The great State of Texas has seen a recent expansion into its alcohol and drug treatment sector. The need for treatment in Texas is growing daily and yearly. More people need treatment but can not get access treatment. Most of the request for treatment is related to an indigent treatment. Many new organizations have popped up in Dallas, Houston, Austin, and San Antonio, Texas. The problem with this expansion is that the treatment programs are out-of-network treatment programs and this causes a larger barrier to access of treatment services. The Texas Indigent Treatment System has long waiting list for beds.
Another problem is high deductible insurances are keeping individuals from receiving alcohol and drug treatment. Simply put the high deductible insurance plans reduces a person’s decision to ask for help which is one reason for the higher deductible plans, however the insurance companies have yet to figure out that placing barriers to access to care only forces more admissions into emergency room departments which increases the healthcare dollars needed to address alcohol and drug-related health needs.
The State of Texas needs some legislation on this matter as well as indigent funding to address the indigent population. If the Texas Legislative branches would look at the current systems and increase state funding and modify regulations on higher deductible plans, then they could make a huge impact with the Opiate Crisis in Texas. One great idea is for managed care insurance companies to become aware of this and to set up a waiver program for those needing access to medical detoxification for alcohol and drugs. They would only be saving dollars and lives and cutting their own cost in the long run.
There are of course many other ideas to help people access alcohol and drug treatment. However, not many of those ideas are ready to start and are projected a few years down the road.
Texas Treatment Sector Concerns:
Why are so many new programs in Texas? The simple answer is the perception that due to a larger population of insured lives in Texas that treatment organizations can increase their revenue by opening more treatment centers across the State of Texas. It’s simply capitalism at work, and investor groups are looking to turn some financial profits by expanding their organizations in larger states. Many long-term treatment programs in Texas have been concerned with the new expansion trends and have voiced their concerns to industry insiders, state agencies, professional organizations and counseling groups in Texas. The main concern is that the expansion could create the problems associated that Florida Treatment Centers have experienced in the last 5-years or more. Texas wants to be a step above the national addiction treatment industry by staying true to experience, innovation, ethical standards and providing evidence-based addiction treatment.
Texas Treatment Problems:
The biggest area of concern for Substance use disorder facilities in Texas is workforce shortage of qualified counseling staff. The current system of educating and training counselors as well as counselors retiring is causing a workforce issue in the Texas Addiction Treatment Sector. There are professional associations like the Texas Association of Addiction Professionals that are looking at the problem and developing ways to address the issue. However, there are many other organizations that are paying attention to the workforce issues in Texas. Another concern is the emergence of websites that have become consumer sites for placement of patients into rehab centers. Many of these placement center websites are operating with no regulation and have shady practices of trying to scam unsuspecting individuals into using their paid only treatment center advertisement relationships while knocking wonderful treatment programs that have been helping individuals and families for decades in the addiction treatment sector. This is a whole issue that needs to be addressed soon before more people get hurt. The main thing is that consumers visit the treatment center websites and call and talk to the actual treatment center staff before deciding on which program to attend.
Alcohol and Drug Treatment Trust:
Texas has long held its treatment center sector as one of the best places to receive treatment in the entire nation. The experience and professional and ethical standards related to regulation have always been a mainstay of the Texas Rehabs that provide services. The traditional substance use disorder profession takes pride in providing quality and effective treatment services in outpatient, detoxification, residential and partial hospitalization programs.
The treatment centers that are making an impact in the lives of Texans are licensed by The Texas Department of State Health Services and accredited by The Joint Commission or CARF accredited. These programs have shown continued strength and consumer protection to the people that use their substance use disorder services. The Joint Commission requires that each Texas Rehab Program monitor its programs for quality, effectiveness and focuses on providing outcomes.
Cost of Treatment:
The cost of addiction treatment centers in Texas range from $8,000 to $90,000 dollars per month. However, the price is not an indicator of one program is more effective than another program. Each program figures out their negotiated treatment rates with the insurance companies. Many programs that are cost-effective treatment rates offer more services than the costlier treatment programs. It's not a matter of if you pay more you receive more from the treatment providers. The fact is Texas has many programs that have been in operations for more than 20-years and some that are within a 5-year window of operation, and they are all great programs.