The Last Resort

Substance Use
Residential
4.5
(180)
Insurance

Set on a secluded 55-acre ranch just outside Austin, The Last Resort helps men step forward in confidence and pursue lasting recovery from addiction and co-occurring mental health concerns. Their men’s-only program combines medical detox, residential treatment, outpatient support, 12-Step immersion, clinical care, and ranch-based experiences in a setting built to equip men with brotherhood, accountability, and practical tools for long-term growth.

Work Through Addiction and Real-Life Struggles

The Last Resort helps men look beyond substance use to the real-life struggles, trauma, stress, relationships, and mental health concerns that can keep addiction in motion. Individual therapy, family work, relapse prevention, 12-Step immersion, and trauma-focused care help clients build honesty, repair connection, and practice new responses to pressure, while equine therapy, mindfulness, and fitness support healing from the inside out.

Find Space to Heal on a Texas Ranch

Clients step away from everyday stressors on a peaceful horse ranch in Smithville, where grazing horses, open pastures, hiking trails, and quiet rural surroundings create room for reflection and healing. An outdoor swimming pool, fitness studio, nutrition support, and equine therapy help men rebuild routines, while business professionals and students may manage select work or school responsibilities in an on-site computer lab with team approval.

Build Recovery for the Long Haul

The Last Resort supports men beyond residential treatment through outpatient care, sober living connections, alumni programming, peer mentorship, check-ins, sober events, retreats, continued therapy, and relapse prevention. Their continuum helps clients carry the structure of the ranch into everyday life, with Austin-based outpatient support and recovery community connections available as men strengthen relationships, work, and long-term stability.

The Last Resort thumbnail

Highlights from the Center

  • Nature Lovers

  • Pool

  • Private Rooms Available

  • Men Only

AT A GLANCE

Center Overview

Location
1620 Farm to Market 535, STE D, Smithville, Texas 78957 View Map
Primary Focus
This center treats substance use disorders and co-occurring mental healt...
Accreditation
CARF
Typical Program Length
30-90 days
Founded in 2010
16 years in business
Occupancy
50+ beds
Conditions We Treat
Anger, Anxiety, Codependency, Depression +4 More
Substance Use We Treat
Alcohol, Co-Occurring Disorders, Drug Addiction, Ecstasy +7 More
Testimonial
Best treatment center I’ve been to and I highly recommend. Beautiful property, equine therapy was badass and now I want a horse. Amazing counselors and staff that truly care about you, great food, and I felt immediately welcomed. We had a solid groups of guys while I was there and that was crucial for my recovery.
B
Blake
How to pay

Insurance Accepted

Accepts BlueCross BlueShield
Accepts United Healthcare
Not Accepted
Does not accept Medicaid
Not Accepted
Does not accept Medicare
Accepts Aetna
Accepts Cigna
Accepts Anthem
Accepts Tricare
Accepts Humana
Accepts Molina Healthcare
Accepts Ambetter
Provider's Policy: We do not accept Medicaid and Medicare. We partner with a number of major insurance companies as both an in-network and out-of-network provider. To verify your insurance for substance abuse treatment and mental health care coverage, contact our offices today. We’ll walk you through the whole process and answer all of your questions.
(833) 791-1501
Private Pay Option

Cash Pay Rates

If you are not using insurance, the pricing listed below is an estimate of the cash pay rate.
30 Days
$25,000
45 Days
$29,250
60 Days
$39,000
(833) 791-1501
Recover in a Men’s-Only Setting
Recover in a Men’s-Only Setting
The Last Resort’s men’s-only setting helps clients step away from distractions and speak more honestly about addiction, relationships, pressure, and pain. Brotherhood, accountability, and shared structure give men space to challenge old patterns, build trust with peers, and practice showing up differently in recovery.
Practice Honesty with 12-Step Immersion
Practice Honesty with 12-Step Immersion
The Last Resort weaves 12-Step principles into daily life so men can practice honesty, service, spiritual growth, and connection throughout treatment. Rather than treating recovery as a set of assignments, the program helps clients build a foundation they can keep using in meetings, relationships, and everyday choices.
Heal from Duty-Related Stress
Heal from Duty-Related Stress
The Last Resort offers focused support for veterans and first responders whose substance use is tied to stress, trauma, or high-pressure roles. In a men’s-only setting, clients can process difficult experiences, address addiction and mental health concerns, build peer connection, and develop practical tools for emotional stability, relationships, and daily life.
Strengthen Family Support
Strengthen Family Support
The Last Resort helps families take part in the healing process through family counseling, education, online support, and Family Focus Day at the ranch. Loved ones can better understand addiction’s impact, practice healthier communication, and build more supportive dynamics as clients prepare for life after treatment.

Recovery.com Verified Listing

Recovery.com verified that the name, location, contact information and license to operate for this treatment provider are valid and up-to-date.

CARF Accredited

CARF Accredited

NAATP Member

NAATP Member

Licensed by Texas HHS

Licensed by Texas HHS

Recovery.com is an independent, third-party mental health resource. Verification does not imply endorsement and does not guarantee the quality of treatment services.

Treatment

Your Care Options

Specializations

Men
Older Adults
Chronic Relapse
Equine Therapy
Young Adults
Professionals
Veterans
Men Only

Who We Treat

Men
Older Adults
Young Adults
Professionals
Veterans
Men Only

Treatment Services

Detox
Intensive Outpatient Program
Licensed Primary Mental Health
Outpatient
Residential

Approaches

Evidence-Based
Holistic
Personalized Treatment

Therapies

1-on-1 Counseling
1-on-1 Counseling with Clinical Psychologist
Dialectical Behavior Therapy
Equine Therapy
Family Therapy
Group Therapy
Motivational Interviewing
Relapse Prevention Counseling
Twelve Step Facilitation

Languages

English

Conditions We Treat

Anger
Anxiety
Codependency
Depression
Grief and Loss
Post Traumatic Stress Disorder
Stress
Trauma

Substances We Treat

Alcohol
Co-Occurring Disorders
Drug Addiction
Ecstasy
Heroin
Marijuana
Methamphetamine
Nicotine
Opioids

Aftercare

Outpatient Treatment
Support Meetings
Experience

Care Designed for Your Needs

Personal Amenities

Air-Conditioned Rooms
Private or Shared Rooms

Amenities

Pool
Access to Nature
Fitness Center
Outdoor Lounge
Walking Trails

Special Considerations

First Responders Program

Activities

AA/NA Meetings
Horseback Riding
Physical Fitness
Frequently Asked Questions

Further Research

While costs may vary due to program length and insurance benefits, it typically costs 30 Days ($25,000) | 45 Days ($29,250) | 60 Days ($39,000).
The following therapies are included: group therapy, 1-on-1 counseling and more.
Smithville, Texas, United States.
We do not accept Medicaid and Medicare. We partner with a number of major insurance companies as both an in-network and out-of-network provider. To verify your insurance for substance abuse treatment and mental health care coverage, contact our offices today. We’ll walk you through the whole process and answer all of your questions.
The typical length is 30-90 days.