Hawaii Rehab Centers
Although Hawaii is not one of the top-ranking states for opioid abuse, there were still 59 deaths from opioids in 2018. The state is battling a growing alcohol and drug abuse problem among teens and pre-teens. Hawaii ranked fourth in the United States for high school students who were given, sold, or offered illegal drugs. The report also showed that about half of the students who were under 13 and spent a lot of time on social media saw pictures of their friends using drugs, drunk, or passed out.
The 2020 pandemic led to more joblessness and mental health struggles for people across Hawaii. Since then, substance abuse problems have been growing. In Oahu, health experts say that a homeless person dies every three days, and the majority of them die from a meth overdose. According to the Department of Justice, methamphetamine abuse is a prevalent problem in other parts of Hawaii as well.
To battle the growing drug and alcohol abuse problems, Hawaii developed several plans. It developed the Hawaii Opioid Initiative 2.0, which makes life-saving treatment easier to access, increases awareness, and supports educational programs. Since a significant portion of the drugs that are offered to teens are prescription medications, the state also participates in the National Takeback Initiative.
Although the state has strict laws for driving under the influence, two bills were approved in 2020 to decriminalize marijuana and to reduce the harshness of sentencing for possession of some controlled substances. Alcohol and drug rehab centers in Hawaii are doing their part to try to help people who struggle with addiction. There are Hawaii recovery centers on multiple islands.
Planning an Intervention in Hawaii
These are the main steps in planning an intervention:
- Contact an interventionist to help oversee the event.
- Contact Hawaii rehab centers to gather information for the individual who is struggling with addiction.
- Ask people who know the individual to participate.
- Have each participant write an impact statement, which is a personal account of the effects that the addiction has on them.
- Decide on some effective consequences to enforce if the person rejects the help attempt.
- Practice the event with the help of a professional.
It is important to work with an interventionist to make the attempt as helpful as possible. The professional can help participants construct meaningful statements. Also, a professional has the experience and can help participants set clear boundaries. Without proper boundaries, people may risk becoming enablers or seeing other unfavorable results.
Why Is Addiction Called a Brain Disease?
In the past, many people mistakenly believed that addiction was a choice. Although a person may make a choice to use a substance, what happens with the brain is not a choice. Stimulants, narcotics, hallucinogens, and other drugs alter the brain’s chemistry and how it perceives and sends signals. The effects cause strong cravings and lead people to do things they normally would not do to get more of the substance.
What makes it a dangerous brain disease is how drugs work. People build a tolerance to many substances, and it takes more to create the same high or reward perception in the brain. This is how people often overdose. Because some drugs are respiratory depressors, affect the heart or affect other critical functions, an overdose can be fatal.
Types of Drug and Alcohol Addiction Treatment Programs in Hawaii
There are different structures of programs in terms of being inpatient or outpatient. Also, there are different designs, such as group therapy, family therapy, and individual therapy. It helps to understand the basics of these and who can benefit from them the most.
Detox
The liver helps cleanse the body of a substance during detoxification. Whether a person must taper off, use MAT, or stop using a substance, 24/7 medical supervision through inpatient care during detox is a must for everyone. People who are unsupervised are more likely to relapse and potentially take a fatal overdose. Doctors and nurses supervise patients and provide medication to help relieve unpleasant side effects. They also monitor them for dangerous side effects.
Residential Treatment
Also called inpatient treatment, this structure is better for a person who lacks a nurturing living environment or does not have a large number of responsibilities. For example, someone who is homeless, lives alone, and is likely to relapse or has roommates who abuse substances can benefit from residential treatment. These programs may last anywhere from a month up to a year. For people who still need supportive living afterward, Hawaii rehab centers often recommend sober living in Hawaii.
Outpatient Treatment
This treatment may be better for someone who needs minimal support. For example, a person with a supportive family, a good job, and other responsibilities may benefit from this structure. Treatment lasts a minimum of three hours per week. It may also be helpful on a regular basis for someone who is in a house for sober living in Hawaii.
Intensive Outpatient Treatment
An intensive outpatient treatment program requires more than three hours per week. Two or more sessions may be about three hours each. It is usually a good choice for someone who needs more intensive therapy but has a supportive home life and cannot take much time away from a job and other commitments.
Partial Hospitalization Program
Since a partial hospitalization program involves more time at a Hawaii drug rehab center, it is a better choice for someone who can take half days away from work or more time off. Programs usually include five five-hour sessions weekly. It is ideal for someone who has a nurturing home. However, it is better than basic outpatient therapy for someone in a riskier living situation.
Online Therapy
In this type of program, a person virtually meets with a counselor for addiction help online. It is often a better choice for someone with limited time and money. People who live in remote areas and cannot drive to a center for drug rehab in Hawaii can benefit from this. Professionals use the same therapy methods they do in inpatient and outpatient treatment when they provide addiction help online.
Group Therapy
Group therapy includes others who struggle with addiction. All the participants help each other find ways to work past issues and solve problems. It gives them a place to talk, relate to others with similar struggles and benefit from helping others.
Individual Therapy
Nearly all facilities that provide substance abuse treatment in Hawaii predominantly use this approach since it focuses on the individual. With this type of therapy, people discover all the ways that the addiction affects them individually.
Family Therapy
Family therapy gives the family members of someone who has an addiction a better education. They learn more about addiction and how to support their loved one. Also, it gives them a chance to talk about the unique ways the addiction affects them as individuals and how it affects the whole family.
Types of Therapy in Addiction Treatment
Drug rehabs in Hawaii use a variety of approaches during group, family, and individual therapy. Whether a person is in an inpatient setting or an outpatient setting, a Hawaii recovery center uses multiple types of therapy to improve outcomes. These are some of the main forms of therapy that alcohol and drug rehab centers in Hawaii use:
- Cognitive behavioral therapy (CBT) is a form of therapy that helps people discover the causes of their behavior patterns and their substance abuse triggers.
- Dialectical behavior therapy (DBT) is a type of CBT that helps people find ways to modify behaviors and deal with triggers.
- Eye movement desensitization and reprocessing (EMDR) is a type of treatment that helps people face and work past traumatic experiences.
- Holistic therapy is an approach that may include acupuncture, yoga, writing, art, and other natural activities that support wellness.
- Nutrition and exercise therapy improves physical and mental health to support recovery.
Nutrition, exercise, writing, art, or other therapies that help people feel better and improve wellness can help them learn to replace bad habits with healthier ones. They may also find new ways to cope with stress or trauma. For example, studies show that writing therapy can help immensely in people who struggle with addiction after a past trauma.
Why Do You Need Dual Diagnosis Treatment?
Dual diagnosis treatment is critical because it helps prevent a relapse. In many cases, unpleasant symptoms of a mental disorder lead a person to seek a substance in the first place. Also, because substance abuse alters brain chemistry, people can develop a mental disorder after they develop an addiction.
These are some of the most common mental disorders that co-occur with addiction:
- Post-traumatic stress disorder
- Anxiety
- Depression
- Borderline personality disorder
- Panic disorder
There is a higher prevalence of some substances with specific mental disorders. For example, many people with BPD use multiple substances, and many people with major depression turn to cocaine or stimulants. A significant portion of people who go to rehab in Hawaii has a co-occurring disorder.
If someone who developed depression before an addiction seeks substance abuse treatment in Hawaii without addressing the depression, those negative feelings that led to substance seeking in the first place still exist. If a person enters drug rehab in Hawaii and develops a mental illness after developing an addiction, the mental illness may persist even after detox and treatment. Thorough treatment is key to beating the cycle of addiction.
Paying for Addiction Therapy
Hawaii drug rehab centers accept private payments. However, most accept insurance plans as well. Because of the provisions in the Affordable Care Act, most insurers provide partial or full coverage for mental health and addiction therapy. It is important to understand the coinsurance structure, the out-of-pocket maximum, and the deductible for a plan.
Since these may be confusing, one easy way to find out how to pay for rehab in Hawaii is to contact a facility. Most facilities that provide drug rehab to Hawaii residents can answer questions about which plans they accept, and they can contact insurers to check on coverage provisions.
Recovery Resources
Facilities that offer drug and alcohol rehab to Hawaii residents encourage them to stay connected to recovery groups. These groups have frequent meetings and often have a sponsorship or mentorship structure. Some common types of meetings that people learn about and start participating in while they are in Hawaii recovery centers include:
- SMART Recovery is not a 12-step program and uses a science-based structure for recovery support.
- Celebrate Recovery is a 12-step structure and has a Christian approach for recovery support.
- Narcotics Anonymous is a 12-step structure for drug addiction recovery.
- Alcoholics Anonymous is a 12-step program for alcohol addiction recovery.
Another helpful resource for people who plan to use insurance to pay for addiction treatment at a Hawaii recovery center is the ACA’s website. It includes information about insurance coverage requirements and the laws about them. For anyone who needs to take half days or an extended time away from work, the Family and Medical Leave Act’s website is helpful. It provides information about laws that allow leaving for medical treatment.
Finding Alcohol and Drug Rehabs in Hawaii
If you are looking for information for yourself or someone else about facilities that offer drug rehab to Hawaii residents, we can help. From finding an interventionist to finding alcohol rehab in Hawaii, we connect you with the right resources. Please contact us to learn more or to ask any other questions.
References:
- https://ag.hawaii.gov/cpja/ccp/substance-abuse-prevention/data/
- https://www.justice.gov/archive/ndic/pubs07/998/meth.htm
- https://health.hawaii.gov/substance-abuse/files/2019/01/The-Hawaii-Opioid-Initiative_2.pdf
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6135257/
- https://store.samhsa.gov/sites/default/files/d7/priv/sma15-4131.pdf
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3942795/
- https://medlineplus.gov/dualdiagnosis.html
- https://pubmed.ncbi.nlm.nih.gov/16595350/