VA Pacific Islands Health Care System – Molokai VA Clinic

Dual Diagnosis

In Hawaii, dual-diagnosis addiction treatment programs recognize the importance of treating substance use disorders and mental health conditions simultaneously. They offer various levels of care, depending on your needs. Treatment settings include detox, outpatient, residential rehab, and partial hospitalization options. Using a combination of evidence-based and holistic therapies, like cognitive behavioral therapy, or dialectical behavioral therapy, adventure therapy, and acupuncture, clinicians address substance use disorders and co-occurring disorders.

Mental Health

During inpatient drug rehab treatment, mental health services play a central role in your plan of care. During your stay at the center, you are constantly monitored and supported by clinical staff and mental health professionals. Standard mental health therapies and treatments include group and individual counseling, cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), and many others. Extra amenities, like recreational therapies, vary by facility.

• Military insurance
• Medicaid
• Medicare
• Free
• Sliding scale payment assistance
• Self-pay options
• Financial aid
• Private insurance
• Per session

• Adult program
• Elderly program
• Hearing impaired program
• LGBTQ program
• Military program
• Postpartum program
• Program for men
• Program for women
• Young adult program

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.

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

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.

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.

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.

Life Skills

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.

Motivational Interviewing

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.

Nicotine Replacement Therapy

Nicotine Replacement Therapy (NRT) is a way of getting nicotine into the bloodstream without smoking. It uses products that supply low doses of nicotine to help people stop smoking. The goal of therapy is to cut down on cravings for nicotine and ease the symptoms of nicotine withdrawal.

Trauma Therapy

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.