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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).
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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.
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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.
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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.
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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.
Innovations
- 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
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"The ACT team is being gutted ... clients have been left shocked, disoriented, and apprehensive."
"The only psychiatric facility in Kauai is horrific."
"I have had services in Connecticut, Florida, California, and Texas—the best and most compassionate care in Hawaii."
