The Last Resort

Substance Use and Mental Health
Residential
4.6
(177)
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
Part of
network
Primary Focus
This center treats substance use disorders and mental health conditions....
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
How to pay

Insurance Accepted

Provider's Policy: 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.
Verify Insurance
Private Pay Option

Cash Pay Rates

If you are not using insurance, the pricing listed below is an estimate of the cash pay rate.
60 days
$32,500
(833) 791-1501
Staff

Meet Your Care Team

Dr. Van Wyk

Dr. Van Wyk

Psychiatrist

MD

Arthur H Litteken

Arthur H Litteken

LPC, LCDC

‍Shawn Marie Parrott

‍Shawn Marie Parrott

MA, LPC-S

Cori Choate

Cori Choate

Counselor

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.
Care Options

Levels of Care

Substance use and mental health issues can occur simultaneously or as primary conditions. Effective treatment explores how mental health conditions contribute to addiction, and vice-versa. Many rehabs treat substance use disorders and mental health conditions with personalized care plans.
Included
Detox
Typically the initial stage of treatment for substance use, focusing on medically supervised management of withdrawal symptoms.
Included
Residential
Residential programs for substance use and mental health with structured care and 24/7 monitoring. Treatment takes place on-site, with behavioral health professionals often providing care in group, individual, and family settings.
Not included
Sober Living
Not Offered at This Center
Transitional housing designed to support individuals recovering from substance use disorders offering a safe, supportive and structured environment for practicing long-term sobriety, while reintegrating back into daily living.
Included
Intensive Outpatient Program
An intensive outpatient program (IOP) falls between inpatient care and traditional outpatient services, with therapy and skills-building activities designed to support recovery and provide flexibility. IOP is ideal for those needing support but not the 24/7 care of a residential facility.
Included
Outpatient
Outpatient treatment offers flexible therapeutic and medical care without the need to stay overnight in a hospital or inpatient facility. Outpatient care typically offers a range of therapies and medical interventions individuals can attend alongside daily life.
Not included
Virtual & In-Home Care
Not Offered at This Center
The delivery of therapeutic services utilizing technology such as video conferencing, online messaging or phone calls, allowing for flexibility, comfort and increased access to care.
Included
Co-Occurring Disorders
Substance use and mental health can occur simultaneously as co-occurring disorders. Treatment for co-occurring disorders involves therapy and other personalized interventions to address both conditions.
Treatment

Your Care Options

Specializations

Men
Equine Therapy
Young Adults
Professionals
Post Traumatic Stress Disorder
Veterans
Trauma
Men Only

Who We Treat

Men
Young Adults
Professionals
Veterans
Men Only

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 $32,500 .
The following therapies are included: group therapy, 1-on-1 counseling and more.
Smithville, Texas, United States.
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.

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