Detox plus residential treatment for Highland Beach — one team, no gaps, 12 minutes away.

RECO Island's Delray Beach campus is a 12-minute drive up A1A from Bel Lido Isle, Toscana, and the Highland Beach condominium strip. Highland Beach residents receive physician-led medical detox followed directly by 30 to 60 days of residential treatment under one clinical team — the same primary therapist, psychiatrist, and treatment plan continuing from the first CIWA-Ar score through PHP, IOP, and community maintenance. Small-census, in-network with Florida Blue, Aetna, Cigna, UnitedHealthcare, and Humana, with no waitlists for detox beds and no third-party handoffs between levels of care.

Highland Beach sits as a narrow oceanfront ribbon between Delray and Boca Raton, threaded by A1A and defined by the low-density enclaves of Bel Lido Isle, Toscana, Boca Cove, Ocean Cove, and the Penthouse. For a resident weighing residential detox, RECO Island’s Delray Beach campus is a 12-minute drive north up A1A — close enough that families can attend weekly therapy in person, far enough that the clinical setting is genuinely separated from the home environment where use took hold.

The service RECO Island offers Highland Beach residents is a combined medical detox and residential treatment program under one clinical team — physician-led withdrawal management moving directly into 30 to 60 days of residential care without a handoff, a new admission, or a change of therapist.

Why detox alone rarely produces sustained recovery

Medical detoxification is the safe pharmacologic management of acute withdrawal — a necessary intervention for alcohol, benzodiazepine, and opioid dependence, but not by itself a treatment for substance use disorder. Published return-to-use rates for detox-only episodes are consistently high across substances, and the reason is straightforward: detox stabilizes the body. It does not address the behavioral, psychiatric, and environmental drivers of the disorder.

The interventions that shift outcomes — cognitive behavioral therapy, dialectical behavior therapy for emotion regulation, motivational interviewing during ambivalence, buprenorphine or naltrexone initiation and stabilization, and treatment of the co-occurring depression, anxiety, PTSD, or bipolar illness most clients carry — happen in residential and outpatient care, not in the 3 to 10 days of a detox unit. A client discharged from detox back to the home environment where use developed, without a residential handoff, has completed the medical piece and skipped the therapeutic one. That is treatment interrupted, not treatment completed.

The combined 30 to 60 day clinical arc

RECO Island’s model runs medical detox and residential treatment as a single continuous episode inside one facility, staffed by one clinical team. Detox typically lasts 3 to 10 days depending on the substance and severity — longer for chronic high-dose benzodiazepine tapers, shorter for uncomplicated opioid withdrawal managed with buprenorphine induction. Withdrawal severity is scored on validated instruments: CIWA-Ar for alcohol, COWS for opioids, with symptom-triggered medication dosing rather than fixed schedules.

The client meets the primary therapist during detox, not after. Medication-assisted treatment initiated in detox — buprenorphine/naloxone for opioid use disorder, naltrexone for alcohol use disorder — continues at the same dose into residential without interruption. The psychiatric workup completed during detox, including PHQ-9, GAD-7, and where indicated PCL-5, YBOCS, or ASRS scoring, drives the residential treatment plan. There is no transfer packet, no re-admission, no clinical narrative that has to be reconstructed for a new team.

What residential treatment adds to the detox foundation

Residential care provides the clinical intensity that a detox unit structurally cannot. Clients receive individual therapy multiple times weekly with the primary therapist assigned in detox; daily evidence-based group programming in CBT, DBT skills, relapse prevention, and process modalities; family therapy sessions scheduled at a cadence Highland Beach families can drive to; and psychiatric medication management for co-occurring conditions — sertraline or venlafaxine for depression, prazosin for PTSD-related nightmares, quetiapine, olanzapine, or aripiprazole for mood stabilization, lithium where indicated, and buspirone for residual anxiety once benzodiazepine tapers are complete.

Assessment is layered rather than one-time. ASAM Criteria dimensions guide level-of-care decisions week to week. Daily-rhythm variables — sleep, nutrition, exercise capacity, cognitive recovery from active use — are tracked as clinical data, not treated as amenities. For clients with treatment-resistant depression underlying the substance use, intranasal esketamine, IV ketamine, and rTMS protocols (typically 3,000 pulses at 120% of resting motor threshold across a 4 to 6 week course) are available in-house rather than referred out. EMDR and ACT are used for trauma and values-based work when the case formulation indicates.

Step-down into PHP, IOP, and continuing care

The residential stay is the compressed clinical block, not the whole treatment. Clients step down to partial hospitalization at roughly 30 clinical hours weekly, then intensive outpatient at approximately 15 hours weekly, then standard outpatient — with the same therapist and psychiatrist continuing through every level. Sober-living placement is integrated for clients whose Highland Beach home environment does not yet support recovery, or where a spouse or partner is still actively using.

Medication-assisted treatment continues through the step-down and into community maintenance. Naltrexone is dosed monthly as extended-release injection where oral adherence is a concern; buprenorphine is continued at maintenance dose until the client and prescriber jointly decide on a taper timeline that outcomes data supports rather than an arbitrary calendar. Continuing care includes structured alumni programming, family sessions on a decreasing cadence, and psychiatric follow-up integrated with primary care.

Insurance and admissions from Highland Beach

RECO Island is in-network with the major commercial carriers most Highland Beach residents hold: Florida Blue, Aetna, Cigna, UnitedHealthcare, Humana, and Blue Cross Blue Shield out-of-state plans. Admissions verifies benefits before arrival — deductible status, out-of-pocket maximum, medical necessity criteria per ASAM level of care, and the covered length of stay the carrier expects to approve — so the family knows the number before the client is on the campus. Same-day and next-day admission is the norm; there is no waitlist for detox beds.

For clients arriving from Bel Lido Isle, Toscana, Boca Cove, or Ocean Cove, a family member typically drives; the campus intake process runs the same day. Where the client is not safe to be transported by family, secure medical transport is arranged from the Highland Beach residence to the campus.

What the first 72 hours look like

Day one is medical. Intake physical, laboratory workup including CMP, CBC, liver function tests, urine toxicology, and EKG where cardiac risk factors indicate, followed by medication reconciliation and the initial CIWA-Ar or COWS baseline. Withdrawal management medications are ordered symptom-triggered — long-acting benzodiazepine taper for alcohol, buprenorphine induction for opioids, symptomatic management for stimulants and cannabis. Sleep is prioritized; hydration is monitored.

Day two introduces the primary therapist, the psychiatric assessment, and the initial treatment plan draft. Day three the client is typically ambulating through light group programming while withdrawal continues to resolve. By the end of the first week, most clients are fully engaged in residential-level programming with detox medications tapered or converted to maintenance dose.

Serving residents of: Bel Lido Isle, Boca Cove, Ocean Cove, Toscana, Penthouse.