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The Substance Abuse & Mental Health Services Administration

SAMHSA Grant Awards By State FY 2006
Discretionary Funds in Detail

Center for Mental Health Services (CMHS)
HAWAII

Grantee: Hawaii Families As Allies	Aiea, HI
Program: CMHS Statewide Family Network Grants	SM56442
Congressional District: HI-01
FY 2006 Funding: $70,000
Project Period: 09/30/2004 - 09/29/2007
The Hawaii Statewide Transformation and Empowerment Project will conduct training, technical assistance, and networking activities aimed at substantially increasing the involvement of children and youth with emotional, behavioral, or mental disorders (EBMD) and their families in all levels of Hawaii's system of care, from planning services and supports for individuals and families to policy making at the community and state levels.

Grantee: Child and Adolescent Mental Health Div	Honolulu, HI
Program: Alternatives to Restraint & Seclusion SIGs	SM56497
Congressional District: HI-01
FY 2006 Funding: $234,385
Project Period: 09/30/2004 - 09/29/2007
The Department of Health's Child and Adolescent Mental Health Division (CAMHD) will strengthen infrastructure and enhance the capacity of service providing agencies to use best practices and support positive behaviors without the use of aversive techniques, through training, organizational development strategies, peer review, and other promising approaches. The proposed project will be implemented by its 8 public sector Family Guidance Centers and more than 20 contracted provider agencies. One set of project activities will focus on the program level, supporting agencies to establish organizational climates and program treatment milieu that foster positive behaviors and mitigate against use of restraint and seclusion; to follow-up on each incident of restraint and seclusion to determine why it happened and how to prevent reoccurrence; and to use program and state level data on sentinel incidents for quality improvement. Another set of activities will focus on supporting line staff to gain the attitudes, skills and knowledge they need to implement evidence-based practices for preventing aggressive or out-of-control behavior by program participants and for effectively deescalating such behavior when it does occur without resort to aversive techniques. The project will develop a Best Practices in Residential Care Network consisting of experts among agency staff who will gain capacity to provide peer-to-peer training and technical assistance within and across agencies. A project Web page and an e-mail listserv will facilitate networking, training, technical assistance, and dissemination activities.

Grantee: State of Hawaii Department of Health	Honolulu, HI
Program: State Mental Health Data Infrastructure Grants	SM56652
Congressional District: HI-01
FY 2006 Funding: $156,700
Project Period: 09/30/2004 - 09/29/2007
This project will continue the State's effort to build infrastructure to collect data and report the remaining Mental Health Block Grant Uniform Reporting System Developmental Measures. Grant efforts will focus on (1) local provider training to improve data quality, (2) implementation of web-based technology using DS2K + data standards to collect, report, and improve accessibility of data, and (3) strengthening internal and external database linkages. Project outcomes will include consistent data definitions, timely capture of data, improved measure of service outcomes and client change, improved data quality, and enhanced ability to analyze and report on developmental measures such as school attendance, school performance, and involvement with the criminal justice system. The project outcomes will be evaluated based on the ability to produce the data required for URS and other desired reporting. The project will also be evaluated in terms of its ability to produce data that is useful to and is used by system stakeholders.

Grantee: University of Hawaii	Honolulu, HI
Program: SAMHSA Conference Grants	SM57583
Congressional District: HI-01
FY 2006 Funding: $45,000
Project Period: 09/01/2006 - 08/31/2007
The Spring 2007 Annual Best Practices Conference will highlight supported employment and disseminate information to Hawaii and its US neighbors in the Pacific Basin. Based on previous years, about 300 attendees are expected.

Grantee: University of Hawaii	Honolulu, HI
Program: TCE-Meeting the Mental Health Needs of Older Adults	SM56943
Congressional District: HI-01
FY 2006 Funding: $400,000
Project Period: 09/30/2005 - 09/29/2008
This is a proposal to increase the capacity of the State of Hawaii to provide specialized and enhanced mental health and social services to people over the age of 60. It will do this by providing education and support to their caregivers and service providers as well as offering enhanced clinical services to older adults who have serious mental illnesses. Project goals: 1. Educate family members, providers, and other paid caregivers of adults over 60 who have serious mental illnesses about mental illness and its optimum treatment; 2. Improve caregivers’ skills in meeting the mental health needs of older adults; 3. Expand specialized mental health services for older adults within the state funded mental health system; 4. Increase the partnerships formed between the traditional older adult service system and the state funded mental health treatment system. All four goals have implications for infrastructure development which is an essential step in this effort as the State of Hawaii is in the process of planning service enhancements for older adults who have serious mental illness. The first three goals will also involve the development and delivery of enhanced direct care as a part of their attainment. This will be accomplished through the adaptation and implementation of an established Evidence Based Practice, Family Psychoeducation (FPE; Torrey et al., 2001), the adaptation of two EBPs, Integrated Dual Disorder Treatment and Illness Management and Recovery, already being implemented in Hawaii, and the adaptation and adoption of a service delivery model, the community-based, multidisciplinary, geriatric mental health treatment team (Bartels et al., 2002). There will be a comprehensive statewide effort to establish linkages between the traditional mental health and older adult service systems. Historically, both systems have operated independently of one another contributing to the neglect of the mental health and social services needs of older adults.

Grantee: State of Hawaii	Honolulu, HI
Program: Mental Health Transformation State Incentive Grants	SM57457
Congressional District: HI-01
FY 2006 Funding: $2,190,500
Project Period: 09/30/2006 - 09/29/2011
The goal of this mental health systems transformation project is to create a sustainable, fully integrated, comprehensive statewide mental health plan and to implement a system-wide transformation process over the course of a five-year period. Staffing for this grant can be conceptualized as a model of concentric circles whereby the transformation work group is at the center surrounded by mental health stakeholders coming together in different partnerships to breathe life into the transformation. The next ring supporting these activities is a technical assistance group and project evaluation team comprised of grant-funded staff and in-kind University of Hawaii staff who will assist the transformation work group and stakeholders in tasks such as planning, implementation, program evaluation and workforce development. Finally, the outer ring of the model is the community-at-large whose acceptance of mental health as an integral part of overall well-being is required to bring about full transformation of the system. Hawaii, because of its diversity, is in a unique position to develop effective models of service delivery and care that address the needs of the growing multi-cultural population across the country. Hawaii is committed to seizing the opportunity created by national and state strengths and resources; directing and focusing the efforts of all sectors to address priority mental health needs; building on successes to move past an era of federal court mandates; and realizing the vision of quality mental health care across all of Hawaii’s communities for the entire population.

Grantee: Child and Adolescent Mental Health Div.	Honolulu, HI
Program: Child Mental Health Initiative	SM57063
Congressional District: HI-01
FY 2006 Funding: $1,323,328
Project Period: 09/30/2005 - 09/29/2011
Project Ho'omohala (meaning in Hawaiian, "evolving toward maturity") will develop a system of care to meet transitional needs of youth with emotional and/or behavioral challenges, ages 15- 21 in the Kalihi-Palama community. Culturally and linguistically appropriate services will utilize the Transition to Independence process. Families and youth will be active partners in the governing structure and evaluation process.The goal of this project is to implement a system of care encompassing the Transition to Independence Process for youth with emotional or behavioral challenges between the ages of 15-21, living in the Kalihi-Palama Community. This goal will be implemented through the following actions: 1) establish a Youth Community Center; 2) train and assign transition specialists to each youth; 3) develop a comprehensive life-skills program; 4) create a range of supportive services (e.g., vocational, health care); and 5) develop peer mentoring services. The applicant is the Hawai'i Department of Health on behalf of the Governor. Daily management of the grant will be contracted through the Center on Disability Studies at the University of Hawai'i. The Youth Community Center will be operated by the Susannah Wesley Community Center. Wai Aka will provide the young adult support services, families and youth will guide the development, implementation, and evaluation of this project.

Grantee: United Self-Help	Honolulu, HI
Program: CMHS Statewide Consumer Network Grants	SM56346
Congressional District: HI-01
FY 2006 Funding: $70,000
Project Period: 09/30/2004 - 09/29/2007
United Self Help plans to utilize funds to enhance capacity and infrastructure to be consumer centered, recovery based and consumer driven. Consumers will be transformation agents as the program strengthens organizational relationships, promote skills development in leadership/business management; and identify/provide technical assistance to consumers to engage in the transformation process. Untied Self Help will advance its work from a previously funded network, which expanded consumer networks statewide. Consumer participation will be represented from the local level, attend statewide trainings on leadership/business management and establish legislative taskforce(s) that train and support consumers in legislative activities. A Consumer Assessment Team will also be developed to facilitate key roles in program evaluation, design and implementation. The network will also share its resources and expertise with neighboring islands and Pacific Territories.

Center for Substance Abuse Prevention (CSAP)
HAWAII

Grantee: HAWAII STATE OFFICE OF THE GOVERNOR	Honolulu, HI
Program: Strategic Prevention Framework State Incentive Grants	SP13944
Congressional District: HI-01
FY 2006 Funding: $2,093,000
Project Period: 09/30/2006 - 09/29/2011
The purpose of Hawaii's Strategic Prevention Framework (SPF) State Incentive Grant (SIG) is to improve the quality of life of our citizens by preventing and reducing the abuse and dependence on alcohol and other drugs among people of all ages. The SPF SIG will enable Hawaii to (a) support a coordinated and comprehensive approach to substance abuse prevention; (b) ensure that prevention is the first line of defense against illegal drug use and underage drinking; (c) establish effective alcohol and other substance abuse prevention efforts that are evidence-based, culturally appropriate, and long term; and (d) minimize duplicative efforts among partnering agencies, while promoting coordination and identifying gaps in data and services.

Grantee: Coalition for a Drug Free Hawaii	Honolulu, HI
Program: HIV/AIDS Cohort 4 Services	SP10471
Congressional District: HI-01
FY 2006 Funding: $350,000
Project Period: 09/30/2003 - 09/29/2008
The Coalition for a Drug Free Hawaii in Honolulu, HI has received a 5 year grant to provide integrated substance abuse and HIV/AIDS prevention services to minority and underserved populations. The grantee plans to increase access to effective gender-specific and culturally relevant SA/HIV prevention services for girls who are runaway, homeless, out-of-school, chronically truant, and status offenders. Project goals are to increase awareness and understanding of the problems; increase the leadership capacity within and among service providers; establish a vision and plan for addressing the problem and supporting girls' optimal health and wellness at the individual and systems level; demonstrate a science-based prevention program adapted for Pacific Island an Asian girls on the islands of Oahu and Kauai; evaluate program effectiveness for this population and sustain the program through integration into supportive local and statewide systems.

Grantee: Kulia Na Mamo	Honolulu, HI
Program: HIV/Strategic Prevention Framework	SP13382
Congressional District: HI-01
FY 2006 Funding: $254,320
Project Period: 09/30/2005 - 09/29/2010
The project targets Asian and Pacific Islander male-to-female transgender and men who have sex with men, age 27 and older. Many of the former are ex-incarcerated, and both groups, which make up the Mahu (two spirits) community in Hawaii, are minority populations at highest risk for HIV. i.e., of all API diagnosed with AIDS, over 65% are MSM, which includes transgender. From our own surveys of over 100 transgender clients, over 60% are ex-inmates, 54% are sex industry workers and over 30% are crystal meth users. 50% of the participants will be re-entry. Interventions will be provided to approximately 150 participants a year. The project is divided into two parts: 1.Capacity Building. The application will spend the first six to nine months of the first year establishing a workgroup or task force that will conduct a community needs assessment. The task force will be made up of the following agencies: Department of Health STD/AIDS Prevention Branch; Department of Health Disease Control and Outbreak Division; Life Foundation, an AIDS service organization; Drug Addiction Services of Hawaii, Inc.; Coalition for a Drug-Free Hawaii, a prevention agency; Hina Mauka, a treatment/prevention agency; Department of Public Safety; Hawaii Cares-the coalition of Ryan White providers; and other agencies. The needs assessment will be the basis for a strategic plan to be implemented after approval from SAMHSA. During this initial period Kulia Na Mamo will develop memoranda of agreement with treatment agencies, the Department of Public Safety, and others with which to establish linkages to care. Kulia will attend meetings of the HIV Community Planning Group, work with the Jade Ribbon Campaign for hepatitis B testing, and coordinate activities related to hepatitis C with the hepatitis C coordinator at the Department of Health STD/AIDS Prevention Branch. 2. Implementation, Monitoring, and Evaluation. The proposal follows interventions endorsed by the CDC and/or SAMHSA: Prevention

Grantee: Waipahu Community Association	Waipahu, HI
Program: Drug Free Communities	SP11543
Congressional District: HI-01
FY 2006 Funding: $100,000
Project Period: 09/30/2005 - 09/29/2009
The grantee will: (1) Reduce substance abuse among youth and, over time, among adults by addressing the factors in a community that increase the risk of substance abuse and promoting the factors that minimize the risk of substance abuse and; (2) Establish and strengthen community anti-drug coalitions.

Grantee: Parents and Children Together	Honolulu, HI
Program: Drug Free Communities	SP12968
Congressional District: HI-02
FY 2006 Funding: $100,000
Project Period: 09/30/2005 - 09/29/2010
The grantee will: (1) reduce substance abuse among youth and over time, among adults by addressing factors in the community that increase the risk of substance abuse and promote factors to minimize the risk of substance abuse; (2) establish and strengthen citizen participation and collaboration among communities, nonprofit agencies, and federal, state, local, and tribal governments to support community efforts to deliver effective substance use prevention strategies for youth; (3) use the Strategic Prevention Framework of evidence based prevention strategies to assess needs, build capacity, plan, implement and evaluate community prevention initiatives; and (4) assess and report on the effectiveness of community prevention initiatives to reduce age of onset of any drug use, frequency of use in the past 30 days, increased perception of risk or harm, and increased perception of disapproval of use by peers and adults.

Grantee: Drug Addiction Svcs of Hawaii, Inc	Honolulu, HI
Program: HIV/AIDS Cohort 5 Services	SP10506
Congressional District: HI-02
FY 2006 Funding: $250,000
Project Period: 09/30/2003 - 09/29/2008
Asian and Pacific Islander (API) transgenders (TG) and MSM are a difficult-to-reach population, with possibly the highest current rates of HIV and substance abuse among all behavioral and/or ethnic groups in Hawaii. Behaviors and conditions that put these populations (especially TG's) at risk are: prostitution; unprotected anal and oral sex; marginalized status resulting in discrimination and harassment; poverty and homelessness; low self-esteem; and lack of access to mainstream health and social services. The trends in AIDS reporting, HIV treatment and testing data and STD data show that API are a racial category with the greatest need for HIV and substance abuse prevention. The proposed five-year project will serve 250 young API TG's and MSM in the treatment group and will include 150 in the comparison group. Participants will be between ages 15 and 27. In integrating substance abuse and HIV prevention, the project utilizes a combination of strategies from science-based models, from SAMHSA, for substance abuse prevention, and from the CDC, for HIV prevention. For example, the CDC advocates prevention case management, individual-level-interventions (ILl) and group-level interventions (GLI) among others, while SAMHSA indicates that mentoring and alternative activities are effective. The proposed project adapts the following strategies to conform to cultural interests and styles of learning: mentoring; GLI; case management; prevention education; development of life management and social skills; outreach; and alternative activities. In further integrating these disciplines: 1) all staff will be trained to provide both SA and HIV prevention interventions; 2) the curriculum includes two one-hour sessions on the increased risk of unsafe sex due to drug use as well as separate prevention education on SA and HIV; and 3) care plans for the intervention participants will include steps to prevent both SA and HIV.

Grantee: Five Mountains Hawaii	Kamuela, HI
Program: Drug Free Communities	SP12310
Congressional District: HI-02
FY 2006 Funding: $100,000
Project Period: 09/30/2005 - 09/29/2008
The grantee will: (1) Reduce substance abuse among youth and, over time, among adults by addressing the factors in a community that increase the risk of substance abuse and promoting the factors that minimize the risk of substance abuse and; (2) Establish and strengthen community anti-drug coalitions.

Grantee: Kumpang Lanai	Lanai City, HI
Program: Drug Free Communities	SP12309
Congressional District: HI-02
FY 2006 Funding: $100,000
Project Period: 09/30/2005 - 09/29/2008
The grantee will: (1) Reduce substance abuse among youth and, over time, among adults by addressing the factors in a community that increase the risk of substance abuse and promoting the factors that minimize the risk of substance abuse and; (2) Establish and strengthen community anti-drug coalitions.

Grantee: West Kauai Business & Professional Assoc	Waimea, HI
Program: Drug Free Communities	SP12240
Congressional District: HI-02
FY 2006 Funding: $100,000
Project Period: 09/30/2005 - 09/29/2007
The grantee will: (1) Reduce substance abuse among youth and, over time, among adults by addressing the factors in a community that increase the risk of substance abuse and promoting the factors that minimize the risk of substance abuse and; (2) Establish and strengthen community anti-drug coalitions.

Center for Substance Abuse Treatment (CSAT)
HAWAII

Grantee: University of Hawaii at Manoa UHS	Honolulu, HI
Program: TCE- Campus Screening/Colleges & Universities	TI17213
Congressional District: HI-01
FY 2006 Funding: $136,834
Project Period: 07/01/2005 - 06/30/2008
Through the Alcohol and Other Drug Education Program (ADEP) of University Health Services Manoa, University of Hawaii at Manoa, this project will use evidence-based practices to provide on-campus health service identification and brief intervention for students with or at high risk of substance use disorders. The medical clinic will identify and refer students to ADEP for intervention based on techniques and tools outlined in BASICS (Dimeff, et al, 1999). Follow-up referral to more intensive treatment will be provided as appropriate. Other campus student services will be trained in identification and referral, including groups who currently refer students for violations of residence hall or student conduct code policies. Student groups will be involved in development of the project, and the project will be broadly publicized on campus as a nonpunitive student support service.

Grantee: Department of Health, State of Hawaii	Honolulu, HI
Program: Treatment of Persons w/Co-Occuring Substance Related and Mental Disorders	TI15351
Congressional District: HI-02
FY 2006 Funding: $504,872
Project Period: 09/30/2003 - 09/29/2008
The collaborative and cooperative efforts of Hawaii's Department of Health, including the Adult Mental Health Division (AMHD) and Alcohol and Drug Abuse Division (ADAD) will develop and enhance the capacity and infrastructure of the State of Hawaii's service system to provide integrated, evidence-based treatment services to people who have co-occurring substance use and mental health disorders.

Last Update: 9/24/2008