For emergencies, please call 911 or go to your nearest emergency room.

  • Hawai‘i CARES 988

    A 24/7 free support service offering assistance with mental health crises and substance use. You can call or text 988, or chat online.

  • Crisis Line of Hawaii

    Operated by the Adult Mental Health Division, this line offers 24/7 support from trained professionals.

    On Oahu, call 832-3100;

    On neighbor islands, call toll-free at 1-800-753-6879.

  • Crisis Mobile Outreach (CMO)

    Provides telephone stabilization and mobile outreach assessment for youth experiencing psychiatric crises, including suicidal thoughts or psychosis. This service can be access through the CARES line.

  • Crisis Text Line

    Text "HOME to 741741" is a text message number that connects you to the Crisis Text Line, a free, 24/7 mental health support service. You can text "HOME" to 741741 to reach a trained crisis counselor. 

  • National Alliance on Mental Illness (NAMI) Hawaii

    Offers resources and support for individuals facing mental health challenges. In immediate danger, call 911 and request a Crisis Intervention Team (CIT) officer. For 24-hour crisis support, call or text 988 or 1-800-753-6879.

  • Mental Health America of Hawaii

    Provides education, advocacy, and services to promote mental wellness. Contact the statewide office on Oahu at (808) 521-1846 or the Maui County office at (808) 242-6461.

  • National Domestic Violence Hotline

    Call 800-799-SAFE (7233), text "START" to 88788, or chat at thehotline.org. Available 24/7 with confidential supporthere

  • National Sexual Assault Hotline (RAINN)

    Call 800-656-HOPE (4673) or chat online at rainn.org for confidential support and local resources

  • The Trevor Project (LGBTQ+ Youth Crisis & Suicide Prevention)

    Call 1-866-488-7386, text "START" to 678678, or chat at thetrevorproject.org. Support is available 24/7 for LGBTQ+ youth in crisis.

  • VA Pacific Islands Health Care System

    Offers mental health services, including outpatient care and specialized programs. To reach the Veterans Crisis Line for the VA Pacific Islands Health Care System, you can call 988 and press 1. You can also text 838255 or start a confidential chat. 

    Additional VA Pacific Islands Health Care numbers: 

    24-hour nurse: (808) 433-0852

    National Veterans Helpline: (800) 507-4571

  • MH-1 Process: Initiated by Law Enforcement/Public

    An MH-1 application is used when a law enforcement officer identifies an individual as imminently dangerous to themselves or others. Here's how the process works:

    Observation and Custody: If an officer observes behavior suggesting imminent danger due to mental illness or substance use, they may take the individual into custody.

    Consultation with Mental Health Emergency Worker (MHEW): The officer contacts an MHEW, providing detailed observations. If the MHEW confirms the imminent danger, they will instruct the officer to transport the individual to a designated psychiatric facility for evaluation.

    Documentation: The officer completes the MH-1 form, detailing the circumstances and reasons for custody, and submits it to the receiving facility.

    This process ensures that individuals in immediate danger receive prompt evaluation and care.

  • MH-2 Process: Initiated by Concerned Parties

    The MH-2 process allows certain professionals and individuals to petition the court for an ex parte order to have someone undergo emergency mental health evaluation. Eligible petitioners include:

    Licensed physicians or psychologists, Attorneys, Members of the clergy, Health or social service professionals, State or county employees acting in the course of their employment

    To initiate an MH-2:

    Application: The petitioner submits a written or oral application to a judge, stating probable cause that the individual is mentally ill or suffering from substance abuse, poses an imminent danger to themselves or others, and requires care or treatment.

    Judicial Order: If the judge agrees, they issue an ex parte order directing law enforcement or another suitable individual to take the person into custody and deliver them to a designated mental health facility for evaluation.

    This legal mechanism ensures that individuals who may not recognize their need for help can be evaluated and treated appropriately.

    Immediate Assistance

    If you or someone you know is in immediate danger due to a mental health crisis, it's crucial to contact emergency services immediately by dialing 911.

    Understanding and utilizing these processes can be vital in ensuring timely and appropriate care during mental health emergencies.