
The range of illicit drugs available in Texas is as broad as the state itself. Sharing a long, long border with Mexico has been a problem since Old West days, and it is not getting better as Mexican drug cartels struggle for supremacy below the border. The flood of marijuana, meth, cocaine, and heroin through the state is nearly unstoppable, though law enforcement is dedicated to the task. Cocaine is an especial favorite in Texas, where rates of cocaine abuse have historically ranked much higher than the average for the rest of the country. Prevention and awareness campaigns are having some success in convincing young people of the dangers of hard drugs; however, the result may have been that more and more young people are drinking instead, as a “safer” activity. Past year use of alcohol among Texas students increased 12% between 2006 and 2008.
Drug and alcohol treatment centers in Texas report that the old “alcohol only” or “drug only” admissions categories are shifting. Drugs now claim 52% of all admissions to Texas rehab centers, and a good many people are abusing both.

They are also, sadly, dying younger, those unfortunate enough to fall into the trap of thrill-seeking through drugs. Texas drug and alcohol treatment centers and law enforcement authorities are noticing a younger population snorting heroin, with a sharp drop in the average age of people dying from heroin overdose. It is a wake-up call to families who hope their “wild child” will grow out of his problem.

Substance Abuse Trends in Texas, 2008
Jane C. Maxwell, PhD
Gulf Coast Addiction Technology Transfer Center
U.T. Addiction Research Institute
For families struggling with a substance abuse problem, Texas has a broad network of treatment centers located across the state. Texas spent over $170 million dollars on prevention and treatment programs for drug and alcohol abuse in 2008, including monies provided to the 57% of all Texas drug and alcohol rehabilitation centers that receive public funding. Not all of these are publicly-owned or managed by state agencies. In 2006 there were 523 drug and alcohol treatment centers in Texas, of which 475 were either private nonprofit or private for-profit facilities. “Private” applies to ownership and should not be taken as meaning these facilities are out of reach of all but the well-heeled.
Individuals and families hunting for the right facility or program for a particular addiction should evaluate all local options carefully. For opiate addictions, especially, not all treatment regimens are the same. Most drug and alcohol treatment centers in Texas use 12-step programs, group support, counseling, behavior modification, and detoxification in combination to move addicts from abuse to recovery. Methadone programs are provided by very few; just 70 Texas rehab centers offer opioid programs. Likewise, not all facilities offer residential care. This is limited to the 162 recovery centers in Texas that offer residential programs.
All prospective patients should understand the various treatment modalities and discuss options with their doctor before entering any drug or alcohol treatment program, in Texas or anywhere else.