Drug Rehab in San Antonio Treatment Works. Recovery is Possible.

At The Center for Health Care Services, we provide comprehensive substance use and addiction treatment to adults across Bexar County, regardless of your background, insurance status, or ability to pay. Whether you are taking the first step toward recovery or returning to care, our team is here to help you find a path forward.

Call now to enroll in services.

Call 210-261-CHCS (2427) Enroll in Services

Substance use disorders we treat

Whatever the substance, treatment starts with understanding. Our clinicians work with you to identify what you are facing and the level of care that will help most.

Alcohol

CHCS recognizes that drinking isn't necessarily the problem, but rather drinking in excess — which increases the risk of personal negative consequences such as health problems, injury to yourself or others while intoxicated, or birth defects due to drinking while pregnant. Excessive alcohol use includes binge drinking, heavy drinking, any alcohol use by people under the legal drinking age, and any alcohol use by pregnant women.

Opiates

Opioids are a class of drugs used to reduce pain — including legally prescribed oxycodone, fentanyl, buprenorphine, methadone, oxymorphone, hydrocodone, codeine, and morphine, as well as illegal drugs such as heroin. Beyond pain relief, opioids produce feelings of euphoria and well-being that can contribute to a "high" and to addiction.

Continuous use almost always leads to physical dependence, higher tolerance, and the need for increasingly larger amounts to achieve the same effect — which may lead to overdose. People who frequently use opioids face an increased risk of sickness when they reduce the amount used, experiencing withdrawal symptoms such as shaking, vomiting, sweating, and headaches.

Benzodiazepines

Benzodiazepines, also known as "benzos," are commonly used to treat seizures, anxiety disorders, acute panic attacks, and other conditions. Benzos are intended for short-term use; their effects on the body decrease over time, which often leads people to take more than prescribed to keep feeling the same effect. When combined with other drugs, benzos can lead to overdose and, in some cases, death. People who use benzos may experience confusion, dizziness, irritability, and weight gain, among other symptoms.

Methamphetamines

A powerful and highly addictive stimulant, methamphetamines affect your central nervous system and are chemically similar to amphetamines used to treat ADHD and narcolepsy. Commonly known as meth — and sometimes called ice, blue, or crystal — frequent and long-term use can lead to addiction, an increased risk of contracting HIV and hepatitis, severe dental problems, memory loss, aggression and violence, and more. A person can also overdose on methamphetamine, leading to stroke, heart attack, or organ damage.

Marijuana & synthetic marijuana

Marijuana is a mood-altering drug that affects the entire body through tetrahydrocannabinol (THC), the substance that induces its effects. Like other pain relievers, it can lead to dependence and addiction. Risks of heavy use include impaired judgement, disruption to normal learning functions, sensory changes, psychosis, reduced brain function, and acute memory loss. Although not life-threatening, withdrawal symptoms include anxiety, irritability, insomnia, stomach pain, and decreased appetite.

Synthetic marijuana — such as K2, Spice, or Spike — is not marijuana, although it contains some of the same compounds. It can be toxic, causing life-threatening effects including nausea, anxiety, paranoia, brain swelling, seizures, hallucinations, aggression, heart palpitations, and chest pains, as well as suicidal thoughts, raised blood pressure, and kidney damage.

Programs we offer

CHCS offers a range of treatment programs designed to meet you at whatever stage of recovery you are in. Our goal is to connect you with the right level of care and to support you through every step of the process.

  • A CHCS counselor meeting with a client in an outpatient session

    Outpatient

    Outpatient treatment does not require you to live within a facility or center, so you can begin your recovery while still living and working within your community. Treatment often consists of case management, counseling, education, and other training meant to guide you on your road to recovery.

  • A CHCS group therapy session in progress

    Intensive outpatient

    Intensive outpatient programs are meant for those who need a higher level of treatment for their recovery. As with outpatient treatment, you do not have to live within a facility; however, you may be required to meet more frequently for counseling and other services that will benefit your care.

  • A CHCS nurse supporting a client through detox

    Detox referrals

    Medical detoxification is often the first step in recovery for individuals with severe physical dependence. If detox support is needed beyond CHCS, our team will connect you with appropriate facilities in the community and support your transition into ongoing outpatient care once you are ready.

  • A CHCS prescriber reviewing a treatment plan with a client

    Medication-assisted treatment (MAT)

    MAT incorporates medication alongside behavioral therapies, medical care, and assistive services to help curb cravings, reduce alcohol consumption, and decrease substance use. MAT takes a person's entire life into consideration — family relationships, work, and more — and lays the groundwork that supports long-term recovery.

Ready to get started?

Call 210-261-CHCS (2427) Enroll in Services →

How we treat

The CHCS Residential Detoxification Unit offers a safe place to end addiction, whatever the substance. Our detox staff helps residents complete a safe withdrawal from alcohol and drug use, encourages continued substance use treatment, and empowers you to develop a healthy recovery lifestyle.

All care at CHCS is trauma-informed and person-centered — your treatment plan is never one-size-fits-all.

A CHCS recovery specialist talking with a client

Our approach to your treatment can include:

  • Psychiatric evaluations and treatment
  • Medical follow-ups and management
  • Wellness counseling, education and therapy
  • Integrated and primary care
  • Individual and group therapy
  • Psychosocial rehabilitation
  • Case management
  • Crisis services

Insurance & financial assistance

The Center for Health Care Services accepts many insurance plans, including Medicaid and Medicare. We offer a sliding fee scale for individuals who qualify, and we will never refuse services based on inability to pay.

View Substance Use Fee Schedule →

What to bring to enrollment

Financial assistance is determined based on your income and family size. To apply, complete a Financial Assessment at the time of enrollment and provide:

  • Proof of insurance
  • Proof of residency
  • Proof of income

Supportive housing

Supported Housing Programs are designed to help people with mental health and/or substance use challenges get and keep community housing, and receive psychosocial rehabilitative services, skills training, and case management.

Supportive housing services include:

  • Assistance in locating and obtaining housing
  • Working with landlords to negotiate a lease
  • Working with the client and landlord to resolve maintenance issues
  • Helping clients build and maintain relationships within their community
  • Teaching life management skills — money management, housekeeping, symptom and medication management, communication, cooking, socialization, health and hygiene
  • Facilitating access to other community resources

Eligibility & enrollment

To take part in the Supported Housing programs, you must have the following qualifications:

  1. Be a current adult mental health client with a CHCS Outpatient Clinic
  2. Verifiable income
  3. Verifiable homelessness
  4. A valid government-issued I.D., birth certificate, and Social Security card
  5. Meet the Housing and Urban Development (HUD) homeless definition — a primary nighttime residence that is a public or private place not designed for or ordinarily used as a regular sleeping accommodation, including a car, park, abandoned building, bus or train station, airport, or camping ground

OSAR resources

The Center for Health Care Services provides outreach, screening, assessment, and referral (OSAR) programs to all people residing within Bexar County. To access OSAR services, call 210-261-CHCS (2427) and our team will guide you to the resources that best suit your needs.

Call 210-261-CHCS (2427) Bexar County Resources →

Find substance use treatment in San Antonio today

Recovery is possible — and you do not have to do it alone. Whether you are ready to enroll today or just looking for more information, our team is here to help you take the next step.

Call 210-261-CHCS (2427) to begin enrollment today.

Call 210-261-CHCS (2427) Enroll in Services →

Frequently asked questions

What if I don’t qualify for services here?

If you do not qualify for our services a clinician will provide you with an appropriate referral or resources to see someone else in the community.

How do I pay for services? What insurance do you accept?

The Center for Health Care Services accepts many insurance plans including Medicaid and Medicare. Payment of your estimated consumer portion is expected at the time services are provided. This includes deductibles, copays, and any other predetermined fees due for this visit. CHCS will not refuse services to a person based on inability to pay. You may qualify for financial assistance toward your payments. This qualification will be determined based on your income and family size. To determine the appropriate monthly fee, you must provide the required documents and complete a Financial Assessment. Please be prepared to show proof of insurance, proof of residency, and family income upon check-in.

View Monthly Ability to Pay Fee Schedule

Can I receive services even if I am homeless?

CHCS will not refuse services to a person based on homelessness. CHCS agrees not to discriminate in the provision of services to an individual based on: the individual’s inability to pay; whether payment for those services would be made under Medicare, Medicaid, or CHIP; the individual’s race, color, sex, national origin, disability, religion, age, sexual orientation, or gender identity.