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Residential Drug Rehab in Fredericksburg, Texas

Residential Drug Rehab options for Fredericksburg and Gillespie County, with distances and a free helpline.

Looking into residential drug rehab is a big step, and it can feel overwhelming to sort through programs on your own. People in Fredericksburg have options in Gillespie County and across Texas, including programs that take commercial insurance.

A free call can narrow things down fast: what level of care fits, which programs have beds and what your plan is likely to cover.

Not sure where to start? Calls are free and confidential. (832) 583-1066

Programs offering residential drug rehab near Fredericksburg

Gillespie County has 2 programs listed for residential drug rehab, and 145 are within 100 miles of Fredericksburg. The closest is about 3 miles away.

Starlite Recovery Center

Residential / inpatientDual diagnosisDetox available
230 Mesa Verde Drive East, Center Point, TX 78010 · ★ 4.1 (281 reviews) · 25 miles from the city center
Questions about residential drug rehab? Call (832) 583-1066 · independent helpline, not affiliated with this facility

La Hacienda Treatment Center

Hospital / inpatientDual diagnosisDetox available
145 La Hacienda Way, Hunt, TX 78024 · ★ 4.6 (157 reviews) · 31 miles from the city center
Questions about residential drug rehab? Call (832) 583-1066 · independent helpline, not affiliated with this facility

Windmill Wellness Ranch

Hospital / inpatientDual diagnosisDetox available
26229 North Cranes Mill Road, Canyon Lake, TX 78133 · ★ 4.7 (224 reviews) · 41 miles from the city center
Get help choosing a program: (832) 583-1066 · independent helpline, not affiliated with this facility

Positive Recovery LLC – Hill Country

Residential / inpatientDual diagnosisDetox available
840 County Road 420, Spicewood, TX 78669 · ★ 4.4 (29 reviews) · 48 miles from the city center
Check availability and insurance: (832) 583-1066 · independent helpline, not affiliated with this facility

The Fullbrook Center

Addiction treatment center
184 Fullbrook Ln, Fredericksburg, TX 78624 · ★ 4.1 (121 reviews) · 3 miles from the city center
Free, confidential help 24/7: (832) 583-1066 · independent helpline, not affiliated with this facility

Serenity House

Addiction treatment center
312 Balcones Dr #7501, Fredericksburg, TX 78624 · ★ 3.7 (13 reviews) · 3 miles from the city center
Talk to a treatment specialist: (832) 583-1066 · independent helpline, not affiliated with this facility

La Hacienda Treatment Center - Community Outreach Center

Addiction treatment center
429 Earl Garrett St, Kerrville, TX 78028 · ★ 4.6 (10 reviews) · 22 miles from the city center
Questions about residential drug rehab? Call (832) 583-1066 · independent helpline, not affiliated with this facility

The Fullbrook Center Kerrville Drug & Alcohol Rehab

Addiction treatment centerDual diagnosis
204 Jefferson St, Kerrville, TX 78028 · ★ 5.0 (19 reviews) · 22 miles from the city center
Check availability and insurance: (832) 583-1066 · independent helpline, not affiliated with this facility

Creekview Counseling

Addiction treatment center
404 Thompson Dr, Kerrville, TX 78028 · ★ 5.0 (4 reviews) · 22 miles from the city center
Questions about residential drug rehab? Call (832) 583-1066 · independent helpline, not affiliated with this facility

Covenant Hills Treatment Center

Addiction treatment center
9 Brandt Rd, Boerne, TX 78006 · ★ 5.0 (1 review) · 35 miles from the city center
Not sure this is the right fit? Call (832) 583-1066 · independent helpline, not affiliated with this facility

How residential drug rehab works

Residential drug rehab means living at the treatment program for the length of your stay, usually 28 to 90 days. Days are structured around individual therapy, group sessions, medical check-ins and recovery skills, with staff on site around the clock.

Living on site takes you out of the places, people and routines tied to drug use. For many people, that distance is what makes the first weeks of recovery possible.

What to expect

  • A medical and psychiatric evaluation in the first days
  • A daily schedule of therapy, groups and recovery activities
  • Relapse prevention and coping-skills work
  • Step-down planning to outpatient care or sober living

Residential Drug Rehab in Texas: what to know

In Texas, residential programs are licensed by the Health and Human Services Commission. The most intensive level must average at least 30 hours of services per client each week, with at least 10 hours of counseling, and a counselor can carry no more than 10 clients. That structure is what separates a residential drug program from a weekly outpatient group.

Questions to ask

  • How does it treat my specific drug, including medications for opioid use disorder?
  • When does discharge planning start?
  • Is the program licensed for intensive or supportive residential care?

Read our full guide to residential drug rehab in Texas.

Recovery resources in Fredericksburg

Hill Country Mental Health and Developmental Disabilities Centers is the local mental health authority for Gillespie County, the public entry point for mental health and substance use care in Fredericksburg.

Hill Country MHDD Centers provides outpatient substance use disorder services, a Mobile Crisis Outreach Team, and a crisis stabilization unit within its multi-county service area.

Sources

Getting help in Gillespie County

Gillespie County's local mental health authority is Hill Country Mental Health and Developmental Disabilities Centers, with a 24-hour crisis line at 877-466-0660. You can also call or text 988.

If a loved one refuses help and is likely to cause serious harm or keep deteriorating, Texas Health and Safety Code Chapter 462 lets a family member apply for court-ordered treatment in Gillespie County, with a physician's certificate attached. See how to file for court-ordered treatment in Texas.

Start with one conversation

Free, confidential help finding residential drug rehab for Fredericksburg residents and families. Available 24/7.

Call (832) 583-1066

Other treatment options in Fredericksburg

Residential Drug Rehab in nearby cities

Frequently asked questions

What should I bring to residential rehab?

Bring a photo ID, insurance card, a list of current medications, comfortable clothing for about a week and basic toiletries. Most programs share a packing list and restrict items like alcohol-based products and outside medications.

What if my loved one won't go to treatment?

You can talk with a specialist about how to approach the conversation. In Texas, Health and Safety Code Chapter 462 also lets a family member or other adult apply to the county court for court-ordered treatment, with a physician's certificate attached, when someone's addiction makes them likely to cause serious harm or keep deteriorating. See our guide to court-ordered treatment in Texas.

Is residential drug rehab the same as inpatient?

They overlap. Inpatient care is more medically intensive and often hospital-based; residential care is a live-in program centered on therapy and structure. Many Texas programs offer both.

How long is residential drug rehab?

Most residential drug rehab programs run 28 to 90 days. The right length depends on what you use, your history and how quickly you stabilize. Many people step down to outpatient care after.

Fredericksburg ZIP codes served: 78624

See all treatment in Fredericksburg, residential drug rehab in Gillespie County or residential drug rehab across Texas.

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