Researchers at the University of Hawaiʻi at 惭腻苍辞补 are using artificial intelligence and machine learning (AI/ML) to better understand what improves outcomes for individuals receiving treatment for substance use disorders.

A recent study published in analyzed more than 7.9 million publicly available treatment records across the U.S. to identify patterns in services, recovery and outcomes. The research was led by Treena Becker, an assistant researcher with the , and Alberto Gonzalez-Martinez, a 糖心Vlog官方 computer scientist.

“We believe our research findings can help states and local organizations better understand how to support people in substance use disorder treatment and their long-term recovery journey at a time when drug overdose deaths continue to be a major public health concern across the U.S.,” Becker said.

Top predictors of positive treatment outcomes

“We developed and used an ensemble machine learning model called Random Forest Model with the aim to predict the 10 most important features that increase the likelihood of positive treatment outcomes,” Becker said.

The analysis found the most important factor associated with positive outcomes was how long an individual remains in treatment, regardless of setting. According to Becker, longer engagement significantly increases the likelihood of reducing or stopping substance use.

Other key factors included treatment accessibility, depending on clinical need, treatment type at entry and at discharge, housing status, participation in self-help groups, employment status and referral source.

Mapping disparities in treatment services

AI/ML tools also allowed researchers to map and visualize the data, revealing patterns difficult to detect using traditional methods. Using the Machine Learning Random Forest Model, the team found that states with the highest overdose death rates tend to have fewer clinically appropriate treatment services available.

“It would have been virtually impossible to analyze so many treatment records without AI/ML assistance,” Becker said.

Based on the findings, Becker recommends that state governments prioritize behavioral health services and work collaboratively to expand access to longer-duration, clinically appropriate treatment programs. Increasing availability—especially in states with limited treatment infrastructure—could significantly improve recovery outcomes nationwide.

Becker, who recently received a pilot project award from (Center for Pacific Innovations, Knowledge and Opportunities), plans to build on the research by examining local data on addiction treatment and recovery among Native Hawaiians and Pacific Islanders.

Many aspiring mental health practitioners in Hawaiʻi begin their career journey thinking they are embarking on a straightforward path toward helping their community, only to find themselves walking into many regulations and bureaucratic red tape.

John Souza, Jr., an assistant professor in the at the University of Hawaiʻi at Mānoa, is working to change that with his “Do You Know the Way to Licensure?” project. The goal is to fix the critical disconnects in the state’s mental health workforce pipeline, leading to more fully licensed providers for local families.

Hidden hurdles

Souza’s preliminary research reveals that the transition from graduation to full licensure is where many practitioners get lost, often because of administrative and financial burden of accruing post-graduate supervised hours.

“Instead of being sure that people are ready to sit with individuals, couples and families and help them heal, we’re seeing that the licensure process is testing people’s ability to withstand financial hardship,” said Souza.

The initiative, part of the Marriage and Family Therapy Lab at the , is collecting data from four different routes—undergraduates, current graduate students, pre-licensed graduates and licensed providers. Souza wants to advocate for policy changes that will streamline the path to practice.

For more information or to participate in the study, contact Souza at john.souza@hawaii.edu.

Helen (Nalani) Blaisdell-Brennan, assistant clinical professor of psychiatry at the University of Hawaiʻi at 惭腻苍辞补 (JABSOM), has recently received multiple national honors recognizing her leadership, mentorship and commitment to mental health equity.

A JABSOM alumna, Blaisdell-Brennan was named a Distinguished Fellow of the American Psychiatric Association (APA), a designation reserved for psychiatrists who demonstrate sustained and outstanding contributions to the field. She was also recognized as an APA Mental Health Equity Champion for her work expanding access to culturally responsive care and improving outcomes for underserved populations.

“Mental health equity means that every person has a fair opportunity to achieve the highest possible level of mental well-being, regardless of socioeconomic status, geographic location, or cultural identity,” said Blaisdell-Brennan.

Blaisdell-Brennan holds leadership roles at the local, state and national levels, including president-elect of the Honolulu County Medical Society and service on the American Psychiatric Association Assembly Executive Committee, where she is president of the American Indian, Alaska Native, Native Hawaiian Caucus. She has also received two national APA awards recognizing excellence in practice and mentorship.

Psychiatric care rooted in culture and community

With nearly two decades of experience, Blaisdell-Brennan emphasizes psychiatric care that considers cultural identity, community and lived experience. Her work has included advocacy for telehealth access and workforce development to support care in underserved areas.

“Cultural humility means recognizing that we don鈥檛 hold all the answers,” she said. “Our patients do. They bring the wisdom of their ʻohana, their community and their lived experience into the healing process.”

“Dr. Blaisdell-Brennan鈥檚 work continues to elevate mental health care in Hawaiʻi and beyond,” said JABSOM Dean Sam Shomaker. “Combining clinical leadership, advocacy, and a focus on equity to advance practice in ways that are both respectful and impactful is everything we aim to do at JABSOM, and we congratulate Dr. Blaisdell-Brennan on these honors.”

Blaisdell-Brennan is the daughter of Kekuni Blaisdell, a physician who was among the founding faculty of JABSOM.

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Windward Community College鈥檚 commitment to transforming lives took center stage at the Women鈥檚 Community Correctional Center (WCCC) on January 30, as 10 inmates graduated from the Mental Health Technician Program. Offered through Windward CC鈥檚 Puʻuhonua Program and a partnership with the Department of Corrections and Rehabilitation (DCR), the college coursework equips incarcerated individuals with job-ready skills for successful reentry.

“It鈥檚 an overwhelming sense of pride to have accomplished something like getting your mental health tech certification,” said graduate Tiare Kuehnl.

The foundational training included three college-level courses—Survey of Psychology, Conflict Resolution and Mediation, and Abnormal Psychology—resulting in a Mental Health Certificate of Competence. The nine transferable credits will appear on the women鈥檚 University of Hawaiʻi transcripts. The collaboration aligns with DCR鈥檚 mission to reduce recidivism.

“The Mental Health Technician Program provides knowledge and job skills to those in our custody and care to prepare them for reentry into the community,” said DCR Director Tommy Johnson.

Vital career pathway

With trained mental health technicians in high demand across Hawaiʻi, this certificate opens vital career pathways at healthcare organizations, assisted care facilities and the Hawaiʻi State Hospital. Windward CC Chancellor Ardis Eschenberg emphasized the program’s profound impact.

“Today鈥檚 graduates bring hope and light to our communities. They are acquiring skills and knowledge that help them now and are vital to the communities they will return to,” Eschenberg said.

Kuehnl said her background gives her empathy, and she plans to pursue a degree in psychology.

“Working with people to help make the community better is something that I look forward to doing,” Kuehnl said. “I feel a sense of fulfillment in doing something useful with my life.”

Eschenberg added, “This is really not just about education. It鈥檚 about collaboration to make our communities and state stronger.”

Caring for a loved one with cancer can be isolating, but more than 100 people found support, education and connection at “Caring for Caregivers,” a free interactive workshop held January 17, at the University of Hawaiʻi Cancer Center in Kaka驶ako.

Presented by the Susan C. Hirano Cancer CARE Community, the quarterly workshop brought together in-person and online participants to learn about caregiver research, practice journaling for emotional processing, and take part in facilitated breakout discussions for caregivers and for patients, survivors and thrivers.

“Caregiving can feel very lonely. But the message we want to convey to all caregivers is: You’re not alone,” said Peter Hirano, whose late wife, Susan Hirano, was a patient advocate and founder of the Cancer CARE Community. He shared personal reflections from his wife’s cancer journey and emphasized the importance of self-care and connection.

‘Acknowledge, uplift, educate and empower’

In Hawaiʻi, more than 70,000 people are living with cancer, and about one in four adults are family caregivers. Hirano said the event was designed to “acknowledge, uplift, educate and empower caregivers, who often are among the unsung heroes of the cancer journey.”

Featured speakers included Kevin Cassel, associate director for community outreach and engagement at the 糖心Vlog官方 Cancer Center, who highlighted current caregiver research and practical resources for patients and families. Faryal Michaud, a palliative care physician and certified life and wellness coach, led participants through a journaling exercise focused on reframing anxious or overwhelming thoughts.

“It is important to connect with other people in your environment and your community, to talk and hold space for each other,” Michaud said. “Your experience as a caregiver is legitimate and important as well.”

The next free workshop, “How Clinical Trials Save Lives,” will be held April 18. More information is available at the

Engaging in cultural and social activities is strongly linked to better mental health for Native Hawaiian, American Indian & Alaska Native elders, according to a new study from the University of Hawaiʻi at 惭腻苍辞补 published in .

Researchers from the analyzed survey data from more than 19,000 older adults who participated in a national assessment sponsored by the . Conducted every three years, the survey helps inform planning, long–term care discussions & grant applications for programs that support Indigenous elders.

Traditions linked to better mental health

“We found that frequent participation in traditional cultural practices & social activities was strongly associated with better mental health,” said Miquela Ibrao, assistant professor and one of the study鈥檚 lead authors from the . “In contrast, functional limitations—such as difficulties bathing, dressing, cooking & cleaning for oneself—and caregiver burden were associated with poorer mental health.”

Among the three groups studied, Native Hawaiian elders reported the highest average mental health score.

“This may be because Native Hawaiian elders were most likely to regularly participate in cultural activities, as Hawaiʻi traditions like hula & mele are celebrated across the islands,” said Kathryn Braun, professor of public health sciences. “Also, the Native Hawaiian sample had the highest proportion of retirees.”

Ibrao said the findings highlight the value of community programs that honor cultural traditions, helping Indigenous elders stay mentally & emotionally healthy.

The research was co-authored by Jane Lee, Yan Yan Wu & Jordan Lewis of the Thompson school, along with collaborators from the Center for Rural Health at the , the & Southcentral Foundation.

As LGBTQ+ youth across the U.S. continue to face higher rates of mental health challenges and substance use, community-based organizations (CBOs) are playing an increasingly vital role in providing safe, supportive spaces. Yet, despite their growing importance, these organizations remain largely understudied.

A new study published in the is helping to change that. The research “Community Efforts to Support LGBTQ+ Youth Mental Health: Programs Objectives, Development, and Delivery,” was a collaboration among the University of Hawaiʻi at 惭腻苍辞补, the University of Maryland School of Public Health and the University of Connecticut.

Researchers conducted in-depth interviews with staff from 16 CBOs across the nation that work with LGBTQ+ youth, identifying how these groups develop and deliver mental health services.

“At a time when LGBTQ+ youth face increased discrimination, stigma and health disparities compared to other groups, it is critical that they have access to supportive, affirming community spaces that celebrate their identities and foster inclusion, connection and well-being,” said co-author Danielle Phillips, assistant professor of social work at the at 糖心Vlog官方 惭腻苍辞补.

How community groups make a difference

The study found that CBOs support youth through four main strategies:

• Offering counseling and therapy
• Creating safe spaces and fostering community
• Providing case management services
• Delivering educational resources

Effective service delivery depended on strong planning and coordination, inclusive and intersectional practices, access to training and curriculum tools, and capacity-building resources.

Greater investment in CBOs needed

Despite their vital role, the study noted that many CBOs remain underfunded and overstretched. Researchers stress that with greater investment, these organizations could significantly expand their reach and impact.

“Community-based organizations that support LGBTQ+ youth consistently face a lack of funding, and it continues to be a serious concern that will directly impact the availability, delivery and quality of mental health services,” said Phillips. “We are at a pivotal moment in our collective experience, where it has never been more urgent to prioritize, support, and protect vulnerable youth. Securing sustainable funding is a crucial part of ensuring that communities can continue to offer safe and inclusive programs for youth who need it most.”

Most people who were affected by the November 2021 Red Hill fuel spill continued to experience physical, emotional, social and/or financial impacts more than 20 months after the incident, according to a released October 15, 2025, by the University of Hawaiʻi Economic Research Organization (糖心Vlog官方ERO).

The report provides results from a follow-up self-administered online survey conducted in July 2023 (20 months after the spill) with 174 people who had participated in earlier studies by the Centers for Disease Control and Prevention.

Main findings reported in 2023

Ongoing physical and mental health impacts:

• About three quarters (79%) of respondents reported one or more new or worsening physical and/or mental health symptoms since the 2021 fuel spill.
• A majority (68%) reported ongoing symptoms in 2023, nearly two years after the spill.
• Nearly half of respondents (49%) continued to suffer from mental health impacts, followed by neurological symptoms (44%), gastrointestinal issues (36%) and skin/eye symptoms (34%).

Healthcare response:

• The majority (65%) of respondents sought medical care related to the spill.
• Experiences with medical care were mixed: 24% of respondents rated the medical care they received for their exposure to the fuel spill as excellent or good whereas 36% rated their care as bad or very bad.
• More than 50% of respondents said they have a great deal of trust in their healthcare provider to provide correct information; less than 5% said they have no trust.
• The vast majority of open-ended responses about healthcare described dismissed concerns, insufficient documentation of symptoms, inadequate testing options and challenges accessing specialists.

Social and economic impacts:

• Many reported feelings of isolation as a result of health impacts and disaster response.
• Some respondents also pointed to ways that the community organized and supported one another in disaster response.
• Some (18%) reported income loss (median = $13,750 annual income), while the majority (82%) incurred additional out-of-pocket expenses (median = $8,200).
• Only 12% of those with out-of-pocket expenses said they were fully reimbursed, and more than a third (36%) said they received nothing at all.

Institutional trust and perceptions of institutional crisis response:

• Respondents were most satisfied with how the Honolulu Board of Water Supply responded to the crisis and least satisfied with the response of the Navy.
• Many expressed feelings of betrayal, particularly toward the Navy. Many respondents said they felt lied to about the safety of the water, and cited inadequate medical and other crisis response as factors undermining trust.
• Participants discussed a need for greater transparency, accountability and empathy in future crisis response.

“Findings reveal significant and ongoing well-being impacts including physical and mental health challenges, disruptions to social networks and relationships and financial losses,” the study wrote.

The report was authored by experts from 糖心Vlog官方ERO, , , , and , all at 糖心Vlog官方.

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糖心Vlog官方ERO is housed in 糖心Vlog官方 惭ā苍辞补鈥檚 .

Community connections, cultural healing practices and emotional well-being are at the center of a University of Hawaiʻi at Mānoa program that is building a peer support network for farmers, farmworkers, and paramedics and emergency medical technicians. The main goal—prevent suicide.

Strengthening essential workers

The (CCCR) project, led by Professor Thao Le of the Department of Family and Consumer Sciences at the (CTAHR), has already trained 34 peer mentors in its first year. The project is gearing up to recruit more peer mentors in its second year with $598,906 funding from the U.S. Department of Health and Human Services.

Farmers and first responders often experience high-stress and uncertainty. Farmers face unpredictable markets and weather conditions, while first responders care for patients in traumatic situations.

“It may seem suicide is a lone event—it is not,” said Le, the principal investigator. “Disconnection and loneliness are salient factors. We need a course correction and can only do this when we create conditions for care and connections in our communities.”

Two recent articles from Le and her colleagues provided a potential tool to , and that prevent some local agriculture workers from getting mental health care.

Healing with nature

CCCR鈥檚 contribution lies in its attention to community and culture as modality for preventing suicide. Its culturally infused aims include:

• Creating a sustainable and collaborative peer-mentor network among Hawaiʻi‘s essential workers, giving them an internal support system.
• Reducing suicide and suicide risks by bolstering social connectedness and relationship building.
• Infusing culturally based healing practices into resilience training, recognizing that not everyone is comfortable with traditional therapy.

Embedding cultural practices led by Native Hawaiian practitioners is an essential component. This includes working in the loʻi (taro field) and connecting with nature at sites such as the Kīlauea volcano and the ocean. This approach allows farmers and first responders to restore and heal within their peers.

The federally funded CCCR model is drawing interest from other high-stress fields, such as the construction industry and 911 operators, suggesting a potent, scalable approach to building resilience across the state.

The program is a partnership with CTAHR, the Hawaiʻi Department of Health鈥檚 Emergency Medical Services & Injury Prevention System Branch and Hoʻohanu, a nonprofit dedicated to supporting first responder mental health. It is also reaching out to connect with farmer and first responders focused nonprofits, suicide prevention and mental/behavioral health organizations.

The Hawaiʻi CARES 988 is a free crisis, mental health and substance use call center. Call or text 988 24 hours a day, seven days a week.

A first–of–its–kind fellowship in Hawaiʻi is training the next generation of culturally grounded behavioral health providers, thanks to a new collaboration between the University of Hawaiʻi at 惭腻苍辞补 (JABSOM) Department of Native Hawaiian Health and (HILT).

The program, called Mohala Liko Lehua, will host three post–doctoral psychology (PsyD) fellows and three post–master of social work (MSW) fellows, who will be trained and supervised by licensed psychologists and social workers at JABSOM. Fellows will partner with HILT to design and deliver behavioral health services on Oʻahu, Maui, Kauaʻi and Hawaiʻi Island, strengthening community capacity and promoting wellbeing.

Hands-on training rooted in Hawaiian values

Throughout the one–year fellowship, participants will receive advanced training in trauma–informed, ʻ腻颈苍补 (land)– and culture–based care rooted in Hawaiian values. Their work will be integrated into HILT鈥檚 community preserves and existing educational programs. The fellows will also receive their clinical training at Queen鈥檚 Health Systems sites on Oʻahu and Maui, as well as the Ka Malu a Waʻahila Behavioral Health program for Native Hawaiian/Pacific Islander students at 糖心Vlog官方 惭腻苍辞补. Program goals include serving at least 4,000 youth, enhancing HILT staff capacity, and measuring community impact.

Robin Miyamoto, program director at JABSOM, said the program鈥檚 name draws from the ʻ艒濒别濒辞 noʻeau (Hawaiian proverb), M艒hala i ka wai, ka maka o ka pua, suggesting that flowers thrive when the environmental conditions are good.

This reminds us of our responsibility to protect and sustain our culture and the health of our people so that future generations can thrive.
—Robin Miyamoto

“This reminds us of our responsibility to protect and sustain our culture and the health of our people so that future generations can thrive,” she explained. “This program will enhance and expand our existing training efforts and will serve as a new pipeline for behavioral health clinicians. It is grounded in a foundation of cultural humility and safety, focusing on promoting resilience rather than solely addressing disparities.”

In addition to meeting immediate behavioral health needs, the program serves as a workforce development pipeline, preparing homegrown providers who can deliver culturally fluent care across Hawaiʻi.

“Mohala Liko Lehua is informed by and designed for underrepresented communities, especially Native Hawaiian and Pacific Islander populations that have long faced systemic health disparities and underinvestment in behavioral health,” said ʻOlu Campbell, president and CEO of HILT. “Addressing these inequities requires solutions that are community–driven, rooted in ʻ腻颈苍补 and culture, and grounded in trust–based relationships.”

Supported by the Health Resources & Services Administration, Maui United Way, 糖心Vlog官方, the Office of Hawaiian Affairs, and other partners, JABSOM and HILT plan to continue Mohala Liko Lehua for at least four years, training a minimum of 24 fellows. Additional funding is still needed to sustain the program.

The University of Hawaiʻi at 惭腻苍辞补 is expanding its social work curriculum to include psychedelic-assisted therapy, reflecting a growing national interest in innovative approaches to mental health care.

Beginning this fall, the , Department of Social Work will introduce class sessions on the therapeutic use of psychedelics, led by Michael DeMattos, chair of the Bachelor of Social Work program.

“Social workers provide the bulk of mental health services in the U.S.,” said DeMattos. “It is important that they effectively respond to those they serve using a full cadre of tools that are both evidence based and culturally informed. With safety measures in place, we are much better positioned to help those who are suffering most.”

Psychedelic-assisted therapy combines the controlled use of substances such as psilocybin, MDMA or ketamine with structured psychotherapy. Research has shown promise in treating depression, post-traumatic stress disorder (PTSD), anxiety and addiction, particularly in cases resistant to standard treatments.

Stigma, potential, opportunity

DeMattos recently participated in the , a national initiative hosted by the Usona Institute in Wisconsin. The program brought together more than 60 faculty from 30 universities to explore the science, ethics and social implications of psychedelic-assisted therapy.

“For the last thirty years, psychedelics have been stigmatized despite earlier research supporting their therapeutic use,” said DeMattos. “Now, amidst a new wave of research, we are starting to see their potential. I had the opportunity to learn directly from the researchers conducting the studies鈥攊t was a real insider鈥檚 look.”

This fall, DeMattos will incorporate psychedelic content into his advanced practice course, SW, and is working toward developing a dedicated course in the future. By integrating this emerging field into the curriculum, the Thompson School aims to prepare social work students, and those across helping professions, with knowledge and skills that reflect evolving practices in mental health care.

For students at the , starting a new school year often brings a mix of excitement and nerves. With the challenges of balancing school, work, family, social life and extracurricular activities, many may find themselves wondering where to turn for support with their mental health and well-being.

An array of programs are dedicated to serving the unique needs of 糖心Vlog官方 惭腻苍辞补 students. Mental health services are available through the (CSDC). Services tailored specifically for , , and those seeking behavioral health services from . The university also offers access to , as well as programs for students looking to decrease their .

“We understand how challenging it can be to get an education while trying to stay healthy in mind and body,” said CSDC Psychologist Alexander Khaddouma. “Our dedicated mental health professionals at 糖心Vlog官方 惭腻苍辞补 are here to help you stay well, cope with challenges, and succeed in your academic journey.”

CSDC provides free, confidential brief individual, couples, group and career counseling through scheduled appointments with a mental health professional. Interested students can call (808) 956-7927 to complete a brief initial telephone appointment with a CSDC counselor who can connect them with the most appropriate service.

is available, with groups focused on building healthy relationships, developing greater awareness and insight, and exploring personal identity.

The CSDC has crisis counselors available during business hours (Monday–Friday 8:30 a.m.–3:30 p.m.) to assist students needing immediate mental health support. Students can call or walk-in to attend a crisis appointment.

For faculty and staff, training opportunities and clinical and program consultation regarding student mental health are available. Faculty and staff can contact CSDC about how to refer students to appropriate resources, or to arrange .

The CSDC hosts various events to promote mental health, such as hands-on self-care workshops and resource fairs. At these events, students can explore on-campus mental health resources and learn practical skills to enhance their well-being.

serves as an authorized testing site for various standardized tests and licensure/certification examinations, including the GRE (General and Subject), Praxis, TOEFL, CLEP, and Meazure Learning testing programs, and offers individual proctoring for non-糖心Vlog官方 system distance learning courses. Inquiries regarding test availability, scheduling, fees, etc., may be directed to the Testing Office at (808) 956-3454 or uhmtest@hawaii.edu.

This program provides culturally relevant and responsive behavioral health services from an indigenous ʻ艒颈飞颈 and Pasifika framework. Counselors utilize an ‘艒iwi-informed lens to foster belonging for our 糖心Vlog官方 惭腻苍辞补 ʻoiwi and elevate the collective behavioral health of the l膩hui. Individual therapy and workshops are provided in collaboration with campus partners, such as and .

. Clinicians are available for telehealth services and limited in-person services at Queen Liliʻuokalani Center for Student Services, third floor. Email inquiries to: kwaahila@hawaii.edu.

This program provides dedicated mental health and wellness services for all 糖心Vlog官方 惭腻苍辞补 student-athletes in the .

One-on-one, confidential counseling is available via in-person sessions in Nagatani Center, Room 0L25 or via telehealth sessions. No referral is required to access Rainbow Wellness services and all services are free of charge. Email ATHMH@hawaii.edu to book a session or ask questions.

Veterans Integration to Academic Leadership (VITAL)

The VITAL program is a partnership with the Department of Veterans Affairs (VA) to help student veterans achieve academic and career goals. Student veterans enrolled at 糖心Vlog官方 惭腻苍辞补 and are eligible for VA healthcare and can meet with a mental health professional via VA Video Connect. Call (808) 940-9098 to schedule an appointment.

Student veterans in need of immediate mental health attention are recommended to call VA Mental Health Triage at 1-800-214-1306, option 2, option 4 (Monday–Friday, 7:30 a.m.–4 p.m.) or Veterans Crisis Line at 988, option 1 (available 24/7). For more information, go to the .

Alcohol and Other Drugs Education Program (ADEP)

ADEP is a comprehensive initiative designed to empower students with the knowledge and skills necessary to make informed and responsible decisions regarding alcohol and substance use.

Students can access Brief Alcohol Screening and Intervention for College Students (BASICS), a free program designed to address alcohol-related (and other substances including vaping) issues among students through personalized interventions. Email inquiries to adep@hawaii.edu.

Online Self-Help Resources

糖心Vlog官方 惭腻苍辞补 students can access (TAO), a suite of online educational programs with engaging videos, animations and interactive activities that use evidence-based content to address common mental health-related concerns. Students have to TAO throughout the semester using their 糖心Vlog官方 email address.

糖心Vlog官方 Employee Assistance Program

Faculty and staff members seeking mental health services can contact the 糖心Vlog官方 Employee Assistance Program (EAP) offered by Employee Assistance of the Pacific. All regular, temporary and exempt employees are eligible for EAP services.

Deaths by suicide and drug overdose significantly increased in the aftermath of the August 2023 Maui wildfire, according to a new study published in the (JAMA).

Public health must be adequately prepared to respond to serious mental health consequences of wildfires and other climate-related disasters
—Alex Ortega

The study, led by Alex Ortega, dean of the , and Keawe鈥榓imoku Kaholokula, chair of the Department of Native Hawaiian Health, in the , both at the University of Hawaiʻi at 惭腻苍辞补, along with Jonathan Purtle, associate professor at , is one of the first to show that wildfires can lead to immediate deaths from suicide and drug overdose.

“Nationally and globally, we have seen an increase in devastating wildfires, and these fires can have a tremendous impact on the health and well-being of communities,” said Ortega. “Public health must be adequately prepared to respond to serious mental health consequences of wildfires and other climate-related disasters that are increasing in both frequency and severity.”

Death rates increased statewide

The researchers analyzed death records from all of Hawaiʻi鈥檚 counties from 2014 through 2023, focusing on suicides and drug overdoses. They compared the death rates before, during and after the wildfires.

Due to Centers for Disease Control data use agreements and to protect confidentiality of individuals who died, the study authors are not allowed to report numbers smaller than 10.

The study showed that in August 2023, suicide and overdose death rates increased by 46% statewide. However, the impact was much greater in Maui, where there was a 97% increase in suicide and overdose deaths compared to prior months. When limiting their analysis to just suicides in August 2023, they found that the suicide rate was 182% higher in Maui than other islands in the state.

“Prior research has found similar effects in the months after wildfires and other disasters. But the immediacy of the effects on suicide rates that we observed in Maui are unique and troubling,” said Purtle.

Researchers suggest that both direct exposure to the wildfires and indirect effects, such as concern for loved ones, may have contributed to the rise in death rates. The findings also show that residents who fled Maui for other islands could have contributed to the increase in state-wide suicide and overdose deaths.

In an earlier study led by the 糖心Vlog官方 researchers, the team documented a 41% rise in 988 Lifeline calls after the Lahaina wildfires, exposing critical gaps in Hawaiʻi鈥檚 mental health infrastructure.

A call to action

This recent study emphasized the importance of early behavioral health intervention during disaster responses and recommends including suicide and overdose prevention in wildfire response and recovery plans.

Related 糖心Vlog官方 News story: 糖心Vlog官方 to study Lahaina wildfire response and impact on residents, July 15, 2024

Kaholokula noted disaster recovery must address more than just rebuilding physical infrastructure. “Plans should also focus on the psychological and emotional impacts communities face鈥攊ncluding hopelessness, cultural disconnection and stigma,” he said. “There needs to be a plan for suicide and substance abuse prevention, and other mental health support.”

The study used the most recent death data available from the CDC. Researchers will use 2024 data when it becomes available to see if there is was an increase in suicides and/or overdoses over the course of 2024, as more time elapsed since the wildfires.

This study is part of the National Institutes of Health (NIH)-funded Maui LOA (Learnings to Overcome Adversities) project, a five-year effort led by 糖心Vlog官方 researchers to understand how disasters like the Lahaina wildfires affect community, healthcare, and emergency response system resiliency. The research focuses on vulnerable populations and aims to strengthen health system resilience and improve access to care.

Two years after the devastating Maui wildfires, a new University of Hawaiʻi study paints a complex picture: the physical and emotional scars of the disaster remain, but strong community ties are proving to be a powerful force for recovery.

The research, published on August 6 in , a journal of the American Medical Association, tracked 1,174 adults through the (MauiWES). It found that while many survivors still report lingering symptoms, those with stronger social support networks experienced better mental health and resilience, even in the face of hardship.

Key findings

• Persistent health problems: Nearly half of participants (47%) still report symptoms such as fatigue, breathing difficulties and eye irritation more than a year after the fires.
• Reduced lung function near the burn zone: Among those tested, 22% had below-normal lung function, and residents living within the fire perimeter had lung function nearly 6 percentage points lower than those outside, on average.
• Mental health burden: Half screened positive for depression—up from about 30% before the fire—while 1 in 4 experienced anxiety. Suicidal thoughts, though less common, were reported by 4% of participants.

Crucial role of social support for mental well-being

Despite these challenges, one clear takeaway emerged: feeling supported matters. Survivors with strong social networks:

• Experienced five fewer days of poor health each month on average.
• Reported significantly lower depression scores, even among those with high wildfire exposure.

“Neighbors and family aren鈥檛 just a comfort—they are critical to recovery,” said study co-lead Ruben Juarez, (糖心Vlog官方ERO)-HMSA Distinguished Endowed Professor of Health Economics. “Disaster response must go beyond rebuilding homes. It must strengthen the social fabric that helps people heal.”

Social support did not improve lung function, underscoring the need for ongoing clinical care to support physical health.

What this means for Maui and beyond

“This is a lesson in resilience—but also in responsibility,” said co-lead Alika Maunakea, professor in the Department of Anatomy, Biochemistry and Physiology at the 糖心Vlog官方 惭腻苍辞补 (JABSOM). “Healing after the disaster isn鈥檛 just about rebuilding; it means restoring the systems that sustain health. We need long-term investment in biomonitoring, health screenings, and mental health care—especially for our youth—to fully understand the fire鈥檚 lasting impact and to prevent the emergence of future health challenges.”

As climate-driven disasters become more frequent, the Maui experience offers a roadmap: pair long-term health monitoring with culturally grounded mental health and community-based support. The authors call for integrated strategies that link clinical care, social networks and local resilience initiatives.

MauiWES is supported by the National Institutes of Health, State of Hawaiʻi, Hawaiʻi Community Foundation Maui Strong Fund and Kaiser Permanente. This public impact research project is the result of an ongoing partnership among 糖心Vlog官方ERO, which is housed in the 糖心Vlog官方 惭腻苍辞补 , JABSOM and .

See more 糖心Vlog官方 News stories on MauiWES.

The University of Hawaiʻi at Manoa is hosting a free, semester-long online series centered on Native Hawaiian cultural perspectives in health and wellbeing, particularly ways of understanding and preventing intergenerational trauma.

The 15 Zoom sessions of Native Hawaiian Perspectives鈥揂 Cultural Context for Wellbeing: Hoʻomau & Preventing Generational Trauma will run from August 26 through December 9, 2025, and is open to students and community members. It will be led by Aunty Lynette Kahekili Kaopuiki Palignawan, a revered cultural practitioner, social work pioneer, Living Treasure of Hawaiʻi, and Thompson School alumna. She will be joined by haku Hoʻomau kākoʻo, Kate Kahoano.

“Aunty Lynette鈥檚 teachings are rooted in deep cultural wisdom, and her approach empowers us to connect across generations through shared values and practices of healing,” said Theresa Kreif, a faculty member in the Thompson School鈥檚 . “We are humbled to host this journey of learning and reconnection.”

The program builds on a successful community-engaged learning model previously used by Palignawan at , where students and community members participate as equal learners.

Community-focused, rooted in cultural knowledge

Sessions for the two-part series will take place Tuesdays from 5:30 to 8 p.m. HST. No background in Hawaiian studies or social work is required.

While free and open to the public, participants are encouraged to commit to attending all 15 sessions. The program is especially inviting former haum膩na (students) of Palignawan from the 糖心Vlog官方 惭腻苍辞补, 糖心Vlog官方 West Oʻahu campuses and the Hawaiian Learning Program as well as students from the Ke Aʻo Mau Program, Native Hawaiian Interdisciplinary Health Program, and the school鈥檚 Native Hawaiian and Indigenous Health Specialization.

The series is made possible through the support of the Thompson School鈥檚 Department of Social Work, its Pacific Partnerships & Workforce Development Initiatives and Workforce Hub, the 糖心Vlog官方 Center for Indigenous Innovation and Health Equity, and the Hawaiʻi Pacific Foundation.

For more information, contact Theresa Kreif at kreif@hawaii.edu.

To help meet Hawaiʻi鈥檚 critical shortage of social workers, the University of Hawaiʻi at 惭腻苍辞补鈥檚 Department of Social Work has launched the . The initiative aims to strengthen Hawaiʻi鈥檚 social work workforce by raising awareness about the profession, preparing students for employment, and highlighting the meaningful contributions of social workers in our communities.

“Our bachelor鈥檚 and master鈥檚 programs in social work serve students statewide and in the U.S.-Affiliated Pacific Region, offering flexible learning options, including distance education or in-person instruction so students can pursue a social work degree no matter where they live,” said Department Chair Rebecca Stotzer. “Our Workforce Hub then helps prepare them for the field after they leave us.”

According to the , employment in social work is projected to grow by 17% in the state, reflecting an urgent need for professionals equipped to address mental health challenges, support children and families, and care for an aging population.

Professional development opportunities

Beginning in fall 2025, the hub will offer a series of virtual and in-person professional development opportunities. These will include r茅sum茅 writing workshops, interview preparation sessions, and support for students taking the state licensure exam. The goal is to ensure graduates are ready to meet Hawaiʻi鈥檚 urgent need for qualified and compassionate social work professionals.

“When we help students find what they love about social work and give them real-world support and guidance, we’re also helping shape social workers who will lead with heart, compassion, and competence,” said Wendy Lum, director of the Workforce Development Hub.

In addition to student support, the hub is analyzing data on workforce trends, such as the movement of social workers within state agencies and identifying where social workers are employed across sectors. These efforts build on the department鈥檚 May 2022 report, which called for better data to address workforce gaps across the state, particularly on Kauaʻi, Hawaiʻi Island, and Maui.

The Department of Social Work is housed in the .

Two graduates from the University of Hawaiʻi at 惭腻苍辞补鈥檚 were nationally honored for their leadership in maternal and child health. Renzymeir Baloran and Eden Sun received the Emerging Maternal and Child Health Professional Award from the at a ceremony in Washington, D.C.

The award recognizes professionals under 45 who have made significant contributions to the health of women, children and families. Baloran and Sun, who earned their master鈥檚 of public health (MPH) in spring 2022 and spring 2023 respectively, currently oversee the (PMHCA) program at the Hawaiʻi State Department of Health. The program supports pediatric providers with teleconsultation, training, technical assistance and care coordination to help diagnose, treat and refer children and youth with behavioral health needs.

Shaping the future of pediatric mental health

In collaboration with the Hawaii Community Foundation and The Queen鈥檚 Medical Center, the pair launched the Mental Health Pediatric Access Line, the state鈥檚 first support line dedicated to pediatric primary care providers. Their work has expanded into crisis response and workforce development, including mental health support during the Lahaina wildfires and statewide pediatric training.

“In public health, we are always learning and listening,” said Sun. “We have some knowledge and understanding, but to move forward with our work, we must also learn from and collaborate with others who are experts about their communities and fields.”

Mentorships that shaped their paths

Their interest in public health was shaped during their time in MPH program. Baloran, who specialized in , credits the program鈥檚 mentorship and hands-on experience for laying the foundation for her career.

“Dr. Elizabeth McFarlane has played a pivotal role in shaping my career path,” said Baloran. “Her support and motivation were constant throughout my entire graduate program. Everything I learned became incredibly relevant in my work, reinforcing how foundational Dr. McFarlane鈥檚 mentorship has been to my professional growth.”

Sun, who specialized in , said her commitment to community engagement was influenced by coursework in health promotion, theory and research methods. She credits Jane Chung-Do for her encouragement and support during and after the program. Sun also received guidance from McFarlane, who co-chaired her capstone and introduced her to Baloran, who later brought her onto the PMHCA team.

“As an advisor, Dr. Chung-Do was so supportive and really understood our experiences as students,” said Sun. “I鈥檓 truly grateful that even after finishing our graduate program, she continues to be an integral part of our public health journey.”

The Department of Public Health Sciences is housed in the .

Nearly two years after the devastating August 2023 wildfires, new findings from the largest post-disaster health study in Hawaiʻi鈥檚 history—led by the University of Hawaiʻi—paint a complex picture: steady progress in some areas of recovery, but continued health and housing challenges, particularly for children and vulnerable groups.

Now following 2,000 adults and children, the (MauiWES) shows encouraging trends in emotional healing and expanded access to health insurance. However, the latest data also reveal persistent physical and mental health burdens, as well as stark warning signs among the newly enrolled cohort of children—whose struggles underscore the urgent need for pediatric care, trauma-informed services and long-term investment.

Worse health, elevated blood pressure, more

Data collected from the full cohort of 1,800 adults through January 2025 echoed 2024鈥檚 findings and revealed the long arc of recovery. Overall, 42% of adults report worse health compared to the previous year. Half show depressive symptoms, 26% report moderate-to-severe anxiety, and 4.2% have had suicidal thoughts in the past month. Meanwhile, 74% have elevated or hypertensive blood pressure, and more than a quarter show reduced lung function.

While insurance coverage has improved significantly—with fewer than 10% now uninsured—access to care remains a persistent barrier. About one in three participants report difficulty scheduling appointments or getting prescriptions, especially for chronic and respiratory conditions.

About 41% of adults are still living in temporary housing, and 25% remain unemployed but actively looking for work. Despite these struggles, 61% report high levels of support from family and friends—demonstrating the continued strength of community bonds.

Child health: Depression, PTSD, impaired breathing

Children in the MauiWES study show signs of physical healing, but their emotional well-being raises serious red flags. More than half (51%) of children ages 10–17 screen positive for depression, with 22% in the severe range. About 30% report anxiety symptoms, and nearly 45% still show signs of PTSD—8% at severe levels. One in four report low self-esteem, and many are experiencing functional challenges at school and home.

One in three children had elevated or high blood pressure, with Filipino youth most affected—16% falling into Stage 2 hypertension. Nearly 20% of children have impaired breathing capacity, especially among Asian and Filipino children. Girls show slightly more severe lung issues.

According to the report, these findings point to the need for sustained investment in pediatric care, trauma-informed school services, clean indoor air and culturally tailored mental health programs. Without early intervention, these risks could become lifelong health burdens.

Ongoing findings: Recovery in progress

Among the 1,800 adults enrolled in MauiWES, one-year follow-up data is available for 424 participants. Within this group, experts are seeing meaningful signs of recovery. Reports of worsened health dropped from 48% in year 1 to 36% in year 2. Suicidal thoughts declined by nearly half, and rates of severe depression and anxiety fell significantly. These improvements suggest that emotional healing is underway for many.

PTSD remains widespread, affecting nearly one in three participants. Physical health indicators—such as blood pressure and lung function—have worsened for many, pointing to gaps in long-term care. Access to health insurance has improved dramatically, with the uninsured rate cut in half thanks to outreach efforts and programs. Many residents—especially in rural areas—still struggle to get the chronic and respiratory condition care they need.

Nearly half of participants are still in temporary housing, and food insecurity is a common concern. Yet community resilience shines through: most participants report strong support from family and neighbors—underscoring Maui鈥檚 strength, solidarity and determination to heal.

Looking ahead

Maui is recovering—step by step, community by community. The data suggest that while the road to full recovery remains long, meaningful progress is underway. Strategies such as outreach-driven health insurance enrollment, trusted community partnerships, and culturally rooted social support have helped many residents regain stability. At the same time, long-term challenges such as chronic physical health conditions and trauma recovery as well as permanent housing needs require renewed investment and attention.

“As stability improves, deeper psychological effects are surfacing,” according to the report. “Ongoing longitudinal tracking is therefore critical to keep a pulse on these shifts, build on the trust we鈥檝e earned, and ensure that locally grounded strategies continue to foster healing, resilience, and a healthier future for all.”

See more 糖心Vlog官方 News stories on MauiWES.

A new report from the University of Hawaiʻi Economic Research Organization (糖心Vlog官方ERO) reveals deepening disparities in health, access to care, and basic needs across Hawaiʻi, including that almost 40% of young adults are unable to access mental healthcare. (PDF).

The 糖心Vlog官方ERO Rapid Health Survey has tracked more than 2,000 adults statewide since 2022. The most recent results from December 2024 show:

• Declining health: Only 40% of residents rate their health as excellent or very good鈥攄own from 44% in 2023. Among Native Hawaiian and Pacific Islander (NHPI) and low-income respondents, ratings dropped from 40% to 23%—a 17 percentage point decrease in 18 months.
• Mental Health Strain: 31% report symptoms of depression; 1 in 10 low-income individuals show severe symptoms. Those who missed needed mental healthcare rose from 5% (mid-2023) to 22% (December 2024)—a 17 point increase. For young adults aged 18⏻34, the rate surged from 8% to 39%—a 31 point increase.
• Barriers to care: Mental healthcare access worsened significantly, especially among young adults (39% unable to access care).
• Food and housing insecurity: Nearly 30% report low or very low food security, and one-third live in rental or unstable housing.

The report calls for equity-driven policy solutions, expanded community health services, and stronger investment in housing, food security and real-time data systems to guide public health decisions. 糖心Vlog官方ERO created an for the findings.

The University of Hawaiʻi will host a powerful conversation on the long-term effects of trauma and toxic stress, featuring Hawaiʻi Gov. Josh Green, and renowned pediatrician Nadine Burke Harris. The event, free and open to the public, will be held on March 7 at 6:30 p.m. at 糖心Vlog官方 惭腻苍辞补鈥檚 Art Auditorium.

Burke Harris, California鈥檚 first surgeon general and founder of the Center for Youth Wellness, is a national leader in the study of childhood adversity. Her bestselling book, The Deepest Well, explores how trauma in early life shapes lifelong health outcomes.

“For us to thrive, we have to heal,” said Green. “The setbacks we face as individuals and as a community can hinder our ability to move forward unless we come together and make it right.”

The event, free and open to the public, will be held on March 7 at 6:30 p.m. at 糖心Vlog官方 惭腻苍辞补鈥檚 Art Auditorium.

“Dr. Nadine Burke Harris is a renowned national leader on the importance of addressing adverse childhood experiences,” said Aimee Malia Grace, director of 糖心Vlog官方鈥檚 . “We look forward to learning from her about more ways that we can help Hawaiʻi better care for our children and families.”

The event highlights the need for trauma-informed policies in both healthcare and government. Gov. Green will share how his administration is tackling these issues through the Office of Wellness and Resilience, which works to integrate trauma-responsive policies across state programs.

The discussion comes at a pivotal moment, as Hawaiʻi continues to confront challenges like the housing crisis and the aftermath of the Maui fires.

The event is sponsored by the Office of Wellness and Resilience in the Office of the Governor, John A. Burns School of Medicine, 糖心Vlog官方 Office of Strategic Health Initiatives, the Queen鈥檚 Health Systems and 糖心Vlog官方 惭腻苍辞补 School of Nursing Dental Hygiene.

The Better Tomorrow Speaker Series is a collaborative initiative of the Hawaiʻi Community Foundation, Kai膩ulu by Kamehameha Schools, 糖心Vlog官方 惭腻苍辞补, the Learning Coalition and 糖心Vlog官方 Foundation.