Substance Use (Addiction) Services 

Step One: Contact the ICARE Call Center for a phone interview. The ICARE Call Center operates 24/7/365 and can be reached at (817) 335-3022 or (800) 866-2465 toll-free.

Step Two: Visit our Access to Care Clinic (3800 Hulen Street, Suite 150, Fort Worth) and bring required documents:

Required Documents :

• • Proof of Residence
  • Proof of Income
  • Proof of Dependents
  • Proof of Insurance
  • Picture ID

Step Three : In-person screening completed at the Access to Care Clinic.

Step Four : If you are eligible, an appointment will be offered at your clinic of choice. If you are not eligible, other community resources will be offered.

Call or text our ICARE Call Center, 24 hours, 7 days a week, 365 days a year:

(800) 866-2465
TTY: (817) 569-4488

ICARE Services offered:

• Emergency mental health services
• Urgent care
• Crisis follow-up
• Relapse prevention
• Support and reassurance
• Information and referral
• Crisis intervention services
• Screenings and intakes

If you have a medical emergency, call 911.

During your screening, staff will discuss your eligibility and payment options. 

Adult & Adolescent Substance Use Services 

Based on a sliding scale, services may be covered through Medicaid, private insurance, or private pay. 

HIV Services 

There is no charge for HIV or crisis services. 

• Ambulatory detoxification, also known as outpatient detoxification, is a medical procedure designed to safely reduce the levels of drugs and alcohol in the body without a hospital admission. Effective detoxification can be the first step of a treatment process and is an important and necessary part of dealing with addiction. The following services can help alleviate symptoms and address abuse issues:
  • Auricular acupuncture
  • Suboxone-assisted withdrawal (Buprenorphine and Naloxone)
  • Individual counseling
  • Group counseling
  • Medical monitoring
  • Placement and referrals
• Residential detoxification is for those individuals whose withdrawal symptoms are more severe and need an elevated level of care that requires 24-hour monitoring. Residential detox typically lasts 5-10 days and takes place in our 20-bed Billy Gregory Unit. Services include:
  • 24-hour medical supervision tailored to each individual’s unique needs and physician recommendations
  • Suboxone-assisted withdrawal (Buprenorphine and Naloxone)
  • 3 hours of educational groups daily
  • Exercise
  • Individual counseling
  • Participation in self-help groups
  • Placement and referrals

• Outpatient Services: MHMR provides substance use outpatient services at multiple locations in Tarrant County. Treatment is based on the adult’s individual needs after screening and assessments:
  • Anger management
  • Gender-specific groups
  • Group and individual sessions
  • HIV education and testing
  • Life skills training
  • Parenting
  • Relapse prevention 
  • Substance use education 
• Residential Services: Pine Street Rehabilitation Center is a 50-bed residential substance use treatment facility whose primary goal is to help people with alcohol or substance use problems learn to live without using drugs and/or alcohol. Our licensed staff provides skills training, counseling, and support to our patients as they develop a new way of living. Open 24 hours a day, 7 days a week, Pine Street provides the following services:
  • Individual therapy 
  • Group therapy 
  • Substance use education 
  • Weekly family group 
  • Gender-specific treatment
  • Seeking Safety trauma groups 
  • Parenting groups 
  • Access to psychiatric evaluation 
  • Dual Diagnosis (mental health and substance use)
    • Psychiatric screening 
    • Counseling 
    • Case management 
    • Referrals to community mental health and substance use services
  • HIV testing and referrals to services 
• Programa Oportunidad: MHMR reserva un grupo para adultos buscando asistencia con el uso de alcohol y drogas quienes hablan espanol. Servicios disponibles incluyen:
  • Grupos de Alcohol y Drogas (apoyo y intenso) 
  • Clases para hombres 
  • Clases de enjoyo
  • Consejeria individual
  • Consejeria familiar 

MHMR provides substance use outpatient to youth, ages 13-17, at three locations in Tarrant County. All locations provide group-based treatment. Treatment is based on the youth’s individual needs.

Other services include: 

• Group Counseling 
• Individual Counseling
• Licensed substance use counselors
• Parent education 
• Family and family systems support 
• Support educational goals
• FWISD truancy court liaison 
• Tarrant County juvenile probation liaison 
• Groups programs located in Fort Worth and Hurst
• Spanish-speaking counselors and staff 

Treatment Goals:

• Understand the disease concept of substance use
• Understand the process of recovery 
• Accept responsibility for actions
• Learn appropriate social behaviors 
• Make positive changes in their lives

Family Session Goals: 

• Include the youth and family in the recovery process 
• Improve family communication and relationships 
• Educate parents about substance use and related behaviors 

Support Service Goals:

• Assess appropriate service and treatment needs
• Help youth and families actively participate in recovery 
• Make referrals to community services and support groups 

The Youth Recovery Campus (The Campus) houses a 16-bed, full-time residential program for male youth, age 13-17. Our youth are referred from several Juvenile Probation officers, truancy courts, and school districts. We also accept youth who are self-referred. The average stay for treatment is 45-60 days. 

Our counseling staff provide treatment using evidence-based curriculum, addressing: 

• Anger management 
• Brain Power
• Relapse Prevention 
• Twelve Steps 

Treatment for co-occurring psychiatric and substance use disorders is also available.

Additional services and program features include: 

• Fort Worth ISD School on campus with computer-based learning
• Fully equipped gym 
• Physical wellness classes
• Art classes
• Community service opportunities 
• Recovery groups on and off campus 
• Experiential therapy 
• Job Corps presentations 
• Life skills presentations 

The HIV Prevention Unit works with the community as outreach specialists, and HIV educators refer people to substance use treatment facilities. The Prevention Unit provides our patients with resources that enhance self-esteem and decision-making skills, and improve their overall behavioral health. 

Services available: 

• Educational groups based on the ABC Model (Abstinence, Behavioral change, and Condom use) 
• Offer HIV prevention presentations
• Perform screenings for detoxification 
• Administer HIV and Hepatitis C testing, counseling, referrals, and follow-ups 

HIV Testing

People in the community may call our Prevention Unit to schedule an appointment for no-charge HIV testing. Results are given in 20-30 minutes. 

HIV Early Intervention (HEI) provides intensive case management services for adults living with substance use and HIV. Our case managers are dedicated to helping our patients learn more about their addiction, develop better coping and like skills and learn to identify relapse triggers, all in a safe, supportive environment. 

HEI Case Management offers: 

• Personalized support to participants 
• Addiction treatment and counseling 
• Referrals and follow0up to community resources for:
  • Medication management
  • Health care
  • Housing
  • Counseling 
• Participant advocacy, as needed
• Individualized case service plan 
• Mentor and support group meetings
• Transportation assistance 

HEI case managers conduct groups: 

• Men 
• Women 
• Life skills 
• Sex education
• Codependency 
• Acudetox
• Relapse prevention 

Substance Use

• AA Central Office Fort Worth
• Alcoholics Anonymous
• Mental Health Connection
• Narcotics Anonymous Fort Worth
• National Institute on Alcohol Abuse and Alcoholism (NIAAA)
• National Institute on Drug Abuse (NIH)
• Recovery Resource Council (OSAR)
• Substance Abuse and Mental Health Services Administration (SAMSHA)
• Texas Department of State Health Services
• Start Your Recovery
• Alcoholism/ Alcohol Use Disorder

Smoking Resources

• becomeanex.org
• BeTobaccoFree
• Cancer.gov/cancertopics/tobacco/smoking
• determinedtoquit.com
• 1-800-TRYTOSTOP (1-800-879-8675)
• Smokefree Women

Veterans Resources

• Military Veteran Peer Network
• VA North Texas Health Care System
• VA Homeless Services
• Texas Veterans Portal
• North Texas VA system

• Transportation Resources

MHMR Recovery Center (Pine Street and Billy Gregory Detoxification)
1501 E. El Paso Street
Fort Worth, TX 76102
817-569-4600

Community Addiction Treatment Services (CATS)
1502 E. Lancaster Avenue
Fort Worth, TX 76102
817-569-5360

Addiction Recovery Center (ARC)
4525 City Point Drive
North Richland Hills, TX 76180
817-569-5750

The Campus (Youth Recovery Campus)
1527 Hemphill Street
Fort Worth, TX 76104

Prevention & Intervention
4200 South Freeway (I-35 W)
La Gran Plaza de Fort Worth Suite 550
Fort Worth, TX 76115
817-569-5750

What is addiction? 

Addiction is a chronic, often relapsing brain disease that causes compulsive seeking and use of drugs and alcohol, despite harmful consequences to the addicted individual and those around him or her. Although the initial decision to take drugs or drunk alcohol is voluntary for most people, the brain changes that occur over time may challenge an addicted person’s self-control and hamper his or her ability to resist intense impulses to drink or take drugs. 

What kind of treatments do you provide for addiction? 

MHMR offers drug and alcohol detoxification services (the process of safely removing drugs and alcohol from your body) in either a residential or outpatient (ambulatory) setting. There are outpatient treatment services for adolescents and adults, and residential treatment services for male and female adults, and male adolescents. 

How long will I have to wait until I can begin treatment? 

We make every effort to work with you as quickly as possible. The first step is calling us for an assessment. Outpatient services are usually available almost immediately and are a good starting point for those waiting for inpatient services. MHMR Substance Use Services has 20 beds and is the only detox facility available for 13 surrounding counties. To request a screening: 

• Adults, call 817-569-4600 between 8:30 a.m. to noon 
• Adolescents, call 817-569-4270 

Do you accept insurance, Medicaid, or Medicare?

We accept insurance, Medicaid and Medicare and we provide services for those who are medically indigent. 

How much will it cost me?

Self-pay costs are determined using a sliding scale fee chart. In many cases, there is little or no cost to the patient. in virtually all cases where a patient is deemed eligible for indigent services, that patient will not be denied services due to an inability to pay for services. 

How long does a typical program for substance use treatment last? 

Because the answer depends on each person’s needs, we can’t say exactly how long treatment will last. However, in our experience, most patients’ programs in supportive and intensive outpatient treatment run from 12 to 24 weeks, and typically involve one to four group sessions per week and at last one individual session per month. Intensive adult residential treatment is typically from 20-30 days in length for adults and 45-60 days for adolescents.

Adult detoxification is usually 5-7 days in length. The number of sessions (group or individual) and the length of stay depend on the severity of a given client’s substance use issue. At the initial interview, we assess the severity of a person’s issue so that by the end of that session, people have a good idea about the projected duration of their treatment. Occasionally, we find that our initial projection does not meet a client’s needs; then, we simply adjust his/her program by increasing or decreasing the number of require sessions or length of stay. 

How do I get an initial interview and what information should I bring to it? 

• For adults, call 817-569-4600 between 8:30 a.m. to noon to request a screening. Our admissions team will return your phone call that day or the following day, and will do an over-the-phone screening. This screening will give us a good idea of the level of care you will need. Once your screening is completed, you will be referred to the most appropriate program (detox, residential, or outpatient) and if needed, you will be placed on a wait list for services. If you are placed on a wait list, you will need to call daily (Monday-Friday) to check on bed availability and let us know if you are still interested in a bed. Patients will be admitted as they move up the wait list. 
• For adolescent services, call 817-569-4270. Our staff will help schedule an appointment. We need parents to bring documentation stating income (pay stub, W-2 form, last year’s tax return, etc.) so we can access whether or not you are eligible for some type of state funding for your treatment cost. We also need you to bring some documentation indicating your residence, such as a utility bill. If you have Medicaid or private insurance, bring your enrollment card. 

What does the intake process involve? 

The residential intake involves a screening that can be done over the phone or in person.

For outpatient, we also do a screening and assessment to create a treatment plan and schedule for group participation, counseling, and individual appointments. 

Can I attend more than one outpatient group session per week and shorten the length of my program?

Length of treatment is determined by many factors, including progress toward goals and objectives and participation in services. Each patient is different, and will progress at their own pace. 

What does co-occurring disorder mean? 

Co-occurring disorder or dual diagnosis typically refers to a person having both mental health and substance use disorders. Research and first-hand experiences in both the mental health and substance use treatment fields have led researchers and practitioners to understand that both disorders must be addressed and treated at the same time to fully recover.