Tripler Army Medical Center

Alcoholism

Alcohol use disorder (AUD), also called alcoholism, can be mild, moderate, or severe. Symptoms include being unable to limit alcohol consumption and feeling strong cravings to drink alcohol. Individuals with AUD may have tried to quit drinking but were unsuccessful. Typically, professional rehab in Hawaii is necessary to help individuals overcome alcohol addiction. This treatment provides the necessary evidence-based therapies, medication, and support for long-term recovery.

Drug Addiction

Drug rehab in Hawaii is for individuals suffering from substance use disorders. Treatment addresses the many issues involved with addiction, typically through a combination of medical and psychotherapy treatments.

Mental Health and Substance Abuse

Hawaii’s dual-diagnosis rehabs typically offer comprehensive mental health and substance abuse treatment to support individuals in overcoming their addiction and gaining the skills to maintain a drug and alcohol-free life. Usually offered on an inpatient or outpatient basis, these treatment programs typically offer evidence-based therapies, like cognitive-behavioral therapy (CBT), skill development workgroups, comprehensive relapse prevention, stress management techniques, and a supportive recovery community. Together, these treatment components drastically increase the chances of long-term recovery.

Opioid Addiction

Opioid rehabs 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.

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Outpatient

Clients receiving treatment in an outpatient rehab typically require less intensive support and supervision than do persons in inpatient care. Many have already completed inpatient programs and are weeks or months along in their recovery journey. Outpatient treatment generally involves the continuation of treatments begun in inpatient care, including addiction counseling and life skills development. Some outpatient programs also offer medication assisted treatment (MAT) for clients in opioid and/or alcohol recovery.

Medically Assisted Detox

Medical detox is the safest way to help rid your body of addictive substances. It takes place in an inpatient setting under the supervision of licensed medical professionals who monitor your vitals and provide any necessary medications to alleviate potential withdrawal symptoms. Typically, this is the first step in the addiction recovery process, and it is often followed by inpatient treatment.

Inpatient

Residential treatment programs are those that offer housing and meals in addition to substance abuse treatment. Rehab facilities that offer residential treatment allow patients to focus solely on recovery, in an environment totally separate from their lives. Some rehab centers specialize in short-term residential treatment (a few days to a week or two), while others solely provide treatment on a long-term basis (several weeks to months). Some offer both, and tailor treatment to the patient's individual requirements.

Aftercare Support

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).

Sober Living Homes

A sober living home in Hawaii helps residents achieve several goals that will help them move forward in their recovery journey. During their stay at a men’s or women’s sober living home, residents find and maintain employment, locate more permanent housing, make amends with friends and family members hurt by their substance abuse, and adjust to maintaining a sober lifestyle in a less structured environment.

Intensive Outpatient

Intensive outpatient programs (IOP) enable clients to continue to live at home and, often, to work while also receiving robust therapeutic support. Clients attend multiple treatment sessions per week, where they typically receive a combination of psychotherapy, addiction education and recovery skills training, and evidence-based complementary care. Medication assisted treatment (MAT) is also available in many intensive outpatient rehabs. Treatment typically involves between nine and 20 therapeutic hours weekly. IOP is ideal for clients in early recovery.

12-Step

12 step programs promote long-term sobriety through a process of personal growth rooted in spiritual principles. Participants work through the 12 steps by learning to define and address the root causes of their addiction, to take responsibility for their choices and actions, and to relinquish control over that which cannot be changed. Participants attend regular, anonymous 12 step meetings and are mentored by a self-selected sponsor. Specialized formats, including age and gender specific groups, are available.

Cognitive Behavioral Therapy

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. CBT 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.

Couples Therapy

Couples therapy is provided to meet the needs of couples who are affected by deployments and adjusting to military lifestyle. 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.

Electroconvulsive Therapy

ECT is a form of treatment in which controlled electric currents are passed through the brain, sometimes causing short seizures. Treatments are done under general anesthesia. ECT appears to change brain chemistry for the better, and has been shown to provide fast and sometimes dramatic improvements in severe mental health conditions that can exist alongside addiction, including depression, bipolar disorder, psychosis, and suicidality. ECT is also often used by those who prefer it to taking medication.

Family Therapy

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.

Group Therapy

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.

Individual Therapy

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.

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