Drug & Alcohol Addiction Rehab, Treatment & Recovery Resources in Hawaii

1. Waianae Coast Comprehensive Health Center

Waianae Coast Comprehensive Health Center earned 7.5 points out of 10 possible points, making it the top-rated rehabilitation center in our rankings. The Waianae-based center provides inpatient and both regular and intensive outpatient treatment to both adults and young adults, administering buprenorphine and naltrexone, as well as medications for psychiatric disorders, in addition to accepting clients on opioid medication. The facility’s greatest strength is in the category of Ancillary Services, as it offers employment counseling and training, self-help groups, transportation assistance, community outreach, and many more complementary services. It also received a high score for its wealth of treatment approaches, which include cognitive behavioral therapy, 12-step facilitation, contingency management, motivational interviewing/incentives, and more. The center scored moderately in the category of Cost — while it accepts government funding for substance abuse programs, private health insurance, and Access to Recovery vouchers, it does not allow military insurance or Medicaid to be used to cover its services.

• Rehabilitation Services Provided: 8.35
• Treatment Approaches: 8.58
• Cost: 5.72
• Special Programs for Unique Demographics: 5
• Ancillary Services: 10

2. Hina Mauka

Located in Kaneohe, Hina Mauka offers residential, outpatient, and partial hospitalization services to adults and young adults, including accepting patients on opioid medication, garnering it an overall score of 6.8 points out of 10 points. It earned full points in the category of Special Programs for Unique Demographics, due to its programs custom-tailored to the needs of various populations, such as individuals with co-occurring mental health disorders, members of the LGBT community, and clients referred from the court system, among many others. Areas of weakness were its treatment approaches and costs for services, which tied as its lowest-scoring categories. It scored low in the Cost category primarily because it does not accept military insurance or Access to Recovery vouchers.

• Rehabilitation Services Provided: 6.68
• Treatment Approaches: 5.72
• Cost: 5.72
• Special Programs for Unique Demographics: 10
• Ancillary Services: 7.47

3. Kline-Welsh Behavioral Health Foundation Sand Island Treatment Center

With 6.7 out of 10 points in our rankings, Kline-Welsch Behavioral Health Foundation Sand Island Treatment Center treats adults and young adults in a residential setting. The Honolulu center earned its highest score in the category of Treatment Approaches, in part because it offers clients a comprehensive selection of behavioral therapies, in addition to anger management, contingency management, motivational interviewing/incentives, and more. In contrast, the center’s rehabilitation services only earned a moderate score — while it offers substance abuse treatment and medications for psychiatric disorders, it does not utilize any medications to treat opioid addiction. It scored lowest in the category of Special Programs for Unique Demographics as it caters only to patients with co-occurring mental health disorders and clients referred from the court system.

• Rehabilitation Services Provided: 5.01
• Treatment Approaches: 8.58
• Cost: 7.15
• Special Programs for Unique Demographics: 5
• Ancillary Services: 8.3

Start by contacting your referral service

Aloha United Way 211 provides information about and referrals to community services throughout the state of Hawaii. This includes hundreds of services for the prevention, diagnosis, and treatment of substance abuse. Aloha United Way 211 specialists can answer questions and locate resources and are reachable by telephone, text message, online chat, and email. Alternatively, individuals can search through the Aloha United Way 211 database of statewide services at their convenience and filter results by location, the targeted age or gender, and the service category.

The Hawaii Prevention Resource Center also publishes a directory of Hawaii Substance Abuse Treatment Programs that includes agencies funded by the Department of Health’s Drug Abuse Division (ADAD), diagnostic laboratories, and military services. Contact and location information, the targeted group and area served, and information about fees associated with treatments are provided for each treatment program in the directory.

As a further resource, the Alcohol and Drug Abuse Division of the Hawaii Department of Health maintains a Clean & Sober Homes website that residents can use to locate a sober living residence at which they can stay during their substance abuse recovery.

No matter what treatment an individual chooses, recovering from substance abuse can be costly. For individuals or families who need help with the associated fees, low-income Medicaid services are an available option. Visit Hawaii’s Medicaid and CHIP information page for further information and details on eligibility.

Use our database to find a treatment center near you

The tool below lists all of the treatment centers in the state of Hawaii recognized by the Substance Abuse and Mental Health Services Administration (SAMHSA). Input your zip code and select the filter icon to find relevant treatment centers near you.

Additional Resources for Parents and Teachers

The Hawaii Department of Health’s Alcohol and Drug Abuse Division funds several agencies that provide substance abuse treatment to adolescents and lists these in a “Treatment for Adolescents” section on its website. Services are available in Oahu, Maui, Kauai, Molokai and the Big Island of Hawaii and include school-based, community-based and adolescent criminal justice services.

Information regarding the intermediate and high schools participating in school-based treatment are also provided, along with the agency responsible for services at each location. Adolescents struggling with substance abuse and their families can use the provided information to either contact an agency about its treatment programs or, in the case of school-based services, the counselor at the school where a program is located.

Additionally, the Hawaii Youth Services (HYS) Directory has a searchable online database of organizations that offer services for adolescents, including substance abuse treatment. Results are customizable by location, age, and the targeted group. This resource intends for cost to not be a barrier as these organizations – if not non-profit in nature – must offer scholarships, a sliding fee scale, or free programs to be included in the directory to ensure that their services are accessible to all adolescents in Hawaii.

Hawaii’s Aloha United Way 211 specialists are also available for adolescents who need extra support when searching for substance abuse treatment. These professionals can answer questions via telephone, text message, online chat, and email about youth-based substance abuse services, as well as make referrals based on individual circumstances. The Aloha United Way 211 website also includes a searchable database of statewide services that can be filtered by the age of the individual needing assistance.

Mental Health Resources & Treatment

If you or someone you love is suffering from mental health issues, such as depression, PTSD, eating disorders, or severe anxiety, there are many resources from which to receive help.

Below are a few ways to receive immediate assistance, as advised by MentalHealth.gov:

Emergency Services: If your life (or someone else’s life) is in danger, always start by dialing 911 to gain immediate access to emergency services.

Suicide Prevention: The number for the National Suicide Prevention Lifeline is: 800-273-8255. You can also initiate a private live online chat.

Veterans Crisis Line: Dial the National Suicide Prevention Lifeline at 800-273-8255 and press “1” to talk to someone immediately. You can also access help with a private online chat or text 838255.

Here are two ways to find a provider of mental health treatment in Hawaii:

Hawaii National Alliance on Mental Illness (NAMI): The NAMI Hawaii website offers a section with fact sheets about mental health disorders and other resources, as well as information devoted to available programs and services across the state. These programs include online Homefront classes for veterans and active military personnel, as well as their family members and friends.

Aloha United Way 211: This site has a database of mental health providers in Hawaii that can be filtered by category.

Individuals who have both substance use and mental health disorders may benefit from dual-diagnosis rehab facilities. Use the appropriate filter in our tool above to find rehabilitation centers with treatment programs designed to meet the unique challenge posed by co-occurring substance use and mental health disorders.

Contact the appropriate local organization to find an AA or NA meeting near you

The tool below lists the contact information for local organizations that will connect you to Alcoholics Anonymous (AA) or Narcotics Anonymous (NA) meetings near you. Since meeting times and locations change periodically, contact the local groups that coordinate the meetings to ensure that the information is up to date.

More than twelve percent of Hawaiians suffer from mental illness annually

As discussed earlier in this guide, there is a strong link between substance use disorders and mental health disorders. When an individual is afflicted with both of these issues at the same time, health professionals refer to it as co-occurring substance use and mental health disorders or a “dual diagnosis.” Consequently, the prevalence of mental health issues in a given state can also help us to understand the level of substance abuse.

Suicide rates in Hawaii are above average compared to the nation

The Centers for Disease Control reports that suicide is the leading cause of death in the United States. The suicide rate has risen in nearly every state from 1999 to 2016, with that rate increasing by more than 30% in half of all 50 states since 1999. Suicide is an act that is often linked to substance abuse. According to the U.S. Department of Health and Human Services, substance abuse is a primary risk factor for both adults and adolescents who attempt and/or complete suicide, and this is particularly true for at-risk populations.

Furthermore, the relationship between substance abuse and suicide is multi-faceted and complex. Persons who have substance abuse issues typically also carry other risk factors for suicide, including depression, impulsive behavior, and other struggles with relationships, finances, illness, or unemployment that make them more likely to engage in self-harm. Between 1999 and 2016, Hawaii witnessed an 18.3% increase in the number of suicides. In 2017, Hawaii ranked 29th in the country for the number of suicides per 100,000 residents.

Hawaii has a significantly lower opioid prescribing rate than the rate for the United States

Prescription drug abuse – particularly in the form of opioids – has become an epidemic in the United States. While it is difficult to estimate how many individuals use these drugs as prescribed and how many abuse them, the Centers for Disease Control has researched the variation in opioid prescriptions between states, establishing a direct connection between an increased level of opioid prescriptions with a greater potential for dependence and abuse. Across the United States in 2017, 191 million prescriptions for opioids were written by physicians, ultimately leading one in four patients who begins long-term opioid therapy to an addiction.

The rate of homelessness in Hawaii is nearly triple the national average

A high rate of homelessness in an area indicates a greater potential for substance abuse issues. Homelessness has been shown to be linked to substance abuse as both a cause and a result; some individuals become homeless due to a substance use disorder, while other individuals who are already homeless frequently turn to substance use to dull the pain and desperation of their situation.

The 2018 Department of Housing and Urban Development’s (HUD) Point-in-Time Count reported approximately 552,830 homeless individuals in the United States, the equivalent of 17 of every 10,000 U.S. residents. This number represents a decrease of 4.1% since 2014 when the number of homeless persons in the U.S. was around 576,450. Furthermore, homelessness across the United States has decreased by 15% since 2007, the year that HUD began collecting data on the homeless population.

Drug- and alcohol-induced deaths in Honolulu are slightly lower than across Hawaii