Alcohol and Drug Rehabilitation Programs in Hawaii

Hawaii Alcohol and Drug Treatment Facilities

In March of 2019, Hawaii's 167 substance abuse facilities were treating 5,217 patients, according to SAMHSA. These facilities can be broken down into many different types of programs, allowing patients to access the treatment they need for their specific needs, including the following types of programs:

Many of the facilities in Hawaii provide specialized services to specific demographics. In 2019, Hawaii programs served no fewer than 18 specific groups of patients with treatments tailored to their unique needs. These demographics included adolescents to adults, pregnant and postpartum women to seniors, veterans to members of the LGBT community.

• Demographic Breakdown (By percentage of drug rehab facilities):
• Patients with co-occurring mental health disorders: 25.1 percent
• Adult women: 25.1 percent
• Adult men: 25.7 percent
• Adolescents: 65.3 percent
• Seniors: 16.2 percent
• Patients who have suffered domestic abuse: 15.6 percent
• Pregnant or postpartum women: 12 percent
• LGBT community members: 14.4 percent
• Veterans: 16.2 percent
• Active duty military: 13.8 percent
• Payment Options Breakdown (By percentage of drug rehab facilities):
• Cash or self-payment: 50.3 percent
• Sliding fee: 17.4 percent
• Medicaid: 44.3 percent
• Private insurance: 45.5 percent
• Minimal charge or no-charge treatment for patients in need: 82.6 percent
• Federal military insurance: 18 percent
• Medicare: 14.4 percent
• ITU funds: 1.8 percent
• Free treatment: 46.1 percent

Thanks to this diversity in services and payment options, Hawaii is a desirable place for finding the right treatment program for those seeking to overcome addictions.

Treatment Approaches in Hawaii

12 Step

12-step programs have an almost 90-year history of providing structured, community-based support for addicts looking to maintain a long-term recovery. The 12 principles that guide participants' recovery include steps such as acknowledging the addiction, relying on a higher power, and making amends with those they hurt during their addiction. These programs have also earned a reputation for success. One study by the National Institute on Alcohol Abuse found that AA participants had an 8-year abstinence rate that was 3 percent higher than the 8-year abstinence rate of patients who used formal treatment (such as drug rehab centers) to combat their addiction. In Hawaii, 41.3 percent of all drug rehab centers help to facilitate these programs for patients.

Dual Diagnosis/Co-Occurring

Mental illness and substance use disorders often occur together, a condition known as a dual diagnosis or a co-occurring illness. SMHSA reports that individuals who suffer from a mental illness are also more likely to suffer from an addiction, and it appears that dual diagnoses are increased. One SMHSA report found that in 2019, the number of individuals with a co-occurring illness was 300,000 more than in 2018 and that dual diagnoses in 2019 affected 9.5 million Americans. About 25 percent of Hawaii's drug rehab centers offer services to support these individuals' complex treatment needs.

Detox

Patients who are in an active addiction often need a safe and comfortable place to detox - to allow the addictive substances to leave their bodies. Detox centers can help with medically-supervised detox services. In Hawaii, 5.4 percent of outpatient and 4.2 percent of residential programs offer these services.

Short-Term Inpatient Rehab

Patients struggling with severe addiction sometimes benefit from inpatient rehab. In these programs, they receive round-the-clock recovery support while they live at the addiction treatment facility. In Hawaii, 6.6 percent of facilities offer this type of rehab.

Long-Term Residential Rehab

Inpatient rehab that lasts longer than 30 days is referred to as long-term residential rehab. In Hawaii, 9.6 percent of facilities qualify as long-term rehab centers.

Rehab Costs In Hawaii

Rehab does not cost the same for every patient in Hawaii. An individual's exact cost of treatment will depend on factors such as the following:

• Rehab program
• Therapy
• Aftercare
• Treatment approaches
• Insurance coverage
• And more

Hawaii facilities accept several types of payment, but also have robust free and reduced-cost options for patients who cannot otherwise pay for their recovery.

Private Health Insurance for Addiction Rehab

While private health insurance is a popular method of healthcare coverage, less than half of facilities in Hawaii (45.5 percent) accept this payment method. Patients looking to use their insurance to pay for their rehab will need to talk with their program and with their insurance company to determine the exact level of coverage for which they are eligible.

Medicaid and Medicare for Addiction Rehab

Individuals who meet certain threshold requirements qualify for the federal government's Medicare and Medicaid programs. Medicare and Medicaid provide healthcare coverage that also includes addiction recovery treatment - Often at 100 percent. In Hawaii, 44.3 percent of facilities accept Medicaid and 14.4 percent of facilities accept Medicare.

Uninsured Addiction Rehab

Patients sometimes cannot afford private insurance but make too much to qualify for Medicare and Medicaid. For patients who cannot otherwise pay for their treatment, Hawaii makes two primary options available:

Sliding Scale Payments

About 17.4 percent of drug rehab centers in Hawaii offer their fees on a sliding scale. This means that the facility provides discounts on its services based on a patient's income. The lower their income, the more of a discount they receive.

Free drug rehab

Most Hawaii addiction treatment centers also offer free services for patients. Almost half (46.1 percent) of facilities provide free treatment for all patients, while 82.6 percent of facilities provide free treatment to those patients who cannot otherwise pay.

Patients wishing to find a program that meets their payment and recovery needs should contact an addiction counselor for the evaluations and guidance they need to find the right program. Most addiction centers in the state offer these services for their patients.

Hawaii Drug Treatment Overview

Hawaii's drug treatment programs have both pros and cons to consider. Here are some of the most striking features of these services:

Pros

Hawaii has some of the highest rates of programs that offer free services. With more than 80 percent of facilities offering no-cost treatment for needy patients, they make accessing drug rehab easier for patients regardless of their financial circumstances.

79.6 percent of drug rehab facilities in Hawaii are private nonprofit centers, which increases their willingness to provide affordable treatment for patients.

More than three-quarters of facilities in Hawaii provide aftercare support for patients, easing their transition back to everyday life and increasing their chances for long-term success in their recovery.

A comparatively large percentage of facilities - 18 percent- provide childcare for patients' children.

Cons

Hawaii's residential bed utilization rate is very high, at more than 135 percent, indicating a shortage of available beds for patients.

The state's low acceptance of Medicaid and Medicare may make it harder for patients with these plans to get the care they need.

Only 26.9 percent of the state's facilities provide comprehensive mental health evaluations, which could make it more difficult to identify and serve patients who face a dual diagnosis.

Hawaii Drug Use Statistics

As are many other states, Colorado is seeing an increase in the number of drug overdose deaths, due in part to the pressures and isolation created by the pandemic. Here are some of the most striking facts about drug use in the state:

• In 2018, 4.1 percent of drug overdose deaths were opioid related.
• The number of opioid-related deaths remained mostly the same between 2017 and 2018.

• 1,454 individuals over the age of 12 were admitted for substance abuse treatment in Hawaii in 2020.
• 52.1 percent of these admissions were for amphetamines.
• 9.1 percent of these admissions were for heroin.
• Only 3 percent of these admissions were for other opiates.
• 50.6 percent of admissions for amphetamines were for individuals between 26 and 40 years of age.