Department of Veterans Affairs - Substance Abuse Treatment Program 116

They offer outpatient, telemedicine and detox. Which one fits is usually decided by how much structure the first few weeks need, and Honolulu has 8 other centers within 14 miles.

They handle detox for opioids, alcohol, benzodiazepines, cocaine and methamphetamines. Ask how many days theirs lasts, because that varies more between places than people expect and Honolulu has 8 other centers to compare.

They prescribe buprenorphine and naltrexone, which is the part of treatment that is prescribed rather than attended. Of the 8 centers near Honolulu, not all of them do.

The nearest other center is under a mile away, in Honolulu, and there are 8 inside 14 miles.

Some of what they do can happen remotely. Ask which parts, because it is rarely all of them and the 8 centers near Honolulu differ on it.

Inpatient means the treatment holds the whole day. Outpatient means it has to fit around one. A stable home and someone in it who is on your side makes outpatient care far more workable. Describe the house you would be going back to, because that is the detail that decides it.

Treatment records for substance use are held under a federal rule that is stricter than the one covering ordinary medical records. An authorization carries an end date and stops when that date passes, rather than running on indefinitely. Where a court or a license is involved, ask exactly what gets reported and to whom.

The gap between a return to use and picking the phone up again is the part worth shortening. A recurrence after a long gap and one in the first week are different problems with different answers. Ask what is arranged for the weeks after discharge specifically.