Sand Island Treatment Center

Sand Island Treatment Center is a state-licensed, CARF-accredited residential and outpatient addiction treatment facility serving Oahu, Hawaii, specializing in comprehensive care for alcohol, opioid, and methamphetamine use disorders. The center provides evidence-based treatment including cognitive behavioral therapy, group therapy, medication-assisted treatment with methadone, and specialized programs for dual diagnosis and justice-involved populations. For 60 years, Sand Island has operated on the belief that lasting recovery requires time, structure, and supportive community, offering clients a long-term pathway from crisis to stable, meaningful sobriety.

Long-Term Residential Treatment for Substance Use in Honolulu

Sand Island Treatment Center’s core strength lies in its extended residential program model, which runs up to 24 months and is designed for individuals who have struggled in shorter treatment stays or found themselves cycling through the criminal justice system. The facility maintains 24/7 medical oversight, on-site nursing care, and medication management, making it equipped to address complex cases involving opioid dependence, alcohol use disorder, and co-occurring mental health conditions like depression and anxiety.

Daily life in the residential program includes individual and group therapy sessions grounded in cognitive behavioral principles, peer support groups, and practical skills training focused on rebuilding healthy habits and life structure. Clients receive meals prepared by an on-site chef and dietician who accommodate individual nutritional needs, and the facility’s peaceful setting on Honolulu’s oceanfront allows for therapeutic activities like beach access, hiking, and adventure therapy. With approximately 33% of clients completing the full two-year continuum of care, the center’s completion rates reflect its commitment to populations facing significant barriers to recovery.

Gender-Specific Care and Specialized Populations

The center operates gender-specific residential wings to provide privacy and comfort while fostering peer support among clients with similar experiences. Sand Island also offers tailored programs for specialized populations including pregnant women, older adults, individuals with developmental disabilities, those living with HIV/AIDS, and individuals involved in the criminal justice system, recognizing that effective treatment requires culturally and clinically informed approaches.

Access and Next Steps

Sand Island Treatment Center serves individuals throughout Oahu and operates seven days a week with both residential and outpatient programming available. The facility accepts Medicaid, HMSA, state-funded insurance plans, private insurance, and offers sliding-scale fees based on income and ability to pay.

If you or a loved one is ready to explore long-term recovery options on Oahu, reach out to learn more about admission and treatment planning at Sand Island Treatment Center.