Medical detox for Delray Beach — supervised, then straight into treatment.

RECO Intensive sits at 140 NE 4th Avenue, one block off Atlantic and minutes from Pineapple Grove, Lake Ida, and the Beach District. For Delray Beach residents, detox does not have to mean leaving town — our partner facilities handle the medical stabilization phase, and the same RECO clinical team that will treat you afterward receives the handoff directly. No transfers between unrelated organizations, no waiting lists, no momentum lost.

RECO Intensive’s main campus sits at 140 NE 4th Avenue, a block off Atlantic and a five-minute walk to the sand. For someone living in Pineapple Grove, Lake Ida, Tropic Isle, the Beach District, or Osceola Park, the practical reality of starting treatment looks different than it does for an out-of-state client flying in. You can sleep in your own bed the week before admission. A family member can drive you to the partner detox facility and be back home in time for dinner. And when you step down from medical detox into RECO’s residential or PHP program, you are still in the same town you started in — not a stranger in a strange place trying to rebuild a life from a hotel room.

That continuity matters more than most marketing pages let on. Detox itself is a short, medical intervention — usually three to seven days. What happens immediately after detox is the part of the timeline where relapse risk is highest and where the quality of the clinical handoff has the biggest downstream effect on whether the work holds. RECO’s detox partner facilities provide 24/7 medical supervision for the safe withdrawal phase, and clients move directly from there into RECO’s residential program or partial hospitalization program. Same organization, same treatment team, same city.

When medical detox is the right starting point

Not every substance use disorder requires a medical detox. The decision is driven by what you are physically dependent on and how severe the withdrawal is likely to be. Detox is medically indicated when the withdrawal risk is moderate to severe — most commonly for alcohol, benzodiazepines, and opioids. Alcohol and benzodiazepine withdrawal can produce seizures and, in the worst cases, delirium tremens, both of which are potentially fatal and require medical management. Opioid withdrawal is rarely life-threatening on its own but is severe enough that unmanaged it almost always ends in return to use within the first 72 hours.

Stimulant withdrawal — cocaine, methamphetamine, prescription stimulants — is a different clinical picture. The acute physical symptoms are usually mild, so medical detox in the strict sense is rarely necessary. What stimulant users do need is a safe, supervised setting during the crash phase, when depression, anhedonia, and suicidal ideation are common. RECO’s clinical team uses ASAM Criteria dimensions to make this call rather than a one-size-fits-all admissions script: dimension 1 (intoxication and withdrawal potential), dimension 2 (biomedical conditions), and dimension 3 (emotional and behavioral conditions) all feed into the recommendation.

What 24/7 medical supervision actually looks like

The phrase “medically supervised detox” can mean very different things depending on the facility. At RECO’s partner detox sites, supervision is concrete and protocol-driven. Vital signs are checked on a schedule appropriate to the substance and severity — every two to four hours during peak withdrawal for alcohol and benzodiazepines, less frequently for opioids and stimulants. Withdrawal severity is scored using validated tools: the Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) and the Clinical Opiate Withdrawal Scale (COWS). These scores drive medication decisions in real time rather than relying on a single intake assessment.

Medications during detox are matched to the substance. Alcohol detox typically uses a benzodiazepine taper, often chlordiazepoxide or lorazepam, with adjuncts for nausea, sleep, and autonomic symptoms. Opioid detox uses buprenorphine or, less commonly, methadone or comfort medications like clonidine, loperamide, and ondansetron. Benzodiazepine detox uses a slow cross-taper to a longer-acting agent. None of this is something a person should attempt at home or in a non-medical “social detox” setting — detox is a medical procedure, not a willpower exercise, and the clinical team treats it that way.

Direct continuity into residential or PHP

The biggest structural advantage of starting at RECO is what happens on day four or five, when the acute withdrawal has resolved and the question becomes where you go next. Clients moving from RECO’s partner detox into RECO’s residential care or PHP do so within the same organization rather than across providers. The intake assessment, the medication list, the psychiatric history, the family contact information, the trauma history disclosed during detox — all of it transfers as part of a warm handoff to the clinical team that will manage the next 30 to 90 days of care.

That sounds procedural, but in practice it removes one of the most common points of failure in addiction treatment: the gap between a freestanding detox and a downstream program. People discharged from a standalone detox with a phone number to call often do not call. People stepped directly from detox into a connected residential bed do. The Delray Beach location also means family can be present for the residential admission rather than coordinating travel — a small logistical detail that materially changes how the first week of treatment feels.

Medication-assisted induction during detox

For opioid use disorder specifically, the detox phase is the point at which medication-assisted treatment should be initiated, not the point at which it is deferred. Buprenorphine induction during detox reduces craving intensity, blunts the post-acute withdrawal that drives most early-week relapses, and protects against overdose if relapse does occur. RECO’s psychiatry team coordinates with the partner detox facility so that buprenorphine, extended-release naltrexone (Vivitrol), or — for the right candidate — methadone referral is in place before you transition to residential or PHP.

For alcohol use disorder, the analogous medications are naltrexone (oral or extended-release injectable) and acamprosate, both of which are evidence-based for reducing relapse risk and both of which can be started during or immediately after detox. None of these medications are a substitute for therapy. They sit alongside CBT, DBT, motivational interviewing, and trauma-focused modalities like EMDR and Trauma-Focused CBT in a full treatment plan. For a deeper look at substance-specific treatment, see our alcohol addiction treatment and heroin and opioid treatment pages.

Local proof points, insurance, and how to start

RECO is in-network or able to verify benefits with most major commercial carriers — Aetna, Cigna, Blue Cross Blue Shield, United, and others. The insurance verification page walks through what is typically covered for detox, residential, and PHP, and what out-of-pocket exposure usually looks like with a PPO plan. Verification is a single phone call and takes about fifteen minutes; we will not ask for a deposit before benefits are confirmed.

For Delray Beach residents, the practical first step is a phone call to (866) 396-2008. The clinical intake team will ask about the substance, frequency, last use, prior treatment history, and any co-occurring conditions, then make a recommendation about whether medical detox is appropriate and which partner facility is the right fit. If detox is not clinically needed, direct admission to intensive outpatient, PHP, or residential is an option. After treatment, the sober living network and alumni program keep continuity going past the formal episode of care.

Serving residents of: Pineapple Grove, Lake Ida, Tropic Isle, Beach District, Osceola Park.