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Prescription opioid painkiller misuse is a big problem not only in the United States, but in the great State of Texas. Opioids are a family of drugs that include prescription painkillers such as hydrocodone and Oxycodone, as well as illegal drugs like heroin.

Each day, 115 Americans die of opioid overdoses. There were 1,375 opioid-related deaths in Texas in 2016.

The Prescription Drug Crisis In Texas

Of the top 25 cities for opioid misuse, a whopping four are in located in Texas - Texarkana, Amarillo, Odessa and Longview - and American Enterprise Institute research shows non-fatal overdoses cost the state a staggering $20 billion a year. Additionally, the Texas' Maternal Mortality and Morbidity Task Force has found that prescription drug overdose is a leading cause of maternal deaths in the state.

According to the report "Substance Abuse Trends in Texas," hydrocodone is the most prevalent prescription opioid used for non-medical purposes in Texas. The report also indicates an increasing problem with abuse of codeine cough syrup and attributes the rise, in part, to popular pop music promoting 'sippin' syrup" and several cases of popular singers getting in trouble because of their use of syrup.

In 2015, Texas providers wrote 15.9 million prescriptions and there were 617 prescription opioid-related overdose deaths in the state. Experts say most of the people addicted to opioids in Texas are not abusing heroin. Instead, they're focused on prescription painkillers like Oxycodone and OxyContin.

In the year 2017, about two-thirds of opioid-related exposure calls to the Texas Poison Center Network were made for commonly prescribed opioids, and of the 1,174 Texas deaths involving opioids in 2015, 517 involved opioid painkillers.

Trends in Texas revolve around illicit pain clinics, pharmacies, and physicians. The most desired pharmaceuticals continued to be the three that constitute what is known as the Houston Cocktail: Hydrocodone, Carisoprodol (Soma), and alprazolam (Xanax).

The DEA reported prescriptions from Houston pain management clinics were filled in pharmacies as far north as Oklahoma, as far east as Alabama and as far west as El Paso.

In 2017, Texas providers wrote 53.1 opioid prescriptions for every 100 persons, compared to the average U.S. rate of 58.7 prescriptions. This is the lowest rate in the state since 2006 when data became available (per the CDC).

The overall rate of overdose deaths involving opioid prescriptions has shown a slight uptick in recent years but remains statistically unchanged since 2007. In 2017, the age-adjusted death rate was 2.3 deaths per 100,000 persons.

Texas continues to have one of the lowest rates of drug overdose deaths involving opioids. In 2017, there were 1,458 overdose deaths involving opioids in Texas — a rate of 5.1 deaths per 100,000 persons, compared to the national rate of 14.6 deaths per 100,000 persons.

A rising trend in opioid-involved overdose deaths was seen in cases related to synthetic opioids (mainly Fentanyl) or heroin. Over the last decade, deaths involving Fentanyl tripled from 118 in 2007 to 348 deaths in 2017.

Heroin-involved overdose deaths more than doubled in the same period from 214 to 569 deaths. The highest number of deaths in a year was in 2017 —646— involved prescription opioids.

Large numbers of patients from Louisiana and other states travel to the Houston area for the purpose of prescription fraud. Pill crews recruit "patients" to fraudulently obtain multiple prescriptions from pain clinics, which are filled at local pharmacies and then given to the pill crew leader for illicit distribution.

Houston area physicians were also found to be mailing prescriptions to patients in other states — primarily Louisiana and Mississippi.

NAS or neonatal opioid withdrawal syndrome (NOWS) may occur when a pregnant woman uses drugs such as opioids during pregnancy.There were more than 1,300 cases of NAS/NOWS in Texas among Medicaid recipients in 2015. Nearly 1 in 3 of these cases took place in Bexar County.

Of the new HIV cases in 2016, 4,464 occurred in Texas. Among males, 6.4 percent of new HIV cases were attributed to opioid abuse or male-to-male contact and opioid abuse. Among females, 15.1 percent of new HIV cases were attributed to opioid abuse.

In 2015, an estimated 81,873 persons were living with a diagnosed HIV infection in Texas — a rate of 368 cases per 100,000 persons. Of those, 15.0 percent of male cases were attributed to opioid abuse or male-to-male contact and opioid abuse. Among females, 19.5 percent were living with HIV attributed to opioid abuse.

There were approximately 40 new cases of acute HCV (0.1 per 100,000 persons) reported in Texas in 2016 (per the CDC). In Texas, there are an estimated 205,800 persons living with Hepatitis C (2013-2016 annual average), a rate of 1,040 cases per 100,000 persons. Many of these cases are linked to opioid and prescription opioid abuse.

Addiction Treatment In Texas

Fortunately, there are numerous centers of treatment and rehab available in the state. There are many types of treatment centers such as long term addiction treatment facilities, short term drug abuse treatment, outpatient detoxification programs, outpatient substance abuse treatment services, inpatient drug abuse treatment and others.

There is a broad range of drug and alcohol rehab facilities available. They include individual psychotherapy, dialectical behavior therapy, couple/family therapy, trauma therapy, trauma-related counseling, cognitive/behavior therapy and others, to name a few. If you need rehab in Texas, all you need to do is place a call to any of the available rehab centers.

CITATIONS

https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/drug-addiction-treatment-in-united-states/types-treatment-programs

https://www.dea.gov/resource-center/2016%20NDTA%20Summary.pdf#page=40&zoom=auto,-80,792

https://www.carnevaleassociates.com/our-work/emerging-drug-trends-prevention-issue-brief.html

https://www.dea.gov/sites/default/files/2018-11/DIR-032-18%202018%20NDTA%20final%20low%20resolution.pdf

https://www.getsmartaboutdrugs.gov/news-statistics/emerging-drug-trends

https://www.ncbi.nlm.nih.gov/books/NBK234579/

https://www.shadac.org/publications/50-state-analysis-drug-overdose-trends-evolving-opioid-crisis-across-states

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Texas Drug Rehab by Cities

ARP Abbott Abernathy Abilene Ace Ackerly Addison Adkins Adrian Afton Agua Dulce Aiken Alamo Alamo Heights Alanreed Alba Albany Aledo Alice Alief Allen Alleyton Allison Alpine Altair Alto Alvarado Alvin Alvord Amarillo Amherst Anahuac Anderson Andrews Angleton Angus Anna Annona Anson Anthony Anton Apple Springs Appleby Aquilla Aransas Pass Archer City Argyle Arlington Armstrong Art Artesia Wells Arthur City Asherton Aspermont Atascosa Athens Atlanta Aubrey Austin Austwell Avalon Avery Avinger Avoca Axtell Azle Bacliff Bagwell Bailey Baird Balch Springs Balcones Heights Ballinger Balmorhea Bandera Bangs Banquete Bardwell Barker Barksdale Barnhart Barry Barstow Bartlett Bastrop Batesville Batson Bay City Bayou Vista Bayside Baytown Beasley Beaumont Beckville Bedford Bedias Bee Cave Beeville Bellaire Bellevue Bellmead Bells Bellville Belmont Belton Ben Bolt Ben Franklin Ben Wheeler Benavides Benbrook Bend Benjamin Berclair Bergheim Bertram Bevil Oaks Big Bend National Park Big Lake Big Sandy Big Spring Big Wells Bigfoot Bishop Bivins Blackwell Blanco Blanket Bledsoe Bleiblerville Blessing Bloomburg Blooming Grove Bloomington Blossom Blue Ridge Bluegrove Bluff Dale Bluffton Blum Boerne Bogata Boling Bon Wier Bonham Booker Borger Bovina Bowie Boyd Boys Ranch Brackettville Brady Brandon Brashear Brazoria Brazos Bend Brazos Country Breckenridge Bremond Brenham Briaroaks Bridge City Bridgeport Briggs Briscoe Broaddus Bronson Bronte Brookeland Brookesmith Brookshire Brookside Village Brookston Browndell Brownfield Brownsboro Brownsville Brownwood Bruceville Bruceville Eddy Bruni Bryan Bryson Buchanan Dam Buckholts Buda Buffalo Buffalo Gap Bullard Bulverde Buna Bunker Hill Village Burkburnett Burkett Burkeville Burleson Burlington Burnet Burton Bushland Byers Bynum Cactus Caddo Caddo Mills Caldwell Call Calliham Callisburg Calvert Camden Cameron Camp Wood Campbell Campbellton Canadian Canton Canutillo Canyon Canyon Lake Carbon Carlsbad Carlton Carmine Carrizo Springs Carrollton Carthage Cashion Community Cason Castell Castle Hills Castroville Cat Spring Catarina Cayuga Cedar Creek Cedar Hill Cedar Lane Cedar Park Cee Vee Celeste Celina Center Center Point Centerville Centralia Chandler Channelview Channing Chapman Ranch Chappell Hill Charlotte Chatfield Cherokee Chester Chico Chicota Childress Chillicothe Chilton China China Spring Chireno Chriesman Christine Christoval Cibolo Cisco Clarendon Clarksville Clarksville City Claude Clayton Clear Lake Shores Cleburne Cleveland Clifton Clint Clute Clyde Coahoma Cockrell Hill Coldspring Coleman College Station Collegeport Colleyville Collinsville Colmesneil Colorado City Columbus Comanche Combes Combine Comfort Commerce Como Comstock Concan Concepcion Concord Conroe Converse Cookville Coolidge Cooper Copeville Coppell Copperas Cove Corpus Christi Corrigan Corsicana Cost Cotton Center Cottonwood Shores Cotulla Coupland Covington Coyanosa Coyote Flats Crandall Crane Cranfills Gap Crawford Cresson Crockett Crosby Crosbyton Cross Plains Crowell Crowley Crystal City Cuero Cumby Cuney Cunningham Cushing Cut and Shoot Cypress D Hanis Daingerfield Daisetta Dale Dalhart Dallardsville Dallas Dalworthington Gardens Damon Danbury Danciger Danevang Darrouzett Davilla Dawn Dawson Dayton Dayton Lakes De Berry De Kalb De Leon DeCordova Dean Deanville Decatur Deer Park Del Rio Del Valle Dell City Delmita Denison Dennis Denton Denver City Deport Desdemona Desoto Detroit Devers Devine Deweyville Diana Diboll Dickens Dickinson Dike Dilley Dime Box Dimmitt Dinero Dobbin Dodd City Dodge Dodson Donie Donna Doole Doss Doucette Dougherty Douglass Douglassville Driftwood Dripping Springs Driscoll Dryden Dublin Dumas Duncanville Dunn Dyess AFB Eagle Lake Eagle Pass Early Earth East Bernard East Mountain East Tawakoni Eastland Easton Ecleto Ector Edcouch Eddy Eden Edgewood Edinburg Edmonson Edna Edom Edroy Egypt El Campo El Cenizo El Indio El Lago El Paso Eldorado Electra Elgin Elkhart Ellinger Elm Mott Elmaton Elmendorf Elmo Elsa Elysian Fields Emory Encinal Encino Energy Enloe Ennis Enochs Eola Era Escobares Estelline Etoile Euless Eustace Evadale Evant Everman Fabens Fair Oaks Ranch Fairfield Falcon Heights Falfurrias Falls City Fannin Farmers Branch Farmersville Farnsworth Farwell Fate Fayetteville Fentress Ferris Fieldton Fischer Flat Flatonia Flint Flomot Florence Floresville Flower Mound Floydada Fluvanna Flynn Follett Forestburg Forney Forreston Forsan Fort Davis Fort Hancock Fort Hood Fort Mc Kavett Fort Stockton Fort Worth Fowlerton Francitas Franklin Frankston Fred Fredericksburg Fredonia Freeport Freer Fresno Friendswood Friona Frisco Fritch Frost Fruitvale Fulshear Fulton Gail Gainesville Galena Park Gallatin Galveston Ganado Garciasville Garden City Garden Ridge Gardendale Garland Garrison Garwood Gary Gatesville Gause George West Georgetown Geronimo Gholson Giddings Gilchrist Gillett Gilmer Girard Girvin Gladewater Glen Flora Glen Rose Glenn Heights Glidden Gober Godley Golden Goldsboro Goldsmith Goldthwaite Goliad Golinda Gonzales Goodfellow AFB Goodlow Goodrich Gordon Gordonville Goree Gorman Gouldbusk Graford Graham Granbury Grand Prairie Grand Saline Grandfalls Grandview Granger Granite Shoals Granjeno Grapeland Grapevine Greenville Greenwood Gregory Grey Forest Groesbeck Groom Groves Groveton Grulla Gruver Guerra Gun Barrel City Gunter Gustine Guthrie Guy Hale Center Hallettsville Hallsburg Hallsville Haltom City Hamilton Hamlin Hamshire Hankamer Happy Hardin Hargill Harker Heights Harleton Harlingen Harper Harrold Hart Hartley Harwood Haskell Haslet Hawk Cove Hawkins Hawley Hearne Hebbronville Hedley Hedwig Village Heidenheimer Helotes Hemphill Hempstead Henderson Henrietta Hereford Hermleigh Hewitt Hext Hico Hidalgo Hideaway Higgins High Island Highland Haven Highland Village Highlands Hill Country Village Hillister Hillsboro Hilshire Village Hitchcock Hobson Hochheim Hockley Holland Holliday Hondo Honey Grove Hooks Horizon City Horseshoe Bay Houston Howardwick Howe Hubbard Hudson Oaks Huffman Hufsmith Hughes Springs Hull Humble Hungerford Hunt Hunters Creek Village Huntington Huntsville Hurst Hutchins Hutto Hye Idalou Imperial Industry Inez Ingleside Ingleside on the Bay Ingram Iola Iowa Park Ira Iraan Iredell Irene Irving Italy Itasca Ivanhoe Jacinto City Jacksboro Jacksonville Jamaica Beach Jarrell Jasper Jayton Jefferson Jermyn Jersey Village Jewett Joaquin Johnson City Joinerville Jolly Jonesboro Jonesville Josephine Joshua Jourdanton Judson Junction Justiceburg Justin Kamay Karnack Karnes City Katy Kaufman Keene Keller Kemah Kemp Kempner Kendalia Kendleton Kenedy Kennard Kennedale Kenney Kerens Kermit Kerrick Kerrville Kildare Kilgore Killeen Kingsbury Kingsland Kingsville Kingwood Kirbyville Kirvin Klondike Knickerbocker Knippa Knollwood Knott Knox City Kopperl Kosse Kountze Kress Krugerville Krum Kurten Kyle La Blanca La Coste La Feria La Grange La Grulla La Joya La Marque La Porte La Pryor La Salle La Vernia La Villa La Ward LaCoste Lackland Lacy Lakeview Ladonia Lago Vista Laguna Park Laird Hill Lake Bridgeport Lake Creek Lake Dallas Lake Jackson Lakeside Lakeview Lakeway Lakewood Village Lamesa Lampasas Lancaster Lane City Laneville Langtry Laredo Larue Lasara Latexo Laughlin A F B Lavon Lawn Lazbuddie League City Leakey Leander Ledbetter Leesburg Leesville Lefors Leggett Lelia Lake Leming Lenorah Leon Valley Leona Leonard Leroy Levelland Lewisville Lexington Liberty Liberty Hill Lillian Lincoln Lindale Linden Lindsay Lingleville Linn Lipan Lipscomb Lissie Little Elm Little River Academy Littlefield Liverpool Livingston Llano Lockhart Lockney Lodi Log Cabin Lohn Lolita Lometa London Lone Oak Lone Star Long Branch Longview Loop Lopeno Loraine Lorena Lorenzo Los Ebanos Los Fresnos Los Indios Los Ybanez Lott Louise Lovelady Loving Lowake Lowry Crossing Lozano Lubbock Lueders Lufkin Luling Lumberton Lyford Lyons Lytle Mabank Macdona Madisonville Magnolia Malakoff Malone Manchaca Manor Mansfield Manvel Maple Marathon Marble Falls Marfa Marietta Marion Markham Marlin Marquez Marshall Mart Martindale Martinsville Maryneal Mason Masterson Matador Matagorda Mathis Maud Mauriceville Maxwell May Maydelle Maypearl Mc Camey Mc Caulley Mc Dade Mc Gregor Mc Leod Mc Neil Mc Queeney McCamey McLendon Chisholm Mcadoo Mcallen Mcfaddin Mckinney Mclean Meadow Meadowlakes Meadows Place Medina Megargel Melissa Melvin Memphis Menard Mentone Mercedes Mereta Meridian Merit Merkel Mertens Mertzon Mesquite Mexia Meyersville Miami Mico Midfield Midkiff Midland Midlothian Midway Milam Milano Miles Milford Millersview Millican Millsap Minden Mineola Mineral Mineral Wells Mingus Mirando City Mission Missouri City Mobeetie Mobile City Monahans Mont Belvieu Montague Montalba Montgomery Moody Moore Moore Station Moran Morgan Morgan Mill Morse Morton Moscow Moulton Mound Mount Calm Mount Enterprise Mount Pleasant Mount Vernon Mountain Home Muenster Muldoon Muleshoe Mullin Mumford Munday Murchison Mustang Ridge Myra Nacogdoches Nada Naples Nash Nassau Bay Natalia Navasota Nazareth Neches Nederland Needville Nemo Nevada New Baden New Boston New Braunfels New Caney New Chapel Hill New Deal New Fairview New Home New London New Summerfield New Ulm New Waverly Newark Newcastle Newton Niederwald Nixon Nocona Nolan Nolanville Nome Noonday Nordheim Normangee Normanna North Cleveland North Houston North Richland Hills North Zulch Norton Notrees Novice Nursery O Brien Oak Leaf Oak Point Oak Ridge North Oakhurst Oakland Oakville Oakwood Odell Odem Odessa Odonnell Oglesby Oilton Oklaunion Old Glory Old Ocean Old River Winfree Olden Olmito Olmos Park Olney Olton Omaha Onalaska Orange Orange Grove Orangefield Orchard Ore City Orla Ottine Ovalo Overton Ovilla Oyster Creek Ozona Paducah Paige Paint Rock Palacios Palestine Palm Valley Palmer Palmhurst Palmview Palo Pinto Paluxy Pampa Pandora Panhandle Panna Maria Panola Panorama Village Paradise Paris Pasadena Pattison Patton Village Pattonville Pawnee Pearland Pearsall Peaster Pecan Gap Pecan Hill Pecos Peggy Pelican Bay Pendleton Penelope Penitas Pennington Penwell Pep Perrin Perryton Petersburg Petrolia Petronila Pettus Petty Pflugerville Pharr Pickton Pierce Pilot Point Pine Forest Pinehurst Pineland Piney Point Village Pipe Creek Pittsburg Placedo Plains Plainview Plano Plantersville Pleasanton Pledger Plum Plum Grove Point Point Blank Point Comfort Pointblank Pollok Ponder Pontotoc Poolville Port Aransas Port Arthur Port Bolivar Port Isabel Port Lavaca Port Mansfield Port Neches Port O Connor Porter Portland Post Poteet Poth Pottsboro Pottsville Powderly Powell Poynor Prairie Hill Prairie Lea Prairie View Premont Presidio Price Priddy Princeton Proctor Progreso Progreso Lakes Prosper Purdon Purmela Putnam Pyote Quail Quanah Queen City Quemado Quinlan Quitaque Quitman Rainbow Ralls Randolph Ranger Rankin Ransom Canyon Ratcliff Ravenna Raymondville Raywood Reagan Realitos Red Lick Red Oak Red Rock Redford Redwater Refugio Reklaw Rhome Rice Richards Richardson Richland Richland Hills Richland Springs Richmond Riesel Ringgold Rio Bravo Rio Frio Rio Grande City Rio Hondo Rio Medina Rio Vista Rising Star River Oaks Riverside Riviera Roanoke Roans Prairie Roaring Springs Robert Lee Robstown Roby Rochelle Rochester Rock Island Rockdale Rockport Rocksprings Rockwall Rockwood Rogers Rollingwood Roma Romayor Roosevelt Ropesville Rosanky Roscoe Rose Hill Acres Rosebud Rosenberg Rosharon Ross Rosser Rosston Rotan Round Mountain Round Rock Round Top Rowena Rowlett Roxton Royse City Rule Runaway Bay Runge Rusk Rye Sabinal Sabine Pass Sachse Sacul Sadler Salado Salineno Salt Flat Saltillo Sam Norwood San Angelo San Antonio San Augustine San Benito San Diego San Elizario San Felipe San Isidro San Juan San Marcos San Perlita San Saba San Ygnacio Sanderson Sandia Sandy Oaks Sanford Sanger Sansom Park Santa Anna Santa Elena Santa Fe Santa Maria Santa Rosa Santo Saragosa Saratoga Sarita Satin Savoy Schertz Schulenburg Schwertner Scotland Scottsville Scroggins Scurry Seabrook Seadrift Seagoville Seagraves Sealy Sebastian Seguin Selman City Seminole Seven Oaks Seven Points Seymour Shallowater Shamrock Shavano Park Sheffield Shelbyville Shepherd Sheppard AFB Sheridan Sherman Shiner Shiro Shoreacres Sidney Sierra Blanca Silsbee Silver Silverton Simms Simonton Sinton Skellytown Skidmore Slaton Slidell Smiley Smithville Smyer Snook Snyder Somerset Somerville Sonora Sour Lake South Bend South Houston South Padre Island South Plains Southlake Southmayd Southside Place Spade Spearman Spicewood Splendora Spring Spring Branch Spring Valley Village Springlake Springtown Spur Spurger St. Hedwig St. Jo Stafford Stamford Stanton Staples Star Star Harbor Stephenville Sterling City Stinnett Stockdale Stonewall Stowell Stratford Strawn Streetman Sublime Sudan Sugar Land Sullivan City Sulphur Bluff Sulphur Springs Summerfield Sumner Sundown Sunnyvale Sunray Sunrise Beach Village Sunset Sunset Valley Surfside Beach Sutherland 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If you are addicted to alcohol or drugs, it is imperative that you look for professional help as soon as you possibly can. However, you might not know where to start or the options that are open to you. Similarly, you may have little to no idea about the differences between the different treatment facilities and the programs they have in store for their patients.

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