Center for Healthcare Services Eastside San Antonio

The Center for Healthcare Services Eastside Clinic is a public, outpatient-based site on East Houston Street in San Antonio. It combines mental health care with substance use care for adults and older adults, so people dealing with both at once are seen in one place rather than sent between providers. Staff work with each person to build an individual plan, and the clinic pairs counseling with practical supports such as life skills and help with employment goals.

This clinic takes an integrative approach, treating substance use and mental health services together. Some of the work is clinical, including medication management, and some is rehabilitative, including psychosocial rehabilitation and vocational services. Visits are generally scheduled rather than residential, so people live at home and attend sessions during the week.

Because the clinic serves a broad public population, it is designed for adults and seniors rather than adolescents. An intake conversation is the usual way to find out whether someone fits the clinic's services and what the next available appointment looks like.

Programs at the Eastside clinic

This Eastside clinic offers outpatient care and mental health treatment for co-occurring conditions, so a substance use condition can be treated alongside a mental health diagnosis. It does not provide residential detox or inpatient beds, and anyone who needs 24-hour monitoring would be referred elsewhere; that is a level-of-care decision, not a judgment about readiness. Programs are listed as typically lasting 5 days, a short structured cycle rather than a full course of care.

Counseling choices include cognitive behavioral therapy and individual sessions, life skills work, and online therapy. Cognitive behavioral therapy is a structured, goal-focused method for changing patterns of thought and behavior, while life skills sessions center on daily functioning. Online therapy can reduce travel barriers for people across San Antonio. Support meetings are listed as an aftercare option once treatment ends, helping people keep a routine after the formal program concludes.

1. Life Skills
2. Online Therapy
3. Cognitive Behavioral Therapy
4. 1-on-1 Counseling

Who the clinic serves in San Antonio

1. Adults living in San Antonio and nearby parts of Bexar County
2. Older adults, including seniors, who need mental health support
3. Women and men seeking outpatient care rather than residential treatment
4. Young adults with a co-occurring mental health and substance use condition
5. People who want counseling, life skills work and medication management in one setting
6. Family members helping a relative find a treatment center in San Antonio, TX

Location on East Houston Street

The clinic is located at 1954 East Houston Street on San Antonio's near east side, an address you can reach by car or bus from much of the city. Care is delivered in an outpatient setting, so people keep appointments and go home the same day. Sessions are available in English. If you need a quieter residential setting or detox support, ask about a referral instead of assuming this site offers it.

Covering costs at this clinic

The clinic belongs to a public behavioral health system in Texas, where state Medicaid often comes up, and cash payment rates are named as a payment method. Coverage depends on your plan and eligibility, so verify both with the clinic's billing office before you schedule. If a service is not covered, ask whether a sliding scale or another publicly funded program applies. A helpline can also explain which documents to gather.

Questions to ask the Eastside clinic

1. Will the clinic take my insurance, and what do cash pay rates look like for an intake visit?
2. Is the listed 5-day program length the full course of care, or one cycle within a longer plan?
3. Can both my mental health and substance use needs be treated in the same outpatient schedule?
4. What does the referral process look like if I need a level of care the clinic does not provide?
5. Are online therapy sessions available, and how are they scheduled?