Drug and Alcohol Rehab in Hawaii

Treatment Facilities by City in Hawaii

The Hawaii cities with the most SAMHSA-listed substance use treatment facilities. All 26 cities are listed below the table. Each city page lists its facilities with services, payment and phone numbers.

State Treatment Agency

Alcohol and Drug Abuse Division (ADAD), Hawaii State Department of Health oversees substance use treatment in Hawaii.

• Alcohol and Drug Abuse Division , Hawaii State Department of Health website
• Get treatment help from the Hawaii agency

Hawaii Treatment Helpline

Hawai'i CARES: 988 (or 808-832-3100; toll-free 1-800-753-6879), 24/7.

Call 808-832-3100

• About Hawai'i CARES

Treatment if You Don't Have Insurance

The Alcohol and Drug Abuse Division is the primary and often sole source of public funds for substance abuse treatment in Hawaii, and gives admission priority to pregnant women and people who inject drugs. Hawaii CARES handles screening, assessment, care coordination and referrals statewide.

• Hawaii state-funded treatment

Medicaid Coverage for Addiction Treatment in Hawaii

Hawaii's Medicaid program is Med-QUEST (QUEST Integration). Hawaii has expanded Medicaid, so adults with low incomes can qualify based on income alone. Covered services listed by the state include: Inpatient psychiatric hospitalization, including substance abuse treatment services; Ambulatory mental health services, including crisis management; Medications and medication management; Psychiatric or psychological evaluation and treatment; Medically necessary alcohol and chemical dependency services; Methadone management services.

• Med-QUEST (QUEST Integration) substance use coverage
• Section 1115 waiver details (Medicaid.gov)
• Hawaii Medicaid eligibility

Check a Program's License

Before you choose a program, confirm it is licensed using the ADAD Accredited Treatment Facilities list (June 2026).

• ADAD Accredited Treatment Facilities list (June 2026)

Sober Living Homes in Hawaii

Hawaii's recovery residence program: Clean and Sober Homes Registry (Hawaii Administrative Rules Chapter 11-178).

• Hawaii recovery residence program

Naloxone (Narcan)

The Alcohol and Drug Abuse Division provides free naloxone to government agencies, community partners and nonprofits in Hawaii, and the state also distributes it through boxes, vending machines and by request. Naloxone nasal spray is also sold over the counter nationwide.

• Hawaii naloxone information

Good Samaritan Overdose Law

A person who seeks medical help in good faith for someone overdosing on drugs or alcohol, and the person overdosing, cannot be arrested, charged, prosecuted or convicted for drug or paraphernalia possession, or penalized for a restraining order, probation or parole violation, when the evidence came from seeking help. (HRS § 329-43.6)

• Hawaii Good Samaritan law

Involuntary Treatment and Protective Custody

Involuntary hospitalization (HRS § 334-60.2): A court may commit a person to a psychiatric facility if the person is mentally ill or suffering from substance abuse, is imminently dangerous to self or others, and no less restrictive alternative is available.

• Involuntary hospitalization (HRS § 334-60.2)

Guides for Your Next Step

Learn what detox, inpatient rehab and outpatient rehab involve, how medication for opioid use disorder works, and how to find rehab that takes Medicaid or free and low-cost rehab. Before you commit, read how to choose a rehab you can trust.

Frequently Asked Questions