CALL HAWAI‘I CARES TODAY

(Coordinated Access Resource Entry System)

If you need addiction treatment or recovery support services, the team at Hawai‘i CARES can help. A qualified treatment specialist will listen to your needs and provide you with information and referrals to treatment in your area. Call today.

1-800-753-6879

Available 24/7

Learn more about Hawai'i CARES

NEED SUPPORT AS A LOVED ONE?

‘Ohana Coaching is a free Peer to Peer Support program with local, trained volunteer coaches to provide support and resources for people who have loved ones dealing with substance use issues.

1-808-523-7550

Call 8 AM – 8 PM HST

EXPLORE TREATMENT PROVIDERS

See the list of treatment providers available in our state. You may contact them directly using the information provided.

Provider Directory

View the full list of treatment providers

RESOURCE CARDS

For additional resources please view the resource cards below.

LEARN ABOUT TREATMENT FOR OPIOIDS

Detoxification is the first step in the recovery process, followed by maintenance therapy. Counseling and 12-step programs can help with long-term recovery. Learn more about treatment options below.

Managing Opioid Withdrawal

The goal of detoxification is to minimize withdrawal symptoms to best enable patients to successfully proceed to the next stage of the treatment process. Withdrawal makes it more likely that patients will successfully complete detox without relapsing, and also helps them be in a better mental state before beginning other forms of treatment, increasing the likelihood of long-term sobriety.

Medications can help alleviate withdrawal symptoms. The most commonly used medications for detoxification include Methadone and buprenorphine paired with naloxone (Suboxone, Subutex, and Zubsolv).

Maintenance Therapy

Medication-assisted treatment (MAT) is effective for managing opioid use disorder. The three medications approved for MAT include buprenorphine, methadone, and naltrexone. Methadone or buprenorphine paired with naloxone (Zubsolv, Bunavail, Suboxone) can be used during the maintenance phase of treatment. People on these drugs are still opioid-dependent, but they can often return to work, drive without impairment, and function normally in society.

Naltrexone (ReVia, Vivitrol) is an opiate receptor-blocking medication that can also be helpful during maintenance therapy. Unlike Methadone and Suboxone, naltrexone does not activate receptors so it does not make the person feel high, but it can help reduce cravings.

Counseling & 12-Step Programs

Most experts and treatment centers recommend participation in a 12-step program or other form of counseling. Twelve-step programs (such as Narcotics Anonymous) are abstinence-based programs, however Methadone Anonymous accepts the use of maintenance therapy and acknowledges the value of methadone or Suboxone in recovery from addiction.

Counseling and therapy are alternatives to 12-step programs.  Therapy can take place as an outpatient, or in a residential facility. Types of therapy that may be useful include cognitive behavioral therapy, motivational interviewing, and family and couples therapy.