Pacific Quest is a fully licensed and accredited residential program on the Island of Hawaiʻi dedicated to one simple goal: healing families. Our integrative, individualized approach combines evidence-based clinical care, psychiatry, nature-based experiences, and holistic wellness to address the root causes of mental health challenges, not just the symptoms. Serving adolescents and young adults, we help residents build resilience, strengthen relationships, and develop the skills needed for lasting emotional well-being. By partnering closely with families throughout treatment, Pacific Quest empowers meaningful, sustainable change and creates a foundation for healthier, more connected lives long after residential care ends.

Pacific Quest's signature Horticultural Therapy, students actively cultivate organic gardens on the Island of Hawaiʻi, using the natural rhythms of tending the land to foster mindfulness, emotional regulation, and self-efficacy. Tending plants serves as a powerful living metaphor for personal healing, grounding residents in daily accountability and tangible accomplishments.

Age-Specific Campus Separation: To deliver developmentally precise care, Pacific Quest maintains dedicated, separate campus settings for our adolescent and young adult populations.

Clinical Scope: Our multidisciplinary team specializes in supporting neurodiverse students and complex clinical profiles, including those navigating Autism Spectrum Disorder (ASD), ADHD, severe anxiety, and trauma. By adapting evidence-based modalities to each resident's unique executive functioning and processing style, we create a safe, supportive environment for healing.

Academic Integration: To maintain educational momentum alongside clinical growth, our Cognia-accredited programming offers flexible academic pathways, including credit recovery, traditional coursework support, and GED preparation. We integrate learning directly into the therapudic process.  

How much does Pacific Quest cost?  Please contact admissions to learn how out-of-network insurance may cover Pacific Quest.  We will walk you through the process and answer all of your questions.

General Information

Participant Age Group(s)

Teens
Young Adults (18 - 30)

Organization's Name

Pacific Quest

Year Founded

2003

Director of Admissions

Kellyn Smythe

Admissions: Rolling or scheduled?

Rolling admissions

Admissions

Which age groups does your organization accept?

Children/Adolescents
Young Adults

Professional Associations/Affiliations

National Association of Therapeutic Schools & Programs (Professional Member)
Young Adult Transition Association (YATA)

Payment Options

Insurance
Private Pay | Out-of-pocket

Does the program have more than one location for this particular program?

Yes

How does the program prevent clients/students/patients from leaving (running) from the program?

Clients are ALWAYS in "Line-of-Sight" with staff

Location of Program

Suburban

Gender(s)

Female
Male
Transgender

What is the average number of clients you see per year?

90

Link to weekly or daily schedule

Religious Affiliation

No

Minimum length of stay

30 days

Only accepts participants who are voluntarily enrolling only.

No

Can support 18 yo, if they enroll before 18?

Yes

What are the interview requirements for applicants?

No Required Interview in Person
Call for More Information

Religious Affiliation?

No

Billing & Payments

Payment Type

Insurance (see above for specifics on insurance)
Private | Self Pay
Breakout Billing For Insurance | ‘Superbill’
Call for more information

What percentage of participants receiving funding from a state Adoption Assistance Programming?

0

What percentage participants who are Court Ordered?

0

What percentage of your participants are 'Private Pay'?

100

What percentage of your participants are funded by the School system? | FAPE / IDEA

0

What percentage of participants are 'State Funded' (example: medicaid)?

0

Is there an enrollment fee/outfitting fee/payment in advance?

Yes

If applicable, is the last month’s fees due at enrollment?

No

Insurance

Do your students receive insurance coverage for more than two weeks?

Yes

Do you have an insurance utilization person?

Contractor

in-network?

No

Levels of Care

Number of Phases or Levels

Not Applicable

Treatment Categories | Levels of Care

Residential Treatment
Residential Treatment - Adoption
Residential Treatment - Anxiety
Residential Treatment - Autism Spectrum
Residential Treatment - Failure to Launch/Emerging Adulthood
Residential Treatment - Positive Peer Culture
Residential Treatment - Short Term
Residential Treatment - Trauma

Additional levels of care offered by facility

Partial Hospitalization Program (PHP)

Does your organization have a Gap Year?

No

Accreditation

Professional Associations/Affiliations

National Association of Therapeutic Schools & Programs (Professional Member)
Young Adult Transition Association (YATA)

For licensed programs, by state or under 18, please select Incidents required to be reported to the state:

Infectious Disease
Major Injury | Death

Academic Accreditation

Cognia Accreditation

Ownership

Ownership Type

Private Company - Owners On-Site

Name of Parent Company

N/A

Name of Sister Company

N/A

Facility Operations | Type of Land

Privately Owned
Leased By Program

Who owns the land?

Pacific Quest

Additional Professionals & Medical Rule Outs

Are there medical rule outs

Yes

Possible medical rule outs

Active Psychosis
Actively Suicidal
Fire Starter
< Min BMI
Need for Detox?

Is there a minimum BMI

Yes

Can program accept insulin-dependent diabetics

Yes

Are there additional professionals?

Behavior Specialist
Naturopathic Physician
Nurse Practitioner
Psychiatrist
Psychologist
Registered Nurse

Additional types of therapies

Other

Percentage of clients on meds at enrollment

> 50%

Psychiatrist

On staff

If psychiatrist is available to students, what percentage of students change meds?

< 50%

Clinical Operations

Percentage of full time therapists who have a private practice outside of organization?

Not Applicable

What is the largest caseload a therapist can have?

> 8

Percentage of licensed therapists?

> 50%

Average number of days/week therapist are with clients?

4

Number of Individual Sessions with Therapist

2

Do clinical assistants work with lead therapists?

Yes

Do any of the therapists have more than one case load?

No

Treatment Modalities

Is program focused on full recovery? (Recovery-Oriented Systems of Care (ROSC))

No

Types of Therapy Offered

12 Steps Groups
Acceptance and Commitment Therapy
Behavior Modification
Cognitive Behavioral Therapy (CBT)
Dialectical Behavioral Therapy (DBT)
Dialectical Behavior Therapy (DBT) Skills
Expressive Art Therapy
Eye Movement & Desensitization and Reprocessing
Family Focused Therapy (FFT)
Motivational Interviewing (MI)
Narrative Therapy
Play Therapy
Psycho educational
Recreation Therapy
Sand Therapy

Integrated Wellness Support offered

Art
Breathing Techniques/Breath Work
Meditation
Yoga
Other

Does the program have a level/phase system?

No

If yes, are phases/levels are they tied to privileges?

No

Does program have a milieu-driven residential model? (Staff are trained in model)

Yes

If yes -- select all that apply

Client Centered/Person Centered Therapy
Cognitive Behavioral Therapy
Family Teaching Model (offshoot of Boystown)
Positive Peer Culture (PPC)

Integrated Wellness

Art
Breathing Techniques/Breath Work
Meditation
Yoga
Other

Does program use time out rooms?

No

Family Involvement

Family Involvement

HIGH: Family Expected on weekly calls (or more) & to attend all family workshops (weekly , monthly or quarterly)

Family involvement

HIGH: Family Expected on weekly calls (or more) & to attend all family workshops (weekly , monthly or quarterly)

What is the typical amount of time a family should expect before hearing about an major incident?

0

Type of Family Therapy/Work Offered

Family Handbook
Family process facilitated by another therapist
Flexible length of call with therapist per week
Other

Therapy - Group

Is there group therapy?

Yes

Average number of hours per week facilitated by licensed therapist

2

Average number of hours per week of group processing? (i.e. run by staff, interns, grad students, etc.)

10

Average number of formal family therapy hours per week (not social calls to teen)

0

Is video conferencing accessible for family therapy?

Yes

Therapy - Individual

Is there individual therapy?

Yes, part of the program cost

Number of individual therapy hours student receives on a difficult week?

4

Number of individual therapy hours student receives on typical week?

2

Percentage of licensed therapists?

> 50%

Therapist average case load

5

Percentage of full time therapists who have a private practice outside a program?

Not Applicable

Does the Clinical Director carry a case load?

No

Staff

What percentage of the line staff are full time employees?

> 50%

Line staff to student ratio during awake hours

3

Does program run background checks on all staff?

Yes

Is there an educational requirement for staff?

Yes

If Yes, what is it?

Some College

Average number of hours staff are trained before their first shift

5

Are night staff awake or asleep

Awake

Programming

Neurodiverse Specialties

ADHD/ADD
Autism Spectrum Disorders
Clinically Complex (possible behavior, genetic, students "who are puzzles")
Mood Deregulation &/or Anxiety
Non-Verbal Learning Disabilities (NLD)
Post Traumatic Stress Disorder (PTSD)
Primarily DX Learning Disability

Type of Programming Offered for Neurodiverse Students

Clinically-driven programming (addresses individual life, living, social and academic needs)
Call for more information

Academics

Type of Academic Calendar

Year Round School (either quarters, trimester, semesters)

Grades Served

Call for more information

Can programming support a student to complete a GED?

Yes

Post high school options offered

Call for more information

Average student to teacher ratio

0

What does the Teaching/Classroom look like?

Other

Is the program able to implement IEP's

Yes

Can provider handle a student who is more than two grade level's behind in reading?

Yes

Can program support a student who wants vocational training?

Call for more information

Does the school have AP Classes or the ability to give or take a student to the AP Test?

Not Applicable

Does the academic program have the ability to provide ACT or SAT Tutoring (on or off site)?

N/A

Transitions

Do you offer transition services for participants/students?

Yes

If Yes, select all options that apply to your program

Formal Transition To Another Therapist

Are there additional fees that apply to transitional options?

No

Percentage of families that participate in various transition programming?

> 50%

Assessments

Does the client receive a neuropsychological evaluation?

Other

What percentage of participants receive psychological evaluations?

> 50%
< 50%

Who completes the psychological evaluation?

Call for more information

Does program receive a fee for evaluation or referral?

No

Technology

Computer Access

Call for more information

Cell Phones

Not Allowed

Eating Disorders

If specific eating disorder care provided,

Other Specified Feeding or Eating Disorder (OSFED)

Expert Specifics

Associations

National Association of Schools & Programs (NATSAP)

Research

Percentage of clients who return home, or to a more traditional setting (like transitions to college or gap year, boarding school, etc.)

> 50%

Has the program previously been part of an evidence-based study?

Yes

Is the program presently part of an evidence-based study?

Yes

Wilderness Therapy

Wilderness Therapy Model

Choose an option

If program has phases/levels, are they tied to privileges?

N/A

Percentage of students who complete all phases/levels prior to leaving the program

Not Applicable