Drug and Alcohol Rehab Centers in Hempstead, TX

Drug and alcohol treatment for Hempstead, Texas is listed on this page, taking in providers that also serve Brenham, Navasota and Brookshire. Scroll down for the full list, with the levels of care and payment options each one offers.

The Texas Health and Human Services Commission, SAMHSA, The Joint Commission and CARF International are among the bodies we check Hempstead listings against. Texas has not expanded Medicaid, which is worth knowing before you start calling.

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1 Drug and Alcohol Rehab Treatment Centers in Hempstead, TX

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Drug and Alcohol Rehabs in Hempstead, Texas

Hempstead is the seat of Waller County, around eighty kilometers northwest of Houston, with roughly 6,000 residents.

The town was once known as Six Shooter Junction for its frontier reputation and grew as a railroad center.

Prairie View A&M University lies a short distance east and enrolls around 9,000 students.

Counties below a certain population do not get separate overdose counts published, so the state figures are the available guide.

Texas has the worst health coverage rate in the United States at around 16 percent uninsured, a position that follows directly from declining Medicaid expansion, and between 617,000 and 920,000 adults are caught in the resulting gap.

Worth knowing before anything else: Texas Medicaid does not treat a substance use disorder as a qualifying condition, whatever someone earns. The usual route is a severe mental health diagnosis plus disability status, or being a parent on under roughly $4,000 annually.

Publicly funded treatment in Texas is reached through OSAR. Each of the eleven regions has one, they take calls at any hour, and the numbers are 211 or 877-541-7905.

Neighboring Brenham, Navasota and Brookshire carry their own listings, with the wider picture across Texas.

Which Level of Care Do You Need

The figures below cover providers listed in Hempstead and the surrounding parts of Waller County. Houston is around an hour southeast. A question worth asking every program: what proportion of people complete the course they recommend. Not everyone will answer, but the response itself is informative.

Medically Supervised Detox

Clinically supervised detox manages the withdrawal period, which typically runs three to seven days. The nearest substantial hospitals are in Houston and Brenham. Alcohol and benzodiazepine withdrawal carry their highest risk in the first seventy-two hours, which is the argument against attempting it alone.

Inpatient Residential Treatment

In residential care someone moves into the program, typically for thirty, sixty or ninety days. Residential capacity in Waller County is absent, and placement toward Houston is the norm.

Outpatient, IOP and PHP Treatment

Level of care is set against American Society of Addiction Medicine criteria here, and an assessment should therefore produce a defined answer rather than a provider’s default. The county is rural and car-dependent, so weekly attendance requirements should be checked against the journey.

Dual Diagnosis and Co-Occurring Disorders Treatment

Co-occurring treatment handles both conditions concurrently, which is the approach the evidence supports. Texana Center holds the local mental health authority contract for Waller County. Texana Center covers Waller and five surrounding counties.

Sober Living Homes and Transitional Living

Transitional recovery housing gives people a substance-free shared home for the period after treatment. Certification of recovery residences runs through TROHN, the Texas affiliate of the National Alliance for Recovery Residences. It is voluntary, so the only way to know is to ask. Recovery housing here does not exist, and options mean traveling toward Houston.

Addiction Treatment Cost and Insurance Coverage in Hempstead

Hempstead household incomes sit well below the state median, with agriculture dominant locally. Listings in Hempstead itself are limited, so the practical search usually extends into the surrounding county and beyond. Waller County is small enough that annual overdose counts are not published separately, so the state picture is the better guide.

How Much Does Addiction Rehab Cost?

Around the state expect detox at $1,400 to $4,700 weekly, residential at $5,900 to $24,500 monthly, partial hospitalization at $6,900 to $13,300, intensive outpatient at $2,550 to $8,800 and standard outpatient at $1,220 to $4,900.

The student population at Prairie View A&M nearby has different needs from the agricultural county, and university cover typically ends on withdrawal.

Standard rehab and detox, Hempstead and the wider Texas market
Level of careMonthlyDaily
Medical detox (7–14 days)$1,500 – $4,900 per week$220 – $700
Residential inpatient$6,000 – $25,000$200 – $830
PHP$7,000 – $13,500$230 – $450
IOP$2,500 – $9,000$80 – $300
Outpatient$1,200 – $5,000$40 – $170
Luxury and executive programs, Texas
Level of careMonthlyDaily
Residential inpatient$17,000 – $50,000+$560 – $1,650+
PHP$14,000 – $32,000$470 – $1,070
IOP$9,000 – $24,000$300 – $800
Outpatient$5,000 – $15,000$170 – $500

Does Insurance Cover Rehab?

Yes. Addiction treatment sits among the essential health benefits most plans are required to include. What a plan actually pays varies with the employer, the network and the level of care, so two people with the same insurer can face very different bills. Employer plans are limited outside education and healthcare. Texas Medicaid runs through STAR managed care, and agricultural work frequently carries neither.

Coverage and approval are separate steps. Prior authorization is standard before detox and residential admission, and network status usually decides your share of the bill. Spanish-language provision is worth asking about given the composition of the local agricultural workforce.

Free and State-Funded Addiction Rehab in Hempstead

Texas has the worst health coverage rate in the United States at around 16 percent uninsured, a position that follows directly from declining Medicaid expansion, and between 617,000 and 920,000 adults are caught in the resulting gap. Worth knowing before anything else: Texas Medicaid does not treat a substance use disorder as a qualifying condition, whatever someone earns. The usual route is a severe mental health diagnosis plus disability status, or being a parent on under roughly $4,000 annually. Getting to appointments week after week is the practical question in a rural county, not which program looks best on paper. Admissions teams here deal with this constantly and can usually adjust, provided they know at the outset.

Publicly funded provision in Waller County is coordinated by Texana Center. Publicly funded treatment in Texas is reached through OSAR. Each of the eleven regions has one, they take calls at any hour, and the numbers are 211 or 877-541-7905. Texas contracts with 37 local mental health authorities and two local behavioral health authorities. Most OSAR programs sit inside them, so the same call often opens both doors. Whoever is calling, ask what the next step is and when it happens, since a vague answer at this stage usually means a long wait behind it.

Settlement proceeds are directed by the Texas Opioid Abatement Fund Council under the Comptroller. September 2025 saw $21.2 million spread across 109 grants, the first time every region received something. In December 2025 the council backed UTHealth Houston with up to $25 million for certified recovery housing, having previously given University Health in Bexar County $25 million for statewide naloxone. Local disbursements to counties and cities total $47.1 million in 2023, $9.2 million in 2024, $44.8 million in 2025 and $11.5 million in March 2026.

More Help and Recovery Support

Houston’s hospitals hold the region’s Level I trauma care, with local provision limited.

Brenham, Navasota and Brookshire carry further listings, with more across Texas.

Free and confidential, available now

Texas OSAR substance use referral line — 877-541-7905, free and 24 hours a day 988 Suicide & Crisis Lifeline — call or text 988

References and Citations

  • Texas Health and Human Services Commission — Local Mental Health and Behavioral Health Authorities, and the Outreach, Screening, Assessment and Referral program across the eleven HHS regions.
  • Texas Opioid Abatement Fund Council, Office of the Comptroller — grant awards September 2025, recovery housing award December 2025, and political subdivision disbursements 2023 to 2026.
  • U.S. Census Bureau and Texas HHSC — health insurance coverage and the Medicaid coverage gap in Texas.
  • CDC National Center for Health Statistics — VSRR provisional county-level drug overdose death counts, twelve months ending December 2021 and December 2025, data as of 5 July 2026.
  • Rehab Seekers directory listings, Hempstead and Hempstead, August 2026, and market rate research, Texas, 2026. Ranges are indicative and vary by facility, length of stay and coverage.