Detox plus residential treatment for Coral Springs — one team, no gaps, 35 minutes away.

For Coral Springs and Parkland families, RECO Island's Delray Beach campus is a 35-minute drive down the Sawgrass Expressway to I-95 — close enough to keep family therapy weekly, far enough to remove clients from the routines that sustained active use. Detox and residential run under one clinical team on one campus, with the same primary therapist and psychiatric prescriber continuing through PHP, IOP, and outpatient step-down. MAT — buprenorphine or extended-release naltrexone initiated during detox — continues into residential and community maintenance without induction repeat or gap in coverage.

Coral Springs sits 25 miles inland from Delray Beach — a 35-minute drive down the Sawgrass Expressway to I-95 for families crossing from Eagle Trace, Hidden Hammocks, Parkland Isles, Cypress Run, or Heron Bay. RECO Island offers Coral Springs and Parkland residents specialist-level addiction medicine within the coastal treatment corridor that has shaped South Florida recovery for decades: physician-led medical detox with direct in-house continuation into residential treatment, no waitlist, no third-party handoff. The combined program described here — medical detox followed by 30-60 days of residential care under one clinical team — is the standard-of-care model that longitudinal outcomes data supports.

Why detox alone rarely works

Detox produces safe medical management of acute withdrawal. It is a necessary intervention that reduces mortality, stabilizes autonomic function, and addresses the seizure and delirium risks specific to alcohol and benzodiazepine withdrawal. It is not, by itself, treatment for substance use disorder. Published return-to-use rates for detox-only clients are consistently high — the withdrawal is managed, the client discharges home, and the substance use resumes within days to weeks.

The clinical work that changes outcomes — CBT and DBT skill building, Motivational Interviewing, MAT initiation and stabilization with buprenorphine or naltrexone, family engagement, and treatment of co-occurring depression, PTSD, or bipolar illness — happens in residential and outpatient care. It cannot compress into a 5-day admission. Detox that ends without residential handoff is treatment interrupted, not treatment completed.

At RECO Island, the CIWA-Ar and COWS scores that drive detox medication protocols are the same instruments that inform the residential treatment plan. The clinical picture does not reset at discharge — it continues under the same primary therapist and prescriber who began the case.

The combined 30-60 day arc

RECO Island’s combined model runs medical detox — typically 3-10 days depending on substance, medical acuity, and severity of withdrawal — directly into residential treatment of 30-60 days. The transition happens within the same organization, on the same campus, with the same clinical team continuing the case. There is no discharge from detox to a separate residential provider, no waiting list, no re-admission.

The client meets their primary therapist during the detox phase, usually within 48 hours of admission. Buprenorphine or naltrexone initiated for opioid use disorder continues into residential without induction repeat. Antidepressants such as sertraline for co-occurring depression, or aripiprazole and quetiapine for bipolar and psychotic-spectrum presentations, begin during detox and reach steady state during the residential stay. Lithium is added where mood stabilization requires it. The treatment plan documented during detox — with ASAM Criteria Dimensions 1-6 addressed explicitly — drives the residential work from day one.

What residential adds to the detox foundation

Residential provides what a 5-day detox cannot: sustained, daily-density behavioral therapy in a structured setting. Group programming runs on evidence-based protocols — CBT and DBT skills groups, Motivational Interviewing, Seeking Safety for trauma-substance comorbidity, and ACT for values-based recovery work. Individual therapy runs multiple times weekly, typically with EMDR or trauma-focused CBT for clients with PTSD comorbidity documented on the PCL-5.

Psychiatric medication management is delivered by prescribers, not case managers. PHQ-9 and GAD-7 scores are tracked weekly; ASRS-v1.1 screens are administered when adult ADHD is suspected under substance masking; YBOCS informs treatment where OCD presents alongside anxiety-driven substance use. Medication is adjusted on measurable data, not narrative. Buspirone is used for generalized anxiety when SSRI response is partial and prior stimulant use precludes benzodiazepines.

MAT stabilizes at maintenance dose during residential — buprenorphine titrated to full agonist coverage, extended-release naltrexone administered as monthly injection where oral adherence is a concern. Family therapy is scheduled weekly, not as an amenity but as a clinical variable. Sleep, nutrition, and structured exercise are treated as neurobiological inputs for a stabilizing brain, not as wellness offerings.

Step-down into PHP, IOP, and continuing care

Residential clients step down to partial hospitalization (PHP, 30+ clinical hours weekly), then intensive outpatient (IOP, roughly 15 hours weekly), then standard outpatient — with the same treatment team, the same primary therapist, and the same psychiatric prescriber continuing through each phase of care. The step-down is not a transfer; it is a change in dose.

Sober-living residences within the RECO network are integrated where the home environment does not yet support recovery. MAT continues through the step-down and into community maintenance; taper or continuation decisions are made on clinical criteria, not program duration. For clients whose depression remains treatment-resistant after adequate SSRI and augmentation trials, esketamine (nasal Spravato under REMS) and rTMS — typical protocol 3000 pulses at 120% motor threshold, five sessions weekly across 6 weeks — are available on referral within the network. Racemic ketamine infusions are used in select cases with documented informed-consent protocols.

What to expect on the first day from Coral Springs

Admission typically begins with a phone screen — verification of insurance benefits, medical intake covering current substances, quantities, last use, prescribed medications, and psychiatric history. Where clinically appropriate, transport from Coral Springs is arranged same-day or next morning; families are given a specific arrival window rather than open-ended instructions.

On arrival, the admitting nurse completes vitals, labs, and CIWA-Ar or COWS scoring; the medical director reviews and initiates the detox medication protocol. Symptom-triggered benzodiazepines — typically diazepam or lorazepam — dose alcohol withdrawal per CIWA scores; buprenorphine induction addresses opioid withdrawal per COWS. Phenobarbital protocols are used where benzodiazepine cross-tolerance or seizure history warrant. The primary therapist is assigned within 48 hours; olanzapine or quetiapine are available for agitation or psychotic features where clinically indicated. Family notification, with the client’s signed release, is completed the same day.

Insurance and admissions from Coral Springs

RECO Island contracts with the major commercial insurers used by Coral Springs and Parkland employers — Florida Blue, Aetna, Cigna, UnitedHealthcare, Humana, and BCBS plans — and completes verification of benefits within one business day, typically within a few hours of the initial call. The admissions team explains deductible, coinsurance, and out-of-pocket-maximum exposure in writing before admission, so families are not surprised by billing later.

For families in Eagle Trace, Hidden Hammocks, Parkland Isles, Cypress Run, or Heron Bay, the 35-minute drive down Sawgrass to I-95 places specialist-level addiction medicine within the same commute window as many South Florida medical specialists. Family visitation during residential is scheduled to accommodate the drive without disrupting the treatment day.

Serving residents of: Eagle Trace, Hidden Hammocks, Parkland Isles, Cypress Run, Heron Bay.