HAWAII state hospital

Kaneohe, Hawaii


About the Project

Hawaii State Hospital, which is operated by the State of Hawaii Department of Health (DOH), is on a new path forward to enhance the safety and security of its patients, employees and the surrounding community. For years, the design of the psychiatric hospital was unable to keep pace with the ever-increasing patient population and high percentage of high-risk forensic patients. Hawaii State Hospital, by law, must accept all patients ordered by the judicial court system to be admitted for evaluation, care and custody.

In 2015, the DOH updated the hospital’s 10-year-old master plan to optimize the use of the facility’s 103-acre property in Kaneohe, Hawaii. In 2016, the Hawaii State Legislature saw the urgent need to address the over-crowded patient conditions and voted in favor of a major capital improvement allocation to bring Hawaii State Hospital into the 21st century. In January 2018 the State of Hawaii Department of Accounting and General Services (DAGS) awarded a $140 million contract to a design-build team led by Hensel Phelps to design and construct a four-story, 144-bed, secure forensic psychiatric facility totaling 170,000 square feet. The new facility will incorporate clinical best practices and create a modern therapeutic environment. The new facility will include patient care units, a comprehensive rehabilitation mall, outdoor courtyards, admissions and transfer suites, building support functions, and office spaces within a secured area. Groundbreaking is scheduled for August 2018, and the timeline to occupy the new building is targeted for January 2021.



Hawaii State Hospital’s mission is to provide excellent in-patient psychiatric services for court-ordered individuals within a safe therapeutic environment while improving safety for patients, employees and the surrounding community.


Hawaii State Hospital’s vision is to be a leader in the healthcare industry as evidenced by the following:

  • Relevant, effective, quality and multidisciplinary services
  • Responsive to the needs of our patients
  • Promotion of a safe and appropriate environment
  • Integration with community partners
  • Competent staff through relevant and appropriate training programs
  • Supportive of staff
  • A teaching hospital through our affiliation with academic institutions
  • Be a good community leader

Hear the story

“The needs of the community have outgrown the physical limitations of Hawaii State Hospital. For more than a decade the hospital has tried to get by, but now, it’s in crisis.”

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Context Study

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Master Plan

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The Team

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