Maui VA Community Based Outpatient Clinic
is a public rehab located
in Kahului, Hawaii.
Maui VA Community Based Outpatient Clinic specializes in the treatment of
mental health, substance, drug and alcohol abuse.
Opiate Addiction Treatment Centers specialize in supporting those recovering from opioid addiction. They treat those suffering from addiction to illegal opioids like heroin, as well as prescription drugs like oxycodone. These centers typically combine both physical as well as mental and emotional support to help stop addiction. Physical support often includes medical detox and subsequent medical support (including medication), and mental support includes in-depth therapy to address the underlying causes of addiction.
The goal of treatment for alcoholism is abstinence. Those with poor social support, poor motivation, or psychiatric disorders tend to relapse within a few years of treatment. For these people, success is measured by longer periods of abstinence, reduced use of alcohol, better health, and improved social functioning. Recovery and Maintenance are usually based on 12 step programs and AA meetings.
Mental Health and Substance Abuse
A combined mental health and substance abuse treatment center has the staff and resources available to handle individuals with both mental health and substance abuse issues. It can be challenging to determine where a specific symptom stems from (a mental health issue or an issue related to substance abuse), so mental health and substance abuse professionals are helpful in detangling symptoms and keeping treatment on track.
Methadone Maintenance Treatment or ORT (Opiate Replacement Therapy) is the use of methadone as a substitute for someone who is addicted to opioids (heroin, OxyContin, codeine, Dilaudid, Percocet and others), helping with the recovery process reducing the cravings for the opioids or used as part of the admittance process to a substance abuse treatment facility that requires complete abstinence.
Medically Assisted Detox
Drug and alcohol addiction often takes a heavy toll on one’s body. Over time, a physical dependence can develop, meaning the body physiologically needs the substance to function. Detox is the process of removing drugs and/or alcohol from the body, a process that can be lethal if mismanaged. Medical detox is done by licensed medical professionals who monitor vital signs and keep you safe, healthy, and as comfortable as possible as you go through detox and withdrawal.
Opioid Dependence Treatment
Opioids are any drugs based on the chemical composition of opium. An opiate is a synthetic (man-made) version of an opioid, also known as a narcotic. Opiate pain medications include prescription painkillers, like Oxycodone, OxyContin, and Percocet. Other opioids include morphine, codeine, hydrocodone, buprenorphine, methadone, and heroin. Dependence or addiction to opioids is treated in a similar fashion to other drug and alcohol addictions, with an eye towards helping the body detox safely before other treatment commences.
Buprenorphine Detox and Treatment
Similar to methadone, buprenorphine is a drug meant to help with long-term treatment for opioid addiction. Those recovering from heroin addiction or other opiate addiction may be prescribed buprenorphine (Suboxone and Subutex) to help wean the body off of opioids safely, over time. Buprenorphine helps lessen the discomfort and danger of detox and withdrawal.
Vivitrol used for Addiction Recovery
Vivitrol has proven to be extremely effective in the treatment of opiate and alcohol abuse, especially when complimented with an effective rehab program. Vivitrol is a non-narcotic, non-addictive medication approved by the FDA that is used to suppress a person's cravings for a substance.
Psychotropic medications (aka psychodynamic medication) are any medicines used specifically to affect and/or alter a patient’s mind, emotions, and behaviors. Such psychiatric medicines are often used to change chemical levels in the brain that impact a person’s mood and behavior. These medications include mood stabilizers, antidepressants, anti-ADHD drugs, and anti-anxiety medications.
What does Maui VA Community Based Outpatient Clinic offer?
Outpatient programs are for those seeking mental rehab or drug rehab, but who also stay at home every night. The main difference between outpatient treatment (OP) and intensive outpatient treatment (IOP) lies in the amount of hours the patient spends at the facility. Most of the time an outpatient program is designed for someone who has completed an inpatient stay and is looking to continue their growth in recovery. Outpatient is not meant to be the starting point, it is commonly referred to as aftercare.
Dual Diagnosis/Co-Occurring Disorders Treatment
Many of those suffering from addiction also suffer from mental or emotional illnesses like schizophrenia, bipolar disorder, depression, or anxiety disorders. Rehab and other substance abuse facilities treating those with a dual diagnosis or co-occurring disorder administer psychiatric treatment to address the person’s mental health issue in addition to drug and alcohol rehabilitation.
Veterans who receive specialty mental health care have a Mental Health Treatment Coordinator (MHTC). The MHTC helps to ensure that each veteran has continuity through his/her mental health care and transitions. The MHTC's job is to understand the overall mental health goals of the veteran.
Sometimes, as part of a Veteran’s treatment, some members of the Veteran’s immediate family or the Veteran’s legal guardian may be included and receive services, such as family therapy, marriage counseling, grief counseling, etc. Family members might learn how to recognize symptoms and support recovery. In some treatment settings, a brief course of couples counseling or family therapy may be offered.
Completing a drug or alcohol rehab program shouldn’t spell the end of substance abuse treatment. Aftercare involves making a sustainable plan for recovery, including ongoing support. This can include sober living arrangements like halfway houses, career counseling, and setting a patient up with community programs like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA).
VA health care providers coordinate with each other to provide safe and effective treatment for the whole person. Many veterans begin mental health care with their VA primary care provider. Also, most VAs have chaplains available to help veterans with their spiritual or religious wellbeing. Having a healthy body, satisfying work, and supportive family and friends, along with getting appropriate nutrition and exercising regularly, are just as important to mental health as to physical health.
Cognitive Behavioral Therapy (CBT)
Cognitive Behavioral Therapy (CBT) is a therapy modality that focuses on the relationship between one's thoughts, feelings, and behaviors. It is used to establish and allow for healthy responses to thoughts and feelings (instead of unhealthy responses, like using drugs or alcohol). CBT has been proven effective for recovering addicts of all kinds, and is used to strengthen a patient's own self-awareness and ability to self-regulate. CMT allows individuals to monitor their own emotional state, become more adept at communicating with others, and manage stress without needing to engage in substance abuse.
In individual therapy, a patient meets one-on-one with a trained psychologist or counselor. Therapy is a pivotal part of effective substance abuse treatment, as it often covers root causes of addiction, including challenges faced by the patient in their social, family, and work/school life.
Trauma therapy addresses traumatic incidents from a client's past that are likely affecting their present-day experience. Trauma is often one of the primary triggers and potential causes of addiction, and can stem from child sexual abuse, domestic violence, having a parent with a mental illness, losing one or both parents at a young age, teenage or adult sexual assault, or any number of other factors. The purpose of trauma therapy is to allow a patient to process trauma and move through and past it, with the help of trained and compassionate mental health professionals.
Group therapy is any therapeutic work that happens in a group (not one-on-one). There are a number of different group therapy modalities, including support groups, experiential therapy, psycho-education, and more. Group therapy involves treatment as well as processing interaction between group members.
Whether a marriage or other committed relationship, an intimate partnership is one of the most important aspects of a person’s life. Drug and alcohol addiction affects both members of a couple in deep and meaningful ways, as does rehab and recovery. Couples therapy and other couples-focused treatment programs are significant parts of exploring triggers of addiction, as well as learning how to build healthy patterns to support ongoing sobriety.
Eye Movement Desensitization and Reprocessing (EMDR)
EMDR is a therapeutic modality originally developed to help process trauma. In an EMDR session, a patient is prompted to undergo eye movements that mimic those of REM sleep. This is accomplished by watching a therapist’s finger move back and forth across, or following a bar of light. The goal is repetitive sets of eye movements that help the brain reprocess memory, which can significantly reduce the intensity of remembered traumatic incidents. Associated memories can heal simultaneously, leaving patients significantly calmer, more stable, and more emotionally relaxed.
Experiential therapy is a form of therapy in which clients are encouraged to surface and work through subconscious issues by engaging in real-time experiences. Experiential therapy departs from traditional “talk therapy” by involving the body, and having clients engage in activities, movements, and physical and emotional expression. This can involve role-play or using props (which can include other people). Experiential therapy can help people process trauma, memories, and emotion quickly, deeply, and in a lasting fashion, leading to substantial and impactful healing.
Eating Disorder Treatment
Eating disorders include anorexia, bulimia, binge eating, and dysfunctional eating patterns. Many psychologists and other mental health professionals consider eating disorders to be food addictions, meaning food is being used in an addictive way (similar to drug or alcohol addiction). Certain substance abuse treatment programs will have treatment for eating disorders as one of the services offered. An eating disorder may also present as a co-occuring disorder or dual diagnosis alongside drug and alcohol addiction.
Motivational Interviewing (MI) is a clinical approach to helping people with substance abuse issues and other conditions shift behavior in positive ways. It is more goal-oriented than traditional psychotherapy, as MI counselors directly attempt to get clients to consider making behavioral change (rather than wait for them to come to conclusions themselves). Its primary purpose is to resolve ambivalence and help clients become able to make healthy choices freely.
Life skills trainings involve all the skills a person must have in order to function successfully in the world. These include time management, career guidance, money management, and effective communication. Truly successful addiction recovery is based on the ability to not only live substance-free, but to thrive. Life skills teaches the practical necessities of functioning in society, which sets clients up for success in life, and therefore sobriety.
Nutrition therapy, aka medical nutrition therapy (MNT), is a way of treating physical, emotional, and medical conditions through diet. Specific dietary plans are designed by professional nutritionists or registered dietitians, and patients follow them in order to positively affect their physical and mental health.
Maui VA Community Based Outpatient Clinic Highlights:
VA providers may use medications to treat alcohol dependence. Effective medications can help manage withdrawal symptoms, reduce craving, and promote abstinence, which is not drinking any alcohol. Several medications for stopping tobacco can be effective alone or in combination: a nicotine replacement skin patch, the medication bupropion, and the newest choice, varenicline, that has a different way of working than the other medicines.
To help make sure that veterans can attend VA treatment services, programs offer evening and weekend hours. Residential (live-in) options are available for veterans who live far away from a VA clinic or have unstable housing. Special programs are often offered for patients with special concerns, such as women, OEF/OIF veterans, and homeless patients.
VA health care providers receive training about military culture, gender differences, and ethnic issues in order to better understand each Veteran. In situations where a Veteran might feel more comfortable with a same-sex provider (or an opposite sex provider), VA will make every effort to arrange gender-specific care.
Sober living home or Halfway house
Military insurance coverage
Medicaid may cover part or all of your addiction treatment costs.
If you are experiencing a medical or psychiatric emergency, please call 911 or a local emergency number immediately.
The information provided by
is not a substitute for professional medical advice.