Addiction Treatment Programs in Texas

The state of Texas occupies a unique place in American history, geography, and culture. Three of the top 10 most populous cities in the United States are found within its borders; as of 2014, the state itself is home to 26.5 million people, giving it 8.4% of the national population.1,2

For a state with so many people, it has one of the lowest opioid overdose rates. In 2017, an estimated 5.1 people per every 100,000 residents died of opioid-related cause—a rate that is significantly lower than the national average of 14.6 deaths per every 100,000 residents.31 However, methamphetamine, cocaine, and abuse of prescription pharmaceuticals such as benzodiazepines remain very problematic in the state.32

For those who are struggling with any type of addiction, there are many treatment options in the state. The landscape of addiction treatment programs in Texas is as vast and diverse as the state itself, providing an equal range of challenges, opportunities, and lessons in the fight against drug abuse.

Texas: Where Everything Is Bigger

Polution statistic for Texas citiesTexas has many claims to fame – at 1.803 trillion (2018), its gross state product is the second highest in the United States, and higher than gross domestic products of Australia and South Korea – but it also reportedly has one of the worst healthcare systems in America.3 In 2012, the federal Agency for Healthcare Research and Quality found that Texas ranked below the national average for providing care for breast cancer patients, in-home healthcare, treating cancer and diabetes, and for the disabled and poor.4,5 As far back as 2007, the Dallas Daily News attributed Texas’s healthcare problems to a combination of “politics, poverty and illegal immigration.” The border between Texas and Mexico is almost 2,000 miles, according to the Federation of American Scientists, giving it the second-highest number of illegal immigrants in a single state, after California; and the state’s poverty rate of 17.5% is above the national average.6,7,8
The abuse of painkillers costs the USA $53,4 billionHowever, one area of healthcare where Texas succeeds is in drug addiction treatment. In 2013, Trust for America’s Health published a report entitled Prescription Drug Abuse: Strategies to Stop the Epidemic, which found that the Lone Star State ranked the 8th lowest for drug overdose mortalities in the United States in 2010: 9.6 per 100,000 people died as a result of improper prescription drug abuse. By contrast, West Virginia was the state with the highest rate of prescription drug fatalities, with 28.9 deaths per 100,000 people. 9

To be fair, Texas is still struggling. The figure of 9.6 per 100,000 is a 78% increase from 1999, when the state lost 5.4 people per 100,000 to drug overdoses. Nonetheless, Trust for America’s Health found that Texas scored a 6 out of 10 in implementing “promising strategies to help curb prescription drug abuse.”

The Centers for Disease Control (CDC) consider the state of prescription drug abuse in the United States to be of “epidemic” proportions, saying that overdoses from improperly taking prescription drugs kills 44 people a day. The Director of the Johns Hopkins Center for Injury Research and Policy tells Trust for America’s Health that more than 6 million people suffer from various physical or psychological disorders related to prescription drug abuse disorders, and the abuse of painkillers costs the United States almost .4 billion in terms of lost productivity, medical costs and legal fees.10

Rick Perry and the Model for Reform

Part of Texas’s success in combating the spread of drug abuse is due to Rick Perry, the longest-serving governor in the history of the state (2000-2015). According to Globe News Wire, Texas had only seven drug courts when Perry took office; in 2014, when Perry was presented with the National Award for Criminal Justice Reform by the National Association of Drug Court Professionals, his state had 136 drug courts and 15 specialized courts for treating army veterans (focusing on the connection between combat-related stress disorders and substance abuse).11,12

What’s changed? How is Texas transitioning from its lowly healthcare rank to becoming a “national and international model for reform,” where an estimated $2 billion are saved in closing prisons and giving Texas its lowest crime rates in years?

The Lesson from California

Texas's prison population

One of the solutions comes from one of Texas’s own problems that the Dallas Daily News mentioned: politics. The Daily Beast reports that from 1985-2005, Texas’s prison population jumped from 37,281 to 152,000, giving the state the second-highest incarceration rate across America. Prisons overflowed, forcing state officials to use county jails. Some convicts were forced to sleep on the floor; others were released early, some of them serving only a month for every year of their sentence before they were rotated out of the prison system to make room for a wave of new inmates.13

For as bad as Texas’s situation was, California had it much worse. The controversial “Three Strikes” law had the most populous state in the country see a 570% jump in its prison population from 1980-2010; in that same timeframe, the general population of California grew only 57%. The U.S. Supreme Court finally stepped in and decided that California’s state penitentiary system was in violation of the Eighth Amendment’s understanding of what constituted cruel and unusual punishment.14,15,16

As California refocused its efforts away from going after nonviolent crime (as part of the equally contentious Proposition 47), Rick Perry took note. When the National Association of Drug Court Professionals bestowed upon him the National Award for Criminal Justice Reform, they noted his action in “[combining] accountability and extensive treatment.” Perry himself pointed out Texas’s focus on “specialty courts” that provide exclusive and distinct treatment services for patients from all walks of life, giving millions of Texans an alternative to being put into prison without any care or consideration given to social or mental health factors.

Texas’s Journey

As part of that drive, The Texas Tribune noted that lawmakers allocated unheard of levels of funding to services to assist patients with mental health disorders. Spurred in part by a spate of mass shootings and the controversy over people with mental health problems having access to firearms, Texas lawmakers approved budget increases for mental health services that rank among the largest in the United States. The 2013 legislative session allocated around $300 million in that direction more than the previous session did. A mental health policy analyst for the Center for Public Policy Priorities said that the $2.6 billion earmarked by the Department of State Health Services is “unprecedented.”

It’s a drastic change from 2010, when Texas came 49th in the country in per capita expenditures for mental health services. Then, the state spent less than $1 for every $3 spent per patient in other states. Today, Texas is closer to the national average for mental health services expenditures.

A specific part of the drive goes towards reducing waitlists at community mental health services. July 2013 saw more than 5,200 adults and 190 children who were waiting to receive care at such facilities. The Texas State Legislature put aside around $48 million for community health centers to hire more psychiatrists, or do whatever they felt was necessary, so that the people who required mental health services the most could get them.

However, Texas’s Medicaid eligibility standards, which are among the most restrictive in the country, might disqualify a large number of people living below the poverty line, who have co-occurring mental health and substance abuse disorders, to receive the expanded health insurance covered offered by the Affordable Care Act. Low-income individuals, or those who are homeless or have criminal records, often have the greatest need for mental health and drug addiction services but the least access to them. The associate general counsel for the Texas Hospital Association tells The Texas Tribune that the people her organization sees the most with mental health issues are the ones who have no mental health coverage.17

Texas Culture and Substance Abuse

In 2010, the Houston Chronicle broke a story on the rise of prescription drug abuse in Texas, finding that 1,900 of the state’s residents died every year as a result of overdosing on their medication. In response, addiction expert Jane Maxwell led the calls for state legislators to fund a system to track prescription drugs in real time, and to create a system whereby state authorities could monitor overdose deaths to improve their responses.

Meanwhile, colleges took their own steps. Some schools have posted information about the causes and signs of overdoses on dormitory doors, offering classes and seminars on substance abuse. Some have even provided amnesty to students who are hesitant to ask for help, for fear that divulging drug use or illicit alcohol consumption might lead to punitive academic or legal measures.18

Such steps are especially notable because of the prevalence of dangerous substances on college campuses. Risky, impulsive behavior is widely considered to be “part of the college experience,” to the point where the National Institute on Alcohol Abuse and Alcoholism found that more than 80% of college students consume alcohol on campus.19,20

Subtance abuse

In 2013, the University of Texas published a report on the substance abuse trends in Texas, disclosing that 58% of secondary school students (grades 7-12) in the state had used alcohol, making alcohol the “primary drug of abuse.” Twelve percent of secondary school students said that when they did consume alcohol, they would usually drink 5 or more beers in a row, behavior that fits the definition of binge drinking, which can lead to a heart attack, high blood pressure, poor judgment, and death.21,22

An example of the deep penetration of drinking in Texas comes in an opinion piece written for the Dallas Morning News, where the writer quotes a statistic about Dallas County (population 2.37 million, making it the ninth most populous county in the United States): Almost 2,100 adults were arrested for providing alcohol to underage drinking. Other writers for the Dallas Morning News pointed the finger at adults who permit underage drinking parties on their property, which was blamed on “the degree to which drinking is so ingrained in [Texas] culture.” With beer being sold at the Six Flags Over Texas theme park, baseball games and ball games, the writer argues that Texas is indoctrinating its youngsters that the only way they can have fun is with a drink in their hand and another one on the way.23

Texas and Marijuana

Marijuana legalization for medica and recreational use Marijuana possession, meanwhile, is one of the most common causes of arrest in Texas, with almost 70,000 adults arrested in 2013 for possession. They accounted for 60% of all drug possession-related arrests in the state. Despite Texas’s reputation for being deeply conservative (the state has elected Republican governors since 1994 and last voted for a Democrat in a presidential election in 1976), My San Antonio reports that 49% of Texans support legalizing small amounts of marijuana for recreational use, and 77% favor marijuana being legalized for medical use.24

Perhaps anticipating the shift, then-Governor Perry spoke in favor of reducing penalties for small amounts of marijuana use. He spoke of how his policies of allocating resources away from prison sentences, and towards probation and progressive forms of treatment, have set a model for other states to follow. While still opposing the outright legalization adopted by Washington state and Colorado, Perry touted his “diversionary and rehabilitative programs” (such as drug courts) as examples of how decriminalization keeps minor offenders out of jail, keeps families together, and provides appropriate counseling and therapeutic services.25

Addiction Treatment and Services in Texas

The White House’s Office of National Drug Control Policy talks about the Drug-Free Communities (DFC) Support Program in Texas. DFCs work with local organizations to prevent drug use by adolescents.26 In 2011, the White House gave grants to Texas groups like:

  • Aransas Citizens Against Drugs (“promoting health, safety and wellness [and] reducing drug use”)
  • Bacoda Galveston Community Coalition
  • Texans Standing Tall, Inc. (Austin)
  • Dallas Area Drug Prevention Partnership
  • Drugs Kill Campaign

The White House explains that Drug-Free Communities are meant to facilitate communication and collaboration between local communities, public and private treatment agencies, and law enforcement, with the goal of addressing the factors in high-risk communities that can compel people to resort to substance abuse, as well as providing services that can minimize the risk of drug consumption.27

Today,  the Texas Mental Health Counselors Association works to provide the practice of mental health therapy services and education thereof, as well as influence policy that benefits the field.28 Other groups, like the Bay Area Council on Drugs and Alcohol, or the Mental Health Association of Greater Houston, provide geo-specific services and resources to residents of some of the most populous cities in the United States.

Treatment in Texas Today

Declining Crime Rates from 2007 - 2008

The measures may be working. The Texas Department of Public Safety released statistics that showed from 2007-2008, the state experienced a 5% decline in murders, a 4.3% drop in robberies, and a 6.8% decline in rapes. The number of parolees convicted of a new crime dropped 7.6 percent, and the number of incarcerations went down 4.5%

75% who go through a drug court system are never arrested againAnd to Rick Perry’s point that his investing in drug courts saved the state billions of dollars, The Daily Beast mentions that it costs the state of Texas $50.04 a day to hold someone in a maximum-security prison. Putting them in an appropriate probationary system costs Texas $3.63 a day.

Texas’s proactive approach in adopting drug courts is part of the reason there are 2,800 drug courts across the United States (as of 2014). Drug courts refer more individuals to treatment programs than any other criminal justice system in America, says Globe News Wire in writing about Rick Perry’s award from the National Association of Drug Court Professionals. Seventy-five percent of the individuals who go through a drug court system are never arrested again, and such programs save up to $13,000 for every person who goes through the system.

For various reasons, Texas has enjoyed (and endured) a reputation for being unrelentingly tough on crime (PBS explains that the state executes more convicts than any other, at a rate that far outpaces any other state). But with a growing understanding of the myriad causes of drug addiction, as well as the harmful effects of wholesale penalization and incarceration, Texas’s new approach to changing its landscape of treatment and therapy might be the tipping point in the fight against drug abuse.

In June 2014, the Community Epidemiology Work Group pulled together a report on drug use within the state of Texas. That report, as published by the National Institute on Drug Abuse, contained some good news. For example, cocaine use was on the decline throughout the state, and MDMA use declined as well, though these declines may be due to an increase in abuse of synthetic stimulants and synthetic cathinones. Many people in Texas have turned to the abuse of heroin, and there were 307 calls to poison control centers due to this drug in 2013 alone.

But where there is a problem, there is always a solution. For people living in Texas, that solution involves innovative treatment programs. And there are plenty to choose from in the state of Texas. Here are some of the options available.

  • Greenhouse Treatment Center: This upscaled treatment facility, located inside a former Neiman Marcus spa, offers amenities and comfort that go beyond what you’d expect from a typical rehab. The facility is also equipped to treat co-occurring disorders, so you will have a better chance at lasting recovery. In fact, Greenhouse offers a specialized track for people with chronic mental illness, an offering you won’t find in many treatment programs.
  • Shades of Hope: People with addictions, eating disorders, or both can benefit from enrollment in this treatment program. There are two formats to choose from: One lasts for 6 days, and the other lasts for 42 days. Both rely on a 12-Step foundation. Since the founders know that the return to home after residential treatment can be fraught, they offer extended residential care after formal treatment. This continuing care plan can help people to learn how to stay sober, even when they’re not living in a protected environment. People who don’t wish to enroll in a residential program can also take advantage of an online-only program that provides counseling from the comfort of a person’s home. Find out more by contacting the facility.
  • Center for Life Resources: This program was originally designed to assist people with a variety of mental health problems that could impact overall quality of life. As part of that suite of services, program administrators began to deliver outpatient substance abuse services. This help is available to both teens and adults who have substance abuse issues, even if those issues have resulted in legal action. People with financial difficulties may be able to get funding through a grant, so they can get the help they at no cost. Find out more by contacting the administrators.
  • Serenity House Drug and Alcohol Treatment and Prevention: This is one of the oldest treatment programs in Texas, as it has been serving clients for more than 30 years. During that time, more than 30,000 people have sought care for drug or alcohol addiction through this program. Medical detox, inpatient rehab, and outpatient rehab are all available through this program. Individual counseling, group counseling, and family counseling are all available, too. There is a 12-Step focus to all of the therapies provided. Find out more with a call to 866-795-4673.
  • Alcohol and Drug Abuse Council for the Concho Valley: This is San Angelo’s only long-term, non-prison drug and alcohol treatment facility. There are two facilities devoted to residential treatment: One for men and one for women. Participants obtain individual counseling, group counseling, relapse prevention training, and outreach to housing placement upon completion. Women with young children can bring them to treatment, and they can receive additional training in parenting skills. The facility also offers outpatient treatment, and there are multiple support groups to attend, too. Medicaid is accepted, and there is financial assistance for people who qualify.
  • Summer Sky Treatment Center: This drug and alcohol treatment program has served over 10,000 people since it opened in 1985. Men and women, adult or adolescent, are welcome in this program. Most people begin with a free consultation to ensure that they are right for the program. Then, medical detox followed by placement in either inpatient or outpatient treatment is provided. Treatment programs last for 30 days or 90 days, and significant aftercare services are provided to keep people on track after the program is complete. Admission staff is available around the clock.
  • Star Council This program is mainly known for drug and alcohol abuse prevention. Teams often provide counseling to teens and preteens in a classroom environment, hoping to help these young people avoid the perils of drugs and alcohol as they age. This program also provides treatment for people who are 18 and older who suffer from addiction. Services include an in-depth assessment, onsite drug testing, individual counseling, group counseling, parenting education, and more. Medicaid and private insurance are both accepted, and there is a sliding scale of fees for those who cannot afford the full price of admission. There are four locations to choose from.
  • Touchstone Ranch Recovery Center: This program provides more than a simple treatment program for addiction. Program administrators incorporate equine-assisted therapy into all of the treatment programs offered. That means people who enroll in these programs have the opportunity to spend time with, work with, and learn from horses, a process that can be uniquely therapeutic. Care is delivered on an inpatient basis, and most private insurance policies are accepted. The program does not accept Medicaid, Medicare, or Tricare. Call 888-988-5128 to find out more.
  • La Hacienda Treatment Center: La Hacienda opened for business in 1972, and since that time, thousands of people have come to this treatment program for care. It is a residential facility that offers four full-time board-certified medical doctors and one full-time licensed psychiatrist on staff. That team of medical doctors is supported by more than 55 licensed professionals, including physicians and nurses. Around-the-clock medical care is provided in the medical detox unit, and daily checkups are provided to anyone enrolled in the program. Counseling, therapeutic activities, and meditation are all provided as part of the healing process. The campus is situated high on a hill, overlooking a gorgeous Texas valley. Most private insurance payments are accepted.
  • Hill Country Council on Alcohol and Drug Abuse: This nonprofit organization offers a variety of mental health services to people in need. Outpatient treatment programs for drug addiction are available, as are court-ordered treatment programs. A confidential assessment starts the process rolling, and when that is complete, professionals provide a referral to the appropriate level of care. The program also offers case management to people with complex issues that might require a variety of different solutions.
  • Archway Recovery Center: This program is designed for people who struggle with sobriety but who do not need to require a residential program. In most cases, people who use this program have already completed an inpatient/residential program, and they need additional treatment before they can live at home. Archway uses sober living homes for safe housing, and participants enroll in intensive outpatient programs at Archway for their recovery. Traditional 12-Step programming is provided, augmented with equine-assisted therapy. Major private insurance programs accepted.
  • Cenikor: This organization has multiple outlets, including some in Louisiana and many in Texas. It’s been in operation since 1967, and it is a completely nonprofit organization. People with an addiction to alcohol or drugs can benefit from medical detox, followed by either long-term or short-term inpatient programming. When that is complete, people may benefit from additional care on an outpatient basis. That’s also available at Cenikor. Men and women, adults and adolescents, are welcome to enroll. Most insurance plans, state funding, and sliding-scale private pay are all available to make care affordable. Each facility has its own strengths and inner beauty. Enrollment coordinators can help families to find the right program for them.
  • Stonegate Center Recovery Community: This residential addiction treatment program is marketed as an affordable option for men struggling with alcohol and/or drug abuse. The treatment setting is home-like with a focus on community, where men to come together and learn from one another. Counselors focus on providing one-on-one interactions, rather than group counseling, so the men can obtain personalized and customized care for their addictions. The therapy has a Christian focus, and men are encouraged to augment that spiritual care in their private time. Private insurance programs are accepted, and the enrollment staff is willing to call ahead for referrals and other enrollment paperwork details. Lending options are available.
  • Starlite Recovery Center: This recovery center has been in business for more than 50 years. Substance use disorders are the primary focus of care, but people with mental health disorders may also benefit from treatment in this facility. There are several different tracks or programs available. The young men’s program is for people ages 18-28, the adult program is for men and women older than 18, the Christian program offers a faith-based recovery focus, and the freedom program is made for people in the LGBTQ community. There’s also a family treatment program for people who hope to support someone in the midst of a recovery plan. The campus is located on 55 acres of Texas hill country, and there’s an equine component to some programs. Private insurance payments are accepted, but people should expect to go through a referral and screening process before enrollment.
  • ABODE Treatment, Inc.: This organization’s name is an acronym that stands for Adult Basic Opportunity Development Environment. In essence, the developers of this organization believe that adults struggle to overcome addiction or behavioral issues due to a lack of basic skills. The developers hope to help adults boost those skills, and they have several different program tracks that might help. Some people benefit from residential, inpatient care. Others benefit from outpatient care. Many need both. Administrators can provide placement assistance, to help guide enrollment in the right program. There are two residential facilities and four outpatient facilities available.
  • Phoenix Associates Counseling Services, Inc.: With locations in both the Dallas and the Fort Worth areas, this organization aims to offer intensive outpatient treatment programs for addiction without cutting into a busy professional’s work or home life. Meetings are held in evenings and on weekends, when most businesses are closed. The treatment team is small, and the staff endeavors to provide large-scale treatment with a small-town feel.
  • Christian Farms Treehouse: A Christian environment of health and healing characterizes this program. Men and women are welcome to enroll in this residential treatment facility for help with addictions, mental health issues, or both. This program emphasizes 12-Step meetings and 12-Step learning, in addition to specific life skills, including parenting skills. Residents have access to group counseling, individual counseling, relapse prevention planning, and exercise opportunities. There is 24-hour-per-day supervision available, and there are opportunities for entertainment, including televisions and a fully stocked library. Medicaid is accepted, as are private pay options.
  • Managed Care Center for Addictive and Other Disorders: This private, nonprofit organization was formed to deliver a comprehensive continuum of care for people struggling with addiction issues. The organization provides some addiction awareness resources, including classroom education, but the group also provides both inpatient and outpatient programs for addiction. There are also special services available for women, adolescents, and people with co-occurring mental health conditions, such as depression or anxiety. Services are available to everyone, regardless of their ability to pay for care. An enrollment screening is required in order to determine proper treatment placement.
  • Tarrant County Medical Education and Research Foundation: This organization was founded in 1970 by a group of treatment professionals who wanted to deliver drug and alcohol recovery services to people in the community who might not be able to pay for those services with private funds. This nonprofit agency is funded, in part, by the Texas Commission on Alcohol and Drug Abuse. It can offer free and low-cost services to people who meet specific financial guidelines. Services provided include a methadone maintenance treatment program, addiction counseling, and referrals to additional care.
  • Maintenance and Recovery Services: Medications are often key to long-term recovery from a painkiller or heroin addiction. This organization, known by its acronym MARS, offers methadone and Suboxone therapies for people in recovery. In addition to medications, the facility offers counseling, education, and addiction resources. Group counseling, individual counseling, and couples counseling are all available, offered by trained and qualified counselors and therapists. Financial assistance is available to those who qualify. Call 512-339-9757 for more information on the North Austin campus.
  • Lubbock Lighthouse: Medication management for opioid addiction is the focus of this treatment program, but the program offers much more to people who enroll. Clients also have access to a variety of counseling options. People can work with licensed counselors, therapists, and other mental health specialists. They can attend 12-Step support group meetings, and their families can access their own form of counseling to boost the chances of healing. Meetings are held at convenient times, so people aren’t required to miss work in order to get well. Private payment is accepted, and fees are kept low.
  • Aspire Addiction Recovery Center: This facility focuses on action-based learning. People who enroll in this intensive outpatient program for addiction are asked to engage in daily activities with a high level of responsibility so they can learn to define their ability to live in recovery. Therapies provided are evidence-based, so they have a background in solid science. There are two locations to serve people in Texas. People can continue to live at home while getting help from Aspire, or they can live in one of the nearby sober living homes while in care, so they have a safe and sober place to stay while they heal.
  • Great Oaks Recovery Center: This facility, located in Egypt, Texas, provides a full continuum of addiction care. That includes medical detox, residential-based rehab, and continuing care. A typical client of this facility will go through a thorough assessment process, move into the facility for treatment, and then stay engaged with the staff and alumni after treatment is complete. The facility itself is truly gorgeous, with lush grounds and high-end decorating touches. Major insurance programs are accepted.
  • Covenant Hills Treatment Center: This Christian-based treatment center is part of the Pacific Hills family of rehab facilities. The program specializes in helping people with co-occurring mental health issues, as well as people who have a history of relapsing to alcohol or drugs. Clients can choose from a traditional 12-Step recovery track or a modified Christian 12-Step program. All clients are asked to participate in individual counseling, lectures, group counseling, and psychotherapy. All clients are also asked to develop a personal relationship with a Christian God. Enrollment comes with a guarantee. Those who complete treatment and relapse within one year can return for a week of treatment at no cost. Most major insurance programs are accepted.
  • Benchmark Recovery Center: This luxury addiction treatment program in Austin, Texas, is made for people who have a history of dropping out of traditional treatment. These people need longer and more intense treatment stays in order to combat an addiction, and they can get that at Benchmark. The facility is on 70 acres of lush grounds, and the programs offered are gender-specific. After spending 90 days in a residential program that focuses on the 12 Steps, people move into company-owned sober living communities for a full 12 months of aftercare monitoring. This is an intense program that isn’t right for everyone, but people who haven’t been able to recover in traditional treatment might benefit from this program.
  • Burning Tree: This program is also made for people who have a history of chronic relapse to alcohol or drugs. This residential program uses a 12-Step recovery approach, and people can enroll in one of two beautiful treatment facilities: One is in Dallas, and the other is in Austin. Both have vibrant recovery communities that help to boost the chances of long-term recovery success. These communities also have active employment scenes, and Burning Tree works to place clients in rewarding jobs, which also helps to boost long-term sobriety. People can stay at Burning Tree as long as they would like, as there is no forced graduation out of the program after a specific timeframe.
  • Sunspire Health Texas: 3800 Country Road 444, Princeton, TX 75407. This facility offers detox, residential, partial hospitalization, intensive outpatient, and LGBT tracks.
  • Right Step: Over 20 Texas locations. 844-817-0968. This facility offers medical detox, intensive outpatient, partial hospitalization, and sober living.
  • The Arbor Treatment Center: 1443 CR 103, Georgetown, TX 78626. This facility offers residential care for addiction, including medical detox. It accepts both insurance and private pay.
  • The Last Resort: 1620 FM 535, Smithville, TX 78957. This program is for men only. It provides partial hospitalization and residential care for addictions, including addictions complicated by dual diagnoses. Insurance and private pay are accepted.
  • The Springboard Center: 200 Corporate Drive, Midland, TX 79705. Inpatient detox, intensive outpatient, and residential care are all provided. Insurance and private pay are accepted.
  • Sante Center for Healing: 914 Country Club Rd., Argyle, TX 76226. Residential treatment and intensive outpatient treatment are available. Major insurance programs are accepted, as well as private pay.
  • Enterhealth Ranch: 524 N. Lincoln Park Rd, Van Alstyne, TX 75495. Residential treatment with a medical focus, made for people with a dual diagnosis issue, is the focus of this facility. Insurance company payments are accepted.
  • Promises Austin: 840 Co Rd 420, Spicewood, TX 78669. Medical detox and residential treatment are provided on a luxury campus.
  • Grapevine Valley Hope: 2300 William D. Tate Ave., Grapevine, TX 76051. Inpatient and outpatient addiction treatment are offered. Private insurance is accepted.
  • The Ranch at Clear Springs: 3662 Patton Lake Road, Aquilla, TX 76622. Residential treatment for drugs and alcohol is provided on a luxurious campus in the heart of Texas.
  • Phoenix House: 400 W. Live Oak St., Austin TX 87804. 888-671-9392. Adults and adolescents can get assistance with addiction, mental health issues, or both at this residential treatment program. Major insurance company payments are accepted.
  • Nexus Recovery Center: Two campuses in Dallas. Treatment for adolescent and adult women is available. Mothers can bring their children with them into treatment. Payment options are available for low-income women.
  • Carrollton Springs: 2225 Parker Rd., Carrollton, TX 75010. Inpatient and outpatient mental health and addiction care is available on a gorgeous campus. Insurance payments are accepted.
  • The Ranch at Dove Tree: 1811 13th St., Lubbock, TX 79401. Residential treatment with a customized approach is available. Major insurance providers are accepted at this beautiful west Texas location.
  • Cheyenne Center: 10525 Eastex Fwy, Houston, TX 77093. Residential, transitional residential, and outpatient treatment for addiction is available with a nondenominational approach.


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  32. National Drug Early Warning System. (2018). Texas Sentinel Community Site (SCS) Drug Use Patterns and Trends, 2018.

About The Contributor

Amanda Lautieri
Amanda Lautieri

Senior Web Content Editor, American Addiction Centers

Amanda Lautieri is a Senior Web Content Editor at American Addiction Centers and an addiction content expert for Greenhouse Treatment Center. She holds a bachelor's degree and has reviewed thousands of medical articles on substance abuse and... Read More

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