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State Hospital

State Hospital: Admission, Stays and Costs

State hospitals are publicly operated inpatient facilities, historically the last resort in a state’s mental health system. They take people needing long stays, forensic placements or care no private facility will provide, and admission normally comes through a county authority or a court.

Walk-in admission is rarely possible here, so the route in is worth understanding before anything else. County behavioral health offices and public defenders usually know the process for their area. Records for the sites listed here are reviewed against SAMHSA data. Compare what is near you.

Rehab Centers Near You

Top 12 State Hospital Rehab Centers

Family Hospital at Lake Travis – Austin

5012 Ranch Road 620 North, Austin, TX, 78732

4.7★★★★★~~457~~

SAMHSA listed

InpatientOutpatientTelehealth+1

Accepts InsuranceAccepts MedicaidAccepts Medicare+2

Co-occurring DisordersVeteransTeens+4

Family Hospital at Lake Travis is based at 5012 Ranch Road 620 North in Austin, Texas. The services listed are residential treatment and intensive outpatient. Co-occurring treatment is listed, which matters where both are present. Treatment happens in-house, with residents on site day and night. Remote appointments appear on the record, useful where travel is difficult. SAMHSA holds the federal registration and the Texas Health and Human Services Commission the state license.

8.2 miMount Bonnell19 miAustin Bergstrom International AirportServes8 towns

Substances treated

Adderall Rehab · Concerta Rehab · Dexedrine Rehab · Nicotine and Tobacco Treatment · Prescription Stimulant Rehab · Ritalin Rehab · Smoking Cessation Counseling · Stimulant Rehab · Vaping Cessation · Vyvanse Rehab

Levels of care

Evening Treatment · Inpatient Rehab · Non-12-Step Rehab · Online Rehab and Telehealth · Outpatient Rehab · Rehab Transfers · Walk-In Rehab · Weekend Rehab

Therapies

Counseling and Therapy · Evidence-Based Therapy · Individual Therapy · Integrated Dual Disorder Treatment · Ketamine Therapy · Specialized Therapy

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Psychiatric Walk-In Clinic · Traumatic Brain Injury Treatment

Groups served

Active Duty Military Dual Diagnosis Rehab · Active Duty Military Medicare Rehab · Active Duty Military Outpatient Rehab · Active Duty Military Rehab · Active Duty Military Telehealth · Active Duty Military TRICARE Rehab · Adult Rehab · Senior Outpatient Rehab · Senior Rehab · Senior Telehealth · +14 more

Support services

Case Management · Health and Wellness Support · Recovery Support Services

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · Curative Health Plan · Medicare · Sana Benefits · TRICARE · UnitedHealthcare (UHC)

Family Emergency Room at Cedar Park – Cedar Park

3620 East Whitestone Boulevard, Cedar Park, TX, 78613

4.6★★★★★~~780~~

SAMHSA listed

InpatientOutpatientTelehealth+1

Accepts InsuranceAccepts MedicaidAccepts Medicare+2

Co-occurring DisordersVeteransTeens+4

Records place Family Emergency Room at Cedar Park at 3620 East Whitestone Boulevard, Cedar Park, Texas. Provision here is recorded as residential treatment and intensive outpatient. The listing covers both substance use and mental health treatment. Care runs on site, with accommodation included for the duration. Video appointments are recorded as an option here. Licensing sits with the Texas Health and Human Services Commission, alongside federal SAMHSA registration.

9.2 miMiddle Fork San Gabriel River16 miAustin Executive AirportServes8 towns

Substances treated

Levels of care

Evening Treatment · Inpatient Rehab · Non-12-Step Rehab · Online Rehab and Telehealth · Outpatient Rehab · Rehab Transfers · Walk-In Rehab · Weekend Rehab

Therapies

Counseling and Therapy · Evidence-Based Therapy · Individual Therapy · Integrated Dual Disorder Treatment · Ketamine Therapy · Specialized Therapy

Mental health

Groups served

Support services

Case Management · Health and Wellness Support · Recovery Support Services

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · Curative Health Plan · Medicare · Sana Benefits · TRICARE · UnitedHealthcare (UHC)

Pilgrim Psychiatric Center – Brentwood

Brentwood, NY, 11717

3.4★★★☆☆73

Inpatient

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

Co-occurring DisordersSeniorsYoung adults+1

Spanish spoken

This provider serves Brentwood, New York. The facility is listed for residential treatment. Mental health rather than substance use is what appears on this listing. People stay on site for the duration, which is what inpatient care means here. Federal listing is via SAMHSA, and the New York State Office of Addiction Services and Supports handles licensing in this state.

7.6 miWest Islip Beach9.8 miLong Island MacArthur AirportServes60 towns

Substances treated

Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Smoking Cessation Counseling · Smoking Cessation Medication · Vaping Cessation

Levels of care

Inpatient Rehab

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Family Education Programs · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Psychosocial Rehabilitation · Psychosocial Rehab Services · Serious Mental Illness Treatment

Groups served

Adult Rehab · Court Ordered Dual Diagnosis Rehab · Court Ordered Medicare Rehab · Court Ordered Rehab · Court Referral Accepted · Senior Rehab · Young Adult Rehab

Support services

Education and Job Training · Health and Wellness Support · Housing and Employment Support · Nutrition and Fitness Counseling · Peer Support · Recovery Support Services · Suicide Prevention Services · Vocational Rehabilitation

Languages

Spanish Speaking Rehab

Insurance accepted

Medicare · TRICARE

Richmond State Hospital – Richmond

498 NW 18th Street, Richmond, IN, 47374

3.7★★★★☆17

Joint Commission

DetoxInpatientTelehealth+1

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

Co-occurring DisordersMATTrauma-informed+6

Deaf and HoH

Richmond State Hospital occupies 498 NW 18th Street in Richmond, Indiana. Provision here is recorded as residential treatment. This is recorded as treating co-occurring conditions rather than one in isolation. The model is residential: people move in for the length of the program. Telehealth appointments are recorded as available, which widens what is reachable for anyone without transport. Family involvement is listed as part of the provision. Federal registration is held through SAMHSA, and licensing…

1.6 miWest Fork East Fork Whitewater River38 miJames M. Cox Dayton International AirportServes8 towns

Substances treated

Adderall Rehab · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Chronic Pain and Substance Use · Codeine Rehab · Concerta Rehab · +36 more

Levels of care

Aftercare and Continuing Care · Clonidine and Lofexidine Detox · Continuing Care · Detox by Substance · Detox Centers · Discharge Planning · Hospital Addiction Treatment · Inpatient Rehab · Online Rehab and Telehealth · Overdose Prevention Education · +2 more

Therapies

12 Step Rehab · Activity Therapy · Addiction Counseling · Anger Management · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · Family Therapy · Group Therapy · +5 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · +4 more

Groups served

Adult Rehab · Couples Rehab · Court Ordered Dual Diagnosis Rehab · Court Ordered MAT · Court Ordered Medicare Rehab · Court Ordered Rehab · Court Referral Accepted · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · +24 more

Support services

Case Management · Chronic Illness Management · Education and Job Training · Employment Support · Health and Wellness Support · Health Education · Hepatitis C Treatment · HIV Treatment · Housing and Employment Support · Housing Assistance · +6 more

Languages

Deaf and Hard of Hearing Dual Diagnosis Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab

Insurance accepted

Medicare · TRICARE

Evansville Psychiatric Childrens Ctr – Evansville

3300 East Morgan Avenue, Evansville, IN, 47715

2.3★★☆☆☆9

SAMHSA listed

Inpatient

Accepts MedicaidState Funded

Trauma-informedVeteransTeens+1

The facility is recorded at 3300 East Morgan Avenue in Evansville, Indiana. What is recorded here is residential treatment. Mental health rather than substance use is what appears on this listing. People stay on site for the duration, which is what inpatient care means here. The record notes group sessions alongside individual work. The provider appears in the federal treatment register, with state licensing through the Indiana Division of Mental Health and Addiction.

5.7 miGreen River5.4 miEvansville Regional AirportServes7 towns

Substances treated

Nicotine and Tobacco Treatment · Smoking Cessation Counseling · Vaping Cessation

Levels of care

Inpatient Rehab

Therapies

Activity Therapy · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy · Specialized Therapy

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Treatment · Psychosocial Rehabilitation · Psychosocial Rehab Services · PTSD Treatment · +2 more

Groups served

Couples Rehab · Military Family Dual Diagnosis Rehab · Military Family PTSD Rehab · Military Family Rehab · Military Family Trauma Rehab · Teen Dual Diagnosis Rehab · Teen PTSD Rehab · Teen Rehab · Teen Trauma Rehab · Trauma Informed Rehab · +2 more

Support services

Education and Job Training · Health and Wellness Support · Housing and Employment Support · Nutrition and Fitness Counseling · Suicide Prevention Services

Family Hospital at Brushy Creek – Round Rock

230 Deer Ridge Drive, Round Rock, TX, 78681

4.6★★★★★~~363~~

SAMHSA listed

InpatientOutpatientTelehealth+1

Accepts InsuranceAccepts MedicaidAccepts Medicare+2

Co-occurring DisordersVeteransTeens+4

The facility is recorded at 230 Deer Ridge Drive in Round Rock, Texas. Listed provision covers residential treatment and intensive outpatient. Substance use and mental health conditions are both treated here. Treatment happens in-house, with residents on site day and night. Video appointments are recorded as an option here. Federal registration is held through SAMHSA, and licensing sits with the Texas Health and Human Services Commission.

11 miNorth Fork San Gabriel River12 miAustin Executive AirportServes9 towns

Substances treated

Levels of care

Evening Treatment · Inpatient Rehab · Non-12-Step Rehab · Online Rehab and Telehealth · Outpatient Rehab · Rehab Transfers · Walk-In Rehab · Weekend Rehab

Therapies

Counseling and Therapy · Evidence-Based Therapy · Individual Therapy · Integrated Dual Disorder Treatment · Ketamine Therapy · Specialized Therapy

Mental health

Groups served

Support services

Case Management · Health and Wellness Support · Recovery Support Services

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · Curative Health Plan · Medicare · Sana Benefits · TRICARE · UnitedHealthcare (UHC)

New Hampshire Hospital – Concord

36 Clinton Street, Concord, NH 03301

2.8★★★☆☆48

SAMHSA listed

Inpatient

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

SeniorsYoung adultsCouples+2

New Hampshire Hospital operates from 36 Clinton Street in Concord. The site sits in Merrimack County, which shapes which public funding routes apply. Nearby communities include Franklin, Raymond and Suncook. New Hampshire draws people across long distances for treatment, so travel time is worth weighing against waiting time. Hospital inpatient care is delivered here. Which level fits depends on the assessment rather than on what is available, so the useful first question is what that…

2.1 miTurkey River19 miManchester-Boston Regional AirportServes10 towns

Substances treated

Adderall Rehab · Concerta Rehab · Dexedrine Rehab · Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Prescription Stimulant Rehab · Ritalin Rehab · Smoking Cessation Counseling · Smoking Cessation Medication · Stimulant Rehab · +2 more

Levels of care

Inpatient Rehab · Non-12-Step Rehab

Therapies

Activity Therapy · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · ECT Therapy · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy · Integrated Dual Disorder Treatment · +1 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Family Education Programs · Illness Management and Recovery · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Psychosocial Rehabilitation · Psychosocial Rehab Services · Serious Mental Illness Treatment

Groups served

Adult Rehab · Couples Rehab · Court Ordered Dual Diagnosis Rehab · Court Ordered Medicare Rehab · Court Ordered Rehab · Court Referral Accepted · Senior Rehab · Young Adult Rehab

Support services

Case Management · Chronic Illness Management · Education and Job Training · Health and Wellness Support · Housing and Employment Support · Nutrition and Fitness Counseling · Peer Support · Recovery Support Services · Suicide Prevention Services · Supported Employment · +1 more

Insurance accepted

Medicaid · Medicare · TRICARE · VA Community Care

El Paso Psychiatric Center – El Paso

4615 Alameda Avenue, El Paso, TX, 79905

2.8★★★☆☆51

SAMHSA listed

InpatientWalk-in

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Co-occurring DisordersVeteransSeniors+2

Spanish spoken

El Paso Psychiatric Center is based at 4615 Alameda Avenue in El Paso, Texas. According to the federal listing this provider runs residential treatment. What is recorded here is mental health provision. Treatment happens in-house, with residents on site day and night. Both federal registration through SAMHSA and Texas Health and Human Services Commission licensing are on record.

9.7 miFranklin Mountains4.4 miEl Paso International AirportServes4 towns

Substances treated

Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Smoking Cessation Counseling · Smoking Cessation Medication · Vaping Cessation

Levels of care

Inpatient Rehab · Walk-In Rehab

Therapies

Activity Therapy · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · EMDR Therapy · Evidence-Based Therapy · Group Therapy · Individual Therapy · Integrated Dual Disorder Treatment · Specialized Therapy

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Family Education Programs · Illness Management and Recovery · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Psychiatric Walk-In Clinic · Psychosocial Rehabilitation · Psychosocial Rehab Services · +1 more

Groups served

Adult Rehab · Court Ordered Dual Diagnosis Rehab · Court Ordered Medicare Rehab · Court Ordered Rehab · Court Referral Accepted · Senior Rehab · Veterans and Military Rehab · Young Adult Rehab

Support services

Case Management · Chronic Illness Management · Health and Wellness Support · Nutrition and Fitness Counseling · Peer Support · Recovery Support Services · Suicide Prevention Services

Languages

Spanish Speaking Rehab

Insurance accepted

Medicare · TRICARE

Elmira Psychiatric Center – Elmira

100 Washington Street, Elmira, NY, 14901

2.4★★☆☆☆17

SAMHSA listed

Inpatient

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

VeteransTeensSeniors+3

Records place Elmira Psychiatric Center at 100 Washington Street, Elmira, New York. It is recorded as offering residential treatment. Both addiction and mental health conditions appear on the record. Care is delivered on an inpatient basis, with people living on site for the length of the stay. The provider appears in the federal treatment register, with state licensing through the New York State Office of Addiction Services and Supports.

3.6 miSeeley Creek6.8 miElmira Corning Regional AirportServes6 towns

Substances treated

Levels of care

Inpatient Rehab · Non-12-Step Rehab

Therapies

Activity Therapy · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · Group Therapy · Individual Therapy · Integrated Dual Disorder Treatment · Specialized Therapy

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Family Education Programs · Mental Health Conditions · Mental Health Treatment · Psychosocial Rehabilitation · Serious Emotional Disturbance · Serious Mental Illness Treatment

Groups served

Adult Rehab · Court Ordered Rehab · Senior Rehab · Teen Dual Diagnosis Rehab · Teen Rehab · Veterans and Military Rehab · Young Adult Rehab

Support services

Insurance accepted

Medicare · TRICARE

Family Hospital at Bandera – San Antonio

8703 Bandera Road, San Antonio, TX, 78250

4.4★★★★☆~~134~~

SAMHSA listed

InpatientOutpatientTelehealth+1

Accepts InsuranceAccepts MedicaidAccepts Medicare+2

Co-occurring DisordersVeteransTeens+4

Family Hospital at Bandera occupies 8703 Bandera Road in San Antonio, Texas. Listed provision covers residential treatment and intensive outpatient. This is recorded as treating co-occurring conditions rather than one in isolation. Treatment happens in-house, with residents on site day and night. Video appointments are recorded as an option here. Federal registration is held through SAMHSA, and licensing sits with the Texas Health and Human Services Commission.

12 miStokley Hill10 miSan Antonio International AirportServes1 town

Substances treated

Levels of care

Evening Treatment · Inpatient Rehab · Non-12-Step Rehab · Online Rehab and Telehealth · Outpatient Rehab · Rehab Transfers · Walk-In Rehab · Weekend Rehab

Therapies

Counseling and Therapy · Evidence-Based Therapy · Individual Therapy · Integrated Dual Disorder Treatment · Ketamine Therapy · Specialized Therapy

Mental health

Groups served

Support services

Case Management · Health and Wellness Support · Recovery Support Services

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · Curative Health Plan · Medicare · Sana Benefits · TRICARE · UnitedHealthcare (UHC)

Larned State Hospital – Larned

1301 Kansas Highway 264, Larned, KS 67550

2.2★★☆☆☆39

SAMHSA listed

Inpatient

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

Co-occurring DisordersTrauma-informedSeniors+3

Larned State Hospital operates from 1301 Kansas Highway 264 in Larned. The site sits in Pawnee County, which shapes which public funding routes apply. Nearby communities include Great Bend. Kansas draws people across long distances for treatment, so travel time is worth weighing against waiting time. Hospital inpatient care is delivered here, alongside care for co-occurring mental health conditions. Which level fits depends on the assessment rather than on what is available, so the useful…

1.3 miPawnee River46 miHays Regional AirportServes2 towns

Substances treated

Levels of care

Inpatient Rehab · Non-12-Step Rehab

Therapies

Mental health

Co-Occurring Mental Health Conditions · Crisis Intervention · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Illness Management and Recovery · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · +5 more

Groups served

Adult Rehab · Court Ordered Dual Diagnosis Rehab · Court Ordered Medicare Rehab · Court Ordered Rehab · Court Referral Accepted · Senior Rehab · Trauma Informed Rehab · Trauma Survivor Programs · Young Adult Rehab

Support services

Case Management · Chronic Illness Management · Education and Job Training · Health and Wellness Support · Housing and Employment Support · Intensive Case Management · Nutrition and Fitness Counseling · Peer Support · Recovery Support Services · Suicide Prevention Services · +2 more

Insurance accepted

Medicaid · Medicare · TRICARE · VA Community Care

Arkansas State Hospital – Little Rock

305 South Palm Street, Little Rock, Arkansas, 72205

3.1★★★☆☆24

SAMHSA listed

Inpatient

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Co-occurring DisordersVeteransTeens+3

Spanish spoken

Treatment at Arkansas State Hospital – Little Rock runs from 305 South Palm Street in Little Rock, Pulaski County, Arkansas, covering dual diagnosis treatment and residential inpatient. Care is delivered on site, so people stay for the duration of the program. Anyone searching around Little Rock may want to check availability and admission criteria directly. Records for this location come from the federal treatment locator run by the Substance Abuse and Mental Health Services Administration.…

0.3 miWinder Field5.9 miBill & Hillary Clinton National Airport/Adams FieldServes9 towns

Substances treated

Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Smoking Cessation Counseling · Smoking Cessation Medication · Vaping Cessation

Levels of care

Inpatient Rehab

Therapies

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Family Education Programs · Illness Management and Recovery · Mental Health Conditions · Mental Health Treatment · Psychosocial Rehabilitation · Psychosocial Rehab Services · PTSD Treatment · +2 more

Groups served

Adult Rehab · Court Ordered Dual Diagnosis Rehab · Court Ordered Medicare Rehab · Court Ordered Rehab · Court Referral Accepted · Senior Rehab · Teen Dual Diagnosis Rehab · Teen PTSD Rehab · Teen Rehab · Teen TRICARE Rehab · +2 more

Support services

Languages

Spanish Speaking Rehab

Insurance accepted

Medicaid · Medicare · TRICARE

More State Hospital Addiction Rehabs 13–29 of 29

Central Ohio Behavioral Healthcare – Columbus

2200 West Broad Street, Columbus, OH, 43223

2.6★~~(9)~~

InpatientAccepts InsuranceAccepts Medicaid+3

Big Spring State Hospital – Big Spring

1901 North U.S. Highway 87, Big Spring, TX, 79720

3.6★~~(24)~~

InpatientTelehealthWalk-inAccepts InsuranceAccepts Medicaid+5

Madden Mental Health Center – Hines

1200 South 1st Avenue, Hines, Illinois, 60141

1.9★~~(94)~~

InpatientAccepts MedicaidAccepts Medicare+2

Treatment Unit 1 – Syracuse

520 Cedar Street, Syracuse, NY, 13210

2.3★~~(3)~~

InpatientAccepts InsuranceAccepts Medicaid+6

Hutchings Psychiatric Center – Syracuse (620 Madison Street)

620 Madison Street, Syracuse, NY, 13210

2.2★~~(25)~~

InpatientOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+6

Hutchings Psychiatric Center – Syracuse (635 Madison Street)

635 Madison Street, Syracuse, NY, 13210

2.2★~~(25)~~

InpatientAccepts InsuranceAccepts Medicaid+6

Hutchings CYS Clinic – Syracuse

1330 East Washington Street, Syracuse, NY, 13210

2.2★~~(25)~~

OutpatientTelehealthWalk-inAccepts InsuranceAccepts Medicaid+6

Hutchings Psychiatric Center – Syracuse (1330 East Washington Street)

1330 East Washington Street, Syracuse, NY, 13210

2.2★~~(25)~~

OutpatientTelehealthWalk-inAccepts InsuranceAccepts Medicaid+6

Hutchings Psychiatric Center – Syracuse (650 Madison Street)

650 Madison Street, Syracuse, NY, 13210

2.2★~~(25)~~

OutpatientTelehealthWalk-inAccepts InsuranceAccepts Medicaid+6

Oklahoma Cnty Crisis Intervention Ctr – Oklahoma City

2625 General Pershing Boulevard, Oklahoma City, Oklahoma, 73107

3.3★~~(119)~~

InpatientTelehealthWalk-inAccepts InsuranceAccepts Medicaid+5

Mississippi State Hospital – Whitfield

3550 Highway 468 West, Whitfield, Mississippi, 39193

3.0★~~(41)~~

DetoxHospital detoxInpatient+1Accepts InsuranceAccepts Medicaid+4

Mohawk Valley Psychiatric Center – Utica

1400 Noyes Street, Utica, NY, 13502

2.5★~~(50)~~

InpatientOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+7

Warren State Hospital – Warren

33 Main Drive, Warren, PA, 16365

2.6★~~(28)~~

InpatientAccepts InsuranceAccepts Medicaid+3

Adair Acute Care at – Osawatomie

500 State Hospital Drive, Osawatomie, KS 66064

2.3★~~(64)~~

InpatientAccepts InsuranceAccepts Medicaid+4

Osawatomie State Hospital – Osawatomie

500 State Hospital Drive, Osawatomie, KS 66064

2.3★~~(64)~~

InpatientAccepts InsuranceAccepts Medicaid+4

Southwestern State Hospital – Thomasville

1217 Old Albany Rd, Gateway Substance Abuse Day Program, Thomasville, GA 31792

—

ResidentialPHP

North Dakota State Hospital – Jamestown

2605 Circle Drive, Jamestown, North Dakota, 58401

—

InpatientResidentialAccepts MedicaidSliding Scale

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Common questions

Answered from what is listed here.

What is a state hospital?

A state hospital is a psychiatric hospital operated by state government for individuals with serious mental illness who need intensive inpatient treatment and cannot be safely or effectively treated in community settings. Every state government has run one since the 1800s, admitting both civilly committed patients and individuals sent by the criminal courts.

Pennsylvania describes its state mental hospitals as a last resort, open only through a county mental health authority or the justice system rather than direct request.

Psychiatric Hospitalhttps://rehabseekers.com/type/hospital/psychiatric-hospital/

What is the difference between a state hospital and a psychiatric hospital?

A state hospital is owned and operated by state government and takes court-committed civil and forensic patients, often for longer stays. A private or general psychiatric hospital handles shorter acute admissions and accepts direct or physician referrals, while state hospital admission usually runs through a county authority or a judge.

In 34 states the state mental health agency oversees both the hospitals and community services; 12 states assign hospital operation to a separate agency.

Hospital Rehabhttps://rehabseekers.com/type/hospital/

Who goes to a state hospital?

Adults with serious mental illness go to state hospitals after civil commitment through a county or local mental health authority, or through the criminal courts for competency restoration or after a not guilty by reason of insanity finding. Admission follows a finding that less restrictive alternatives were tried or exhausted.

Florida State Hospital, for example, admits civil patients aged 18 and older through a network of receiving facilities, voluntarily or by judicial order.

Serious Mental Illness Treatmenthttps://rehabseekers.com/mental-health/mental-health-conditions/serious-mental-illness/

What is the difference between civil and forensic patients?

Civil patients enter a state hospital by civil commitment or voluntary admission after a court or clinician finds they are at imminent risk to themselves or others, or gravely disabled. Forensic patients arrive through the criminal courts, charged with or convicted of behavior related to their mental illness.

Between 2017 and 2024, data from 30 states show incompetent-to-stand-trial patients rose 23% while civil status patients fell 50%.

Court Ordered Rehabhttps://rehabseekers.com/specialized/court-ordered/

What is competency restoration?

Competency restoration is inpatient or outpatient treatment ordered by a court to help a defendant understand the proceedings against them and assist in their own defense. Washington allows up to three consecutive restoration periods, with a maximum of up to one year for a Class A felony.

Once competency is restored, Washington returns the person to jail to continue proceedings; if it cannot be restored, the court may dismiss charges and order a civil commitment evaluation.

Court Referral Acceptedhttps://rehabseekers.com/specialized/court-ordered/court-referral-accepted/

How long do people stay in a state hospital?

Stays range from acute care under 30 days to intermediate care of 30 to 90 days and long-term care beyond 90 days; 34 states use their hospitals for all three bands. Forensic stays are different: California says length of stay for many forensic patients is ultimately decided by a judge.

Five states use their state hospitals only for long-term adult care and rely on general or private psychiatric hospitals for acute admissions.

Inpatient Rehabhttps://rehabseekers.com/programs/inpatient/

How do you get admitted to a state hospital?

Start with the county or local mental health authority, which screens for the least restrictive setting and makes the referral. Texas requires this local screening even for referrals from private providers, and the admitting physician has final authority over admission based on available hospital resources.

If someone arrives without screening, Texas performs an emergency medical screening under EMTALA and consults the local mental health authority.

Community Mental Health Centerhttps://rehabseekers.com/type/community/cmhc/

Can you admit yourself to a state hospital?

Yes, in some states voluntary admission is possible. Texas states that no individual is denied voluntary admission without thorough documentation and an appropriate referral recommended by the screening physician, though admission still depends on resources available at the hospital and on local screening.

Walk-in assessment is recorded at these facilities more often than the site average, so an on-site evaluation is sometimes possible even where the usual route is a county office.

Walk-In Rehabhttps://rehabseekers.com/programs/walk-in-rehab/

What happens during an involuntary hold?

Washington typically holds a person 72 hours for observation after a county-designated mental health professional's assessment, then up to two further weeks, after which a court may order 90 to 180 days of involuntary treatment. Pennsylvania uses up to 120 hours, then up to 20 days, then up to 90 days of court-ordered treatment.

In both states, the finding rests on imminent risk to self or others or grave disability due to mental illness.

Crisis Interventionhttps://rehabseekers.com/mental-health/mental-health-crisis/crisis-intervention/

What services do state hospitals provide?

Pennsylvania state hospitals provide evaluation, medical and nursing care, medication management, occupational therapy, treatment planning, therapeutic recreation, vocational adjustment and community reintegration. California treatment teams include a psychiatrist, psychologist, social worker and occupational or recreational therapists working from an individualized plan.

Texas gives each admitted patient a physical exam within 24 hours plus a psychiatric evaluation, nursing assessment, rehabilitation assessment and social history.

Psychiatric Medication Managementhttps://rehabseekers.com/mental-health/mental-health-treatment/psychiatric-medication-management/

Is there a waitlist for state hospital beds?

Often, yes. In Texas a judge's inpatient competency restoration order goes to the state hospital system, the person is added to a waitlist, and patients are admitted in the order their commitments are received. Shortages of psychiatric beds caused longer waits in 31 states in 2025.

Forty-three of 48 responding states reported an inpatient psychiatric bed shortage that year, with forensic beds the most frequently cited gap.

Inpatient Psychiatric Unithttps://rehabseekers.com/type/hospital/inpatient-psychiatric-unit/

Does Medicaid cover a state hospital stay?

Partly. Federal Medicaid does not pay for adults aged 21 to 64 treated in an institution with more than 16 beds mainly treating mental illness, a rule known as the IMD exclusion. Exceptions cover those 65 and older where states opt in, those under 21, and states with Section 1115 waivers.

Texas states its state hospital facilities are Medicare-certified and Medicaid-approved; states can also make Medicaid disproportionate share payments directly to these institutions.

Medicaid Rehabhttps://rehabseekers.com/insurance-accepted/medicaid/

Who pays for a state hospital?

State mental health agencies carry most of the cost, spending $14 billion on state psychiatric hospitals in 2023, which was 25.4% of their total spending and an average of $41.74 per resident. The IMD exclusion was designed in 1965 so states, not the federal government, would hold primary responsibility.

Per-capita spending in 2023 ranged from $12.72 in Arizona to $166.45 in the District of Columbia.

State Funded Rehabhttps://rehabseekers.com/payment/state-funded/

Are state hospitals accredited?

Yes, in most states. Forty of 46 responding states said their state psychiatric hospitals are accredited by the Joint Commission or another independent accrediting organization, though in six of those states only some hospitals hold accreditation. Texas lists Joint Commission accreditation across its state hospital facilities.

Accreditation is separate from Medicare certification and Medicaid approval, which Texas also reports for its hospitals.

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Do state hospitals treat children and teenagers?

Usually not. In 2025, 33 states reported their state psychiatric hospitals do not treat children under 13 and 26 states reported they do not treat adolescents aged 13 to 17. A smaller number do serve youth, and Washington operates a state psychiatric hospital for children and youth up to age 18.

Texas state hospitals also include units for children alongside adult and justice-involved units.

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A state hospital is a psychiatric hospital that a state government owns and operates, built for individuals with serious mental illness who need intensive inpatient care for longer than a community hospital typically provides. Stays range from under 30 days to well over 90, and the route in almost never starts at the hospital’s own front desk.

What sets this page apart from its neighbors is the courtroom. Unlike a general hospital’s addiction services or a private psychiatric hospital, a state hospital serves two populations defined largely by legal status: civil patients committed or admitted after a local authority’s assessment, and forensic patients sent by criminal courts for competency restoration or after an insanity finding. Substance use shows up here mainly as a co-occurring condition rather than the admitting diagnosis.

The sections below explain what a state hospital is and is not, who it serves, how civil and forensic admission actually run, what a stay costs and which payers are barred by federal Medicaid rules, and how a family reaches the right local office to start the process or to find an alternative.

What Is a State Hospital?

A state hospital is a psychiatric hospital operated by a state government for individuals with serious mental illness who need intensive inpatient care and cannot be treated in community settings. Every state has run at least one since the 1800s, and admission typically comes through a county authority or the criminal courts rather than self-referral.

Pennsylvania’s definition captures the modern role: a state-run psychiatric facility for individuals committed under the state’s mental health procedures who cannot be treated in the community, open only as a last resort. In 34 states the same state mental health agency manages both the hospitals and community mental health services, while 12 states place hospital operation with a different agency. Capacity shrank for decades, with residents falling more than 92% from 512,501 in 1950 to 36,479 in 2023, but in 2025 more states were adding beds than downsizing for the first time in over 70 years.

How Is a State Hospital Different From a Psychiatric Hospital?

Ownership and gatekeeping. Any hospital that primarily treats psychiatric conditions belongs under Hospital Rehab and its Psychiatric Hospital branch, but a state hospital is the state-operated subset, reached through county referral or court order and often holding patients for months or years. Five states reserve their state hospitals for long-term adult care entirely, relying on local general hospitals and private psychiatric hospitals for acute stays.

Who Goes to a State Hospital?

Two groups fill these hospitals: civil patients, admitted voluntarily or by civil commitment after a court finds serious mental illness and risk, and forensic patients, sent by criminal courts for competency restoration or after an insanity finding. Between 2017 and 2024, data from 30 states show the forensic share rising sharply while civil numbers fell.

Civil Commitment

Washington describes civil patients as those at imminent risk to themselves or others, or gravely disabled by mental illness, with a court making the finding after a county-designated professional’s assessment. In Florida, civil admission runs through a network of receiving facilities and happens only after less restrictive alternatives are exhausted. Voluntary admission exists too: Texas says no one is refused it without thorough documentation and an appropriate referral from the screening physician.

Forensic Commitment

California describes its forensic patients as individuals charged with or convicted of criminal conduct related to their mental illness: felony defendants found incompetent to stand trial, patients found not guilty by reason of insanity who can be held up to the maximum sentence of the most serious offense, paroled offenders with a qualifying severe mental disorder, and prisoners transferred for inpatient care. For many of them, a judge rather than the hospital decides when the stay ends. Competency restoration itself is time-limited treatment: Washington allows up to three consecutive restoration periods, with an outer limit of one year for the most serious felony class.

Children and Teenagers

Age coverage is uneven. In 2025, 33 states reported that their state psychiatric hospitals do not treat children under 13, and 26 states reported not treating adolescents aged 13 to 17, while Washington runs a dedicated state psychiatric hospital for children and youth up to 18. Families of minors usually need other inpatient options, which the county authority can name.

Substance use sits at the margin of this population. In 2024 data from 30 states, individuals with an alcohol or drug disorder diagnosis were 5.5% of residents, and Texas runs a program for co-occurring psychiatric and substance use disorders inside its hospitals. Whether any state admits someone for substance use alone, without a psychiatric diagnosis, could not be established from government sources, so a primary substance use disorder is usually better matched to mental health treatment settings with dedicated addiction levels of care.

How Does Admission to a State Hospital Work?

Admission starts locally, not at the hospital. A county or local mental health authority assesses the situation and looks for the least restrictive setting first; in Texas the admitting physician then holds the final decision. Court-ordered forensic admissions follow the commitment order instead, and patients are admitted in the sequence those orders arrive.

Involuntary routes run on statutory clocks. In Washington, a person is typically held 72 hours for observation, then up to two more weeks, before a court may order 90 to 180 days of involuntary treatment. Pennsylvania uses emergency treatment of up to 120 hours, extended treatment of up to 20 days, then court-ordered treatment of up to 90 days, with county referral and state review before a state hospital placement. On arrival in Texas, every patient gets a physical exam within 24 hours plus psychiatric, nursing, rehabilitation and social assessments.

Ask about alternatives first. Pennsylvania directs families to the county mental health administrator and names outpatient care, assertive community treatment, crisis intervention, local psychiatric inpatient care and long-term structured residences as the options to weigh before a state hospital, which its rules treat as the last resort.

Is There a Waitlist for State Hospital Beds?

Yes, often. Texas places court-committed forensic patients on a waitlist and admits them in the order their commitment orders are received, and bed shortages caused longer waits for state hospital beds in 31 states in 2025. Forty-three of 48 responding states reported a psychiatric bed shortage that year, with forensic beds the most frequently cited, which is why some defendants wait in jail for a bed.

How Much Does a State Hospital Stay Cost?

$446 to $1,232 a day is the fiscal year 2026 span of Texas’s capped charges, with child and adolescent services at the top end, and state mental health agencies spent $14 billion running these hospitals in 2023. What an individual actually owes turns on coverage, income and each state’s own fee rules.

Typical US market rates before insurance
Level of care	Monthly	Daily
Medical detox (7–14 days)	$1,500 – $5,200 per week	$215 – $745
Residential inpatient	$6,200 – $26,000	$205 – $865
PHP	$7,200 – $14,000	$240 – $465
IOP	$2,700 – $9,200	$90 – $305
Outpatient	$1,300 – $5,200	$45 – $175

Market rates like these describe private addiction treatment; a state hospital runs on a different economics. State funding carries most of the load because of a federal rule known as the IMD exclusion: Medicaid does not pay for adults aged 21 to 64 treated in an institution with more than 16 beds that mainly treats mental illness. Exceptions reach those 65 and older where a state opts in, those under 21, and short-term stays under waivers, and states can also send lump-sum disproportionate share payments to these institutions. Medicaid rehab coverage therefore works far better outside hospital walls than inside them.

Medicare is narrower still. Texas states its facilities are Medicare-certified, yet federal guidance notes that institutions housing only prisoners are generally excluded from Medicare payment, even though forensic hospitals must apply Medicare patient-protection rules to everyone. TRICARE and private insurance rarely enter the picture, since placement comes through public systems; and prior authorization in the commercial sense does not apply, because the gate is the local authority’s assessment or the court’s order rather than an insurer’s decision.

Fees and Billing

Billing rules vary by state and are often not published in plain language; the research behind this page found Texas’s fee schedule but no national pattern. Texas works out what a patient owes from third-party coverage, benefits, property and income, applies the daily cap, and allows an appeal of the charges. Ask the hospital’s business office for its equivalent before or soon after admission.

How Do I Find a State Hospital Near Me?

Call the county or local mental health authority rather than the hospital itself. Pennsylvania states its hospitals are open only to individuals referred by a county authority or through the criminal justice system, as a last resort, and the same local office can walk a family through crisis services and alternatives first.

Visitor and phone rules are set hospital by hospital. No government page states a general rule on visits, phone calls or personal devices, so ask the specific hospital for its written policy, along with how family members are kept informed. Teams contact relatives only with the patient’s permission, usually through the social worker.

What Should Families Ask the Treatment Team?

Ask what the individualized plan includes, since services span evaluation, medical and nursing care, medication management, occupational therapy, therapeutic recreation, vocational adjustment and community reintegration planning, with California teams built around a psychiatrist, psychologist, social worker and therapists. Ask how accreditation stands: 40 of 46 responding states said their state psychiatric hospitals are accredited by The Joint Commission or another independent body, though in six of those states only some are.

Discharge Planning

Washington starts discharge planning at admission, pulling in family, managed care organizations, housing providers and community behavioral health agencies, and a stay can end in conditional release or court-ordered community treatment for up to a year. Texas adds a transition support program for patients moving to a less acute setting who need an outside advocate for daily living skills and decisions.

State-operated psychiatric hospitals with substance use services are gathered on the State Hospital page, with State Run Rehab covering funded programs outside hospital walls and General Hospital Rehab covering acute medical settings. Each listing shows the levels of care offered, the payments the program reports accepting, licensing and accreditation shown where The Joint Commission or CARF lists the facility, and how far the site sits from the nearest airport.

References and Citations

NASMHPD Research Institute — 2025 report on state psychiatric hospitals: accreditation, age groups served, bed shortages, capacity trends, resident characteristics and agency spending.
California, Washington, Pennsylvania, Texas and Florida state agencies — forensic and civil commitment descriptions, admission screening, involuntary treatment timelines, services, fee schedules and discharge planning.
Federal Medicaid guidance — the institution for mental diseases exclusion, its exceptions by age and waiver, and disproportionate share hospital payments.
Centers for Medicare & Medicaid Services — guidance on Medicare payment exclusions for institutions housing only prisoners and patient-protection rules at forensic hospitals.
RehabSeekers directory listings and market rate research, United States, 2026. Ranges are indicative and vary by facility, length of stay and coverage.