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Rehab in Texas
Texas is well known for its vast landscapes and iconic cowboy culture and cuisine. Rehab services within the state can be provided within the cities or sprawling ranches, offering a range of services to adults and teens. Detox services, inpatient rehab, and outpatient programs in Texas involve evidence-based treatments including group, individual, and family therapies.
Alongside these treatments, rehab centers might offer spiritual approaches to addiction recovery, holistic treatments including meditation, yoga, and acupuncture, and recreational activities. Many of these facilities provide tranquil environments within nature to support the recovery process.
Drug Use Statistics in Texas
Texas has a population of 31,290,831 people. The most recent data from the 2023-2024 National Survey on Drug Use and Health (NSDUH) found that approximately 2,932,000 people over the age of 12 had used illegal substances in the past month, around 9.37% of the population. 2,554,000 reported marijuana use in the past month and 3,864,000 in the past year.
The report also found that 369,000 Texas residents had used cocaine in the past year, 248,000 had used meth, and 743,000 had misused prescription pain medication. 56,000 people over the age of 18 reported using heroin in the last year. Those reporting opioid misuse, including heroin, painkillers, and fentanyl, in Texas totaled 783,000 people.
Alcohol Use in Texas
Alcohol misuse was also reported in Texas, with 10,527,000 people over the age of 12 saying they had used alcohol in the last month and 5,040,000 reporting binge drinking. The perceived risk of people over 12 years of age indulging in problematic alcohol use (5 or more drinks twice a week) in a month was 12,454,000 people.
Overdose Deaths in Texas
In the 12 months ending December 2025, Texas recorded 4491 drug overdose deaths. This is the CDC's provisional count and covers overdoses of all intents, including accidental, suicide, homicide, and undetermined. That puts the overdose death rate in Texas at 14.4 per 100,000 people. The most recent available figure for alcohol-induced deaths, which covers 2021, was 3540 or 12 per 100,000 people.
Addiction Treatment Statistics in Texas
The NSDUH report also recorded the total number of substance use disorders in Texas and those who currently require treatment. The report found that approximately 3,726,000 were recorded as having a substance use disorder (SUD) and 2,345,000 had an alcohol use disorder. 421,000 people were recorded as having an OUD, including those with painkiller, heroin, and other opioid-based drug use disorders.
The NSDUH report also measures the gap between the people who need SUD treatment and those who actually receive it. It found that 4,121,000 people in Texas were classified as needing treatment in the past year, 865,000 received treatment for an SUD, and 3,292,000 did not receive the treatment they were classified as needing.
- Chemical Dependency Treatment Facilities | Texas Health and Human Services. (n.d.). Www.Hhs.Texas.Gov. Retrieved September 14, 2026, from https://www.hhs.texas.gov/providers/health-care-facilities-regulation/chemical-dependency-treatment-facilities
- Find a Provider. (2023, November 13). CARF International. https://carf.org/find-provider/
- Find Accredited Organizations. (2026). Jointcommission.Org. https://www.jointcommission.org/en-us/about-us/recognizing-excellence/find-accredited-organizations
- 2023-2024 NSDUH: Model-Based Estimated Totals for States (in Thousands). (2026, February 4). Samhsagov. https://www.samhsa.gov/data/report/2023-2024-nsduh-estimated-totals-state
- Index of /programs-surveys/popest/datasets/2020-2024/state/totals. (2020). Census.Gov. https://www2.census.gov/programs-surveys/popest/datasets/2020-2024/state/totals/
- CDC NCHS, Provisional Drug Overdose Death Counts (2026). Cdc.Gov. https://data.cdc.gov/d/xkb8-kh2a