What I like about this facility is that you get a no-cost clinical evaluation and plan of action before you are admitted. Most rehab facilities provide this after you enroll. Your action plan may include inpatient, partial hospitalization, or intensive outpatient treatment.
Hickory Trail Hospital focuses on long-term recovery and so their treatment plans include everything from inpatient detox to discharge planning. They offer education on life skills and seeking safety. Their recreational therapy includes sports, yoga, pet, art and gardening.
You will get daily meetings with a psychiatric staff member and medications if needed. Social support including AA and NA as well as family support are available.
Hickory Trail Hospital accepts most major private and government-issued insurance plans. They also have payment options and will assist patients with verifying and filing for insurance benefits.
Our Methodology
Private insurance refers to any kind of healthcare coverage that isn't from the state or federal government. This includes individual and family plans offered by an employer or purchased from the Insurance Marketplace. Every plan will have different requirements and out of pocket costs so be sure to get the full details before you start treatment.
Self-pay involves paying for treatment out of your own pocket. You can use savings or credit, get a personal loan, or receive help from family and friends to fund your treatment. If you don't have insurance or your insurance plan doesn't cover a specific program, self-pay can help ensure you still get the care you need.
Financial aid can take many forms. Centers may have grants or scholarships available to clients who meet eligibility requirements. Programs that receive SAMHSA grants may have financial aid available for those who need treatment as well. Grants and scholarships can help you pai for treatment without having to repay.
Medicare is a federal program that provides health insurance for those 65 and older. It also serves people under 65 with chronic and disabling health challenges. To use Medicare for addiction treatment you need to find a program that accepts Medicare and is in network with your plan. Out of pocket costs and preauthorization requirements vary, so always check with your provider.
Medicaid is a state based program that helps lower-income individuals and families pay for healthcare. Medicaid covers addiction treatment so those enrolled can use their coverage to pay for rehab. When a program accepts Medicaid the client often pays very little or nothing out of their own pocket.
Military members, veterans, and eligible dependents have access to specific insurance programs that help them get the care they need. TRICARE and VA insurance can help you access low cost or no cost addiction and mental health treatment. Programs that accept military insurance often have targeted treatment focused on the unique challenges military members, veterans, and their families face.
Outpatient 
Inpatient 
Intensive Outpatient 
12-Step 
Partial Hospitalization Program 
24-Hour Clinical Care 
Medically Assisted Detox 
Telehealth The goal of treatment for alcoholism is abstinence. Those with poor social support, poor motivation, or psychiatric disorders tend to relapse within a few years of treatment. For these people, success is measured by longer periods of abstinence, reduced use of alcohol, better health, and improved social functioning. Recovery and Maintenance are usually based on 12 step programs and AA meetings.
During rehab in Texas, you'll deal with underlying issues that contribute to addiction. By addressing these challenges and learning healthy ways to cope with them, you'll develop strategies that help you live a drug-free lifestyle.
Many of those suffering from addiction also suffer from mental or emotional illnesses like schizophrenia, bipolar disorder, depression, or anxiety disorders. Rehab and other substance abuse facilities treating those with a dual diagnosis or co-occurring disorder administer psychiatric treatment to address the person's mental health issue in addition to drug and alcohol rehabilitation.
A combined mental health and substance abuse rehab has the staff and resources available to handle individuals with both mental health and substance abuse issues. It can be challenging to determine where a specific symptom stems from (a mental health issue or an issue related to substance abuse), so mental health and substance abuse professionals are helpful in detangling symptoms and keeping treatment on track.
Opioid rehabs specialize in supporting those recovering from opioid addiction. They treat those suffering from addiction to illegal opioids like heroin, as well as prescription drugs like oxycodone. These centers typically combine both physical as well as mental and emotional support to help stop addiction. Physical support often includes medical detox and subsequent medical support (including medication), and mental support includes in-depth therapy to address the underlying causes of addiction.
Substance abuse treatment is available in Texas for anyone who's struggling with drug or alcohol addiction. These programs usually provide a comprehensive assessment and individualized treatment plan, and include evidence-based treatments, like therapies such as cognitive-behavioral therapy (CBT) to reframe unhelpful coping strategies, and dialectical behavior therapy (DBT) to help with emotional regulation and stress.
The goal of cognitive behavioral therapy (CBT) in Texas is to change thought patterns, which leads to changes in behavior. Specific techniques during CBT can include self talk, SMART goals, journaling, and positive activities.
Treatment that takes a dialectical behavior therapy approach focuses on four strategies. Distress tolerance will help you accept and tolerate intense emotions. Emotional regulation will teach you to manage those emotions. Mindfulness will keep you in the present moment instead of regret or worry. Interpersonal effectiveness will teach you to manage your relationships.
Group therapy is any therapeutic work that happens in a group (not one-on-one). There are a number of different group therapy modalities, including support groups, experiential therapy, psycho-education, and more. Group therapy involves treatment as well as processing interaction between group members.
In individual therapy, a patient meets one-on-one with a trained psychologist or counselor. Therapy is a pivotal part of effective substance abuse treatment, as it often covers root causes of addiction, including challenges faced by the patient in their social, family, and work/school life.
Trauma therapy addresses traumatic incidents from a client's past that are likely affecting their present-day experience. Trauma is often one of the primary triggers and potential causes of addiction, and can stem from child sexual abuse, domestic violence, having a parent with a mental illness, losing one or both parents at a young age, teenage or adult sexual assault, or any number of other factors. The purpose of trauma therapy is to allow a patient to process trauma and move through and past it, with the help of trained and compassionate mental health professionals.
Whether a marriage or other committed relationship, an intimate partnership is one of the most important aspects of a person's life. Drug and alcohol addiction affects both members of a couple in deep and meaningful ways, as does rehab and recovery. Couples therapy and other couples-focused treatment programs are significant parts of exploring triggers of addiction, as well as learning how to build healthy patterns to support ongoing sobriety.
Research clearly demonstrates that recovery is far more successful and sustainable when loved ones like family members participate in rehab and substance abuse treatment. Genetic factors may be at play when it comes to drug and alcohol addiction, as well as mental health issues. Family dynamics often play a critical role in addiction triggers, and if properly educated, family members can be a strong source of support when it comes to rehabilitation.
The right life skills training will help you build the skills you need for recovery. You'll learn how to solve problems, improve your social life, enhance your mental health, and make good decisions. This is a key component of drug rehab programs in Texas.
Nutrition therapy, aka medical nutrition therapy (MNT), is a way of treating physical, emotional, and medical conditions through diet. Specific dietary plans are designed by professional nutritionists or registered dietitians, and patients follow them in order to positively affect their physical and mental health.
Addiction recovery treatment in Texas will offer recreational therapy in a holistic approach to treatment. Therapy incorporates enjoyable activities that support your physical and mental health, such as team sports, creative arts, or individual sports. This activity gives you an emotional outlet, reduces your stress, and improves your mood, each of which promotes long term sobriety.
Private Rooms 
Gym 
Basketball Court 
The Joint Commission, formerly known as JCAHO, is a nonprofit organization that accredits rehab organizations and programs. Founded in 1951, the Joint Commision's mission is to improve the quality of patient care and demonstrating the quality of patient care.
Joint Commission Accreditation: Yes
2000 Old Hickory Trail
Desoto, TX 75115
Sponsored Helpline
Back to TX
I would like to commend Mr. JUSTIN O (unit 1). He has gone above and beyond for my loved one. He is caring, thoughtful and very compassionate. He has been very respectful and attentive to my husbands needs. I got to meet him during visitation, he is very humble and respectfu ...
I can’t recommend this mental health treatment center enough. From the moment I arrived, Drew, Cory, Nurse Jackie, Nurse Pam, and everyone else I interacted with (well… except one grumpy cook, but even they didn’t overshadow the experience) made me feel like part of a family. Having been hospitalized before, I’ve rarely encountered people so genuinely caring and invested in my well-being. I left this center with real solutions and tools that I know will last a lifetime. The staff didn’t just treat my immediate concerns—they empowered me for the future. Their authenticity, warmth, and professionalism made a lasting impact, and I am truly grateful for everything they’ve given me.
Don’t know how it’s even considered a mental health facility felt more like a prison
Jason P. Is a phenomenal Manager and trainer. He is detail oriented and focused on our sccess!
I am so grateful for the amazing staff at Hickory Trail. My brother received excellent care during his time there, and the compassion, professionalism, and patience of the team made all the difference for both him and our family. A very special thank you to his caseworker and therapist, Joshua Otway, for his guidance, support, and kindness. He went above and beyond to help my brother and gave us so much encouragement along the way. I’d also like to recognize Nurses Mya, Juliet, and Fate, whose care and compassion meant so much to us. The staff at Hickory Trail truly make an impact, and our family is deeply appreciative of everything they do.
The lady at the front desk is a horrible person she’s rude and snarky disrespectful the place is not safe for your family PLEASE DO NOT BRING YOUR FAMILY HERE !!!! They don’t care about the patient or anything and I noticed I’m not the only one reporting this this place needs to be looked into ASAP why this place is still open is insane to me
Thank you, Hickory Trail Outpatient Services, for everything you’ve done for me. I came in feeling angry and on edge, but I’m leaving with so much more peace and clarity. Calandria, April, Karla, Sarah, and the entire staff—thank you for all your support!!!
Daniela and Xiare are the only 2 techs that actually care about the patients. Justice, the nurse, was the night nurse most nights in my unit and was the only one that actually cared, as well. Overall, none of the techs were bad....but most didn't seem to grasp the depths of the mental illness of patients in there.
DO NOT COME HERE VOLUNTARILY! Voluntary means nothing here, they will make you stay 7 days. They will try to give you meds before even seeing a psychiatrist. They will not tell when you will meet with him. When you do meet with the psychiatrist it will be over a counter in front of all the unit including staff and patients. No privacy! All staff act like you're an inconvenience. Loved ones calling to try to help will get hung up on, especially if Victor the nurse is on duty. This a jail with a few more steps.
I would like to personally say a BIG “Thank You” to Kiesha Holman and the rest of the staff. This has been the best decision I made when I chose this facility. I started IOP in May 2025. The depth of compassion, understanding, and guidance has been amazing. I chose this facility back in 2003 as well. I have learned so much from coping skills, meditation, and setting boundaries (just to name a few). I truly don’t know where I would be had I not reached out. If I could give 100 stars I would!! Thank you from the bottom of my heart 💕
I loved the staff, Doctors, and Techs. The group sessions were very beneficial for me and I’ve learned so much about myself. My case worker Jesslyn and nurse Ms.Dee are honest and amazing and taught me how to speak up more without making a situation overrated but into an understanding of the mind. I truly appreciate everyone and I LOVE YALL but I hope to never come back. ❤️😂
When I first got to Hickory Trail,it was comforting from the moment I got there!!! The staff was unbelievable, as they asked me how they could help me; I thought the world of that!!! And the entire stay was MEANINGFUL!!! GREAT care, and Professional attention!!!!! Thanks for EVERYTHING!!!!!
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