Opioid, Fentanyl and Heroin Rehab Centers in Dallas

How do I start methadone or buprenorphine treatment in Dallas?

To start methadone or buprenorphine treatment in Dallas, many people call an opioid treatment program directly, while others contact the Outreach, Screening, Assessment and Referral line at the county’s regional behavioral health authority, 844-275-0600. Intake staff usually ask about recent use, other medications and insurance before booking a first visit.

The authority covers Dallas County and refers people who qualify into state-funded withdrawal management, residential care and medication treatment. Methadone for opioid use disorder comes only from a federally certified opioid treatment program, which Texas licenses as a narcotic treatment program, and clinic visits tend to be daily in the early weeks.

Buprenorphine is available from opioid treatment programs and from office-based prescribers. Fentanyl in the drug supply can complicate the timing of a first buprenorphine dose, so some people start in a detox setting or have the first dose given under supervision. Some residential programs accept people who are already on methadone or buprenorphine and some do not, so raise that early.

Tolerance drops quickly after any break from opioids, so an amount someone used before can lead to overdose. Naloxone nasal spray can be bought without a prescription, and keeping it at home is a reasonable step for families and friends. Call 911 for any suspected overdose.

Methadone through a narcotic treatment program

Methadone for opioid use disorder is dispensed only through a federally certified opioid treatment program. Texas licenses these clinics as narcotic treatment programs through the Health and Human Services Commission. Visits are often daily at first. Take-home doses follow the federal rules in 42 CFR Part 8 and the clinic’s own assessment. Federal block grant rules give pregnant women preference in admission, and programs for pregnant women in Dallas are listed separately. You can also browse methadone clinics in Dallas.

Buprenorphine and naltrexone

Buprenorphine comes from opioid treatment programs or from office-based prescribers. Since the federal waiver requirement ended, clinicians with a standard DEA registration can prescribe it, and Suboxone clinics in Dallas are listed. Extended-release naltrexone is a monthly injection that can only start once withdrawal is complete. Fentanyl in the drug supply can make the timing of a buprenorphine start harder. That is one reason many people begin with medically managed withdrawal or a supervised induction at a Dallas detox program.

Where can I get naloxone in Dallas?

Naloxone nasal spray is sold over the counter. Texas law also lets prescribers issue it directly or by standing order to anyone at risk, or to family and friends who could help. Free kits are available from NaloxoneTexas, which has pick-up hubs across the state. Dallas County Health and Human Services also trains businesses, organizations and community centers and then supplies them with kits. Its non-emergency line is (214) 590-4000.

Tolerance falls quickly after withdrawal, a residential stay or any break from use. An amount someone took before can then cause an overdose. Call 911 for a suspected overdose. Under Texas Health and Safety Code 481.115, the first person who calls for help and stays to cooperate has a defense to possession of less than one gram, and so does the person overdosing. There are exclusions, such as prior drug convictions.

How do I pay for opioid treatment in Dallas?

Texas Medicaid is delivered mostly through managed care plans. STAR plans in the Dallas service area include Molina, Parkland and Wellpoint. Ask your plan which medications and levels of care it covers, and whether prior approval applies. Medicare covers services at enrolled opioid treatment programs. People without coverage can ask NTBHA about state-funded care in Dallas, priced on the HHSC sliding scale.

Residential programs in Dallas differ on whether they admit people already taking methadone or buprenorphine. Raise this with the admissions team before booking residential rehab in Dallas. DART light rail, bus routes and GoLink on-demand service reach much of the city, which helps with daily dosing visits. For programs across Texas, see opioid rehab in Texas, or return to all Dallas treatment listings.