Executive detox serving Hollywood — private, discreet, physician-led.

For executives, physicians, and public-facing clients in Hollywood — Hollywood Beach, Emerald Hills, Hollywood Lakes — RECO Island's Delray Beach campus is 50 minutes up I-95. The program runs small-census, physician-led medical detox with direct in-house transition into residential treatment: no waitlists, no third-party handoffs, and admissions staff experienced with PRN and PHP monitoring, Florida Bar diversion, and 42 CFR Part 2 confidentiality requirements.

Hollywood sits 35 miles down I-95 from RECO Island’s Delray Beach campus — roughly a 50-minute drive outside of South Florida rush hour. For executives, physicians, attorneys, and other public-facing clients from Hollywood Beach, Emerald Hills, Hollywood Lakes, Hollywood Hills, and Oakwood, that distance functions clinically. It puts treatment far enough from home and office to break the routines and contacts tied to active use, but close enough that family sessions, licensure appearances, and structured re-entry into work remain feasible without cross-country logistics.

RECO Island’s executive detox program is medical detox delivered in a small-census, private setting. The clinical protocol is the same one used across the facility — CIWA-Ar-guided alcohol withdrawal management, COWS-guided opioid withdrawal, physician-led medical evaluation, MAT initiation where indicated — engineered around the operational constraints that make treatment accessible for professional and licensure-monitored clients.

What “executive detox” actually means clinically

The medicine is not different. Alcohol withdrawal is managed with a benzodiazepine taper — typically chlordiazepoxide or lorazepam — dosed against serial CIWA-Ar scores, with adjunctive gabapentin, thiamine, folate, and IV fluids as clinically indicated. Opioid withdrawal is managed with buprenorphine induction guided by COWS, with clonidine, ondansetron, loperamide, and hydroxyzine for symptom control. Naltrexone (oral or long-acting injectable) is discussed for alcohol and opioid use disorder maintenance. Sedative-hypnotic and complex polysubstance withdrawals are staged accordingly, with cardiac monitoring for high-risk presentations.

What differs is the setting. Executive detox at RECO Island runs with a smaller census — fewer beds, higher staff-to-client ratio — in private accommodations designed for clients who cannot fully surrender external contact for the duration of treatment. Structured, time-limited communication windows are scheduled for essential work continuity where clinically appropriate, and admissions staff are experienced with the confidentiality requirements of professional and public clients from admission through discharge planning.

The intent is not luxury. It is engineering — reducing the operational friction that otherwise keeps professional clients out of treatment entirely, without diluting the clinical protocol.

Discretion and confidentiality as clinical variables

For a physician facing a Florida Department of Health investigation, an attorney with active caseloads and Florida Bar oversight, an executive whose absence triggers 10-Q disclosure questions, or a public-facing client whose treatment episode carries reputational consequences, discretion is not a marketing concept. It is one of the variables that determines whether the client engages at all. 42 CFR Part 2 already governs substance use disorder record disclosure, but executive presentations frequently require additional operational controls: restricted visitor logs, no unnecessary paging, coordinated communication with legal counsel and designated representatives where the client has authorized it.

RECO Island’s admissions team works directly with clients and their counsel to structure arrival logistics, communication windows, and family notification. Where a Professional Health Program monitoring contract, a state bar diversion program, or an employer EAP is involved, releases are structured tightly — only the specific information required for compliance is disclosed, and the balance of the clinical record is held under standard 42 CFR Part 2 protections.

PHP for physicians, PRNs, and licensure-monitored clients

Physicians in the Florida Professionals Resource Network (PRN), nurses in IPN, attorneys in Florida Lawyers Assistance, and pilots in HIMS monitoring typically arrive with specific documentation requirements: a full ASAM Criteria multidimensional assessment across all six dimensions, a written treatment plan, weekly or biweekly progress documentation, and a formal discharge summary with continuing care recommendations. The clinical team produces this documentation as part of the standard treatment episode — not as an add-on — and coordinates directly with the monitoring case manager.

For dual-diagnosis presentations, which are the rule rather than the exception in licensure-monitored populations, psychiatric assessment includes PHQ-9 for depression, GAD-7 for anxiety, ASRS for adult ADHD, and YBOCS where obsessive-compulsive features are present. Medication management follows accordingly: sertraline or escitalopram for depression with anxious features, buspirone or hydroxyzine for anxiety where benzodiazepines are contraindicated, quetiapine or aripiprazole for mood instability, lithium where bipolar spectrum illness is diagnosed. Where treatment-resistant depression is documented, referrals for rTMS (typically 3,000 pulses per session at 120% of motor threshold, five days per week for six weeks) or in-network esketamine or ketamine providers are coordinated for post-discharge continuation.

Transition into extended residential and family engagement

Detox is the front door, not the treatment. Executive detox at RECO Island transitions directly into the residential program — no third-party handoff, no waitlist, no interim placement — typically for 30 to 60 days on a first admission, and longer for high-relapse-risk presentations, complex dual-diagnosis cases, or PHP-monitored clients with duration requirements. The residential arc includes individual therapy using CBT, DBT skills training, ACT, and Motivational Interviewing; trauma-focused work with EMDR or Cognitive Processing Therapy where indicated; and process groups matched to census and case mix.

Family therapy is integrated across the residential episode and is, for executive clients, often more consequential than for lower-severity cases. The family and business systems affected by an executive’s addiction — spouses, children, business partners, boards — usually require structured psychoeducation and boundary work to support a durable return. Discharge planning includes a written re-entry plan for work (frequently in coordination with employer EAPs or PHP monitors), ongoing MAT where indicated, and outpatient continuation at PHP and IOP levels in the client’s home region.

What to expect from admission through the first week

Admission begins with a full medical and psychiatric evaluation: history and physical, vitals, ECG where indicated, CBC, comprehensive metabolic panel, magnesium and phosphate, liver enzymes, urine drug screen, and pregnancy testing where applicable. ASAM Criteria dimensional assessment drives level-of-care placement. Withdrawal management protocols begin immediately based on presenting substances and serial clinical scoring.

The first 72 hours are the acute withdrawal window — most clients stabilize physiologically in this period on appropriate medication protocols. Days three through seven layer in psychiatric medication optimization, initial individual therapy sessions, and coordinated family contact where indicated. By the end of the first week most clients have transitioned from acute detox protocols into the residential clinical schedule, with the treatment plan updated based on emerging medical, psychiatric, and psychosocial findings.

Insurance and admissions from Hollywood

RECO Island works with most major commercial insurance including Florida Blue, Aetna, Cigna, UnitedHealthcare, Humana, and Blue Cross Blue Shield plans. For executive and licensure-monitored clients, admissions verifies benefits, obtains prior authorization for detox and residential levels of care, and coordinates any out-of-network single-case agreements before arrival. Self-pay arrangements are available where clients prefer to keep the treatment episode off insurance records for licensure or professional reasons.

Transport from Hollywood is straightforward — I-95 north to the Atlantic Avenue exit in Delray Beach — and admissions can coordinate private, discreet transport where clinical instability or confidentiality requires it. Benefits verification is typically completed within an hour and does not commit the client to admission.

Serving residents of: Hollywood Beach, Emerald Hills, Hollywood Lakes, Hollywood Hills, Oakwood.