Hawaiʻi has been recognized as a leading state for mental health in the 2025 State of Mental Health in America report by Mental Health America. The annual report evaluates states using 17 measures related to prevalence and access to care, with Hawaiʻi earning high marks for affordability of mental health care, youth well-being, and access to providers.
According to the report, Hawaiʻi is ranked first nationwide for affordability of mental health care and fifth for youth flourishing, indicating that a large proportion of adolescents in the state report positive mental health. The state also placed eighth for uninsured adults with mental illness, reflecting efforts to broaden insurance coverage and improve residents’ connection to care.
“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,” said DOH Director Dr. Kenneth Fink. “We are proud of Hawaiʻi’s national leadership in these areas, but we also know there is more work to do to ensure every resident can get the mental health care they need, when and where they need it.”
Despite these achievements, the report notes areas needing improvement. Hawaiʻi was ranked 30th for youth preventive health visits; nearly 30 percent of adolescents did not receive a check-up in the past year. Preventive visits are important for early detection and intervention regarding conditions such as depression or substance use disorders. Additionally, Hawaiʻi ranked 37th in identifying students with emotional disturbance (ED) who qualify for individualized education programs (IEPs), suggesting that some young people may not be receiving necessary school-based supports.
“While we’re encouraged by Hawaiʻi’s rankings in mental health care affordability and youth well-being in this report, it’s also a call to action. Preventive care and supports are great investments when it comes to mental health,” said Tia L. Roberts Hartsock, director of the Office of Wellness and Resilience. “As a state, we are committed to improving our work with schools, families and community partners to ensure young people receive appropriate screenings and services. All our keiki deserve the opportunity to thrive.”
On a national scale, nearly one-quarter of adults experienced a mental illness during 2024 according to the same report; over five million lacked health insurance during that period. While there were improvements seen in youth mental health across the country, significant challenges remain.
The Hawaii Department of Health continues working with local partners—including schools and healthcare providers—to increase access to mental health services throughout the islands. The department’s approach focuses on prevention, early intervention, and promoting equity among residents.
