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

RECO Island's Delray Beach campus is a 38-minute drive from Wellington — close enough for structured family engagement, far enough for meaningful separation from professional and social exposure. Executive detox runs at small census with private accommodations, physician-led CIWA-Ar and COWS-guided withdrawal management, and direct in-house transition into 30 to 60 days of residential. There is no third-party handoff and no waitlist between detox and residential; the same treatment team carries the episode from admission through discharge planning.

Wellington sits 28 miles inland from RECO Island’s Delray Beach campus — roughly 38 minutes by car through the western reaches of Palm Beach County. For clients arriving from Olympia, Palm Beach Polo, Versailles, Wellington View, or the Aero Club corridor, that distance functions clinically: close enough for structured family sessions and continuity of care, far enough that the professional and social visibility of home doesn’t intrude on withdrawal management or early residential work. Executive detox at RECO Island is medical detox delivered in a small-census private setting for professionals whose absence, appearance, and communications are themselves clinical variables.

What “executive detox” actually means clinically

The clinical protocol is standard medical detox. Alcohol withdrawal is managed with CIWA-Ar scoring on a scheduled interval, with symptom-triggered or fixed-dose benzodiazepine tapers (typically chlordiazepoxide or lorazepam), thiamine and folate repletion, magnesium correction, and IV fluids as indicated. Opioid withdrawal is scored with COWS and managed with buprenorphine induction — standard or low-dose (Bernese) depending on fentanyl exposure — with adjunctive clonidine, ondansetron, and hydroxyzine. Benzodiazepine and polysubstance detox use phenobarbital or extended taper protocols under continuous medical monitoring.

What differs from a general detox admission is the setting, not the medicine. Executive detox operates at a smaller census with a higher nurse-to-client ratio, private accommodations, and a structured schedule for limited outside contact where clinically appropriate. Admissions staff are practiced with the confidentiality requirements of physicians, attorneys, executives, and other public-facing clients — including the granular questions about what leaves the building, who sees the chart, and how the treatment episode is documented for downstream monitoring or insurance.

The physician-led evaluation on admission covers a full history and physical, ECG, comprehensive metabolic and hepatic panels, urine and serum toxicology, and structured psychiatric assessment. Where mood, anxiety, trauma, or attention symptoms are present, screening includes PHQ-9, GAD-7, PCL-5, and ASRS, with pharmacotherapy decisions (sertraline, mirtazapine, buspirone, prazosin for trauma-related nightmares, non-stimulant options for ADHD) deferred until the acute withdrawal window closes and a stable psychiatric baseline is visible.

Discretion and confidentiality as clinical variables

For a physician facing a Professional Health Program review, an attorney with active client matters, or an executive whose absence triggers company-wide communications, discretion is not a comfort item. It is part of what makes treatment accessible at all. RECO Island’s admissions team works directly with the client and, where authorized, their legal or professional counsel to structure arrival logistics, communication windows, and family notification in ways that protect both the recovery episode and the client’s capacity to return to their profession.

Practical protections include separate admissions pathways to limit exposure in shared spaces, restricted electronic device access with clinically supervised windows for essential communication, and admissions documentation reviewed for anything that would appear in downstream records without clinical necessity. Charting follows 42 CFR Part 2 restrictions on substance use disorder records, meaning disclosure to employers, licensing bodies, or family requires specific written consent for each release.

PHP, PRN, and licensure-monitored clients

Physicians in Professional Health Program (PHP) monitoring, nurses in state PRN or IPN programs, attorneys in bar diversion, and pilots under HIMS all arrive with specific documentation, treatment-length, and monitoring requirements. RECO Island’s clinical and admissions teams work directly with the monitoring program to provide ASAM Criteria assessments across all six dimensions, individualized treatment plans, weekly progress notes, discharge summaries, and continuing care recommendations that satisfy both clinical need and monitoring compliance.

Length of stay for licensure-monitored clients is typically longer than for a first private admission — 60 to 90 days of residential is common, sometimes stepping down to a structured sober-living arrangement while completing PHP or IOP. Random toxicology (including EtG, PEth, and expanded panels where monitoring requires them) is coordinated with the referring body throughout and after the residential stay.

The transition into residential and family engagement

Executive detox transitions directly into RECO Island’s residential program on the same campus — typically 30 to 60 days for a first admission, longer for complex presentations involving co-occurring mood or trauma diagnoses, prior treatment failures, or licensure-driven length requirements. There is no third-party handoff, no waitlist, and no change in treatment team between detox and residential. Individual therapy uses CBT and Motivational Interviewing as the working frame, with DBT skills groups for emotion regulation, ACT for values-based commitment work, and EMDR or written-exposure therapy for trauma when the clinical formulation warrants it.

Family therapy is integrated from week one of residential rather than saved for discharge planning. For executive clients, family systems overlap with business and financial systems in ways that make couples work, structured family sessions, and — where indicated — separate individual referrals for a spouse or adult child consequential to relapse risk. The residential arc closes with a discharge plan covering phased re-entry to work, ongoing MAT (buprenorphine, extended-release naltrexone, or acamprosate) where indicated, outpatient continuation at PHP or IOP levels, and monitoring-program handoff where applicable.

What to expect on admission from Wellington

Most Wellington admissions begin with a phone assessment the same day contact is made. The clinical intake covers substance use history, prior treatment episodes, psychiatric and medical history, current medications, and — for professionals — any monitoring, licensure, or employer-notification considerations that shape the treatment plan. Insurance verification runs in parallel; where a client elects to self-pay for confidentiality reasons, that election is documented and honored.

Transportation from Wellington is typically a 38-minute drive east on Southern Boulevard to I-95 and then east on Atlantic Avenue, arranged privately or through the admissions team depending on preference. On arrival, medical evaluation, initial withdrawal scoring, and room assignment happen within the first two hours. Personal electronics are managed under a written policy the client reviews at intake — not a blanket confiscation, but a structured plan built around the clinical protocol and any essential professional obligations.

Insurance and admissions from Wellington

RECO Island bills most major commercial carriers used in Palm Beach County — including Florida Blue, Aetna, Cigna, UnitedHealthcare, Humana, and BCBS plans. Verification of benefits happens during the initial phone intake and includes explicit review of detox, residential, PHP, and IOP levels of care so the client and family understand length-of-stay coverage before admission rather than mid-episode.

For clients who prefer to self-pay to keep the treatment episode off insurance records — a common decision for physicians, attorneys, and executives with reputational or licensure exposure — the admissions team provides transparent pricing and payment structures. Self-pay does not change the clinical protocol, the length of stay, or the continuity into residential; the same physician-led detox, residential arc, and family engagement apply.

Serving residents of: Olympia, Versailles, Aero Club, Palm Beach Polo, Wellington View.