Hickory Trail Hospital

One of the defining features of Hickory Trail Hospital is its range of program levels under one roof. Inpatient care sits at the most intensive end, followed by Partial Hospitalization Program (PHP), Intensive Outpatient Program (IOP), standard outpatient services, and telehealth. For someone early in recovery — or returning after a relapse — having access to that full continuum means the clinical team can match the level of care to where a person actually is, rather than defaulting to a one-size approach.

Transitions between levels matter as much as any individual program. Moving from inpatient to PHP, or from IOP to standard outpatient, is where many recovery plans either hold or fracture. Hickory Trail's structure is built to support those transitions within the same system, which reduces the friction of transferring between unconnected providers at a vulnerable point in the process.

Hickory Trail Hospital is a behavioral health hospital first, which means it is equipped to address mental health conditions — including depression, bipolar disorder, and schizophrenia — at the same time as alcohol abuse, opiate addiction, and chemical dependency. For many people seeking longer-term recovery, untreated co-occurring conditions are the piece that previous treatment episodes missed. A facility credentialed and staffed as a behavioral health hospital is structurally different from a standalone residential rehab in its capacity to manage that clinical complexity.

The therapeutic methods confirmed at the facility — individual therapy, group therapy, family therapy, medication management, and the 12-step model — reflect a program that attends to both the psychological and social dimensions of recovery. Medication management in particular signals clinical oversight that goes beyond talk therapy alone, which is relevant for anyone whose recovery intersects with a psychiatric diagnosis.

Recovery doesn't happen in isolation, and Hickory Trail Hospital's program reflects that. Family therapy is a confirmed part of the clinical model — not an optional add-on — which means the people who will be part of a client's life after discharge are brought into the process during treatment. That matters for families who want to understand how to support someone in sustained sobriety rather than simply waiting for a discharge date.

The 12-step model, also integrated into the program, links clients to a recovery community that extends well beyond the facility. For people thinking about what aftercare and ongoing peer support will look like, that connection to 12-step networks is a concrete bridge between structured treatment and community-based recovery maintenance.

Hickory Trail Hospital serves adults and seniors, with inpatient units for each population kept separate — a deliberate clinical decision that acknowledges the different needs those groups bring to treatment. Seniors navigating addiction and co-occurring psychiatric conditions often require a different clinical environment than younger adults, and the hospital's structure accounts for that rather than treating age as an incidental variable.

The facility is located in DeSoto, Texas, within Dallas County, and is open 24 hours a day. For families in the Dallas area evaluating substance abuse treatment and residential treatment options for a loved one with a complex clinical picture, Hickory Trail's hospital-level behavioral health setting offers a level of clinical infrastructure that community-based rehab programs may not be able to match.