Detox is the first step for many people who enter treatment at Swift River in Cummington, Massachusetts. Those initial 72 hours focus on safety, comfort, and a smooth transition into ongoing care. Here is how our medical detox program works day by day, and how we coordinate the handoff to the next level of treatment.
Before Arrival: Admissions and Insurance
Our admissions coordinators help you verify benefits, select an arrival time, and prepare for travel. If you need it, we can help with ground transportation from airports, train stations, bus stops, or local addresses. Start with a quick insurance verification and review what to pack and how arrival works in our FAQ and admissions process guide.
Hours 0–24: Check-In, Assessment, and Stabilization
When you arrive, nurses complete vitals and a medical review while clinicians assess substance use history, mental health symptoms, and immediate risks. This evaluation informs a personalized plan for withdrawal management. You settle into a quiet space, focus on hydration and rest, and begin medication protocols when appropriate. Around-the-clock medical staff monitor comfort and safety throughout this phase. Learn more on our inpatient program page and the MAT program overview.

Hours 24–48: Targeted Withdrawal Management
Most people feel symptoms peak during this window. Your care team adjusts medications and comfort measures, tracks progress, and introduces light education or brief one-on-one support as you feel ready. If family involvement is part of your plan, staff coordinate updates with your permission. As symptoms ease, we begin planning the transition to residential treatment so momentum continues. See our therapy offerings for the next phase of care on addiction therapy programs.
Hours 48–72: Stabilization and Handoff
By day three, sleep and appetite often improve. Clinicians finalize your plan for residential treatment and review coping skills for cravings, anxiety, or low mood. We schedule your move to the residential unit on the same campus when medically cleared, which keeps care continuous and reduces stress during a critical window. Read how residential treatment builds on detox in Navigating Residential Addiction Treatment.
Why Medical Detox at Swift River Works
Swift River combines 24/7 medical supervision with individualized medication management, supportive counseling, and a clear next step into residential care. This structure reduces complications and helps you start therapy as soon as you feel ready. If cost is a concern, begin with insurance verification or reach out on our contact page for help with timing and logistics.
If you or a loved one needs detox in Massachusetts, we can help you start safely and move forward with a coordinated plan.




