Irving is a short trip from a campus we operate. Promises Dallas-Fort Worth is in Lewisville, roughly 12 miles due north in a straight line and somewhat more by road.
Twelve miles changes what is on the table. It means residential treatment does not require anyone to disappear from their life. The outpatient rung is not a commute question at all, because the campus publishes that tier as virtual. What it does not change is the sequence: assessment, then withdrawal management if it is needed, then the treatment that has to follow. This page takes those in order.
The Irving Treatment Picture in Plain Terms
Irving’s position in the middle of the metro cuts both ways. Access to general medical care is easy; access to the specific thing a substance use disorder needs is not, because the two are not the same system.
Emergency departments stabilize. Primary care can screen and refer. Neither is set up to manage several days of withdrawal and then keep someone in structured treatment afterwards, which is the actual shape of the problem.
What closes the gap is an assessment that produces a level of care rather than a referral list. That is a phone call, and it is the only step on this page that cannot be done by reading.
Irving Is About 12 Straight-Line Miles South of the Lewisville Campus
Twelve miles, with the campus to the north. Road distance is longer and this page gives no drive time, because a single figure across that stretch would be wrong for most of the day.
Irving sits in Dallas County; the campus is in Denton County. That distinction almost never matters clinically and occasionally matters for county-administered services.
The short distance settles the admission drive rather than the step down. The campus publishes its intensive outpatient programming as virtual, with clients living off-site and attending scheduled appointments virtually [5]. So the weekday trip that makes people quietly stop after a residential stay is not part of this plan.
Promises Dallas-Fort Worth Programs
The campus publishes these levels on its own page: medical detox, inpatient rehab, inpatient rehab for mental health, an intensive outpatient program it cards as virtual, and aftercare [5].
For an Irving resident the useful way to read it is as one continuous pathway. Someone can enter at medical detox, move into residential care, step down to the intensive outpatient program while living at home, and finish in aftercare, without changing organization at each transition.
Inpatient rehab for mental health is listed as its own level, which matters when a psychiatric condition needs inpatient attention rather than a weekly appointment. Our levels of care explainer sets out what the tiers involve generally.
Alcohol Detox and Opioid Detox Are Two Different Medical Problems
If someone is having a seizure, is unresponsive or has trouble breathing, call 911. For a mental-health crisis call or text 988.
The word covers two experiences with different shapes, different risks and different reasons for supervision.
Alcohol withdrawal runs on a longer arc, and it is the more dangerous of the two: MedlinePlus describes it as a serious condition that may quickly become life-threatening, ranging from a mild and uncomfortable disorder to a serious, life-threatening condition [1]. The peak tends to arrive by 24 to 72 hours, and milder symptoms can continue for weeks afterwards [1]. Setting is a clinical decision: a moderate-to-severe case may need a hospital or another facility that treats alcohol withdrawal, with vital signs and blood chemistry monitored, while milder withdrawal is often managed as an outpatient with daily visits to a provider and another adult staying with the person [1].
Opioid withdrawal starts faster and, by itself, is less dangerous. Symptoms usually start within 12 hours of the last heroin use and within 30 hours of the last methadone exposure, and they are described as very uncomfortable but not life threatening [2]. Complications tend to come from vomiting and diarrhea — dehydration, electrolyte disturbance, and aspiration of stomach contents into the lungs, which can cause a lung infection [2].
The reason opioid detox still needs a clinical setting is what happens afterwards: most opioid overdose deaths occur in people who have just detoxed, because withdrawal lowers tolerance and a dose that was survivable before may not be [2]. Our medical detox page covers what supervision adds.
If someone is having a seizure, is unresponsive or has trouble breathing, call 911. For a mental-health crisis call or text 988.
Treatment for Irving residents, about 12 miles north in Lewisville
Promises Dallas-Fort Worth is in Lewisville, Texas, and its own page lists medical detox, inpatient rehab, inpatient rehab for mental health, an intensive outpatient program it cards as virtual, and aftercare. An assessment sets the starting level and the shape of the step down.
Check your coverage and admissions
Verify your insurance
Promises Dallas-Fort Worth is part of our family of treatment centers. See the Promises Dallas-Fort Worth campus.
How Texas Insurance Works Here
Three routes again, and the one you are on decides which question to ask first.
On any commercial plan, parity law is the backstop. Where the plan covers mental health and substance use benefits, its limits on them may not be more restrictive than the limits on medical and surgical benefits, and that reaches prior authorization and step therapy as well as day and visit caps [3]. The scope is defined: non-federal governmental plans with more than 50 employees, group health plans of private employers with more than 50 employees, and the individual market [3]. Plans from small employers are not covered directly; they get comparable protection through the Affordable Care Act’s essential health benefits requirement.
Whether a given Blue Cross and Blue Shield of Texas product treats the Lewisville campus as in network is a separate question with a separate answer, and it turns on the product line and the employer group. Ask admissions to run the policy. Our guide to whether insurance covers rehab explains the difference between a quote and a verification.
Most Texas Medicaid services are delivered through health plans, and the state lists its Medicaid programs as STAR, STAR Kids, STAR Health and STAR+PLUS [7]. The same agency lists adult substance use services as withdrawal management, intensive and supportive residential treatment, outpatient treatment and medication-assisted treatment [6]. Where neither applies, self-pay pricing follows the number of weeks as well as the level — how much rehab costs covers what moves the figure.
Time Off Work, FMLA and Telling Your Employer
Irving’s employment base is heavy on corporate and logistics work, which means most readers here have an HR department and a written leave policy, and both are worth reading before anyone is told anything.
The federal regulation is specific about what it protects. Substance abuse may be a serious health condition where the qualifying conditions are met, but leave may only be taken for treatment for substance abuse by a health care provider, or by a provider of health care services on referral by a health care provider; absence because of the employee’s use of the substance, rather than for treatment, does not qualify [4].
It is equally specific about what it does not protect. Treatment does not prevent an employer from taking employment action, and where there is an established, non-discriminatory policy communicated to all employees, an employee may be terminated whether or not they are presently taking that leave — though the employer may not act against them because they exercised the right to take it [4].
There is a second door worth knowing about: a family member may take leave to care for a covered relative who is receiving treatment [4]. For a household where the person in treatment is not the one with the stronger leave entitlement, that matters.
This is not legal advice and your own contract governs. Take it to an employment lawyer before a disclosure, not after one.
Admissions, Assessment and Same-Week Availability
The screening call is brief and specific: the substance, the amount, how long, when the last use was, previous attempts and what happened, any psychiatric diagnosis or current medication, and the insurance position.
Of those, the last-use question carries the clinical weight, because it determines whether withdrawal management has to come first and how soon.
Same-week admission is common. It is not guaranteed, and the two variables are the benefits check and whether a place is free at the recommended level. Our page on how to get into rehab walks through the sequence from that call to the first day.
After Treatment: Step-Down Care Within Reach of Irving
This is where the 12 miles pays for itself.
Aftercare planning is one of the levels the campus publishes [5], and from Irving the step down can happen without moving house or changing provider. Ask for the first post-discharge appointment to be booked before discharge, with a date on it, and ask who to call in a bad week.
Texas maintains public routes of its own: Outreach, Screening, Assessment and Referral services run through the local mental health and behavioral health authorities, alongside their 24/7 crisis hotlines [6]. Our outpatient rehab page describes the lowest-intensity tier, inpatient rehab covers what usually precedes it, our list of our own campuses sets them out under the state each is in, and the nationwide rehab directory is organized by state.
Frequently Asked Questions
Is there a drug rehab in Irving? Not one we operate inside the city. Our nearest campus is Promises Dallas-Fort Worth in Lewisville, roughly 12 straight-line miles due north. It publishes medical detox, inpatient rehab, inpatient rehab for mental health, an intensive outpatient program it cards as virtual, and aftercare on its own page.
How far is the nearest Promises Dallas-Fort Worth campus from Irving? About 12 miles in a straight line to the north, and longer by road. This page quotes no drive time because that stretch varies too much by hour for one number to be honest. The practical effect of the short distance is that a step down into outpatient care does not require relocating.
Does Blue Cross and Blue Shield of Texas cover rehab for Irving residents? That depends on the product line and the employer group, and only a benefits check against your own policy answers it. Parity law guarantees a floor beneath the answer: where a plan covers substance use care, its limits, prior authorization included, cannot be stricter than those on medical and surgical care.
Can I detox in Irving or do I have to travel? Medical detox is one of the levels published at the Lewisville campus, about 12 miles away. Whether it is needed is a clinical judgment. For alcohol, the peak of withdrawal tends to arrive by 24 to 72 hours with milder symptoms continuing for weeks; for opioids, symptoms usually begin within 12 hours of the last heroin use.
How soon can an Irving resident be admitted? Often within the same week, though no page can promise a date. Timing turns on how quickly a benefits check clears and whether a place is open at the recommended level of care. The screening call produces the realistic window and is also where the level of care is decided.
Sources
- MedlinePlus Medical Encyclopedia. Alcohol withdrawal. U.S. National Library of Medicine. https://medlineplus.gov/ency/article/000764.htm
- MedlinePlus Medical Encyclopedia. Opiate and opioid withdrawal. U.S. National Library of Medicine. https://medlineplus.gov/ency/article/000949.htm
- Centers for Medicare and Medicaid Services. The Mental Health Parity and Addiction Equity Act (MHPAEA). https://www.cms.gov/marketplace/private-health-insurance/mental-health-parity-addiction-equity
- Legal Information Institute. 29 CFR § 825.119 — Leave for treatment of substance abuse. Cornell Law School. https://www.law.cornell.edu/cfr/text/29/825.119
- Promises Behavioral Health. Promises Dallas-Fort Worth — Addiction Treatment. Advanced Recovery Systems. https://www.therecoveryvillage.com/locations/promises-dallas-fort-worth/
- Texas Health and Human Services Commission. Mental Health and Substance Use. State of Texas. https://www.hhs.texas.gov/services/mental-health-substance-use
- Texas Health and Human Services Commission. Medicaid and CHIP Members. State of Texas. https://www.hhs.texas.gov/services/health/medicaid-chip/medicaid-chip-members
This page is for general information and is not medical advice. Only a licensed clinician who knows your history can tell you what is right for you. If you or someone you know is in immediate danger, call 911. For free, confidential support 24/7, call or text 988.
Author
Chief Medical Officer,
The Recovery Village
