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The Packed Hawaii State Hospital May Soon See A Surge In Patients From A Private Facility

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The Packed Hawaii State Hospital May Soon See A Surge In Patients From A Private Facility


Officials say they have been urgently trying to reduce the patient population after the killing of a nurse last year drew new attention to problems at the hospital.

Health officials are seeking $14 million in emergency funding to try to improve security and reduce the patient population at the Hawaii State Hospital, but the psychiatric facility may soon have to make room for an influx of even more patients from the privately run Kahi Mohala facility.

The hospital has contracted for years with the nonprofit Kahi Moha to house 40 of its patients there, and most or all of those patients are “forensic” patients. That means they were committed to Hawaii State Hospital by the courts after being arrested.

Sutter Health network is now pursuing a deal to sell Kahi Mohala to The Queen’s Health System, and “Queen’s has indicated that the forensic patients will no longer be serviced at that campus,” said Marian Tsuji, deputy director for behavioral health for the state Department of Health.

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The Hawaii State Hospital is licensed for 297 beds, but as of Wednesday morning had 345 patients. That census may increase even more if other patients who were hospitalized by the courts are returned to the hospital from Kahi Mohala. (Anita Hofschneider/Civil Beat/2021)

Tsuji told lawmakers Wednesday that the department is trying to reduce the number of patients at Kahi Mohala to prepare for the movement of patients from that facility back to Hawaii State Hospital. But the loss of the Kahi Mohala beds seems likely to aggravate already severe crowding at the hospital.

Kahi Mohala referred questions to a public relations firm, which said it didn’t have any information. Queen’s didn’t respond to a request for comment.

‘A Very Challenging Time’

Dr. Kenneth Luke, administrator of Hawaii State Hospital, told members of the House Health and Homelessness Committee on Wednesday the hospital is licensed for 297 beds, but as of Wednesday morning had 345 patients. That does not include the patients now at Kahi Mohala.

Public attention has focused on problems at Hawaii State Hospital since Nov. 13, when a patient stabbed to death 29-year-old nurse Justin Bautista with what hospital staff have described as a pocket knife.

The attack occurred on the hospital grounds in an unsecured cottage used for a state-operated specialized residential program, which functions much like a halfway house. Tommy Kekoa Carvalho has been charged with second-degree murder in the case and is being held at the Oahu Community Correctional Center.

The case was the first killing of a staff member on the hospital campus, but the hospital has long been the subject of complaints about abuse of patients and threats and violence against staff.

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Luke said after the attack on Bautista that the hospital has been urgently trying to reduce the patient count, but the census numbers he announced Wednesday suggest the facility has made little progress on that front in recent months.

“Hawaii State Hospital is going through a very challenging time right now,” Luke told lawmakers.

“The types of patients that we’re getting are much sicker than we got maybe a decade ago. These are patients that have not only a chronic and severe mental illness, but they also have co-occurring conditions, oftentimes a substance abuse disorder, primarily methamphetamine,” Luke said.

“This really complicates their conditions, makes them much more acute, much more difficult to treat,” he said. Luke said 70% of the patients were “houseless” on the street, and are therefore less stable than patients of past years.

He described the hospital staff as “the best staff that any hospital could ask for … but I feel that we owe them what we can to make the place safer.”

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Backlog In Evaluations

One problem has been the long delays in processing people sent by the courts to Hawaii State Hospital for evaluations to determine if they are mentally fit to proceed with their criminal cases, Tsuji said.

Marian Tsuji, deputy director for behavioral health for the state Department of Health, and Hawaii State Hospital Administrator Kenneth Luke brief House lawmakers on the emergency appropriation request. Tsuji said the process of evaluating patients for the court system needs to get quicker.

Those patients sometimes remain at the hospital for many months because of a backlog in the evaluations, which contributes to the high patient counts.

“We need to process people a whole lot quicker than what we’ve been doing,” Tsuji said. “We’re short forensic psychologists, evaluators at the courts as well as at the hospital, and so if we can get those evaluations done quicker, we can process them quicker.”

Crisis Shelters And Metal Detectors

House Health and Homelessness Committee Chairwoman Della Au Belatti questioned Luke and Tsuji about the request for an emergency appropriation to finance improvements to Hawaii State Hospital.

The original funding request in House Bill 1941 was for $5.975 million, but Gov. Josh Green is about to submit a governor’s message that will increase that request to $14.2 million, Luke said.

A consultant’s report last month recommended changes in hospital operations, and the money would be used to finance a reorganization, according to hospital staff. It would also pay for an expansion of the hospital’s existing network of community-based treatment facilities, Tsuji said.

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Those facilities are used to transition patients back into the community after they have completed treatment at the hospital. But some patients cannot be placed in group homes because they are full, which contributes to overcrowding as patients remain at the hospital until a community slot opens, Tsuji said.

She said the governor’s message will ask lawmakers to fund two licensed crisis shelters for patients, and two additional houses with 24-hour supervision. The state plans to award contracts to operate those facilities, Tsuji said.

Additional money is also being requested to increase the rates the state pays for existing group homes because in some cases those payments have not been increased in a decade, she said. Tsuji said she expects those rates will go up by 20% to 25%.

The hospital reorganization would involve creating a new “safety and security team” at the facility, and improving information technology, according to Naomi Yanagishita, associate administrator for administrative and support services at the hospital.

Another $650,000 would be committed to upgrading communications and information technology within the hospital, including fixing video cameras that no longer function, Yanagishita said.

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Tsuji said some of the new funding would also be used to buy wand-type metal detectors to screen patients such as Carvalho who are allowed to come and go from the hospital campus. The hospital is also requesting money for drug testing, Tsuji said.

Tsuiji said the governor’s message will request $700,000 in construction funding to relocate the hospital’s guard shack to better control access to the facility.





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Everyone Says Oahu’s Overcrowded. We Drove 20 Minutes Past Haleiwa And Found Beautiful Empty Beaches

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Everyone Says Oahu’s Overcrowded. We Drove 20 Minutes Past Haleiwa And Found Beautiful Empty Beaches


Most visitors think Oahu’s North Shore stops at Haleiwa because that is where traffic builds to pandemonium, where beach parking fills earlier than you can imagine, and where sitting in your car between the familiar lineup of surf breaks and food trucks largely defines the experience. Once people have crawled through and found a place to stand at Waimea or Sunset, the mental box gets checked, and the car points back toward Honolulu fast, as if everything worth seeing has already been seen. But it hasn’t.

Instead of turning around at Haleiwa, we continued west on Farrington Highway and watched the storefronts fall away in the rearview mirror. The line of rental cars thinned fast as the road narrowed and the mountains got closer to the pavement. On the ocean side, long stretches of sand opened up, and within a few miles, we were seeing more wind in the ironwood trees than cars on the road or people on the beach.

Most visitors leaving Haleiwa head east toward Sunset Beach and Pipeline, where traffic stacks up endlessly and parking lots overflow. We went the other way. Out toward Mokuleia, the commercial North Shore disappears fast, and what replaces it is space. There are no visitors circling for stalls and no steady lines at food trucks. You can pull over without searching for the one open spot in a packed lot, and entire sections of beach sit quietly without the usual cluster.

Dillingham Airfield and the working North Shore.

One of the first landmarks after Mokule’ia Beach (which we will write about soon) is what most people still call Dillingham Airfield, though its official name is Kawaihapai Airfield. It is owned by the U.S. Army and managed by the State of Hawaii Department of Transportation under a 50-year lease, and it has been operated as a military installation since the 1920s, with HDOT taking over management in 1962. HDOT leases 272 acres of the 650-acre Dillingham Military Reservation and operates the single 9,000-foot runway, with the civilian side used heavily for gliders and skydiving while the Army retains first priority for air/land operations and uses the field for helicopter night-vision training.

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As we drove past, it did not feel like a visitor attraction at all, even though you can spot the roadside signs for glider rides and skydiving. A small single-engine plane rolled down the runway and lifted off against the Waianae Mountains, then a glider followed, towed upward before separating and moving almost silently above the coastline. It is one of those North Shore scenes that makes you slow down without thinking about it, because it looks like real working Oahu rather than the marketed version, with runway, mountains, and open water all in the same frame and very few people around to make it feel like a production.

Camps that have been here for generations.

Close to the airfield are two oceanfront camps that rarely enter any typical Oahu visitor’s plans. The first is Camp Mokuleia, which sits along the shoreline and is owned by the Episcopal Church. If you’re not on a retreat, you can rent a campsite or tentalo on the beach. A little farther west is YMCA Camp Erdman, which opened in 1926 and is approaching its 100th anniversary, still renting oceanfront cabins and yurts to the public.

The accommodations are straightforward, with sand steps away from the doors and long views of the horizon. This is not a resort strip, and you won’t find any valet stands or infinity pools. Families gather around grills, kids move freely between cabins and the beach, while the ocean feels part of the daily backdrop more than it is an Instagram photo opportunity.

Camp Mokuleia tentalos start at $100 a night. Camp Erdman yurts and cabins range from $250-$450 per night for up to 6 guests. For context, the average vacation rental in the Mokuleia area lists above $500 a night.

The shoreline here is not known for calm, protected swimming, and currents can be strong without lifeguard towers stationed every few hundred yards. The beach also has a lot of coral, which keeps swimmers more limited than some other beaches. And that fact alone keeps casual beach traffic lighter, and it helps explain why this stretch feels so different from busier Oahu North Shore stops. The camps and the character of the water belong to the same landscape, shaped more by geography than by commercial branding.

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Parking at Kaena Point State Park
Parking at Kaena Point State Park – Oahu

Where the pavement ends.

Eventually, Farrington Highway reaches a gravel lot where the pavement stops and a locked gate marks the entrance to the Mokuleia section of Kaena Point State Park. There is no visitor center funneling people through an entrance plaza. Instead, there is open sky, steady trade winds, and a handful of parked cars facing a dirt road that continues on foot toward the westernmost tip of Oahu, where you can meet the road that comes from the other side. This is truly a part of Oahu that most visitors never see.

Hikers follow the old railroad route for roughly 2.7 miles to Kaena Point itself, where seabirds nest behind protective fencing and monk seals are sometimes seen along the shore. The trail is exposed, hot, and largely flat, with no services and little shade, which naturally limits casual foot traffic. Consider not trying it in the middle of the day. But, standing at the end of the paved road, with the Waianae Mountains behind you and nothing but raw coastline ahead, feels less like arriving at any Oahu attraction and more like standing at the literal end of the island.

What stood out most was how little competition there was for space. There were only a few cars in the lot when we arrived, and long portions of the beach were untouched compared with the chaotic churn nearby at Haleiwa. It was a bit windy, the mountains anchored one side of the horizon, and the coastline extended westward without any indication that you were sharing it with scattered other people.

If you have been to the North Shore more than once and believe you have already seen it, have you ever kept driving past Haleiwa until the pavement runs out? It’s worth the drive.

Photo Credits: © Beat of Hawaii at Kaena Point State Park, Oahu.

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Hawaii County Weather Forecast for March 02, 2026 | Big Island Now

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Hawaii County Weather Forecast for March 02, 2026 | Big Island Now


Photo Credit: James Grenz

Hilo

Tonight: Cloudy. Scattered showers in the evening, then isolated showers after midnight. Lows 59 to 66 near the shore to 48 to 54 at 4000 feet. Southeast winds up to 10 mph. Chance of rain 40 percent.

Monday: Cloudy with isolated showers. Highs 75 to 80 near the shore to around 65 at 4000 feet. East winds up to 10 mph. Chance of rain 20 percent.

Monday Night: Cloudy with scattered showers. Lows 59 to 65 near the shore to 48 to 54 at 4000 feet. East winds around 10 mph. Chance of rain 50 percent.

Kona

Tonight: Cloudy. Isolated showers in the evening. Lows around 69 near the shore to 45 to 52 near 5000 feet. Light winds. Chance of rain 20 percent.

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Monday: Cloudy. Highs 81 to 86 near the shore to around 67 near 5000 feet. Light winds becoming west up to 10 mph in the afternoon.

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Monday Night: Mostly cloudy. Lows around 69 near the shore to 44 to 51 near 5000 feet. Northwest winds around 10 mph in the evening becoming light.

Waimea

Tonight: Cloudy and breezy. Isolated showers in the evening. Lows 59 to 68 near the shore to 53 to 59 near 3000 feet. East winds up to 10 mph increasing to up to 20 mph after midnight. Chance of rain 20 percent.

Monday: Cloudy and breezy. Isolated showers in the morning. Highs 72 to 78 near the shore to 67 to 75 near 3000 feet. East winds up to 20 mph. Chance of rain 20 percent.

Monday Night: Mostly cloudy. Breezy. Isolated showers in the evening. Lows 59 to 67 near the shore to 52 to 58 near 3000 feet. East winds 10 to 20 mph. Chance of rain 20 percent.

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Kohala

Tonight: Cloudy and breezy. Isolated showers in the evening. Lows 59 to 68 near the shore to 53 to 59 near 3000 feet. East winds up to 10 mph increasing to up to 20 mph after midnight. Chance of rain 20 percent.

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Monday: Cloudy and breezy. Isolated showers in the morning. Highs 72 to 78 near the shore to 67 to 75 near 3000 feet. East winds up to 20 mph. Chance of rain 20 percent.

Monday Night: Mostly cloudy. Breezy. Isolated showers in the evening. Lows 59 to 67 near the shore to 52 to 58 near 3000 feet. East winds 10 to 20 mph. Chance of rain 20 percent.

South Big Island

Tonight: Cloudy. Isolated showers in the evening. Lows around 71 near the shore to around 51 near 5000 feet. Northeast winds up to 15 mph. Chance of rain 20 percent.

Monday: Cloudy and breezy. Highs around 83 near the shore to around 64 near 5000 feet. East winds up to 20 mph.

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Monday Night: Mostly cloudy. Breezy. Lows around 70 near the shore to around 50 near 5000 feet. East winds 10 to 20 mph.

Puna

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Tonight: Cloudy. Scattered showers in the evening, then isolated showers after midnight. Lows 59 to 66 near the shore to 48 to 54 at 4000 feet. Southeast winds up to 10 mph. Chance of rain 40 percent.

Monday: Cloudy with isolated showers. Highs 75 to 80 near the shore to around 65 at 4000 feet. East winds up to 10 mph. Chance of rain 20 percent.

Monday Night: Cloudy with scattered showers. Lows 59 to 65 near the shore to 48 to 54 at 4000 feet. East winds around 10 mph. Chance of rain 50 percent.

Waikoloa

Tonight: Cloudy. Lows around 70 near the shore to 48 to 54 above 4000 feet. Light winds.

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Monday: Cloudy. Highs around 83 near the shore to 65 to 71 above 4000 feet. Light winds becoming northwest up to 15 mph in the afternoon.

Monday Night: Mostly cloudy. Lows around 70 near the shore to 47 to 54 above 4000 feet. North winds 10 to 15 mph shifting to the east after midnight.

Synopsis

The cold front has dissipated into a trough and remains northwest of the Hawaiian Islands this evening. High pressure will build in from the north and allow the trade winds to strengthen from Monday through Wednesday. Brief passing showers will favor windward and mountain areas in the overnight to early morning hours through Wednesday and then over southeastern slopes and island interior sections from Thursday onward. Winds will weaken and veer slightly from a more east-southeast direction from Thursday on into the weekend. Shower activity will remain limited during this time period.

Short term update

The large band of high level cirrus clouds and mid level alto stratus clouds currently over the islands will continue to slowly diminish through Monday. The cold front approaching the islands has stalled and diminished into a trough just northwest of the island of Kauai.
Trade winds blow into the region and strengthen into the moderate to locally breezy range from Monday through Wednesday. A slight decrease in wind speeds and a shift from a more east- southeast direction remains in the forecast from Thursday onward as another cold front approaches the islands from the northwest, weakening and lifting the ridge north of the state. Local scale sea breeze winds will develop along terrain sheltered slopes of each island as the large scale winds weaken. Limited shower activity will prevail into next weekend with only brief showers possible.
The afternoon forecast looks good. No evening updates.

Previous discussion

Issued at 302 PM HST Sun Mar 1 2026.
Expectations for this afternoon remain on track. The boundary upstream of Kauai has made little to no forward progress today, sea breezes have struggled to establish owing to abundant high clouds, and showers southwest of Kauai and Oahu have essentially remained in place while stratiform elements peel off to the northeast. In addition, regenerating showers over Windward Oahu have dissipated in response to backing low-level flow. All told, an uneventful, cloudy, and mostly dry day across the state. Going forward, building heights over the N Central Pacific will maintain strengthening, but progressive high pressure at the surface. This in turn ensures the return of trades tonight which then become breezy during mid-week. Winds diminish slightly by late week as trades veer to ESE in advance of another round of upstream height falls. Typical trade wind weather anticipated throughout this time with showers focused windward and mauka. High clouds gradually clear from west to east Monday into Tuesday before exiting the area altogether by Wednesday.

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Aviation

A weakening stationary boundary will allow for abundant high clouds and relatively light land/sea breezes to prevail across most TAF sites. This front will also allow for disorganized showers across Kauai and Oahu tonight, however confidence was on the lower end based on weather model guidance, so made use of VCSH and PROB30 where rain chances were felt to be the highest. MVFR conditions may prevail under shower activity, otherwise VFR is expected across most sites for the period.
AIRMET Tango remains in effect across the islands due to upper- level turbulence from FL200-400 due to this front, with conditions expected to improve into tomorrow as this system continues to weaken. Patchy mountain obscuration may occur due to the presence of this front, however observations and webcams suggest that the threat is not widespread enough to warrant an AIRMET at this time. Light icing is also possible in cloud layer 120-180.

Marine

Issued at 302 PM HST Sun Mar 1 2026.
A dissipated front will linger into Monday just northwest of the area. Fresh to locally strong easterly trades will build in by Tuesday as surface ridge strengthens to the north. Winds will maintain strength but veer east southeast towards the end of the week as another system approaches from the west.
Surf along north and west-facing shores will be above seasonal average as a northwest swell (310 degrees) is expected to impact through Monday. Surf should remain small though the week with a small northwest bump expected next weekend.
Surf along exposed east-facing shores will be a bit elevated due to a short-to medium-period northeast (40 degrees) swell, then decline Tuesday. However, period and choppy conditions are expected to return by Tuesday as fresh trade winds redevelop and expand upstream of the state.
Surf along south-facing shores will remain near the seasonal average into March.

HFO Watches/Warnings/Advisories

None.

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Data Courtesy of NOAA.gov



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YAS Fest Returns To Kalākaua Park, March 14th

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(BIVN) – YAS Fest, aka the Youth Art Series Festival, is returning to Kalākaua Park in Downtown Hilo.

The East Hawaiʻi Cultural Center is hosting the event on Saturday, March 14th from 10 a.m. to 2 p.m. “Keiki and their families will be treated to an exciting array of performances, craft and information booths, and art activities,” a press release promoted.

From event organizers:

YAS Fest brings together local organizations dedicated to providing arts opportunities to keiki and teens from around Hawaiʻi Island. By spotlighting their activities, YAS Fest celebrates the importance of arts education for everyone.

Booths include the Hilo High School Art Club, Hawaiʻi Handweavers’ Hui, Friends of the Palace Theatre, and over a dozen more.

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Headlining the performers is HAAStile (a teen rock band from Hawaiʻi Academy of Arts and Sciences, directed by Trever Veilleux). Audiences will also enjoy performances by Big Wave Dance Academy, Aloha Teen Theatre, N2 Dance, Hawaii’s Volcano Circus, Prince Dance Institute, and Kona Dance and Performing Arts.

YAS Fest is made possible by support from County Council District 2 and Coldwell Banker Island Properties. EHCC also thanks KTA Super Stores, Kelsey Ito, and Lō‘ihi Studios for their contributions.

Says YAS Fest organizer Kellie Miyazu, who is EHCC’s Youth Education Director, “Last year we had around 300 visitors to the first YAS Fest. There was a lot of nice feedback from visitors, and also from the organizations who were able to network with each other and the community. We’re expecting an even more successful festival this year.”

Visitors are also encouraged to stop by the EHCC patio across the street to learn more about EHCC’s vision for the year and how community support helps keep EHCC’s unique gallery and keiki programs accessible to all.

For more information, visit EHCC online at ehcc.org, call 961-5711, or visit EHCC at 141 Kalakaua Street. Current gallery and office hours are from 10 a.m. to 4 p.m. Wednesday and Thursday, and Friday noon to 6 p.m.





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