Residential addiction treatment for Lake Worth Beach families.

RECO sits twenty-two minutes south of downtown Lake Worth Beach, close enough that families from Bryant Park or Parrot Cove can stay involved throughout residential care, PHP, and IOP without changing clinical teams. We operate six small residential houses in Delray rather than warehoused beds, use ASAM criteria to place clients honestly, and keep the same therapist and psychiatrist with each client through every step-down. For Lake Worth Beach clients, the commute is short enough to make the full continuum practical.

Lake Worth Beach sits roughly fourteen miles up the coast from RECO’s Delray campus — about twenty-two minutes by car when A1A is moving, longer once the snowbirds arrive in November. For families calling from Bryant Park or Parrot Cove, that distance matters in a specific clinical way: it is close enough that someone in residential treatment can stay tied to the people and routines that anchor them downtown, and far enough that the early phase of recovery happens in a different environment than the one where the addiction took hold. Many of our Lake Worth Beach clients move through the full continuum — residential care first, then PHP, then IOP while commuting from sober living — without ever changing clinical teams.

This page is about the residential level of care specifically: what it is for, who actually needs it, what 30 to 60 days look like day-to-day, and how the step-down works when it is time to leave 24-hour structure behind. If you are reading this on behalf of someone in College Park or Mango Groves and trying to figure out whether residential is the right starting point, the sections below should give you enough clinical detail to have an informed conversation with our admissions clinician.

When residential is the clinical indication

Residential treatment is not the default. It is one of five ASAM levels of care, and it is recommended when 24-hour structured support is genuinely necessary to interrupt a pattern that outpatient settings cannot interrupt on their own. The placement decision uses the six ASAM dimensions: acute intoxication or withdrawal risk, biomedical conditions, emotional and behavioral complications, readiness to change, relapse and continued-use potential, and the recovery environment itself. That last dimension is often what tips someone into residential — when the home environment in downtown Lake Worth or anywhere else cannot reasonably support sobriety, no amount of weekday group therapy will hold.

We also see residential indicated when prior outpatient or IOP attempts have not held, when a co-occurring psychiatric condition needs to be stabilized alongside substance use, or when the person is post-detox but still in the earliest, most vulnerable weeks of recovery. Withdrawal management itself happens at a detox facility, not at RECO; residential picks up the moment medical detox is complete and acute withdrawal risk has passed.

What 30 to 60 days of residential actually covers

The first week is mostly about landing. Clients arrive from detox tired, often anxious, sometimes still adjusting to medications. The clinical work in those first few days is light — orientation, biopsychosocial assessment, psychiatric evaluation if needed, and the start of a treatment plan. From the second week forward the schedule fills in: morning process group, individual therapy two to three times per week, specialized groups in the afternoon (CBT, DBT skills, MI-informed motivational work, relapse-prevention planning), and trauma-focused work — including EMDR or Trauma-Focused CBT — when the assessment indicates it.

Medication-assisted treatment is part of the picture for clients with alcohol or opioid use disorders. Naltrexone and acamprosate are the standard options for alcohol; buprenorphine and Vivitrol for opioids. The psychiatric provider meets with each client weekly or more often as needed. Family work usually starts in week two or three, once the client is stable enough to engage with the people they hurt during active use without that conversation derailing them.

Underneath the formal therapy hours is a quieter and just as important project: rebuilding the daily rhythms that addiction destroyed. Regular sleep. Three meals at predictable times. Exercise. Time outside. The structure of residential is itself part of the clinical intervention — not because clients are being warehoused, but because the nervous system needs months of regularity to begin healing.

The step-down to PHP and IOP

Most clients spend 30 to 60 days in residential before stepping down. The next stop is PHP — six hours a day, five days a week — for four to six weeks. From PHP, clients move to IOP, which is typically three groups per week of three hours each, for eight to twelve weeks. After IOP, the work shifts to aftercare and alumni programming, which most clients stay connected to indefinitely.

What matters about this progression is continuity. The therapist who worked with someone in residential continues with them through PHP and IOP. The psychiatrist managing their medications does not change. The treatment plan is updated as the level of care changes, but it is the same plan and the same team. Handoffs between providers are one of the highest-risk moments in recovery, and a single-system continuum eliminates most of them.

For Lake Worth Beach families specifically, this is also where the geography becomes useful. By the time someone reaches IOP, the twenty-two-minute commute from downtown Lake Worth is no longer a barrier. Many clients live in our sober-living network during PHP, then return to Lake Worth Beach for IOP, driving down to Delray three afternoons a week. It is the kind of arrangement that lets someone keep their job at a Lake Avenue restaurant, their dog, their relationships, while still receiving structured clinical support.

Real residences, not warehoused beds

RECO operates six residential properties in Delray Beach. They are houses — actual residences with kitchens, living rooms, yards — held to the standards we would want for a member of our own family. Each property has a house manager who has lived recovery and been trained for the role. The residential environment is treated as part of the clinical model, not as housing tacked onto a treatment program.

This matters because residential is where someone learns to live sober in the first place. If the environment models chaos, the clients learn chaos. If it models structure, mutual respect, decent food, predictable rhythms, and adult accountability, the clients learn what their lives can look like going forward. We make this decision deliberately and we keep the houses small enough that staff actually know each client.

How to start, insurance, and what to expect from the first call

RECO is in-network with most major commercial carriers — Aetna, Cigna, Blue Cross Blue Shield, United, Magellan, and several Florida-specific plans. Our admissions team handles the verification of benefits directly with your carrier, usually within a few hours of the first call, and gives you a clear written summary of what is covered before any clinical commitment is made. We do not bill for what insurance will not pay without telling you first.

The first call itself is a clinical screening, not a sales call. The person on the phone is an admissions clinician who will ask about substance use history, prior treatment, current medications, psychiatric history, and the practical situation — work, family, transportation, the realities of life in Lake Worth Beach. From that conversation we make a placement recommendation. If residential is not the right level of care, we will tell you that. If a specific substance pattern — alcohol or opioids, most often — is shaping the picture, we will explain how that changes the treatment plan. Then, if it is a fit, we can usually arrange transport from Lake Worth Beach to Delray the same day or the next morning.

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