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

RECO Island's Delray Beach campus is 18 miles south of West Palm Beach — 28 minutes down I-95 for clients in El Cid, Flamingo Park, or downtown WPB. The executive track delivers standard physician-led medical detox (CIWA-Ar and COWS-guided) in a small-census private setting, with direct in-house transition to residential — no third-party handoffs, no waitlist between levels of care. Admissions staff are experienced with Florida PHP, IPN, and Bar diversion documentation requirements for licensure-monitored clients.

West Palm Beach sits eighteen miles north of RECO Island’s Delray Beach campus — a 28-minute drive down I-95 or Federal Highway outside rush hour. For Palm Beach County residents in El Cid, Flamingo Park, Northwood Hills, SoSo, or downtown WPB, the Delray campus is the nearest facility offering physician-led medical detox delivered in a small-census, private setting engineered for the practical constraints of professionals, executives, and public-facing clients. The executive detox program is not a separate clinical protocol from RECO Island’s standard medical detox — it is the same medicine, delivered in a setting that treats discretion, communication windows, and business continuity as clinical variables rather than amenities.

What “executive detox” actually means clinically

The clinical protocol for RECO Island’s executive detox is standard medical withdrawal management. Alcohol withdrawal is scored on the CIWA-Ar with benzodiazepine tapers — most commonly lorazepam or diazepam — titrated to symptom severity. Opioid withdrawal is scored on the COWS with buprenorphine induction typically initiated once scores reach 10 to 12, transitioning toward maintenance buprenorphine-naloxone or extended-release naltrexone based on the client’s post-detox plan. Benzodiazepine, stimulant, and polysubstance detox protocols follow ASAM-consistent tapers and adjunctive medication management.

What differs from standard detox is the setting, not the medicine. Executive census is deliberately small — fewer beds, higher nurse-to-client ratio, private accommodations, and a schedule that accommodates supervised, structured communication windows for clients whose absence from work must be managed rather than announced. Admissions staff are experienced with the confidentiality requirements of physicians facing PHP review, attorneys with active caseloads, C-suite executives on public boards, and other clients whose treatment episode carries reputational and licensure weight.

Discretion and confidentiality as clinical variables

For a physician whose absence triggers a coverage plan reviewable by the state medical board, an attorney with pending motions and firm partners to notify, or an executive whose out-of-office message will be scrutinized by employees and shareholders, discretion is not a marketing concept. It is the variable that determines whether the client accepts treatment at all or delays admission until crisis. Admissions works with clients, their legal counsel, and designated professional contacts to structure arrival logistics, communication schedules, and disclosure timing before the client sets foot on campus.

Inside the program, 42 CFR Part 2 and HIPAA govern all release of information. No confirmation of admission is provided to anyone the client has not authorized in writing. Family updates, monitoring-program updates, and employer communications flow only through the release channels the client has signed. Supervised device and email windows, where clinically appropriate, allow essential professional continuity without displacing the treatment schedule.

PHP, IPN, and licensure-monitored clients

Physicians in state Professional Health Program monitoring, nurses in Florida’s Intervention Project for Nurses, attorneys in Florida Lawyers Assistance, pilots under HIMS, and other licensure-monitored clients typically arrive with a defined set of documentation requirements: an ASAM Criteria assessment across all six dimensions, a treatment plan tied to those findings, defined length-of-stay recommendations, and structured progress reporting throughout the episode. RECO Island’s clinical team coordinates directly with monitoring case managers once the client authorizes contact.

Comorbid presentations common in this population — burnout-driven major depressive disorder scored on PHQ-9, generalized anxiety on GAD-7, adult ADHD on ASRS, and obsessive-compulsive features on YBOCS — are assessed at intake and folded into the residential treatment plan rather than deferred to outpatient. Medication management for mood and anxiety typically includes SSRIs such as sertraline or escitalopram, with atypical augmentation using aripiprazole or quetiapine, and lithium for bipolar-spectrum presentations. Buspirone is used for generalized anxiety where benzodiazepine maintenance is contraindicated by a monitoring agreement.

The transition into residential and family engagement

Executive detox transitions in-house to RECO Island’s residential program with the same continuity as standard detox handoff — no third-party transfer, no waitlist between levels of care. Initial residential length of stay is typically 30 to 60 days for a first admission, with longer stays indicated for high-relapse-risk presentations, severe co-occurring psychiatric illness, or monitoring-program requirements specifying extended residential. Individual therapy incorporates CBT for craving and cognitive distortion, DBT skills for emotional regulation, ACT for values-based recovery, and EMDR or trauma-focused CBT where a screened trauma history is clinically contributory.

Family therapy is integrated throughout the residential arc. For executive clients, the family and business systems affected by substance use are often more consequential than the presenting symptom severity alone would suggest — spouses managing household and public messaging simultaneously, adult children navigating a public parent, business partners with fiduciary exposure. Discharge planning includes structured return-to-work protocols, ongoing medication-assisted treatment where indicated, and outpatient continuation at PHP or IOP levels coordinated with a Palm Beach County provider closer to home when appropriate.

What to expect on the first day arriving from West Palm Beach

Admission begins with a brief pre-arrival call to confirm logistics — most clients are driven from West Palm Beach directly to the Delray campus, a 25 to 30 minute route depending on time of day. On arrival, medical evaluation is completed by the admitting physician: vitals, CIWA-Ar or COWS scoring, medical and medication history, and toxicology. Psychiatric intake covers PHQ-9 and GAD-7, with YBOCS, ASRS, or structured trauma screening added where clinically indicated.

Withdrawal medication is initiated as indicated, room assignment completed, and orientation to the daily schedule provided. Family notification and any employer or monitoring-program contact proceeds only along the release-of-information channels the client has authorized. Personal devices are managed per the executive-track protocol — typically stored during acute detox, with structured access windows returning as the client stabilizes medically.

Insurance and admissions from West Palm Beach

RECO Island accepts benefits from Florida Blue, Aetna, Cigna, UnitedHealthcare, Humana, and Blue Cross Blue Shield plans commonly held by Palm Beach County employers. Verification of benefits is completed by admissions, typically within an hour of the initial call, and includes a specific breakdown of detox and residential day rates, deductible and coinsurance responsibilities, and any prior authorization requirements. For clients whose insurance situation is complicated by self-pay considerations or a preference to keep the episode off employer records, admissions outlines concrete cost and coverage options before any commitment is made.

Serving residents of: El Cid, Flamingo Park, Northwood Hills, SoSo, Downtown WPB.