Your First 24–72 Hours at Metamorphosis | Metamorphosis
Addiction & mental health care · Delhi, Ontario
Metamorphosis Centre for Change

Arrival guide

Your First 24–72 Hours at Metamorphosis

You do not have to arrive knowing how everything works. Everyone begins with intake. After intake, our nurse and doctor determine whether medical detox is needed or whether you can go directly into the inpatient program. This guide explains both routes, their different rates and the practical details that help you settle in.

Prepared by Metamorphosis Centre for Change · Updated

The short answer

What happens when you check into rehab?

Staff welcome you and help with admission paperwork. Everyone goes through intake, including a medical assessment with our nurse and doctor, a urine screen and a routine belongings check by a counsellor. A family member, loved one or friend may stay until intake is complete if you want their support, subject to arrangements with the team.

After intake

After intake: two routes into care

After intake, the nurse and doctor decide which clinical route is appropriate. Not everyone needs medical detox. The first 24–72 hours are a period for assessment and settling in, not a promise that detox ends within three days.

AIf medical detox is needed

Medical detox first

You settle into the detox area. Nursing and physician support, monitoring and any medication follow your individual clinical plan.

Medical detox has a separate detox rate. If you have purchased an in-person residential package, there are also two ways to arrange assessed detox days: add days for an additional fee or allocate days from that package. Confirm the chosen arrangement in writing.

The clinical team assesses when you are ready for the next stage. Detox is not automatically a 24-, 48- or 72-hour stay, and a move into inpatient care needs an agreed plan.

BIf medical detox is not needed

Directly into the inpatient program

You settle into your residential room and are introduced to the staff, community and daily routines. The team explains your program and the appointments or activities that apply to you.

The inpatient program follows its own program rate. It is a different care and pricing route from medical detox. Confirm your room arrangement, program duration, inclusions and written quote with admissions.

Your first activities are guided by your care plan, not a requirement to follow another person’s first-day schedule.

Once you are in the residential program, you will receive a schedule. Download the residential client schedule (PDF) to see what your daily routine would look like. The schedule does not include your psychotherapy sessions, doctor appointments or psychiatry appointments; these are arranged separately.

Schedule review copy: confirm evening room and lights-out times with the team.

Your clinical needs determine the route. Admissions can explain the practical arrangements and costs, but does not replace the nurse and doctor’s assessment.
Entrance to Metamorphosis Centre for Change in Delhi, Ontario
Our Delhi centre. Confirm your arrival arrangements with admissions before travelling.

How to prepare before you arrive

Before leaving home, confirm your admission date, arrival time, transport and agreed program with the team. An enquiry or tour request does not confirm admission. Review the admissions process if you are still arranging a place.

  • Keep important documents easy to reach: your health card, photo identification and benefits card if you have one.
  • Prepare your medication information: bring a current list and ask admissions how to bring prescribed medicines and any medical equipment. Do not change a prescription based on a website checklist.
  • Pack for everyday comfort: use the current what-to-bring checklist for clothing, toiletries and permitted personal items. Check anything you are unsure about before packing it.
  • Tell us about practical needs: discuss accessibility, dietary requirements, allergies and any support you need before arrival.
  • Arrange responsibilities at home: plan for dependants, pets, work and essential bills. Our home and family checklist can help you organize these details.

Where to go, and what to do if you are late

Use the main front entrance at 725 Gibralter St, Delhi, Norfolk County, Ontario. Check your confirmed arrival instructions before travelling.

If your arrival time changes, call 705‑429‑3870, extension 1 so the team knows about the change.

Your intake and medical assessment

Intake gives the team the information needed to understand your needs. You can ask for an explanation, raise a concern or say when you are unsure of an answer.

Talk through your health and care needs

The nurse and doctor review your medical history, medications and substance use, check vital signs and assess any withdrawal symptoms. Tell them about allergies, previous withdrawal experiences and changes in your health since admission was arranged. The physician provides the clinical care plan and orders.

Complete the practical intake checks

Intake includes a urine screen and a routine belongings check by a counsellor. Ask the team to explain the process and how personal items will be handled. You do not need to put detailed medical history into the website enquiry form.

Settle into the appropriate room

Following assessment, staff help you settle into the detox area or residential room appropriate to your care plan. Private and semi-private room arrangements depend on availability and clinical assessment. Facility photographs show the setting, not a reserved room.

The team introduces you to staff and the community, explains daily routines and helps you understand what happens next. You can also meet our team online before you arrive.

Three adults seated together in a supportive conversation, stock photograph
Supportive conversation · Stock photo

Your first 24–72 hours: settling into the right care

The first 24 hours begin with intake and understanding your immediate care needs. Over the next day or two, the team continues to guide your care and help you become familiar with the centre. Your arrival time, assessment and chosen program affect how this period is organized.

If you are in medical detox, your clinical needs guide the plan and duration. If you have entered the inpatient program directly, the team explains your treatment routine and participation. Either way, ask about meals, rest, appointments and what is expected of you; tell staff if you feel unwell or need help. There is no promise that everyone starts a full therapy timetable immediately or feels a particular way by day three. The What to Expect guide covers the broader stay, daily routine and ongoing support beyond this initial period.

Three useful questions before you settle in

  • Who should I speak to if I feel unwell or need help?
  • What is the plan for me today?
  • How will my chosen support person and I keep in touch?
Two women talking while seated in a bright room, stock photograph
Time to talk things through · Stock photo

If medical detox is part of your plan

Not everyone entering residential treatment needs detox. The nurse and doctor make that decision through your medical intake assessment. If detox is needed, they provide an initial estimate of its duration and reassess as your condition changes.

The detox program has 24-hour nursing and an on-call physician. On-call support does not mean a physician is physically present at every moment. Medication, monitoring and the decision to move on from detox are individual clinical decisions.

How detox days can work with a residential package

If you have purchased an in-person residential treatment package, our current FAQ describes two options when detox is needed:

  • Add detox days for an additional fee, in addition to your residential package.
  • Use days from your purchased residential package for detox, reducing the number of residential treatment days remaining.

These options apply to in-person residential packages, not online programs. Your nurse and doctor determine the clinical need and duration. Ask your intake coordinator to explain the payment options and confirm your chosen arrangement, fees and remaining residential days in writing. Read the full detox and residential package FAQ.

CTV Weekend Spotlight · October 19, 2026

Kelly explains assessment and detox support

In this recorded excerpt, Kelly Verschuren discusses the assessment that guides detox care and the nursing and physician support available. This is about medical detox, not a fixed schedule for every residential arrival.

53 seconds · Original recorded interview with Kelly Verschuren, RPN, Nursing Supervisor. Source: CTV Weekend Spotlight.

Recorded interview excerpt. Admissions can confirm the current services and arrangements for your program.

Read the video transcript

Interviewer: Tell us a little bit about the detox program and the kind of nursing support that you provide as well.

Kelly: We have a detox program where we have 24-hour nursing, and then we have 24-hour support from our addiction physicians who clearly specialize in addiction. We also have appointment times where they can actually be seen by the addiction specialist and address some of their addiction issues. So when it comes to the detox program, we have them come in and clearly do an assessment to see what their needs are in the detox program, where we can give medications to help them stay comfortable. We can also address if it’s alcohol or if it’s opiate with medications that actually help with cravings and help the detox process be safe, and also as comfortable as medically possible.

For the medical-detox questions, not a general residential timetable, read The First Days of Medical Detox: Assessment and Support. There is no single 72-hour timetable that establishes when a person is ready to leave detox.

Phones, laptops and visits: staying connected

You may bring a phone and laptop. Phone access is normally available twice a day for about 30 minutes, once in the morning and once in the evening. A laptop can remain with you. Internet access switches off at midnight, and security controls restrict access to certain websites. Confirm the arrangements for your stay.

A support person staying through intake is different from a later visit or overnight guest stay. Regular visiting hours are Sundays from 1:15–4:15 p.m. The client submits a visitor request, and approval is communicated to the client. Visitors should confirm approval before travelling; these arrangements do not include an overnight guest stay.

Talk with the team about whom you want involved and how information will be shared with your consent. Loved ones can explore the Family Support Program separately from visiting arrangements.

Questions about your first 24–72 hours

Can someone come with me when I check in?

Yes. A family member, loved one or friend may stay until intake is complete if you would like their support, subject to arrangements with the team. Confirm this before arrival, including their return-home plans.

Will I start therapy on the first day?

Your assessment and care plan guide your first day. Ask the team which appointments or activities apply to you; do not assume you will immediately join a full therapy schedule.

Does everyone need detox before residential treatment?

No. The nurse and doctor determine whether detox is needed through medical intake. Admissions can explain arrangements but does not replace that clinical assessment.

Are medical detox and inpatient treatment charged at the same rate?

No. Medical detox has a separate detox rate, while the inpatient program follows its own program rate. For an already-purchased in-person residential package, you can add assessed detox days for an additional fee or use days from that package, reducing the residential days remaining. Ask your intake coordinator to confirm the chosen arrangement and full quote. See our treatment costs guide.

What if something changes before I arrive?

Tell admissions about changes to your health, medication, support needs or travel plans. If you are running late, call 705‑429‑3870, extension 1. Do not wait for a planned admission if you need urgent medical attention.

Read all Metamorphosis FAQs

A CONVERSATION IS A PLACE TO START

Have a question about arriving?

You can ask about your program, support-person arrangements, packing or what still needs to be confirmed before you travel.

Need emergency help?

Call 911 or go to your local emergency department. This website is not monitored for emergencies.

Keep preparing, one step at a time

Financing Options

Ask admissions about current third-party financing options for paid treatment and how to contact the provider. Confirm availability and approval before relying on financing for admission.

Eligibility, approval, interest rates, fees and repayment terms are set by the financing provider. Review the repayment schedule and total borrowing cost before agreeing.

Begin with a conversation.

Whether you’re seeking support for yourself or someone you care about, start with the information you need to make a decision.

Speak with Metamorphosis

Call to discuss assessment, availability, fees, and your next steps. You can also request the information package using the form.

Start with the questions that matter to you

  • Which program could fit my needs?
  • What does the assessment involve?
  • What are the costs and what is included?
  • What should I arrange before arriving?

Ask our intake coordinator about programs, availability and next steps. An enquiry does not reserve a bed or confirm admission.

Metamorphosis provides one complimentary one-way pickup to the centre for a client purchasing a qualifying treatment package. This benefit does not apply to standalone medical detox admissions.

Pickup can be arranged from the client’s home or from Toronto Pearson International Airport, Billy Bishop Toronto City Airport, John C. Munro Hamilton International Airport or London International Airport. Pickup is available 24 hours a day, seven days a week, when arranged and confirmed in advance by admissions after the required 20% deposit has been paid.

Pickup is subject to confirmation by our clinical team that the person can travel safely. Our driver cannot transport someone who is severely intoxicated or requires emergency medical care.

Please speak with our nursing team before pickup for individual guidance. For a medical emergency, call 911.

Transportation home is available at an additional cost and is not included in the program fee.

Have Questions?

About getting the right help?

Ask about a program, request a callback or include a preferred tour date in the same enquiry.

Provide a phone number or email address so we can reply.

A tour request is optional and does not confirm admission or reserve a bed. Admissions will contact you to confirm the visit. Tours: Monday–Saturday, 11:00 AM–4:00 PM Eastern Time.

Preferred contact
Who is this enquiry for?
Please keep this to general questions. Discuss private medical details directly with the team.

An enquiry does not reserve a bed or confirm admission.

This form is not monitored for emergencies. Call 911 or go to your nearest emergency department if you need emergency help.

Thank you for getting in touch.

Your enquiry has been received. Admissions will contact you using the details you provided.

Download the information and pricing guide, client daily schedule and packing checklist using the buttons above. Confirm the program, room, duration, current total and included services with admissions before booking.

An enquiry does not confirm admission or reserve a place. For immediate assistance, call 1‑833‑472‑7272.

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