Table of Contents
I. Getting Help

I. Getting Help

What to Consider When Choosing a Rehab Center

There are many different types of rehab programs and treatment options to consider. Here are a few of the decisions you need to make:

The main factors that determine which rehab options will be best for you are the severity of your addiction and your unique personal and financial situation.

For more information on how to make all of these decisions, read our guide to Choosing the Right Rehab

The Highest Rated, Low-Cost Rehabs in Texas

If the cost of rehab is a barrier for you (as it is for many) and you don’t have insurance, there are still ways for you to get help. Out of the 383 rehab facilities recognized by the Substance Abuse and Mental Health Administration (SAMHSA) in California, 210 offer some sort of payment assistance to most adults. Out of those 210 rehabs, Laurel Ridge Treatment Center in San Antonio received the highest overall score from


For more information about the five core metrics, head to the full breakdown of our filtering process and ranking methodology

1. Laurel Ridge Treatment Center

Located in San Antonio, Laurel Ridge provides inpatient and intensive outpatient rehabilitation services for adults, adolescents, and members of the military. It ranked near the top in almost every category except “Cost,” where it was only average, which earned it the highest overall score of 7.8. The rehab’s highest performance was on Rehabilitation Services Provided – it received a near-perfect score partially due to the fact that it administers medications such as buprenorphine and methadone. Laurel Ridge only scored a “5” on Cost since the information provided to SAMHSA indicates that it doesn’t accept private insurance or TRICARE. However, it does accept Medicaid.

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

2. Sundown Ranch

Sundown Ranch received a 6.8 overall, and it’s located in Canton, approximately 60 miles southeast of Dallas. The rehab offers both inpatient and outpatient rehab services to adults and young adults. One of the programs unique features is an intensive program for the families affected by substance abuse that takes place over a weekend. Sundown Ranch’s biggest strength is the number of rehabilitation services it provides – it got the highest possible score for offering services like buprenorphine detoxification. However, it doesn’t provide have programs tailored for unique groups such as veterans or youth.

  • Rehabilitation Services Provided: 10
  • Treatment Approaches: 9
  • Cost: 4
  • Special Programs for Unique Demographics: 1.89
  • Ancillary Services: 5.13

3. Cenikor Foundation

With a score of 6.7, the Tyler campus of Cenikor Foundation ranked the third highest in the state. The facility offers both inpatient and outpatient services to residents of Eastern Texas. One of the company’s best features is the number of specially designed programs it offers for certain groups like those with co-occurring disorders (mental health and substance abuse) and those who’ve experienced trauma. The facilities biggest weakness is the poor selection of rehabilitation services such as methadone treatment.

  • Rehabilitation Services Provided: 2.13
  • Treatment Approaches: 9
  • Cost: 8
  • Special Programs for Unique Demographics: 10
  • Ancillary Services: 7.02
Top-Rated, Low-Cost Treatment Centers in Texas
RankRehabTotal ScoreContact Information
#1Laurel Ridge Treatment Center7.817720 Corporate Woods Drive San Antonio, TX 78259 Main Tel: 210-491-9400
#2Sundown Ranch6.83120 VZ County Road 2318 Canton, TX 75103 Main Tel: 903-479-3933
#3Cenikor Foundation6.71530 South SW Loop 323 Tyler, TX 75701 Main Tel: 903-630-7469
#4Touchstone Ranch Recovery Center6.515751 South U.S. Highway 281 Hico, TX 76457 Main Tel: 254-918-2009
#5Sante Center for Healing6.3914 Country Club Road Argyle, TX 76226 Main Tel: 940-464-7222
#6Cotulla Wellness Center6.1105 South Steward Cotulla, TX 78014 Main Tel: 830-879-2502
#7Starlite Recovery Center6.0230 Mesa Verde Drive East Center Point, TX 78010 Main Tel: 830-634-2212
#8The Pavillion6.01501 South Coulter Road Amarillo, TX 79106 Main Tel: 806-354-1810
#9Nexus Residential Facility5.78733 La Prada Drive Dallas, TX 75228 Main Tel: 214-321-0156
#10Charlies Place Recovery Center5.75501 Interstate Highway 37 Corpus Christi, TX 78408 Main Tel: 361-826-5350

Finding a Substance Abuse Treatment Center in Texas

Start by contacting your referral center

In Texas, the first step is to contact the Outreach, Screening, Assessment, and Referral Center (OSAR) in your region. The OSARs are located at the Local Mental Health Authorities (LMHAs) in the 11 regions serviced by the Texas Department of State Health Services (DSHS). To find the contact information for the OSAR/LMHA in your area, visit the DSHS website.

The purpose of the referral centers is to determine what type of help each individual needs, and what resources are available for each person. The referral center is also the first point of contact for anyone who may need assistance paying for treatment. Keep in mind that those who qualify for Medicaid can take advantage of the Substance Use Disorder Benefit.

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.

filter button

Type Of Care
Treatment Apporaches
Service Setting
Age Groups Accepted
Ancillary Services
Facility Operation
Facility Smoking Policy
Gender Accepted
Language Services
License Certification Accreditation
Payment Assistance Available
Payment Methods and Insurance Accepted
Special Programs Groups Offered

    What to Expect in Rehab

    There are many different methods for treating addiction, and the science of studying addiction is constantly improving and changing. However, the core pieces of treatment are generally the same.


    For more on what to expect in rehab, read our guide on the addiction rehabilitation process 

    II. Rehab for At-Risk Groups

    Substance Abuse Treatment for Veterans

    1 in 15 veterans had a substance use disorder in 2015

    1 in 15

    Veterans had substance use disorder in 2015

    Veterans face unique challenges that can put them at higher risk for substance abuse than the general population. Factors leading to increased risk include things like PTSD and homelessness.

    Veterans have access to additional resources for treatment, and VA benefits often cover the cost. To get help with substance abuse from the VA health care system follow these steps:

    • Enroll: If you aren’t enrolled already, you can check to see if you are eligible by using the Health Benefits Explorer, and then complete the application.
    • Discover: Find out whether your local VA center provides substance use disorder (SUD) treatment by calling or visiting the center. If you don’t know where the closest VA is, call the VA hotline to find out: 1-800-827-1000.
    • Find Treatment: If your local VA does provide SUD treatment, then discover what your options are and enroll in treatment. If your local VA doesn’t provide SUD treatment, then use the SUD program locator to find one that does.

    Military sexual assault of female veterans is linked to substance abuse

    1 in 4

    Female veterans have experienced military sexual assault

    The VA website reports that many of the female veterans who are seen for treatment by the VA have a history with military sexual assault – this type of trauma can lead to self-medication with drugs or alcohol. The following table lists treatment resources in Texas specifically designed for women or female veterans.

    Substance Abuse Programs for Female Veterans in Texas
    ServicesLocationContact Information
    Deborah’s HouseIn-Patient for ongoing recovery from addictionSan Antonio, 78205Web:
    The Magdalen HouseA 14-day, non-medical detox center for women in the 12-step traditionDallas, 75218Web: Phone: (214) 324-9261
    Santa Maria Hostel Provides transitional living resources for women and female veterans who are in treatment for addictionHouston, 77055Web: Phone: (713) 691-0900

    For more information, read our guide on Substance Abuse Rehab for Veterans

    Substance Abuse Treatment for Teens

    More than 1 out of 7 youths abused substances in 2013


    Binge Drinking


    Illicit Drug Usage

    In Texas, 13% of youth participated in binge drinking in 2013, and 9% used illicit drugs. Additionally, nearly 13% of those admitted into treatment programs for substance abuse are under the age of 18. To overcome the challenges that youth face in overcoming substance addiction, some treatment centers provide teen-specific treatment programs.

    Additional Resources for Parents and Teachers

    The Texas Department of State Health Services (DSHS) funds 11 Prevention Resource Centers across the state. Each resource center works with youth and adults in its region to prevent substance abuse, and each has unique resources for families in the region. To find the resources center near you, take a look at the DSHS listing. Additionally, you can use the following resources to get a better understanding of three of the biggest dangers to youth: prescription drug abuse, underage drinking, and marijuana use.

    Co-Occurring Mental Health & Substance Abuse Treatment

    Substance abuse and mental health issues tend to go hand-in-hand – the technical term is “co-occurring mental and substance use disorders.” The Substance Abuse and Mental Health Services Administration (SAMHSA) estimates that 18% of those with some form of mental health illness also have a substance use disorder, and 39% of those with a substance use disorder also have a mental health disorder.

    Mental Health Resources & Treatment

    If you or someone you love is suffering from mental health issues such as depression, PTSD, eating disorders, or severe anxiety there are many resources and ways to get help.

    Below are a few ways to get immediate help, as advised by

    • Emergency Services: If your life (or someone else’s life) is in danger, always start by dialing 911 to get immediate access to emergency services.
    • Suicide Prevention: The number for the National Suicide Prevention Lifeline is: 800-273-8255. You can also initiate a private live online chat.
    • Veterans Crisis Line: Dial 800-273-8255 to talk to someone immediately. You can also access help with a private online chat, or you can text 838255.

    Here are two ways to find a provider of mental health treatment in your area:

    Those who have mental health issues and a substance abuse problem may benefit from dual-diagnosis rehabs. Use the appropriate filter in our tool above to find rehab centers with programs designed to meet the unique challenge posed by co-occurring disorders.

    III. Finding Aftercare in Texas

    Aftercare is often overlooked, but it’s one of the most crucial steps in the rehabilitation process. The chances of relapsing after rehab dramatically rise for individuals who just try and go back to “normal life,” rather than pursuing further treatment in aftercare. There are several types of aftercare including follow-up visits for continued therapy, group therapy, and sober living homes.

    12-Step Addiction Meetings in Texas

    Alcoholics Anonymous (AA) designed the 12-step process for those recovering from an alcohol addiction, and today there are many other 12-step programs for other addictions and issues – Narcotics Anonymous (NA) is one only one example.


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

    The tool below lists the contact information for local organizations that will connect you to Alcoholics Anonymous (AA) or Narcotics Anonymous (NA) meetings near you. Since meeting times and locations change periodically, contact the local groups that coordinate the meetings to ensure that the information is up to date.

    NameCityProgramTelephoneSpanish Hotline
    24 Hour Answering ServiceAbileneAA(817) 922-9859;(800) 396-1602N/A
    Alcoholicos Anonimos Distrito 7El PasoAAN/A(915) 351-1141
    Big Country Area NABig Country Area (Abilene)NA(325) 691-9209N/A
    Big Country Area NABig Country Area (Ballinger)NA(325) 365-2187;(325) 365-3339N/A
    Big Country Area NABig Country Area (San Angelo)NA(325) 657-6646N/A
    Brazos Valley Area NABrazos Valley AreaNA(979) 822-9094N/A
    Brazos Valley IntergroupBryanAAN/AN/A
    Central Office Of Ft. WorthFt WorthAA(817) 922-9859;(800) 396-1602N/A
    Central Service OfficeSan AntonioAA(210) 828-6235;(210) 821-6325N/A
    Central Service OfficeTylerAA(903) 597-1796N/A
    Central Texas Area NACentral Texas Area (Austin)NA(512) 480-0004N/A
    Central Texas Area NACentral Texas Area (Spanish)NAN/A(512) 480-0007
    Central Texas IntergroupWacoAA(254) 754-3336N/A
    Coastal Bend Area NACoastal Bend Area (Corpus Christi and surrounding)NA(361) 992-2113N/A
    Coastal Bend Intergroup AssociationCorpus ChristiAA(361) 992-8911;(866) 672-7029N/A
    Dallas Area NADallas AreaNA(972) 699-9306N/A
    Dallas Area NADallas Area (En Espanol)NA(888) 600-6229N/A
    Dallas Intergroup AssociationDallasAA(214) 887-6699N/A
    Diamondback Area NADiamondback Area (Lubbock & Levelland)NA(806) 747-1976N/A
    District III 24 Hour Answering ServiceAmarilloAA(806) 329-3088;(877) 421-4334N/A
    Distrito 12El PasoAAN/A(915) 838-6264
    En todo el estado de Texas espanol NAEn todo el estado de Texas espanolNAN/A(888) 600-6229
    Esperanza Area NAEsperanza Area (Larado, San Antonio local)NA(800) 221-9091N/A
    Esperanza Area NAEsperanza Area (Laredo, San Antonio)NA(210) 434-0665N/A
    Fort Worth Area NAFort Worth AreaNA(888) 629-6757;(817) 624-9525N/A
    Heart of Texas Area NAHeart of Texas Area (Killeen, Temple, Waco)NA(888) 629-6757N/A
    Hill Country Area NAHill Country Area (Lockhart, New Braunfels, San Marcos, Schertz, Seguin, Universal City)NA(855) 864-2262N/A
    Hill Country IntergroupAustinAA(512) 444-0071N/A
    Houston Area NAHouston AreaNA(713) 661-4200N/A
    Intergroup Association Inc.HoustonAA(713) 686-6300N/A
    Intergroup Central OfficeEl PasoAA(915) 562-4081N/A
    Lone Star Region - En Espanol NALone Star Region - En EspanolNAN/A(888) 600-6229
    Lone Star Region NALone Star RegionNA(888) 629-6757N/A
    Lubbock AA HotlineLubbockAA(806) 741-8780N/A
    Ninth District IntergroupBeaumontAA(409) 832-1107N/A
    Northside Area NANorthside Area (Galveston, Santa Fe)NA(713) 661-4200N/A
    Not High Plains Area NANot High Plains Area (Amarillo, Spearman, Dalhart)NA(806) 429-2171N/A
    Oficina Interg Hisp De HoustonHoustonAAN/A(832) 620-8280
    Oficina Intergrupal Del ValleMcAllenAAN/A(956) 638-6346
    Oficina Intergrupal HispanaSan AntonioAAN/A(210) 533-9770;(210) 409-8524
    Oficina Intergrupal Hispana A.A.AustinAAN/A(512) 619-2458;(512) 832-6767
    Oficina Intergrupal Hispana AAEl PasoAAN/A(915) 838-6264
    Oficina Intergrupal Hispana De Fort WorthFort WorthAAN/A(817) 921-6882
    Oficina Intergrupal Hispana Del Sureste De TexasBeaumontAAN/A(409) 926-6537
    Oficina Intergrupal Hispana Of A.ADallasAAN/A(214) 905-0770
    Oficina Intergrupal Noroeste de TexasMonahanAAN/A(432) 208-8335
    Panhandle Area NAPanhandle Area (Fritch)NA(806) 331-6262N/A
    Piney Woods Area NAPiney Woods Area (Longview)NA(903) 234-5449N/A
    Red River Region NARed River Region (NE Texas)NA(888) 851-1246N/A
    Rio Grande Valley Area NARio Grande Valley Area (McAllen, Brownsville)NA(956) 949-1900N/A
    Southeast Texas Area NASoutheast Texas Area (Orange, Beaumont, Port Arthur, Nederland)NA(855) 627-3826N/A
    Southwest Texas District 7 AA HotlineVictoriaAA(866) 672-7029N/A
    Tri-Country Area NATri-Country Area (Galveston, Fort Bend & Brazoria Counties)NA(888) 955-8822N/A
    Unity Area NAUnity Area (Midland, Odessa)NAN/AN/A

    Sober Living Homes

    Sober living homes (also referred to as recovery residences) are group homes that help recovering addicts transition from treatment facilities to living on their own, while maintaining sobriety. They are especially helpful for those who don’t have a supportive and positive environment to live in after rehab.

    Residents can stay for a couple months of for years, as long as they follow the rules and don’t relapse (most homes have a zero tolerance policy for using substances). Other rules usually include completing chores, attending mutual support groups regularly, and paying an equal share of the cost of renting the home.

    Some halfway houses are listed in our database, and you can find them by using the appropriate filter in our tool above. Otherwise, head to our guide on sober living homes to learn more about sober living homes, and to find a certified recovery residence near you.

    IV. Substance Abuse in Texas


    Marijuana use is less common in Texas than it is in the rest of the nation


    of Texas residents use marijuana


    of Americans use marijuana

    Overall, the percentage of Texans who abuse one of the listed drugs or alcohol is lower across the board than the corresponding national percentages. For instance, the percentage of the population that uses marijuana is only 10.10% in Texas, while 11.09% of the national population has used the substance in the past year.

    Annual Averages for Substance Abuse in Texas
    Ages: 12-17Ages: 18+TotalTexas % of PopulationNational % of Population

    * AUD stands for Alcohol Use Disorder. The numbers reflected in the table above are not the number of individuals who use alcohol, but rather those who have an AUD.

    Texans die due to drugs and alcohol at a slightly higher rate than the rest of the nation


    of Texas deaths are caused by drugs and alcohol


    of US deaths are caused by drugs and alcohol

    The table below shows the number of deaths involving drugs and alcohol in the 10-year span between 2006 and 2015. The percentage of deaths caused by drugs and alcohol in Texas is just about equal to the national average, with a slightly higher percentage of both adult deaths (13.92% vs. 13.56%) and a slightly lower percentage of youth deaths (4.56% vs. 5.3%).

    Deaths Caused by Drugs and Alcohol in Texas Between 2006 and 2015
    Ages: 12-17Ages: 18+All Ages
    Drug-Induced Deaths259237,756238,101
    Alcohol-Induced Deaths4231,59731,645
    Total Deaths6,6041,935,2981,973,520
    Percentage of Drug & Alcohol Induced Deaths4.56%13.92%13.67%

    Texas go to treatment for meth at nearly double the national rate


    of Texas rehab admissions are for meth


    of US rehab admissions are for meth

    Addiction to amphetamines (including meth) was the main reason that Texans went to state-funded rehab facilities much more often than in rehabs across the US. Additionally, marijuana addiction and cocaine addiction were both treated at a higher rate than the rest of the nation.

    Admission into State-Funded Treatment Programs in 2015
    Total Admissions in TexasPercent of all Admissions in TexasPercent of All Admissions in the US
    All Substances37,370100%100%
    Alcohol (Including Alcohol Usage with Secondary Drug)10,40227.8%33.9%
    Marijuana 7,55920.2%14.1%
    Amphetamines (Including Methamphetamines)6,23316.7%8.9%
    Cocaine (Including smoked and other usage)3,2138.6%5.0%
    Other Opiates (Including Prescription Painkillers)2,2386.0%8.2%
    Hallucinogens 620.2%0.1%
    Other Stimulants170.0%0.1%

    Key Indicators of Substance Abuse Issues

    When trying to understand the substance abuse problem in a specific area, researchers and policymakers examine “key indicators.” Combined with usage stats, key indicators can provide a deep level of insight into which substances and demographics present the biggest problem and are at the highest risk. Key indicators with recent, credible statistics available are examined below.

    Over three million Texans deal with mental illness every year

    Based on data from The Substance Abuse and Mental Health Services Administration (SAMHSA), 18% of those with some form of mental health illness also have a substance use disorder, and 41% of those with a substance use disorder also have a mental health disorder. The combination of the two issues is called a “dual diagnosis.” Because of the link between the problems, the prevalence of mental health problems helps us to understand substance abuse in Texas.


    of Texans have mental health problems


    of Americans have mental health problems

    16% of adults in Texas deal with mental illness each year, and 3.5% have had serious thoughts of suicide. The table below sheds some light on the prevalence of mental health issues in Texas.

    Texas Annual Averages for Mental Health Issues in 2014 and 2015
    Ages: 12-17Percentage of PopulationAges: 18+Percentage of Population
    Major Depressive Episode272,00011.53%1,112,0005.68%
    Serious Mental IllnessNo DataNo Data654,0003.34%
    Any Mental IllnessNo DataNo Data3,127,00015.98%
    Had Serious Thoughts of Suicide No DataNo Data678,0003.46%

    Suicide is an act that’s often linked with substance abuse – those who have a Substance Use Disorder (SUD) are six times more likely to attempt suicide during their lifetime than those without a SUD. Nationally, Texas ranked 41st for the number of suicides per 100,000 people.

    Suicides in Texas Between 2006 and 2015
    Suicides in TexasSuicides RankTexas Suicide Rate (Per 100k People)Suicide Rate RankU.S. Suicide Rate (Per 100k People)
    Ages: 12-179291st4.136th4.2
    Ages: 18+27,8233rd1541st16

    Texans drink, drive, and die more often than Americans in other states

    The most tangible impact substance abuse has on a community may be when individuals choose to get behind the wheel of a car after using drugs or alcohol. In Texas, 987 people were killed in automobile accidents where a driver was under the influence of alcohol – this means that one-fourth of all fatalities on Texas roadways involved an impaired driver.


    deaths per 100,000 people involving intoxicated Texas drivers ages 21-34


    deaths per 100,000 people involving intoxicated US drivers ages 21-34

    According to the Centers for Disease Control and Prevention (CDC), 2.1% of adults report driving after drinking too much within the last 30 days – this percentage is slightly higher than the national average of 1.9%. The higher number of adults driving after drinking too much could account for the higher number of deaths per 100,000 people in Texas when compared to the figures for the US as a whole (about 1.5 more).

    Deaths Involving Drivers Under the Influence of Alcohol in 2012
    Ages: 0-20Ages: 21-34Ages: 35+All Ages
    Texas Rate of Deaths (per 100,000)
    United States Rate of Deaths (per 100,000)

    Drug-related crashes had fatal consequences at twice the rate of alcohol-related crashes in 2016 – 4.5% of Texas crashes involving alcohol resulted in fatalities, but 9% of drug-related crashes resulted in one or more deaths.

    Texas Crashes Related to Drugs and Alcohol in 2016
    Crashes with FatalitiesCrashes with Incapacitating Injuries Crashes with Non-Incapacitating InjuriesTotal Crashes
    Alcohol- Induced8721,5783,38119,521

    Prescription painkillers are used at a much lower rate in Texas than in other states

    Prescription drug abuse (particularly opioid painkillers and Benzodiazepines) is an increasing problem in the United States. While it is difficult to estimate how many people use these drugs as prescribed and how many abuse them, the CDC and IMS have researched the variation in painkiller prescriptions between states. The more prescriptions are written, the greater the potential for dependence and abuse.


    opioid pain reliever prescriptions written per 100 people in Texas


    opioid pain reliever prescriptions written per 100 people in the US

    As is shown in the table below, the number of prescriptions written per 100 people is much lower in Texas than it is in most other states, particularly when it comes to long-acting and high dose opioids – pharmacists wrote the fewest (per capita) of those types of prescriptions in the nation.

    Painkiller Prescriptions Written in Texas per 100 People in 2012
    TexasNational AverageState Rank
    Opioid Pain Relievers74.387.334
    Long-Acting/Extended-Release Opioid Pain Relievers4.212.051
    High-Dose Opioid Pain Relievers1.94.551

    The rate of homelessness in Texas less than half the national average

    A high rate of homelessness in an area indicates a greater potential for substance abuse problems. Homelessness has been shown to be linked to substance abuse as both the cause and result.

    The rate of homelessness in Texas is low and it’s getting lower. Since 2013, the number of homeless people per 10,000 population has continued to drop, reaching a low of 8.3 per 10,000 people in 2016, which is less than half the national average.

    The U.S. HUD AHAR: 2016, 2015, 2014, 2013

    Substance Abuse Among At-Risk Groups

    Texas youths use illicit drugs at a lower rate than teens across the country


    of Texas youth used illicit drugs in 2013


    of US youth used illict drugs in 2013

    “At-Risk Groups” are segments of the population who are especially vulnerable to developing a substance abuse problem, or those who have a higher likelihood of negative outcomes. While there are several different demographics that fit into this category (such as pregnant women and veterans), the only recent statistics in the state of Texas have to do with youth. Youth are considered “at-risk” because the effect of substance-abuse on their still-developing brain is more extreme than with older addicts.

    Substance Abuse Among Youth
    Illicit Drug Use in TexasIllicit Drug Use in the U.S.Binge Alcohol Use in TexasBinge Alcohol Use in the U.S.
    2009 – 2010 9.1%10.1%17.0%17.5%
    2010 – 20119.1%10.1%15.5%16.3%
    2011 – 20129.0%9.8%14.1%15.6%
    2012 – 20137.8%9.2%13.3%14.7%

    SAMHSA’s Behavioral Health Barometer: Texas, 2014

    Inhalants are only second to marijuana in illicit drug usage of youth

    In 2016, Texas A&M University partnered with the Texas Department of State Health Services to survey 50,000 students from around the state. Notably, the survey results indicated that marijuana is the most popular illicit drug and that inhalant usage is on par with binge drinking (five or more drinks at one time within the last month).

    Substance Abuse Among Texas Youth in 2016
    SubstancePercentage of 12-17 Year-Olds Reporting Usage
    Alcohol (Binge Drinking)11.5%
    Codeine Cough Syrup (non-medical use)10.8%
    Oxycodone & Hydrocodone (non-medical use)5.0%
    Valium & Xanax (non-medical use)4.0%
    ADHD Prescriptions (non-medical use)4.0%
    Non-Medical Use of Other Over-the-Counter Drugs3.6%

    V. Regional Substance Abuse Statistics & Rehabs

    The following sections provide a deeper look at the substance abuse problem in Texas by examining key indicators in the five largest cities. Additionally, the three highest-rated rehabs that offer some type of payment assistance near each city are listed.

    Dallas/Ft. Worth

    The three highest rated rehabs in the Dallas/Ft. Worth area that offer payment assistance are listed in the table below, along with each institution’s performance on our core metrics.

    The Highest-Rated, Low-Cost Rehabs Near Dallas/Ft. Worth
    Sundown RanchSante Center for HealingNexus Recovery Center
    Rehabilitation Services Provided105.686.39
    Treatment Approaches997
    Special Programs for Unique Demographics1.898.822.52
    Ancillary Services5.138.378.91
    Total Score6.86.35.7

    Dallas/Ft. Worth has a high percentage of deaths due to drugs and alcohol


    of deaths in Dallas/Ft. Worth are caused by drugs and alcohol


    of Texas deaths are caused by drugs and alcohol

    The percentage of deaths due to alcohol in Dallas/Ft. Worth is more than triple the percentage of deaths caused by alcohol in Houston (7.05% in Dallas/Ft. Worth and 2.56% in Houston). Overall, Dallas ranks third out of the five largest cities for the number of total deaths caused by drugs and alcohol.

    Drug and Alcohol-Induced Deaths in Dallas County Between 2006 and 2015
    Ages: 12-17Ages: 18+All Ages
    Drug-Induced Deaths4017,71117,757
    Alcohol-Induced DeathsN/A2,8042,808
    Total Deaths567161,345165,594
    Percentage of Drug & Alcohol-Induced Deaths7.05%12.71%12.42%

    Marijuana and opiates are the substance most commonly found in trafficking arrests

    About 83% of all drug trafficking arrests in 2016 involved marijuana or hashish, and opiates (including prescription painkillers) made up another 10%.

    2016 Drug Trafficking Arrests in the Dallas/Ft.Worth Metroplex
    ArrestsPercentage of Total Arrests


    The three highest rated rehabs near Houston that offer payment assistance are listed in the table below, along with each institution’s performance on our core metrics.

    The Highest-Rated, Low-Cost Rehabs Near Houston
    Memorial Harmann PaRCWest Oaks HospitalNew Dimensions Day Hospital
    Rehabilitation Services Provided7.815.681.42
    Treatment Approaches879
    Special Programs for Unique Demographics3.154.4110
    Ancillary Services7.294.594.86
    Total Score5.55.44.9

    The percentage of drug and alcohol induced deaths in Houston is high for adults and low for youth


    of Houston deaths are caused by drugs and alcohol


    of Texas deaths are caused by drugs and alcohol

    In Houston, only 2.56% of 12-17 year-olds’ deaths were caused by drugs or alcohol between 2006 and 2015. On the other hand, close to 13.23% of all adult deaths in Harris county were caused by drugs or alcohol – that’s the second highest among the five most populous cities in Texas.

    Drug and Alcohol-Induced Deaths in Harris County Between 2006 and 2015
    Ages: 12-17Ages: 18+All Ages
    Drug-Induced Deaths2828,59328,642
    Alcohol-Induced DeathsN/A5,0465,051
    Total Deaths1,067254,294261,046
    Percentage of Drug & Alcohol Induced Deaths2.56%13.23%12.91%

    Marijuana addiction is the number one reason residents of Houston go to rehab

    Marijuana and hashish abuse account for almost one-third of the primary substances of abuse in state-funded treatment programs. Alcohol is a close second with a little over one-fourth of the admissions stemming from a drinking problem.

    2015 Primary Substances of Abuse in State-Funded Rehabs in Houston
    Primary DrugPercent of Total
    Opiates and Synthetics3.60%
    Vicodin (Hydrocodone)3.00%
    Xanax (Alprazolam)2.00%

    San Antonio

    The table below shows the three highest rated treatment centers that offer payment assistance in or near San Antonio, along with each institution’s performance on our core metrics.

    The Highest-Rated, Low-Cost Rehabs Near San Antonio
     Laurel Ridge Treatment CenterStarlite Recovery Center Methodist Healthcare
    Rehabilitation Services Provided9.236.394.26
    Treatment Approaches883
    Special Programs for Unique Demographics8.195.679.45
    Ancillary Services8.18.377.02
    Total Score7.86.05.1

    San Antonio has the lowest percentage of alcohol and drug induced deaths


    of San Antonio deaths are caused by drugs and alcohol


    of Texas deaths are caused by drugs and alcohol

    Out of about 130,000 deaths, only 15,133 were due to alcohol or drug usage – that equates to the lowest percentage of deaths caused by drugs and alcohol among the five cities we researched.

    Drug and Alcohol-Induced Deaths in Hillsborough County Between 2006 and 2015
    Ages: 12-17Ages: 18+All Ages
    Drug-Induced Deaths1813,39113,413
    Alcohol-Induced DeathsN/A2,6422,647
    Total Deaths283107,677109,676
    Percentage of Drug & Alcohol-Induced Deaths8.13%14.89%14.64%

    9 out of 10 people that seek treatment in San Antonio abuse marijuana

    According to the San Antonio Council on Alcohol and Drug Abuse, the top four substances that were the primary substance of abuse in state-funded San Antonio treatment centers in 2014 are:

    • Marijuana/Hashish: 89%
    • Methamphetamine: 3%
    • Alcohol: 2%
    • Other Cannabinoids: 2%


    The three highest rated treatment centers in or near Austin that offer payment assistance are listed below, along with each institution’s performance on our core metrics.

    The Highest-Rated, Low-Cost Rehabs Near Austin
    Cross Creek HospitalTexas Star RecoveryIntegral Care
    Rehabilitation Services Provided5.688.522.13
    Treatment Approaches966
    Special Programs for Unique Demographics00.633.15
    Ancillary Services6.485.948.1
    Total Score5.65.34.6

    Austin has the highest percentage of alcohol and drug induced deaths


    of Austin deaths are caused by drugs and alcohol


    of Texas deaths are caused by drugs and alcohol

    Between 2006 and 2015, 17% of all deaths in Travis County involved substance abuse – that’s over four percentage points higher than the next closest city (Houston at 12.9%).

    Drug and Alcohol Induced Deaths in Travis County Between 2006 and 2015
    Ages: 12-17Ages: 18+All Ages
    Drug-Induced DeathsN/A8,0438,050
    Alcohol-Induced DeathsN/A1,6781,681
    Total Deaths19355,88757,100
    Percentage of Drug & Alcohol Induced Deaths5.18%17.3917.04%

    Marijuana is often present in overdoses that involve alcohol

    Drugs are bad enough by themselves, but when paired with alcohol, the results can be deadly. The top three drugs present in overdoses when drugs and alcohol are mixed in Austin are:

    • Marijuana: 43.5%
    • Xanax: 17.4%
    • Hydrocodone: 13%

    El Paso

    The three highest rated rehabs in the El Paso area that offer payment assistance are listed below, along with each institution’s performance on our core metrics.

    The Highest-Rated, Low-Cost Rehabs Near El Paso
    Alternatives CentreAliviane, Inc. Homeward Bound, Inc.
    Rehabilitation Services Provided2.846.392.84
    Treatment Approaches834
    Special Programs for Unique Demographics103.154.41
    Ancillary Services5.943.786.21
    Total Score5.54.13.5

    A relatively low percentage of deaths are caused by drugs and alcohol in El Paso


    of El Paso deaths are caused by drugs and alcohol


    of Texas deaths are caused by drugs and alcohol

    El Paso came in as a close second to San Antonio for the lowest percentage of deaths caused by drugs and alcohol between 2006 and 2015 (El Paso’s percentage is 11.67% and San Antonio’s is 11.62%).

    Drug and Alcohol-Induced Deaths in El Paso County Between 2006 and 2015
    Ages: 12-17Ages: 18+All Ages
    Drug-Induced DeathsN/A5,2385,249
    Alcohol-Induced DeathsN/A987989
    Total Deaths17252,36953,450
    Percentage of Drug & Alcohol Induced Deaths1.74%11.89%11.67%

    Fatalities from DUI crashes happen at a lower rate in El Paso than in other cities

    Of the five largest cities in Texas, El Paso had the second fewest fatalities per 100k people in 2016, and the fewest incapacitating injuries. The city’s rate of DUI crashes per 100k people was about average in the state at 111.

    2016 DUI (Alcohol) Crashes
    FatalitiesPer 100k PeopleIncapacitating InjuriesPer 100k PeopleTotal DUI CrashesPer 100k People
    Dallas & Ft. Worth753.51838.41,93189
    El Paso192.8202.9758111
    San Antonio523.5 986.61,845124

    To read more about the substance abuse problem in the Dallas/Ft. Worth area, read our guide to addiction and recovery in Fort Worth.

    VI. Take Action

    Substance abuse treatment is available for anyone who needs help in Texas – you don’t have to struggle alone. To get help, start by determining your insurance coverage and by contacting your referral center, then you can use our tool below to find a treatment center near you. Remember, many low-cost rehab centers can help if you don’t have insurance coverage or feel that rehab is out of the question due to financial constraints.