Hawaii’s lush tropical landscape makes it one of the most popular destinations in the world. Famous for its temperate climate and spectacular beaches, Hawaii is often referred to as a verdant paradise. However, despite its scenic surroundings, Hawaii is not exempt from ongoing problems associated with mental health and alcohol and drug abuse.
According to the Substance Abuse and Mental Health Services Administration (SAMHSA), usage of marijuana, cocaine, heroin, and prescription opioids have been on the rise in recent years. The most abused substance in the state, though, is crystal meth, and this is due to Hawaii’s history of increased drug trafficking, particularly in the 1990s.
Fortunately, hope is not lost as there are numerous quality addiction treatment facilities across the state. These centers provide a range of inpatient and outpatient programs, many of which are culturally sensitive to the needs of native Hawaiians.
Best Rehab Centers in Hawaii
Family and Addiction Counseling
Family and Addiction Counseling (FAC) offers counseling services for individuals struggling with alcohol and drug abuse. Utilizing a holistic approach that encompasses mind, body, and soul, FAC’s philosophy is that anyone can recover from addiction over time. Their varied on-site team is equipped to treat clients at every stage of the healing process — from active use to relapse to recovery.
Along with individual and group counseling, Family and Addiction Counseling also provides family therapy, teen and young adult counseling, and medication-assisted treatment using Suboxone and other anti-addiction medicines. This center favors client-centered therapy rather than model-directed treatment, and utilizes biological, psychological, and community-based interventions to provide a whole continuum of care.
Hawaii Island Recovery
Hawaii Island Recovery is the largest residential substance abuse treatment facility on the Big Island. Their holistic program provides evidence-based treatment, medically supervised detox, and experiential therapies in a calming environment. Founded on the philosophy that anyone can recover from addiction, Hawaii Island believes long-term recovery is achieved by addressing the underlying causes of addiction.
Situated in a beautiful island-style residence, this facility operates with a maximum of 8 clients at a time. Treatments are personalized and include dual diagnosis for concurrent mental health conditions, individual and group therapy, 12-step groups, recovery coaching, Eye Movement Desensitization and Reprocessing (EMDR), and Cognitive-Behavioral Therapy (CBT).
Hawaii Island also offers holistic services like massage, yoga, mindfulness, acupuncture, and unique experiential treatments such as dolphin-assisted therapy, which allows clients to heal by connecting with nature. This facility is accredited by the Joint Commission and the Commission on Accreditation of Rehabilitation Facilities (CARF).
Providence Treatment is an award-winning alcohol and drug treatment center that employs a bio-psychosocial and spiritual focus approach to treatment. Targeted mainly at professionals, their integrated care model employs holistic treatment that prepares clients for a productive and sober future. Led by Dr. Willian Heran, Providence Treatment draws from industry best practices such as 12-step philosophies while working to assist spiritual growth for each client.
Accredited by the Joint Commission, Providence Treatment’s array of cutting-edge addiction treatments include assessments, individual, group and family therapies, mindfulness training for recovery, EMDR, aftercare, recovery Dharma meetings, coordination with third parties, and spiritual guidance. They also provide telehealth programs for those requiring remote services. This facility is an ideal option for individuals seeking comprehensive outpatient treatment that combines holistic and spiritual practices with psychosocial approaches.
McKenna Recovery Center
The Mckenna Recovery Center is a comprehensive, accredited treatment center for alcohol and drug addiction. With locations in Lihue, Hilo, and Honolulu, this center’s primary aim is to guide substance-dependent individuals back to full health (ke ala pono). Founded by Dr. Gerald McKenna in 1989, this facility has the capacity to treat various substance use disorders as well as concurrent mental health conditions.
McKenna Recovery’s philosophy is that addiction and mental disorders are treatable medical illnesses, and therefore no blame should be attributed to the individual. The services offered at this facility include individual and group counseling, dual diagnosis for co-occurring mental health issues, medication-assisted therapy, family therapy, employee assistance programs, and medical detox.
Kū Aloha Ola Mau
Kū Aloha Ola Mau is an outpatient treatment facility founded on the belief that anyone can recover from addiction. Established in 1976, Kū Aloha Ola Mau’s spiritual and holistic approaches are combined with counseling, care coordination, and early intervention to foster well-being. Their on-site team includes licensed psychologists, substance abuse counselors, physicians, RNs, and family therapists.
This CARF-accredited facility treats a range of substance addictions, including alcohol, cocaine, heroin, methamphetamine, prescription drugs, and marijuana. Working strongly with the family unit, Kū Aloha delivers creative scientific interventions that merge with cultural wisdom. This includes spiritual and trauma-informed drug rehab, where clients establish a deeper understanding of themselves within their culture. Those interested in treatment with a strong cultural approach may also be interested in Ho'omau Ke Ola in Waianae.
Maui Recovery is a luxury 12-bed holistic residential treatment facility founded on the Hawaiian word ‘Ohana’, which means ‘coming from the same root’. This reference to an inclusive and extended family forms the philosophy of Maui Recovery and its emphasis on guiding individuals towards an internal journey of healing. Rated as one of the most successful programs in Hawaii, Maui Recovery provides an intimate treatment program for a range of addictions such as alcohol, drugs, gambling, sex, and social media.
Treatment at Maui Recovery includes EMDR, CBT, motivational interviewing, dialectical behavioral therapy (DBT), and mindfulness-based stress reduction. They also provide unique holistic therapies such as adventure therapy, nature immersion, equine therapy, surfing therapy, and the Hero’s Journey, a popular mythical story structure that is used to guide the recovery process. While this facility doesn’t take insurance, they do offer a special kamaaina rate to residents of the Hawaiian Islands.
CHAMP Clinic of Maui
CHAMP is an opioid addiction treatment facility that provides medication-assisted treatment and counseling services on an outpatient basis. Their primary aim is to reduce the harm of opioid use and to help individuals achieve long-term recovery. CHAMP also works closely with the community and other outreach services such as local hospitals and clinics, shelters, community centers, and social services to provide referrals where needed.
Treatment at CHAMP includes Methadone maintenance and dosing, medical detox, case management, counseling and emotional support, and vocational planning. Individuals seeking medication-assisted treatment for other substance use may also be interested in McKenna Recovery Center in Hilo, as they provide similar MAT services but with a more comprehensive offering.
Island Integrated Health
Island Integrated Health is an alcohol and drug abuse treatment center that utilizes a whole-person approach. Their philosophy is that everyone’s path to recovery is unique and that each individual has the answers within themselves to guide the treatment process. They also believe that addiction is closely linked to trauma and that those events should be treated with care and acknowledgment.
The various programs offered by Island include assessments, family support, mental health support, outpatient programs, residential programs (by referral), and aftercare support. Their highly skilled team of professionals includes clinicians, support technicians, chemical dependency counselors, and experiential specialists. Island Integrated Health’s holistic, person-centered approach is similar to The Exclusive Hawaii in Hakalau, but Exclusive offers inpatient services.
Ho’omau Ke Ola
Ho'omau Ke Ola is an addiction treatment center strongly rooted in Hawaiian cultural and spiritual values. Founded on the belief that healing is best achieved through a cultural environment, this facility guides clients towards a complete rehabilitation of their lifestyle and values.
Ho'omau Ke Ola’s cultural treatment draws from storytelling and group engagement to encourage individuals to share their history and struggles. This includes a curriculum of kūkulu kumuhana (statement of purpose), moʻokuauhau (genealogy), ka huakaʻi (migration), ʻike hana lima (craftmanship), paʻani kahiko (ancient games), self-discipline, and Native Hawaiian crafting.
These cultural modalities are integrated with behavioral therapeutic methods such as 12-step concepts, cognitive-behavioral intervention (CBI), trauma-informed care, DBT, social skills training, health and nutrition, recreation opportunities, and life skills. They also offer evaluations and assessments, vocational and employment services, referrals, case management, and aftercare.
Founded in 1971, Habilitat is an inpatient facility that helps individuals overcome substance abuse and homelessness. With one of the highest success rates in the US for addiction treatment, Habilitat provides an alternative to the 12-step philosophy by focusing strongly on empowerment and helping clients develop a strong sense of self-esteem and self-discipline.
With around 100 residents, this facility provides treatment in three transitional phases — treatment, re-entry, and post-re-entry. These phases are highly structured and revolve around the development of self-reliance, responsibility, and commitment to change. During the treatment phase, clients are given education, tools, vocational prep, nutrition and fitness training, and methods for dealing with their emotions. Clients graduate onto the next stages once they are compelled to take on more responsibility and make practical changes.
The Exclusive Hawaii
The Exclusive Hawaii is a luxury residential treatment center for alcohol and drug addiction. This 8-bed facility provides a holistic program based on their revolutionary methodology, Core Belief Restructuring. By addressing the deeper underlying causes of addiction, Exclusive Hawaii’s method empowers clients to recognize they have the power within to change and overcome dysfunctional core beliefs.
Their five-stage treatment process involves a whole person approach to release trauma, address physical and emotional imbalances, and restructure self-limiting thoughts. This non-12-step program provides medically supervised detox, individualized treatment, life skills, and holistic modalities such as yoga, exercise, massage, nutritional counseling, nature therapy, and equine therapy.
Exclusive Hawaii’s 8-bed residence is staffed by 35 qualified and caring staff members and is situated on a beautiful spacious estate next to the ocean. This CARF-accredited facility has a strong reputation for emotional recovery from addiction and guiding clients towards a healthy and fulfilling life.
Action With Aloha
Action With Aloha is an outpatient behavioral health center that works closely with families, community, and supportive services to treat alcohol and drug addiction. Their philosophy is based on the belief that long-lasting recovery occurs when an individual recognizes their innate capacity to heal themselves. With an anytime, open-door policy, Action With Aloha provides culturally-sensitive services that are individualized for each patient.
Treatments offered at the center include consultations, individual and group counseling, assessments for DUI or court-ordered referrals, and mental health evaluations. Their on-site staff has experience in therapeutic modalities such as substance abuse counseling, cognitive-behavioral therapy (CBT), behavioral therapy, client-centered therapy, and experiential therapy.
New Horizons Counseling
Established in 1980, New Horizons Counseling is a nationally recognized program for alcohol and drug addiction. Led by Mark Turansky, a certified substance abuse counselor with over 20 years of experience, this program is based on cognitive approaches that teach individuals how to make constructive choices. This is an ideal option for those seeking an in-depth, personalized approach to treatment.
New Horizon’s main treatment methods include a combination of evidence-based models based on cognitive behavioral therapy (CBT). Clients undertaking the intensive outpatient and outpatient programs are given the freedom to carry on everyday life while receiving coaching and counseling. While this program is largely outpatient, there are also options for short-term one-on-one inpatient treatment (referred to as ‘treatment camp’), which takes place through a 3-day retreat on Hawaii’s North Shore.
The Salvation Army Addiction Treatment Services (ATS)
The Salvation Army provides inpatient and outpatient services for alcohol and drug addiction. Their specialized programs are CARF-accredited and provide spiritual, emotional, and social assistance as well as help with housing, food, community, and employment. Their programs treat the root causes of substance dependence with a comprehensive continuum of treatment. This includes individualized planning, group counseling, cognitive restructuring, 12-step programs, life skills, drug testing, and continuing care. They also provide work therapy programs, family treatment services, and non-medical detox.
The Salvation Army’s 75-bed residential rehab program is gender-specific and includes 40 hours of treatment per week. This inpatient program is suited to severely addicted clients who may also be high-risk offenders and require a structured environment. Their outpatient and day treatments are also highly structured and involve several hours of therapy each week.
Behavioral Health Hawaii
Behavioral Health Hawaii is a CARF-accredited facility that offers outpatient services for alcohol and drug addiction. Their intensive outpatient programs operate on the belief that clients flourish best in supportive and respectful environments, and individuals are given knowledge and skills to empower long-lasting change. Clients receive counseling and the opportunity to explore underlying issues, build life skills, and recognize and deal with relapse triggers.
Their partial hospitalization program (PHP) provides a more intensive form of therapy that includes therapeutic group sessions at least 5 days per week, intensive case management, individual and group therapy, psychiatry, and medication-assisted treatments. Delivered in a holistic and safe environment, Behavioral Health’s comprehensive treatments are well suited to individuals who are in an active process of change and are looking for intensive outpatient therapy.
Malama Family Recovery Center (Aloha House)
Aloha House provides inpatient, outpatient, and sober living services for alcohol and drug addiction. Their person-centered behavioral health interventions focus on improving the whole range of each patient’s mental and emotional well-being. This includes daily life challenges, relationships, and mental health issues. Aloha House teaches clients to rediscover their inner strengths, learn from experience, and cultivate new routes towards health and wellness.
Their full continuum of care includes evidence-based mental health practices delivered by a clinical team of experts in psychiatry, psychology, and social work. Aloha House’s client-centered approach helps individuals develop a stronger sense of self-esteem and maintain sober lifestyles by encouraging them to face challenges in their health, relationships, work, and home life. Aloha House is CARF-accredited and also offers women’s and youth services.
Lokahi Treatment Centers
Lokahi is an outpatient substance abuse treatment center that provides culturally-appropriate services for Hawaiian residents. Established in 2001 by Dr. Jamal Wasan, Lokahi was founded in response to the methamphetamine epidemic in the late 1990s. Since then, this CARF-accredited facility has treated a range of substance dependencies by providing a highly structured outpatient treatment environment.
Utilizing integrated approaches such as CBT and existential psychotherapy, this facility equips individuals with the necessary strategies to attain emotional, cognitive, and spiritual growth.
Treatments include gender-specific and mixed groups, anger management, domestic violence intervention, mental health evaluations, individual, and group counseling. Lokahi’s client-centered and strength-based approach would suit individuals looking for culturally valued therapies with a strong mental health focus.
Po’ailani is a dual-diagnosis treatment center for alcohol and substance abuse. Their community-based and client-focused continuum of care is centered on compassion, respect, and quality services. While they treat any mental illnesses, the most commonly treated include depression, anxiety, bipolar, PTSD, obsessive-compulsive disorder, and schizophrenia. Po’ailani would therefore suit individuals who are struggling with co-occurring mental issues alongside their substance dependencies.
Po’ailani offers both specialized residential programs and intensive outpatient programs, varying in duration. The treatments offered in these programs include individual, group and family counseling, mental health education, trauma-informed care, anger management, motivational enhancement, 12-step recovery, relapse prevention, and recreational/spiritual activities. Clients are expected to have an active involvement in their recovery planning and the services that they receive.
Hina Mauka is a treatment center for alcohol and drug abuse that has been operating for over 50 years. Their CARF-accredited programs utilize evidence-based therapies and encouragement as part of their treatment. The residential program provides housing, food, and transportation, along with a planned regimen of assessment, treatment, and case management. The program provides a minimum of 24 hours per week of face-to-face treatment, along with a minimum of 1 hour per week of individual counseling.
Hina Mauka’s outpatient option provides similar treatment as the residential program; however, clients are able to live their lives freely elsewhere. This program provides 1 to 15 hours per week of treatment that includes assessment, treatment planning, crisis intervention, individual and group counseling, substance abuse education, and recreational therapy. Hina Mauka also offers outpatient treatment for teenagers and young adults through their CARE (Counseling, Awareness, Rehabilitation, Education) program.
Ka Hale Pomaika
Ka Hale Pomaika (KHP), also known as ‘The Blessed House’, has been operating since 1996 as a valuable resource and support system for individuals with alcohol or drug addiction. Working closely with state-certified substance abuse counselors, prevention specialists, and criminal justice addictions professionals, KHP provides access to treatment, recovery advocacy, sober living, and peer mentoring. KHP’s programs are designed to reduce recidivism and relapse among those who struggle with alcohol or drug dependencies.
Designed with cultural sensitivity for the Island population, KHP combines evidence-based models with Hawaiian values to enable better integration into the client’s community. The other services they provide include drug testing, recovery support, 12-step groups, substance abuse assessment, motivational enhancement, culturally infused recovery, employee assistance, emergency food pantry, and impaired driver’s classes.