Hawaii Ranks Highest in Affordable Mental Health Care in the Nation


Hawaii Emerges as a Leader in Mental Health Care According to 2025 Report
Hawaii has achieved recognition as a frontrunner in mental health care among U.S. states, as detailed in the recently published “2025 State of Mental Health in America” report by Mental Health America. This annual assessment utilizes 17 metrics to evaluate mental health prevalence and access to care across the nation, illustrating both the successes and ongoing challenges pertaining to mental health in various states.
In this year’s report, Hawaii garnered the top position nationally for the affordability of mental health services. Additionally, it was ranked fifth for youth flourishing, marked by a significant percentage of adolescents reporting positive mental health outcomes. Furthermore, the state claimed the eighth position for uninsured adults living with mental illness, underscoring its continuous efforts to broaden healthcare coverage and ensure access to necessary resources for residents in need.
Dr. Kenneth Fink, the Director of the Hawaii Department of Health, expressed that this recognition signifies substantial community progress in enhancing access to mental health resources and supporting youth wellbeing. However, he also pointed out that there remains considerable work to be done to secure timely and equitable mental health care for all populations within the state.
The report also identified critical areas where improvements are necessary. Particularly concerning was Hawaii’s position at 30th for youth preventive health visits, indicating that approximately 30% of adolescents are missing annual health check-ups. The state ranked 37th in recognizing students with emotional disturbances who require specialized educational services, revealing gaps in essential school-based mental health support systems.
Tia L. Roberts Hartsock, director of the Office of Wellness and Resilience, remarked on the dual nature of the findings. While the state’s commendable rankings in certain aspects are promising, she emphasized the continued necessity for preventive care and stronger school support systems. Roberts Hartsock reiterated Hawaii’s commitment to collaborating with educational institutions, families, and community organizations to ensure that all children are afforded appropriate screenings and mental health services.
The national context reveals a sobering reality, as the report indicates that nearly one in four adults experienced a mental illness in 2024, with over 5 million lacking health insurance coverage. While there have been improvements in youth mental health, millions still encounter significant challenges in accessing necessary resources.
This report not only highlights Hawaii’s advancements in mental health care but serves as a call to action for stakeholders at all levels to address ongoing gaps and improve integration of mental health services within broader healthcare policies. As Hawaii continues to lead by example, the need for comprehensive support systems remains paramount to ensuring the wellbeing of all its residents.