Looking for drug rehab in Hawaii? This guide from Find Drug Rehab Options helps you compare detox, residential, outpatient and medication-based treatment across the islands. Our review of SAMHSA FindTreatment.gov listings identified 86 treatment locations in 26 Hawaii cities and towns in October 2026; 33 list Med-QUEST as an accepted payment option.
Key facts: drug rehab in Hawaii
- Hawaii has 86 substance use treatment locations listed by SAMHSA after one duplicate entry was merged in October 2026.
- 79 Hawaii locations list outpatient care, while 8 offer detox or withdrawal management, according to SAMHSA listings reviewed in October 2026.
- 33 Hawaii treatment locations list Med-QUEST (Medicaid) as an accepted payment option in the October 2026 SAMHSA listing review.
- 61 of Hawaii's 86 listed treatment locations are on Oʻahu, based on the October 2026 SAMHSA listing review.
- Hawaii's 2024 drug overdose death rate was 21.0 per 100,000 residents, according to CDC NCHS data reported by KFF.
- 78 Hawaii locations list telehealth services, according to SAMHSA listings reviewed in October 2026.
On this page
- Hawaii rehab at a glance
- Get help finding treatment
- Find rehab by city
- Levels of care
- Treatment by substance
- Paying for rehab
- Choosing a safe program
- Substance use and overdose
- Islands with fewer options
- Hawaii resources and helplines
- Treatment for specific groups
- How to start rehab
- Frequently asked questions
- Sources and standards
- Nearby state options
Hawaii Rehab at a Glance
Hawaii has 86 listed substance use treatment locations, but service availability differs greatly by island and by the age group served. The figures below come from an October 2026 review of SAMHSA FindTreatment.gov listings.
What this means for you: A listed location may serve youth rather than adults, and programs may offer more than one level of care; ask about eligibility and availability before making plans.
Get Help Finding Treatment in Hawaii
Hawaii CARES offers statewide screening, assessment, coordination and referrals for substance use care. Call (808) 832-3100 or 1-800-753-6879 to discuss an appropriate next step, especially if you live on a neighbor island.
Not sure which Hawaii program fits?
Ask about your treatment needs, island, age eligibility and coverage. You can also check benefits before you contact a facility.
Verify Your InsuranceIf someone may be overdosing or is in immediate danger, call 911. For emotional or mental health crisis support, call or text 988. SAMHSA National Helpline: 1-800-662-4357 (free, 24/7).
Find Drug Rehab Options is an educational and treatment-matching service, not a healthcare provider. Form information may be shared as described in its consent notice.
Find Rehab Centers by City in Hawaii
The October 2026 SAMHSA listing review identified 86 Hawaii treatment locations in 26 cities and towns. Oʻahu has 61 listings, compared with 12 on Hawaiʻi Island, 8 on Kauaʻi and 5 in Maui County, including Molokaʻi.
Top cities for drug and alcohol rehab in Hawaii
Choose a city to jump to its directory entries; check whether each program treats adults, teens or both.
Hawaii rehab directory: all 86 locations by city
Browse listings by city, then call a program to confirm its treatment services, age requirements, insurance and current intake process. To explore farther away, compare rehab options in other states.
Aiea — 2 facilities
YMCA of Honolulu – Aiea Intermediate School
99-600 Kulawea Street, Aiea, HI 96701
IOP · Outpatient · Telehealth
YMCA Outreach Services – Aiea High School
98-1276 Ulune Street, Aiea, HI 96701
IOP · Outpatient · Telehealth
Ewa Beach — 3 facilities
YMCA of Honolulu – Campbell High School
91-980 North Road, Ewa Beach, HI 96706
IOP · Outpatient · Telehealth
YMCA of Honolulu – Ewa Makai Middle School
91-6291 Kapolei Parkway, Ewa Beach, HI 96706
IOP · Outpatient · Telehealth
YMCA of Honolulu – Ilima Intermediate School
91-884 Fort Weaver Road, Ewa Beach, HI 96706
IOP · Outpatient · Telehealth
Hilo — 3 facilities
CARE Hawaii Inc – Hilo Care Dual IOP
891 Ululani Street, Hilo, HI 96720
PHP · IOP · Outpatient · Dual diagnosis · Telehealth
Accepts: Medicaid, Private insurance
Ku Aloha Ola Mau – Hilo Office
900 Leilani Street, Hilo, HI 96720
IOP · Outpatient · Methadone · Buprenorphine · Telehealth
Accepts: Medicaid, Medicare, Private insurance
Lokahi Treatment Centers – Waiakea Villas
400 Hualani Street, Building 10, Suite 195-B, Hilo, HI 96720
IOP · Outpatient · Dual diagnosis · Telehealth
Accepts: Medicaid, Medicare, Private insurance, Sliding fee
Honolulu — 23 facilities
Bobby Benson Center Continuum of Care – Outpatient
2045 Kamehameha IV Road, Honolulu, HI 96819
PHP · IOP · Outpatient · Dual diagnosis · Telehealth
Accepts: Medicaid, Private insurance
CARE Hawaii Inc – Honolulu Care Dual Diagnosis IOP
197 Sand Island Access Road, Suite 201-D, Honolulu, HI 96819
PHP · IOP · Outpatient · Dual diagnosis · Telehealth
Accepts: Medicaid, Private insurance
Comprehensive Health and Attitude – Management Program Inc (CHAMP)
173 South Kukui Street, Honolulu, HI 96813
Detox · IOP · Outpatient · Dual diagnosis · Methadone
Accepts: Medicaid, Medicare, Private insurance
Department of Veterans Affairs – Substance Treatment and Recov (STAR)
459 Patterson Road, Honolulu, HI 96819
Detox · IOP · Outpatient · Dual diagnosis · Buprenorphine · Naltrexone · Telehealth
Accepts: Medicare, Private insurance
Dynamic Healing Center – Main
200 North Vineyard Boulevard, Suite B-130, Honolulu, HI 96817
PHP · IOP · Outpatient · Dual diagnosis · Buprenorphine · Naltrexone
Accepts: Medicaid, Medicare, Private insurance
Hina Mauka/Teen Care – Aliamanu Middle School
3271 Salt Lake Boulevard, Honolulu, HI 96818
Outpatient · Telehealth
Hina Mauka/Teen Care – Kalani High School
4680 Kalanianaole Highway, Honolulu, HI 96821
Outpatient · Telehealth
Hina Mauka/Teen Care – Radford High School
4361 Salt Lake Boulevard, Honolulu, HI 96818
Outpatient · Telehealth
Kokua Support Services – Main
1130 North Nimitz Highway, Unit A-226, Honolulu, HI 96817
IOP · Outpatient · Telehealth
Accepts: Medicaid, Private insurance, Sliding fee
Ku Aloha Ola Mau – Honolulu Office
1130 North Nimitz Highway, Suite C-302, Honolulu, HI 96817
IOP · Outpatient · Methadone · Buprenorphine · Telehealth
Accepts: Medicaid, Medicare, Private insurance
Queens Medical Center – Kaheiheimalie Building/Outpt Behav
1374 Nuuanu Avenue, Kaheiheimalie Building, Honolulu, HI 96817
PHP · IOP · Outpatient · Dual diagnosis · Buprenorphine · Naltrexone · Telehealth
Accepts: Medicaid, Medicare, Private insurance
Salvation Army Addiction Trt Servs – Continuum of Care Program
3624 Waokanaka Street, Honolulu, HI 96817
Detox · Residential · PHP · IOP · Outpatient · Dual diagnosis · Buprenorphine · Telehealth
Accepts: Medicaid, Private insurance
Salvation Army Fam Treatment Services – Womens Way
845 22nd Avenue, Honolulu, HI 96816
Residential · IOP · Outpatient · Dual diagnosis · Buprenorphine
Accepts: Medicaid
YMCA of Honolulu Central Middle School
1302 Queen Emma Street, Honolulu, HI 96813
IOP · Outpatient · Telehealth
YMCA of Honolulu – Dole Middle School
1803 Kam IV Road, Honolulu, HI 96819
IOP · Outpatient · Telehealth
YMCA of Honolulu – Farrington High School
1564 North King Street, Honolulu, HI 96819
IOP · Outpatient · Telehealth
YMCA of Honolulu – Kalakaua Middle School
821 Kalihi Street, Honolulu, HI 96819
IOP · Outpatient · Telehealth
YMCA of Honolulu – Kawananakoa Middle School
49 Funchal Street, Honolulu, HI 96813
IOP · Outpatient · Telehealth
YMCA of Honolulu – McKinley High School
1039 South King Street, Honolulu, HI 96814
IOP · Outpatient · Telehealth
YMCA of Honolulu – Moanalua High School
2825 Ala Ilima Street, Honolulu, HI 96819
IOP · Outpatient · Telehealth
YMCA of Honolulu – Moanalua Middle School
1289 Mahiole Street, Honolulu, HI 96819
IOP · Outpatient · Telehealth
YMCA of Honolulu – Roosevelt High School
1120 Nehoa Street, Honolulu, HI 96822
IOP · Outpatient · Telehealth
YMCA of Honolulu – Stevenson Middle School
1202 Prospect Street, Honolulu, HI 96822
IOP · Outpatient · Telehealth
Hoolehua — 1 facility
YMCA of Honolulu – Molokai High School
2140 Farrington Avenue, Hoolehua, HI 96729
IOP · Outpatient · Telehealth
Kahuku — 1 facility
Bobby Benson Center – Residential
56-660 Kamehameha Highway, Kahuku, HI 96731
Residential · Dual diagnosis · Naltrexone · Telehealth
Accepts: Medicaid, Private insurance
Kahului — 1 facility
Malama Na Makua A Keiki – Malama Family Recovery Center
388 Ano Street, Kahului, HI 96732
Residential · IOP · Outpatient · Telehealth
Accepts: Medicaid, Private insurance
Kailua — 5 facilities
Hina Mauka/Teen Care – Kailua High School
451 Ulumanu Drive, Kailua, HI 96734
Outpatient · Telehealth
Hina Mauka/Teen Care – Kailua Intermediate School
145 South Kainalu Drive, Kailua, HI 96734
Outpatient · Telehealth
Hina Mauka/Teen Care – Kalaheo High School
730 Iliaina Street, Kailua, HI 96734
Outpatient · Telehealth
Hina Mauka/Teen Care – Olomana Youth Center
42-522 Kalanianaole Highway, Kailua, HI 96734
Outpatient · Telehealth
Poailani Inc – Dual Diagnosis Residential Program
553 Kawainui Street, Kailua, HI 96734
Residential · Dual diagnosis · Buprenorphine · Naltrexone · Telehealth
Accepts: Medicaid, Private insurance
Kailua Kona — 3 facilities
CARE Hawaii Inc – Kona Care Dual
74-5620 Palani Road, Suite 106, Kailua Kona, HI 96740
PHP · IOP · Outpatient · Dual diagnosis · Telehealth
Accepts: Medicaid, Private insurance
Hawaii Island Recovery
Kailua Kona, HI 96745
Detox · Residential · Outpatient · Dual diagnosis · Buprenorphine · Naltrexone · Telehealth
Accepts: Private insurance, Sliding fee
Lokahi Treatment Centers – Kona Office/Hillside Plaza
76-6225 Kuakini Highway, Suite B-105, Kailua Kona, HI 96740
IOP · Outpatient · Dual diagnosis · Telehealth
Accepts: Medicaid, Medicare, Private insurance, Sliding fee
Kaneohe — 7 facilities
Habilitat Inc
45-035 Kuhonu Place, Kaneohe, HI 96744
Detox · Residential
Accepts: Medicaid, Sliding fee
Hina Mauka – Kaneohe Adolescent Office
47-388 Hui Iwa Street, Suite 14, Kaneohe, HI 96744
IOP · Outpatient · Telehealth
Hina Mauka – Main Office
45-845 Pookela Street, Kaneohe, HI 96744
Detox · Residential · PHP · IOP · Outpatient · Dual diagnosis · Buprenorphine · Naltrexone · Telehealth
Accepts: Medicaid, Private insurance
Hina Mauka/Teen Care – Castle High School
45-386 Kaneohe Bay Drive, Kaneohe, HI 96744
Outpatient · Telehealth
Hina Mauka/Teen Care – King Intermediate School
46-155 Kamehameha Highway, Kaneohe, HI 96744
Outpatient · Telehealth
Poailani Inc – Dual Diagnosis Outpatient Clinic
46-174 Kahuhipa Street, Kaneohe, HI 96744
PHP · IOP · Outpatient · Dual diagnosis · Telehealth
Accepts: Medicaid, Private insurance
Poailani Inc – Dual Diagnosis Residential
45-567 Pahia Road, Kaneohe, HI 96744
Residential · Dual diagnosis · Buprenorphine · Naltrexone · Telehealth
Accepts: Medicaid, Private insurance
Kapaa — 2 facilities
Hina Mauka/Teen Care – Kapaa High School
4695 Mailihuna Road, Kapaa, HI 96746
Outpatient · Telehealth
Hina Mauka/Teen Care – Kapaa Middle School
4867 Olohena Road, Kapaa, HI 96746
Outpatient · Telehealth
Kapolei — 3 facilities
YMCA of Honolulu – Kapolei High School
91-5007 Kapolei Parkway, Kapolei, HI 96707
IOP · Outpatient · Telehealth
YMCA of Honolulu – Kapolei Middle School
91-5335 Kapolei Parkway, Kapolei, HI 96707
IOP · Outpatient · Telehealth
Kaunakakai — 1 facility
Keaau — 3 facilities
Big Island Substance Abuse Council – EH OP Facility
16-179 Melekahiwa Street, Keaau, HI 96749
PHP · IOP · Outpatient · Telehealth
Accepts: Medicaid, Medicare, Private insurance, Sliding fee
Big Island Substance Abuse Council – Hilo Mens TLP
16-179 Melekahiwa Street, Keaau, HI 96749
Detox · Residential · Buprenorphine · Naltrexone · Telehealth
Big Island Substance Abuse Council – PWWDC TLP
16-179 Melekahiwa Street, Keaau, HI 96749
Residential · Telehealth
Kealakekua — 1 facility
Kona Community Hospital – Behavioral Health Unit
79-1019 Haukapila Street, Kealakekua, HI 96750
Detox · Hospital inpatient · Dual diagnosis · Buprenorphine · Naltrexone
Accepts: Medicaid, Medicare, Private insurance
Lihue — 4 facilities
CARE Hawaii Inc – Kauai Care Dual IOP
3501 Rice Street, Suite 222-C, Lihue, HI 96766
PHP · IOP · Outpatient · Dual diagnosis · Telehealth
Accepts: Medicaid, Private insurance
Child and Family Service Kauai – E Ala Hou
Lihue, HI 96766
Outpatient · Telehealth
Hina Mauka/Teen Care – Kamakehelei Middle School
4431 Nuhou Street, Lihue, HI 96766
Outpatient · Telehealth
Hina Mauka/Teen Care – Kauai High School
3577 Lala Road, Lihue, HI 96766
Outpatient · Telehealth
Mililani — 2 facilities
Hina Mauka/Teen Care – Mililani High School
95-1200 Meheula Parkway, Mililani, HI 96789
Outpatient · Telehealth
New Horizons Hawaii
95-625 Nawenewene Circle, Suite 310, Mililani, HI 96789
Residential · IOP · Outpatient · Dual diagnosis · Telehealth
Pahoa — 1 facility
Lokahi Treatment Centers – Pahoa Village Center
15-2866 Village Road, Building F, Suite 4, Pahoa, HI 96778
IOP · Outpatient · Dual diagnosis · Telehealth
Accepts: Medicaid, Medicare, Private insurance, Sliding fee
Pearl City — 4 facilities
CARE Hawaii Inc – Pearl City Office
803 Kamehameha Highway, Suite 407, Pearl City, HI 96782
PHP · IOP · Outpatient · Dual diagnosis · Telehealth
Accepts: Medicaid, Private insurance
Hina Mauka/Teen Care – Highlands Intermediate School
1460 Hoolaulea Street, Pearl City, HI 96782
Outpatient · Telehealth
Hina Mauka/Teen Care – Pearl City High School
2100 Hookiekie Street, Pearl City, HI 96782
Outpatient · Telehealth
Women in Need – Oahu Program
98-1238 Kaahumanu Street, Suite 403, Pearl City, HI 96782
IOP · Outpatient · Dual diagnosis · Telehealth
Accepts: Medicaid, Medicare, Private insurance
Wahiawa — 1 facility
YMCA of Honolulu – Leilehua High School
1515 California Avenue, Wahiawa, HI 96786
IOP · Outpatient · Telehealth
Waialua — 1 facility
YMCA of Honolulu – Waialua High and Intermediate School
67-160 Farrington Highway, Waialua, HI 96791
IOP · Outpatient · Telehealth
Waianae — 5 facilities
Hoomau Ke Ola – Residential and Outpatient Program
85-761 Farrington Highway, Suite 101, Waianae, HI 96792
Residential · Hospital inpatient · IOP · Outpatient · Dual diagnosis
Accepts: Medicaid, Medicare
Waianae Coast Comp Health Center – Malama Recovery Services
86-260 Farrington Highway, Waianae, HI 96792
IOP · Outpatient · Dual diagnosis · Buprenorphine · Naltrexone · Telehealth
Accepts: Medicaid, Medicare, Private insurance, Sliding fee
YMCA of Honolulu – Nanakuli High School
89-980 Nanakuli Avenue, Waianae, HI 96792
IOP · Outpatient · Telehealth
YMCA of Honolulu – Waianae High School
85-251 Farrington Highway, Waianae, HI 96792
IOP · Outpatient · Telehealth
YMCA of Honolulu – Waianae Intermediate School
85-626 Farrington Highway, Waianae, HI 96792
IOP · Outpatient · Telehealth
Waikoloa — 1 facility
Lokahi Treatment Centers
68-1845 Waikoloa Road, Suite 224-B, Waikoloa, HI 96738
IOP · Outpatient · Dual diagnosis · Telehealth
Accepts: Medicaid, Medicare, Private insurance, Sliding fee
Wailuku — 2 facilities
CARE Hawaii Inc – Adult IOP
33 North Market Street, Suite 102, Wailuku, HI 96793
PHP · IOP · Outpatient · Dual diagnosis · Telehealth
Accepts: Medicaid, Private insurance
Maui Youth and Family Services Inc – Adolescent Treatment Intensive Outpt
1498 Lower Main Street, Unit C, Wailuku, HI 96793
IOP · Outpatient · Dual diagnosis · Telehealth
Accepts: Medicaid, Medicare, Private insurance
Waimea — 2 facilities
Hina Mauka/Teen Care – Waimea High School
9707 Tsuchiya Road, Waimea, HI 96796
Outpatient · Telehealth
Waimea Canyon/Teen Care – Waimea Canyon Intermediate School
9555 Huakai Road, Waimea, HI 96796
Outpatient · Telehealth
Waipahu — 4 facilities
Alcoholic Rehab Services of Hawaii Inc – Hina Mauka/Waipahu Site
94-830 Hikimoe Street, Suite 1, Waipahu, HI 96797
PHP · IOP · Outpatient · Dual diagnosis · Buprenorphine · Telehealth
Accepts: Medicaid, Private insurance
Hina Mauka – Waipahu Adolescent Office
94-830 Hikimoe Street, Suite 1, Waipahu, HI 96797
IOP · Outpatient · Telehealth
YMCA of Honolulu – Waipahu High School
94-1211 Farrington Highway, Waipahu, HI 96797
IOP · Outpatient · Telehealth
YMCA of Honolulu – Waipahu Intermediate School
94-455 Farrington Highway, Waipahu, HI 96797
IOP · Outpatient · Telehealth
Listings are based on SAMHSA FindTreatment.gov information reviewed in October 2026, with one duplicate merged. Service counts can overlap. Listings are not endorsements, and details can change.
Levels of Care in Hawaii: Which Rehab Program Fits?
Hawaii offers detox, residential, PHP, IOP, outpatient, dual diagnosis and medication-based care, but availability is uneven. An assessment using American Society of Addiction Medicine (ASAM) criteria can help match treatment intensity to your needs.
Drug Detox in Hawaii
Detox helps manage withdrawal when stopping alcohol or other drugs may pose health risks. Hawaii has only 8 locations listing detox or withdrawal management, according to SAMHSA listings reviewed in October 2026.
Medical assessment helps determine whether withdrawal needs supervised care. A stay may last several days, but timing depends on the substance and symptoms. Detox alone is usually not a complete treatment plan. People on Lānaʻi, Molokaʻi or other islands with fewer services may need to ask Hawaii CARES about inter-island options.
Ask each program which substances it treats, whether it offers medical monitoring and whether it accepts Med-QUEST or your plan. Learn more about medically supervised detox programs.
Residential and Inpatient Rehab in Hawaii
Hawaii has 14 facilities listing residential or hospital inpatient substance use care, based on the October 2026 SAMHSA listing review. Of those, 13 list non-hospital residential services and 2 list hospital inpatient treatment; the combined count is not their sum because categories overlap.
Residential treatment provides a structured place to live while receiving counseling and recovery support. Hospital inpatient care adds hospital-based medical resources when appropriate. Stays can last weeks or longer, depending on assessment and the program. With relatively few listings, finding a suitable bed on your island can require broader searching.
Ask whether the program treats your age group, provides medications and coordinates follow-up care. Compare residential treatment with inpatient drug rehab before choosing.
Partial Hospitalization Programs (PHP) in Hawaii
Fourteen Hawaii locations list partial hospitalization or day treatment, according to the October 2026 SAMHSA listing review. PHP offers intensive treatment during the day while many people return home or to other housing at night.
PHP can fit a person who needs more frequent support than standard outpatient visits but not overnight residential care. Schedules vary by provider and can involve several hours on multiple days each week. Since Hawaii has a limited number of listed PHP providers, confirm actual services on your island.
Ask about clinical assessment, transportation, attendance expectations and Med-QUEST eligibility. Read about partial hospitalization programs and what they usually include.
Intensive Outpatient Programs (IOP) in Hawaii
Hawaii has 58 locations listing intensive outpatient treatment, according to the October 2026 SAMHSA listing review. IOP provides scheduled counseling and recovery services without an overnight stay.
IOP often meets several days per week, with sessions lasting a few hours. Be sure to ask whether a location is intended for adults: Hawaii has a large network of school- and community-based youth programs, which contributes to its high IOP count. Not every IOP listing represents an adult treatment option.
Ask about eligibility, telehealth, work or school scheduling, family support and insurance acceptance. Find out how intensive outpatient programs compare.
Outpatient Rehab in Hawaii
Seventy-nine Hawaii locations list outpatient substance use services in the October 2026 SAMHSA review, the most common listed care setting. Outpatient treatment may include assessments, individual counseling, groups and continued recovery support.
Outpatient care can help people who have a stable place to live and do not need 24-hour supervision. Visits can be weekly or more frequent based on clinical need. Many Hawaii listings serve adolescents in schools or communities, so adults should confirm age eligibility before contacting a location.
Ask about in-person versus remote visits, treatment for alcohol or opioid use disorder and payment options. See our overview of outpatient drug rehab.
Dual Diagnosis Treatment in Hawaii
Thirty-one Hawaii treatment locations list services for co-occurring mental health and substance use conditions, according to the October 2026 SAMHSA listing review. This is often called dual diagnosis care.
People with both mental health symptoms and substance use concerns may benefit when clinicians coordinate care rather than treating each issue separately. An assessment can help identify the right setting and whether psychiatric care or medications are available. Services vary by facility and island.
Ask whether the program can evaluate and treat both conditions, and whether it coordinates aftercare. Read about dual diagnosis treatment and depression alongside substance use.
Medication-Based Treatment in Hawaii
Hawaii listings reviewed in October 2026 show 15 facilities offering buprenorphine, 11 offering naltrexone and 3 opioid treatment programs listing methadone. Nine locations report prescribing medication for alcohol use disorder on site.
Medication can be part of evidence-based treatment for opioid or alcohol use disorder, often alongside counseling and follow-up. Methadone for opioid use disorder is dispensed through certified opioid treatment programs. Since only 3 Hawaii listings are opioid treatment programs offering methadone, island and travel needs can affect access.
Ask a qualified clinician which medications are appropriate, whether a program can start or continue treatment and what your benefits cover. Learn about medication-based treatment for opioid use disorder and medications for alcohol use disorder.
The table compares the treatment settings listed by SAMHSA in Hawaii as of October 2026; one location may appear in more than one row.
| Level of care | Hawaii locations | Best for | Typical intensity | Learn more |
|---|---|---|---|---|
| Detox | 8 | Withdrawal requiring medical supervision | Days, with medical monitoring | Detox guide |
| Residential / inpatient | 14 | People needing a structured living setting | 24-hour setting | Residential care guide |
| PHP | 14 | Intensive structured care without overnight stay | Daytime, several days weekly | PHP guide |
| IOP | 58 | Structured care while living at home | Multiple sessions weekly | IOP guide |
| Outpatient | 79 | Ongoing care while living at home | Visits tailored to clinical need | Outpatient guide |
| Dual diagnosis | 31 | Co-occurring mental health and substance use conditions | Varies by clinical need | Dual diagnosis guide |
| Medication-based care | 15 buprenorphine; 11 naltrexone; 3 methadone OTPs; 9 alcohol medication | Opioid or alcohol use disorder when clinically appropriate | Ongoing medication and follow-up | Medication guide |
For help weighing settings, review inpatient versus outpatient rehab.
Drug and Alcohol Rehab in Hawaii by Substance
Hawaii treatment options depend on the substance involved, medical risks and the services a location offers. The SAMHSA listings include medication-based care for opioid and alcohol use disorders.
Opioid Use Disorder Treatment in Hawaii
Hawaii has 15 locations listing buprenorphine, 11 listing naltrexone and 3 methadone opioid treatment programs in the October 2026 SAMHSA review. A clinician can discuss which treatment fits and whether detox is needed. Learn about opioid addiction treatment, including options when fentanyl is involved.
Alcohol Use Disorder Treatment in Hawaii
Nine Hawaii facilities list on-site prescribing for alcohol use disorder medications in the October 2026 SAMHSA review. If stopping alcohol could cause dangerous withdrawal, ask a clinician about medical assessment before quitting abruptly. Compare counseling, residential care and alcohol use disorder treatment.
For other substances, the right approach depends on an assessment rather than a single statewide count. Browse the treatment-by-substance guide.
How Much Does Rehab Cost in Hawaii, and How Can You Pay?
Hawaii rehab costs depend on the care setting, length of treatment, provider and insurance benefits. There is no reliable statewide price for every program; ask for an individualized written estimate and check what your plan pays.
Does Med-QUEST Cover Drug and Alcohol Rehab in Hawaii?
Med-QUEST is Hawaii's Medicaid program, administered by the Department of Human Services' Med-QUEST Division. Hawaii expanded Medicaid in 2014. In the October 2026 SAMHSA listing review, 33 treatment locations indicated that they accept Medicaid.
Medicaid covers medications for opioid use disorder, but specific services, provider networks and prior authorization can differ. Confirm your eligibility through Med-QUEST and ask your treatment program to check your exact benefits.
Private Insurance for Hawaii Rehab
Thirty-two Hawaii treatment locations list private insurance acceptance in the October 2026 SAMHSA review. Federal mental health and substance use disorder parity rules can protect access to covered benefits, but do not mean every facility is in your network. Request details about deductibles, authorization and out-of-pocket costs before admission.
Does Medicare Pay for Hawaii Rehab?
Sixteen Hawaii locations list Medicare as an accepted payment source in the October 2026 SAMHSA review. Covered treatment depends on Medicare rules, the provider and the services you need. Ask each program about Medicare participation and any referrals or approvals.
Can I Find State-Funded Rehab Without Insurance in Hawaii?
Hawaii's Department of Health Alcohol and Drug Abuse Division (ADAD) funds substance use treatment, and Hawaii CARES provides screening and placement referrals. Of the listings reviewed in October 2026, 27 indicate state-financed insurance other than Medicaid, 9 list sliding fees and 31 list other payment assistance; these figures describe different fields and can overlap.
ADAD-funded programs prioritize pregnant women and people who inject drugs. People without coverage can call Hawaii CARES to ask about current eligibility and openings. Read the guide to rehab without insurance; do not assume a specific program will be free.
The payment table shows reported acceptance in Hawaii listings reviewed in October 2026, not guaranteed eligibility or coverage.
| Payment option | Hawaii locations listing it |
|---|---|
| Med-QUEST / Medicaid | 33 |
| Medicare | 16 |
| Private insurance | 32 |
| Cash / self-pay | 35 |
| State-financed insurance other than Medicaid | 27 |
| Military insurance / TRICARE | 12 |
| Sliding fee scale | 9 |
| Other payment assistance | 31 |
Check what your insurance covers
Ask about your exact plan, participating Hawaii providers and possible costs before choosing care.
Verify Your InsuranceBenefit checks do not guarantee coverage or admission.
How Do You Choose a Safe, Licensed Rehab in Hawaii?
Check that a Hawaii treatment program provides the level of care you need and can explain its state licensing or certification status. You can contact Hawaii's Alcohol and Drug Abuse Division to ask which credentials apply to the type of program.
How to Check a Hawaii Rehab Program
Request the facility's current license or certification, the name under which it operates and any accreditation from The Joint Commission or CARF. Hawaii ADAD can be reached at (808) 692-7506; its agency website is another starting point. A directory listing is not proof of current licensing.
Questions to Ask Before Choosing
- Is your license or certification current, and which agency oversees it?
- Are you accredited by CARF or The Joint Commission?
- Do you treat adults, adolescents or a specific group?
- Do you offer the level of care my assessment recommends?
- Can you offer or coordinate medications for opioid or alcohol use disorder?
- Do you provide integrated mental health and substance use care?
- Are you in my insurance network, and what may I owe?
- How long does treatment usually last, and what affects that?
- How are family members involved, if the patient wants them involved?
- What aftercare and recovery support can you help arrange?
Substance Use and Overdose in Hawaii
Hawaii recorded 333 drug overdose deaths in 2024, according to CDC NCHS data reported by USAFacts. The state's age-adjusted drug overdose death rate was 21.0 per 100,000 in 2024, below the national rate of 23.1, according to CDC NCHS figures presented by KFF.
Hawaii's rate changed little from 21.4 in 2023 to 21.0 in 2024, while the national rate fell from 31.3 to 23.1. Hawaii's opioid overdose death rate rose from 3.5 in 2019 to 8.2 in 2024; most of the state's drug overdose death rate in 2024 was attributed to drugs other than opioids.
The table compares Hawaii’s all-drug and opioid overdose rates and, where available, national rates for the same year.
| Year | Hawaii all drugs | Hawaii opioids | U.S. all drugs |
|---|---|---|---|
| 2019 | 15.9 | 3.5 | Not listed |
| 2020 | 18.3 | 5.3 | Not listed |
| 2021 | 17.3 | 6.1 | Not listed |
| 2022 | 18.6 | 7.1 | 32.6 |
| 2023 | 21.4 | 9.4 | 31.3 |
| 2024 | 21.0 | 8.2 | 23.1 |
These trends show why timely assessment, treatment and overdose prevention matter for Hawaii families.
Which Hawaii Islands Have Fewer Rehab Options?
Access to treatment differs sharply by island: 61 of 86 SAMHSA-listed Hawaii locations are on Oʻahu, based on the October 2026 review. If specialized care is not offered nearby, Hawaii CARES can help discuss referrals, telehealth and whether travel may be necessary.
Lānaʻi: No Listed Treatment Locations
Lānaʻi had no location in the reviewed SAMHSA listings. People living there can start with Hawaii CARES and ask about telehealth or referrals to Maui, especially Wailuku and Kahului, or Oʻahu for in-person services.
Molokaʻi: Two Listed Locations
Molokaʻi had 2 listings, in Kaunakakai and Hoʻolehua. Detox, residential treatment or methadone care may require travel to Maui or Oʻahu, depending on assessment and current program availability.
Maui: Three Listed Locations on the Island
Maui island had 3 locations listed in Wailuku and Kahului. Maui County's total is 5 when the 2 Molokaʻi locations are included. Ask programs whether they provide the specific services and age eligibility you need before traveling.
Kauaʻi: Eight Listed Locations
Kauaʻi had 8 treatment listings across Līhuʻe, Kapaʻa and Waimea. Some higher-intensity services may not be available locally. An assessment and referral through Hawaii CARES can help identify practical next steps.
Hawaiʻi Island: Twelve Listed Locations
Hawaiʻi Island had 12 listings in Hilo, Keaʻau, Pāhoa, Kailua-Kona, Kealakekua and Waikoloa. Travel time on the island itself may affect appointments. Ask about telehealth, in-person requirements and referrals for specialized treatment.
Hawaii Addiction Resources and Helplines
Hawaii CARES is a statewide starting point for substance use screening and referral. The Alcohol and Drug Abuse Division also oversees state substance use treatment activities, while naloxone access and crisis lines offer additional support.
Hawaii CARES
Statewide assessment, care coordination and referral: (808) 832-3100 or 1-800-753-6879. Hawaii CARES information.
Hawaii Alcohol and Drug Abuse Division
601 Kamokila Blvd., Room 360, Kapolei, HI 96707. Phone: (808) 692-7506; information: (808) 586-4400. ADAD website.
Free Naloxone in Hawaii
The Hawaiʻi Health & Harm Reduction Center network offers free naloxone pick-up on Oʻahu, Maui and Hawaiʻi Island, and mail orders for Kauaʻi, Lānaʻi and Molokaʻi. See naloxone access options.
Hawaii Good Samaritan Protections
Act 217 (2015) provides specified legal protections for people who seek help in good faith during an overdose and for the person experiencing it, including protection from certain drug or paraphernalia possession penalties tied to seeking help.
988 Suicide & Crisis Lifeline
Call or text 988 for 24/7 crisis support. In an overdose or immediate medical emergency, call 911.
SAMHSA National Helpline
Call 1-800-662-4357 for free, 24/7 referral information about substance use treatment and support.
Rehab Programs for Specific Groups in Hawaii
Hawaii programs do not all serve the same people. The October 2026 SAMHSA listing review records age, population and accessibility services that can help narrow your search.
Teens and Young Adults
Sixty locations report accepting children or adolescents, 56 list special adolescent programs, and 27 list services for young adults. Many locations are school- or community-based youth sites, including 24 YMCA of Honolulu locations and 17 Hina Mauka Teen Care locations. That helps explain Hawaii's high IOP and outpatient counts; adult seekers should filter carefully.
Pregnant and Postpartum Women
Twenty-two Hawaii locations list services for pregnant or postpartum women. Hawaii ADAD-funded programs give priority admission to pregnant women, but eligibility and services should be checked with the individual program and Hawaii CARES.
Veterans
Twenty-four Hawaii treatment listings indicate services for veterans. The directory also includes a Department of Veterans Affairs Substance Treatment and Recovery (STAR) program in Honolulu. Ask about eligibility, coordination with VA services and appropriate insurance.
Older Adults
Twenty-six Hawaii locations list services for seniors. Ask about medical conditions, accessibility, transportation, medications and whether the program can coordinate with existing healthcare clinicians.
People Involved With the Justice System
Thirty-one Hawaii listings report services for people involved with the justice system. Confirm whether a program meets any treatment or documentation requirements set by a court or supervision agency.
Language and Communication Support
Forty-seven locations indicate American Sign Language services, while 1 lists Spanish-language services. Ask a facility directly whether a qualified interpreter and the communication accommodations you need will be available.
What Happens When You Start Rehab in Hawaii?
Starting treatment in Hawaii usually begins with a conversation, assessment and coverage check. Hawaii CARES can help coordinate the first steps, including for people who may need care on another island.
- Reach out. Call Hawaii CARES at (808) 832-3100 or 1-800-753-6879, or contact a Hawaii facility from the directory.
- Describe your needs. A professional can ask about substance use, physical health, safety and mental health, using a clinical assessment such as the ASAM criteria.
- Review payment. Check Med-QUEST, other insurance or state-funded referral options, including possible approvals and costs.
- Plan withdrawal care if needed. Because only 8 Hawaii locations list detox, ask early about medical supervision and travel if withdrawal could be dangerous.
- Make a treatment plan. Discuss outpatient care, IOP, PHP, residential treatment or medications based on your clinical needs and age eligibility.
- Adjust the level of support. As needs change, your care team may recommend more or less intensive services.
- Continue recovery support. Discuss follow-up appointments, peer support, relapse prevention and practical help after treatment.
Learn what drug rehab involves and how to find drug rehab near you.
Check your Hawaii rehab benefits
Knowing your coverage can help you compare realistic options before contacting a program.
Verify Your InsuranceCoverage and admission must be confirmed by a provider.
FAQs About Drug Rehab in Hawaii
These answers explain common Hawaii treatment, insurance and access questions. Program details may change, so confirm decisions with an appropriate provider.
How many drug rehab centers are in Hawaii?
Our October 2026 review of SAMHSA FindTreatment.gov listings identified 86 substance use treatment locations in Hawaii across 26 cities and towns after merging one duplicate listing. Oʻahu has 61 of these locations. Counts include school- and community-based youth programs, so 86 does not mean there are 86 adult residential rehabs.
Does Med-QUEST (Hawaii Medicaid) cover drug and alcohol rehab?
Med-QUEST is Hawaii’s Medicaid program, and 33 Hawaii treatment listings indicate Medicaid acceptance in our October 2026 SAMHSA review. Medicaid covers medications for opioid use disorder. Specific counseling, inpatient or outpatient benefits depend on coverage rules and providers; verify your plan and confirm participation with the program.
Is there free or state-funded rehab in Hawaii?
Hawaii’s Alcohol and Drug Abuse Division funds substance use treatment, and Hawaii CARES helps connect people with screening and referrals. In the October 2026 SAMHSA review, 9 locations list sliding fees and 31 list other payment assistance. A listed payment option does not guarantee free care; ask Hawaii CARES about eligibility and current access.
What is Hawaii CARES and how does it help?
Hawaii CARES provides statewide intake, screening, assessment, care coordination and referrals for substance use treatment and recovery support. Call (808) 832-3100 or toll-free 1-800-753-6879. It can be a useful starting point for residents of Maui, Kauaʻi, Molokaʻi or Lānaʻi who need help locating appropriate care.
How much does rehab cost in Hawaii?
The cost of rehab in Hawaii depends on whether care is outpatient, intensive outpatient, detox or residential, how long it lasts and what your insurance covers. There is no one price that applies to every facility. Ask a program for its fees and check Med-QUEST, private insurance and possible payment assistance before making a decision.
Where can I find detox in Hawaii?
Eight Hawaii treatment locations list detox or withdrawal management, according to the October 2026 SAMHSA review. Use the Hawaii directory to search by city, then confirm medical services, substances treated and availability directly. For an island with fewer options, Hawaii CARES can discuss assessment and referral; dangerous withdrawal needs medical guidance.
What is the difference between inpatient and outpatient rehab?
Inpatient or residential rehab provides an overnight treatment setting; outpatient rehab lets a person live elsewhere while attending scheduled care. Hawaii’s October 2026 SAMHSA review identified 14 residential or hospital inpatient locations and 79 outpatient locations. A clinical assessment helps decide which level of care is appropriate.
Can I get methadone or Suboxone (buprenorphine) in Hawaii?
Medication-based care is available in Hawaii, although access differs by medication. In the October 2026 SAMHSA listing review, 3 opioid treatment programs list methadone and 15 locations list buprenorphine. Suboxone is a brand containing buprenorphine and naloxone. Ask a qualified provider about evaluation, prescribing or dispensing rules, and follow-up.
Are there rehab programs for teens in Hawaii?
Yes. Sixty Hawaii locations list acceptance of children or adolescents, and 56 list special adolescent programs in the October 2026 SAMHSA review. Hawaii has many school- and community-based youth locations. Ask about ages served, parent or guardian involvement, confidentiality and whether the program offers the level of care needed.
Can I get treatment if I live on Maui, Kauaʻi, Molokaʻi or Lānaʻi?
Yes, treatment referrals and telehealth may help residents of Hawaii’s neighbor islands. The October 2026 SAMHSA review listed 3 locations on Maui island, 8 on Kauaʻi, 2 on Molokaʻi and none on Lānaʻi. Hawaii CARES can help explore options, and some specialized services may require travel to another island.
Does Hawaii have a Good Samaritan law for overdoses?
Yes. Hawaii Act 217 (2015) gives specified legal protections to people who seek medical help in good faith for an overdose and to the person overdosing. It covers certain drug or paraphernalia possession consequences connected to asking for help, but it is not immunity from every law. Call 911 immediately for a suspected overdose.
Where can I get free naloxone (Narcan) in Hawaii?
The Hawaiʻi Health & Harm Reduction Center network offers free naloxone pickup on Oʻahu, Maui and Hawaiʻi Island, with a mail-order option for Kauaʻi, Molokaʻi and Lānaʻi residents. Hawaii also supports free naloxone distribution boxes and vending machines. Visit the network’s naloxone information page for current pickup or delivery instructions.
Sources, Methodology and Editorial Standards
This guide uses SAMHSA FindTreatment.gov listings reviewed in October 2026 and the National Substance Use and Mental Health Services Survey (N-SUMHSS) as the underlying facility-data source. We identified 87 Hawaii listings and merged a duplicate to report 86 locations. Each location can offer several services, so level-of-care and payment totals overlap. The directory is not a guarantee of every available service or a ranking or endorsement.
Find Drug Rehab Options does not own or operate a rehab facility, make a diagnosis or provide medical treatment. It is an educational and treatment-matching resource. When someone submits our form, information may be shared with treatment providers or support specialists as described in the form's consent. Always confirm services, licenses, insurance and costs with the program. In an emergency call 911; for emotional crisis support call or text 988.
Learn about our editorial policy, medical disclaimer, advertising disclosure and organization.
- SAMHSA FindTreatment.gov — Hawaii treatment listings (retrieved October 2026; 86 locations after merging one duplicate)
- SAMHSA National Substance Use and Mental Health Services Survey (N-SUMHSS) (survey methodology; reviewed October 2026)
- Hawaii Department of Health, Alcohol and Drug Abuse Division (reviewed October 2026)
- Hawaii CARES (reviewed October 2026)
- Hawaii Med-QUEST (reviewed October 2026)
- Hawaiʻi Health & Harm Reduction Center — naloxone (reviewed October 2026)
- Hawaii Opioid Settlement Program — naloxone (reviewed October 2026)
- Hawaii Act 217, 2015 (2015)
- KFF — Medicaid expansion (reviewed October 2026)
- KFF / CDC NCHS — all-drug overdose rates (2019–2024)
- KFF / CDC NCHS — opioid overdose rates (2019–2024)
- USAFacts / CDC NCHS — Hawaii overdose deaths (2024)
Drug Rehab in Nearby States
Hawaii has no bordering U.S. states. If you are considering treatment on the mainland or in Alaska, compare these states and ask about travel, insurance and continuity of care.
Drug Rehab in Hawaii: Detox, Inpatient & Outpatient Care
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