Brazos / Detox and rehab
HHSC WM · residential · 564.902
Detox and rehab in Texas are two HHSC adult pages
Updated
Detox and rehab in Texas are two HHSC adult pages. Withdrawal Management Services (formerly known as "detoxification" or "detox" services) are medical services that help people safely stop substance use. Residential treatment services for substance use disorders are provided in licensed facilities where people stay for a short period of time.

Difference between detox and rehab
Withdrawal management often includes the use of medication to treat withdrawal symptoms. There are two types of adult substance use withdrawal management services: ambulatory withdrawal management, where a person travels to a licensed site daily to get treatment; and residential withdrawal management services, where a person stays at a licensed site that has 24-hour monitoring. Staff medically monitor and support a person to safely complete the withdrawal process. Trained staff prepare a person to make informed choices about the next steps in recovery.
Residential treatment includes counseling, case management, education, and recovery skills training. The treatment process helps a person identify the causes and effects of substance use, develop healthy ways to cope with life's problems, and learn ways to decrease the risk of returning to use.
Medical detox and rehab
26 TAC 564.902: a facility providing detoxification services shall ensure every individual admitted to a detoxification program meets the DSM criteria for substance intoxication or withdrawal. The face-to-face examination (history and physical examination) and signed orders of admission shall occur within 24 hours of admission. Detoxification programs shall have a licensed vocational nurse or registered nurse on duty for at least eight hours every day and a physician or designee on call 24 hours a day. Detoxification programs shall ensure that detoxification services are accessible at least 16 hours per day, seven days per week. At a minimum, monitoring should be done every four hours in residential detoxification programs for the first 72 hours and as ordered by the medical director or designee thereafter. In residential programs, direct care staff shall be on duty where the clients are located 24 hours a day.
Do I need detox before rehab
Ambulatory withdrawal management is not a stand-alone service in HHSC contractor language: the client is simultaneously admitted to a substance use disorder treatment service while admitted to ambulatory detoxification services. Residential treatment is a later or parallel HHSC page: people stay for a short period of time at a licensed treatment center.
How to find detox and rehab
There are several ways to find substance use withdrawal management services and residential treatment. Contact the substance use treatment program directly, the local Outreach, Screening, Assessment, Referral Service, or the Local Mental or Behavioral Health Authority. For immediate and confidential help, 24 hours a day, seven days a week, call the OSAR in the region. A person may also request help by contacting 211 Texas or calling 877-541-7905. Brazos reads a city table at (844) 833-0738.