What Fulshear Treatment to Transition does

Fulshear Treatment to Transition, now operating as OPI Houston, is a private, for-profit residential mental health provider serving young adults ages 17.5 to 28. Founded in 2004 and headquartered in the Houston, Texas metropolitan area, the company delivers a dual-campus treatment program: a 34-acre residential ranch in Needville, TX provides structured 24/7 clinical care in the early phase, while a gated apartment community in Stafford, TX supports the gradual transition to independent living. Levels of care span residential treatment, partial hospitalization (PHP), and intensive outpatient (IOP), each paired with housing as appropriate. Treatment is built around the company's proprietary Integrated Adult Attachment Model and combines individual, family, and group therapy with experiential modalities including Equine-Assisted Psychotherapy, EMDR, ART, DBT, and CBT, with a fail-forward reset mechanism that allows clients to return temporarily to the ranch without shame or program dropout.

The program addresses a broad clinical spectrum including depression, anxiety, trauma and PTSD, mood and personality disorders, attachment issues, addiction, failure to launch or delayed independence, executive functioning deficits, social isolation, self-harm, eating disorders, Level 1 autism, and suicidal ideation. The average length of stay is 9-12 months (3-4 months at the ranch followed by 6-8 months in transition), and the company reports near-100 percent outcome metrics across completers on measures of presenting issue resolution, suicidal ideation, and anxiety or executive functioning.

The business is a private-pay professional services model with pricing not publicly disclosed; admissions are handled by dedicated specialists who provide free consultations and insurance verification. GTM is sales-led, combining direct-to-consumer intake (phone and web) with healthcare provider referrals. The program draws clients nationally (with notable origin concentrations in Texas, New York, Florida, Illinois, Massachusetts, California, and Washington) and internationally, delivered through owned and operated facilities. OPI Houston is part of a multi-site platform alongside sister facility OPI Los Angeles. The organization holds Joint Commission accreditation and memberships in YATA, NATSAP, and Safe Space certification.

Name

Fulshear Treatment to Transition

Legal name

OPI Residential Treatment Center for Young Adults - Private Pay Mental Health Program

Website

https://fulsheartransition.com

Company type

Private

Founded year

2004

Operating status

Operating

Headcount range

51–100 employees

Short description

OPI Houston (formerly Fulshear Treatment to Transition) is a private, for-profit residential mental health and transitional living provider for young adults ages 17.5-28, operating a dual-campus ranch-to-apartment model in the Houston, Texas area under the broader OPI brand.

Ownership category

akta.pro rank

Product category

Residential Mental Health Treatment

NAICS

Residential Mental Health and Substance Abuse Facilities (62322), Outpatient Mental Health and Substance Abuse Centers (621420)

SIC

Services-Nursing & Personal Care Facilities (8050), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Residential Mental Health Treatment Centers (HLAFACAC)

akta.pro secondary industry

Outpatient Substance Use Treatment Programs (IOP/PHP/OP) (HLAFACAF)

Keywords

• Residential mental health treatment
• Transitional living programs
• Young adult therapy services
• Equine-assisted psychotherapy
• PHP IOP programs

Headquarters

HQ city

Needville

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Marketing or Sales, Technology or R&D

Revenue model

1. Residential Treatment Services: Private-pay residential mental health treatment program providing comprehensive therapeutic services including individual, family, and group therapy, equine therapy, and 24/7 support at The Ranch location.
2. Transitional Living and PHP/IOP Services: Partial hospitalization (PHP) and intensive outpatient (IOP) programs with housing in gated apartment communities, providing continued therapeutic support as clients transition to independent living.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels6 records

Core offering

Fulshear Treatment to Transition (now OPI Houston) delivers private-pay residential mental health treatment and transitional living programs for young adults ages 17.5–28. Services span three levels of care—intensive residential treatment at a 34-acre ranch in Needville, TX, followed by PHP and IOP levels supported by housing in a gated apartment community in Stafford, TX—and are integrated with equine-assisted psychotherapy and individual, family, and group therapy. The dual-campus model is designed to bridge intensive clinical stabilization with gradual real-world independence.

Product overview

OPI Houston operates as a dual-campus residential treatment and transitional living program for young adults ages 17.5–28. The program combines The Ranch (a 34-acre residential treatment facility in Needville, Texas offering 24/7 structured support with therapeutic modalities including EMDR, ART, DBT, CBT, and Equine-Assisted Psychotherapy) with The Apartments (transitional living in Stafford, Texas with PHP and IOP levels of care). Clients progress through levels of care—beginning with intensive residential treatment, moving to partial hospitalization (PHP), and advancing to intensive outpatient (IOP)—while building independent living skills in real-world settings.

Differentiator

Problem solved

Functional benefit

Products and services

• OPI Houston Residential Treatment and Transitional Living Program Integrated dual-campus private-pay residential mental health treatment and transitional living program for young adults ages 17.5–28, combining structured ranch-based stabilization with apartment-based step-down care, individual, family, and group therapy, equine-assisted psychotherapy, life skills development, and 24/7 support.
• The Ranch (Residential Treatment at OPI Houston) 34-acre rural residential treatment facility in Needville, Texas providing 24/7 structured support, intensive therapy, equine-assisted psychotherapy, exercise, meditation, community bonding, and foundational life skills development for young adults in early recovery.
• The Apartments (Transitional Living at OPI Houston) Gated apartment community-based transitional living program in Stafford, Texas where clients practice independent living skills while receiving continued clinical support, working, studying, or volunteering as they step down from residential care.
• PHP + Housing (Partial Hospitalization Program) Structured day-treatment therapeutic program offering five hours of therapy five days per week while clients live independently in a gated apartment community with 24/7 staff access and continued clinical support.
• IOP + Housing (Intensive Outpatient Program) Flexible part-time outpatient support providing three hours of therapy three to five days per week while clients engage in work, school, or community life with staff support nearby, supporting transition toward full independence.
• Equine-Assisted Psychotherapy (EAP) Experiential therapy conducted on the ranch where clients engage with horses through grooming, walking, and riding to develop trust, emotional regulation, and responsibility as part of the broader treatment model.

Quantifiable outcome

• 100% of mothers reported their daughter no longer struggles with the issue that led them to treatment (based on program completers July 2015 – June 2017)
• +3 more outcomes

Named customers6 records

Segments2 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Scale indicators7 records

Recent moves2 records

Expansion highlights5 records

Direct peers

• Newport Institute: Young adult mental health treatment with residential, PHP, and IOP programs in multiple states. Comparable in target demographic (18+ young adults), private-pay positioning, and integrated clinical/independent-living curriculum.
• Optimum Performance Institute Los Angeles (OPI Los Angeles): Sister campus under the same OPI brand offering the same dual-campus residential treatment, PHP, and IOP model for young adults in Los Angeles. Effectively the closest direct operational and clinical peer, sharing brand, protocols, and target demographic.
• Sunrise RTC (Sunrise Residential Treatment Center): Residential treatment center for teens and young adults focused on emotional, behavioral, and mental health challenges. Comparable in target demographic, residential model, and experiential therapy components.
• Elevations RTC: Residential treatment center for teens and young adults addressing depression, anxiety, trauma, and failure-to-launch syndromes. Comparable in clinical positioning, target age band, and private-pay model.
• Sandstone Care: Adolescent and young adult mental health and substance use treatment provider offering residential, PHP, and IOP programs. Directly comparable in target population, levels of care, and private-pay/insurance hybrid model.
• Center for Discovery: Residential and outpatient mental health and eating disorder treatment for adolescents and young adults. Overlaps in target age, levels of care, and private-pay treatment model.
• Paradigm Treatment Centers: Residential and outpatient mental health treatment for young adults using a similar private-pay model with multi-level care (residential, PHP, IOP) and experiential/specialty therapies. Targets overlapping age range and clinical conditions including depression, anxiety, trauma, and failure-to-launch.

Emerging players

• Second Nature Wilderness Programs: Wilderness therapy program for adolescents and young adults, overlapping with OPI's experiential therapeutic philosophy but with outdoor/wilderness modality rather than ranch-based residential. Comparable target demographic and clinical conditions.
• Charlie Health: Virtual intensive outpatient (IOP) and mental health treatment provider for adolescents and young adults. Competes for the same demographic in the IOP step-down level of care but via telehealth rather than residential — represents a potential substitute/adjacent threat to OPI's PHP/IOP business.

Peers

• Copper Hills Youth Center:

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/fulsheart2t
• Facebookfacebook.com/fulsheartransition
• LinkedInlinkedin.com/company/fulshear-treatment-transition

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Fulshear Treatment to Transition