Big Island Substance Abuse Council

They provide inpatient residential, detox and telemedicine, which is the whole of what this address in Keaau is set up for.

They detox from alcohol, benzodiazepines, cocaine, methamphetamines and opioids, so the first stage and the treatment after it can happen in one place rather than across two trips to Keaau.

They treat older adults, along with young adults from 18 to 25 and adults from 26 to 64, which is a wider range than most places listed near Keaau cover.

Keaau has 8 AA groups, which is a different thing from treatment and a useful one next to it.

They offer a program for adult men, which not every center around Keaau does.

What you take comes with you, in the original labeled containers, and is reviewed on arrival. Where a program has no prescriber of its own, what you take stays with whoever already manages it. Write the list with doses and prescriber names before the first call.

The short version is a prescribed medication that reduces cravings and withdrawal, taken under supervision. The evidence for medication in opioid use disorder is strong enough that its absence from a program is worth asking about. What you are already taking is part of this conversation, so bring the list.

What a center can say about you to anyone is narrow, and it is narrow by default rather than on request. Who sees a record inside a program is also limited, usually to the team treating you. Ask how a claim through your insurance would appear, if that is the part that worries you.