About
About Conexiones Integrated Acute Treatment
Conexiones Integrated Acute Treatment, operating under the Casa Esperanza organization at 365 East Street in Tewksbury, Massachusetts, is a substance use treatment facility offering medical detox and clinical stabilization services. Located in Middlesex County, the program is designed to address acute withdrawal and stabilization needs for adults across a broad range of circumstances — from voluntary admissions to court-ordered placements. The facility’s own patient manual describes the program as “Conexiones Integrated Acute Treatment & Clinical Stabilization Services,” signaling a structured, medically oriented entry point into treatment.
The facility provides three distinct levels of care: medical detox, residential treatment, and an outpatient program. Medical detox serves as the foundation for those who require supervised withdrawal management before transitioning to longer-term treatment. Residential treatment allows patients to continue care in a structured setting following detox, while the outpatient program extends support for those stepping down from higher levels of care or who do not require 24-hour supervision.
Clinically, Conexiones addresses co-occurring disorders and dual diagnosis alongside substance use, and treats trauma and PTSD — conditions that frequently intersect with addiction and complicate withdrawal and recovery. Cognitive Behavioral Therapy (CBT) is among the confirmed therapeutic methods used in the program. This integration of mental health treatment within an acute care model reflects a more comprehensive approach to stabilization than detox-only programs.
Conexiones serves a notably broad population: men and women, veterans, pregnant women, young adults ages 18 to 25, seniors and older adults, individuals with HIV/AIDS support needs, and those entering treatment through court orders. Payment options include Medicaid, Medicare, state insurance, and financial assistance, reducing financial barriers to accessing medically supervised detox and residential care. The program holds accreditations from four independent bodies — the Joint Commission (JCAHO), CARF, the Council on Accreditation (COA), and NCQA — reflecting a high standard of independently verified care.
- Medical detox combined with clinical stabilization services under one program model, as described in the facility's own patient manual
- Quadruple accreditation: Joint Commission (JCAHO), CARF, Council on Accreditation (COA), and NCQA — an uncommon combination for an acute treatment program
- Treats co-occurring trauma and PTSD alongside substance use, with CBT as a confirmed therapeutic method
- Accepts Medicaid, Medicare, state insurance, and financial assistance — broadening access for patients without private coverage
- Serves highly specific populations including veterans, pregnant women, court-ordered individuals, and those with HIV/AIDS support needs under one roof