Gateway Foundation Inc

About Gateway Foundation Inc

Gateway Foundation, now operating as Alpharus Health, is a long-running nonprofit treatment provider with a presence in Saint Louis, Missouri, where their Corrections division has offered substance use treatment in community correctional settings for more than a decade. With nearly 60 years of experience, they treat substance use disorders, including opioids, stimulants, marijuana, benzodiazepines, and alcohol, along with co-occurring mental health conditions and gambling problems. Across their network, care ranges from residential withdrawal management and inpatient treatment to outpatient and virtual services, plus in-custody treatment and day reporting programs for people involved with the justice system.

In St. Louis, their corrections work has focused on bringing medication-assisted recovery into treatment for justice-involved people, pairing FDA-approved medications such as buprenorphine (Suboxone) and naltrexone (Vivitrol) with counseling to ease cravings and withdrawal. They don’t prescribe methadone themselves, but patients already on it may be able to continue through coordination with their existing provider. Their detox care offers round-the-clock medical monitoring and medication for opioid and alcohol withdrawal, along with therapy to help with lingering anxiety, restlessness, and sleep trouble. Treatment also looks at how trauma, mental health, and behavior patterns feed substance use, and they offer DUI services, support groups, an alumni network, and help sorting out insurance coverage.