OPEN MINDS The Behavioral Health & Social Service Industry Analyst Industry News The rating of state mental health programs was released in September, 1990 by Public Citizen and the National Alliance for the Mentally Ill (NAMI). Hawaii was rated last by the study, receiving only two out of a possible 25 points. Hawaii’s State Health Director disputed the study, stating that the results do not take into account Hawaii's plan to build a new hospital for the mentally ill and increase funding, according to a report in the September . . .