Compare 176 drug and alcohol rehab centers across Hawaii, reviewed against accreditation and licensing standards. Filter by level of care, insurance accepted, and specialty programs to narrow down treatment options for yourself or someone you love.
75-170 Hualalai Road Suite C 311 · Kailua Kona, HI 96740Kailua Kona, HI 96740
Kailua Kona · Detox, Inpatient, Outpatient
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Detox
Inpatient
Outpatient
Private insurance
Found in the beautiful Kailua Kona, Hawaii, Hawaii Island Recovery offers high-end addiction and mental health treatment for residents who are seeking help recovering from drug or alcohol addiction as well as co-occurring mental health conditions. They blend more traditional…
31-631 Old Mamalahoa Highway · Hakalau, HI 96710Hakalau, HI 96710
Hakalau · Inpatient
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Inpatient
If you’ve ever wished healing from addiction could feel less clinical and more, well, human, Exclusive Hawaii Rehab might be what you’re looking for. Tucked away in Hakalau, Hawai’i, one of the most peaceful and beautiful places on earth, this…
75-5915 Walua Road · Kailua Kona, HI 96740Kailua Kona, HI 96740
Kailua Kona · Inpatient, Outpatient
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Inpatient
Outpatient
The Ohana Addiction Treatment Center (The Ohana), located in laid back Kailua-Kona, Hawaii, is a serene environment where true healing begins. Addiction often stems from an instinct to shield our most wounded and vulnerable inner parts. By focusing on inner…
120 Punakea Lp · Lahaina, HI 96761Lahaina, HI 96761
Lahaina · Detox, Inpatient
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Detox
Inpatient
On the beautiful island of Maui is an addiction treatment center with luxury accommodations that feel more like a five star resort. The Maui Recovery Center in Lahaina, Hawaii provides programs and services to individuals fighting mental health or substance…
45-035 Kuhonu Place · Kaneohe, HI 96744Kaneohe, HI 96744
Kaneohe · Inpatient
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Inpatient
Habilitat's rehab center occupies a 1.5-acre oceanfront estate on the water at Kaneohe Bay, on Oahu's windward shore. The center offers residential addiction treatment in Kaneohe, Hawaii for men and women. The neighborhood around it is quiet, and staff drives…
1325 South Kihei Road Ste 215 · Kihei, HI 96753Kihei, HI 96753
Kihei · Detox, Outpatient
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Detox
Outpatient
Private insurance
Behavioral Health Hawaii was a provider of outpatient addiction treatment services in Kihei, Hawaii. Services included partial hospitalization programs (PHPs), intensive outpatient programs (IOPs) and medication assisted treatment (MAT). Unfortunately, the organization is no longer operating and the clinic is…
85-761 Farrington Highway Suite 206 · Waianae, HI 96792Waianae, HI 96792
Waianae · Inpatient, Outpatient
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Inpatient
Outpatient
Medicaid
Private insurance
Hoomau Ke Ola is a unique culturally focused addiction treatment program in Wai'anae, Hawaii. They provide residential treatment for adult men as well as intensive outpatient and general outpatient treatment for all genders. They also have a family education and…
73-4592 Hawaii Belt Road · Kailua Kona, HI 96740Kailua Kona, HI 96740
Kailua Kona · Men
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Men
Medicaid
The Kailua Kona campus sits on the slopes of Hualalai and looks over the Pacific Ocean. Honu House Hawaii is a residential addiction treatment center in Hawaii for adults 18 and over of all genders, in a co-ed setting. They…
200 Ike Drive · Makawao, HI 96768Makawao, HI 96768
Makawao · Detox, Inpatient, Outpatient
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Detox
Inpatient
Outpatient
Private insurance
The Aloha House in Maui, Hawai’i, is an addiction treatment facility that provides programs and resources for individuals struggling with mental health or substance abuse disorders. The organization has detox, residential, outpatient, and sober living facilities to make a full…
322 Sumner Street · Honolulu, HI 96817Honolulu, HI 96817
Honolulu · Inpatient, Outpatient, Men
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Inpatient
Outpatient
Men
Medicaid
Private insurance
The Salvation Army Adult Rehabilitation Center Honolulu in Honolulu, Hawaii, is a faith-based therapy program free to those with alcohol and drug addictions. They rely on donations to provide addiction treatment for their residents. For those needing transportation, a bus…
45-845 Pookela Steet · Kaneohe, HI 96744Kaneohe, HI 96744
Kaneohe · Outpatient
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Outpatient
The Kāne‘ohe facility in Hawai‘i on O‘ahu serves as the main facility of Hina Mauka. In terms of care, pregnant women and intravenous drug users have priority. A new applicant can walk into any of Hina Mauka’s clinics Monday through…
76-6225 Kuakini Highway Suite B105 · Kailua Kona, HI 96740Kailua Kona, HI 96740
Kailua Kona · Outpatient
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Outpatient
Private insurance
Lokahi Treatment Centers runs an addiction treatment center in Kailua-Kona, Hawaii and they run five offices across Hawaii, serving people in medically underserved rural communities. They serve adults, adolescents and children, and the services are culturally appropriate for those groups,…
If you’ve ever wished healing from addiction could feel less clinical and more, well, human, Exclusive Hawaii Rehab might be what you’re looking for. Tucked away in Hakalau, Hawai’i, one of the most peaceful and beautiful places on earth, this place blends holistic care, luxury and deep personal transformation in a way that’s honestly kind of magical. Healing That Goes…
In Honolulu, Hawaii, Oahu Men's Campus is a residential rehab center for men with drug and alcohol addiction. You sleep at the campus overnight instead of going home each evening, which can seem like a lot to coordinate if you're working or have or family still in Honolulu. Residential Stay in Honolulu Oahu Men's Campus is a long-term program of discipleship…
The Salvation Army Adult Rehabilitation Center Honolulu in Honolulu, Hawaii, is a faith-based therapy program free to those with alcohol and drug addictions. They rely on donations to provide addiction treatment for their residents. For those needing transportation, a bus stop is a two minute walk from the center. Freedom from Addiction and Spiritual Distress The center accepts adult males…
75-170 Hualalai Road Suite C 311, Kailua Kona, HI 96740
Detox
Inpatient
Outpatient
Private insurance
Found in the beautiful Kailua Kona, Hawaii, Hawaii Island Recovery offers high-end addiction and mental health treatment for residents who are seeking help recovering from drug or alcohol addiction as well as co-occurring mental health conditions. They blend more traditional methods of treatment with natural healing properties of the Hawaiian environment to bring you a very unique recovery experience. Personalized…
The Kailua Kona campus sits on the slopes of Hualalai and looks over the Pacific Ocean. Honu House Hawaii is a residential addiction treatment center in Hawaii for adults 18 and over of all genders, in a co-ed setting. They don’t offer sober living. Daily 12-step meetings and medically monitored detox, a form of withdrawal care with clinical
76-6225 Kuakini Highway Suite B105, Kailua Kona, HI 96740
Outpatient
Private insurance
Lokahi Treatment Centers runs an addiction treatment center in Kailua-Kona, Hawaii and they run five offices across Hawaii, serving people in medically underserved rural communities. They serve adults, adolescents and children, and the services are culturally appropriate for those groups, in gender specific groups or mixed ones. Individual counseling and family therapy are part of the care, and prevention services…
The Ohana Addiction Treatment Center (The Ohana), located in laid back Kailua-Kona, Hawaii, is a serene environment where true healing begins. Addiction often stems from an instinct to shield our most wounded and vulnerable inner parts. By focusing on inner healing through comprehensive substance abuse treatment, The Ohana can help you restore your outer life too. Luxury Detox Services in…
Habilitat's rehab center occupies a 1.5-acre oceanfront estate on the water at Kaneohe Bay, on Oahu's windward shore. The center offers residential addiction treatment in Kaneohe, Hawaii for men and women. The neighborhood around it is quiet, and staff drives residents in from Honolulu Airport when they arrive. Residential Care on Kaneohe Bay Adult residential care at Habilitat includes a…
On the beautiful island of Maui is an addiction treatment center with luxury accommodations that feel more like a five star resort. The Maui Recovery Center in Lahaina, Hawaii provides programs and services to individuals fighting mental health or substance abuse disorders. The high standards of care have earned them an accreditation from The Joint Commision and certifications from LegitScript,…
The Aloha House in Maui, Hawai’i, is an addiction treatment facility that provides programs and resources for individuals struggling with mental health or substance abuse disorders. The organization has detox, residential, outpatient, and sober living facilities to make a full circle of treatment options for every stage of recovery. They accept most private insurance plans and Medicaid. Self-pay options and…
The Kāne‘ohe facility in Hawai‘i on O‘ahu serves as the main facility of Hina Mauka. In terms of care, pregnant women and intravenous drug users have priority. A new applicant can walk into any of Hina Mauka’s clinics Monday through Friday from 9:00 am to 2:00 pm. They’ve been in operation for over 50 years. Medicaid and most commercial insurance…
85-761 Farrington Highway Suite 206, Waianae, HI 96792
Inpatient
Outpatient
Medicaid
Private insurance
Hoomau Ke Ola is a unique culturally focused addiction treatment program in Wai'anae, Hawaii. They provide residential treatment for adult men as well as intensive outpatient and general outpatient treatment for all genders. They also have a family education and support group and an alumni group. This facility accepts multiple Hawaiian insurance plans and has self pay options as well.…
Located on the island of Oʻahu, Hina Mauka in Waipahu, Hawaii, has been part of the local community for over 50 years. They help adults and teens who are recovering from alcohol use disorders (AUD), but they also specialize in outpatient addiction treatment for other substance use disorders (SUD). If you’re pregnant or struggling with intravenous drug use, you'll be…
400 Hualani Street Building 10 Suite 195-B, Hilo, HI 96720
Outpatient
Medicaid
Private insurance
Lokahi Treatment Center has five offices throughout Hawaii, including this one in Hilo, that serves adults, children and teens. They offer assessments, mental health and addiction treatment, and court ordered classes such as anger management. The Center accepts most insurance plans, which may include Medicare, Medicaid and private insurance. Outpatient Treatment for Mental Health and Addiction Lokahi is focused on…
15-2866 Pahoa Village Road, Bldg. F Suite 4, Pahoa, HI 96778
Outpatient
Medicaid
Private insurance
Pahoa, Hawaii is south of Hilo and known for its free spirited, laid back vibe and its natural landscapes forged by the powerful Kīlauea volcano nearby. This small town offers an alternative to common tourist destinations, and it’s also where you’ll find one of Lokahi Treatment Center’s outpatient clinics. They treat mental health conditions and substance use and deliver court…
The Kline Welsh Behavioral Health Foundation runs a beautiful facility in Honolulu, Hawai’i, that helps individuals fight mental health and substance abuse disorders. The Sand Island Treatment Center provides long and short-term residential, intensive outpatient, and transitional care programs for all individuals in and around the island of Oahu. The facilities outstanding services and standards have earned them certifications from…
The Salvation Army Addiction Treatment Services (ATS), located in Honolulu, Hawaii is a compassionate provider of treatment for substance use disorder. Since 1970, they’ve helped thousands of individuals just like you in their pursuit toward recovery and healing. Each program is designed to meet you exactly where you are and their staff offer specialized guidance with patience and experience. The…
The Christian faith based organization known as Teen Challenge Big Island has a beautiful residential treatment center located in Keaau, Hawaii. Here, they offer various programs to help young adults and men fight mental health and substance abuse disorders. At the core of their treatment is helping patients build a relationship with God while also going through standard recovery programs.…
2062 West Vineyard Street Suite 200, Wailuku, HI 96793
Outpatient
Medicaid
Private insurance
You’ll find Aloha House Outpatient Services, a comprehensive addiction treatment center, in the city of Wailuku in Hawaii. Here you’ll find residential care, an intensive outpatient program, detox, and sober living programs. Situated on the serene shores of Maui, the outpatient services at Aloha offer an individualized and evidence based treatment plan for your recovery. Find Your Supportive Community You…
Pathways Honolulu is an addiction treatment provider offering inpatient addiction treatment in Honolulu, Hawaii. The facility supports adults working to overcome alcohol and substance use concerns through a connected continuum of care. Its inpatient program serves as a central focus giving clients a structured setting to build a strong foundation for long term recovery. Inpatient Addiction Treatment at Pathways Honolulu…
Hoʻohana Counseling, located in Honolulu, Hawaii, offers therapy services for adolescents, adults and families. Many clients come here to work through substance use disorder (SUD) issues, mental health concerns or both. The treatment approach here is thoughtful and personalized, shaped by what matters most to each client. You’ll find the center right along several main routes of TheBus, Honolulu’s public…
Providence Treatment is a recognized leader in the treatment of substance abuse and behavioral health disorders. At their Honolulu, Hawaii location, they offer outpatient addiction treatment, substance abuse evaluations, and ongoing aftercare for adults. Programming at Providence Treatment is designed for professionals including medical personnel, lawyers, and professionals in training. Specialized groups exist for LGBTQ+ individuals. Their treatment programming also…
197 Sand Island Access Rd Suite 201D, Honolulu, HI 96819
Detox
Outpatient
CARE Hawaii on Sand Island in Honolulu, Hawaii, cares about the entire family. Mental health, behavioral, and addiction treatment are available for everyone from children to adults. There are programs that offer every level of support from residential 24/7 care to casual outpatient care. They have an average rating of 3.1 out of 5 on Google reviews, with clients praising…
1063 Lower Main St Suites C-211A/213, Wailuku, HI 96793
Outpatient
Mana Recovery provides substance addiction treatment in Wailuku, Hawaii. Guests have a serene beachside view that promotes relaxation and recovery in a safe environment. Convenient Programming Mana Recovery offers flexible outpatient programs so you can continue living at home while getting treatment. Whether you need more structured support, like partial hospitalization, or more flexibility, like standard outpatient care, Mana offers…
Big Island Substance Abuse Council is a nonprofit outpatient addiction treatment center on Waianuenue Avenue in Hilo, Hawaii across from the Hilo Library. Its programs are CARF accredited. They include general and intensive outpatient treatment with case management for adolescents and adults and appointments are available in office or via telehealth. It operates as more than just a clinic. It…
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Hawaii is among the most expensive states for drug rehab (44th). The average full cost of care in Hawaii is $58,810 before insurance. If you have a Marketplace health plan, your out-of-pocket maximum for 2026 is no more than $10,600 for an individual or $21,200 for a family. That cap is the most you have to pay for covered, in-network services in a plan year. Whatever your situation, you can ask a program and your plan what you would pay.
Affordability sits 44th of 50 on full costs, before insurance
Free treatment is offered by about 41% of programs
Just 4.6% of adults aged 18 to 64 lack health insurance
Pregnant women and people who inject drugs get priority
Prices sit about 10% above the national average
Paying for rehab:
affordability sits 44th of 50 on full costs, before insurance · free treatment is offered by about 41% of programs · just 4.6% of adults aged 18 to 64 lack health insurance · pregnant women and people who inject drugs get priority · prices sit about 10% above the national average
How to Pay for Drug Rehab in Hawaii
With 100+ treatment programs across Hawaii, you have more than one way to pay for care, from insurance and public coverage to free and low-cost help. What each program takes varies, so ask about payment early in your search, before you settle on one.
Private Pay + Insurance
Many programs in Hawaii take private insurance, and many take payment out of pocket. If you have a plan through work or the Marketplace, ask the program whether it accepts your rehab insurance and what you would pay yourself.
Many programs in Hawaii accept Medicaid. Hawaii expanded Medicaid under the Affordable Care Act in 2014, opening it to adults under 65 with incomes under 138 percent of the federal poverty level. If that is you, ask any program you are considering whether it takes Medicaid.
Some programs in Hawaii take Medicare. If Medicare is your coverage, ask any program you call whether it accepts it before you go further. Its office can tell you in one short call.
Hawaii is part of the TRICARE West Region, and TriWest Healthcare Alliance is the region's contractor. If that is your coverage, ask a program whether it works with TriWest. Veterans in Hawaii can also turn to the Spark M. Matsunaga Department of Veterans Affairs Medical Center, and you can find more addiction and mental health resources for service members and veterans beyond these.
If you are Native Hawaiian, federal law funds Papa Ola Lokahi and five certified community-based Native Hawaiian Health Care Systems to provide health services to Native Hawaiians in Hawaii. You can ask any of them what services and support they offer.
Many programs in Hawaii offer free care, financing or other financial assistance, and some use a sliding scale based on what you can pay. When you call, ask what a program charges for the kind of care you are looking at, such as outpatient visits or medication-assisted treatment. Then ask whether any free or reduced fees apply.
“We need more grassroots programs focused on prevention, education, and creating real connections with our youth.”
Volunteering with youths in Honolulu, I’ve observed how vaping and pill misuse are quietly reshaping our communities.
It’s no longer rare to hear about a teen who overdosed from what they thought was a prescription pill, only to find out it was laced with a harmful substance like fentanyl. These are not mere poor decisions. They’re signs of deeper issues such as stress, disconnection, and limited access to resources and support.
According to the Center for Disease Control and Prevention, 15% of high school students in Hawai’i reported using e-cigarettes in 2021. Meanwhile fentanyl related deaths continue to rise.
Frequently asked questions
What to know about rehab in Hawaii
How Addiction Treatment Works in Hawaii
Hawaii has 100+ treatment programs, and your way into publicly funded care starts with one call. The state points people who need addiction treatment to Hawaii CARES, the Hawaii Coordinated Access Resource Entry System. It is the state’s coordinated system of care for substance use treatment and recovery support. Its specialists give you information and referrals to services near you. They also handle your intake, screening and assessment before your care is coordinated and your placement is decided. If you are pregnant or you inject drugs, the publicly funded system gives you priority for admission.
The Department of Health’s Alcohol and Drug Abuse Division (ADAD) is Hawaii’s substance use services agency. It is the main, and often the only, source of public funds for treatment in the state. The division also runs the accreditation that treatment programs in Hawaii must complete. When you choose a program, ask whether it holds that accreditation. It means the program has passed the state’s review.
In January 2025 the division launched the Hawai’i Overdose Initiative to coordinate a statewide response to substance-related overdoses and deaths. For you, that means more of the help you find is part of one connected effort. Medicaid in Hawaii is run by the Med-QUEST Division of the state Department of Human Services.
Free and Low-Cost Rehab Resources in Hawaii
Free help in Hawaii is a call, a text or a short visit away. It ranges from statewide crisis and suicide prevention lines to peer support groups and harm reduction services. The state Department of Health places free naloxone in easy-to-reach spots across Hawaii, through distribution boxes and vending machines. You can pick up the medication and be ready to respond to an opioid or fentanyl overdose.
Crisis and Support Lines
Hawaii CARES: 24/7 support for crisis, mental health, and substance use; referrals to substance use treatment across Hawaii. (808) 832-3100
988 Suicide & Crisis Lifeline: Free, confidential support by call, text or chat, 24/7, including for alcohol or drug use concerns. 988
SAMHSA National Helpline: Free, confidential treatment referral and information for mental and substance use disorders, 24/7, in English and Spanish. 1-800-662-HELP (4357)
Community and Nonprofit Programs
Aloha United Way 211 (Honolulu): The state’s only statewide helpline, free and confidential, connecting people by call, text, chat, or email. 808-275-2000
Oahu Intergroup of Alcoholics Anonymous (Honolulu): AA central office for Oahu with a 24/7 helpline, meeting information, phone angels, and 12 step work. (808) 946-1438
Al-Anon Hawaii AFG: Free mutual support groups for people whose lives have been affected by another person’s drinking. al-anonhawaii.org
Narcotics Anonymous Hawai’i: Volunteer-run NA helplines for each island and meeting schedules across the Hawaii Regional Service Committee areas. na-hawaii.org
Coalition for a Drug-Free Hawaii (Honolulu): Drug prevention resources, the Hawaii Prevention Resource Center, the Ohana Coach peer line for families, and counseling programs. (808) 545-3228
Hina Mauka (Kaneohe): Nonprofit treatment for adults and teens, including Teen CARE school-based and community-based services on Oahu and Kauai. 808-236-2600
Harm Reduction
Hawai’i Health & Harm Reduction Center (Honolulu): Statewide syringe exchange, free naloxone and naloxone by mail, HIV and hepatitis C testing, outreach, and training services. (808) 521-2437
VA and Military
Spark M. Matsunaga Department of Veterans Affairs Medical Center (Honolulu): Primary care and specialty health services, including mental health care, PTSD treatment, geriatrics, and suicide prevention. 808-433-0600
Government and Medicaid
Harm Reduction Services Branch: State Department of Health branch coordinating statewide efforts on viral hepatitis, HIV, sexually transmitted infections, and overdose prevention. health.hawaii.gov
Recovery Support
NAMI Hawaii (Honolulu): Free education programs, family and peer support groups, and advocacy, with affiliates on Oahu, Kauai, and Hawaii Island. 808-591-1297
United Self-Help (Honolulu): Consumer-run nonprofit with free support groups, education classes, a peer warm line, peer mentoring, and activities. (808) 947-5558
Drug and Alcohol Use Statistics in Hawaii
Hawaii’s drug and alcohol use statistics tell two stories at once. The need for treatment is lower here than in much of the country, yet most people who needed substance use treatment in the past year did not get it. If that is you, Hawaii CARES can screen you and connect you to one of the 100+ treatment programs across Hawaii. Efforts like the Hawai’i Overdose Initiative and the state’s naloxone distribution boxes work alongside that care.
15.1%
Adults in Hawaii who binge drank in the past month, 2025
21.0
Drug overdose deaths per 100,000 people in Hawaii, 2024
14.4%
People 12 or older in Hawaii with a substance use disorder in the past year, 2023-2024
80.7%
People 12 or older in Hawaii who needed substance use treatment and did not get it, 2024
Set against the nation, Hawaii’s overdose death rate sits below the national rate and is the lowest among its nearby states. Binge drinking runs the other way, a little above the national middle.
Medical reviewer
Sendra Yang, PharmD, MBA
Sendra Yang received her Doctor of Pharmacy and Master of Business Administration degrees from Wingate University School of Pharmacy. She has experience in the pharmaceutical industry, pharmacy education, and clinical practice. She has also been a medical writer, editor, and…
A recently retired psychotherapist and freelance writer/author, Rita Milios has published forty-four books and hundreds of articles on topics of recovery, mental health, and spiritual growth. She treated mental health and addiction recovery clients in her private practice and was…
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