Hina Mauka/Teen Care

They provide outpatient and telemedicine. Whichever one you start at the usual pattern is to step down through the levels rather than stop at once, and Lihue is the closest place to carry that on if you move.

They do not detox, and nothing inside 14 miles of Kapaa does either. Ask them where they send people, because a place without one usually has somewhere it refers to.

They offer a telemedicine option. What that covers varies, and a first appointment in Kapaa often still has to be in person.

They do not prescribe. If buprenorphine or methadone is part of what you need, say so on the call and ask who they refer to in Kapaa.

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

Family work is a standard part of treatment, though how much of it varies a lot between centers. Living with somebody in early recovery changes a household's routine, and family sessions are where that gets planned. Ask about the release of information early, because without it the updates stop.

Residential care is a bed and a program. Outpatient care is a schedule of appointments. Where someone is using in the house, or on the route home, outpatient care is working against the current. Ask whether the center offers the middle levels or only a bed and a weekly appointment.

One place can take somebody today and another in the same town is a month out. A medical need moves someone up a list, and withdrawal risk is the usual reason. Ask whether the wait changes if you are willing to start at a different level of care.