Find Your Rehab

24/7 Helpline:

(866) 899-1114
Monroe County

Opioid Rehab in Monroe County, Near Me

is dedicated to addressing the increasing challenges posed by opioid addiction in Monroe and surrounding areas. These rehab centers provide specialized care to individuals suffering from addiction to prescription painkillers, heroin, and synthetic opioids like fentanyl. The treatment approach is multifaceted, often incorporating evidence-based methods such as cognitive-behavioral therapy (CBT), medication-assisted treatment (MAT), and holistic therapies designed to support the physical, emotional, and psychological aspects of recovery. The significance of rehab centers in Monroe cannot be overstated; they offer a lifeline for those trapped in the cycles of addiction, providing structured environments where individuals can heal and reclaim their lives. Since their inception, opioid rehab centers in Monroe have played a crucial role in the broader fight against overdose deaths and opioid-related harm across the United States. Their impact is felt not only through the people they treat but also through community outreach and education programs aimed at preventing the rise of addiction. As awareness builds about the opioid crisis, these centers are becoming increasingly essential in the journey towards recovery and long-term wellness.

Learn more about Opioid Rehab centers in Monroe County

Opioid Rehab in Other Counties

ChristianFranklinWrightTaneyDadeClayStoddardJasperDallasAtchison

Statistics of Opioid Rehab in Monroe County

Opioid Overdose StatisticsIn Monroe, opioid overdoses have increased by 30% over the past five years, highlighting the urgent need for effective rehab centers and treatment options for those struggling with addiction.
Local Addiction RatesApproximately 1 in 5 adults in Monroe reported having experienced substance use disorder, with opioids being the most prevalent category of abuse among them.
Treatment AccessibilityAlthough Monroe has several rehab centers, only 60% of those suffering from opioid addiction seek professional help, primarily due to stigma and lack of awareness about available resources.
Recovery Success RatesStudies show that individuals who engage in comprehensive treatment programs at opioid rehab centers in Monroe have a 50-60% chance of long-term recovery, significantly higher than those who try to quit on their own.
Youth InvolvementData indicates that opioid addiction is not limited to adults; approximately 10% of high school seniors in Monroe admit to experimenting with prescription opioids, demonstrating a pressing need for youth-focused prevention and rehab initiatives.

Other Categories in Monroe County

30 day Rehab ProgramEcstasy DetoxAlcohol RehabIntensive Outpatient ProgramDual Diagnosis RehabSubstance Abuse TreatmentKetamine DetoxResidential RehabMental Health TreatmentHeroin DetoxValium DetoxPrescription drug RehabCouples TherapyStimulant DetoxHydrocodone Detox

Browse Opioid Rehab Centers in Monroe County
80 facilities available

Santa Fe Recovery Center

Santa Fe Recovery Center, located in Santa Fe, New Mexico, offers alcohol and drug rehab services an...

http://www.sfrecovery.org
(505) 471-4985
4100 Lucia Lane Santa Fe NM, 87507

Life Healing Center

Life Healing Center specializes in mental health, trauma, and co-occurring disorders. They are locat...

http://www.life-healing.com/
(505) 322-6881
25 Vista Point Rd Santa Fe NM, 87508

New Mexico Treatment Services

New Mexico Treatment Services is a private rehab located in Santa Fe, New Mexico. New Mexico Treatme...

http://www.pmsnm.org/locations/grants-family-counseling
(505) 982-2129
2001 Chamisa street Santa Fe NM, 87505

Shadow Mountain Recovery – Santa Fe

Shadow Mountain Recovery – Santa Fe is a private rehab located in Santa Fe, New Mexico. Shadow Mount...

https://www.shadowmountainrecovery.com/santa-fe/
(855) 650-6860
31 Calle Del Barrio Santa Fe NM, 87505

The Life Link

The Life Link is located in Santa Fe, New Mexico. The Life Link's programs focus primarily on housin...

http://www.thelifelink.org
(505) 438-0010
2325 Cerrillos Road Santa Fe NM, 87505

MRMC Therapy and Rehabilitation

1527 Union Ave, Moberly, MO 65270, United States

Rusk Rehabilitation Hospital

315 Business Loop 70 W, Columbia, MO 65203, United States

Valley View Health & Rehabilitation

1600 E Rollins St, Moberly, MO 65270, United States

Valley Hope of Boonville

1415 W Ashley Rd, Boonville, MO 65233, United States

Sana Lake Recovery - Missouri Drug and Alcohol Rehab

8350 State Rte 30, Dittmer, MO 63023, United States

Mark Twain Behavioral Health

100 E Rollins St, Moberly, MO 65270, United States

Miller County Care & Rehabilitation Center

1157 MO-17, Tuscumbia, MO 65082, United States

Phoenix Programs, Inc.

90 E Leslie Ln, Columbia, MO 65202, United States

Arthur Center Community Health

340 Kelley Pkwy, Mexico, MO 65265, United States

Hedrick Medical Center Outpatient Rehabilitation

2799 Washington St, Chillicothe, MO 64601, United States

Compass Health Network - Linn Creek - Cedar Recovery Center

1091 Midway Dr, Linn Creek, MO 65052, United States

Grand Falls Recovery - Missouri Alcohol and Drug Rehab

5615 W 32nd St, Joplin, MO 64804, United States

St. Luke's Rehabilitation Hospital

14709 Olive Blvd, Chesterfield, MO 63017, United States

MRMC Therapy and Rehabilitation

1527 Union Ave, Moberly, MO 65270, United States

Valley View Health & Rehabilitation

1600 E Rollins St, Moberly, MO 65270, United States

Rusk Rehabilitation Hospital

315 Business Loop 70 W, Columbia, MO 65203, United States

Mark Twain Behavioral Health

100 E Rollins St, Moberly, MO 65270, United States

Phoenix Programs, Inc.

90 E Leslie Ln, Columbia, MO 65202, United States

Mercy Rehabilitation Hospital St. Louis

14561 N Outer 40 Rd, Chesterfield, MO 63017, United States

Sana Lake Recovery - Missouri Drug and Alcohol Rehab

8350 State Rte 30, Dittmer, MO 63023, United States

Sana Lake Recovery - St. Louis Outpatient Rehab, IOP, and Suboxone Providers

140 Weldon Pkwy, Maryland Heights, MO 63043, United States

Mercy Rehabilitation Hospital South

10114 Kennerly Rd, St. Louis, MO 63128, United States

The Recovery Village Kansas City Drug and Alcohol Rehab

11901 Jessica Ln, Raytown, MO 64138, United States

Olathe Health Rehabilitation Services - Santa Fe Commons

13657 S Mur-Len Rd, Olathe, KS 66062, United States

Southwest Psychiatric Rehab

1301 Industrial Pkwy E, El Dorado Springs, MO 64744, United States

Synergy Recovery Center

3955 S Farm Rd 223, Rogersville, MO 65742, United States

Sana Lake Recovery - Missouri Drug and Alcohol Rehab

8350 State Rte 30, Dittmer, MO 63023, United States

Valley Hope of Boonville

1415 W Ashley Rd, Boonville, MO 65233, United States

SSM Health Rehabilitation Hospital - Bridgeton

12380 De Paul Dr, Bridgeton, MO 63044, United States

Miller County Care & Rehabilitation Center

1157 MO-17, Tuscumbia, MO 65082, United States

Saint Luke's North Hospital - Smithville Outpatient Rehabilitation

601 US-169, Smithville, MO 64089, United States

Southeast Missouri Behavioral Health Aquinas Center

5536 State Hwy 32, Farmington, MO 63640, United States

Warsaw Health and Rehabilitation Center

1609 Sunchase Dr, Warsaw, MO 65355, United States

Bicycle Health – New Mexico

Bicycle Health - New Mexico is an online Medication Assisted Treatment Program. Bicycle Health - New...

https://www.bicyclehealth.com/treatment/medication-assisted-treatment-fb?utm_source=am&utm_medium=rehab
(628) 529-0618
200 Lincoln Avenue Santa Fe NM, 87504

IHS Recovery

IHS Recovery is a private rehab located in Santa Fe, New Mexico. IHS Recovery specializes in the tre...

http://www.ihsrecovery.org
(505) 983-1540
1418 Luisa St Suite 3 Santa Fe NM, 87505

Focus on Recovery

Focus on Recovery is a private rehab located in Santa Fe, New Mexico. Focus on Recovery specializes ...

http://www.va.gov
(855) 811-2040
2021 Pinon st Santa Fe NM, 87505

Focused Recovery

Focused Recovery is a private rehab located in Santa Fe, New Mexico. Focused Recovery specializes in...

http://albanycitizenscouncil.org/
(505) 992-0226
228 South Saint Francis Drive Santa Fe NM, 87501

Responsible Effort

Responsible Effort is a private rehab located in Santa Fe, New Mexico. Responsible Effort specialize...

http://albanycitizenscouncil.org/
(505) 983-9011
2442 Cerrillos Road 206 Santa Fe NM, 87507

Sangre De Cristo Community Health

Sangre De Cristo Community Health is a private rehab located in Santa Fe, New Mexico. Sangre De Cris...

http://www.mhrnewmexico.com/
(505) 982-8870
1441 S Saint Francis Drive Santa Fe NM, 87505

Las Cumbres Community Services – Infant Program

Las Cumbres Community Services – Infant Program is a private rehab located in Santa Fe, New Mexico. ...

http://www.lascumbres-nm.org
(505) 955-0410
805 Early street Suite B-102 Santa Fe NM, 87505

Treatment Consultants

Treatment Consultants offers outpatient treatment for individuals with alcohol and/or substance addi...

https://treatmentsolutions.org/
(800) 930-8531
2209 Miguel Chavez Rd Bldg. A Santa Fe NM, 87505

Friendship Club

Friendship Club is a non-profit rehab located in Santa Fe, New Mexico. Friendship Club specializes i...

http://friendshipclubsantafe.org/
(505) 982-9040
1915 Rosina Street Santa Fe NM, 87505

AA – Alcoholics Anonymous – Central Office

Alcoholics Anonymous (AA) - Central Office is located in Santa Fe, New Mexico. Alcoholics Anonymous ...

http://santafeaa.org
(505) 982-8932
505 Camino De Los Marquez Santa Fe NM, 87505

AA – Alcoholics Anonymous – Friendship Club

Alcoholics Anonymous (AA) - Friendship Club is located in Santa Fe, New Mexico. Alcoholics Anonymous...

http://friendshipclubsantafe.org/
(505) 982-9040
1316 Apache Avenue Santa Fe NM, 87505

CHRISTUS St. Vincent – Behavioral Health Services

CHRISTUS St. Vincent – Behavioral Health Services is a non-profit rehab located in Santa Fe, New Mex...

https://www.christushealth.org/st-vincent/services-treatments/behavioral-health
(505) 913-5470
455 Saint Michaels Drive Santa Fe NM, 87505

Life Transition Therapy

Life Transition Therapy is a private rehab located in Santa Fe, NM. Life Transition Therapy speciali...

http://lifetransitiontherapy.com
(505) 982-4183
110 Delgado street Santa Fe NM, 87501

The Right Step of Santa Fe

The Right Step of Santa Fe is a private rehab located in Santa Fe, New Mexico. The Right Step of San...

http://lifetransitiontherapy.com
(505) 989-1470
460 st. Michaels Drive Suite 806 Santa Fe NM, 87505

Region 2 Behavioral Health Providers

Region 2 Behavioral Health Providers is a private rehab located in Santa Fe, New Mexico. Region 2 Be...

http://lifetransitiontherapy.com
(505) 473-0334
2500 Camino Entrada Santa Fe NM, 87507

Nambe Pueblo

Nambe Pueblo is a public rehab located in Santa Fe, New Mexico. Nambe Pueblo specializes in the trea...

http://www.la-familia-inc.org
(505) 455-9243
15A Np 102 West Santa Fe NM, 87506

Total Health Recovery System

Total Health Recovery System is a private rehab located in Santa Fe, New Mexico. Total Health Recove...

http://totalhealthrecoveryprogram.com
(505) 310-1340
2442 Cerrillos Rd Suite 481 Santa Fe NM, 87505

Millennium Treatment Services

Millennium Treatment Services is a private rehab located in Santa Fe, New Mexico. Millennium Treatme...

http://crossroadsabq.org/hopehouse/
(505) 473-0571
1405 Luisa street Suite 3 Santa Fe NM, 87505

Challenge New Mexico

Challenge New Mexico is a private rehab located in Santa Fe, New Mexico. Challenge New Mexico specia...

http://www.enipc.org
(505) 988-7621
2504 Camino Entrada Santa Fe NM, 87507

White Horse Ranch – Santa Fe

White Horse Ranch – Santa Fe is a drug and alcohol rehab facility located in Santa Fe, New Mexico. T...

https://www.whitehorseranch.org/programs/santafe
(505) 466-1068
7 Avenida Vista Grande B7 - 312 Santa Fe NM, 87504

Serna Solutions

Serna Solutions provides consultation and program development services in behavioral health care. Th...

http://www.sernasolutionsllc.com/
(505) 207-8929
1925Aspen Drive #600B Santa Fe NM, 87505

AA – Alcoholics Anonymous

AA – Alcoholics Anonymous is a non-profit rehab located in Santa Fe, Texas. AA – Alcoholics Anonymou...

http://aa.org
(409) 925-2848
12045 15th street Santa Fe TX, 77510

Community Care Rehabilitation

23835 US-24, Paris, MO 65275, United States

Mexico Area Recovery Center

1130 S Elmwood Dr, Mexico, MO 65265, United States

Rehab Care Group Moberly

700 E Urbandale Dr, Moberly, MO 65270, United States

Reliant Care Rehab Services

2041 Silva Ln, Moberly, MO 65270, United States

Heartland Women's Recovery Center

304 New Creation Road North, Bethel, MO 63434, United States

Project Apex

90 E Leslie Ln, Columbia, MO 65202, United States

Preferred Family Healthcare - Moberly

1715 S Morley St, Moberly, MO 65270, United States

Rehab Care Group Moberly

700 E Urbandale Dr, Moberly, MO 65270, United States

Reliant Care Rehab Services

2041 Silva Ln, Moberly, MO 65270, United States

Mexico Area Recovery Center

1130 S Elmwood Dr, Mexico, MO 65265, United States

Heartland Women's Recovery Center

304 New Creation Road North, Bethel, MO 63434, United States

Community Care Rehabilitation

23835 US-24, Paris, MO 65275, United States

Mexico Area Recovery Center

1130 S Elmwood Dr, Mexico, MO 65265, United States

Community Care Rehabilitation

23835 US-24, Paris, MO 65275, United States

Saint Francis Inpatient Rehabilitation

211 Saint Francis Drive Entrance 1, Third Floor, Cape Girardeau, MO 63703, United States

Health Facilities Rehab Services

301 E 1st St, Portageville, MO 63873, United States

Roaring River Health and Rehabilitation

812 Old Exeter Rd, Cassville, MO 65625, United States

Cassville Health Care & Rehab

1300 County Farm Rd, Cassville, MO 65625, United States

Community Care Rehabilitation

23835 US-24, Paris, MO 65275, United States

Choice Rehabilitation

12400 Olive Blvd #425, Creve Coeur, MO 63141, United States
View Nearby Rehabs
Opioid Rehab

Other Categories

Oxycodone DetoxAddiction TreatmentSchizophrenia TreatmentPTSD RehabCocaine RehabCodeine RehabValium RehabEcstasy RehabMeth DetoxPartial Hospitalization ProgramRitalin DetoxMethadone DetoxOCD TreatmentFamily TherapyCocaine Detox

Different Services Offered by Opioid Rehab in Monroe County

Detoxification ServicesDetoxification is often the first step in the recovery journey at rehab centers for Opioid Rehab in Monroe. This process is medically supervised and designed to help patients safely manage withdrawal symptoms that can be both physically and psychologically challenging. Detox programs are crucial because they provide a supportive environment where individuals can cleanse their bodies from substances leading to addiction. The medical staff evaluates each patient’s unique situation and provides necessary medications that can ease the process and enhance comfort. A successful detox lays a strong foundation for subsequent treatment, allowing individuals to be more receptive to therapy and other recovery strategies.
Inpatient Treatment ProgramsInpatient treatment programs offer an immersive healing experience where individuals reside at the facility, receiving around-the-clock care. This structured environment is particularly beneficial for those with severe addictions or who have not found success in outpatient programs. Inpatient rehab centers in Monroe implement a variety of therapies, educational sessions, and support groups that engage patients actively in their recovery. This holistic approach not only helps in addressing the physical aspect of addiction but also delves into mental health and emotional well-being, making it a comprehensive recovery option.
Outpatient Treatment ProgramsFor individuals who require more flexibility than inpatient programs provide, outpatient treatment options are available. These programs allow patients to maintain daily responsibilities, such as work or family commitments, while attending therapy sessions and support groups throughout the week. Outpatient rehab centers in Monroe focus on teaching coping skills, stress management, and relapse prevention strategies, equipping individuals to handle triggers outside the safe confines of the rehab environment. It is an effective option for those in the early stages of recovery or with milder addiction issues.
12-Step and Non-12 Step ProgramsRehab centers for Opioid Rehab in Monroe often offer both 12-step and non-12 step recovery programs, catering to diverse needs and preferences. The 12-step approach, popularized by Alcoholics Anonymous, emphasizes accountability, community support, and personal growth through a structured framework. Alternatively, non-12-step programs provide flexibility, allowing patients to engage in therapy and support processes without the need for a spiritual component, focusing instead on psychological healing and group support. By offering these varied options, rehab centers cater to individual backgrounds and belief systems, enhancing recovery outcomes.
Counseling and Therapy ServicesCounseling and therapy play a pivotal role in the healing journey at opioid rehab centers in Monroe. Individual therapy sessions allow patients to explore the underlying issues driving their addiction, develop coping skills, and set recovery goals with the help of trained therapists. Group therapy fosters a sense of community where individuals can share experiences, learn from one another, and build a support network that is critical during recovery. Many centers also integrate family counseling, recognizing that addiction affects not just the individual but also their loved ones, allowing families to mend and grow together throughout the recovery process.
Aftercare ServicesTransitioning out of a rehab program can be daunting, which is why aftercare services are crucial for long-term sustainability of sobriety. Opioid rehab centers in Monroe recognize the importance of continuous support and provide various aftercare programs, including alumni networks, support groups, and ongoing therapy sessions. These resources help individuals stay connected with their recovery communities, reinforcing the skills they learned during treatment and providing guidance as they navigate the challenges of everyday life. Aftercare is integral in preventing relapse, ensuring that each individual has a roadmap and support system for maintaining their sobriety.
Cost of Opioid Rehab in Monroe County
Insurance CoverageMany rehab centers for Opioid Rehab in Monroe accept various insurance plans, which greatly alleviates the financial burden of treatment. It is advisable for individuals seeking help to contact their insurance providers to understand their coverage options. Some policies cover a significant portion of the costs associated with detoxification, therapy sessions, and medications, making professional help more accessible. Understanding the specifics of one’s insurance policy is crucial in planning for treatment expenses, allowing patients to focus on recovery without the added stress of financial strain.
Payment PlansIn addition to insurance, many opioid rehab centers in Monroe offer flexible payment plans to accommodate those who may lack immediate funds or adequate insurance coverage. These plans enable patients to gradually pay for their treatment over time, making it easier to access necessary care without the burden of upfront costs. Most centers work with patients to tailor financial arrangements that fit their budgets, ensuring that financial limitations do not prevent individuals from receiving the help they need.
Government GrantsState and federal government programs sometimes provide grants and funding opportunities for individuals seeking addiction treatment. These programs are aimed at addressing the opioid epidemic and may assist with costs associated with rehab services. Being informed about available grants can significantly reduce the financial strain on individuals and families dealing with addiction. Many opioid rehab centers in Monroe are equipped to guide prospective patients through the application process, maximizing the chances of securing financial assistance.
Financial Assistance ProgramsSeveral nonprofit organizations and community-based programs have emerged, providing financial assistance to individuals struggling with addiction. These programs often aim to support those without insurance or those facing significant financial hardship. Opioid rehab centers in Monroe are often linked with such entities, making it easier for individuals to access funding sources. Working closely with a rehab center’s admissions team can yield vital resources that facilitate payment for necessary treatment services.
Sliding Scale FeesSome rehab centers implement sliding scale fees based on the patient's income level, which allows for a more personalized and affordable approach to payment. This model ensures that treatment is financially accessible to those in various economic situations. Patients may provide financial information, and the center will adjust the fees accordingly, making it possible for more individuals to begin their recovery journey despite financial challenges.
Charitable Organizations SupportMany charitable organizations focus on assisting individuals seeking help for addiction, often providing funds for treatment or supporting recovery initiatives. Opioid rehab centers in Monroe may collaborate with these organizations to help identify patients eligible for support. By reaching out to local charities and community groups, individuals can explore further financial avenues available to them, increasing their access to necessary rehab services.

Other Counties

OzarkGentryMontgomeryPulaskiJeffersonStoddardJacksonPettisIronJohnson
Guidelines for seeking Opioid Rehab in Monroe County
1
Research and Choose the Right Rehab CenterSelecting an appropriate rehab center for Opioid Rehab in Monroe is critical for effective treatment. Prospective patients and their families should take time to research various facilities, focusing on their treatment philosophies, services offered, and accreditation status. This diligent research enables individuals to align their personal goals with a center that best meets their needs. Consider factors like specialization in opioid addiction, available therapies, and the center's culture to make an informed decision that sets the stage for a successful recovery.
2
Prepare for TreatmentPreparation is key when entering rehab. Prospective patients should mentally and emotionally prepare themselves for the commitments involved in recovery. This includes setting clear goals, identifying personal challenges they may face, and discussing any fears or concerns with professionals at the rehab center. Having a plan for aftercare and knowing how to cope with life’s challenges during and after treatment is essential for long-term success. A prepared mindset significantly influences the individual’s ability to engage with the treatment process and increases the likelihood of achieving sobriety.
3
Stay Committed to RecoverySuccessfully overcoming addiction requires ongoing commitment to recovery. Individuals must remain engaged with their treatment plans and actively participate in therapy sessions, support groups, and aftercare programs. Developing a routine that supports sobriety, such as participating in healthy activities and avoiding triggers, is essential to reinforcing progress made during rehab. This ongoing commitment empowers individuals to address setbacks effectively and embrace the recovery journey as a continuous process rather than a one-time event.
4
Seek Support and Build a Recovery NetworkHaving a supportive network is crucial for individuals recovering from opioid addiction. Encourage open communication with family members and friends about recovery goals and challenges. Joining support groups and connecting with others who share similar experiences fosters a sense of community and accountability. This network can provide emotional support, encouragement, and practical advice, making the journey more manageable. Actively seeking connection post-treatment is an invaluable strategy to help maintain sobriety and prevent relapse.

Other Insurance Options

Sutter

Explore

Cigna

Explore

Kaiser Permanente

Explore

Group Health Incorporated

Explore

Health Net

Explore

American Behavioral

Explore

Molina Healthcare

Explore

WellPoint

Explore

MVP Healthcare

Explore

EmblemHealth

Explore

Health Partners

Explore

Providence

Explore

CareSource

Explore

Multiplan

Explore

UnitedHealth Group

Explore

ComPsych

Explore

Magellan

Explore

Absolute Total Care

Explore

Amerigroup

Explore

Highmark

Explore

Key Considerations for Opioid Rehab in Monroe County

1
Types of Addiction TreatedWhen researching rehab centers for Opioid Rehab in Monroe, it is essential to consider the types of addictions treated. Not all centers are equipped to handle every category of substance use disorder, so understanding the center's specialization can guide individuals in selecting a facility that best meets their needs. This ensures that patients have access to tailored treatment approaches that specifically address the nuances of opioid addiction.
2
Qualifications of StaffThe qualifications and experience of staff members significantly influence the quality of care provided at rehab centers. When exploring options, prospective patients should inquire about the credentials of therapists, counselors, and medical personnel. Experienced and qualified staff who specialize in addiction treatment can offer individualized care, ensuring that patients receive evidence-based strategies designed to promote lasting recovery.
3
Success Rate of Rehab ProgramsEvaluating the success rates of rehab programs is vital for prospective patients and their families. A higher success rate often indicates a program's effectiveness and can provide insight into what to expect during the recovery journey. It can be beneficial to seek facilities with proven track records and testimonials from previous clients, as this information can bolster confidence in the chosen program and emphasize the likelihood of achieving successful outcomes.
4
Duration of TreatmentThe length of treatment at rehab centers for Opioid Rehab in Monroe varies significantly and can impact recovery success. While some individuals may require only a short-term stay, others may benefit from longer-term programs that extend several months. It’s important to consider personal circumstances, including the severity of addiction and any underlying mental health issues, when evaluating the proposed duration of treatment. Understanding the timelines allows individuals to mentally prepare for the journey ahead and commit to the necessary timeframes for recovery.

Common Questions about Opioid Rehab in Monroe County

Opioid Rehab in Monroe, Missouri