Long-Term Rehab in Texas

Long-term rehab is residential treatment that lasts months rather than weeks, usually three months or longer, sometimes stepping from intensive care into a supportive residential phase. It's built for people whose addiction is severe or long-standing, who have relapsed after shorter programs, or who need time to rebuild a life, not just get through withdrawal.

This page covers what long-term rehab looks like in Texas, who it's for, how it's usually paid for, and how it connects with recovery housing and the rest of the continuum of care. Programs are listed by region and city below.

What long-term rehab means

Texas licensing rules don't define a "30-day," "60-day" or "90-day" or "long-term" program. Those are program lengths that facilities offer within the licensed levels of care, mainly intensive and supportive residential treatment. Actual length depends on clinical progress and, for most people, on what insurance authorizes, so ask every program how it decides when someone is ready to step down.

Most long-term programs combine Texas's two residential levels. The intensive residential phase averages at least 30 hours of services a week; the supportive residential phase, at least 6 hours a week, gives people a structured, staffed, sober place to live while they return to work, school or training. Some programs add vocational support, life skills and community service.

Who needs long-term treatment

• People with multiple relapses after 30- or 60-day programs.
• People whose addiction has cost them housing, work or custody, and who need time to rebuild.
• People with co-occurring mental health conditions that take months to stabilize.
• People coming out of jail, a hospital or a court-ordered stay without a safe place to live.

The research case

NIDA's principles say addiction is a chronic condition, that remaining in treatment long enough is critical, and that most people need at least three months to significantly reduce or stop use, with the best outcomes tied to longer treatment. Long-term rehab is one way to make sure treatment lasts long enough.

Paying for long-term rehab

Commercial insurance usually covers residential care while it's medically necessary, then shifts to lower levels of care. That means long-term programs often combine insurance-covered weeks with self-pay or lower-cost supportive phases. Some long-term residential programs in Texas are faith-based; programs that use only nonmedical methods are registered with HHSC rather than licensed, so check what you're getting through the HHSC chemical dependency treatment facility page. If you're uninsured, your region's OSAR can refer you to state-funded long-term residential programs.

Major Texas carriers and long-term rehab

Plan rules vary, and self-funded employer plans can differ. Always confirm benefits with the member services number on your ID card.

Long-Term Rehab in Texas at a glance

Counts come from this directory, which combines the SAMHSA National Directory of Substance Use Treatment Facilities with public business listings. "Confirmed" programs are those whose SAMHSA service codes or listings show residential, inpatient or detox care; 40 report accepting private health insurance in the SAMHSA directory. Always confirm services directly.

Court-ordered treatment and long-term care

A Texas court order under Chapter 462 can't exceed 90 days at a time, though it can be renewed. For many families, the court order is a bridge into voluntary long-term treatment. See our court-ordered treatment guide.

Long-Term Rehab by region

Texas's Health and Human Services Commission organizes services into 11 health service regions. Here's where long-term rehab programs on our list are located.

Recovery housing after long-term rehab

Many people finish long-term residential treatment by moving into recovery housing, also called sober living: drug- and alcohol-free homes where residents share rules, responsibilities and mutual support while they work or go to school. Recovery housing isn't treatment, and quality varies, so ask about house rules, drug testing, staff, cost and how residents stay connected to outpatient care. Some long-term programs operate their own step-down houses.

Who pays when insurance runs out

Long-term treatment often outlasts insurance authorization for residential care. Options include continuing in a lower-cost supportive residential phase, self-pay arrangements, state-funded programs through your region's OSAR, and outpatient care covered by insurance while living in recovery housing. Ask programs for a written estimate of each phase's cost before admission.

Questions to ask a long-term program

• Is the program licensed by HHSC for both intensive and supportive residential care?
• What does each phase include, and how long does it typically last?
• Does the program provide medical and psychiatric care, or refer out?
• What vocational, education or life-skills support is offered?
• How are families involved over several months?

Find long-term rehab near you

Long-Term Rehab in Texas's largest cities

• Dallas (2 within 25 mi)
• Houston (8 within 25 mi)
• San Antonio (4 within 25 mi)
• Austin (1 within 25 mi)
• Fort Worth (5 within 25 mi)
• El Paso (1 within 25 mi)
• McAllen (0 within 25 mi)
• Denton (2 within 25 mi)
• Arlington (4 within 25 mi)
• Corpus Christi (0 within 25 mi)
• Plano (4 within 25 mi)
• Lubbock (0 within 25 mi)
• Laredo (3 within 25 mi)
• McKinney (1 within 25 mi)
• Killeen (1 within 25 mi)
• Garland (2 within 25 mi)
• Irving (6 within 25 mi)
• Brownsville (2 within 25 mi)
• College Station (0 within 25 mi)
• Amarillo (0 within 25 mi)
• Frisco (3 within 25 mi)
• Grand Prairie (5 within 25 mi)
• Waco (1 within 25 mi)
• Odessa (2 within 25 mi)
• Midland (2 within 25 mi)
• Port Arthur (2 within 25 mi)
• Pasadena (11 within 25 mi)
• Beaumont (2 within 25 mi)
• Tyler (1 within 25 mi)
• Mesquite (1 within 25 mi)

Long-Term Rehab programs across Texas

One program from each of several Texas counties, confirmed programs first. Use the county and city links for the closest options to you.

Long-Term Rehab by county

• Harris County (8)
• Tarrant County (5)
• Bexar County (4)
• Galveston County (3)
• Webb County (3)
• Cameron County (2)
• Hale County (2)
• Kerr County (2)
• Jefferson County (2)
• Taylor County (2)
• Ellis County (2)
• Brazoria County (1)
• Denton County (1)
• McLennan County (1)
• Van Zandt County (1)
• El Paso County (1)
• Austin County (1)
• Kaufman County (1)
• Gregg County (1)
• Williamson County (1)
• Collin County (1)
• Comal County (1)
• Midland County (1)
• Ector County (1)
• Tom Green County (1)
• Bell County (1)
• Smith County (1)
• Dallas County (1)
• Bastrop County (1)
• Howard County (1)
• Gonzales County (1)

Don't see your county? Every county has a page with the nearest programs: browse all 254 Texas counties.

Other types of care

Related guides

• How Long Does Court-Ordered Rehab Last in Texas?
• After a Texas Court Order: Discharge, Aftercare and Relapse
• What Is Residential Treatment for Addiction in Texas?
• How Long Is Rehab? Detox, Residential and Total Treatment Time
• Faith-Based and Christian Rehab in Texas: Licensed vs Registered Programs
• Sober Living and Aftercare in Texas: What Comes After Rehab

This page is general information, not medical or legal advice. Confirm services, licensing and insurance directly with any program.