Mental health PHP for Lantana — inpatient density, home at night.

Lantana and Hypoluxo Island sit 11 miles north of RECO Health's Delray Beach campus — an 18-minute drive down Federal Highway. RECO operates the nearest clinically-led PHP with in-house psychiatry, rTMS, and ketamine services, so clients who become candidates for interventional treatment do not have to leave the program to access them. Primary therapists follow clients from PHP into IOP, preserving the therapeutic alliance through the change in intensity rather than handing the case off.

Lantana and the barrier-island communities of Hypoluxo Island, Manalapan, and Ocean Ridge sit in the quiet stretch between Delray Beach and West Palm — close enough to RECO Health’s Delray Beach campus that the drive south on Federal Highway takes about 18 minutes, and less on A1A when traffic cooperates. For residents of Old Town Lantana and the surrounding neighborhoods, RECO operates the nearest clinically-led Partial Hospitalization Program north of Broward County: a full daytime clinical schedule five days a week, with home or supported housing at night.

When PHP is the right level of care

Partial hospitalization sits between inpatient psychiatric hospitalization and intensive outpatient treatment. It is the appropriate level of care when acute inpatient risk has resolved — the client no longer requires 24-hour containment for imminent danger — but IOP hours are inadequate to stabilize symptoms, medications, or functioning. Placement decisions are structured by validated tools: LOCUS (Level of Care Utilization System) for adults, CALOCUS-CASII for adolescents, alongside ASAM Criteria dimensions when substance use is co-occurring.

Common clinical pictures at PHP admission include active suicidal ideation without intent or plan, severe major depression with functional collapse, first-episode psychosis in the stabilization phase, unstable bipolar disorder requiring frequent medication adjustment, disruptive trauma symptoms, or step-down from a recent inpatient hospitalization where the discharge team judged IOP too light. PHQ-9 scores in the severe range (15+), GAD-7 scores of 15+, or a C-SSRS positive for ideation with method considered typically fall inside PHP criteria.

Clients who do not meet PHP criteria on assessment day are routed directly into IOP or standard outpatient care. RECO does not admit clients into a higher level of care than they need — a decision that matters for insurance authorization, for the therapeutic contract, and for the client’s own sense that treatment is right-sized.

What thirty clinical hours a week actually cover

The PHP clinical week runs Monday through Friday, generally six hours a day, and totals 30+ direct clinical hours. That structure is not a marketing number — it is the density required by CMS and most commercial payers to distinguish PHP from IOP.

A typical day combines psychiatric medication management, individual therapy with a primary therapist, and daily group programming across evidence-based tracks. Cognitive Behavioral Therapy (CBT) protocols address depression and anxiety with structured behavioral activation and cognitive restructuring. Dialectical Behavior Therapy (DBT) skills groups cover mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. Trauma-focused work uses EMDR or Cognitive Processing Therapy where indicated, staged after adequate affect regulation. Dual diagnosis groups apply Motivational Interviewing and relapse-prevention frameworks for clients with co-occurring substance use, and Acceptance and Commitment Therapy anchors values-based work when disengagement is the central problem.

Experiential modalities — yoga, expressive arts, somatic work — supplement the cognitive-behavioral core rather than replace it. Every group carries a written curriculum, a clinical goal tied to the treatment plan, and a documented note. Measurement-based care means the PHQ-9, GAD-7, and PCL-5 are re-administered on schedule, so response is tracked in numbers, not only in impressions.

Integrated psychiatry, TMS, and ketamine within the same program

Psychiatric care in PHP is not an outsourced consultation. RECO employs its psychiatrists in-house, and PHP clients meet with a psychiatrist weekly at minimum, more often when medications are being adjusted. Sertraline, escitalopram, bupropion, and venlafaxine are commonly first-line for depression and anxiety; aripiprazole and quetiapine appear in augmentation strategies; lithium, valproate, and lamotrigine anchor bipolar stabilization; buspirone plays a role in generalized anxiety when SSRI augmentation is indicated. For clients with co-occurring alcohol or opioid use disorder, naltrexone and buprenorphine are managed on the same medical team.

Because rTMS and ketamine services operate inside the same building, PHP clients who become candidates for interventional psychiatry do not have to leave the program to access them. rTMS for treatment-resistant depression typically runs 36 daily sessions of 3,000 pulses at 120% of motor threshold over six to eight weeks; the treatment slot is scheduled around groups rather than in place of them. Ketamine infusions and Spravato (esketamine) protocols are staged inside the clinical week, with the psychiatry team coordinating dosing, monitoring, and measurement-based response using the same PHQ-9 cadence.

That in-house continuity matters because interventional psychiatry produces the strongest outcomes when it is embedded in a full clinical program rather than delivered as a standalone procedure. Read more about the Partial Hospitalization Program and how it integrates with RECO’s psychiatric services.

Step-down into IOP with the same primary therapist

Most PHP clients step down to Intensive Outpatient after three to six weeks, depending on symptom trajectory and functional recovery. The decision is measurement-based rather than calendar-based — sustained improvement on the PHQ-9 or GAD-7, medication stability, and adequate coping-skill acquisition are the anchors.

The primary therapist assigned in PHP follows the client into IOP. That continuity is a load-bearing feature of the clinical model, not an administrative convenience. Rebuilding a therapeutic alliance at every level of care — particularly during trauma processing, dual diagnosis stabilization, or personality-disorder-informed treatment — costs weeks and often derails progress. Continuous care with the same clinician preserves the working relationship through the change in intensity.

IOP runs three days a week for nine to twelve clinical hours, with continued psychiatric follow-up and the same group curriculum at lower dose. Clients typically remain in IOP for six to twelve weeks before transitioning to weekly outpatient care, either with a RECO clinician or an external provider closer to home.

What to expect on the first visit from Lantana

The first contact is a phone assessment, usually the same day. The clinical intake team collects presenting concerns, psychiatric and medical history, current medications, prior treatment episodes, and insurance information, and administers screening instruments — PHQ-9, GAD-7, C-SSRS, AUDIT or DAST when substance use is a factor, YBOCS when OCD is prominent, and ASRS when adult ADHD is in the differential. Benefits verification runs in parallel, so most Lantana residents arrive with a defined out-of-pocket estimate before setting foot in the building.

On-site assessment day includes a psychiatric evaluation, a full biopsychosocial with a licensed therapist, and — when clinically indicated — laboratory work and an EKG before medication changes. PHP admission decisions are made the same day. Clients who need medical detox before PHP are admitted directly into RECO’s detox program, with CIWA-Ar monitoring for alcohol withdrawal and COWS for opioid withdrawal; those who are ready to begin PHP typically start the following business day.

Insurance, admissions, and the drive from Lantana

RECO Health is in-network with most major commercial insurance carriers, including Florida Blue (BCBS), Aetna, Cigna, UnitedHealthcare, and Humana. Benefits verification is part of the intake call, and the admissions team quotes expected out-of-pocket cost — deductible, coinsurance, per-diem — before admission rather than after.

From Lantana and Hypoluxo Island, the drive to RECO’s Delray Beach campus is 11 miles and about 18 minutes on Federal Highway. Manalapan and Ocean Ridge residents follow the same corridor; A1A is often faster when traffic on I-95 is heavy. The commute is short enough that most clients live at home during PHP rather than in supported housing — a substantial clinical advantage when family or work responsibilities need to remain active during treatment. For clients who prefer or require supported housing during a portion of PHP, RECO’s residential accommodations sit on the same campus as clinical services.

Serving residents of: Hypoluxo Island, Manalapan, Ocean Ridge, Old Town Lantana.