Drug rehab serving Lake Worth Beach — the specialist, 22 minutes away.

For Lake Worth Beach clients, RECO is 14 miles down A1A — about 22 minutes off-season — close enough to make outpatient care workable from Bryant Park or Parrot Cove. We treat opioid, stimulant, sedative, and polysubstance use with substance-specific protocols, in-house MAT, and a primary therapist who follows the client from detox through aftercare. That clinical continuity is what fragmented programs cannot offer.

Lake Worth Beach sits 14 miles up A1A from RECO Intensive’s Delray campus — roughly 22 minutes off-season, longer when the snowbirds are back and Lake Avenue is packed. For clients who live near Bryant Park, College Park, or the cottages around Parrot Cove, that drive is short enough to make outpatient treatment genuinely workable. Many of the people we admit from Lake Worth Beach commute down to RECO three to five days a week for intensive outpatient programming and use one of our sober-living houses for the residential or partial-hospitalization phase. They keep their primary therapist, their psychiatrist, and their clinical record across every level of care, and they stay tied to the downtown community and the Mango Groves block they actually want to recover into.

Drug rehab at RECO is built around the substances we see most often in South Florida: opioids (heroin, fentanyl-adulterated pills, prescription analgesics), cocaine and methamphetamine, benzodiazepines, and the polysubstance combinations that have become the norm rather than the exception. We treat each of these with substance-specific clinical protocols — different medical management, different therapy targets, different relapse-prevention work — rather than running one generic curriculum and adjusting at the edges.

Substance-specific clinical protocols

Opioid use disorder, stimulant use disorder, and sedative use disorder are clinically distinct problems. Opioid withdrawal is medically uncomfortable but rarely dangerous in a healthy adult; benzodiazepine withdrawal can be fatal and requires a structured taper, sometimes phenobarbital, and close monitoring of vitals and seizure risk. Stimulant cessation produces no classic withdrawal syndrome but a profound anhedonia and cognitive flatness that drives most early relapse in the first two to three weeks. Each pattern shapes the first month of treatment differently.

Our clinical team writes the treatment plan against that reality. A client coming in on heroin and Xanax is not on the same protocol as someone whose primary problem is daily cocaine and alcohol — the medications differ, the psychiatric assessment differs, the therapy emphasis differs, and the criteria for stepping down through the residential, PHP, and IOP levels of care differ. Every admission is staged against the six ASAM dimensions so the level of care actually matches the acuity, not the calendar.

Medication-assisted treatment where indicated

For opioid use disorder, the evidence on medication-assisted treatment is unambiguous: buprenorphine and extended-release naltrexone meaningfully reduce overdose mortality and improve treatment retention. We prescribe and manage both in-house. For clients whose primary substance is alcohol — common in polysubstance presentations from the bars along Lake and Lucerne Avenues — Vivitrol (long-acting injectable naltrexone) and acamprosate are available as part of the integrated plan.

MAT is handled by our own addiction psychiatrists, not bounced to an outside prescriber. That matters because dose adjustments, side-effect management, and the eventual taper conversation all happen in the same room as the rest of the treatment plan. If a Lake Worth Beach client wants a candid discussion about whether buprenorphine is right for them, or how long to stay on it, they have it with the physician who already knows their history. For an opioid-focused deep dive, see our heroin addiction treatment page; for alcohol, the alcohol addiction treatment overview goes into more detail on Vivitrol and acamprosate.

Behavioral therapy across the continuum

The evidence-based therapies underneath the program are the ones a clinician would expect: Cognitive Behavioral Therapy for the cognitive distortions that drive use, Dialectical Behavior Therapy for emotion-regulation deficits and self-harm risk, Motivational Interviewing for ambivalence, and Trauma-Focused CBT or EMDR for clients whose substance use is downstream of unprocessed trauma. None of this is exotic. What’s harder to find — and what we organize the program around — is therapeutic continuity.

Every client is assigned a primary therapist at admission, and that therapist follows them through detox, residential, PHP, IOP, and into aftercare. The person who heard the intake story is the person sitting across the room six weeks later when the harder material surfaces. Fragmented models — where the client gets a new clinician at each level of care — lose information at every handoff and force the client to re-tell their history three or four times. We don’t do that.

Co-occurring mental health treatment

Roughly two-thirds of the people we admit for substance use disorder also meet criteria for at least one co-occurring psychiatric condition — most commonly major depressive disorder, post-traumatic stress disorder, generalized anxiety, ADHD, or bipolar II. Treating the substance use without addressing the psychiatric condition is one of the most reliable predictors of relapse in the first 90 days. Treating them sequentially — “get clean first, then we’ll look at the depression” — is the older model and it does not hold up against the outcomes data.

RECO’s dual-diagnosis track treats both concurrently. The psychiatric evaluation happens in the first week, medication is started or adjusted while the client is still in the higher levels of care, and the therapy work is sequenced so trauma processing waits until the client has the regulation skills to tolerate it. For Lake Worth Beach clients who’ve cycled through detox-only or therapy-only settings before, the integration is usually what’s been missing.

Sober-living, family work, and the Lake Worth Beach commute

The geographic piece matters more than most people expect. Lake Worth Beach is close enough to Delray that a client can live in our sober-living network during PHP — when programming runs five to six hours a day, five days a week — and then transition home to a house near Bryant Park or Parrot Cove for IOP, driving down to campus three evenings a week. That structure preserves family ties, keeps the client connected to a downtown community they actually want to recover into, and removes the financial weight of long-term residential housing.

Family programming is built into the schedule from the second week onward — psychoeducation for parents and partners, structured family sessions with the primary therapist, and a clear conversation about what realistic support looks like once the client returns to Lake Worth Beach. We verify benefits with most major commercial carriers before admission so there are no surprises; our insurance verification page covers the carriers we work with and what an out-of-network plan typically looks like. To get started, a family member or the client can call (866) 396-2008 and reach a live admissions clinician — not a call center — who can have a no-pressure conversation about whether RECO is the right clinical fit.

Serving residents of: Bryant Park, College Park, Mango Groves, Parrot Cove, downtown Lake Worth.