Drug rehab serving Hollywood — the specialist, 50 minutes away.

For someone in Hollywood, the 50-minute drive up I-95 to Delray Beach is part of what makes RECO clinically useful — it separates treatment from the people and routines tied to active use. Clients from Hollywood Beach, Emerald Hills, and Hollywood Lakes typically combine PHP or IOP with on-site sober-living rather than commuting daily. The full continuum runs under one team, with the same primary therapist and psychiatrist through every level of care.

From Hollywood, RECO Intensive sits about 35 miles north up I-95 — roughly 50 minutes outside of rush hour, longer when the Sunrise Boulevard merge backs up in the afternoon. Most clients we admit from Hollywood do not commute daily. Instead, they pair our partial hospitalization or intensive outpatient programming with on-site sober-living housing in Delray Beach, treating the drive itself as part of the clinical plan. Putting distance between a person and the routines, neighborhoods, and people tied to active drug use is not a marketing point — it is a well-established relapse-prevention principle. For someone leaving Hollywood Beach, Emerald Hills, Hollywood Lakes, Hollywood Hills, or Oakwood, that 50-minute corridor is often the first piece of structural separation between their old life and a workable recovery.

RECO’s drug rehabilitation program is built around the substances most prevalent in South Florida: opioids (including fentanyl-contaminated heroin), cocaine and crack, methamphetamine, prescription benzodiazepines, and the polysubstance combinations that have become more common than any single drug presentation. We run substance-specific clinical protocols rather than a single generic curriculum, and we integrate medical detox, residential, PHP, and IOP under one continuous treatment team. Sober-living is part of that continuum, not an add-on.

Substance-specific clinical protocols

Opioid use disorder, stimulant use disorder, and sedative use disorder are clinically distinct conditions. They require different medical management during withdrawal, different relapse-prevention strategies, and often different psychiatric considerations. A protocol that works for someone tapering off a high-dose benzodiazepine prescription will fail a person with a daily fentanyl habit, and vice versa.

For opioids, the priority is safe stabilization, craving control, and overdose-risk reduction — particularly given how saturated the South Florida supply has become with fentanyl analogues. For stimulants like cocaine and methamphetamine, where there is no FDA-approved replacement medication, the work is heavier on contingency management, sleep restoration, and addressing the dopaminergic crash that drives early relapse. For benzodiazepines and other sedatives, abrupt cessation can be medically dangerous, so we use structured, physician-supervised tapers rather than cold-turkey detox. Polysubstance presentations get sequenced plans rather than a one-size template. You can read more about how our opioid-specific treatment and alcohol-specific treatment tracks are structured.

Medication-assisted treatment where indicated

MAT is not appropriate for every client, and we do not push it as a default. When it is clinically indicated, however, it is one of the most evidence-supported interventions in addiction medicine, and we provide it in-house rather than as an outside referral. Our addiction psychiatrists prescribe and manage buprenorphine (Suboxone, Sublocade) and naltrexone (oral and Vivitrol) for opioid use disorder, and Vivitrol or oral naltrexone, acamprosate, and disulfiram for alcohol use disorder, depending on the patient’s history and goals.

Because the prescriber is part of the same treatment team as the primary therapist and case manager, medication decisions are made in the context of the full clinical picture — what therapy modalities are working, what stressors are emerging, whether sleep and mood are stabilizing. That integration is the difference between MAT as a prescription and MAT as treatment. Clients stepping down through PHP and IOP continue with the same psychiatrist they started with.

Behavioral therapy across the continuum

The therapeutic foundation is evidence-based and largely standard across reputable addiction programs: Cognitive Behavioral Therapy for restructuring the thought patterns that precede use, Dialectical Behavior Therapy for emotion regulation and distress tolerance, Motivational Interviewing for working with ambivalence about change, and Trauma-Focused CBT or EMDR for clients whose substance use is tightly braided with unresolved trauma. What is less standard is therapeutic continuity.

At RECO, every client is assigned a primary therapist on admission, and that therapist follows them through every level of care — from detox stabilization through residential treatment, PHP, IOP, and into aftercare and the alumni program. Clients do not re-tell their story to a new clinician every time they step down a level. The therapeutic relationship that develops in the first weeks remains the same relationship in month six. Fragmented care models lose continuity at precisely the moments when continuity matters most.

Co-occurring mental health treatment

The majority of people who meet diagnostic criteria for a substance use disorder also meet criteria for at least one co-occurring psychiatric condition. The most common pairings we see are major depressive disorder, generalized anxiety disorder, post-traumatic stress disorder, bipolar II, and ADHD. In many of these cases, the substance use began as an attempt to manage symptoms of the underlying condition.

Treating the addiction without treating the co-occurring disorder reliably produces early relapse, because the original driver of the substance use is still present. We assess for these conditions during the initial psychiatric evaluation and treat them concurrently, not sequentially. That means psychiatric medication management when indicated, trauma-focused therapy alongside relapse-prevention work, and clinical staff trained to recognize when symptoms are part of post-acute withdrawal versus an independent psychiatric process. Our program is licensed and ASAM-aligned for dual diagnosis at every level of care.

How treatment starts for Hollywood residents

Most Hollywood admissions begin with a phone call to verify insurance and complete a clinical pre-screen. We are in-network with most major commercial carriers — Aetna, Cigna, Blue Cross Blue Shield, and others — and can run a benefits check while you are on the phone; details and a verification form are available on our insurance page. The clinical pre-screen establishes which ASAM level of care is appropriate (Dimension 1 withdrawal risk, Dimension 2 medical, Dimension 3 emotional/behavioral, and so on) so the right starting point is determined before admission rather than after.

For clients who need medical detox, transport from Hollywood is arranged. For clients stepping directly into PHP or IOP, we coordinate sober-living placement in our Delray housing network so the residential and therapeutic components are co-located. The intake team can answer questions about timelines, family involvement, FMLA paperwork, and what the first 72 hours actually look like. Call (866) 396-2008 to speak with admissions directly.

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