Top 21 Alcohol & Drug Rehab Centers in Hawaii & Free Treatment Resources

The type of treatment program you need, i.e., inpatient vs. outpatient care

The types of features

The duration of treatment

Whether or not you have health insurance

Whether or not you’re eligible for special financing or government funding

Location

Private Insurance

Under the MHPAEA, private providers must include some coverage for substance use disorder treatment and mental health disorders. Some of the top insurance providers that offer coverage for rehabilitation include United Healthcare, Humana, COBRA, Cigna, Blue Cross Blue Shield (BCBS), COBRA, and Aetna.

Medicaid

Medicaid is a program funded by the state and federal governments, offering healthcare coverage to low-income families. Regarding substance use care, Medicaid will cover the basics, such as initial screenings, intervention assistance, inpatient and outpatient care, medically assisted detox, addiction treatment medications, mental health services.

Medicare

Medicare is a federally funded program designed for seniors 65 and older and individuals with disabilities. Unlike Medicaid, Medicare plans are associated with a monthly premium that is based on your income. That means individuals with lower incomes will pay lower premiums.

Medical Detox: is often the first step of addiction treatment. It involves withdrawal management and preparation for inpatient or outpatient drug rehab. A medical detox, typically includes 24/7 care, supervision, and monitoring.

Inpatient: rehab refers to residential care, where you’ll be admitted to a facility and live there for the duration of your program. These programs range from 30 days to 90 days, depending on your needs. Since you’ll be living at the facility, you’ll be provided with a room with a bed, meals, and other amenities.

Partial Hospitalization Programs (PHPs): are the most intensive form of outpatient care. They include up to 30 hours of therapy per week in a hospital setting.

Intensive Outpatient Programs (IOPs): are a step down from a PHP. IOPs offer between nine and 20 hours of care per week.

Standard Outpatient: programs are usually the least intensive and offer the most flexibility since you attend therapy for just a few hours per week. This type of care is best for someone with a mild addiction and a strong support system.

Aftercare: can help prevent relapse, assist in building community, and improve the skills you learned in rehab. Some options include 12-step meetings, non-12-step meetings, therapy and counseling, and sober living homes.

Holistic: Holistic programs focus on healing the mind, body, and spirit in addition to substance abuse recovery. They emphasize spiritual healing, and the goal is to get individuals on the right path through organic diets, wellness activities, and complementary therapies such as acupuncture, yoga, meditation, creative therapies, and more.

Faith-Based: Christian and other faith-based programs are based on the belief that an individual isn’t just suffering physically but spiritually and emotionally as well. These types of rehabs encourage their patients to form a connection with a higher power for their recovery.

Luxury: Luxury addiction treatment centers offer upscale amenities and features, such as gourmet meals, spa treatments, pools, massages, and more. Because privacy and comfort are emphasized, they are also typically set in more secluded areas, such as lakeside, on the beach, or in the mountains.

Executive: Executive programs are tailored to high-level and busy professionals who require more flexibility, privacy, and additional resources that are conducive to a working environment. They offer amenities such as private conference rooms, access to computers and Wi-Fi, travel support for work trips, and private rooms.

Dual Diagnosis: Dual diagnosis refers to co-occurring mental health and substance use disorders. These conditions typically influence one another, so it’s important to attend a rehab that fully addresses both disorders and their effects on each other.

Methadone is an FDA-approved synthetic opioid agonist that’s used to help treat opioid addiction. It binds to opioid receptors in the brain, relieving cravings and withdrawal symptoms and staying active in the body for up to 36 hours.

Suboxone is a combination medication including buprenorphine, a partial opioid agonist, and naloxone, an opioid antagonist. It binds to opioid receptors, relieving opioid cravings and withdrawal symptoms, but to a lesser extent than methadone.

Naltrexone is an MAT option used to treat alcohol and opioid addiction. It can be prescribed and administered by virtually any doctor and comes in pill form or as an injectable.

Antabuse was one of the first medications prescribed for alcohol use disorder. It works by blocking the enzymes the body uses to process alcohol and can cause some nasty side effects if alcohol is consumed after it has been taken. 

Acamprosate is another prescription medication used to help treat alcoholism. It comes in pill form and is typically taken up to three times per day with food. The medication works to restore the natural balance of the neurotransmitters in the brain to reduce cravings helping individuals to abstain from alcohol use.

The Good Samaritan Law

Like most states, Hawaii has its own Good Samaritan law. That law states that anyone acting in good faith to help another individual or themselves during an overdose-related emergency will not be prosecuted—regardless of whether the individual in question has paraphernalia or illicit substances on their person.

The Opportunity Probation with Enforcement (HOPE) Program

To help people ineligible for drug court, the HOPE program offers an intensive recovery program for the offenders that are most likely to violate the conditions of their probation due to having a substance use disorder.

The Hawaii Opioid Initiative (HOI)

The Hawaii Opioid Initiative is a statewide collaboration between private and public sectors to address opioid misusage and coordinate an action plan to keep residents safe. With the objective of preventing overdoses, for example, the HOI has made naloxone (Narcan) available over the counter.