Detox plus residential treatment for Hollywood — one team, no gaps, 50 minutes away.

Hollywood clients drive 35 miles up I-95 to a small-census, physician-led medical detox that transitions directly into residential treatment inside the same facility. Same primary therapist, same MAT protocol, same treatment plan continuing without a re-admission or third-party handoff. Admissions are direct and typically same-day or next-day for clinically appropriate presentations — no waitlist for combined detox-plus-residential care from Broward County.

The drive from Hollywood to RECO Island’s Delray Beach campus runs 35 miles up I-95 — about 50 minutes outside of rush hour. For clients arriving from Hollywood Beach, Emerald Hills, Hollywood Lakes, or Oakwood, that distance functions clinically: enough separation from the neighborhoods and daily cues tied to active use to make the first week of abstinence achievable, while remaining close enough for family visits during residential and a straightforward return home during step-down care. RECO Island admits directly into a combined medical detox and residential treatment program — no waitlist, no third-party handoff between detox and residential care.

Why medical detox alone rarely produces sustained recovery

Medical detox is a discrete intervention: safe medical management of acute withdrawal, ordinarily 3 to 10 days depending on substance and severity. It is a necessary phase of care for most clients presenting with physiological dependence on alcohol, benzodiazepines, or opioids. It is not, on its own, a treatment for substance use disorder. Return-to-use rates for standalone detox episodes are well-documented in outcomes literature and consistently high — the majority of clients discharged after detox-only care resume use within days to weeks.

The clinical explanation is straightforward. Detox addresses withdrawal physiology. It does not address the behavioral conditioning, co-occurring psychiatric conditions, family dynamics, trauma sequelae, and daily-life structure that drive continued use. Those variables require sustained clinical work — cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), motivational interviewing (MI), medication-assisted treatment (MAT) initiation and titration, and psychiatric stabilization for co-occurring depression, anxiety, bipolar disorder, or PTSD. That work happens in residential and outpatient settings, not in the detox unit. Detox that ends without residential handoff is treatment interrupted, not treatment completed.

The combined 30-to-60-day arc

RECO Island’s residential detox and treatment program runs medical detox directly into residential inside the same facility, with the same clinical team continuing the case. Detox typically runs 3 to 10 days; residential typically runs 30 to 60 days. There is no discharge between them, no transfer, no re-admission. The client meets the primary therapist during detox. MAT initiated during detox — buprenorphine-naloxone for opioid use disorder, naltrexone or acamprosate for alcohol use disorder — continues seamlessly into residential without a medication gap. The individualized treatment plan drafted during detox drives the residential clinical work.

Withdrawal is scored with validated instruments — CIWA-Ar for alcohol, COWS for opioids — and medication protocols follow ASAM Criteria placement across all six dimensions. Psychiatric assessment during detox uses PHQ-9 and GAD-7, with YBOCS or ASRS added where indicated, to establish baselines for co-occurring conditions that will be treated in residential. The clinical momentum built in the first week is preserved into weeks two through eight rather than lost to a handoff.

What residential adds to the detox foundation

Residential provides what detox cannot: daily-density behavioral therapy, evidence-based group programming, individual therapy multiple times weekly, structured psychiatric medication management, family therapy, and MAT stabilization to a maintenance dose. Individual therapy runs two to three times weekly with the client’s primary clinician. Trauma-focused work — EMDR, cognitive processing therapy, and where indicated acceptance and commitment therapy (ACT) — is sequenced once withdrawal has resolved and the client can tolerate the affective load.

Psychiatric care is integrated rather than consultative. A co-occurring major depressive episode is treated with sertraline, escitalopram, or duloxetine at therapeutic dose. Bipolar spectrum presentations are stabilized with lithium, lamotrigine, or an atypical antipsychotic such as quetiapine, aripiprazole, or olanzapine where clinically indicated. Generalized anxiety may be treated with an SSRI plus buspirone, avoiding benzodiazepines in a substance use disorder population. Treatment-resistant depression that emerges during the residential stay is referred for interventional options — rTMS delivered at 3000 pulses per session at 120% of motor threshold, or intranasal esketamine — coordinated through the psychiatric team rather than deferred to post-discharge planning. Sleep, nutrition, and structured movement are treated as clinical variables and dosed accordingly.

Step-down into PHP, IOP, and continuing care

Residential completion is not the end of clinical work; it is the compressed block that makes outpatient continuation productive. Clients step down to partial hospitalization (PHP) at 30 or more clinical hours weekly, then to intensive outpatient (IOP) at approximately 15 hours weekly, then to standard outpatient. The primary therapist and psychiatric team continue through the step-down where clinically appropriate. MAT continues through PHP and IOP and into community maintenance — extended-release naltrexone by monthly injection or oral, buprenorphine-naloxone as prescribed — rather than being tapered prematurely on an arbitrary schedule.

Sober-living placement is integrated where the home environment does not yet support recovery. For Hollywood clients, this frequently means completing PHP and IOP in Delray Beach with structured sober-living on-site rather than commuting up I-95 daily, and a planned return home once IOP hours reduce. Family therapy during residential and PHP prepares the household for reintegration; relapse prevention planning is documented, rehearsed, and referenced through the outpatient phase.

Admissions and insurance from Hollywood

RECO Island admits directly and typically same-day or next-day for clinically appropriate presentations. There is no waitlist for combined detox-and-residential admission. Verification of benefits is completed by the admissions team during the initial call; most major commercial plans covering South Florida are contracted or accepted through single-case agreement, including Florida Blue, BCBS, Aetna, Cigna, UnitedHealthcare, and Humana. Financial responsibility — deductible, coinsurance, and out-of-pocket maximum — is explained in writing before admission, not after discharge.

Transport from Hollywood is arranged where needed. Belongings are inventoried and stored; medications are collected and reconciled by nursing on arrival. Medical evaluation, psychiatric evaluation, and nursing assessment happen within the first 24 hours, and the treatment plan is drafted before day two.

What to expect on the first day

On arrival, the client is medically evaluated by nursing, with vital signs, CIWA-Ar or COWS scoring, and immediate initiation of withdrawal comfort medications per protocol. A brief psychiatric interview screens for suicidality, psychosis, and acute co-occurring symptoms; PHQ-9 and GAD-7 are administered. The primary therapist introduces themselves during the first day and begins the treatment plan draft. Family contact policies are reviewed. Meals, sleep, and hydration are prioritized during the first 48 hours; formal group programming resumes as withdrawal severity permits, typically day 3 to 5.

By day 7 to 10, most clients have completed acute detox, established MAT if indicated, met their psychiatrist, met their primary therapist several times, and transitioned into the residential milieu with a documented plan for the next 30 to 60 days. The small-census, physician-led setting means the clinical team knows every client on the unit by name and by treatment plan — not by census number.

Serving residents of: Hollywood Beach, Emerald Hills, Hollywood Lakes, Hollywood Hills, Oakwood.