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Hawaii: C

Grading the States 2009 Report Card: Hawaii

Hawaii’s mental health care system has improved substantially since its dismal days in the 1980s and early 1990s, but the state is now at risk of sliding backward. In 2006, Hawaii received a C grade that has not changed in 2009. However, the environment is changing. Full narrative (PDF).

Grades by Category Detailed Score Card (PDF)

  1. Health Promotion and Measurement: D 25% of Total Grade
    Basic measures, such as the number of programs delivering evidence-based practices, emergency room wait-times, and the quantity of psychiatric beds by setting.
  2. Financing & Core Treatment/Recovery Services: B 45% of Total Grade
    A variety of financing measures, such as whether Medicaid reimburses providers for all, or part of evidence-based practices; and more.
  3. Consumer & Family Empowerment: D 15% of Total Grade
    Includes measures such as consumer and family access to essential information from the state, promotion of consumer-run programs, and family and peer education and support.
  4. Community Integration and Social Inclusion: D 15% of Total Grade
    Includes activities that require collaboration among state mental health agencies and other state agencies and systems.


  • Leadership in cultural competence
  • Efforts to decriminalize mental illness
  • Mini-grants for peer- and family-led programming

Urgent Needs

  • Restore and strengthen ACT programs
  • Overcome inpatient bed shortage; expand community alternatives
  • Improve workforce distribution to meet public and rural needs

Additional Information and Resources

Full Narrative (PDF) | Detailed Score Card (PDF) | Full Report | Order Hard Copy

NAMI Hawaii: Connect with the NAMI nearest you.

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Grading the States 2006 Report Card: Hawaii

"The ACT team is being gutted ... clients have been left shocked, disoriented, and apprehensive."