According to the Substance Abuse and Mental Health Services Administration (SAMHSA), there are 144 drug rehab centers in Hawaii. This includes just under 20 detox programs, less than 15 short-term programs, over 15 long-term facilities, and more than 130 outpatient programs. Addicted.Org has a lengthy directory of the different services which are available within the state, such as relapse prevention programs, family programs, drug testing services, and substance use counseling for individuals and families.

Our qualified & caring addiction specialists are also available to answer any of your questions and help you find the program that is right for you or your loved one. With their years of experience in the field of addiction, our counselors know how to guide you through this process, so it goes as smoothly as possible.

Call 1-800-304-2219 to talk to a rehab specialist

Hawaii Long-Term Drug Rehab

Long-term treatment, in our professional opinion, is the most effective approach when it comes to overcoming an addiction to alcohol and drugs. Here are some of the reasons why we believe this to be true:

  • Treatment can last 30, 60, 90, or 120 days, or even more, as the length of the program depends simply on the needs of each client.
  • The length of treatment gives the person ample time to address the underlying issues connected to their addiction.
  • During treatment, they can learn new skills, abilities, and gain tools and knowledge that can assist them in maintaining their sobriety.
  • Better aftercare services can be provided, ensuring a smooth transition back into society.

Long-Term Drug Rehab in Hawaii for Specific Demographics:

  • 11 rehab programs help adult women.
  • 13 treatment centers work with adult men.
  • 2 facilities in Hawaii are for adolescents.
  • 6 programs work with seniors and older adults.
  • 5 rehab centers tailor programs for the LGBTQ+ community.
  • 5 treatment facilities offer their services to pregnant and postpartum women.

Payment Options for Long-Term Programs:

  • 7 programs in Hawaii accept Medicaid.
  • 11 treatment centers take private health insurance.
  • 16 rehab facilities are private pay or self-payment.
  • 3 programs offer a sliding fee scale for payment.

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List of Rehabs in Hawaii

Here is a list of the different drug rehab programs in Hawaii. The list can be incomplete so please do not hesitate to contact one of our treatment specialists at 1-800-304-2219.

Inpatient Drug Rehab Hawaii

The Substance Abuse and Mental Health Services Administration provides information on specific treatment programs that are available throughout the US. In Hawaii alone, there are 120 different drug and alcohol treatment programs available to residents. Substance use rehab centers are beneficial to drug users as they offer the support that is needed to quit an addiction but also to maintain that sobriety long-term.

Inpatient Drug Rehab for Specific Demographics:

  • Fourteen of the drug rehab programs in the state are inpatient programs.
  • There are 113 programs that offer outpatient drug treatment services.
  • Adolescents can receive treatment at 88 of the drug rehab centers in the state.

Payment Options for Inpatient Drug Rehabs:

  • Cash-pay or self-pay is available at 60 of the drug treatment centers in Hawaii.
  • 53 drug rehab centers accept private health insurance.
  • Medicaid is accepted at 49 of the drug treatment programs in the state.

Treatment Breakdown for Hawaii

Detox Programs

Detoxification can be quite a tough process, considering the withdrawal symptoms that can come up, but it is nonetheless an essential part of the recovery process. There are 18 detox programs within Hawaii, according to the SAMHSA directory.

Short-Term Residential

Based on SAMHSA, there are 10 short-term rehab centers throughout the state of Hawaii. Short-term treatment offers various services, typically including individual & group therapy, as well as family therapy sometimes.

Long-Term Inpatient

Long-term residential treatment allows, because of its length, for different treatment methodologies to be incorporated. In Hawaii, there are 16 long-term treatment facilities available, per the SAMHSA directory.

Outpatient Treatment

According to SAMHSA, there are 135 outpatient programs in Hawaii. Outpatient treatment is ideal for those who cannot afford to put their life on pause in order to attend long-term treatment.

Cost of Treatment in Hawaii

Hawaii has dealt with an influx of substance use, primarily methamphetamine abuse. This has caused a rise in the need for substance use treatment throughout the state. The cost of treatment can be a major concern for those struggling with an addiction problem. Several options exist to help make treatment more affordable for everyone.

According to SAMHSA:

  • Medicaid is accepted at 49 drug treatment programs in Hawaii.
  • There are 53 treatment centers in the state accepting private health insurance.
  • 60 have self-payment options are available at 60 treatment programs in Hawaii.
  • Hawaii also has 11 drug rehabs with a sliding scale.

Paying for Treatment with Medicaid in Hawaii

Since 1974, Hawaii has had the Hawaii Prepaid Health Care Act which requires employers to offer health insurance to anyone working more than 20 hours a week. With the availability of health insurance, many people are able to seek out drug rehabilitation services if they are struggling with drug addiction. Medicaid is available at 49 programs in the state which allows patients to use their Medicaid to pay for the treatment needed. Medicaid does only work with specific programs making it important to find out which programs will be covered. While there are options for those with Medicaid insurance, 49 drug treatment programs are not a truly large number compared to the number of drug users in the state. It is important to start the process sooner rather than later as there can be waitlists for some drug rehab centers.

Using Private Insurance to pay for Drug Rehab in Hawaii

Private health insurance is a great way to be able to afford drug and alcohol rehab services and can cover a large portion of the treatment. Health insurance providers will work with specific drug treatment centers and cover only those programs. These insurance providers only work with the centers that they approve and there can still be some out-of-pocket expenses associated with the treatment. Each provider can explain all benefits as well as which programs will be covered in the state.

According to Hawaii’s health marketplace, the following insurers are available in Hawaii:

  • Kaiser
  • HMSA

Paying for treatment when uninsured

Paying for treatment without health insurance can be exceptionally costly and utilizing any free programs usually comes with lower quality care with a slim chance of receiving immediate treatment. Waiting for a drug treatment program to have an open bed can mean the difference between life and death when dealing with addiction. Thankfully, there are different financial options for anyone that is uninsured. A sliding scale fee allows patients to pay a fee based on their income and cash-pay pragmas allow patients to receive treatment without any health insurance. can help navigate the different treatment options and financial availability of treatment near you.

Hawaii Substance Use and Rehab Statistics

Drug and alcohol addiction has been a major concern for the entire country including Hawaii. To help end the growing rates of drug abuse, drug rehabilitation services are becoming more available for drug users including an increase in funding. The Substance Abuse and Mental Health Services Administration provided the state of Hawaii with funding for mental health services and addiction treatment services. This totalled over $50 million in 2021 for both mental health and substance abuse.

According to America’s Health Rankings:

  • 3% of adults in Hawaii reported cannabis use in the past year.
  • 8% of residents report illicit drug abuse.
  • 0% of adults reported non-medical abuse of prescription drugs.

According to SAMHSA:

  • 1,454 drug treatment admissions were reported in Hawaii in 2020.
  • 1% of all treatment admissions were for amphetamine abuse.
  • 2% of the treatment admissions involved alcohol only.
  • 1% of admissions were for other opiates aside from heroin.

Hawaii Drug Overdoses

The main concern with the drug crisis is the rising number of drug and alcohol-related deaths being seen around the nation. Hawaii has seen a large number of drug deaths and a high rate of amphetamine abuse however opioids are still an issue in the state. The National Institute on Drug Abuse (NIDA) reported that Hawaii had 59 drug deaths that involved opioids. The Centers for Disease Control report:

  • 264 drug-related deaths from Nov. 2020 through Nov. 2021.
  • 277 drug deaths were reported in the previous year.
  • Hawaii was one of three states that reported a decrease in drug deaths with a 4.69% decrease.’s Evaluation of Hawaii

After reviewing the available data for drug and alcohol treatment in Hawaii, has created the following pros and cons list to help residents find affordable care:


  • Hawaii adopted Medicaid expansion in 2014, increasing access to Medicaid for more than 150,000 residents.
  • There are more than 120 drug and alcohol treatment services providers in Hawaii.
  • Given the small size of the state and its population, residents have many nearby options for treatment.


  • Less than 50 of the facilities in Hawaii accept Medicaid for payment.
  • Of the 120 drug and alcohol treatment providers in Hawaii, only 15 of them provide detox services. This massive disparity means that people with severe addictions may be very limited in terms of treatment options.

As you can see, Hawaii has many treatment providers for its size and population. But these often aren’t as accessible as they appear, and residents may have difficulty finding rehabs that are affordable and offer the services they need.

Frequently Asked Questions

How is drug rehabilitation accessed by the residents of Hawaii?
What age groups and genders in Hawaii are affected by drug and alcohol abuse?
What drugs are popular in Hawaii?
What is the drug ‘ice’ in Hawaii?


Marcel Gemme, DATS

Marcel Gemme, DATS


on May 3, 2022

More Information

Marcel Gemme has been helping people struggling with addiction for over 19 years. He first started as an intake counselor for a drug rehabilitation center in 2000. During his 5 years as an intake counselor, he helped many addicts get the treatment they needed. He also dealt with the families and friends of those people; he saw first-hand how much strain addiction puts on a family and how it can tear relationships apart. With drug and alcohol problems constantly on the rise in the United States and Canada, he decided to use the Internet as a way to educate and help many more people in both those countries. This was 15 years ago. Since then, Marcel has built two of the largest websites in the U.S. and Canada which reach and help millions of people each year. He is an author and a leader in the field of drug and alcohol addiction. His main focus is threefold: education, prevention and rehabilitation. To this day, he still strives to be at the forefront of technology in order to help more and more people. He is a Licensed Drug and Alcohol Treatment Specialist graduate with Honours of Stratford Career Institute. Marcel has also received a certificate from Harvard for completing a course entitled The Opioid Crisis in America and a certificate from The University of Adelaide for completing a course entitled AddictionX: Managing Addiction: A Framework for Succesful Treatment.

Dr. Rohit S. Adi, MD, DABAM

Dr. Rohit S. Adi, MD, DABAM

Medically Reviewed

on May 3, 2022

More Information

Dr. Rohit S. Adi is certified in addiction medicine, through examination, by the American Board of Addiction Medicine. While in Louisiana, he worked as an emergency-room physician at Our Lady of Lourdes Regional Medical Center in Lafayette, Louisiana, but then transferred to Our Lady of the Lake Regional Medical Center in Baton Rouge, where he works to this day. Holding numerous positions throughout his medical career, Dr. Adi has seen the devastating effects caused by drugs and alcohol. Having the ability to do something about the problem, he co-founded a holistic drug rehabilitation center in Louisiana, where he serves as the facility's Medical Director.