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98 addiction treatment facilities
Hawaii struggles with methamphetamine addiction and alcohol abuse, compounded by geographic isolation and limited treatment resources.
18.2 per 100,000 residents
Drug Overdose Deaths
6.8% of residents have substance use disorder
Have Substance Use Disorder
18% of adults experience mental illness
Mental Health Prevalence
13% of those with SUD receive treatment
Receive Treatment
Showing 1-18 of 98

Hakalau, HI

Kailua-Kona, HI

Lahaina, HI

Kailua-Kona, HI

Wahiawa, HI

Honolulu, HI

Hilo, HI

Kailua-Kona, HI

Kailua, HI

Wahiawa, HI

Wailuku, HI

Hilo, HI

Honolulu, HI

Lanai City, HI

Wahiawa, HI

Wahiawa, HI

Wahiawa, HI

Wailuku, HI
Finding the right rehab center in Hawaii is an important step toward recovery. Our directory lists 98 drug and alcohol treatment facilities across the state — from medical detox and residential rehab to outpatient and medication-assisted programs. Hawaii struggles with methamphetamine addiction and alcohol abuse, compounded by geographic isolation and limited treatment resources.
Understanding the scale of substance use in Hawaii helps put treatment in context. An estimated 6.8% of residents have substance use disorder in Hawaii, yet only 13% of those with SUD receive treatment — a treatment gap that timely, well-matched care can help close. Drug overdose deaths in the state run at roughly 18.2 per 100,000 residents, underscoring why access to quality treatment matters.
Treatment is not one-size-fits-all. Hawaii rehab centers offer a full continuum of care so you can match the level of support to the severity of the addiction and your personal circumstances.
Medically supervised withdrawal management is usually the first step of treatment in Hawaii. Clinicians monitor vital signs and ease withdrawal symptoms — typically over 3 to 10 days — so detox is as safe and comfortable as possible.
Residential programs provide 24/7 care in a structured, substance-free environment. Clients live on-site for 30, 60, or 90 days, making this option well suited to severe addiction or unstable home environments.
PHP is a step down from residential care — intensive day treatment (often 20–30 hours per week) while the client returns home or to sober housing each evening. It balances structure with everyday life.
IOP offers 9–20 hours of therapy per week on a flexible schedule, letting clients keep working or caring for family. It is a common option for ongoing recovery or as a step down from inpatient care.
MAT combines FDA-approved medications — such as buprenorphine, methadone, or naltrexone — with counseling to treat opioid and alcohol use disorders. It reduces cravings and lowers the risk of relapse and overdose.
Many people in Hawaii live with a co-occurring mental health condition such as depression, anxiety, or PTSD. Dual diagnosis programs treat addiction and mental health together for more durable recovery.
Recovery continues after a program ends. Sober living homes, alumni groups, and ongoing counseling help people in Hawaii maintain progress, rebuild routines, and prevent relapse long-term.
Jump straight to the level of care you need and compare Hawaii centers that offer it:
Cost should never be the reason someone goes without treatment. People in Hawaii have several ways to pay for addiction care:
Private health insurance: Most employer and marketplace plans cover detox, inpatient, and outpatient treatment. Federal parity laws require substance use care to be covered comparably to other medical conditions.
Medicaid: Hawaii Medicaid covers addiction treatment for eligible low-income residents, often including detox, counseling, and medication-assisted treatment.
Medicare: Medicare Parts A and B help cover inpatient and outpatient addiction treatment for qualifying adults aged 65+ and people with disabilities.
Sliding-scale & self-pay: Many nonprofit and state-funded centers set fees based on income. Payment plans and treatment scholarships can make care affordable without insurance.
State-funded programs: Publicly funded programs serve uninsured residents. SAMHSA's free helpline (1-800-662-4357) can connect you with low-cost options in Hawaii.
Not sure what your plan covers? We verify insurance benefits for free and confidentially — call +1 (239) 241-8393.
When comparing the treatment centers listed above, consider these factors to find the right fit:
The cost of rehab in Hawaii varies widely by program type and length. Outpatient programs are generally the most affordable, while a 30-day residential stay costs more. With insurance, most people pay only a deductible and copay. Many facilities also offer payment plans, sliding-scale fees, and scholarships. Call our free 24/7 helpline to get a clear cost estimate before you commit.
Yes. Under the Affordable Care Act and the Mental Health Parity and Addiction Equity Act, most health plans must cover substance use disorder treatment. This includes private insurance, Medicaid, and Medicare. Coverage levels depend on your specific plan — we can verify your benefits for free and confidentially.
Hawaii has state-funded and nonprofit treatment programs for residents who are uninsured or underinsured. Medicaid covers addiction treatment for eligible individuals, and many facilities offer sliding-scale fees based on income. SAMHSA's national helpline (1-800-662-4357) can also point you to publicly funded options.
Inpatient (residential) rehab means living at the facility with 24/7 support, which suits more severe addiction or unsafe home environments. Outpatient rehab lets you live at home and attend scheduled therapy sessions, which works well for milder addiction, strong support systems, or as a step down from inpatient care.
Program length depends on individual needs. Detox usually takes 3–10 days, residential programs commonly run 30, 60, or 90 days, and outpatient care can continue for several months. Research consistently shows that longer engagement in treatment leads to better long-term outcomes.
Yes. Many people choose to attend rehab in another state for greater privacy, a change of environment, or access to a specialized program. Our helpline can help you compare local Hawaii centers with out-of-state options and coordinate admission either way.
If you or a loved one is struggling with addiction, support is available 24 hours a day. Our confidential helpline can match you with the right Hawaii treatment center and verify your insurance at no cost.
In an emergency, call 911. For free, confidential national support any time, contact SAMHSA's helpline at 1-800-662-4357 or dial 988 for the Suicide & Crisis Lifeline.