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The Last Resort Recovery

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Overview

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Set on a horse ranch in Smithville, Texas, The Last Resort Recovery provides a full continuum of substance use and co-occurring mental health care for men. Specialized programs are offered for business and health care professionals, military, first responders, and college students. Individual treatment plans include equine therapy, 12-step work, evidence-based therapy, and fitness activities. An alumni program gives men opportunities to stay connected to a supportive community after returning to independent living.

Address

1620 Farm to Market 535 D
Smithville, TX 78957

Directions

Ages Served

  • Adults (Ages 26-64)
  • Young Adults (Ages 18-25)

Genders Accepted

  • Male

Languages Served

  • English

Treatment

  • Intensive outpatient treatment (IOP)
  • Long-term residential
  • Outpatient day treatment or partial hospitalization
  • Residential detoxification
  • Short-term residential

Special Programs

  • Adult men
  • Mental health disorders
  • Young adults

Men-Only Recovery on a Secluded Horse Ranch

The Last Resort Recovery serves men on a quiet horse ranch outside Austin, Texas. The rural setting, with open pastures, grazing horses, walking trails, and outdoor lounge areas, gives clients space away from everyday stressors and triggers. Air-conditioned private or shared rooms, a pool, and an onsite gym make day-to-day life more comfortable while clients focus on healing.

Integrated Care for Substance Use and Mental Health

This residential program treats substance use alongside co-occurring mental health disorders, including codependency, grief and loss, stress, trauma, and sex and love issues. Treatment plans are personalized and combine evidence-based therapies with holistic and experiential work, aiming to support the mind, body, and spirit.

Continuous Support From Withdrawal Management to Aftercare

Clients can enter care at multiple levels, starting with medical withdrawal management (detox) and continuing into inpatient residential treatment. As clients stabilize, they can step down into a partial hospitalization program (PHP) and an intensive outpatient program (IOP), which allow more flexibility for work, school, or family responsibilities. After primary treatment, The Last Resort offers aftercare services, support meetings, and access to sober living.

Experiential, Equine, and 12-Step Immersion

Alongside individual counseling, group therapy, and family therapy, clients participate in therapies such as dialectical behavior therapy (DBT), cognitive behavioral therapy (CBT), motivational interviewing, acceptance and commitment therapy, psychodrama, and life skills work. Equine-assisted therapy is a central feature of the ranch setting, giving clients the chance to build trust, practice communication, and explore emotions through hands-on work with horses. Fitness therapy, yoga, outdoor activities, and 12-step work add additional ways to connect with peers and learn practical tools for relapse prevention.

Family Involvement, Medical Care, and Community

Family programming helps loved ones understand substance use and mental health, improve communication, and create a more supportive home environment. Medical staff provide around-the-clock monitoring in early recovery stages, manage withdrawal and other health needs, and offer medication management when appropriate. The center emphasizes a strong sense of brotherhood, reinforced by alumni programming in the Austin area so clients can stay connected to recovery support.

Client Reviews

Recent reviews describe The Last Resort Recovery Center as a program with caring staff, a strong spiritual and equine focus, and a tight-knit community. Some reviewers report frustrations with communication, discharge decisions, and certain policies around medication, money, or electronics.

  • Treatment Quality & Outcomes (95% positive): Many men say the program helped them understand their addiction, work through trauma, and build tools for long-term sobriety and spiritual growth through intensive 12-step work and experiential therapies like equine. "TLR saved my life."
  • Staff & Care Experience (90% positive): Reviews frequently describe clinicians, recovery staff, and the equine team as compassionate, knowledgeable, and genuinely invested in each client’s recovery. A few clients describe negative experiences with individual staff members. "The staff couldn’t have been more kind, helpful, and understanding."
  • Support & Community (95% positive): Many reviewers highlight a strong sense of fellowship, with peers, alumni, and ongoing programming helping them feel less alone and more accountable during and after treatment. "I gained an unforgettable brotherhood."
  • Facility & Environment (90% positive): Clients often mention the rural ranch setting, horses, and outdoor space, along with satisfying meals and comfortable gathering areas. A few note crowded rooms or modest food portions. "Good people, great food, beautiful ranch and facilities."
  • Access & Process (60% positive): Some reviewers appreciate supportive admissions, clear programming, and the range of services for the cost. Others describe issues with discharges, insurance, length of stay, property, medications, or transportation. "From the first conversation with admissions to my discharge, everyone has been helpful."

Cost and Insurance

Insurance Accepted

  • Anthem
  • Aetna
  • Carelon
  • Blue Cross Blue Shield
  • Cigna
  • ComPsych
  • Humana
  • Optum
  • UnitedHealthcare
  • Ambetter
  • Oscar
  • Other Private Insurance

Disclaimer: Additional insurance plans may be accepted. Please contact the provider directly to confirm current coverage details, as this information may change.


Financial Assistance

  • Does not offer Free
  • Does not offer Payment assistance
  • Does not offer Sliding fee scale

Treatment

Treatment Setting

  • Intensive outpatient treatment (IOP)
  • Long-term residential
  • Outpatient day treatment or partial hospitalization
  • Residential detoxification
  • Short-term residential

Treatment Approaches

  • 12-step program support
  • Brief intervention
  • Cognitive behavioral therapy (CBT)
  • Motivational interviewing
  • Substance use counseling

Additional Support and Services

  • Integrated health care
  • Mental health support
  • Social skills training

Counseling and Education

  • Family therapy
  • Group therapy
  • One-on-one counseling
  • Substance use education

Other Conditions Treated

  • ADHD & ADD
  • Anger
  • Anxiety
  • Bipolar disorder
  • Codependency
  • Depression
  • Grief and loss
  • Obsessive Compulsive Disorder (OCD)
  • Post Traumatic Stress Disorder
  • Sex addiction
  • Stress
  • Trauma

Amenities and Experiences

Amenities

  • Fitness center
  • Pool
  • Access to nature
  • Equine therapy
  • Outdoor relaxation lounge
  • Walking paths

Room Amenities

  • Air conditioned rooms
  • Outdoor space
  • Private rooms
  • Shared room options

Activities

  • AA/NA Meetings
  • Yoga
  • Animal-assisted therapy
  • Fitness activities
  • Hiking
  • Life skills workshops
  • Spiritual or faith-based services

Settings

  • Country

Ownership Type

  • For-profit

Quality and Trust

A

Trust Score

A simple A–E grade that offers a quick view of how much confidence you might place in a facility. It’s not a guarantee of quality or outcomes, but a data-informed tool to help guide your search. More on our methodology.

Commission on Accreditation of Rehabilitation Facilities

CARF reviews rehab programs to make sure they provide respectful, effective, and personalized care. For addiction treatment, CARF uses standards developed with the American Society of Addiction Medicine (ASAM), so this accreditation shows the program follows trusted, evidence-based guidelines for treating substance use.

Learn more

Reviews and Ratings

(163)
  • Compassionate and attentive staff dedicated to client well-being.
  • Effective programs including equine therapy and personalized counseling.
  • Strong sense of community and support among clients.
The Last Resort Recovery
Call 512-931-3429

How we research treatment facilities

Across the site, our team has conducted over 1,000 pre-admissions calls to better understand the patient experience, interviewed facility clinical leaders, performed facility background checks, and compared our information against trusted public data sources.

Our research process begins with data from the Substance Abuse and Mental Health Services Administration (SAMHSA), accrediting bodies including The Joint Commission and CARF, government licensing agencies, and other trusted sources. From there, our team conducts significant original research, including:

- Pre-admissions calls: We speak with admissions staff to get a candid picture of patient experience.

- Background checks: We review complaints from past clients, media reports, actions taken by accrediting bodies, and positive recognition from notable organizations.

- Clinical interviews: We have in-depth conversations with clinical leadership, often lasting up to one hour, that give us a better understanding of clinical care.

- Data partnerships: We ingest and analyze exclusive data that provides information about in-network insurance status, cost, and more.

Research varies by facility. Each facility profile shows which research steps we completed and when each step was last performed. Learn more about our research process and background checks.

How we evaluate treatment facilities

These data help us develop a Trust Score for each facility—a simple letter grade that helps you assess how much confidence to place in a facility based on the information available to us. Trust Score considers accreditation, operating history, notable recognition, and concerns identified during our background check. Our Trust Score is an objective rating that is never influenced by advertiser payment. Learn more about our Trust Score methodology.

Important disclaimer

We cannot guarantee the quality of treatment at any facility. We cannot independently confirm the accuracy of every data point, and some information may become outdated or change over time. A Trust Score is a starting point, not a guarantee of treatment quality or outcomes. Please contact us if you would like to update or correct facility information.