Alcohol, Drug, and other Rehab Centers in San Antonio, TX

1. Laurel Ridge Treatment Center

Laurel Ridge scored an overall 7.8 out of 10 possible points based on the breadth and depth of its services, programs, and treatment approaches. The center scored high marks for having a multitude of innovative treatment approaches, such as cognitive dialectic behaviorism, which seeks to identify negative thought patterns that can lead to abuse and replace them with more positive habits. It scored an 8.19 for having specific programs that cater to treating substance abuse in certain targeted populations, specifically military personnel, members of the LGBTQ community, and the mentally ill, whose issues with dependency can often have further reaching consequences.

With a wide range of Buprenorphine- and Naltrexone-based treatment and maintenance plans, Laurel Ridge is able to offer more extensive rehabilitation services and diverse treatment settings than the typical inpatient rehab experience. With choices like regular and intensive outpatient programs, as well as combination-setting plans that involve outpatient treatment with partial inpatient hospitalization, clients have many options at their disposal.

Its 34 ancillary services make Laurel Ridge one of the most comprehensive facilities we’ve reviewed. It offers a host of health counseling and prevention services, such as HIV and hepatitis testing, drug intervention services, and counseling services that include domestic violence and family counseling. The facility is privately run, although licensed through the state, and accepts private pay, private and military insurance, Medicare, and Medicaid.

• Rehabilitation Services Provided: 9.23
• Treatment Approaches: 8
• Cost: 5
• Special Programs for Unique Demographics: 8.19
• Ancillary Services: 8.1

2. Methodist Specialty & Transplant Hospital Inpatient Chemical Dependency Program

Methodist Specialty has a faith-based approach to rehab that is administered by the network’s Psychiatry and Behavioral Health Unit. The program scored an overall 5.1 out of 10 possible points, primarily due to its limited options for rehabilitation services and treatment approaches. While treatment approaches are modeled on the 12-step program, they only include cognitive behavioral therapy and drug counseling. Rehabilitation services scored a 4.26 as the detoxification method is the only available option. Unlike most drug rehab programs we’ve reviewed, it is one of the few that has a strict non-smoking policy.

Treatment settings are the typical inpatient or outpatient variety; however, some clients may be able to partake in outpatient service options that include returning to their own homes at the end of the day, and veterans can take advantage of receiving treatment within a VA hospital. The center scored a 9.45 for having targeted programs aimed at specific demographics, such as the LGBTQ community, military personnel, and older adults.

Additionally, Methodist Specialty offers 30 ancillary services, such as testing and counseling for HIV and hepatitis, community outreach, and counseling for survivors of domestic abuse and their families. The costs for rehab at Methodist scored a 5, being neither extremely expensive or inexpensive, and while all insurances, including Medicaid and Medicare, are accepted along with cash payments, there are no payment assistance or sliding scale options.

• Rehabilitation Services Provided: 4.26
• Treatment Approaches: 3
• Cost: 5
• Special Programs for Unique Demographics: 9.45
• Ancillary Services: 7.02

3. Alpha Home

Alpha Home scored 5.1 points out of a possible 10 points and is probably the most unique treatment center that we researched in San Antonio. Two of its three facilities cater to women, with the aim of addressing the unique causes of addiction in women and the specific rehabilitation needs that women often have. The special outpatient programs, which scored a 7.16 for targeted demography, are open to both men and women but are additionally tailored to the requirements of women. The center offers traditional service settings that include inpatient, outpatient, and residential options with additional amenities for visiting families. It only scored a 1.42 out of a possible 10 points for rehabilitation services as it only offers generalized substance abuse treatment without a variety of options.

A variety of innovative treatment approaches are available at Alpha Home, which gave it a high score of 9 points in this category. Most approaches fall into the cognitive behavioral category, with dialectic and rational emotive therapies being offered alongside the more traditional matrix and 12-step models. Alpha Home also employs the more intensive community reinforcement approach, which is believed to have a higher rate of success than other therapies.

All private insurance is accepted, as is Medicaid and Medicare, in addition to private pay and any government funding that can be used for treating substance abuse. Payment assistance is available but specific to each location. Approximately 18 ancillary programs are accessible to clients, ranging from HIV and other STD testing to various forms of counseling. Perhaps the most interesting ancillary program, however, is the transitional housing program serving women who have completed rehab but are in danger of homelessness. The program also provides GED counseling and testing and provides job placement services.

• Rehabilitation Services Provided: 1.42
• Treatment Approaches: 9
• Cost: 4
• Special Programs for Unique Demographics: 7.16
• Ancillary Services: 5.13

Start by determining your coverage

Private insurance, Medicaid, and Medicare are required by law to cover substance abuse treatment but may be limited by time frames or treatment options, or even facilities, in the case of state-funded insurance like Medicaid. The first step would be to determine what your needs are and then reach out to your insurer to learn what options are available to you in terms of coverage and facility. For a helpful tool to determine if you qualify for low-income Medicaid services, and to determine eligibility, visit hhs.texas.gov.

Use our database to find a treatment center near you

The tool below lists all of the treatment centers in the state of Texas recognized by the Substance Abuse and Mental Health Services Administration (SAMHSA). Input your zip code and select the filter icon to find relevant rehabs near you.

Schedule an assessment

If you are pursuing treatment that will be covered by insurance, your first step will likely be scheduling an assessment by a qualified individual, such as a therapist or counselor. Most facilities provide assessments, or your primary care provider may be able to refer you. Contact companies in our database above to find out if they will provide this service.

Contact the appropriate local organization to find an AA or NA meeting near you

See our directory tool below to find local organizations that can help you find your local Alcoholics Anonymous (AA) or Narcotics Anonymous (NA) group meetings. Meeting times and locations change periodically; it is best to call ahead to ensure the online information is accurate.

Bexar County’s proximity to the Mexican border correlates illicit drug use with HIV/AIDS prevalence

The location of Bexar County makes it a high-intensity drug trafficking area (HIDTA), meaning it is exposed to trafficking and distribution of large quantities of methamphetamines, cocaine, and heroin. This ease of access to illicit drugs in the San Antonio area has established a long-standing relationship between intravenous drug use and the prevalence of HIV/AIDS. In 2017, Bexar County was ranked the third-highest county in the state of Texas for new HIV diagnoses, residents living with HIV+ status, and residents living with AIDS.

Most child abuse and neglect cases in San Antonio and Texas have substance abuse elements

The Texas Department of Protective and Family Services noted in its 2017 Child Maltreatment Fatalities and Near Fatalities Annual Report that substance abuse, in addition to domestic violence and mental illness, is a primary factor in child abuse and neglect cases. In 2017, the San Antonio area had the second highest number of child abuse and neglect victims in the state, with 50.7 victims for every 1,000 children. This number was a 9.3% increase from the 46.4 victims in 2016.

Bexar County has the highest incidence of Neonatal Abstinence Syndrome in Texas

According to the National Institute on Drug Abuse, a baby is born addicted to opioids every fifteen minutes. A consequence of being exposed to drugs in utero is Neonatal Abstinence Syndrome (NAS), which is characterized by withdrawal symptoms that range from excessive crying to seizures to sleep disturbances. In the United States, the incidence of babies born with NAS increased from 8.2 per 1,000 Medicaid hospital births in 2010, to 14.4 in 2014, a growth of 75.6%. Similarly, Texas witnessed a 51.3% rise in substance-addicted Medicaid births between 2010 and 2014.

According to the 2018 City of San Antonio Metropolitan Health District report “Public Health: Responding to the Opioid Epidemic,” a third of all Medicaid newborns afflicted with NAS in Texas were born in Bexar County, making it the county reporting the highest rate of NAS within the state. As Texas only counts Medicaid live births, it’s believed that the overall number of live births affected by NAS may be much higher.

Furthermore, Bexar County consistently reported the highest incidences of Medicaid live births suffering from NAS among all Texas counties from 2011 to 2015. NAS rates in the county declined in 2013 and 2014 but rose again in 2015, coinciding with a spike in opioid and methamphetamine use.