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One would think that a beautiful state like Hawaii would not have a problem with substance abuse addiction, but sadly that is not the case. Statistics from 2005 prove otherwise. (We can hope there have been improvements since then. Perhaps the efforts of the 120 drug abuse treatment programs has accomplished this.)

A quick overview of the 2005 statistics, which were compiled from interviews with 6,555 residents of Hawaii, shows that methamphetamine addiction is the biggest substance abuse problem in Hawaii. 2,089 of Hawaiian residents polled admitted to meth abuse or addiction.

Some residents of Hawaii consider their ethnic origin as being Hawaiian. Surveys that include ethnicity as part of their categories will often provide places for people who are being surveyed to record their ethnicity. In this particular survey, those who considered themselves to be ethnically Hawaiian were included in the category for Asian or Native Hawaiian or Other Pacific Islanders.

Including such information can provide a better overview on substance abuse as it affects different ethnic groups. Drug abuse treatment programs can use this information when determining how best to present treatment options and protocols.

As mentioned earlier, there are 120 drug abuse treatment programs available in Hawaii for those who have substance abuse problems. Each of the 120 facilities may operate their programs differently from the others, or some similarities may be found in all of them.

For example, some drug abuse treatment programs, and the facilities, are designed for those residents whose admission status is considered as that of an "in-patient". When a person enters a program in this status, this means that he will remain at the treatment center, without leaving, for a specific period of time.

Facilities that offer in-patient rug abuse treatment programs must be equipped to provide housing, meals, and the other necessities for daily life. In order to do this effectively, some facilities are gender-specific; that is, only women or only men will be housed at these locations. Some break that down even further, and accept only adults or only adolescents.

Others in-patient facilities provide separate quarters for males and females, but the drug abuse treatment programs may include both sexes in their implementation. For example, group counseling may be held with both men and women, so that each gender, with its individual opinions and thoughts, is represented. In this way, the patients can gain insight into the particular problems facing members of the opposite sex when it comes to substance abuse.

Some in-patient facilities may allow no contact with family members, loved ones, or friends during the time that patients are participating in drug abuse treatment programs. Others may allow limited contact after the patient has been in the facility for a short period of time.

Still others may have an "open-door" policy, to some extent. Physical visitation may not be permitted, but patients are free to communicate by phone, e-mail, or other forms of communications while participating in the drug abuse treatment programs.

Some drug abuse treatment programs may require that the patient "earn" the privilege of communicating with those outside the facility. In fact, the facets of the programs themselves may be set up on a type of "rewards" system. When patients accomplish certain goals, they are immediately granted a privilege, one of which may be communication rights.

This can prove very effective, especially if substance abuse may have stemmed partly from feelings of low self-esteem or inferiority. The psychological boost that comes from having achieved something can sometimes go a long way towards helping those who are in drug abuse treatment programs to better succeed.
Once a patient has been in an in-patient facility for a set amount of time, or has shown marked improvement, the next step is usually a change of the patient's status from in-patient to out-patient. At that time, the patient will leave the facility, returning for scheduled appointments and continued participation in the facility's drug abuse treatment programs.

http://www.drugabuse.gov/ResearchReports/Therapeutic/Therapeutic2.html
http://hawaii.hawaii.edu/hsersacc/

Hawaii Drug Rebab Centers and Hawaii Addiction Treatment Programs