Why Only 6% of People with Substance Use Disorders Get Treatment and How We’re Closing the Gap in Central Texas

The numbers are staggering. According to the National Institute on Drug Abuse (NIDA), 46.3 million Americans met criteria for a substance use disorder in 2021. Yet only 6.3% received treatment. That means millions are struggling in silence, without access to the care they need.
In Texas, the treatment gap is even more pronounced. Rural areas often have no recovery centers at all, leaving families to drive hours or, worse, give up hope entirely. For men in Central Texas, the barriers can feel insurmountable: stigma, cost, lack of insurance, or simply not knowing where to turn.
At Ranch House Recovery in Elgin, we’ve built our entire mission around helping close this gap by offering compassionate, community-based addiction treatment in Austin, TX that’s accessible and designed to meet men where they are.
Why So Few Get Help
The canyon between need and treatment isn’t just about availability. It’s a complex tangle of cultural, financial, and systemic issues.
- Stigma: Men in particular are taught to “tough it out.” Asking for help feels like weakness.
- Geography: Rural Texans may live hundreds of miles from the nearest center.
- Insurance & Cost: Families are often left in limbo by complicated approval processes or high out-of-pocket costs.
- Awareness: Many don’t realize that smaller, community-based programs exist outside of big hospital systems.
The result? Too many wait until crisis hits an overdose, jail time, or a family breaking apart before they seek help.
Our Approach in Elgin
Ranch House Recovery was founded to be a different kind of option: local, accessible, and human-centered.
Here’s how we’re addressing the gap:
- Smaller Programs, Bigger Impact: We keep our resident count intentionally low, so every man gets personal attention.
- Flexible Length of Stay: 30-, 60-, or 90-day tracks give families options that fit their needs.
- Affordability & Transparency: We work with families directly, offering clear pricing and guidance through the insurance maze.
- Community Partnerships: Through Simple Promise Farms and local service projects, residents build purpose while giving back.
- Holistic Care: Yoga, mindfulness, animal care, and therapy are woven together into daily life not added as afterthoughts.
A Voice from the Ranch
Founder Brandon Guinn explains it this way:
“We can’t wait for broken systems to catch up. So we built something here small but powerful that men can access today. Every man who walks onto this ranch is proof that recovery doesn’t have to wait.”
That philosophy has shaped everything from how we design our programs to how we integrate with the Elgin community.
Narrowing the Gap, One Family at a Time
The national statistics paint a grim picture, but on the ground, we see a different story. Families who felt out of options find hope here. Men who couldn’t access city-based programs find healing in the rhythm of farm life and fellowship. And each success story is another reminder that the treatment gap isn’t permanent it’s something we can actively close.
Closing Thought:
Six percent isn’t enough. But the solution won’t come from waiting on big systems it’ll come from communities stepping up. In Central Texas, we’re doing our part, and we’ll keep building until every man who needs help has a place to find it.