Understanding Mental Health and Finding Support in Hawaii
Mental health Hawaii resources are available 24/7 for anyone experiencing emotional distress, substance use challenges, or mental health crises. Here’s how to access immediate support:
Quick Access to Mental Health Services in Hawaii:
- Crisis Support (24/7): Call or text 988 to reach Hawaiʻi CARES for immediate help
- State Mental Health Services: Contact Adult Mental Health Division (AMHD) at (808) 643-AMHD for eligibility screening
- Free Support & Education: NAMI Hawaii at (808) 591-1297 offers programs for individuals and families
- Emergency Services: Call 911 or visit the nearest ER if in immediate danger
- Veterans Support: VA Pacific Islands Healthcare System provides specialized care for veterans
Your mental health encompasses your emotional, psychological, and social well-being, affecting how you think, feel, and act. It shapes how you handle stress, relate to others, and make choices.
Nearly one-in-five adults live with a mental illness. If you’re struggling with anxiety, depression, PTSD, or substance use, you’re not alone. Hawaii offers a robust network of resources to help residents find their path to wellness. Mental health conditions can stem from biological factors, life experiences like trauma, or family history. Understanding this helps reinforce that seeking help is a courageous step toward healing.
At Addiction Helpline America, we connect individuals with the mental health Hawaii resources they need, especially when addiction and mental health challenges occur together. Our team can guide you toward the right support for your situation.

The State of Mental Health Hawaii
Hawaii’s natural beauty offers peace to many, but thousands of residents face real mental health Hawaii challenges daily. Understanding these challenges helps us build stronger support systems.
The Hawaiʻi Department of Health tracks data on mental health, showing that accessible, quality care remains a critical need. Common challenges residents face include anxiety disorders, depression, bipolar disorder, Post-Traumatic Stress Disorder (PTSD), Obsessive-Compulsive Disorder (OCD), ADHD, eating disorders, and substance use challenges.
These conditions can be caused by a combination of genetics, brain chemistry, life experiences like trauma, and family history. None of these factors mean you are destined to struggle, and seeking help is always a smart, healthy choice. For more information on specific conditions, SAMHSA offers comprehensive resources.
The State Council on Mental Health (SCMH) works to improve mental health care across Hawaii. Its vision is for every person to find recovery in their home community. Through advocacy and connecting people to services, the SCMH ensures that anyone affected by mental illness can access the support needed to live a full, meaningful life.
At Addiction Helpline America, we see the real impact of these challenges every day. We know that behind every statistic is a person and a family. We are committed to helping Hawaii residents steer the path to treatment, especially when mental health conditions and addiction occur together.
Immediate Crisis Support and Emergency Services
When you’re in a mental health crisis, every moment counts. In Hawaii, help is available right now, just a phone call, text, or click away.

Hawaiʻi CARES 988 is your 24/7 lifeline for mental health crises, substance use challenges, or overwhelming emotional distress. This free service connects you with trained local counselors who understand mental health Hawaii challenges. It’s a partnership between the State of Hawai’i Department of Health, Behavioral Health Administration, CARE Hawai’i Inc., and Aloha United Way 211.
You should reach out to 988 if you’re feeling hopeless, panicked, or trapped. Call if you notice warning signs in a loved one, such as withdrawal, mood swings, or giving away possessions. If stress, anxiety, or sadness is interfering with your daily life, or if you’re struggling with alcohol or drugs, 988 is there for you. For thoughts of suicide or self-harm, please reach out immediately.
When you contact Hawaiʻi CARES 988, they can also dispatch Crisis Mobile Outreach, a local crisis therapist who can provide face-to-face support, often within an hour.
Important: If you or someone else is in immediate physical danger, call 911 or go to the nearest emergency room. Your safety is the top priority.
How to Contact Hawaiʻi CARES 988
Getting help is simple. Choose the method that feels most comfortable:
- Call 988 from any phone.
- Text 988 if talking feels too difficult.
- Chat with a counselor online through your computer or device.
If you’re calling from a non-808 area code, you can reach a local counselor directly at (808) 832-3100 or toll-free at (800) 753-6879.
State and Community-Based Mental Health Resources
Beyond crisis support, Hawaii has a strong network of organizations dedicated to making mental health Hawaii care accessible and breaking down stigma. These resources act as an extended ohana, offering guidance, education, and hope.

Adult Mental Health Division (AMHD)
The AMHD is Hawaii’s state mental health authority. You may be eligible for services if you are an adult Hawaii resident with a diagnosed serious mental illness, are uninsured/underinsured, are court-ordered to treatment, or are a victim of a natural disaster. To start the screening process and determine your eligibility, call (808) 643-AMHD (808-643-2643) Monday through Friday. For immediate crises, call 988.
NAMI Hawaii
NAMI Hawaii is a grassroots organization offering free, peer-led support. Because leaders have personal experience with mental illness, they bring a unique level of understanding to their programs. They offer the NAMI Connection Recovery Support Group, educational classes like NAMI Family-to-Family and NAMI Homefront for military families, and the NAMI Hearts+Minds wellness class. Their annual NAMIWalks Hawaii event raises funds and fights stigma by creating a visible community of support. Learn more at NAMIWalks Hawaii community event. Contact NAMI Hawaii at (808) 591-1297.
Mental Health America of Hawaii (MHAH)
For over 75 years, MHAH has promoted mental wellness through education and advocacy. They offer Mental Health First Aid training to teach the public how to respond to a mental health crisis. MHAH also provides school-based services, community screenings, and information and referral services, all while advocating for policies that improve access to care. Visit MHAH to learn about their initiatives.
Mental Health Kokua
“Kokua” means help, and Mental Health Kokua (MHK) provides just that. Their mission is to help people with behavioral health challenges, including homeless adults with mental illness, achieve a better quality of life and integrate into their communities. They focus on helping individuals build meaningful lives with compassionate, practical assistance.
Hawaiʻi Community Foundation (HCF)
HCF uses strategic grant-making to create lasting change. Their Mental and Behavioral Health Strategy aims to reduce stigma, improve access to care, and empower communities. HCF funds organizations that develop culturally relevant mental health messaging for communities including Native Hawaiians, Micronesians and Pacific Islanders, Filipinos, and LGBTQIA+ individuals. By using their CHANGE Framework, HCF works to reform policies and build the infrastructure for quality mental health care for all Hawaii residents.
At Addiction Helpline America, we recognize the vital role these organizations play. We can help you steer these resources, especially when mental health and substance use challenges occur together.
Finding Specialized Treatment and Care Options
Finding the right care may mean looking for specialized treatment that addresses your specific needs. Hawaii offers comprehensive healthcare systems, private clinics with innovative therapies, and dedicated programs for veterans.
Services Through Hawaii Pacific Health
Hawaii Pacific Health integrates mental and behavioral health into its broader medical services.
Kapiolani Behavioral Health Service (KBHS) provides bedside support for children, adolescents, and new or expectant mothers already receiving care at Kapiolani Medical Center. They address challenges like depression, anxiety, and grief related to medical conditions.
Straub Psychiatry & Psychology offers outpatient services for adults, adolescents, and children, including individual, couples, and family therapy, psychological testing, and medication management. The HPH system treats a wide range of conditions, including Anxiety Disorders, Post-Traumatic Stress Disorder (PTSD), mood disorders, OCD, ADHD, and eating disorders. Psychiatric hospitalization is available for intensive care needs. For community provider referrals, call 808-643-4DOC (4362).
Private Clinics and Therapies in Honolulu
Private clinics in Honolulu offer specialized and innovative treatments. Beyond Mental Health, founded in 2015, provides personalized private therapy for conditions like anxiety, depression, OCD, and Bipolar Disorder. In addition to traditional 1-on-1 counseling and narrative therapy, they offer advanced treatments for severe, treatment-resistant depression, including Transcranial Magnetic Stimulation (TMS) and Ketamine Therapy. These evidence-based approaches are customized to each individual.
Support for Veterans: VA Pacific Islands Healthcare System
The VA Pacific Islands Healthcare System provides care designed for those who’ve served. The VA Kona Community-Based Outpatient Clinic (CBOC) treats veterans with substance use and mental health conditions. They specialize in Post Traumatic Stress Disorder (PTSD), co-occurring disorders, and chronic pain management. The clinic offers specialized support for young veterans, older veterans, and LGBTQ+ veterans in a safe, affirming environment. Therapies include group and individual counseling, CBT, DBT, and Medication-Assisted Treatment, with multiple payment options accepted to ensure access to care.
At Addiction Helpline America, we understand that finding specialized care can be overwhelming. We’re here to help you steer these options and connect with the treatment that fits your specific situation, especially when mental health and addiction intersect.
Frequently Asked Questions about Mental Health in Hawaii
Navigating mental health Hawaii resources can bring up questions. Here are answers to some common ones.
How do I know if I’m eligible for state-funded mental health services?
You may be eligible for services from the Adult Mental Health Division (AMHD) if you are a Hawaii resident over 18 with a serious mental illness, are uninsured/underinsured, or are court-ordered to treatment. The best way to find out is to call the AMHD screening team at (808) 643-AMHD (808-643-2643) for a confidential assessment.
What are the first steps to take if I’m in a mental health crisis?
First, assess the immediate danger. If you or someone else is at risk of harm, call 911 or go to the nearest emergency room immediately.
For urgent emotional support that is not life-threatening, call or text 988 to reach Hawaiʻi CARES. This free, 24/7 service connects you with trained local crisis counselors. They can provide support and, if needed, dispatch a mobile crisis team to your location. You can also chat with a counselor online.
How do organizations in Hawaii fight the stigma around mental illness?
Organizations across Hawaii are working to change the narrative around mental illness.
- NAMI Hawaii uses peer-led support groups, educational classes, and their annual NAMIWalks Hawaii community event to foster open conversations and show that no one is alone.
- Mental Health America of Hawaii (MHAH) has been educating the public for over 75 years with programs like Mental Health First Aid, which teaches people how to respond to a mental health emergency. Visit MHAH to learn about their initiatives.
- The Hawaiʻi Community Foundation (HCF) funds the creation of culturally relevant messaging to normalize mental health conversations within Hawaii’s diverse communities, including for Native Hawaiians, Pacific Islanders, Filipinos, and LGBTQIA+ individuals.
Together, these efforts are building a Hawaii where asking for help is seen as a sign of strength.
Conclusion
You’ve just explored a wide range of mental health Hawaii resources, from the 24/7 lifeline of Hawaiʻi CARES 988 to the dedicated community support of NAMI Hawaii and the clinical expertise at Hawaii Pacific Health. Hawaii’s commitment to mental wellness is strong, reflecting the true spirit of Aloha—caring for one another with compassion.
If you are struggling, please know that seeking help is a sign of strength, not weakness. You do not have to face challenges like anxiety, depression, or PTSD alone. The resources and people who understand are here for you.
At Addiction Helpline America, we specialize in helping individuals who are dealing with both mental health challenges and addiction, often called co-occurring disorders. Finding the right integrated treatment is crucial, and that’s where we can help. We offer free, confidential, and personalized guidance to connect you with treatment centers that understand the complexity of your situation.
Our team has deep knowledge of quality treatment facilities in Hawaii and across the nation. We are here to listen and help you find a path forward.
Your journey toward healing can begin today. Let us help you take the next step.
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