The Hawaii Department of Health (DOH), Department of Accounting and General Services (DAGS) awarded the contract for this Design-Build project. KMD was selected as the Design Architect and G70 as the Hawaii Architect of Record. The design and building was led by Hensel Phelps.

The existing facility was demolished and the new, multi-story building constructed in its place. The new facility will aid in the issue of overcrowding and help to separate high-risk patients from others. Five acres have been set aside for the upper campus and 255 parking stalls will be included in the plan. Approximately 24 beds will be available for new patients, and 24 beds for high-risk patients receiving specialized care, four 24-bed units will serve patients needing routine care, and a treatment section will offer services including occupational, recreational, and rehabilitation therapy.