Big Island Substance Abuse Council – EH Outpatient Facility – Hilo, Hawaii in Hilo Overview
Hope Without Commitment
Find the best treatment options. Call our free and confidential helpline
Most private insurances accepted
Treatment Options
The facility offers multiple levels of care, such as:
- Mentoring/peer support
- Housing services
- Discharge Planning
- Outcome follow-up after discharge
The center treats the following addictions and co-occurring disorders:
- Criminal justice (other than DUI/DWI)/Forensic clients
- Pregnant/postpartum women
- Clients who have experienced trauma
- Screening for tobacco use
- Comprehensive mental health assessment
- Comprehensive substance use assessment
- Interim services for clients
- Outreach to persons in the community
- Screening for mental disorders
- Screening for substance use
Treatment Modalities
Cognitive Behavioral Therapy (CBT) is a form of psychotherapy that emphasizes the critical role of thinking in how we feel and what we do. It aims to identify and challenge distorted or negative thought patterns and behaviors, teaching individuals to replace them with more constructive and rational beliefs. CBT is evidence-based and has been shown to be effective in treating a variety of psychological disorders, including depression, anxiety, and phobias, among others.
Telehealth provides a secure and handy way to access behavioral health care from your home. It eliminates the need for travel, time off work, or organizing childcare. A range of services, including individual therapy, group sessions, and monitoring for anxiety and depression, are available remotely. Rest assured, telehealth video sessions are not recorded, ensuring your information remains as confidential as in-person consultations.
Substance use disorder counseling treatment modalities refer to various approaches and methods used in the counseling and treatment of individuals with substance use problems. This can include individual therapy, group therapy, cognitive behavioral therapy, motivational interviewing, family therapy, and 12-step programs. The goal is to help the individual overcome their substance use, develop healthy coping skills, and lead a fulfilling life in recovery.
Trauma therapy addresses the deep-seated emotional and psychological wounds often linked with substance abuse disorders. Recognizing that traumatic experiences can be a root cause or a significant contributing factor to substance addiction, this therapeutic approach seeks to help individuals understand, process, and heal from their traumas. Doing so fosters emotional healing and bolsters the individual’s chances of long-term recovery from addiction. Integrating trauma-informed care into addiction treatment ensures a comprehensive approach that addresses substance abuse’s symptoms and underlying causes.
Tobacco cessation counseling encompasses discussions with a counselor regarding your tobacco or vape usage and its integration into your daily routine, with the goal of devising a strategy to quit. This service caters to individuals desiring to quit tobacco, offering interventions like behavioral support or counseling in groups or one-on-one settings. The counseling sessions may range from brief encounters (under 5 minutes) to more intensive discussions (exceeding 10 minutes) and may necessitate multiple sessions.
Group therapy entails therapeutic sessions conducted in a collective setting rather than one-on-one. It encompasses various modalities, from support groups and experiential therapy to psycho-education and beyond. The approach focuses on treatment and emphasizes the dynamic interactions and shared experiences among group members.
Studies consistently show that the likelihood of sustainable recovery increases when family members are involved in rehab and substance abuse treatment. Genetic elements might influence susceptibility to drug and alcohol dependence and mental health challenges. Family interactions frequently contribute to addiction triggers. However, with the right education, family members can become pivotal support pillars during rehabilitation.
Marital/couples counseling treatment modalities refer to various therapeutic approaches used to help couples resolve conflicts, improve communication, and strengthen their relationship. These modalities can include cognitive-behavioral therapy, emotionally focused therapy, solution-focused therapy, and integrative approaches. The goal of these treatments is to help couples identify and address underlying issues and develop healthy relationship dynamics.
12-Step Facilitation is a structured approach employed in rehab facilities to guide individuals through a 12-step program, such as Alcoholics Anonymous or Narcotics Anonymous, to support their recovery from addiction. This facilitation focuses on acceptance, surrender to a higher power, and engagement in a community of support. By meticulously working through each step, individuals are encouraged to develop self-awareness, seek amends, and cultivate a sober, healthier lifestyle through ongoing participation in a recovery-oriented community. This method aims at ensuring a lasting recovery by instilling a sense of accountability and fostering a supportive network of like-minded individuals.
Intervention is a set of structured processes or strategies designed to assist individuals in recognizing and addressing problematic behaviors, such as substance abuse, addiction, or mental health issues. These services typically involve a team of professionals or trained individuals who work collaboratively to guide and support the person in need and their loved ones, aiming to facilitate a pathway to recovery or appropriate treatment.
Contingency management and motivational incentives are evidence-based treatment modalities used in addiction and behavioral health programs. Contingency management involves the use of rewards to reinforce positive behaviors and change negative behaviors, while motivational incentives provide incentives to engage in treatment and sustain recovery. Both approaches are designed to increase motivation and engagement in treatment and have been shown to be effective in promoting positive outcomes.
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.
Anger Management is a therapeutic approach aimed at helping individuals recognize the triggers and signs of their anger and teaching them effective ways to calm down and deal with the situations in a positive manner. Through a blend of counseling, cognitive-behavioral therapy, and practical skill development, individuals learn to reduce aggressive responses, improve communication, and enhance interpersonal relationships, contributing to a better quality of life.
The Matrix Model involves clients in group and individual counseling, psychoeducation, and skill-building exercises to boost self-awareness, coping skills, and well-being. It prioritizes creating a supportive, collaborative therapy environment, promoting active client involvement in their recovery. This approach integrates cognitive-behavioral therapy, 12-step facilitation, family education, and relapse prevention strategies into a comprehensive evidence-based program.
The Relapse Prevention Model is a therapeutic approach designed to equip individuals with strategies and tools to anticipate and cope with potential relapses, especially during the recovery from addictive behaviors or other maladaptive habits. Drawing on cognitive-behavioral techniques, it emphasizes the identification of high-risk situations, developing coping mechanisms, and enhancing self-efficacy. This model fosters long-term behavior change by helping individuals recognize early warning signs of relapse and empowering them to take proactive steps to maintain their recovery.
Holistic Treatment refers to an integrated approach to recovery that addresses the physical aspects of addiction and the individual’s emotional, mental, and spiritual needs. This method incorporates a variety of therapies, practices, and activities, such as nutrition, mindfulness, yoga, and counseling, to promote overall well-being, self-awareness, and balance. By treating the whole person, holistic treatment aims to ensure a more comprehensive and sustainable recovery.
In individual therapy, a person engages in a one-on-one session with a qualified therapist or counselor. This therapeutic approach is crucial in successful substance abuse treatment because it delves into the underlying causes of addiction, addressing issues the individual may encounter in their familial, social, and professional or academic environments.
Conditions Treated
Alcoholism
Alcohol addiction is a disease that changes the way the brain works. It causes negative emotions, impulsive behavior, cravings and withdrawal symptoms. Treatment for alcohol addiction includes supervised detox, counseling and therapy, and support group participation. Rehabilitation does not cure alcoholism. Instead, it helps the individual manage their addiction, restore their functioning, and well-being.
Mental health treatment
Mental health treatment involves a range of therapeutic approaches, provided by licensed professionals, to address mental health challenges. It includes psychotherapy, medication, and holistic practices to help individuals manage conditions, improve coping skills, and enhance overall well-being. The goal is to empower individuals to lead fulfilling lives and reduce the stigma surrounding mental health.
Substance use treatment
Substance abuse treatment programs can help to address addiction and, if relevant, any co-occurring mental health conditions. Programs include outpatient, inpatient, dual-diagnosis, and partial hospitalization. The addict will receive therapies like cognitive behavioral therapy, or dialectical behavioral therapy, and sometimes complementary therapies like acupuncture and mindfulness-based therapy. By attending skills training and recovery groups youโll build a strong foundation for your recovery and strengthen your support network, increasing your chances of long-term recovery success.
Co-occurring Disorders
Dual-diagnosis rehabs are usually the appropriate solution to treat co-occurring mental health and substance abuse disorders. These facilities typically employ medical and behavioral experts who use a range of interventions, together with the right healing environment, for you to achieve and sustain long-term recovery. Treatment usually includes evidence-based therapies (like cognitive behavioral therapy), recovery support meetings, 12-step facilitation, psychoeducation, skills training, and group therapy.
Levels Of Care
Outpatient
Outpatient programs cater to individuals who are in good medical condition and are not at a heightened risk of relapse, including those who have successfully finished their inpatient treatment. These programs usually build upon clients’ existing treatment strategies, providing ongoing addiction counseling and educational support for recovery. Individuals who enter outpatient care right after detoxification may also undergo medical and psychological evaluations, followed by the creation of personalized treatment plans. Most outpatient rehabilitation centers offer various levels of care tailored to meet each client’s specific needs.
Outpatient day treatment or partial hospitalization
Outpatient day treatment or partial hospitalization level of care is a type of mental health treatment that provides a high level of care outside of a traditional inpatient setting. It typically involves intensive therapy and support services for several hours each day, several days per week. This level of care is designed for individuals who require more support than traditional outpatient therapy but do not need 24-hour inpatient care.
Intensive outpatient treatment
Intensive outpatient programs (IOPs) support clients in maintaining long-term sobriety by providing tailored, high-quality care that adapts to their changing requirements. Clients participate in several treatment sessions each week, typically receiving between nine to 20 hours of outpatient care weekly. As clients achieve stability, the treatment frequency and intensity gradually diminish. Many intensive outpatient rehabilitation centers provide a diverse range of services, such as addiction counseling, training in life skills geared towards recovery, and the option for medication-assisted treatment (MAT). Additionally, evidence-based complementary therapies are frequently integrated into the program.
Regular outpatient treatment
Regular Outpatient Treatment involves scheduled therapy sessions typically held on an outpatient basis, allowing individuals to receive essential support while maintaining their daily routines. These sessions usually range from one to three times per week, providing a flexible approach to recovery that accommodates the individual’s needs and progress. It offers a structured environment for therapy and counseling, enabling individuals to address addiction or mental health issues while continuing to engage in their daily responsibilities.
Aftercare
Aftercare is the continued support and care that individuals receive following the completion of their primary treatment program for substance abuse or addiction. This phase aims to aid individuals in maintaining their sobriety, improving personal skills and coping strategies, and integrating back into society. Aftercare can include ongoing therapy, support group meetings, education, and monitoring, which are crucial for preventing relapse and promoting long-term recovery. Through a combination of community support, accountability, and personal development, aftercare provides a structured pathway for individuals to continue their recovery journey in a supportive environment.
Halfway house
A sober living home is a residential facility designed to support those recovering from substance abuse. Unlike inpatient rehab centers, it doesn’t offer constant medical supervision but emphasizes a drug-free lifestyle. Residents adhere to set rules, such as curfews and mandatory group meetings and are often subject to random drug tests. The environment balances independence with accountability, helping residents reintegrate into society, build coping skills, and maintain sobriety while surrounded by peers who share similar recovery challenges.
Payment Options
- Cash or self-payment
- Medicaid
- State-financed health insurance plan other than Medicaid
- Private health insurance
- Federal, or any government funding for substance use treatment programs
- Sliding fee scale (fee is based on income and other factors)
- Payment assistance (check with facility for details)
- SAMHSA funding/block grants
License and Accreditation
- Commission on Accreditation of Rehabilitation Facilities (CARF)
- SAMHSA certification for opioid treatment program (OTP)
- State department of health
Ancillary Services
- Case management service
- Suicide prevention services
- Child care for client’s children
- Domestic violence services, including family or partner
- Mental health services
- Social skills development
- Transportation assistance