10 Best Alcohol & Drug Rehab Centers In Hawaii

Updated on September 26, 2025

Hawaii drug rehab centers offer a wide variety of addiction treatment programs for people with an addiction to drugs or alcohol. Treatment options include inpatient programs, medication-assisted treatment, and dual diagnosis services.

At Recovery Guide, our mission is to connect as many individuals struggling with mental health and substance abuse disorders to reputable treatment facilities.

To achieve this goal, we set strict guidelines for our editorial team to follow when writing about facilities and utilize behavioral healthcare experts to review medical content for accuracy.

While we receive compensation in the form of paid advertisements, these advertisements have absolutely no impact on our content due to our editorial independence policy.

The following is a list of criteria we use when selecting treatment centers:

  • State Licensure And National Accreditation
  • Exceptional Google And Other User-Generated Reviews
  • Unique Programming And Offerings
  • Years In Operation
  • Ethical Marketing Practices

Learn More About How We Choose

Hawaii’s islands provide multiple addiction treatment facilities that serve adults and teens who need help overcoming drug and alcohol addiction. The state’s unique island setting creates a peaceful environment away from everyday stressors that can support healing and recovery.

Treatment centers across Hawaii offer various services including detox programs with medical supervision, traditional 12-step recovery programs, and holistic treatments that use the islands’ natural beauty and culture. Many facilities take advantage of Hawaii’s outdoor environment by including activities like beach therapy, hiking, and cultural practices in their treatment programs. The island setting also means people often travel from the mainland for treatment, which can provide helpful distance from triggers and negative influences back home.

List Of The Top Drug Rehab Centers In Hawaii

We’ve chosen several drug and alcohol treatment programs in Hawaii that feature evidence-based programs and trusted qualifications.

Marks of quality care may include:

  • accreditations
  • Google ratings
  • client testimonials
Disclosure: These facilities are selected by our editorial team based on independent research. This list includes some of the top-rated options but is not exhaustive. Learn more about our criteria.

Advertisers from our partners may appear among these rankings and are indicated as such.

Makawao, Hawaii

#1 Aloha House

This rehab facility in Makawao, HI, offers an inpatient program and outpatient treatment program for people facing addiction.

During admission, Aloha House staff members interview potential participants or family members to determine the most appropriate levels of care.

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This rehab facility in Makawao, HI, offers an inpatient program and outpatient treatment program for people facing addiction.

During admission, Aloha House staff members interview potential participants or family members to determine the most appropriate levels of care.

Aloha House provides the only medically monitored detox service on Maui and offers follow-up care through the residential treatment program.

This is also one of the only women-specific substance abuse programs on the island where women can bring their children with them during treatment.

Upon finishing the inpatient program, clients can transition to a sober living environment where they can continue to receive outpatient care.

There are specialized services at this facility for adolescents and children in need of mental health treatment.



  • residential treatment
  • outpatient treatment
  • counseling
  • adolescent treatment
  • case management
  • family therapy
  • mental health treatment
  • free/low-cost
  • self-pay

Hakalau, Hawaii

#2 Exclusive Hawaii Rehab

Exclusive Hawaii is an inpatient rehab facility near Hilo, HI, that embraces a holistic treatment approach for alcohol and drug addiction.

This luxurious, private, eight-bed facility is located on Hawaii’s Big Island and offers natural beauty and an unparalleled healing experience.

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Exclusive Hawaii is an inpatient rehab facility near Hilo, HI, that embraces a holistic treatment approach for alcohol and drug addiction.

This luxurious, private, eight-bed facility is located on Hawaii’s Big Island and offers natural beauty and an unparalleled healing experience.

Through a combination of therapy, nutrition, bodywork, and the healing power of nature, Exclusive Hawaii will work to restore balance to your entire system.

Some of the holistic therapies available here include yoga practice, bodywork, mindfulness techniques, and nature immersion therapy.

Art and expressive therapies encourage clients to use self-expression to help them deal with trauma, stress, anger, fear, and other strong or negative emotions.

People facing mental health challenges such as an eating disorder or post-traumatic stress disorder can receive psychotherapy.



  • Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
  • LegitScript certification
  • National Association of Addiction Treatment Providers (NAATP) membership
  • residential treatment
  • detoxification
  • dual diagnosis treatment
  • counseling
  • holistic treatment
  • mental health treatment
  • life skills education
  • private health insurance
  • self-pay

Kaneohe, Hawaii

#3 Habilitat

Habilitat is a highly structured residential treatment facility in Kaneohe, HI, that offers long-term inpatient treatment for drug or alcohol addiction.

This facility is staffed by people who have transformed their own lives from the clutches of addiction and are passionate about helping others to do the same.

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Habilitat is a highly structured residential treatment facility in Kaneohe, HI, that offers long-term inpatient treatment for drug or alcohol addiction.

This facility is staffed by people who have transformed their own lives from the clutches of addiction and are passionate about helping others to do the same.

Here, clients participate in work therapy, academic pursuits, seminars, and group therapy.

Habilitat also offers a full range of exercise equipment, activities, training centers, and entertainment options to make clients’ stays more comfortable.

Clients who do not have their high school diploma or GED will be enrolled in classes that allow them to leave the program with a high school diploma.



  • state licensure
  • client testimonials
  • licensed staff
  • residential treatment
  • aftercare
  • employment services
  • behavioral therapy
  • counseling
  • life skills education
  • holistic treatment
  • self-pay

Kailua Kona, Hawaii

#4 Hawaii Island Recovery

Hawaii Island Recovery is a dual-accredited residential treatment facility near Waikoloa, HI, for adults battling substance use disorders.

Evidence-based and experiential therapies are available here including ocean-based therapy, nature-based therapy, and culture-based therapies.

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Hawaii Island Recovery is a dual-accredited residential treatment facility near Waikoloa, HI, for adults battling substance use disorders.

Evidence-based and experiential therapies are available here including ocean-based therapy, nature-based therapy, and culture-based therapies.

If needed, clients will detox safely under the supervision of a board-certified clinician.

Hawaii Island Recovery offers residential treatment programming for a minimum of 30 days and up to 90 days or longer, depending on medical necessity.

With a low staff-to-client ratio, this facility offers individualized care to each person, ensuring their unique needs are met.

Residential treatment is ideal for people with severe addiction or a co-occurring mental health disorder, such as an anxiety disorder or depression.

Holistic therapies are also available and may include massage therapy, trauma-informed yoga therapy, nutrition education, acupuncture, and more.



  • Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
  • Joint Commission accreditation
  • LegitScript certification
  • National Association of Addiction Treatment Providers (NAATP) membership
  • state licensure
  • residential treatment
  • detoxification
  • outpatient treatment
  • aftercare
  • life skills education
  • trauma-informed therapy
  • relapse prevention
  • 12-step recovery groups
  • case management
  • medication management
  • group therapy
  • holistic treatment
  • dual diagnosis treatment
  • private health insurance
  • self-pay

Kaneohe, Hawaii

#5 Hina Mauka

Hina Mauka offers residential programs that feature 24/7 care and support and at least one hour per week of individual counseling.

Residential treatment services provide a planned regimen of treatment, case management, and other ancillary and special services.

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Hina Mauka offers residential programs that feature 24/7 care and support and at least one hour per week of individual counseling.

Residential treatment services provide a planned regimen of treatment, case management, and other ancillary and special services.

Inpatient care is seven days a week, 24 hours a day, and offers a minimum of 24 hours per week of face-to-face treatment, including one hour of individual therapy.

During a given week, multiple educational sessions are provided coupled with recreational and leisure activities that encourage personal growth and reflection.

Clients are assisted by their treatment team to secure clean, safe, and sober living arrangements before discharge.

The aftercare program involves clients working in real-life situations and provides an effective way of transitioning from more intensive treatment to an ongoing healthy life.



  • Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
  • United Way partnership
  • client testimonials
  • residential treatment
  • intensive outpatient program (IOP)
  • outpatient programs (OP)
  • aftercare
  • family therapy
  • case management
  • psychiatric services
  • adolescent treatment
  • group therapy
  • dual diagnosis treatment
  • self-pay

Wai’anae, Hawaii

#6 Ho’omau Ke Ola

Ho’omau Ke Ola is a gender-specific treatment center offering residential addiction services in Waianae, HI.

This program is Native Hawaiian culturally based and has led the way for over 30 years with aloha and malama pono practices for healing.

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Ho’omau Ke Ola is a gender-specific treatment center offering residential addiction services in Waianae, HI.

This program is Native Hawaiian culturally based and has led the way for over 30 years with aloha and malama pono practices for healing.

Residential treatment is the highest level of care available at this facility and offers structured programming from morning until bedtime for adult men.

The addiction treatment programs here offer science-based services such as cognitive behavioral therapy, dialectical behavior therapy, 12-step programs, and more.

A client’s length of stay is determined by their progression through levels of awareness, acceptance, and willingness to change. The average length of stay is two months.

There are also intensive outpatient programs and day treatment programs that may last up to eight to 12 weeks, depending on client needs.



  • 5-star Google rating
  • client testimonials
  • licensed staff
  • residential treatment
  • intensive outpatient program (IOP)
  • outpatient treatment
  • counseling
  • case management
  • 12-step recovery groups
  • psychiatric services
  • family therapy
  • group therapy
  • clinical services
  • behavioral therapy
  • private health insurance
  • Medicare
  • self-pay

Kihei, Hawaii

#7 Maui Recovery

Maui Recovery is an intensive inpatient drug rehab center in Kihei, HI, that lasts between 30 and 90 days.

People with severe addiction to opioids or alcohol will likely need to undergo a period of detoxification to help with withdrawal symptoms and cravings.

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Maui Recovery is an intensive inpatient drug rehab center in Kihei, HI, that lasts between 30 and 90 days.

People with severe addiction to opioids or alcohol will likely need to undergo a period of detoxification to help with withdrawal symptoms and cravings.

After detox, clients can transition into residential care, where they can receive an array of science-backed services.

Here, clients can utilize unique treatment services such as yoga, expressive arts therapy, equine therapy, and neurofeedback therapy to pursue sobriety.

People with co-occurring mental health disorders such as addiction and an anxiety disorder, depression, or a personality disorder can get dual diagnosis treatment here.

Maui Recovery maintains affiliations with reputable sober living housing facilities throughout the state, ensuring a seamless transition to a post-treatment home.



  • LegitScript certification
  • client testimonials
  • 5-star Google rating
  • residential treatment
  • medication-assisted treatment (MAT)
  • dual diagnosis treatment
  • counseling
  • cognitive behavioral therapy (CBT)
  • gender-specific treatment
  • holistic treatment
  • self-pay

Kailua Kona, Hawaii

#8 The Ohana Addiction Treatment Center

Offering a range of residential and outpatient treatment services, The Ohana Addiction Treatment Center provides substance abuse treatment near Waimea, HI.

For some eligible clients, detoxification might be the first step in the substance use disorder treatment process.

Show More

Offering a range of residential and outpatient treatment services, The Ohana Addiction Treatment Center provides substance abuse treatment near Waimea, HI.

For some eligible clients, detoxification might be the first step in the substance use disorder treatment process.

Detox helps people break out of the cycle of addiction by cutting off access to addictive substances and mitigating the effects of withdrawal.

Inpatient treatment for addiction helps clients recover in a controlled environment where they’re supported by a team of professionals.

During residential care, clients will have access to behavioral therapy to address the thought patterns and behaviors that perpetuate substance use.

This luxury rehab facility offers activities such as yoga and meditation, adventure therapy, spa treatments, private accommodations, and more.



  • dual diagnosis treatment
  • counseling
  • holistic treatment
  • behavioral therapy
  • mental health treatment
  • group therapy
  • psychiatric services
  • private health insurance
  • self-pay

Kaneohe, Hawaii

#9 Po’ailani

Po’ailani is a 16-bed, specialized residential treatment program near Kailua, HI, for adults overcoming an alcohol or drug addiction in combination with a mental health disorder.

The residential program includes a planned regimen of professionally directed services provided 24 hours a day, seven days per week.

Show More

Po’ailani is a 16-bed, specialized residential treatment program near Kailua, HI, for adults overcoming an alcohol or drug addiction in combination with a mental health disorder.

The residential program includes a planned regimen of professionally directed services provided 24 hours a day, seven days per week.

Outpatient treatment programs here consist of day treatment services and nine-hour-per-week intensive outpatient programs.

People with co-occurring mental health disorders such as addiction and depression, an anxiety disorder, or bipolar disorder can also receive dual diagnosis treatment.

Treatment for co-occurring mental illnesses is essential, as mental health issues are often a prominent underlying factor in substance abuse.

Other effective services at Po’ailani include anger management, trauma-informed care, relapse prevention, 12-step recovery groups, and family counseling.



  • state licensure
  • licensed staff
  • client testimonials
  • evidence-based treatment
  • residential treatment
  • outpatient treatment
  • individual therapy
  • group therapy
  • family therapy
  • mental health treatment
  • relapse prevention
  • anger management
  • medication management
  • trauma-informed therapy
  • 12-step recovery groups
  • private health insurance
  • self-pay

Honolulu, Hawaii

#10 The Salvation Army

This drug and alcohol rehabilitation facility offers gender-specific treatment for men and substance abuse treatment for women with children.

The free programs at The Salvation Army provide housing, food, counseling, community, and employment opportunities for people facing drug and alcohol dependence.

Show More

This drug and alcohol rehabilitation facility offers gender-specific treatment for men and substance abuse treatment for women with children.

The free programs at The Salvation Army provide housing, food, counseling, community, and employment opportunities for people facing drug and alcohol dependence.

A three-to-seven-day non-medical detox program provides a safe and supportive environment for people with severe addiction to start recovery.

Detox services include assessment and treatment planning, medication administration, daily monitoring, counseling, addiction education, and more.

After detox, clients can enter the gender-specific residential program, where they can receive an average of 40 hours of face-to-face treatment weekly.

Day treatment sessions are available for six hours of daily services, and regular outpatient sessions are three hours at least three times per week.

Treatment services are free at The Salvation Army, so no person is turned away due to an inability to pay for care.



  • Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
  • United Way partnership
  • state licensure
  • residential treatment
  • outpatient treatment
  • aftercare
  • 12-step recovery groups
  • relapse prevention
  • life skills education
  • drug testing
  • HIV testing/treatment
  • group therapy
  • cognitive behavioral therapy (CBT)
  • free/low-cost

What To Look For When Choosing A Drug And Alcohol Rehab Center In Hawaii

Choosing addiction treatment in Hawaii requires looking at special factors that come with island-based care. Hawaii’s unique location and culture offer benefits but also present challenges you should consider when picking a treatment center.

1. Hawaii State Licensing and Regulations

  • Make sure the facility has proper licenses from the Hawaii Department of Health, Alcohol and Drug Abuse Division.
  • Check that they follow all Hawaii state rules for addiction treatment and safety.
  • Ask if they get regular state inspections and meet all requirements for patient care.

2. Treatment Methods and Cultural Integration

  • Look for centers that use proven therapies like individual counseling, group therapy, CBT, and family therapy.
  • Many Hawaii facilities include traditional Hawaiian healing practices and cultural elements that can enhance recovery.
  • The facility should offer medication-assisted treatment (MAT) for opioid addiction and treat mental health problems along with addiction.

3. Island-Specific Care Levels

  • Good centers should offer detox, inpatient treatment, outpatient programs, and aftercare support.
  • Ask about medical care availability since being on an island can limit access to some specialists.
  • Look for programs that help you transition back to mainland life if you’re traveling from another state for treatment.

4. Outdoor and Holistic Programming

  • Many Hawaii centers use the islands’ natural environment through beach therapy, ocean activities, hiking, and outdoor meditation.
  • Ask about year-round outdoor programs and how they handle Hawaii’s rainy seasons or tropical weather.
  • Look for facilities that include nutrition, fitness, art therapy, animal-assisted therapy, or other holistic treatments alongside traditional therapy.

5. Medical Care and Emergency Services

  • Make sure the facility has qualified medical staff including doctors and nurses trained in addiction medicine.
  • Ask about emergency medical procedures and how they handle serious medical problems on the islands.
  • Check if they can coordinate care with Hawaii’s hospitals and healthcare systems when needed.

6. Travel and Logistics for Mainland Patients

  • If you’re coming from the mainland, ask about help with travel arrangements and what to bring to the islands.
  • Find out about visiting policies for family members who might want to come to Hawaii during your treatment.
  • Consider the cost and logistics of traveling back and forth for follow-up care after treatment.

7. Cost and Insurance for Out-of-State Treatment

  • Understand what your mainland insurance will cover for Hawaii treatment and any extra costs.
  • Ask about additional expenses like travel, extended stays, or special island-based activities.
  • Find out about payment plans or financial assistance available to people traveling from other states.

8. Cultural Sensitivity and Respect

  • Look for facilities that respect Hawaiian culture and treat the islands’ environment responsibly.
  • Ask about staff training in cultural sensitivity and working with people from different backgrounds.
  • Make sure the facility creates a respectful environment for both local residents and visitors seeking treatment.

9. Communication with Mainland Support Systems

  • Find out how the facility helps you stay connected with family, work, or support systems back home.
  • Ask about technology access for video calls and communication during treatment.
  • Look for programs that help involve mainland family members in your treatment process.

10. Transition and Aftercare Planning

  • The facility should help you plan for returning to your home state and finding continuing care there.
  • Ask about connections with mainland treatment providers and support groups.
  • Look for facilities that offer ongoing support or check-ins after you return home from Hawaii treatment.

11. Weather and Environmental Considerations

  • Consider Hawaii’s tropical climate and whether you’re comfortable with heat, humidity, and ocean environments.
  • Ask about indoor alternatives during bad weather or if you have health conditions affected by climate.
  • Find out about sun safety and outdoor activity requirements if you have medical limitations.

12. Length of Stay and Program Flexibility

  • Island treatment often works best with longer stays since travel is involved, so ask about extended program options.
  • Look for facilities that can adjust your treatment length based on progress rather than fixed timelines.
  • Consider whether the island setting supports your recovery goals and whether you’re ready for potential isolation from familiar support systems.

Common Specialized Treatment Programs

You can find a number of specialized drug rehab programs in Hawaii that are common to treatment facilities throughout the United States.

Such treatment programs include:

Choosing Hawaii Addiction Treatment For Your Recovery

Hawaii offers unique treatment opportunities with beautiful natural settings and cultural healing practices, but island-based care isn’t right for everyone. Consider whether the benefits of Hawaii’s peaceful environment and distance from triggers outweigh challenges like travel costs, isolation from family, and limited medical resources. The right Hawaii treatment center can provide powerful healing experiences, but make sure it fits your specific needs and recovery goals.

Hawaii Drug Rehab FAQ

Find answers below to some of the most commonly asked questions regarding alcohol and drug use treatment programs in Hawaii.

Hawaii rehab centers offer outpatient programs as well as inpatient programs to meet the needs of those in various stages of recovery.

The cost of your treatment plan will depend on whether you have insurance coverage, how long you need to be in treatment, and more.

Using a health plan to pay for drug rehab can greatly offset the overall amount you pay for treatment.

Read more about using your insurance to cover addiction treatment

Which insurance carriers are in-network with your rehab center will vary according to each facility.

In general, most private facilities accept major insurance providers, such as Aetna, BCBS, Cigna, Humana, and more.

Federally and state-funded rehab centers in Hawaii tend to accept Medicaid (Med-QUEST) and Medicare programs.

View our list of rehab centers that accept Hawaii Medicaid

The state of Hawaii is home to a fair number of rehabilitation facilities offering treatment free of cost or at reduced rates to Hawaiians in need.

Learn about free or reduced-cost Hawaii rehab centers

There are several rehab centers throughout the state of Hawaii that offer treatment for co-occurring mental health and substance use disorders.

Learn more about finding a Hawaii dual diagnosis rehab center near you

*Not all addiction treatment centers in Hawaii have received accreditation.

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Addiction Resource aims to provide only the most current, accurate information in regards to addiction and addiction treatment, which means we only reference the most credible sources available.

These include peer-reviewed journals, government entities and academic institutions, and leaders in addiction healthcare and advocacy. Learn more about how we safeguard our content by viewing our editorial policy.

This page does not provide medical advice. See more
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