Alcohol Rehab and Detox in San Antonio, TX

Provisional CDC figures shared by San Antonio Metro Health show 179 opioid-related deaths in Bexar County in 2024 (down from a 269 high in 2022) and 208 stimulant-related deaths in 2024. San Antonio still has enough treatment inventory that alcohol care can start with medical detox rather than a waiting-list guess. This page covers what alcohol treatment looks like here, why detox needs medical supervision, and how to start.

What alcohol treatment looks like in San Antonio

The SAMHSA treatment locator lists 26 facilities within 30 miles of downtown San Antonio (ZIP 78205):

  • 7 offering detoxification (withdrawal management)
  • 6 with residential programs
  • 24 offering outpatient services
  • 16 reporting alcohol medication options (administering/prescribing or accepting clients already on AUD medicines)

The Center for Health Care Services (CHCS) 24-hour crisis/substance-use helpline 210-223-SAFE (7233) / 800-316-9241 is a primary public-network door. Counts change as programs open and close, so confirm current options on the locator.

Why alcohol detox needs medical supervision

Alcohol is one of the few substances where stopping suddenly can be life-threatening. Clinical guidance on detoxification describes alcohol withdrawal that can progress to seizures and to delirium tremens (DTs), which can be fatal without medical care. A heavy, long-term drinker should not try to quit alone.

If someone is shaking, sweating heavily, confused, hallucinating, or has had a seizure while cutting back on alcohol, call 911. For a mental health or substance use crisis, call or text 988.

The local picture in numbers

  • Provisional CDC figures shared by San Antonio Metro Health show 179 opioid-related deaths in Bexar County in 2024 (down from a 269 high in 2022) and 208 stimulant-related deaths in 2024.
  • Local clinicians and public health partners emphasize naloxone access and rapid entry to detox and counseling when alcohol and opioids travel together.
  • Confirm the latest certified totals with the medical examiner or health department cited below.

Paying for alcohol treatment in San Antonio

Texas Medicaid (HHSC) covers medically necessary SUD treatment for eligible members through participating providers. The state has not expanded Medicaid under the ACA, so many adults without children do not qualify. Ask specifically about detox, residential, PHP, IOP, and medications such as naltrexone, acamprosate, and disulfiram.

How to start today

  1. If this is a medical emergency, call 911. For a crisis, call or text 988.
  2. Call or text (800) 653-9376 to talk through your options with a treatment specialist, or use this form:

Calling is free; the referral service is paid for by treatment providers, and we check your benefits before you commit.

  1. Contact the public-network door above, or search findtreatment.gov with ZIP code 78205.
Call or text (800) 653-9376 Get help online