Substance Use Treatment in Keaau, HI

Big Island Substance Abuse Council

What Does Big Island Substance Abuse Council Offer?

Big Island Substance Abuse Council is a substance use treatment facility at 16-179 Melekahiwa Street, Keaau, Hawaii, offering detox, residential treatment, partial hospitalization, intensive outpatient and outpatient treatment. It accepts Medicaid, Medicare, private insurance, state-financed insurance and self-pay and offers a sliding fee scale. Medication treatment: buprenorphine and naltrexone.

16-179 Melekahiwa Street
Keaau, HI 96749

SAMHSA lists this facility's programs separately: EH OP Facility; Hilo Mens TLP; Hilo Mens TLP 2; Pwwdc Tlp.

Listed in SAMHSA's FindTreatment.gov, checked October 2026. A listing is not an endorsement. Call to confirm services, openings and costs before you go.

Types of Care at Big Island Substance Abuse Council

  • Outpatient
  • Outpatient day treatment or partial hospitalization
  • Intensive outpatient treatment
  • Regular outpatient treatment
  • Residential/24-hour residential
  • Residential detoxification
  • Short-term residential
  • Long-term residential

Payment, Insurance and Help Paying

  • Federal, or any government funding for substance use treatment programs
  • Medicare
  • Medicaid
  • Private health insurance
  • Cash or self-payment
  • State-financed health insurance plan other than Medicaid
  • SAMHSA funding/block grants
  • Sliding fee scale (fee is based on income and other factors)

Medication Treatment

  • Accepts clients using MAT but prescribed elsewhere
  • Buprenorphine maintenance
  • Prescribes buprenorphine
  • Prescribes naltrexone
  • Relapse prevention with naltrexone
  • Lofexidine or Clonidine detoxification
  • Disulfiram
  • Buprenorphine with naloxone
  • Buprenorphine without naloxone
  • Naltrexone (oral)
  • Naltrexone (extended-release, injectable)
  • Clonidine

Detox Services

  • Alcohol Detoxification
  • Benzodiazepines Detoxification
  • Cocaine Detoxification
  • Methamphetamines detoxification
  • Opioids detoxification
  • Medication routinely used during detoxification

Who the Program Serves

  • Adolescents
  • Adult women
  • Adult men
  • Pregnant/postpartum women
  • Ages: Children/Adolescents
  • Ages: Young Adults
  • Ages: Adults
  • Ages: Seniors
  • Accepts: Female
  • Accepts: Male

Language Services

  • Sign language services for the deaf and hard of hearing

Licensing and Accreditation

  • State substance use treatment agency
  • State department of health
  • Commission on Accreditation of Rehabilitation Facilities (CARF)

Treatment Approaches

  • Anger management
  • Brief intervention
  • Cognitive behavioral therapy
  • Contingency management/motivational incentives
  • Motivational interviewing
  • Matrix Model
  • Relapse prevention
  • Substance use disorder counseling
  • Trauma-related counseling
  • Telemedicine/telehealth therapy

Assessment, Recovery Support and Other Services

  • Comprehensive substance use assessment
  • Interim services for clients
  • Outreach to persons in the community
  • Screening for tobacco use
  • Screening for substance use
  • Screening for mental disorders
  • Complete medical history/physical exam
  • Aftercare/continuing care
  • Discharge Planning
  • Naloxone and overdose education
  • Outcome follow-up after discharge
  • Housing services
  • Assistance with obtaining social services
  • Recovery coach
  • Mentoring/peer support
  • Employment counseling or training
  • Case management service
  • Domestic violence services, including family or partner
  • Social skills development
  • Suicide prevention services
  • Transportation assistance
  • Residential beds for clients' children
  • Child care for clients' children
  • Drug or alcohol urine screening
  • Breathalyzer or blood alcohol testing

Before you commit, confirm openings, costs and the program's state license. How to choose a rehab you can trust lists the questions to ask when you call, and addiction treatment in Hawaii lists the state's treatment agency.

Sources

  1. SAMHSA FindTreatment.gov listing data, checked October 2026
  2. About FindTreatment.gov (SAMHSA)

Rehab Help is an independent guide, not a treatment provider. Phone numbers on this site are the facilities' and helplines' own numbers, never tracking lines. If someone is in danger right now, call 911.