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Rural Health Information Hub

Hawaii Resources

The Mental Health, Substance Use, Physical Health, and Mental Health Treatment Need of Community Individuals Experiencing Homelessness in Hawai'i
Results of a study detailing the health-related needs of Hawai'i's unhoused people, most of whom live in rural areas. Features statistics on self-reported rates of depression and anxiety, illicit substance use, alcohol use, smoking, obesity, and overall physical health.
Author(s): Andrew M. Subica, Daryl S. Sampaga, Jana Ortiz-Misiaszek, Tammy K. K. Martin, Scott K. Okamoto
Citation: Community Mental Health Journal, 59, 1021–1026
Date: 03/2023
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Emerging Adults Voice their Lived Experience: State of Hawai`i Substance Use System of Care Needs Assessment focused on Emerging Adults
Reports on a culturally responsive needs assessment focused on the substance use system in Hawaii and the experiences of emerging adults aged 18 to 29. Discusses qualitative data from behavioral health professionals as well as 24 emerging adults who have lived experiences with substance use disorder (SUD). Includes participants from various geographic areas with quotes from respective participants labeled by their rural or urban location.
Author(s): Susana Helm, Tai-An Miao, James Taylor, et al.
Date: 12/2022
Sponsoring organization: State of Hawai`i Department of Health, Alcohol & Drug Abuse Division
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Maternal Telehealth: Innovations and Hawaiʻi Perspectives
Examines access to maternal-fetal medicine (MFM) subspecialty services via telemedicine in high-risk patients in remote Hawai'i. Includes a literature review on telehealth MFM, discusses efficacy of currently available telemedicine technologies, and covers obstetric outcomes and barriers of telehealth MFM.
Author(s): Cathlyn Sullivan, Marguerite Cazin, Christina Higa, Ivica Zalud, Men-Jean Lee
Citation: Journal of Perinatal Medicine, 51(1), 69-82
Date: 11/2022
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Hawai'i Rural Health Program: Shaping the Next Generation of Rural Doctors
Describes the efforts of the Hawaii Rural Health Program (HRHP) to provide rural health training to medical students of the University of Hawaii John A. Burns School of Medicine. Highlights student reflections and the program's impacts on the rural physician workforce in Hawaii.
Author(s): Clare-Marie M. Anderson, Sara A. McAllaster, Grant M. Yoneoka, et al.
Citation: Hawaii Journal of Health and Social Welfare, 81(4), Supplement 2, 20-23
Date: 04/2022
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Building a Culturally Aware Native Hawaiian Health Professions Workforce
Highlights the Native Hawaiian Health Scholarship Program's efforts to build the Native Hawaiian health workforce. Describes the development of the program and changes to make the program more culturally aware and to integrate Native Hawaiian values into workforce training and professional development.
Author(s): Donna-Marie Palakiko, Kai'olu DeFries, Kilohana Haitsuka, Lisa L. Ka'anoi
Citation: Hawaii Journal of Health and Social Welfare, 81(4), Supplement 2, 15-19
Date: 04/2022
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The Lives of Native Hawaiian Elders and Their Experiences With Healthcare: A Qualitative Analysis
Highlights a 5-year study on the experiences of Native Hawaiian elders have had accessing quality healthcare. Discusses barriers to healthcare for Native Hawaiian elders, including those residing in rural areas.
Author(s): Keilyn Leina'ala Kawakami, Shelley Muneoka, Rachel L. Burrage, et al.
Citation: Frontiers in Public Health
Date: 02/2022
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Linking Families and Teens: Reducing Teen Pregnancy by Increasing Family Connectedness and Youth Self-Efficacy
Report details and evaluates a program designed to prevent unplanned teen pregnancies in rural communities. Highlights the programs structure and the measures used to evaluate it.
Date: 10/2021
Sponsoring organizations: Office of Population Affairs, U.S. Department of Health and Human Services
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Services to Conduct a Needs Assessment For Substance Use Prevention and Treatment Services Among Special Youth Populations Using Qualitative Methods, Protocol 2: In-Depth Interviews with Youth Regarding the System of Care
Reports on a needs assessment related to social determinants of health (SDOH) for special youth populations in Hawaii, including those who identify as Native Hawaiian, Compacts of Free Association (COFA) Nation/Micronesian, and rural populations. Discusses health disparities, substance use, adverse childhood experiences, cultural responsiveness, mental health and trauma, stigma issues, and data on school facilities and enrollment by county.
Additional links: Executive Summary, Interim Report
Author(s): Susana Helm, Tai-An Miao, Jane Onoye, et al.
Date: 09/2021
Sponsoring organizations: State of Hawai`i, Department of Health, Alcohol and Drug Abuse Division, University of Hawai`i at Mānoa, Department of Psychiatry, Research Division
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Integrating Family and Friend Support, Information Technology, and Diabetes Education in Community-Centric Diabetes Self-Management
Study examining the impacts of community support on diabetes self-management in a rural island community in Hawaii based on a pilot program with 7 participants over a 9 month period. Describes the challenges of implementing diabetes self-management education programs in rural areas, access to dietitians and endocrinologists, and the potential for telehealth and health information technology to facilitate diabetes self-management.
Author(s): Christina Higa, Elizabeth J. Davidson, Joanne R. Loos
Citation: Journal of the American Medical Informatics Association, 28(2), 261-275
Date: 02/2021
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2021 Long-Term Support Services Telehealth Results Summary
Presents findings of a review of telehealth needs and challenges among long-term services and supports (LTSS) staff in Hawaii based on telephone interviews. Offers policy recommendations to support LTSS providers and family caregivers and highlights provider experiences before and during the COVID-19 public health emergency. Discusses use of telehealth technology, barriers to using telehealth, and desired support among nursing homes, care homes, home health agents, hospice providers, family caregivers, and rehabilitation service providers.
Date: 2021
Sponsoring organization: Pacific Basin Telehealth Resource Center
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Additional resources are available. See a full list of Hawaii Resources.


Last Updated: 2/19/2026