Mental Health Resources for Single Mothers in Hawaii
Hawaii Mental Health Resources for Single Mothers (2025 No‑Fluff Guide)
Last updated: September 2025
This is a practical, scan‑friendly hub for single moms in Hawaiʻi who need mental health help now or soon. Every phone number and dollar amount below is from an official state or federal source or a well‑established nonprofit. Links are descriptive and clickable.
How this guide beats typical search results (quick gaps we fill):
- Current 2025 Medicaid (Med‑QUEST) income limits for parents, adults, pregnancy, and keiki—shown as monthly dollars so you can decide fast. (medquest.hawaii.gov)
- Direct access numbers for 988 and Hawaiʻi CARES with the exact local lines if your phone isn’t an 808 area code, plus how fast Crisis Mobile Outreach can reach you. (hicares.hawaii.gov)
- Statewide public clinic contacts (AMHD and CAMHD) and island‑by‑island resources with real phone numbers. (health.hawaii.gov)
- Sliding‑fee care basics tied to 2025 Hawaiʻi poverty guidelines so you know if you qualify for low or no‑cost visits. (aspe.hhs.gov, bphc.hrsa.gov)
Quick Help Box (fastest routes to real people)
- Call or text 988 (24/7). From non‑808 numbers, call (808) 832‑3100 or (800) 753‑6879 to reach local Hawaiʻi CARES counselors. Crisis Mobile Outreach can reach you, often within about 45 minutes. Hawaiʻi CARES 988 (local line info, mobile response). (hicares.hawaii.gov)
- Maternal mental health help (pregnant or up to 1 year postpartum): 1‑833‑TLC‑MAMA (1‑833‑852‑6262), 24/7 call or text. National Maternal Mental Health Hotline (HHS/HRSA). (mchb.hrsa.gov)
- Find a therapist, support group, or community help near you: 2‑1‑1 (7 days, 7:00 a.m.–10:00 p.m.). From outside Hawaiʻi: (877) 275‑6569. Aloha United Way 211. (auw211.org)
- Med‑QUEST (Hawaiʻi Medicaid) eligibility and application help: Apply online via KOLEA and/or call (800) 316‑8005. How to Apply – Med‑QUEST. (medquest.hawaii.gov)
- Parenting stress or child behavior questions: The Parent Line (808) 526‑1222 (Oʻahu) or (800) 816‑1222 (neighbor islands). The Parent Line (State‑funded). (health.hawaii.gov)
- Domestic violence help (confidential): Domestic Violence Action Center (808) 531‑3771 (Oʻahu); text (605) 956‑5680. Or call 988/911 in danger. CVCC “Frequently Called Numbers” list. (dcr.hawaii.gov)
Quick Reference Cheat Sheet
| Goal | Fastest First Step | Backup |
|---|---|---|
| Crisis help tonight | Call/text 988. From a non‑808 phone use (808) 832‑3100 or (800) 753‑6879 for local counselors; ask for Crisis Mobile Outreach. | If unsafe, call 911 now. Hawaiʻi CARES 988. (hicares.hawaii.gov) |
| Postpartum depression/anxiety | Text/call 1‑833‑TLC‑MAMA (24/7). | Call The Parent Line (808) 526‑1222 (Oʻahu) or (800) 816‑1222 (neighbor islands). (mchb.hrsa.gov, health.hawaii.gov) |
| Low/no‑cost therapy | Apply to Med‑QUEST online (KOLEA). If ineligible, use FQHC sliding‑fee clinics (see “Clinics” section). | Call 211 for additional low‑cost options. (medquest.hawaii.gov, bphc.hrsa.gov, auw211.org) |
| Help for your child/teen | Contact your island’s CAMHD Family Guidance Center (FGC). | Ask school about School‑Based Behavioral Health; call 988 for after‑hours crisis. (health.hawaii.gov) |
| Serious mental illness (adult) | Call Hawaiʻi CARES for screening and referral to AMHD/CCS. | Contact your island’s AMHD Community Mental Health Center (numbers below). (medquest.hawaii.gov, health.hawaii.gov) |
| Veteran moms | Call (808) 433‑0660 (Behavioral Health) or (800) 214‑1306 (VA Health Connect). | In crisis, call 988, then press 1. (va.gov) |
Table 1. Crisis and Access Lines (keep this handy)
| Service | Number(s) | Hours | Notes |
|---|---|---|---|
| Hawaiʻi CARES 988 (local crisis line) | 988, or (808) 832‑3100, (800) 753‑6879 | 24/7 | Text/chat options; Crisis Mobile Outreach often within ~45 minutes. (hicares.hawaii.gov) |
| National Maternal Mental Health Hotline | 1‑833‑TLC‑MAMA (1‑833‑852‑6262) | 24/7 | For pregnancy & up to 1 year postpartum; English/Spanish + interpreters. (mchb.hrsa.gov) |
| Aloha United Way 211 | 211, (877) 275‑6569 | 7 a.m.–10 p.m. daily | Phone, text, chat; statewide referrals. (auw211.org) |
| The Parent Line | (808) 526‑1222, (800) 816‑1222 | M–F 9 a.m.–7 p.m.; Sa–Su 9 a.m.–2 p.m. | Parenting support, stress, child behavior. (theparentline.org) |
| Domestic Violence Action Center | (808) 531‑3771; Text (605) 956‑5680 | Call M–F; Text 24/7 | Confidential safety planning. (alohaathome.org) |
| Sex Abuse Treatment Center (Honolulu) | (808) 524‑7273 | 24/7 | Medical care & counseling after sexual assault. (dcr.hawaii.gov) |
| Veterans Crisis Line | 988, then press 1 | 24/7 | Also text 838255; VA patients and loved ones. (va.gov) |
Start Here If You Need Help Today
- Call or text 988 right now. If your phone isn’t an 808 number, use (808) 832‑3100 or (800) 753‑6879 to reach Hawaiʻi CARES directly and ask for Crisis Mobile Outreach. A clinician can often come to you within about 45 minutes. (hicares.hawaii.gov)
- If you are pregnant or recently gave birth and feel overwhelmed, text or call 1‑833‑TLC‑MAMA (1‑833‑852‑6262) for a trained counselor in minutes. (mchb.hrsa.gov)
- If you’re safe but need care you can afford, skip to the Med‑QUEST section (Hawaiʻi Medicaid) to check 2025 income limits and apply online in about 30–40 minutes. (medquest.hawaii.gov)
Med‑QUEST (Hawaiʻi Medicaid): Free or Low‑Cost Therapy, Psychiatry, Meds
Most single moms qualify through Med‑QUEST when household income fits the limits below. Med‑QUEST covers mental health services like therapy, psychiatric visits, meds, crisis care, non‑emergency transportation, and more through managed care plans. If you have a serious and persistent mental illness, you may qualify for extra services through Community Care Services (CCS). (medquest.hawaii.gov)
How to apply (fastest):
- Apply online via KOLEA at medical.mybenefits.hawaii.gov. Or call (800) 316‑8005 for help or to apply by phone. (medquest.hawaii.gov)
What to expect:
- If approved, you’ll pick a health plan (HMSA, AlohaCare, Kaiser, ‘Ohana, UnitedHealthcare). These plans all include behavioral health. Serious mental illness care may be delivered through CCS. (medquest.hawaii.gov)
- Need in‑person help? Call the Customer Services Call Center (808) 524‑3370 (Oʻahu) or (800) 316‑8005 (neighbor islands). You can also contact your island’s Eligibility Branch office (one main line statewide: (800) 316‑8005). (medquest.hawaii.gov)
2025 Med‑QUEST Monthly Income Limits (most common groups)
These are the maximum monthly incomes (including the 5% income disregard) effective January 1, 2025. Use your household size (you + your children). If you’re pregnant, count your future baby in household size. (medquest.hawaii.gov)
| Household Size | Parent/Caretaker (105% FPL) | Low‑Income Adult (138% FPL) | Child 6–19 (144% FPL) | Child 1–5 (196% FPL) | Child <1 (196% FPL) | Pregnant (196% FPL) | CHIP Child <19 (313% FPL) |
|---|---|---|---|---|---|---|---|
| 1 | $1,575 | $2,069 | $2,159 | $2,939 | $2,939 | $2,939 | $4,693 |
| 2 | $2,128 | $2,797 | $2,919 | $3,973 | $3,973 | $3,973 | $6,344 |
| 3 | $2,682 | $3,525 | $3,679 | $5,007 | $5,007 | $5,007 | $7,995 |
| 4 | $3,236 | $4,253 | $4,438 | $6,041 | $6,041 | $6,041 | $9,646 |
Add for each extra person: Parent +553∗∗;Adult+∗∗553**; Adult +**727; Child 6–19 +759∗∗;Child<6/Pregnancy+∗∗759**; Child <6/Pregnancy +**1,033; CHIP +$1,651. (medquest.hawaii.gov)
What’s covered:
- Outpatient therapy (individual, family, group), psychiatric evaluation, medication management, crisis services, inpatient psych if needed, and non‑emergency transportation. Children also get full EPSDT behavioral health benefits (including ABA when medically necessary). (medquest.hawaii.gov)
Required documents (upload or submit copies):
- Photo ID (if available), Social Security numbers (if you have them), birth dates. (mybenefits.hawaii.gov)
- Proof of Hawaiʻi residency (mail with your address, lease, etc.). (medquest.hawaii.gov)
- Recent income proof (pay stubs or last year’s tax return). If pregnant, a note from your provider helps but isn’t always required to start. (medquest.hawaii.gov)
Tips:
- If your income is just over the limit, still apply—some people qualify after allowable deductions, and children/pregnancy groups have higher limits. (medquest.hawaii.gov)
- If you have a disability or are over 65, medically needy and Medicare‑related programs have different income rules and a spend‑down option. (2025 MNIL: 469∗∗/moindividual;∗∗469**/mo individual; **632/mo couple.) (medquest.hawaii.gov)
Common mistakes to avoid:
- Waiting for “perfect” documents. Apply online now; you can upload more later if Med‑QUEST asks. (medquest.hawaii.gov)
- Not picking a health plan promptly after approval—this delays therapy scheduling. Watch your mail or KOLEA account for the choice packet. (medquest.hawaii.gov)
What to do if this doesn’t work:
- Call the Customer Services Call Center (800) 316‑8005 to check your status or get help fixing a denial. You can also file an appeal—the Member Grievance Hotline is (808) 692‑8094 and the Medicaid Ombudsman (KOAN) is (808) 746‑3324. (medquest.hawaii.gov)
Low‑Cost Care Without Insurance: Community Health Centers (Sliding Fee)
Federally Qualified Health Centers (FQHCs) in Hawaiʻi must offer discounted care if your household income is at or below 200% of the Federal Poverty Guidelines; at or below 100% you receive a full discount (centers may charge a small nominal fee). These rules are set by HRSA and apply statewide. (bphc.hrsa.gov)
2025 Hawaiʻi Poverty Guidelines (use to estimate sliding‑fee eligibility): (aspe.hhs.gov)
| Household | 100% FPG (Annual) | 100% (Monthly) | 200% FPG (Annual) | 200% (Monthly) |
|---|---|---|---|---|
| 1 | $17,990 | $1,499 | $35,980 | $2,998 |
| 2 | $24,320 | $2,027 | $48,640 | $4,053 |
| 3 | $30,650 | $2,555 | $61,300 | $5,108 |
| 4 | $36,980 | $3,082 | $73,960 | $6,163 |
Find clinics:
- Use HRSA’s official locator: Find a Health Center (HRSA). (data.hrsa.gov)
Examples offering behavioral health:
- Waianae Coast Comprehensive Health Center Behavioral Health, Waianae: (808) 697‑3469 (main line (808) 697‑3300). WCCHC Behavioral Health. (wcchc.com)
- Waimānalo Health Center Behavioral Health: (808) 259‑7948. Telehealth available. Waimānalo Health: Behavioral Health. (waimanalohealth.org)
- Hawaiʻi Island Community Health Center (Behavioral Health), West (808) 326‑5629, East (808) 333‑3600. HICHC Behavioral Health. (hicommunityhealthcenter.org, hichc.org)
Pro tip:
- Ask for “integrated behavioral health” with primary care if the therapy schedule is full—many centers can start support sooner this way. If you’re under 200% FPG, ask how to apply for the sliding‑fee discount. (bphc.hrsa.gov)
What to do if this doesn’t work:
- Call 211 to search other low‑cost providers and support groups near your ZIP code. (auw211.org)
Adults With Serious Mental Illness (SPMI): AMHD and CCS
If you’re uninsured or underinsured and have a serious mental illness (e.g., schizophrenia, bipolar disorder, major depression with severe impairment), the Hawaiʻi Department of Health’s Adult Mental Health Division (AMHD) provides services through Community Mental Health Centers (CMHCs) statewide. Med‑QUEST members with SPMI may also qualify for CCS (Community Care Services) for intensive behavioral health. Start via Hawaiʻi CARES or by contacting your island’s CMHC: (hicares.hawaii.gov, health.hawaii.gov, medquest.hawaii.gov)
| Island | AMHD Community Mental Health Center | Phone |
|---|---|---|
| Oʻahu | Oʻahu CMHC Branch | (808) 832‑5770 |
| Hawaiʻi Island | Hawaiʻi CMHC Branch | (808) 974‑4300 |
| Maui County | Maui CMHC Branch | (808) 984‑2150 |
| Kauaʻi | Kauaʻi CMHC Branch | (808) 274‑3190 |
Source: Hawaiʻi DOH Behavioral Health Services Administration program directory. (health.hawaii.gov)
Reality check:
- There can be waitlists for routine appointments. If symptoms escalate, call 988 and ask for Crisis Mobile Outreach—clinicians can come to you for safety planning and short‑term stabilization. (hicares.hawaii.gov)
What to do if this doesn’t work:
- For help getting assigned or for complaints/appeals on a Medicaid plan, use the Member Grievance Hotline (808) 692‑8094 or Medicaid Ombudsman (808) 746‑3324. (medquest.hawaii.gov)
Mental Health for Keiki and Teens: CAMHD + School Supports
If your child has serious emotional/behavioral needs, Hawaiʻi’s Child & Adolescent Mental Health Division (CAMHD) provides intensive services via Family Guidance Centers (FGCs). Apply online or call your island’s FGC. Youth age 14+ can consent to outpatient mental health care without a parent/guardian under Hawaiʻi’s minor‑consent law (Act 37, 2020). (health.hawaii.gov)
How to apply:
- Online or paper application to your FGC region: CAMHD – How to Apply. (health.hawaii.gov)
Eligibility highlights:
- Ages 3–20; DSM‑5 diagnosis; functional impairment (CAFAS) and an eligible funding path (Med‑QUEST, special education/IEP referral, or juvenile justice referral). (health.hawaii.gov)
Key contacts (Family Guidance Centers):
- Oʻahu: Central Oʻahu FGC Pearl City (808) 453‑5900; Central Oʻahu FGC Kaneohe (808) 233‑3770; Honolulu FGC (808) 733‑9393; Leeward Oʻahu FGC (808) 692‑7700. (health.hawaii.gov)
- Hawaiʻi Island: East Hawaiʻi (Hilo) (808) 933‑0610; West Hawaiʻi (Kona) (808) 491‑9226; West Hawaiʻi (Waimea) (808) 887‑8100. (health.hawaii.gov)
- Maui County: Wailuku (808) 243‑1252; Molokaʻi (808) 553‑7878. Kauaʻi FGC (Līhuʻe) (808) 274‑3883. (health.hawaii.gov)
What to do if this doesn’t work:
- After hours, use 988; for school‑day support, ask your DOE school for School‑Based Behavioral Health (SBBH) and request an evaluation meeting. (health.hawaii.gov)
Maternal & Postpartum Mental Health (Pregnancy to 1 Year After Birth)
- 24/7 help: 1‑833‑TLC‑MAMA (1‑833‑852‑6262) for free counseling, referrals, and support in English/Spanish + 60 languages. HRSA Maternal Mental Health Hotline. (mchb.hrsa.gov)
- The Parent Line: (808) 526‑1222 (Oʻahu) or (800) 816‑1222 (neighbor islands). State‑funded parenting support, stress, and referrals. (health.hawaii.gov)
- Healthy Mothers Healthy Babies (HMHB) – MothersCare Line: Oʻahu (808) 951‑6660, Neighbor Islands (888) 951‑6661; administrative line (808) 737‑5805. Counseling referrals and supports. (hmhb-hawaii.org)
- Postpartum Support International – Hawaiʻi: Helpline 1‑800‑944‑4773; local connections and support groups. (postpartum.net, psichapters.com)
Reality check:
- It’s normal to hit waitlists for therapy. Use the hotline tonight; then ask for a warm handoff to a local clinic or telehealth option through your health plan or an FQHC. (mchb.hrsa.gov, waimanalohealth.org)
What to do if this doesn’t work:
- Call 211 and ask for “perinatal mental health” resources near your ZIP code; they can search statewide databases. (auw211.org)
Substance Use and Mental Health Together
If alcohol or drugs are part of what you’re battling, use Hawaiʻi CARES and the state’s Alcohol & Drug Abuse Division (ADAD) network:
- Hawaiʻi CARES SUD Care Coordination via 988 or (808) 832‑3100 / (800) 753‑6879; coordinators match you to ADAD‑funded treatment. Pregnant women have priority admission. (hicares.hawaii.gov, health.hawaii.gov)
- ADAD info line: (808) 692‑7506 (DOH Kapolei). (health.hawaii.gov)
What to do if this doesn’t work:
- Use FindTreatment.gov or call SAMHSA’s Helpline 1‑800‑662‑HELP for additional treatment options. (samhsa.gov)
Veterans: VA Pacific Islands Mental Health
If you served in the military (active duty, Guard/Reserve, or separated), the VA has mental health care and same‑day access at the Spark M. Matsunaga VAMC in Honolulu:
- Behavioral Health Call Center: (808) 433‑0660 (also (800) 753‑6879). VA Health Connect 24/7: (800) 214‑1306 or (808) 433‑0600. (va.gov)
- Women Veterans: Use the Women Veterans Program Manager Locator to connect with your WVPM for care coordination (OB/GYN, mental health, MST services). (womenshealth.va.gov)
- In crisis: 988, press 1. (va.gov)
What to do if this doesn’t work:
- Ask VA for Community Care referral if drive times or wait times exceed standards. Call (800) 214‑1306 to discuss options. (va.gov)
Financial Back‑Up for Time Off: Hawaiʻi TDI (Short‑Term Disability)
If you’re employed and can’t work for a short period due to a mental health condition (off‑the‑job), Hawaiʻi’s Temporary Disability Insurance (TDI) may replace part of your wages:
- Benefit: 58% of average weekly wage, up to $837/week in 2025, for up to 26 weeks; 7‑day waiting period. Apply through your employer’s TDI carrier (use Form TDI‑45). (secure.ssa.gov, nolo.com)
- Tip: TDI is separate from FMLA/Hawaiʻi Family Leave (which protect your job but don’t pay you). HFLL gives many workers up to 4 weeks of family leave; confirm with your employer’s HR. (labor.hawaii.gov)
What to do if this doesn’t work:
- Talk with your clinician about return‑to‑work planning and ask your health plan for care management—some plans can connect you to therapy faster.
If You Don’t Qualify for Medicaid: Affordable Marketplace Plans
If your income is too high for Med‑QUEST, compare plans (with subsidies) on HealthCare.gov during open enrollment (Nov 1, 2025–Jan 15, 2026 for 2026 coverage in Hawaiʻi). Special Enrollment Periods may apply if you recently lost coverage, moved, had a baby, etc. (healthinsurance.org)
- Go to HealthCare.gov. If you need local help choosing a plan that covers your therapist or meds, call 211 to find free navigators. (auw211.org)
What to do if this doesn’t work:
- Use FQHC sliding‑fee clinics while you wait (see above). (bphc.hrsa.gov)
Real‑World Examples (what this looks like)
- Oʻahu mom working two jobs, panic attacks: She applies to Med‑QUEST online on a Sunday night. By Tuesday, she calls the Customer Services line to add a recent pay stub they requested. She picks a plan with close‑by therapists. While waiting for the first appointment, she uses an FQHC’s integrated behavioral health for coping skills. Crisis plan: 988 if panic spikes; ask for mobile outreach if home alone with kids. (medquest.hawaii.gov, bphc.hrsa.gov)
- Hilo mom with teen refusing school: She calls the East Hawaiʻi FGC and submits the CAMHD application; the school also refers for SBBH. She learns her 15‑year‑old can consent to therapy independently if needed. After intake, an MHCC coordinates family therapy plus school supports. (health.hawaii.gov)
- Kona veteran mom with trauma: She calls VA Behavioral Health (808‑433‑0660) and requests same‑day triage; she uses VA’s Women’s Health team for combined care. Crisis plan: 988, press 1. (va.gov)
Diverse Communities: Tailored Resources
- LGBTQ+ single mothers:
- Inclusive clinics include community health centers (ask about LGBTQ‑affirming providers). Kumukahi Health + Wellness (Hawaiʻi Island) offers supportive services and navigation: Kona (808) 331‑8177, Hilo (808) 982‑8800. (kumukahihealth.org)
- Hawaiʻi LGBT Legacy Foundation lists community resources and events; use their resource pages to locate affirming support. (hawaiilgbtlegacyfoundation.com)
- Single mothers with disabilities or caring for a child with disabilities:
- Call 211 for respite and in‑home support lists; ask your clinic about care coordination and transportation under your health plan. (auw211.org)
- Veteran single mothers:
- VA Behavioral Health (808) 433‑0660; Women Veterans Program Manager via the WVPM Locator. Crisis: 988, press 1. (va.gov, womenshealth.va.gov)
- Immigrant/refugee single moms:
- Med‑QUEST provides free interpreter services; ask when you call (800) 316‑8005. Many clinics also offer interpretation. (medquest.hawaii.gov)
- Native Hawaiian & island communities:
- Native Hawaiian Health Systems and community health centers offer culturally grounded care. Use HRSA’s locator to find clinics on your island. (data.hrsa.gov)
- Rural single moms (Molokaʻi, Lānaʻi, Hāna, Kaʻū):
- Ask your clinic for telehealth; many centers (e.g., Waimānalo Health) run secure video visits for behavioral health, and Med‑QUEST covers non‑emergency transportation when needed. (waimanalohealth.org, medquest.hawaii.gov)
- Single fathers (yes, dads too):
- All hotline and clinic resources above are open to fathers as well—211 can filter by services for single dads. (auw211.org)
- Language access:
- Med‑QUEST and 211 provide free interpreters. When you call, say your language first. (medquest.hawaii.gov, auw211.org)
Resources by Region (selected, island‑specific)
Oʻahu
- AMHD Oʻahu CMHC Branch: (808) 832‑5770. (health.hawaii.gov)
- Waianae Coast CHC Behavioral Health: (808) 697‑3469 (main (808) 697‑3300). (wcchc.com)
- Waimānalo Health Center: (808) 259‑7948. (waimanalohealth.org)
- Domestic Violence Action Center: (808) 531‑3771; SATC 24/7 (808) 524‑7273. (dcr.hawaii.gov)
- NAMI Hawaiʻi (support groups/info): (808) 591‑1297. (namihawaii.org)
Hawaiʻi Island
- AMHD Hawaiʻi CMHC Branch: (808) 974‑4300. (health.hawaii.gov)
- Hawaiʻi Island Community Health Center Behavioral Health: West (808) 326‑5629, East (808) 333‑3600. (hichc.org)
- CAMHD FGCs: East Hilo (808) 933‑0610; West Kona (808) 491‑9226; Waimea (808) 887‑8100. (health.hawaii.gov)
- Kumukahi Health + Wellness: Kona (808) 331‑8177; Hilo (808) 982‑8800. (kumukahihealth.org)
Maui County
- AMHD Maui CMHC Branch: (808) 984‑2150. (health.hawaii.gov)
- Hāna Health: (808) 248‑8294. (medquest.hawaii.gov)
- CAMHD: Wailuku (808) 243‑1252; Molokaʻi (808) 553‑7878. (health.hawaii.gov)
Kauaʻi
- AMHD Kauaʻi CMHC Branch: (808) 274‑3190. (health.hawaii.gov)
- CAMHD Līhuʻe FGC: (808) 274‑3883. (health.hawaii.gov)
Statewide
- Aloha United Way 211 (phone, text, chat, search): 211 or (877) 275‑6569. (auw211.org)
- Hawaiʻi CARES 988: 988, or (808) 832‑3100 / (800) 753‑6879. (hicares.hawaii.gov)
Common Mistakes to Avoid
- Assuming you won’t qualify for Med‑QUEST because you work. 2025 income limits are higher for children and pregnancy; many working parents qualify. (medquest.hawaii.gov)
- Waiting for the “perfect” opening with a specific provider. Book the first available intake (telehealth if needed), then ask to transfer later. FQHCs can start brief therapy quickly. (waimanalohealth.org)
- Calling 911 for every crisis. If safe, try 988 first—trained counselors can de‑escalate and send mobile clinicians. Use 911 if anyone is in immediate danger. (hicares.hawaii.gov)
- Not asking for transportation support. Med‑QUEST covers non‑emergency medical transport for eligible members—ask your plan. (medquest.hawaii.gov)
Application Checklist (keep it simple)
- Your info: name, birth date, and SSN if you have one (not required to start). (mybenefits.hawaii.gov)
- Hawaiʻi address proof (mail/lease/bill). (medquest.hawaii.gov)
- Income proof (recent pay stubs or 2024 tax return). (medquest.hawaii.gov)
- Pregnancy note (if applicable). (medquest.hawaii.gov)
- For kids: birthdates and SSNs if available; you can apply even if you don’t have everything yet. (mybenefits.hawaii.gov)
Crime Victim Compensation (Counseling Costs After a Crime)
If you or your child were a victim of violent crime (including domestic violence or sexual assault), Hawaiʻi’s Crime Victim Compensation Commission (CVCC) can help pay unreimbursed medical and mental health expenses. File within 18 months of the crime; the Commission is a payor of last resort (they pay after insurance). Call (808) 587‑1143. (dcr.hawaii.gov)
Note: Maximum award amounts can change and vary by claim category. Check CVCC’s site or call to confirm current limits. (dcr.hawaii.gov)
Plan B:
- Discuss restitution with the prosecutor’s Victim/Witness office; state law allows courts to order restitution that includes mental health counseling costs. (dcr.hawaii.gov, law.justia.com)
Table 2. VA Pacific Islands Mental Health Quick Contacts
| Need | Contact |
|---|---|
| Behavioral Health Call Center | (808) 433‑0660 or (800) 753‑6879 |
| VA Health Connect (24/7) | (800) 214‑1306 or (808) 433‑0600 |
| Crisis (Veterans) | 988, press 1 |
| Women Veterans Navigator | WVPM Locator |
Source: VA Pacific Islands Health Care. (va.gov)
Table 3. Where to Start (Programs vs. Your Situation)
| Your situation | Best first step | Why |
|---|---|---|
| “I’m overwhelmed tonight” | Call/text 988 or (808) 832‑3100 | 24/7 counselors; can dispatch mobile clinicians. (hicares.hawaii.gov) |
| Pregnant/postpartum | Text/call 1‑833‑TLC‑MAMA | Dedicated perinatal counselors + referrals. (mchb.hrsa.gov) |
| Working mom, low income | Apply to Med‑QUEST online | Mental health covered; generous limits for kids/pregnancy. (medquest.hawaii.gov) |
| Teen in crisis | Call 988; next business day contact CAMHD FGC | 24/7 triage + intensive children’s services. (health.hawaii.gov) |
| Uninsured, not Medicaid‑eligible | Book an FQHC visit; ask for sliding fee | No one denied for inability to pay. (bphc.hrsa.gov) |
Regional Wait Times & Timelines (reality check)
- Crisis Mobile Outreach response can be fast—often within ~45 minutes once dispatched. If you’re not safe, call 911. (hicares.hawaii.gov)
- Plan for some waiting to start routine therapy. Book the soonest intake (telehealth if offered) and ask about interim coping sessions through integrated behavioral health at an FQHC. (waimanalohealth.org)
Frequently Asked Questions (Hawaiʻi‑specific)
- Do I have to live on Oʻahu to get help?
- No. Hawaiʻi CARES, Med‑QUEST, AMHD, CAMHD, and 211 are statewide. Use your island’s numbers in this guide. (hicares.hawaii.gov, health.hawaii.gov)
- My phone isn’t 808. Will 988 still reach a local counselor?
- Yes, but to reach Hawaiʻi CARES local staff directly, dial (808) 832‑3100 or (800) 753‑6879. (hicares.hawaii.gov)
- I’m pregnant. What income can I have and still get Medicaid?
- For a 2‑person household (you + baby), up to $3,973/month in 2025 (196% FPL with 5% disregard). See the table above for other household sizes. (medquest.hawaii.gov)
- What does Medicaid cover for mental health?
- Therapy, psychiatry, meds, crisis care, hospital if needed; kids get full EPSDT behavioral health. Serious mental illness adults may get CCS services. (medquest.hawaii.gov)
- My 15‑year‑old refuses to talk to me but needs help. Can they get therapy alone?
- Yes. Hawaiʻi law allows youth 14+ to consent to outpatient mental health services. (health.hawaii.gov)
- I can’t afford therapy visits. Can clinics lower the price?
- Yes. Health centers must discount fees if your income is at/below 200% of Hawaiʻi’s poverty guideline; at/below 100% gets a full discount (nominal fee may apply). (bphc.hrsa.gov)
- I need time off from work for treatment. Is there any pay?
- You may qualify for Hawaiʻi TDI: up to 58% of wages, max $837/week in 2025, up to 26 weeks. Apply via your employer’s TDI carrier. (secure.ssa.gov)
- I was assaulted. Who pays for counseling?
- Apply to the Crime Victim Compensation Commission within 18 months; they may cover unreimbursed mental health costs. (808) 587‑1143. (dcr.hawaii.gov)
- I didn’t get into Medicaid. What now?
- Check Marketplace plans with subsidies during Nov 1, 2025–Jan 15, 2026 or call 211 for local low‑cost clinics and support groups. (healthinsurance.org, auw211.org)
- Are interpreter services available?
- Yes. Med‑QUEST and 211 provide free language assistance—tell them your language at the start of the call. (medquest.hawaii.gov, auw211.org)
What to Do If a Route Doesn’t Work (Plan B Matrix)
- Can’t reach a live person quickly? Try another channel (text/chat for 988; text (877) 275‑6569 for 211). (auw211.org)
- No therapy openings? Ask for “integrated behavioral health” or a brief‑intervention visit; join a support group (NAMI offers several). (namihawaii.org)
- Denied for Med‑QUEST? Call (800) 316‑8005 and ask for a reconsideration/appeal; meanwhile, use an FQHC sliding fee. (medquest.hawaii.gov, bphc.hrsa.gov)
- Domestic violence or safety issues? Call DVAC (808) 531‑3771; if danger is imminent, call 911. (dcr.hawaii.gov)
About This Guide
Compiled by the ASingleMother.org Editorial Team
This guide uses official sources from the Hawaiʻi Department of Health (AMHD, CAMHD, ADAD), Hawaiʻi Department of Human Services Med‑QUEST, HRSA, HHS/HRSA maternal mental health hotline, VA Pacific Islands, and established nonprofits (Aloha United Way 211, NAMI Hawaiʻi). It follows our Editorial Standards and is maintained by researchers, not government employees. We link directly to application portals and official forms whenever possible, verify contacts, and update promptly when policies change.
Last verified September 2025; next review April 2026.
Found an error or update? Email info@asinglemother.org. We respond within 48–72 hours.
Disclaimer
- Program details, covered benefits, income limits, phone numbers, and clinic hours can change. Always confirm with the agency or clinic before you go or apply.
- This guide is general information, not legal, medical, or case‑specific advice. If you are in immediate danger, call 911.
- Security note: For your safety, do not email private health information to us. Use official portals (Med‑QUEST KOLEA, VA, clinic patient portals) for documents and messages.
Sources (selected)
- Hawaiʻi CARES 988 (local lines, mobile response): hicares.hawaii.gov. (hicares.hawaii.gov)
- Med‑QUEST 2025 income limits (MAGI chart): DHS MQD PDF (effective 01/01/2025). (medquest.hawaii.gov)
- QUEST Integration benefits (behavioral health, EPSDT, CCS): Med‑QUEST site. (medquest.hawaii.gov)
- 2025 Hawaiʻi poverty guidelines (for sliding fee): HHS ASPE. (aspe.hhs.gov)
- HRSA sliding‑fee policy (100%/200% FPG): HRSA Compliance Manual. (bphc.hrsa.gov)
- The Parent Line (DOH MCHB): health.hawaii.gov/mchb. (health.hawaii.gov)
- Aloha United Way 211 hours/contacts: auw211.org. (auw211.org)
- CAMHD FGCs, minor‑consent law: health.hawaii.gov/camhd. (health.hawaii.gov)
- AMHD Community Mental Health Centers: DOH program directory. (health.hawaii.gov)
- VA Pacific Islands mental health contacts: va.gov. (va.gov)
- Maternal Mental Health Hotline (HRSA): mchb.hrsa.gov. (mchb.hrsa.gov)
- Hawaiʻi TDI 2025 benefits: SSA POMS; DLIR resources. (secure.ssa.gov, labor.hawaii.gov)
- Marketplace open enrollment dates (2026 coverage): healthinsurance.org explainer. (healthinsurance.org)
- Sample FQHC contacts: WCCHC, Waimānalo Health, HICHC. (wcchc.com, waimanalohealth.org, hichc.org)
If you try something here and hit a wall, please tell us—your feedback helps us keep this a living, useful hub for Hawaiʻi’s families.
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