PHP-level care for Hollywood — inpatient density, your home at night.

For Hollywood clients, the 35-mile drive up I-95 is not a daily commute — it is a deliberate clinical separation from the routines tied to active use. RECO pairs PHP with integrated sober-living in Delray Beach, so the 30 weekly clinical hours sit inside a recovery-supportive overnight environment rather than competing with one. Psychiatry, individual therapy, and evidence-based groups (CBT, DBT, EMDR, MI) are delivered in a coherent daily rhythm, with MAT options including buprenorphine, naltrexone, and Vivitrol available on-site.

From Hollywood, RECO sits 35 miles north up I-95 — roughly a 50-minute drive outside of rush hour, longer when the Sunrise Boulevard merge is backed up or when Atlantic Avenue traffic in Delray slows the last few exits. For most people calling from Hollywood Beach or Emerald Hills, the daily commute math doesn’t actually pencil out. Partial hospitalization is a 30-hour-per-week clinical commitment; layering two hours of round-trip driving on top of that erodes the very stability the level of care is meant to build. The clients who do best almost always pair PHP with on-site sober-living in Delray Beach, going home to Hollywood on weekends or after step-down to intensive outpatient. The geographic distance turns into a clinical asset — separation from the bars on Hollywood Boulevard, from the dealer’s number still in the phone, from the routines that organized active use. Treatment is not just what happens in the group room; it is also what is absent from the evening.

What partial hospitalization actually provides

Partial hospitalization is the most intensive level of outpatient care defined under the ASAM continuum — Level 2.5 — and it is structurally closer to inpatient than to traditional outpatient counseling. The minimum is 20 clinical hours per week; RECO’s PHP runs 30+ hours, Monday through Friday, with a defined daily schedule rather than scattered appointments. The clinical content is multilayered: psychiatric evaluation and medication management, individual therapy at least weekly, and evidence-based group programming using CBT, DBT skills training, motivational interviewing, and trauma-focused modalities including EMDR and TF-CBT for clients carrying co-occurring PTSD. For appropriately selected patients — typically those who no longer require 24-hour medical monitoring but still need substantial clinical density — research consistently shows PHP outcomes comparable to residential treatment. The autonomy of returning to a recovery-supportive overnight environment is part of the model, not a compromise on it.

Who steps down into PHP

Three pathways lead people into partial hospitalization, and the path matters because it shapes the early clinical focus.

• Step-down from residential. The most common route. After three to four weeks of residential care, the acute stabilization work is done — withdrawal is behind the client, medications are titrated, the most intrusive cravings have softened. PHP becomes the bridge that prevents the cliff-edge transition from 24-hour structure to once-a-week therapy.
• Step-up from IOP. Some clients begin in intensive outpatient and discover, usually within the first two or three weeks, that nine hours of weekly clinical contact is not enough to interrupt the pattern. Stepping up to PHP is not failure; it is the system working as designed when ASAM dimensions shift.
• Direct admission from the community. A clinical intake sometimes indicates PHP-level density is needed but inpatient is not — the client is medically stable, withdrawal management is straightforward or already complete, and the home environment is not actively destabilizing. For these admissions, the intake assessment is exhaustive on ASAM Dimension 6 (recovery environment) because that single variable determines whether PHP will hold.

What the evidence base looks like

The clinical literature on partial hospitalization for substance use disorders is now several decades deep, and the consistent finding is that PHP produces outcomes comparable to inpatient for appropriately selected patients — meaning patients who don’t require medical detox, aren’t in acute psychiatric crisis, and have a place to sleep where recovery is at least possible. The moderating variable is housing stability. When the overnight environment supports recovery, PHP delivers inpatient-level results without the cost or the disruption of inpatient. When the overnight environment doesn’t — when someone is going home to a partner who still drinks heavily, or to a household where substances are stored, or to active homelessness — the level-of-care match breaks. This is why RECO’s sober-living network is integrated with PHP rather than offered as an afterthought. For clients coming from Hollywood whose home situation is mixed, the question isn’t whether PHP works; it’s whether PHP works under the housing they currently have.

What a PHP day looks like at RECO

The day is structured but not regimented. Morning typically opens with a check-in group — a clinical scan of how the previous evening went, what cravings or triggers came up, what medication adjustments may be needed. From there, two psychoeducational or process groups run before a midday meal that clients take together; the communal lunch is intentional, because eating with peers in recovery is itself a clinical exposure for many clients whose use patterns isolated them from ordinary meals. Afternoons move into experiential work — trauma-focused therapy, expressive arts, somatic skills, gender-specific groups — alongside individual sessions woven through the day rather than tacked on at the end. Psychiatry appointments are scheduled within the day rather than requiring a separate trip. For clients on medications for opioid or alcohol use disorder — buprenorphine, naltrexone, Vivitrol injections, acamprosate — the medication management is integrated with the therapy rather than siloed in a separate clinic. The structure is intentional: clinical density delivered in a coherent rhythm that mirrors the regularity recovery itself requires.

How Hollywood clients usually structure the admission

Practically speaking, families calling from Hollywood Lakes, Hollywood Hills, or Oakwood are usually weighing one of two configurations. The first is full immersion: the client moves into RECO-affiliated sober-living in Delray Beach for the duration of PHP — typically four to six weeks — then steps down into IOP while remaining in sober-living, then transitions to aftercare and alumni programming when they return to Hollywood. The second is commuter PHP, which we are honest with families about: it is feasible for a small subset of clients with very stable home environments, reliable transportation, and a sponsor or support structure already in place, but for most people the daily 100-mile round trip eats the energy the treatment is trying to build. Insurance verification through Aetna, Cigna, Blue Cross Blue Shield, United, and other major carriers happens before admission rather than after — most PHP admissions are covered as in-network or out-of-network with substantial benefits, and our admissions team will outline the actual financial picture in writing before any commitment is made. For clients whose primary substance is alcohol or opioids, the relevant deep dives are alcohol-specific treatment and opioid-specific treatment; both detail the medication options and therapy modalities that map to PHP.

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