Drug & Alcohol Addiction Rehab, Treatment & Recovery Resources in Hawaii
Each year, 61,000 Hawaiian residents – 4.29% of the state population – abuse alcohol and an additional 191,000 – 13.44% of the state population – use illicit drugs. Overall, the state has a drug- and alcohol-induced death rate of 13.26%, which is higher than the national average by a little more than half a percentage point. Honolulu, Pearl City, and Waipahu, which are among Hawaii’s most populated cities, have a lower death rate due to drugs and/or alcohol of 12.86%, which is closer to the national average of 12.71%.
This guide was created to help the many residents of Hawaii who are struggling with substance abuse addiction to find affordable treatment that will put them on the path to recovery. It is also intended to inform the general public about the dangers of substance abuse in Hawaii.
If you need help finding a rehabilitation center in Hawaii, you can use our directory to locate low-cost, quality treatment right away. Read on to find instructions for using the directory and to learn which rehabs qualify as the highest-rated, low-cost facilities in the state.
Table of Contents
I. Getting Help
Drug & Alcohol Addiction Rehab, Treatment & Recovery Resources in Hawaii
If the cost of rehab is a barrier for you – as it is for many – and you don’t have insurance, there are still ways for you to receive help. According to the Substance Abuse and Mental Health Administration (SAMHSA), there are 149 substance abuse treatment centers in the state of Hawaii. Of those 149 centers, Waianae Coast Comprehensive Health Center in Waianae received the highest overall score based on our five core metrics.
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.
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.
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
Special Programs for Unique Demographics: 5
Ancillary Services: 8.3
Highest-Rated, Low-Cost Treatment Centers in Hawaii
94-830 Hikimoe Street, #1 Waipahu, HI 96797 Main Tel: 808-677-6711 Intake Tel 1: 808-236-2600
Finding a Substance Abuse Treatment Center in Hawaii
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.
Many different methods are available for treating addiction, and the science of studying addiction is constantly improving and changing. However, the core pieces of rehabilitation are generally very similar.
Hawaii ranks first among all states for veterans engaging in binge drinking
of Hawaiian veterans engaging in binge drinking, 2017
of Hawaiian veterans engaging in drunk driving, 2016
According to the CDC, Hawaii ranked first among all 50 states in 2017 for the percentage of veterans who engaged in binge drinking, with 21.5% of its veterans participating in the dangerous behavior. This was a full percentage point above Nevada, which ranked second with 20.5% of its veterans binge drinking and more than 12 percentage points above Utah, which ranked last at 9.1%. Additionally, Hawaii also ranked sixth in the country in 2016 for the percentage of veterans involved in drunk driving incidents, coming in at 3.3%. While California far outranked Hawaii at first place with 9.1% of its veterans engaging in drunk driving, both Virginia’s and Alaska’s last-place percentage of 0.5% was significantly lower than Hawaii’s rate.
Veterans in Hawaii can reach out to their local VA medical center to search for information on substance abuse treatment, including the possibility of a VA-based substance use disorder (SUD) program, in their state. Additionally, they can work with representatives for the non-profit Hawaii Vet 2 Vet organization to create an individualized substance abuse treatment and recovery plan. Veterans Treatment Court is another resource for Hawaii veterans who are a part of the criminal justice system that helps them receive the necessary treatment and support to overcome substance abuse and/or mental health disorders.
Treatment is available for veterans in Hawaii who are suffering from a substance use disorder. As of 2017, 21 substance abuse treatment facilities in Hawaii – representing 12.5% of all treatment facilities – catered specifically to veterans.
Adolescents in Hawaii use marijuana and alcohol at rates similar to the national average
of adolescents aged 12-17 used marijuana, 2014-2017
of adolescents aged 12-17 drank alcohol, 2014-2017
Between 2014 and 2017, 5.8% of Hawaii adolescents aged 12-17 reported engaging in marijuana use in the past month, just a percentage point below the national average of 6.8%. In terms of alcohol use, 10.3% of Hawaii adolescents aged 12-17 had participated in the behavior in the past month, just slightly above the national average of 10.1%. Beyond this, 26.9% of individuals admitted to a substance abuse treatment program in Hawaii in 2017 were aged 12-17, thus representing over a quarter of all admissions. To overcome the challenges that youth face in recovering from substance addiction, some treatment centers offer programs designed specifically for adolescents.
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.
Co-Occurring Mental Health & Substance Abuse Treatment
Substance abuse and mental health issues tend to go hand-in-hand – the technical term is “co-occurring substance use and mental health disorders.” The Substance Abuse and Mental Health Services Administration (SAMHSA) reported that, in 2017, 45.6% of adults with a substance use disorder also had a mental health disorder, and 18.3% of adults with a mental health disorder also had a substance use disorder. For adolescents in 2017, 35.9% of those with a substance use disorder also had a major depressive episode, while 10.7% of adolescents with a major depressive episode also had a substance use disorder.
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:
National Alliance on Mental Illness Hawaii State: 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.
Substance abuse aftercare treatment is often overlooked, but it’s one of the most crucial steps in the rehabilitation process. The chances of relapsing after rehab dramatically rise for individuals who try to resume their lives without pursuing further treatment in an aftercare setting. Several different types of aftercare are available for recovering addicts, including follow-up visits for continued therapy, group therapy, and sober living homes. Research shows that long-term participation in aftercare activities dramatically improves the outcome of rehabilitation efforts.
12-Step Addiction Meetings in Hawaii
Alcoholics Anonymous (AA) designed the 12-step process for individuals recovering from alcohol addiction, and today there are many other 12-step programs for other addictions and issues – Narcotics Anonymous (NA) being just one example.
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.
Sober living homes (also referred to as recovery residences) are group homes that help recovering addicts transition from treatment facilities to living independently while maintaining their sobriety. These homes can be especially beneficial for individuals who don’t have a supportive and positive environment in which to live after leaving a rehabilitation facility.
Residents of sober living homes can stay from a few months to several years, as long as they follow house rules and avoid relapse, as these homes typically have a zero-tolerance drug and alcohol policy. Additionally, residents are expected to complete chores, attend mutual support groups, and pay an equal share of the cost of renting the home.
Some sober living homes are listed in our database, and you can find them by using the appropriate filter in our tool above. You can also check out our guide on sober living homes to learn more about them and to find a certified recovery residence near you.
The following table illustrates the annual estimates of substance abuse among residents of Hawaii between 2016 and 2017, in addition to the percentage of the Hawaii population and the U.S. population that those estimates represent.
Annual Estimates for Substance Abuse in Hawaii, 2016-2017
* ‘Alcohol’ refers to an Alcohol Use Disorder. The numbers reflected in the table above are not the number of individuals who use alcohol, but rather those who have an AUD, defined as meeting the criteria for alcohol dependence.
* ‘Prescription opioid’ refers to a Pain Reliever Use Disorder. The numbers reflected in the table above are not the number of individuals who use or even occasionally misuse a prescription opioid, but rather those who have a PRUD, defined as meeting the criteria for illicit drug dependence.
of Hawaii deaths are caused by drugs and alcohol
of U.S. deaths are caused by drugs and alcohol
The following table shows the number of deaths involving drugs and alcohol in Hawaii between 2008 and 2017. The corresponding graph illustrates the percentage of deaths due to drugs and alcohol in Hawaii compared to the national average.
Drug- and Alcohol-Induced Deaths in Hawaii, 2008-2017
When trying to understand substance abuse issues in a specific area, researchers and policymakers examine “key indicators.” Combined with usage statistics, key indicators can provide a deep level of insight into which substances present the most serious concerns and which demographics can be most impacted by substance abuse. Key indicators of substance abuse issues within the state of Hawaii, along with recent, credible statistics, are examined below.
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.
of Hawaii adults had a serious mental illness
of Hawaii adolescents had a major depressive episode
Between 2013 and 2017, 3.4% of Hawaii adults were afflicted with a serious mental illness, compared to 4.2% nationally. Among Hawaii adolescents, 9.2% of individuals aged 12-17 suffered a major depressive episode in the past year, compared to a national average of 12.1%.
The table below sheds some light on the prevalence of mental health issues in Hawaii.
Mental Health Issues in Hawaii by Age and Percentage of Population, 2016-2017
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.
Suicides and Suicide Rates in Hawaii and the United States, 2017
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.
opioid prescriptions per 100 Hawaii residents, 2017
opioid prescriptions per 100 U.S. residents, 2017
After peaking in 2012, the U.S. opioid prescribing rate has been on a steady decline for the last several years due to the explosion of the opioid epidemic and the recognition of the role that excessive opioid prescriptions have played in this epidemic. Between 2013 and 2017, the opioid prescribing rate in the United States dropped from 78.1 prescriptions per 100 residents to 58.7 prescriptions per 100 residents, a decrease of 24.84%. The opioid prescribing rate in Hawaii was consistently much lower than the U.S. prescribing rate during that time period, from 49.4 prescriptions per 100 residents in 2013 to 37 prescriptions per 100 residents in 2017, revealing a similar decrease of 25.1%.
Hawaii and U.S. Opioid Prescribing Rates, 2013-2017
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.
of every 10,000 Hawaii residents were homeless, 2018
of every 10,000 U.S. residents were homeless, 2018
By comparison, Hawaii had approximately 6,530 homeless persons in 2018, equating to 46 of every 10,000 Hawaii residents, which is nearly triple the national average. However, this number reveals a 5.61% decrease since 2014 when 6,918 homeless persons lived in Hawaii.
V. Regional Substance Abuse Statistics & Rehabs
The following sections provide a deeper look at the substance abuse problem in Hawaii by examining the drug- and alcohol-related death rates in three of the most populous cities. Additionally, the three highest-rated rehabilitation centers in each city are listed.
The three highest-rated rehabilitation centers in Honolulu are listed in the table below, along with each institution’s performance based on our core metrics.
Drug- and alcohol-induced deaths in Honolulu are slightly lower than across Hawaii
of Honolulu deaths are caused by drugs and alcohol
of Hawaii deaths are caused by drugs and alcohol
Between 2008 and 2017, there were 10,690 deaths caused by drugs and/or alcohol in Honolulu County, which includes the state capital of Honolulu. This number is the equivalent of 12.86% of total deaths among all ages in the county during the same time period and was less than a percentage point below the state average of 13.26%.
The three highest-rated rehabilitation centers in Pearl City-Waipahu are listed in the table below, along with each institution’s performance based on our core metrics.
The Highest-Rated, Low-Cost Rehabs in Pearl City-Waipahu
Pearl City-Waipahu’s rate of drug- and alcohol-induced deaths is marginally less than the state average
of Pearl City-Waipahu deaths are caused by drugs and alcohol
of Hawaii deaths are caused by drugs and alcohol
The neighboring cities of Pearl City and Waipahu – Hawaii’s third and sixth most populated cities – are also located in Honolulu County, where 10,690 drug- and alcohol-induced deaths occurred between 2008 and 2017. This percentage represented 12.86% of all deaths in the county during the same time frame and was slightly lower than the state average of 13.26%. Pearl City-Waipahu has the same drug- and alcohol-induced death rate as Honolulu, as they are all located in Honolulu County.
Drug and Alcohol-Induced Drug- and Alcohol-Induced Deaths in Honolulu County, 2008-2017 in Cuyahoga and Summit Counties, 2008-2017
Substance abuse treatment is available in Hawaii for anyone who needs help beating an addiction – you don’t have to struggle alone. To receive assistance, start by determining your insurance coverage and by contacting your referral service. You can also use our tool earlier in this guide to locate a treatment center near you. Remember, many low-cost rehabilitation centers can help if you don’t have insurance coverage or feel like you are unable to afford treatment.