Beyond its stunning beaches and tropical climate, Hawaii grapples with one of the highest rates of illicit substance use among younger populations in the country. As a small state made up of several islands in the Pacific, Hawaii faces unique challenges related to alcohol abuse, drug addiction, and mental health. It was the first state in the U.S. to experience widespread methamphetamine use, which remains a significant issue today. Access to mental health care is also limited, with the majority of treatment facilities concentrated on the main island of Oahu.