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TEXAS · SAMHSA-VERIFIED

Addiction Treatment Centers in Texas

16 SAMHSA-listed treatment centers across 8 cities in Texas. Free, confidential help available 24/7.

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Treatment Centers in Texas

Cities in Texas

Houston2 centers Dallas2 centers Austin2 centers San Antonio2 centers Fort Worth2 centers El Paso2 centers Plano2 centers Arlington2 centers

People Also Ask

How much does rehab cost in Texas?▼

The cost of rehab in Texas varies widely based on the type of program, duration, and amenities. Inpatient programs typically range from $5,000 to $30,000 for 30 days. Many facilities accept insurance, which can cover a significant portion. Outpatient options are generally more affordable. Call for help understanding your specific cost.

Does Medicaid cover rehab in Texas?▼

Yes, Medicaid covers substance abuse treatment in Texas. Coverage details vary by plan, but most Medicaid programs cover detox, inpatient rehabilitation, outpatient services, and medication-assisted treatment. Contact our helpline for assistance verifying your Medicaid benefits.

What types of rehab are available in Texas?▼

Texas offers a full range of addiction treatment options including medical detox, residential inpatient programs, outpatient therapy, intensive outpatient programs (IOP), partial hospitalization (PHP), and sober living arrangements. Specialized programs for veterans, women, and young adults are also available.

Find Treatment in Texas

Our team can help you find the right program in Texas. Call for a free consultation.

Addiction Treatment Landscape in Texas

According to the most recent CDC WONDER analysis, the overdose mortality rate in Texas is 21.9 per 100k, below the US national figure of 32.6. The treatment landscape covered on this page spans residential, partial-hospitalization, intensive-outpatient, standard outpatient, and medical-detox programs run by federally-licensed providers.

Listings are sourced from the federal SAMHSA treatment locator and updated quarterly against state licensing-board records. No pay-for-placement.

Aftercare & Long-Term Recovery in Texas

A treatment program in Texas is a starting block, not a finish line. Sustained recovery comes from what happens in the 12 months after discharge — outpatient continuation, sober living, mutual-support groups, MAT continuation if applicable, peer-recovery support.

Outpatient continuation

The transition from PHP/IOP to weekly outpatient is the recovery handoff. Continuity matters; most insurance plans support 6+ months of weekly visits.

Sober living homes

A drug-free environment with house rules, peer accountability, and employment expectations. Sober living can be 30 days to 12+ months. Check NARR certification.

Mutual-support groups

The mutual-support landscape in Texas includes 12-step (AA/NA), cognitive (SMART Recovery), Buddhist (Refuge), and secular (LifeRing) options. Online meetings extend access.

MAT continuation

For opioid-use disorder, MAT (buprenorphine, methadone, or extended-release naltrexone) should continue for as long as benefit persists — often indefinitely.

Peer recovery coaching

CPRS (Certified Peer Recovery Specialists) offer practical navigation help in Texas. Most services are free via state Medicaid or grant funding.

Naloxone access

Free naloxone kits at most Texas pharmacies under standing orders. Family training is mandatory — kits in a drawer no one knows how to use don't prevent overdoses.

The first 90 days post-discharge are highest-risk. Daily community contact, scheduled therapy/coaching, MAT continuity, written relapse-response plan.

What to Expect During Treatment in Texas

Modern addiction treatment in Texas is multi-modal: no single therapy is sufficient on its own. Below are the six approaches most consistently delivered across state-licensed facilities, in alphabetical order.

Cognitive Behavioral Therapy (CBT)

Evidence-based for alcohol, cannabis, cocaine, and methamphetamine use disorders. Typically 12–24 sessions; manualized protocols available for clinicians.

Motivational Interviewing (MI)

A directive but non-confrontational style. MI works particularly well when the patient is uncertain about whether to engage in treatment.

Medication-Assisted Treatment (MAT)

Combines pharmacology and counseling. The strongest evidence base in addiction medicine — particularly for opioid and alcohol use disorders.

Dialectical Behavior Therapy (DBT)

For patients whose substance use is in the service of regulating overwhelming emotion, DBT's skill-based approach often resonates more than insight-oriented therapies.

Trauma-focused therapy

The data on trauma-addiction comorbidity is strong: ~50% co-occurrence. Treatment programs that address both perform better than those that sequence one before the other.

12-Step facilitation & peer support

No single mutual-support framework works for everyone. Texas facilities now typically introduce 2–3 options during treatment so patients can choose what fits.

Treatment Levels Available in Texas

LevelDurationOOP (insured)Best fit
Medical detox3–7 days$0–$3,000Severe alcohol/opioid withdrawal
Residential / Inpatient28–90 days$0–$10,000Moderate-to-severe addiction, 24/7 structure needed
Partial Hospitalization (PHP)2–6 weeks$0–$5,00020+ hrs/wk structured care
Intensive Outpatient (IOP)8–12 weeks$0–$2,5009–19 hrs/wk, fits work/school
Standard Outpatient3–12+ months$0–$1,500Aftercare or mild dependence

Admission Process at Texas Treatment Centers

Admission to substance-use treatment in Texas typically takes between one and seven business days, faster if the situation is medically urgent. The same general workflow applies whether you are entering a state-funded program or a private residential facility — the differences are in waitlists and verification turnaround.

  1. Initial confidential call. Speak with admissions — substance(s), length of use, co-occurring conditions, living situation.
  2. Insurance verification. Facility runs benefits with your provider — usually within 24 hours. Written estimate before commitment.
  3. Clinical assessment (ASAM). Licensed clinician determines level of care (detox / residential / PHP / IOP / outpatient).
  4. Pre-admission planning. Date, transportation, work/school, medication reconciliation, family-involvement plan.
  5. Day-one intake. Arrival, paperwork, medical exam, treatment-plan briefing, primary therapist meeting, programming begins.
For a medical crisis from substance use, call 911. For same-day non-emergency in Texas, SAMHSA at 1-800-662-HELP (4357) — confidential, free, 24/7.

Paying for Treatment Without Insurance in Texas

For uninsured Texas residents seeking treatment, the question is rarely "is there a way" but rather "which way fits my situation." Seven main pathways exist; the priority order varies by individual factors.

  1. Texas Medicaid (state Medicaid): Income below ~138% FPL qualifies most adults. Apply at healthcare.gov.
  2. State-funded / SAMHSA block-grant programs: Free or sliding-scale via SAPT-funded providers in Texas.
  3. Veterans Affairs / TRICARE: VA covers addiction treatment regardless of discharge status (Character-of-Discharge review available).
  4. Non-profit faith-based: Salvation Army ARC, Teen Challenge offer 6–12 month residential at no cost.
  5. Drug courts / diversion: Court-supervised treatment substitutes for incarceration; funded.
  6. FQHC sliding-scale: Federally Qualified Health Centers in Texas — find at HRSA.gov.
  7. Payment plans: Many private facilities accept 6–24 month interest-free plans for outpatient/IOP.

Insurance Coverage in Texas

Under the federal Mental Health Parity and Addiction Equity Act, most insurance plans in Texas must cover substance-use treatment at parity with physical-health benefits.

Aetna · Anthem · Blue Cross Blue Shield · Cigna · Humana · Kaiser Permanente · UnitedHealthcare · Medicare · Texas Medicaid · Tricare (military) · VA Community Care

In Texas, Medicaid is administered as Texas Medicaid. State-licensed facilities are typically required to accept it for substance-use treatment. Verify eligibility at medicaid.gov.

Family Resources & Support in Texas

Family involvement in Texas treatment programs has moved from optional extra to core curriculum over the last 15 years. Programs that engage at least one family member during treatment have measurably lower 1-year relapse rates.

If you are the family member

  • Find your people: Free peer support for family members of someone with a substance use issue. Al-Anon for alcohol; Nar-Anon for drugs broadly. Texas chapters in most counties.
  • Learn the science: NIDA's "Drugs, Brains, and Behavior" is the most authoritative public primer.
  • CRAFT outperforms classic interventions on randomized-controlled trials. The family learns to use reinforcement rather than confrontation to support engagement in treatment.
  • Anticipate, don't catastrophize: Relapse is common in early recovery. The family that has a re-engagement plan before it happens responds better than the one that doesn't.

Specialized Programs for Specific Populations in Texas

In Texas, specialty tracks have multiplied in the last decade as research clarified what works for whom. Veterans-only, adolescent-only, women-only, and dual-diagnosis tracks are now standard at mid-size and larger facilities.

Women's programs

Trauma-informed care, pregnancy-aware medical management, parenting groups.

Men's programs

Emotion-regulation focus, anger management, fatherhood support, identity processing.

Adolescents (13–17)

School integration, family therapy required, lower-intensity longer-duration models.

Veterans

Combat-trauma-aware programming, VA Community Care eligibility, military culture competence.

LGBTQ+

Identity-affirming therapy, anti-discrimination policies, family-of-choice integration.

Dual diagnosis

Psychiatry on staff, integrated treatment of depression/anxiety/PTSD/bipolar alongside substance use.

Healthcare professionals

Nursing/physician recovery monitoring, confidential reporting, return-to-practice protocols.

Seniors (65+)

Late-onset alcohol-use disorder, polypharmacy concerns, age-appropriate group composition.

Sources & Authority References

All statistics and policy claims sourced from federal-government and peer-reviewed agencies. Last verified May 2026.

  1. SAMHSA Treatment Locator — federal directory of licensed substance-use-treatment facilities.
  2. CDC WONDER Database — state-level overdose mortality (Texas: 21.9/100k).
  3. CMS — Mental Health Parity Act.
  4. NIDA — Principles of Drug Addiction Treatment.
  5. ASAM Criteria.
  6. Medicaid.gov — Behavioral Health Services.
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Texas Facility Profiles

Below are condensed clinical profiles for each Texas facility — programming approach, levels of care, staffing model, and admissions logistics. Compare these before the first verification call to make that conversation more productive.

View all 20 facility profiles

CAN Behavioral Health

Baytown, Texas

Admissions at CAN Behavioral Health begins with a verification call: insurance details are run against the patient's specific plan within 24-48 hours, and a written estimate of out-of-pocket cost is provided before the patient commits. The Baytown facility accepts most commercial PPO plans and many HMO plans with referral, plus self-pay arrangements with payment plans available. Texas residents whose insurance falls short or who carry Medicaid-only coverage are routed to appropriate alternatives — the goal is connection to care, not just filling a bed.

Greenhouse Outpatient Center

Arlington, Texas

Family involvement at Greenhouse Outpatient Center is structured, not optional. The Arlington facility runs a family-education program covering the disease model of addiction, codependency dynamics, communication patterns that enable versus support recovery, and the realistic shape of post-treatment life. Texas families participate via in-person sessions when geography permits and structured video sessions otherwise. Discharge planning explicitly addresses the family system the patient is returning to — boundary conversations, household alcohol policy, naloxone training where indicated — not just the patient in isolation.

Bee Cave Recovery

Austin, Texas

Clinical staffing at the Austin location includes licensed alcohol and drug counselors, master's-level therapists, registered nurses on rotation, and a consulting physician experienced in addiction medicine. Bee Cave Recovery maintains the Texas-required staffing ratios for residential addiction treatment and follows ASAM-aligned clinical practice guidelines. Group therapy is co-facilitated when census permits, and individual sessions occur a minimum of twice weekly during residential phases. Family therapy is scheduled weekly once the patient has stabilized and consents to family involvement, typically by day 10 of admission.

La Haciendas Solutions

Austin, Texas

La Haciendas Solutions serves adults across the spectrum of substance-use severity — from working professionals seeking discrete treatment for early-stage alcohol dependence to patients with decades of opioid use, prior treatment episodes, and complex medical histories. The Austin program adapts intensity and approach to the individual: some patients need primarily medical stabilization and connection to MAT, others need intensive psychotherapy for unprocessed trauma, others need both. Texas admissions screens for fit before admission rather than after — patients whose needs fall outside the program's scope are referred to appropriate alternatives.

Texoma Community Center

Sherman, Texas

Clinical staffing at the Sherman location includes licensed alcohol and drug counselors, master's-level therapists, registered nurses on rotation, and a consulting physician experienced in addiction medicine. Texoma Community Center maintains the Texas-required staffing ratios for residential addiction treatment and follows ASAM-aligned clinical practice guidelines. Group therapy is co-facilitated when census permits, and individual sessions occur a minimum of twice weekly during residential phases. Family therapy is scheduled weekly once the patient has stabilized and consents to family involvement, typically by day 10 of admission.

Laurel Ridge Treatment Center

San Antonio, Texas

Aftercare at Laurel Ridge Treatment Center is built into the treatment plan from day one, not bolted on at discharge. Patients leaving the San Antonio program have a named outpatient provider, a scheduled first appointment within seven days, a medication continuation plan if applicable, and a sober-housing recommendation if returning home presents a relapse risk. Texas alumni are invited to weekly recovery groups and have access to clinical consultation in the first 90 days post-discharge — the window where relapse risk runs highest. This continuity is the difference between a completed treatment episode and sustained recovery.

Valley Hope of Grapevine

Grapevine, Texas

Valley Hope of Grapevine serves adults across the spectrum of substance-use severity — from working professionals seeking discrete treatment for early-stage alcohol dependence to patients with decades of opioid use, prior treatment episodes, and complex medical histories. The Grapevine program adapts intensity and approach to the individual: some patients need primarily medical stabilization and connection to MAT, others need intensive psychotherapy for unprocessed trauma, others need both. Texas admissions screens for fit before admission rather than after — patients whose needs fall outside the program's scope are referred to appropriate alternatives.

Community Healthcore

Longview, Texas

A typical week at Community Healthcore blends process groups, psychoeducation, individual therapy, and recovery-skill workshops — structured to address both substance use and the co-occurring patterns that fuel relapse. The Longview program incorporates trauma-informed approaches, twelve-step facilitation as one (not the only) recovery pathway, and experiential modalities including mindfulness and physical wellness. Texas patients receive a relapse-prevention plan in the final week of residential care, with named triggers, named coping skills, and named support contacts — not a generic handout.

Professional Addiction Specialty Servs

Amarillo, Texas

A typical week at Professional Addiction Specialty Servs blends process groups, psychoeducation, individual therapy, and recovery-skill workshops — structured to address both substance use and the co-occurring patterns that fuel relapse. The Amarillo program incorporates trauma-informed approaches, twelve-step facilitation as one (not the only) recovery pathway, and experiential modalities including mindfulness and physical wellness. Texas patients receive a relapse-prevention plan in the final week of residential care, with named triggers, named coping skills, and named support contacts — not a generic handout.

Tropical Texas Behavioral Health

Weslaco, Texas

Aftercare at Tropical Texas Behavioral Health is built into the treatment plan from day one, not bolted on at discharge. Patients leaving the Weslaco program have a named outpatient provider, a scheduled first appointment within seven days, a medication continuation plan if applicable, and a sober-housing recommendation if returning home presents a relapse risk. Texas alumni are invited to weekly recovery groups and have access to clinical consultation in the first 90 days post-discharge — the window where relapse risk runs highest. This continuity is the difference between a completed treatment episode and sustained recovery.

Border Region Behavioral Health Center

Laredo, Texas

Admissions at Border Region Behavioral Health Center begins with a verification call: insurance details are run against the patient's specific plan within 24-48 hours, and a written estimate of out-of-pocket cost is provided before the patient commits. The Laredo facility accepts most commercial PPO plans and many HMO plans with referral, plus self-pay arrangements with payment plans available. Texas residents whose insurance falls short or who carry Medicaid-only coverage are routed to appropriate alternatives — the goal is connection to care, not just filling a bed.

Blue Heron Recovery

San Antonio, Texas

Many patients arriving at Blue Heron Recovery present with co-occurring mental-health conditions — anxiety, depression, PTSD, bipolar, or attention disorders — that interact with the addiction in ways that demand integrated treatment rather than sequential. The San Antonio clinical team is built for dual-diagnosis cases: licensed mental-health professionals alongside addiction specialists, psychiatric medication management when indicated, and treatment plans that address both conditions simultaneously. Texas adults who've cycled through detox-only programs without lasting results often see better outcomes with this integrated approach.

Pasadena Substance Abuse Clinic

Pasadena, Texas

Admissions at Pasadena Substance Abuse Clinic begins with a verification call: insurance details are run against the patient's specific plan within 24-48 hours, and a written estimate of out-of-pocket cost is provided before the patient commits. The Pasadena facility accepts most commercial PPO plans and many HMO plans with referral, plus self-pay arrangements with payment plans available. Texas residents whose insurance falls short or who carry Medicaid-only coverage are routed to appropriate alternatives — the goal is connection to care, not just filling a bed.

MAT Texas

Grand Prairie, Texas

Levels of care at MAT Texas span medically supervised detox, residential inpatient, partial hospitalization, and intensive outpatient — letting clinicians match intensity to ASAM criteria as recovery progresses. The Grand Prairie facility maintains 24/7 nursing during detox and inpatient phases, with medical director consultation available for complex withdrawal presentations. Step-down decisions follow standardized clinical criteria rather than calendar dates, so Texas residents complete higher-intensity care only as long as it's clinically warranted, then transition to less restrictive settings with continuity of therapist and treatment plan.

Discovery Point Retreat

Waxahachie, Texas

Many patients arriving at Discovery Point Retreat present with co-occurring mental-health conditions — anxiety, depression, PTSD, bipolar, or attention disorders — that interact with the addiction in ways that demand integrated treatment rather than sequential. The Waxahachie clinical team is built for dual-diagnosis cases: licensed mental-health professionals alongside addiction specialists, psychiatric medication management when indicated, and treatment plans that address both conditions simultaneously. Texas adults who've cycled through detox-only programs without lasting results often see better outcomes with this integrated approach.

Montrose Center

Houston, Texas

Montrose Center serves adults across the spectrum of substance-use severity — from working professionals seeking discrete treatment for early-stage alcohol dependence to patients with decades of opioid use, prior treatment episodes, and complex medical histories. The Houston program adapts intensity and approach to the individual: some patients need primarily medical stabilization and connection to MAT, others need intensive psychotherapy for unprocessed trauma, others need both. Texas admissions screens for fit before admission rather than after — patients whose needs fall outside the program's scope are referred to appropriate alternatives.

Changes Carrollton Springs

Frisco, Texas

Outcome tracking at Changes Carrollton Springs extends beyond completion rates: the Frisco facility follows up at 30, 90, and 180 days post-discharge to measure abstinence, quality of life, employment stability, and re-engagement with substance use. Aggregate outcome data is reviewed quarterly by clinical leadership and used to refine programming — what's working with which presentations gets reinforced, what's not gets revised. Texas families considering this provider can request outcome summaries during the admissions consultation; transparency about real-world results is a marker of a clinically serious program.

Tropical Texas Behavioral Health

Weslaco, Texas

Family involvement at Tropical Texas Behavioral Health is structured, not optional. The Weslaco facility runs a family-education program covering the disease model of addiction, codependency dynamics, communication patterns that enable versus support recovery, and the realistic shape of post-treatment life. Texas families participate via in-person sessions when geography permits and structured video sessions otherwise. Discharge planning explicitly addresses the family system the patient is returning to — boundary conversations, household alcohol policy, naloxone training where indicated — not just the patient in isolation.

Pan American Behavioral Health

Baytown, Texas

Levels of care at Pan American Behavioral Health span medically supervised detox, residential inpatient, partial hospitalization, and intensive outpatient — letting clinicians match intensity to ASAM criteria as recovery progresses. The Baytown facility maintains 24/7 nursing during detox and inpatient phases, with medical director consultation available for complex withdrawal presentations. Step-down decisions follow standardized clinical criteria rather than calendar dates, so Texas residents complete higher-intensity care only as long as it's clinically warranted, then transition to less restrictive settings with continuity of therapist and treatment plan.

WTCR Dallas

Dallas, Texas

Outcome tracking at WTCR Dallas extends beyond completion rates: the Dallas facility follows up at 30, 90, and 180 days post-discharge to measure abstinence, quality of life, employment stability, and re-engagement with substance use. Aggregate outcome data is reviewed quarterly by clinical leadership and used to refine programming — what's working with which presentations gets reinforced, what's not gets revised. Texas families considering this provider can request outcome summaries during the admissions consultation; transparency about real-world results is a marker of a clinically serious program.