Executive detox serving Palm Beach Gardens — private, discreet, physician-led.

For clients in BallenIsles, PGA National, Mirasol, and Old Palm, RECO Island's Delray Beach campus is 35 minutes south via I-95 — close enough for family visitation and same-day admission, far enough from northern Palm Beach County to preserve the confidentiality most executive and licensure-monitored clients require. Detox is physician-led, small-census, and transitions directly into residential without a third-party handoff. Admissions coordinates with Florida PRN, state bar diversion programs, HIMS, and outside legal or professional counsel when licensure documentation is part of the treatment episode.

Palm Beach Gardens sits 25 miles north of RECO Island’s Delray Beach campus — roughly 35 minutes down I-95 in normal traffic. For clients in BallenIsles, Frenchman’s Reserve, Mirasol, Old Palm, and PGA National, that distance closes the gap between outpatient practices with limited detox capacity and a small-census, physician-led medical detox that transitions directly into residential without a third-party handoff. The clinical density available in Delray Beach is difficult to replicate at the neighborhood level in northern Palm Beach County.

What “executive detox” actually means clinically

Executive detox at RECO Island is standard medical detox delivered in a small-census, private setting. The clinical protocol is not different from RECO’s general detox pathway: physician-led medical evaluation on admission, 24-hour nursing coverage, CIWA-Ar scoring for alcohol withdrawal, and COWS scoring for opioid withdrawal. Withdrawal management is symptom-triggered — lorazepam or chlordiazepoxide for alcohol, buprenorphine induction for opioid use disorder — with adjunct medications for autonomic hyperactivity, sleep, and gastrointestinal symptoms.

Medication-assisted treatment is initiated during detox where clinically indicated. Buprenorphine is the standard of care for opioid use disorder maintenance; oral naltrexone or extended-release intramuscular naltrexone (Vivitrol) is offered for alcohol use disorder and opioid use disorder after full detoxification. Level-of-care determination for step-down uses the ASAM Criteria across all six dimensions — acute withdrawal, biomedical status, emotional and behavioral presentation, readiness to change, relapse potential, and recovery environment.

What differs from general detox is the setting, not the medicine. Small census means a higher staff-to-client ratio, private accommodations, and a structured schedule that can accommodate limited work communication where clinically appropriate. Admissions is staffed by intake coordinators experienced with the confidentiality constraints of physicians, attorneys, executives, and other public-facing clients. The delivery model exists because the alternative — assuming professional clients can enter a standard 40-bed detox without practical or reputational consequences — is not a serious clinical plan.

Discretion and confidentiality as clinical variables

For a physician facing licensure review, an attorney with an active caseload, or an executive whose absence triggers company communications, discretion is not a marketing concept. It is a variable that determines whether treatment is accessible at all. RECO Island’s admissions team coordinates arrival logistics, communication windows, and family notification with the client and, where applicable, outside legal or professional counsel. Federal 42 CFR Part 2 confidentiality protections apply to the treatment episode independent of any monitoring context.

Practical elements — private accommodations, restricted-access phone and email windows for time-sensitive work matters, and coordination of arrival transport that does not run through the client’s usual channels — are addressed during pre-admission. For clients whose employers, boards, or public exposure make standard treatment settings clinically untenable, these elements are what makes clinical engagement possible in the first place.

PHP, PRN, and licensure-monitored clients

Physicians in state Professional Health Programs — Florida PRN for in-state clients, comparable programs in other states — arrive with specific documentation, monitoring, and treatment duration requirements. Attorneys in state bar diversion programs, nurses in the Intervention Project for Nurses, dentists, pharmacists, and pilots monitored under HIMS present similarly structured requirements. RECO Island’s clinical and admissions teams work directly with monitoring programs and provide the ASAM assessments, treatment plans, and progress documentation those programs require.

Documentation coordination is not a peripheral service. For licensure-monitored clients, a treatment episode that satisfies clinical need but fails monitoring documentation is a partial success at best. Case management runs paperwork in parallel with clinical care — five-year monitoring contracts, biological testing coordination, and workplace re-entry planning are part of the discharge arc, not an afterthought.

Co-occurring psychiatric care during detox and residential

Substance use disorders in professional populations frequently co-occur with mood, anxiety, trauma, and attention spectrum diagnoses. Psychiatric intake during detox uses PHQ-9 for depression, GAD-7 for generalized anxiety, YBOCS where obsessive-compulsive symptoms are present, and ASRS where adult ADHD is on the differential. Pharmacotherapy is initiated as clinically appropriate — sertraline or another SSRI for depressive and anxiety disorders, buspirone as a non-controlled anxiolytic adjunct, aripiprazole or quetiapine for bipolar spectrum presentations, lithium where indicated, and olanzapine or short-course quetiapine for acute agitation or psychotic features during withdrawal.

For treatment-resistant depression, RECO Island offers repetitive transcranial magnetic stimulation (rTMS) using the standard FDA-cleared protocol — 3000 pulses per session at 120% of resting motor threshold, delivered across an acute course of 30 to 36 sessions with a subsequent taper. Ketamine and esketamine pathways are considered on a case-by-case basis within their respective clinical frameworks, including REMS requirements for intranasal esketamine. Psychotherapy for co-occurring PTSD uses EMDR or trauma-focused CBT depending on presentation.

Residential transition and family engagement

Executive detox transitions directly into RECO Island’s residential program under the same clinical team. Typical length of stay is 30-60 days for a first admission, with extended stays where relapse history, licensure requirements, or co-occurring conditions warrant. The residential curriculum draws on cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT) skills training, eye movement desensitization and reprocessing (EMDR) for trauma, acceptance and commitment therapy (ACT), and motivational interviewing (MI) throughout the clinical week.

Family therapy is integrated across the residential arc rather than delivered as a discharge courtesy. For executive clients, the family and business systems affected by the substance use disorder are often more complex than in lower-severity presentations — spouses, adult children, business partners, and boards may all be involved in what a successful re-entry looks like. Sessions are scheduled under 42 CFR Part 2 protections with defined communication scopes agreed in advance.

Discharge planning includes structured workplace re-entry, ongoing MAT where indicated, and continuation at PHP or IOP levels of care. For clients returning to Palm Beach Gardens, RECO’s outpatient continuum and local referral network cover the step-down without breaking clinical continuity. Full admissions criteria and clinical scope are documented on the executive detox program page.

Insurance and admissions from Palm Beach Gardens

RECO Island’s financial coordinators run a verification of benefits with Florida Blue, Aetna, Cigna, UnitedHealthcare, Humana, and BCBS plans before admission so clients understand deductible, coinsurance, and expected authorized days. For executive clients concerned about employer-plan claims traffic, out-of-network and self-pay admissions are structured to keep the episode off plans where that matters clinically. In-network status and single-case agreements vary by carrier and plan design; the pre-admission benefits check clarifies which pathway applies.

Admissions is available 24 hours a day, seven days a week. Most clients from BallenIsles, PGA National, Mirasol, and Frenchman’s Reserve complete intake screening, transportation coordination, and same-day arrival within the window of the initial call. Arrival logistics — private ground transport, discreet PBI pickup, or self-drive with an accompanying family member — are handled during the pre-admission conversation.

Serving residents of: BallenIsles, Frenchman's Reserve, Mirasol, Old Palm, PGA National.