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Hawaii residents who are dealing with a drug or alcohol problem have mostly outpatient treatment options to choose from, because outpatient programs make up about 97% of the programs offered in the state. Nearly all of the outpatient programs in Hawaii offer regular outpatient treatment, but there are also around 50 programs which provide intensive outpatient treatment, known as IOP. There are also 11 day-treatment/partial hospitalization outpatient programs for those who need even more intensive services and who may require services to address a co-occurring mental health disorder while in treatment for addiction. Additionally, there are also 5 facilities offering detoxification on an outpatient basis and 4 programs providing opiate maintenance services. Opiate maintenance outpatient programs administer methadone, buprenorphine and similar medical opiate drugs to stop drug cravings and opiate withdrawal which would otherwise cause a relapse. Opiate maintenance programs provide very little in the way of actual treatment services however, and if clients ever want to stop the cycle of drug dependence they should seek actual treatment such as counseling and therapy to address the causes of addiction.

The regular outpatient programs in Hawaii provide the least intensive approach and individuals will typically be involved in treatment anywhere from 1-3 days a week for a few hours. IOP (intensive outpatient) treatment services require clients to take part in treatment services at least 3 days per week for 9-12 hours per day. Intensive outpatient in Hawaii would be an ideal choice for someone who needs the most intervention and support during after becoming newly abstinent and having struggled with long-term addiction. Outpatient clients in Hawaii who take part in either a regular or intensive outpatient program will receive individual counseling, participate in group therapy and in many instances family therapy is also offered.