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Substance abuse treatment in Texas

Updated

Substance abuse treatment in Texas on the Substance Use Disorder Services page starts from this definition: a substance use disorder occurs when there is recurrent use of a substance that affects a person's daily life. Substance use services meet the person where they are and coordinate care for the best possible outcome.

Substance abuse treatment desk with a youth notebook and a metal clinic clipboard

What is substance abuse treatment

There are a variety of intervention and treatment options designed to promote stability and help people start their recovery journey. Customized treatment and care planning can include services like peer support, case management, individual and group therapy, employment assistance and recovery housing, and community service navigation. The provider page lists Comprehensive Case Management Services, Adult Substance Use Withdrawal Management Services, Adult Substance Use Residential Treatment, Adult Substance Use Outpatient Treatment, Adult Substance Use Medication-Assisted Treatment, Adult Substance Use Women with Children Residential Treatment, and Youth Substance Use Treatment Services.

Types of substance abuse treatment

The same page points to the rule set: Title 26 Part 1 Chapter 321 Substance Use Services; Chapter 562 Licensed Chemical Dependency Counselors; Chapter 563 Minimum Standards for Narcotic Treatment Programs; Chapter 564 Chemical Dependency Treatment Facilities; Chapter 571 Voluntary Recovery Housing Accreditation. Health and Safety Code Chapter 462 Treatment of Persons with Chemical Dependencies; Chapter 464 Facilities Treating Persons with a Chemical Dependency; Chapter 466 Regulation of Narcotic Drug Treatment Programs; Chapter 469 Voluntary Accreditation of Recovery Housing.

Substance abuse treatment for adults

Adult Substance Use Services names the adult array: withdrawal management services; intensive and supportive residential treatment; outpatient treatment; medication assisted treatment; co-occurring psychiatric and substance use disorders treatment services; specialized female treatment services for pregnant women and women with dependent children. Texas residents 18 years of age and older; person is diagnosed with a substance use disorder; eligibility for state financial support is based on income, expenses, and other resources. In some cases, a person may be required to pay a portion of the services cost.

Youth substance use treatment

Texas residents ages 13 to 17 with a diagnosed substance use disorder are eligible for treatment. Severity of the disorder determines the specific type of treatment that is needed. Young adults ages 18 to 21 may be admitted to a youth treatment program if screening shows the person's needs, experiences, and behavior are like those of youth clients. Residential treatment services for substance use disorders are provided in licensed facilities where the youth stay in a dormitory-like environment during the treatment process. Treatment includes counseling, case management, education, and recovery skills training. Intensive residential treatment provides at least 45 hours per week at a licensed treatment center. Youth will attend school while in treatment. Supportive residential services are delivered at least 21 hours per week. Youth will attend school while in treatment. Outpatient treatment services for youth are delivered in a community clinic setting. Services are for youth who do not need a highly structured environment and can live at home.

Evidence-based substance abuse treatment before a diagnosis

Youth prevention programs are intended to serve youth Pre-K through Grade 12 - before the onset of a substance use disorder - to prevent or reduce the risk of developing a health problem. Programs support positive youth development through the use of evidence-based approaches endorsed by the Substance Abuse and Mental Health Services Administration. The youth service array also names treatment and youth recovery communities for ages 13 to 17.

Substance abuse treatment and recovery housing

A recovery residence refers to a supportive, shared living environment founded on peer support and connection to community services that promote a person's active participation in their own recovery. Recovery residences are free from alcohol and other substances and are a common pathway used to transition back into the community following residential treatment. The Health and Human Services Commission partners with Oxford House, Inc. and The University of Texas Health Science Center at Houston to provide access to level 1, 2, and 3 recovery residences across Texas. House Bill 299, 88th Legislature, 2023, Regular Session added Chapter 469 in the Texas Health and Safety Code. Section 469.002 requires HHSC to create recovery housing voluntary accreditation rules. The rules are posted in 26 Texas Administrative Code Chapter 571, Voluntary Recovery Housing Accreditation. For Level 1 recovery residence locations, vacancies, house contact and phone numbers: Oxford House. For recovery residence locations for people utilizing medications for opioid use disorder: Project HOMES. For state funded options for recovery housing, email [email protected].

Free substance abuse treatment

Outreach, screening, assessment, and referral programs are available to all persons looking for information about substance use services. The only requirement for OSAR services is that a person must be currently residing in the State of Texas. 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. Contact the substance use program directly, the local OSAR, or the Local Mental Health Authority or Local Behavioral Health Authority. The Substance Use Disorder Services provider page posts the 2026 HHSC Substance Use Disorder Financial Eligibility Sliding Scale (Excel). Brazos reads a city table at (844) 833-0738.

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