an outpatient setting and need detoxification or residential treatment services. Others may need services such as family counseling, counseling for depression or other psychiatric services, or any of the range of many services provided by COMTREA. Any services recommended to a S.A.T.O.P. client beyond completion of his/her assigned OEP, WIP or CIP program are not a Department of Revenue requirement for reinstatement of driving privileges. Rather, they are recommendations made by a professional counselor as a service to our clients.

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