title: Hawaii's public mental health system.
abstract: The following article addresses the nature of and problems with the public mental health system in Hawaii. It includes a brief history of Hawaii's public mental health system, a description and analysis of this system, economic factors affecting mental health, as well as a needs assessment of the elderly, individuals with severe mental illness, children and adolescents, and ethnically diverse individuals. In addition to having the potential to increase suicide rates and unnecessarily prolong personal suffering, problems in the public mental health system such as inadequate services contribute to an increase in social problems including, but not limited to, an increase in crime rates (e.g., domestic violence, child abuse), divorce rates, school failure, and behavioral problems in children. The population in need of mental health services in Hawaii is under served, with this inadequacy of services due to economic limitations and a variety of other factors.
authors.affiliation: University of Hawaii at Hilo, Social Sciences Division, Department of Psychology, Hilo, HI 96720, USA. dvanderv@hawaii.edu
authors.forename: Debra J
authors.initials: DJ
authors.lastname: VanderVoort
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D003695:Delivery of Health Care; D006254:Hawaii; D006301:Health Services Needs and Demand; D006801:Humans; D008605:Mental Health Services; D008875:Middle Aged; D011635:Public Health Administration