Drug rehab serving Palm Beach Gardens — the specialist, 35 minutes away.

For Palm Beach Gardens families, RECO is a 35-minute drive down I-95 — close enough for family involvement, far enough to step out of the patterns home reinforces. The clinical density (in-house addiction psychiatrists, MAT integrated with therapy, ASAM-based level-of-care decisions, primary-therapist continuity across detox through aftercare) is not matched by the outpatient practices in northern Palm Beach County. Residents of PGA National, Mirasol, BallenIsles, and Old Palm can access a full continuum without leaving the region.

Palm Beach Gardens sits about 25 miles north of Delray Beach, roughly a 35-minute run down I-95 outside of rush hour. For families in PGA National, Mirasol, BallenIsles, Frenchman’s Reserve, or Old Palm, that drive opens access to a level of clinical density that simply is not available in the outpatient practices clustered around northern Palm Beach County. RECO Intensive operates a full continuum of care — medical detox, residential, partial hospitalization, intensive outpatient, and a sober-living network — staffed by addiction psychiatrists, licensed therapists, and case managers who work as a single integrated team. The result is care built around how substance use disorder actually presents in South Florida: opioids, cocaine and methamphetamine, benzodiazepines, alcohol, and the polysubstance patterns that complicate each of them.

What follows is a plain description of how the program is structured, who it serves, and what someone leaving Palm Beach Gardens for treatment in Delray Beach can reasonably expect.

Substance-specific clinical protocols

Opioid use disorder, stimulant use disorder, and sedative use disorder are not interchangeable diagnoses, and treating them with a single generic protocol produces predictable failure points. Opioid withdrawal is medically uncomfortable but rarely dangerous on its own; benzodiazepine and alcohol withdrawal can be fatal without proper taper and monitoring. Stimulant withdrawal is largely psychiatric — anhedonia, profound fatigue, suicidal ideation — and demands a different kind of clinical attention. RECO’s medical and clinical staff write distinct protocols for each substance class, and intake assessments use ASAM criteria across all six dimensions to determine the correct level of care rather than defaulting to whatever bed happens to be open. For polysubstance presentations, which are the rule rather than the exception, the treatment plan addresses each substance’s pharmacology and the behavioral patterns that link them.

Medication-assisted treatment where indicated

Medication-assisted treatment is not a side referral at RECO — it is built into the clinical model. Buprenorphine and naltrexone are available for opioid use disorder, with the choice driven by the client’s history, motivation, and medical profile rather than program preference. Naltrexone (including the long-acting Vivitrol injection) and acamprosate are used for alcohol use disorder when craving suppression or relapse prevention warrants it. In-house addiction psychiatrists prescribe and adjust these medications throughout treatment, coordinate with the primary therapist, and continue management into the intensive outpatient and aftercare phases. Families in Mirasol or BallenIsles who have been told MAT is “not really treatment” by a previous provider often find this integrated approach a meaningful change. For people whose primary substance is alcohol, the alcohol-specific track describes the medical and behavioral components in more detail; the same applies to the opioid-specific track.

Behavioral therapy across the continuum

Medication addresses physiology. Behavioral therapy addresses the patterns, beliefs, and trauma histories that drive use. RECO’s clinical foundation is evidence-based: Cognitive Behavioral Therapy and Dialectical Behavior Therapy as core modalities, Motivational Interviewing for ambivalence and stage-of-change work, and Trauma-Focused CBT and EMDR for clients whose substance use is tightly linked to unresolved trauma. The structural choice that matters most is this: every client is assigned a primary therapist at intake, and that therapist follows the client through every subsequent level of care. The person you talk to in residential is the same person you talk to in PHP, in IOP, and in alumni check-ins. Fragmented handoffs — a different clinician at every step — are one of the well-documented reasons people disengage from treatment, and the continuity model is designed specifically to prevent that.

Co-occurring mental health treatment

The majority of people who meet criteria for a substance use disorder also meet criteria for at least one psychiatric condition. Major depressive disorder, generalized anxiety, PTSD, ADHD, and bipolar II are the most common. Treating one and ignoring the other is one of the most reliable predictors of relapse. RECO’s dual-diagnosis program treats both concurrently — psychiatric evaluation within the first days of admission, medication management as part of the same treatment plan as MAT, and a therapy schedule that addresses the psychiatric condition rather than waiting until “the addiction is dealt with first.” For clients whose anxiety or trauma symptoms have been driving alcohol or benzodiazepine use for years, this concurrent treatment is often what makes the difference between a third treatment episode and a stable recovery.

Continuum of care and the sober-living network

Treatment intensity steps down as clinical stability builds. A typical trajectory might begin with medical detox, move into residential, transition to PHP roughly six hours a day five days a week, then to IOP at nine to twelve hours weekly, and finally into structured aftercare and alumni programming. The sober-living network runs alongside PHP and IOP for clients who benefit from a stable, monitored housing environment while they re-engage with work, school, or family. For Palm Beach Gardens families, the geography is workable in both directions: clients can live in sober-living near the Delray campus during PHP and IOP, then transition home with continued outpatient support; alternatively, IOP clients who remain home can commute three evenings a week along the I-95 corridor.

Local proof points, insurance, and how to start

RECO is in-network with most major commercial carriers — Aetna, Cigna, Blue Cross Blue Shield, United Behavioral Health, Magellan, and several others — and the admissions team verifies benefits in writing before admission so families are not surprised by deductible or coinsurance figures mid-treatment. The insurance verification page describes the process in more detail. For families in Frenchman’s Reserve, PGA National, or Old Palm who have already worked with a local psychiatrist, primary care physician, or interventionist, RECO’s clinical team coordinates directly with those providers — sharing assessments, treatment plans, and aftercare recommendations so that the work done in Delray Beach connects with continuing care closer to home. To begin, call (866) 396-2008 for a clinical phone assessment. The conversation is conducted by a licensed clinician, takes about twenty minutes, and produces a specific level-of-care recommendation and a verified insurance estimate before anyone is asked to make a decision about admission.

Serving residents of: BallenIsles, Frenchman's Reserve, Mirasol, Old Palm, PGA National.