Hawaiʻi Recognized as a National Leader in Mental Health in Recent Report
HONOLULU – In a significant affirmation of its mental health initiatives, Hawaiʻi has been highlighted as a leading state in mental health accessibility and affordability. The recent 2025 State of Mental Health in America report, published by Mental Health America (MHA), ranks states based on 17 criteria relating to mental health prevalence and the accessibility of care. Hawaiʻi’s notable standings underscore the state’s commitment to advancing mental well-being among its residents.
Hawaiʻi achieved top ranks, notably securing the No. 1 position in the nation for the affordability of mental health care. This is a critical measure, especially as rising healthcare costs continue to challenge states across the country. Furthermore, Hawaiʻi was recognized for youth flourishing, ranking fifth, with a remarkable percentage of adolescents reporting positive mental health outcomes. The state’s proactive efforts are further evidenced by its No. 8 ranking for uninsured adults with mental illness, reflective of ongoing initiatives aimed at expanding healthcare coverage and access to mental health services for all residents.
Dr. Kenneth Fink, Director of the Department of Health (DOH), expressed pride in these achievements but emphasized the necessity for continued efforts. “This recognition reflects the progress we’ve made together as a community to strengthen access to mental health services, expand insurance coverage, and support our youth,” Dr. Fink stated. “While we celebrate our leadership, we acknowledge that comprehensive access to mental health care remains a priority.”
Despite these achievements, the report highlights areas that require attention. Hawaiʻi ranked 30th for youth preventive health visits, with nearly 30% of adolescents not undergoing check-ups in the past year. Preventive care is vital for addressing mental health conditions such as depression and substance use early. Additionally, the state’s ranking of 37th for identifying students with emotional disturbances (ED) for individualized education programs (IEPs) underscores a potential gap in specialized support for youth with significant mental health needs.
Tia L. Roberts Hartsock, director of the Office of Wellness and Resilience, articulated the importance of preventive care: “While we’re encouraged by Hawaiʻi’s rankings in mental health care affordability and youth well-being, it’s also a call to action. Investments in preventive care and supports are essential for enhancing mental health outcomes.” She reiterated the state’s commitment to enhancing collaboration among schools, families, and community organizations to ensure youth receive necessary screenings and services.
On a national scale, the report reveals that nearly one in four adults faced mental illness in 2024, with over 5 million adults lacking health insurance. Although youth mental health indicators are improving, substantial challenges remain for millions of young individuals.
In response to the report’s findings, DOH is dedicated to working alongside community partners, educational institutions, and healthcare providers to enhance the accessibility of mental health services. The emphasis is on prevention, early intervention, and equitable care, underscoring Hawaiʻi’s ongoing dedication to fostering a healthier future for its residents.
As the state continues to develop its mental health framework, the emphasis on both successes and ongoing challenges serves as a catalyst for further improvements in mental health support across the islands.
