Expert Insights
As a fairly new mom, one of the things that keeps me up at night is worrying about my children. Like every mom, I want to make sure my kids are safe. And one of the places where we simply expect them to be safe is within their schools. But we’re sadly discovering that the implied safety of a school is more of a facade. I recently read about a Fort Worth school within the Carrollton-Farmers Branch Independent School District that has seen a rash of opioid overdoses – including three fatal overdoses – meaning the kids were getting and taking illicit opioid pills while in school.
One mother said she even reported the problem to school officials after her daughter admitted she was addicted after months of taking opioid pills between classes. No action was taken by the officials. This only strengthens my resolve to have an open dialogue with my children (when they’re old enough) about the dangers of drugs and the potential consequences of addiction. It’s up to us as parents to take the lead in this battle against drug abuse and ultimately keep our kids safe.
How We Rank Listings
Every facility on this page is a licensed drug and alcohol treatment provider serving Fort Worth and the surrounding Tarrant County area. We organize listings to help you compare real options quickly, factoring in the levels of care each center offers, the payment types and insurance plans they accept, and the third-party accreditations they hold, such as Joint Commission and CARF.
Our goal is to give you an honest starting point, not a sales pitch. We do not rank facilities based on advertising relationships, and we encourage every person to verify current availability, insurance coverage, and program details directly with a facility before making a decision. When a listing shows a specialty program or payment option, confirm those details at intake, since offerings can change.
Rehab in Fort Worth: What to Know
Fort Worth sits within Tarrant County, a fast-growing region of more than 2.2 million residents and the third-largest county in Texas. The city anchors the western half of the Dallas-Fort Worth metroplex, and its treatment landscape reflects that scale: this page lists 52 facilities offering a full continuum of care, from medical detox through outpatient counseling and sober living. That range means most people can find addiction treatment options close to home without leaving the county.
The backbone of publicly funded care in Fort Worth is My Health My Resources of Tarrant County (MHMR), one of the oldest and largest providers of trauma-sensitive substance use treatment in the region and the state’s designated local behavioral health authority. MHMR runs the county’s Outreach, Screening, Assessment and Referral (OSAR) line, operates residential detox and outpatient clinics across Fort Worth, Arlington, and the Hurst-Euless-Bedford area, and provides services on a sliding scale for people with limited resources. Several large private and nonprofit providers, including the Recovery Resource Council, which has served North Texas since 1946, round out the local network.
Tarrant County has taken direct, visible action in response to a sharp rise in overdoses. In 2023, there were 503 fatal overdoses among county residents, and local officials tracked roughly 2,500 overdoses of all kinds that year. Fort Worth police formed the region’s first specialized fentanyl unit to investigate overdose deaths, and the district attorney’s office created a dedicated narcotics unit targeting fentanyl suppliers.
Because synthetic opioids like fentanyl now drive the largest share of local overdose deaths, many Fort Worth programs emphasize medication-assisted treatment and overdose education alongside traditional counseling.
Geographically, Fort Worth’s facilities cluster around the central medical district and near major routes like Interstate 30 and Interstate 35W, with several residential programs located in the quieter countryside west and northwest of the city near Azle.
Public transportation through Trinity Metro connects many outpatient clinics, and some centers sit within walking distance of bus routes, which matters for people continuing to work or care for family during treatment.
Cost of Rehab in Fort Worth
Treatment costs in Fort Worth track closely with statewide Texas averages, since the city sits in a dense metro market where a large number of providers keeps pricing competitive. Texas ranks 18th nationwide for treatment affordability, with an average cost across all care types of about $56,623. Those averages are pulled upward by the most intensive levels of care and reflect full price without insurance, so most people paying for typical outpatient treatment, medication-assisted treatment, or therapy can expect to pay considerably less.
Because Fort Worth is a large urban market within Tarrant County, actual out-of-pocket costs vary widely by provider type, program length, and whether a facility receives state or federal funding. State-funded and sliding-scale programs like those run by MHMR can bring costs far below these averages, while private residential and luxury programs land above them. The most reliable way to estimate your own cost is to verify your insurance benefits with a specific facility before enrolling.
How to Pay for Rehab in Fort Worth
Of the 52 treatment facilities listed in Fort Worth, most accept more than one form of payment, which gives people room to combine coverage sources or move between programs as their needs change. Below is a snapshot of how many local facilities accept each major payment type.
The right payment path depends on your coverage, income, and the level of care you need. Here is how the major options work in Fort Worth.
Medicare
Medicare and Medicare Advantage plans cover substance use treatment for people with a diagnosed substance use disorder, and 12 Fort Worth facilities accept Medicare. Part A applies to inpatient hospital-based detox and rehabilitation, while Part B covers outpatient counseling, medication management, and partial hospitalization.
Coverage generally extends to opioid treatment program services, including methadone and buprenorphine, when delivered by SAMHSA-certified providers. Deductibles, coinsurance, and any Medigap or Advantage plan will shape your actual out-of-pocket cost, so it helps to understand how Medicare covers addiction treatment before you enroll.
Medicaid
Texas Medicaid is delivered through managed care programs including STAR for low-income families and children, STAR+PLUS for adults with disabilities and seniors, and STAR Health for foster youth, and 28 Fort Worth facilities accept it. Covered substance use benefits typically include outpatient counseling, intensive outpatient treatment, time-limited residential detox, and medication-assisted treatment using methadone, buprenorphine, or naltrexone.
Because Texas has not expanded Medicaid, adult eligibility is narrower than in many states, which is why MHMR’s OSAR line and state-funded indigent treatment slots play an especially important role in connecting uninsured Fort Worth residents to care.
Military Benefits
Active-duty service members, retirees, and eligible family members can use TRICARE to cover residential and outpatient substance use treatment, and 12 Fort Worth facilities accept it. Veterans enrolled in VA health care can receive integrated addiction and mental health services through the VA North Texas Health Care System, and MHMR operates Liberty House, a veteran housing and support program administered through the local VA. Fort Worth’s larger-than-average share of veterans makes military and veteran benefits a meaningful part of the local network.
Insurance and Private Pay
Private health insurance is the most widely accepted coverage type in Fort Worth, with 40 facilities in network with at least one major carrier, and 47 accept self-payment or cash. Under the Affordable Care Act, substance use treatment is an essential health benefit, so most private plans cover some portion of both outpatient and inpatient care.
Coverage details, in-network status, and prior-authorization rules vary by plan and facility. Major private insurance carriers active in Texas include:
- Aetna
- Ambetter
- Amerigroup
- Anthem Blue Cross
- Baylor Scott & White
- Blue Cross Blue Shield of Texas
- Cigna
- Humana
- Oscar Health
- UnitedHealthcare
Other Low-Cost Options
For people who are uninsured or underinsured, 21 Fort Worth facilities offer sliding-scale fees based on income, 24 offer some form of financial assistance, and 11 offer financing to spread payments over time. MHMR and the Recovery Resource Council both operate sliding-scale programs and accept Medicaid, and SAMHSA block grants help fund community treatment slots. People needing help covering the gap may also qualify for rehab scholarships offered by advocacy groups and treatment foundations.
Levels of Care Available in Fort Worth
Fort Worth offers a full continuum of care, with 15 medical detox facilities, 18 inpatient rehab programs, 46 standard outpatient clinics, and strong dual-diagnosis capacity for people managing addiction alongside a mental health condition.
Medical detox is usually the first step for people with physical dependence on alcohol, opioids, or benzodiazepines. Fort Worth’s 15 detox facilities provide medically supervised withdrawal, and programs like MHMR’s Billy Gregory Detox offer 24-hour monitoring for alcohol, benzodiazepine, and opioid detox. Learn more about what to expect from supervised detox.
Inpatient and residential rehab provides 24-hour care in a structured, substance-free setting, typically after detox. With 18 programs locally, options range from short-term county residential care to longer private residential stays in the countryside near Azle. Read more about residential treatment.
Partial hospitalization programs deliver day-treatment-level intensity without an overnight stay, bridging the gap between residential and outpatient care. Fort Worth has 4 partial hospitalization options.
Outpatient rehab is the most widely available level of care in Fort Worth, with 46 clinics offering individual and group therapy while people continue living at home. This model suits those with work or family commitments and milder to moderate substance use disorders. Explore how outpatient rehab works.
Dual diagnosis care treats a substance use disorder alongside a co-occurring mental health condition such as co-occurring depression or anxiety. With 38 programs offering integrated treatment, Fort Worth has substantial capacity here, which matters because untreated mental health conditions are a common driver of relapse.
Sober living homes and aftercare help people maintain stability after formal treatment ends. Fort Worth has 3 sober living homes, and many programs coordinate continuing care to support long-term recovery. MHMR and other providers also offer medication-assisted treatment as part of ongoing care for opioid use disorder.
Specialty Programs in Fort Worth
Many Fort Worth facilities tailor treatment to specific populations, recognizing that a program built around someone’s age, gender, service history, or identity often improves engagement and outcomes. The counts below reflect how many local facilities offer each specialty track.
Fort Worth’s 31 alcohol-specific programs address the state’s ongoing challenge with alcohol use disorder, the most common substance use disorder statewide. The 25 opioid-focused programs respond directly to the fentanyl-driven overdose crisis in Tarrant County and typically combine medication-assisted treatment with counseling to address opioid use disorder.
Programs for young adults, which 42 facilities offer, reflect the reality that people in their late teens and early twenties face distinct pressures around school, work, and social circles that benefit from age-specific counseling.
The 11 veterans and military programs connect service members and veterans to rehab resources for veterans and military, including MHMR’s peer-support network and Liberty House veteran housing. For LGBTQ+ residents, 2 local facilities offer affirming care; people seeking more options can also draw on statewide LGBTQ+ affirming addiction care resources.
Free and Low-Cost Rehab Resources in Fort Worth
Fort Worth and Tarrant County offer a strong network of free and low-cost resources for people who are uninsured, underinsured, or in immediate crisis. The organizations below provide crisis support, treatment referrals, harm-reduction supplies, and county-funded care, and most can help regardless of ability to pay.
Crisis Lines
- 988 Suicide & Crisis Lifeline: Call or text 988 for 24/7 crisis support, including substance use and overdose-related distress. See additional crisis support resources. https://988lifeline.org/
- MHMR of Tarrant County ICARE Crisis Line: Call 1-800-866-2465 for 24/7 mental health and substance use crisis and screening. https://mhmrtarrant.org/
- SAMHSA National Helpline: Call 1-800-662-4357 (HELP) for free, confidential, 24/7 treatment referral and information. https://www.samhsa.gov/find-help/helplines/national-helpline
County Behavioral Health and Treatment Access
- MHMR of Tarrant County Substance Use Services: To begin treatment, call the Outreach, Screening, Assessment and Referral (OSAR) line at 817-332-6329. MHMR provides detox, residential, and outpatient care on a sliding scale. Main office: 817-335-3022. mhmrtarrant.org/addiction-services
- Recovery Resource Council: A North Texas nonprofit serving the community since 1946, providing sliding-scale treatment and prevention services for lower-income and uninsured individuals and accepting Medicaid. 817-332-6329. recoverycouncil.org
Harm Reduction and Naloxone
- Challenge of Tarrant County: A prevention and intervention nonprofit founded in 1984 that distributes free naloxone (Narcan) first-aid kits and overdose-education resources to the community. challengetc.org
- Free Naloxone in Texas: The state’s Texas Overdose Data to Action program maps free naloxone distribution sites and ships naloxone directly to residents. naloxonetexas.com
- Texas Poison Center Network: Call 1-800-222-1222 for 24/7 guidance in a poisoning or overdose emergency. https://poisoncontrol.org/home/
Government and Statewide Support
- Texas Health and Human Services Mental Health and Substance Use: Statewide information on publicly funded treatment programs. hhs.texas.gov
- findtreatment.gov: SAMHSA’s national treatment locator for verified programs near Fort Worth. findtreatment.gov
In any medical emergency, including a suspected overdose, call 911 immediately.
Drug and Alcohol Use Statistics in Fort Worth
Tarrant County’s overdose data reflects a regional crisis driven primarily by synthetic opioids, though the county’s overdose mortality rate remained lower than the national rate in 2023. The figures below draw on the most recent Tarrant County Public Health and state data available.
In 2023, synthetic narcotics and psychostimulants tied as the leading drug types in Tarrant County overdose deaths, each documented in 196 deaths, or 39% of all overdose deaths. Fentanyl deaths rose 5% from 2022, continuing a steep multi-year climb that prompted Fort Worth police to launch the region’s first dedicated fentanyl investigation unit. Statewide, Texas fentanyl overdose risk has grown sharply, with drug poisoning deaths increasing 68% between 2019 and 2024.
Alcohol remains a major driver of harm as well: an estimated 13,701 deaths per year in Texas are attributable to excessive alcohol use, and roughly 18% of Texas adults report excessive drinking. For national context on how these local figures compare, see the site’s overview of national substance use statistics.
Resources
- Tarrant County Public Health. (2025). Data Brief: Overdoses in Tarrant County. https://www.tarrantcountytx.gov/
- National Center for Drug Abuse Statistics. (2024). Average Cost of Drug Rehab by Type and State. https://drugabusestatistics.org/cost-of-rehab/
- My Health My Resources of Tarrant County. (2025). Substance Use (Addiction) Services. https://mhmrtarrant.org/addiction-services/
- Texas Department of State Health Services. (2025). Texas Overdose Data to Action. https://www.dshs.texas.gov/injury-prevention/texas-overdose-data-action
- University of Wisconsin Population Health Institute. (2024). County Health Rankings: Excessive Drinking, Texas. https://www.countyhealthrankings.org/
- National Center for Drug Abuse Statistics. (2026). Alcohol Abuse Statistics: National and State Data. https://drugabusestatistics.org/alcohol-abuse-statistics/
- Challenge of Tarrant County. (2026). Community Resources and Naloxone Saves. https://challengetc.org/
