Persons With Co Occurring Mental And Substance Abuse Disorders in Hawaii

People with severe mental illness in Hawaii have extraordinarily high rates of co-occurring substance use disorders, typically around 50% or more, which adversely affect their current adjustment, course, and outcome. Separate and parallel mental health and substance abuse treatment systems do not offer interventions that are accessible, integrated, and tailored for the presence of co-occurrence. Recent integrated interventions have the specific goal of ameliorating substance use disorder and the general goal of improving adjustment and quality of life.

The Co-occurring Disorder Treatment Dilemma

Providing services for persons with co-occurring disorders presents a dilemma. In the traditional system of parallel substance abuse and mental health services, few clients are able to access needed treatments for both disorders, and the services are rarely tailored to address the common interactive elements of co-occurrence. Therefore, clinicians and researchers have developed a number of strategies that combine, or integrate, mental health and substance abuse interventions.

Understanding the Link between Mental Illnesses and Substance Abuse

All mental illnesses, including mood, anxiety, personality, and schizophrenia-spectrum disorders, are associated with an increase in co-occurring substance use disorder compared to the general population. Furthermore, people with the most severe psychiatric disorders tend to have the highest rates of co-occurring substance use disorders. For example, in the largest general population survey of comorbidity conducted to date, the rate of lifetime alcohol or drug use disorder in the general population is approximately 17%, compared to 47% for people with schizophrenia, 56% for people with bipolar disorder, and about 30% for people with another mood disorder or an anxiety disorder.

Treating Co-occurring Disorders

a) Inpatient Rehabilitation

A person experiencing a mental illness and dangerous/dependent patterns of substance use may benefit from an inpatient rehabilitation center where they can receive medical and mental health care 24/7. These treatment centers provide therapy, support, medication and health services to treat the substance use disorder and its underlying causes.

b) Supportive Housing

Supportive housing, like group homes or sober houses, are residential treatment centers that may help people who are newly sober or trying to avoid relapse. These centers provide some support and independence. Sober homes have been criticized for offering varying levels of quality care because licensed professionals do not typically run them. Do your research when selecting a treatment setting.

c) Psychotherapy

This one is usually a large part of an effective dual diagnosis treatment plan. In particular, cognitive behavioral therapy (CBT) helps people with dual diagnosis learn how to cope and change ineffective patterns of thinking, which may increase the risk of substance use.

d) Medications

These are useful for treating mental illnesses. Certain medications can also help people experiencing substance use disorders ease withdrawal symptoms during the detoxification process and promote recovery.

e) Self-Help and Support Groups

Dealing with a dual diagnosis can feel challenging and isolating. Support groups allow members to share frustrations, celebrate successes, find referrals for specialists, find the best community resources and swap recovery tips. They also provide a space for forming healthy friendships filled with encouragement to stay clean.

Getting Help

If you have the symptoms of co-occurring disorders, your best move will be to reach out to an integrated treatment center in Hawaii. The professional expertise in place will help you get better faster and reclaim your life.

Hawaii Drug Rehabs by Type:

List of Drug and Alcohol Rehab Programs For persons with co occurring mental and substance abuse disorders in Hawaii

location-listing
CARE Hawaii Inc CBCM Program
875 Waimanu Street, Honolulu, HI 96813
Primary Care Services

Mental Health Treatment, Psychotropic Medication

Service Settings

Outpatient Drug Rehab, Outpatient Mental Health Facility, Partial Hospitalization Or Day Treatment

Treatment Approaches

Individual Psychotherapy, Couple Family Therapy, Group Therapy, Cognitive Behavior Therapy, Behavior Modification, Dual Diagnosis Drug Rehab, Trauma Therapy, Telemedicine Therapy, Smoking Tobacco Cessation Counselling, Vocational Rehabilitation Services

Accepted Payment Types

Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, State Mental Health Agency Funds, Other State Funds, County Or Local Government Funds

location-listing
Hope Inc
120 Keawe Street, Hilo, HI 96720
Primary Care Services

Mental Health Treatment, Psychotropic Medication

Service Settings

Outpatient Drug Rehab, Outpatient Mental Health Facility

Treatment Approaches

Individual Psychotherapy, Group Therapy, Cognitive Behavior Therapy, Dual Diagnosis Drug Rehab

Accepted Payment Types

Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, State Mental Health Agency Funds

location-listing
Big Island Substance Abuse Council EH OP Facility
297 Waianuenue Avenue, Hilo, HI 96720
Primary Care Services

Drug And Alcohol Treatment Services, Substance Abuse Treatment Services

Service Settings

Outpatient Drug Rehab, Intensive Outpatient Treatment, Regular Outpatient Treatment

Treatment Approaches

Cognitive Behavior Therapy, Dialectical Behavior Therapy, Anger Management, Brief Intervention Approach, Contingency Management Motivational Incentive, Motivational Interviewing, Matrix Model, Outreach To Persons In The Community, Rational Emotive Behavioral Therapy, Relapse Prevention, Substance Abuse Counseling Approach, Smoking Tobacco Cessation Counselling, 12 Step Facilitation Approach

Accepted Payment Types

Cash Or Self Payment, Medicaid, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Payment Assistance

location-listing
North Hawaii Adult Mental Health Servs Waimea Clinic
67-5189 Kamamalu Street, Kamuela, HI 96743
Primary Care Services

Mental Health Treatment, Psychotropic Medication

Service Settings

Outpatient Drug Rehab, Community Mental Health Center

Treatment Approaches

Individual Psychotherapy

Accepted Payment Types

Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, State Mental Health Agency Funds

Language Services

Services For The Hearing Impaired, Spanish

location-listing
Exclusive Addiction Treatment Center
45-3514 Paauhau Road, Honokaa, HI 96727
Primary Care Services

Drug And Alcohol Treatment Services, Detox, Alcohol Detoxification, Benzodiazepines Detoxification, Cocaine Detoxification, Methamphetamines Detoxification, Opioids Detoxification, Substance Abuse Treatment Services

Service Settings

Inpatient Drug Rehab, Short Term Drug Rehab, Long Term Drug Rehab, Inpatient Detoxification, Computerized Treatment

Treatment Approaches

Cognitive Behavior Therapy, Dialectical Behavior Therapy, Anger Management, Contingency Management Motivational Incentive, Community Reinforcement Plus Vouchers, Motivational Interviewing, Matrix Model, Rational Emotive Behavioral Therapy, Relapse Prevention, Substance Abuse Counseling Approach, Smoking Tobacco Cessation Counselling, Trauma Related Counseling, 12 Step Facilitation Approach

Accepted Payment Types

Cash Or Self Payment, Private Health Insurance

location-listing
Sutter Health Pacific DBA Kahi Mohala Hospital
91-2301 Old Fort Weaver Road, Ewa Beach, HI 96706
Primary Care Services

Mental Health Treatment, Psychotropic Medication

Service Settings

Hospital Inpatient, Inpatient Drug Rehab, Outpatient Drug Rehab, Partial Hospitalization Or Day Treatment, Psychiatric Hospital Or Psychiatric Unit Of A General Hospital

Treatment Approaches

Individual Psychotherapy, Couple Family Therapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Behavior Modification, Dual Diagnosis Drug Rehab, Trauma Therapy, Activity Therapy, Telemedicine Therapy, Smoking Tobacco Cessation Counselling

Accepted Payment Types

Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance, State Mental Health Agency Funds, State Welfare Or Child And Family Services Funds, State Corrections Or Juvenile Justice Funds, US Department Of Va Funds

location-listing
North Shore Mental Health
56-117 Pualalea Street, Kahuku, HI 96731
Primary Care Services

Mental Health Treatment

Service Settings

Outpatient Drug Rehab, Outpatient Mental Health Facility

Treatment Approaches

Individual Psychotherapy, Couple Family Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy

Accepted Payment Types

Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance, State Mental Health Agency Funds, State Welfare Or Child And Family Services Funds, State Education Funds, Other State Funds, County Or Local Government Funds, Payment Assistance

Language Services

Services For The Hearing Impaired, Spanish, Other Languages, Any Chinese Language, Italian, Japanese, Korean

location-listing
Department of Health CMHC Wahiawa
910 California Avenue, Wahiawa, HI 96786
Primary Care Services

Mental Health Treatment, Psychotropic Medication

Service Settings

Outpatient Drug Rehab, Community Mental Health Center

Treatment Approaches

Individual Psychotherapy, Couple Family Therapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Behavior Modification, Dual Diagnosis Drug Rehab, Trauma Therapy, Activity Therapy, Smoking Tobacco Cessation Counselling

Accepted Payment Types

Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, State Mental Health Agency Funds, State Corrections Or Juvenile Justice Funds, Payment Assistance

Language Services

Services For The Hearing Impaired, Other Languages, Any Chinese Language, Japanese, Korean, Portuguese, Tagalog, Vietnamese

location-listing
West Hawaii Community MH Ctr Kau Adult Mental Health
219-B Kaalaiki Road, Naalehu, HI 96772
Primary Care Services

Mental Health Treatment, Psychotropic Medication

Service Settings

Outpatient Drug Rehab, Community Mental Health Center

Treatment Approaches

Individual Psychotherapy, Couple Family Therapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Behavior Modification, Dual Diagnosis Drug Rehab, Trauma Therapy, Activity Therapy, Telemedicine Therapy, Smoking Tobacco Cessation Counselling

Accepted Payment Types

Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, State Mental Health Agency Funds, Sliding Fee Scale

Language Services

Services For The Hearing Impaired

location-listing
Coalition For A Drug Free Hawaii School Based/Leilehua High School
1515 California Avenue, Wahiawa, HI 96786
Primary Care Services

Drug And Alcohol Treatment Services, Mix Of Mental Health And Substance Abuse, Do Not Treat Opioid Addiction

Service Settings

Outpatient Drug Rehab, Regular Outpatient Treatment

Treatment Approaches

Anger Management, Brief Intervention Approach, Contingency Management Motivational Incentive, Motivational Interviewing, Relapse Prevention, Substance Abuse Counseling Approach, Smoking Tobacco Cessation Counselling, Trauma Related Counseling

Accepted Payment Types

No Payment Accepted

location-listing
North Shore Mental Health Aloha United Way Building
98-200 North Vineyard Boulevard, Honolulu, HI 96817
Primary Care Services

Mental Health Treatment, Psychotropic Medication

Service Settings

Outpatient Drug Rehab, Outpatient Mental Health Facility

Treatment Approaches

Individual Psychotherapy, Couple Family Therapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Behavior Modification, Dual Diagnosis Drug Rehab, Trauma Therapy, Smoking Tobacco Cessation Counselling, Vocational Rehabilitation Services

Accepted Payment Types

Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance, State Mental Health Agency Funds, State Welfare Or Child And Family Services Funds, State Corrections Or Juvenile Justice Funds, State Education Funds, Other State Funds, County Or Local Government Funds, Community Service Block Grants, Community Mental Health Block Grants, US Department Of Va Funds

Language Services

Spanish, Other Languages, Any Chinese Language, French, Italian, Japanese, Korean, Portuguese, Russian, Tagalog, Vietnamese

location-listing
Akamai Recovery Maui LLC
95 Lono Avenue, Kahului, HI 96732
Primary Care Services

Drug And Alcohol Treatment Services, Substance Abuse Treatment Services

Service Settings

Outpatient Drug Rehab, Outpatient Day Treatment Or Partial Hospitalization, Intensive Outpatient Treatment, Regular Outpatient Treatment

Treatment Approaches

Cognitive Behavior Therapy, Anger Management, Brief Intervention Approach, Contingency Management Motivational Incentive, Motivational Interviewing, Matrix Model, Outreach To Persons In The Community, Rational Emotive Behavioral Therapy, Relapse Prevention, Substance Abuse Counseling Approach, Smoking Tobacco Cessation Counselling, Trauma Related Counseling

Accepted Payment Types

Cash Or Self Payment, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Sliding Fee Scale

location-listing
Department of Health CMHC Makaha
84-1150 Farrington Highway, Waianae, HI 96792
Primary Care Services

Mental Health Treatment, Psychotropic Medication

Service Settings

Outpatient Drug Rehab, Community Mental Health Center

Treatment Approaches

Individual Psychotherapy, Couple Family Therapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Behavior Modification, Dual Diagnosis Drug Rehab, Trauma Therapy, Smoking Tobacco Cessation Counselling

Accepted Payment Types

Medicaid, Medicare, State Mental Health Agency Funds, Payment Assistance

Language Services

Services For The Hearing Impaired

location-listing
Department of Health CMHC West Hawaii
79-1020 Haukapila Street, Kealakekua, HI 96750
Primary Care Services

Mental Health Treatment, Psychotropic Medication

Service Settings

Outpatient Drug Rehab, Community Mental Health Center

Treatment Approaches

Individual Psychotherapy

Accepted Payment Types

Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Community Service Block Grants, Community Mental Health Block Grants

Language Services

Services For The Hearing Impaired

location-listing
Leeward Counseling Center
P.O. Box 75446, Kapolei, HI 96707
Primary Care Services

Drug And Alcohol Treatment Services, Do Not Treat Opioid Addiction, Substance Abuse Treatment Services

Service Settings

Outpatient Drug Rehab, Regular Outpatient Treatment

Treatment Approaches

Cognitive Behavior Therapy, Anger Management, Brief Intervention Approach, Motivational Interviewing, Matrix Model, Outreach To Persons In The Community, Relapse Prevention, Substance Abuse Counseling Approach, 12 Step Facilitation Approach

Accepted Payment Types

Cash Or Self Payment

location-listing
Hina Mauka Main Office
45-845 Pookela Street, Kaneohe, HI 96744
Primary Care Services

Drug And Alcohol Treatment Services, Buprenorphine Used In Treatment, Buprenorphine Maintenance For Predetermined Time, Medications For Psychiatric Disorders, Substance Abuse Treatment Services, Prescribes Administer Buprenorphine And Or Naltrexone

Service Settings

Inpatient Drug Rehab, Outpatient Drug Rehab, Short Term Drug Rehab, Long Term Drug Rehab, Outpatient Methadone Buprenorphine Or Vivitrol, Outpatient Day Treatment Or Partial Hospitalization, Intensive Outpatient Treatment, Regular Outpatient Treatment

Treatment Approaches

Cognitive Behavior Therapy, Anger Management, Brief Intervention Approach, Contingency Management Motivational Incentive, Motivational Interviewing, Outreach To Persons In The Community, Relapse Prevention, Substance Abuse Counseling Approach, Smoking Tobacco Cessation Counselling, Trauma Related Counseling, 12 Step Facilitation Approach

Accepted Payment Types

Cash Or Self Payment, Medicaid, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Payment Assistance

location-listing
VA Pacific Islands Healthcare System VA Maui CBOC
203 Hoohana Street, Kahului, HI 96732
Primary Care Services

Mental Health Treatment, Psychotropic Medication

Service Settings

Outpatient Drug Rehab

Treatment Approaches

Individual Psychotherapy, Couple Family Therapy, Group Therapy, Cognitive Behavior Therapy, Dual Diagnosis Drug Rehab, Trauma Therapy, Telemedicine Therapy, Smoking Tobacco Cessation Counselling

Accepted Payment Types

US Department Of Va Funds

location-listing
Action with Aloha LLC Pearl City Office
98-1256 Kaahumanu Street, Pearl City, HI 96782
Primary Care Services

Drug And Alcohol Treatment Services, Mix Of Mental Health And Substance Abuse

Service Settings

Outpatient Drug Rehab, Intensive Outpatient Treatment, Regular Outpatient Treatment, Computerized Treatment

Treatment Approaches

Cognitive Behavior Therapy, Dialectical Behavior Therapy, Anger Management, Brief Intervention Approach, Contingency Management Motivational Incentive, Community Reinforcement Plus Vouchers, Motivational Interviewing, Matrix Model, Rational Emotive Behavioral Therapy, Relapse Prevention, Substance Abuse Counseling Approach, Trauma Related Counseling

Accepted Payment Types

Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance, Sliding Fee Scale, Payment Assistance

Language Services

Services For The Hearing Impaired

location-listing
Lokahi Treatment Centers Lohala Town Center
54-3886 Akoni Pule Highway, Kapaau, HI 96755
Primary Care Services

Drug And Alcohol Treatment Services, Substance Abuse Treatment Services

Service Settings

Outpatient Drug Rehab, Intensive Outpatient Treatment, Regular Outpatient Treatment

Treatment Approaches

Cognitive Behavior Therapy, Dialectical Behavior Therapy, Anger Management, Motivational Interviewing, Outreach To Persons In The Community, Rational Emotive Behavioral Therapy, Relapse Prevention, Substance Abuse Counseling Approach

Accepted Payment Types

Cash Or Self Payment, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Access To Recovery Voucher, Sliding Fee Scale

location-listing
Access Capabilities Inc
745583 Pawai Place, Kailua Kona, HI 96740
Primary Care Services

Drug And Alcohol Treatment Services, Mix Of Mental Health And Substance Abuse

Service Settings

Outpatient Drug Rehab, Outpatient Day Treatment Or Partial Hospitalization, Intensive Outpatient Treatment, Regular Outpatient Treatment

Treatment Approaches

Cognitive Behavior Therapy, Anger Management, Brief Intervention Approach, Motivational Interviewing, Outreach To Persons In The Community, Relapse Prevention, Substance Abuse Counseling Approach, Trauma Related Counseling, 12 Step Facilitation Approach

Accepted Payment Types

Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Sliding Fee Scale

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