Alcohol and Drug Rehab in Texas

Finding detox facilities in Texas can be difficult. Learn about TX rehab options and how to find a local addiction treatment center near you.


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Texas is home to many rehab facilities that offer comprehensive addiction treatment programs. Most rehab facilities tend to be located near major metropolitan areas like Houston, San Antonio, and Austin. For example, Greenhouse Treatment Center, owned and operated by American Addiction Centers, is located in the city of Grand Prairie, just outside the cities of Dallas and Fort Worth. There may also be various rehab facilities that are located outside major metropolitan areas as well. Understanding how to find and access rehab in Texas can help you begin your journey to recovery.

Types of Substance Abuse Treatment in Texas

There are three types of treatment programs for substance abuse: detox, inpatient care, and outpatient care.

Detox is the first step in long-term substance abuse treatment. It can also be the riskiest step due to the acute and potentially dangerous physiological effects of suddenly stopping the use of the addictive substance. However, medically supported detox provides guidance to help stabilize the patient before moving into a long-term treatment plan. Detox alone does not address the psychological, social, and behavioral problems associated with addiction and will not produce behavioral necessary for recovery. In order for a patient to fully recover from an addiction, they must also receive inpatient and/or outpatient care.

Inpatient care is administered in a residential treatment center with around-the-clock supervision from medical staff. Outpatient care follows inpatient care and does not require the patient to stay in a treatment center overnight. Outpatient care is also an option for those who do not have the flexibility to time away from work or family responsibilities.

The table below provides the number of drug and alcohol treatment centers in Texas that offer each level of care:

Type of Care, by number and percent
Facilities
No. %
Outpatient 420 83.67%
Regular 335 66.73%
Intensive 256 51.00%
Day Treatment/Partial Hospitalization 83 16.53%
Detoxification 61 12.15%
Methadone/buprenorphine maintenance or naltrexone treatment 126 25.10%
Residential (non-hospital) 124 24.70%
Short Term 91 18.13%
Long Term 102 20.32%
Detoxification 49 9.76%
Hospital Inpatient 52 10.36%
Treatment 47 9.36%
Detoxification 50 9.96%
Total 502 100.00%

In 2018 the Centers for Disease Control and Prevention reported that 3,005 Texans died from a drug overdose—a mortality rate of 10.4 per 100,000 people. As drug addiction and overdose rates continue to be a problem in the U.S.[2] American Addiction Centers is committed to reducing this trend by helping people get treatment and support.

How Do I Choose the Best Rehab Center in Texas?

Before you begin choosing rehab centers in Texas, you’ll need to determine what your medical needs are. A good first step would be to consult your doctor or a trusted medical professional. They may be able to help determine what treatment programs are best for you, and could possibly offer you a referral. Depending on your unique needs, you may benefit from specialized treatment. Specialized treatment for women, men, veterans, first responders, LGBTQ individuals, and treatment for individuals with co-occurring mental health disorders are all programs that may be effective depending on your unique needs.

How Much Does Rehab in Texas Cost?

According to a 2013 survey conducted by the Substance Abuse and Mental Health Agency (SAMHSA), the inability to afford rehab is the number one reason why those suffering from addiction did not seek treatment at a specialty facility. [5] Most people in Texas either use private or state insurance plans when seeking rehab treatment. For those without health insurance, substance abuse treatment seems out of reach.

Treatment for substance addiction can be expensive. While exact numbers are difficult to come by, both inpatient and outpatient treatment can carry a considerable financial cost, especially if they are not covered by insurance. Factors such as how long treatment lasts, how intense treatment is, where you attend treatment, what type of insurance plan you have, whether the rehab is in-network with your insurance plan, and what amenities and accommodations are offered can all affect the cost of treatment.

Private and State-Funded Drug Rehab in Texas

For most people with health insurance or those with independent financial security, private treatment is the best course for treatment. Texans without employer-based or private health insurance may have the option to receive addiction treatment in a state-funded rehab center. Both options offer accredited treatment plans but will vary on the diversity of treatment options.

Many private insurance plans cover a large percentage of the cost of treatment and offer a greater diversity of therapies and programs, such as more amenities and a better staff-to-patient ratio. These programs offer the best flexibility and fewer obstacles and challenges that can arise with government-run addiction treatment programs.

State-funded programs provide treatment to individuals who are not able to afford rehab services. Many of these programs are free or low-cost and may include detox, inpatient or outpatient treatment, and supportive services. Therefore, these programs are a good resource for patients that do not have the option to receive treatment in a private treatment center. However, many of these facilities run on government allocated funding, including federal grants, state grants, or Medicaid reimbursement. For this option, the patient must qualify for treatment, and the length of the program, treatment options, and client-to-staff ratio may be limited. Many state-funded rehab programs have a lengthy waiting list for prospective clients, only admitting severe cases first.

The table below lists the number of substance abuse treatment centers in Texas by private non-profit, private for-profit, locally funded, state-funded, or federally funded.

Facility Operation, by number and percent
Facilities
No. %
Private Non-Profit 196 39.04%
Private for Profit 243 48.41%
Local, county, or community government 27 5.38%
State government 12 2.39%
Federal Government 23 4.58%
Tribal Government 1 0.20%
Total 502 100.00%

Ways to Pay for Addiction Treatment in Texas.

There are 502 addiction treatment centers, both private and state-funded, in Texas. Of the 502 rehab centers, 320 accept private insurance and 448 also accept cash or self-payment. At least 187 of the 502 accept state-financed health insurance and 135 accept federal military insurance plans.

When it comes to paying for treatment, there are several ways you may be able to cover some or all of the cost:

  • Private insurance.
  • Public insurance (Medicare, Mediciad, VA insurance, etc.)
  • Private pay.
  • Loans.
  • Scholarships.
  • Sliding scale fees.

Nearly 18 percent of the population of Texas do not have health insurance of any type—that’s more than double the national average of 8 percent. Although not having an insurance plan can limit your substance abuse treatment options, there are many treatment centers that will work with your financial situation in order for you to get proper treatment.

The table below lists the typical payment methods used and how many alcohol and drug treatment centers in Texas accept each payment type.

Facility Payment Options, by Number and percent
No. %
Cash or self-payment 448 89.24%
Private Health Insurance 320 63.75%
Medicare 101 20.12%
Medicaid 289 57.57%
State-financed Health insurance 187 37.25%
Federal military insurance 135 26.89%
No payment accepted (free treatment for all clients) 11 2.19%
IHS/Tribal/Union (ITU) funds 35 6.97%
Other payments 4 0.80%
Sliding fee scale 249 49.60%
Treatment at no charge or minimal payment for clients who can’t pay 224 44.62%
Total 502 100.00%

Nearly 64 percent of addiction treatment centers in Texas accept private insurance, 20 percent accept Medicare and 58 percent accept Medicaid payments. For clients with lower income, nearly 50 percent of the centers use a sliding fee scale based on income and 45 percent provide treatment at no charge or a minimal amount.

Resources for Addiction Treatment in Texas

There are several additional resources that you may be able to use while searching for addiction treatment in Texas. Some of these resources include:

  • American Addiction Centers’ helpline.
  • Alcoholics Anonymous of Texas.
  • Narcotics Anonymous of Texas.
  • Texas Department of Health and Human Services.

Finding Alcohol and Drug Rehabs in Texas

Struggling with withdrawal can be the most difficult part of achieving sobriety. It can also be the most dangerous. At American Addiction Centers (AAC), our mission is to help people achieve sobriety safely and effectively. As a leading provider of addiction treatment, we operate treatment centers all across the nation. Our Greenhouse Treatment Center is located in Grand Prairie.

If you are looking for help and aren’t sure where to start, give our confidential detox hotline a call or you can text us. You’ll speak with one of our admissions navigators. Their purpose is to answer your questions and help you find treatment either at one of our treatment centers or educate you on where you may be able to find treatment if we are not a fit.

For more information on how to find a treatment center in another state, review the state guides below.