SAMHSA Fiscal Year 2004 Discretionary Funds

SAMHSA State Grant Awards FY 2004
Discretionary Funds in Detail
HAWAII

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 2004 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: Hawaii State Dept of Health	Honolulu, HI
Program: Jail Diversion	SM54721
Congressional District: HI-01
FY 2004 Funding: : $297,672
Project Period: 09/30/2002 - 09/29/2005
The Adult Mental Health Division (AMHD) and the State of Hawaii Department of Mental Health will administer the program through the Hawaii County Community Mental Health Center. Coordination of treatment will involve various agencies, such as the Big Island Substance Abuse Council, Department of Health and Human Services, Department of Public Safety, and the Intake Service Center. Social workers from the Intake Service Center will conduct the initial screen of jail inmates who appear to be suffering from co-occurring mental health and substance abuse disorders. This post-booking jail diversion program will serve the entire island of Hawaii.

Grantee: University of Hawaii	Honolulu, HI
Program: SAMHSA Conference Grants	SM56305
Congressional District: HI-01
FY 2004 Funding: : $29,400
Project Period: 08/01/2004 - 07/31/2005
This conference presents evidence-based practices to Hawaii stakeholders and assists the State to comply with a court order to improve the mental health system. The conference will also extend technical assistance and dissemination to largely underserved Pacific Territories and Jurisdictions of American Samoa, Republic of the Marshall Islands, Federated States of Micronesia, Republic of Palau, Guam and the Commonwealth of Northern Marianas Islands. Practices that address illness management and recovery and cultural competence are highlighted.

Grantee: Child and Adolescent Mental Health Div	Honolulu, HI
Program: Alternatives to Restraint & Seclusion SIGs	SM56497
Congressional District: HI-01
FY 2004 Funding: : $236,958
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 2004 Funding: : $142,200
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: State of Hawaii	Honolulu, HI
Program: Emergency Response	SM55186
Congressional District: HI-01
FY 2004 Funding: : $99,997
Project Period: 06/01/2003 - 05/31/2005
The State of Hawaii Department of Health is developing a comprehensive emergency response plan for the mental health and substance abuse needs of the community and the appropriate infrastructure to implement such a plan. Implementation of coordination efforts will begin with the creation of an Intra-Departmental Disaster Planning Task Force of key State Departmental representatives to assess needs and develop an appropriate plan. A VOAD Task Force would convene and include organizations and other non-profit community agencies with disaster response roles. The Disaster Coordinator for Mental Health Response would be responsible for establishing and facilitating the Task Forces and for coordinating their efforts.

Grantee: United Self-Help	Honolulu, HI
Program: CMHS Statewide Consumer Network Grants	SM56346
Congressional District: HI-01
FY 2004 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.

Grantee: State of Hawaii Department of Health	Honolulu, HI
Program: Evidence Based Training & Evaluation	SM56159
Congressional District: HI-02
FY 2004 Funding: : $308,000
Project Period: 09/30/2003 - 09/29/2006
Two evidence-based practices (EBPs), the treatment of co-occurring disorders and illness management and recovery, will be introduced into the adult mental health care system of the State of Hawai'i through the state's Department of Health. Six community mental health centers throughout the state will participate in this project. The impact these EBP protocols have on consumers' outcomes and their satisfaction with the services that they receive will be evaluated. The project will monitor and evaluate the programs developed to train providers and other involved stakeholders in the selected EBPs. Hawai'i is ethnically and geographically diverse, with communities comprised of Native Hawaiian, Pacific Islander (including Guamanian, Chamorro, Micronesian, Samoan), Asian and Asian American (including, Chinese, Japanese, Filipino, Korean, Vietnamese, other), Latino and Portuguese, African American, and American Indian populations. Due to the rich diversity of our population, it will be important to determine and evaluate adaptations to the EBPs necessary for meeting the unique needs of communities served. Geographically, Hawai'i consists of urban, suburban, and rural areas both within the same island as well as across the different islands. Coexisting urbanization and geographic isolation are a fact of life throughout much of the State and will be taken into consideration. The state will also develop a mechanism to sustain EBP training beyond the life of this project. A Center for Evidence Based Practice has been established within the Adult Mental Health Division of the Hawaii Department of Health and will be responsible for oversight of this project, ongoing training in other EBPs, and all EBP continuing education activities.

Center for Substance Abuse Prevention (CSAP)

HAWAII

Grantee: Coalition for a Drug Free Hawaii	Honolulu, HI
Program: Drug Free Communities	SP12085
Congressional District:
FY 2004 Funding: : $75,000
Project Period: 10/01/2001 - 09/30/2005
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: Five Mountains Hawaii	Kamuela, HI
Program: Drug Free Communities	SP12310
Congressional District:
FY 2004 Funding: : $100,000
Project Period: 10/01/2003 - 09/30/2005
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:
FY 2004 Funding: : $100,000
Project Period: 10/01/2003 - 09/30/2005
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:
FY 2004 Funding: : $100,000
Project Period: 10/01/2002 - 09/30/2005
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: YMCA of Honolulu	Honolulu, HI
Program: Prevention of Meth and Inhalant Use	SP10556
Congressional District: HI-01
FY 2004 Funding: : $350,000
Project Period: 09/30/2003 - 09/29/2006
Ka Lokahi 0 Na Kanaka is designed to further examine the effectiveness of a community-based intervention approach involving individual and family mentoring to prevent, reduce, or delay Methamphetamine and inhalant use among at-risk Asian and Pacific Islander adolescents between the ages of 11-14 attending middle school in a low- income urban area of Honolulu, Hawaii. This project will target young female and male adolescents of Hawaiian, Samoan, and Filipino descent who have been found to be at high risk for Methamphetamine and inhalant abuse. The mentoring approach utilized in this study is age and gender specific and culturally appropriate for the targeted population. Measures examining changes in drug use, as well as behavioral, family, and school functioning will be documented to evaluate program effectiveness.

Grantee: Coalition for a Drug Free Hawaii	Honolulu, HI
Program: HIV/AIDS Cohort 4 Services	SP10471
Congressional District: HI-01
FY 2004 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: Ke Ola Mamo	Honolulu, HI
Program: HIV/AIDS Cohort 3 Services	SP10147
Congressional District: HI-01
FY 2004 Funding: : $350,000
Project Period: 09/30/2002 - 09/29/2005
Ke Ola Mamo proposes an integrated program of substance abuse and HIV prevention for Hawaii's subpopulation that is most at risk for both substance abuse and HIV infection-- Asian and Pacific Islander transgenders, and men who have sex with men (MSM). The project will focus primarily on transgenders (TG) who face more barriers than MSM in being able to access the services benefits of mainstream society.

Grantee: Waipahu Community Association	Waipahu, HI
Program: Drug Free Communities	SP11543
Congressional District: HI-01
FY 2004 Funding: : $100,000
Project Period: 09/30/2004 - 09/29/2005
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: Honolulu Community Action Prog Inc	Honolulu, HI
Program: HIV/AIDS Cohort 2 Expansion Cooperative Agreements	SP09681
Congressional District: HI-01
FY 2004 Funding: : $63,636
Project Period: 09/30/2001 - 03/31/2005
'Ahahui 'Opiopio 'Imi Pono (Young People's Association for Well Being) Mentoring Project is a substance abuse and HIV mentoring program for Asian/Pacific Islander youth, with special emphasis on Hawaiians, and Filipinos, ages 12-15, who are at risk for substance abuse and HIV. This project, believed to be the first HIVP/mentoring program specifically for Pacific Islanders, will add new HIVP and mentoring services to existing substance abuse services while integrating primary healthcare services into its expanded system. While three mentors will be matched based on cultural background and youth and family preferences, access to services will be increased with the creation of new and improved linkages among the existing services and agencies within this community.

Grantee: Bay Clinic, Inc	Hilo, HI
Program: CSAP 2004 EARMARKS	SP11147
Congressional District: HI-02
FY 2004 Funding: : $248,525
Project Period: 07/21/2004 - 07/20/2005
Pulama I Na Opio 0 Hawai'i, translated to mean Embracing the Youth of Hawai'i, (The Pulama Project) administered by Bay Clinic, Inc., is an initiative that offers access to substance abuse education, prevention, intervention, treatment and aftercare options to teens aged 13-17 years on the Island of Hawai'i. With troubled and at-risk youth as our priority, The Pulama Project decreases fragmentation of services with a network of community health centers, teens and their families, effective substance abuse service providers, programs active in the lives of at risk youth, and government agencies responsible for public health and safety. In our rural island environment diverse cultures converge, marijuana is grown in the wild, alcohol and illicit drugs are easily available, the agriculture and tourism-based economy lacks vibrancy, mainland newcomers and immigrants from the Philippines and South Pacific islands move here, and the indigenous people, the Native Hawaiians, still struggle with the aftereffects of colonialism. Despite the natural beauty of our surroundings and the legacy of "aloha", growing up here can be a difficult task for youth. In CY2000, 6,656 State of Hawaii residents were admitted into substance abuse treatment programs. 24.1% of those residents (1,604) were between the ages of 12-17, and 59.6% (3,967) were Native Hawaiian or Asian/Pacific Islander. In CY2002 the largest residential treatment program for adolescents in the state admitted 25% of their clients from the Island of Hawaii, even though our island has only 12% of the total state population. The "Ka Leo O Na Keiki" 2002 Drug Use Study done by the Hawaii Department of Health's Alcohol and Drug Abuse Division found that our island had the largest proportion of students with elevated risk factors for substance abuse. Clearly, all is not well in paradise. The Pulama Project works with a teen council to create a safety net for at-risk youth and their families, and unique training opportunities

Grantee: Drug Addiction Svcs of Hawaii, Inc	Honolulu, HI
Program: HIV/AIDS Cohort 5 Services	SP10506
Congressional District: HI-02
FY 2004 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: State of Hawaii Department of Health	Honolulu, HI
Program: Cooperative Agreement for Ecstasy & Other Club Drugs Prevention Services	SP11149
Congressional District: HI-02
FY 2004 Funding: : $292,356
Project Period: 09/30/2004 - 09/29/2009
The State of Hawaii, Department of Health has contracted with the Coalition for a Drug-Free Hawaii propose to conduct the Hawaii Ecstasy Project to expand evidence-based prevention services/practices intervention called Challenging College Alcohol Abuse social norms program that is culturally relevant and effective in address the increasing and urgent problem of ecstasy use among residents in the Windward School District of Oahu. he plan is to modify the Challenging College Alcohol Abuse to address ecstasy and use it with high school students. The project will expand the capacity of service providers, schools, parents and community members to deal effectively with the problem of ecstasy abuse..

Center for Substance Abuse Treatment (CSAT)

HAWAII

Grantee: University of Hawaii	Honolulu, HI
Program: SAMHSA Conference Grants	TI16144
Congressional District: HI-01
FY 2004 Funding: : $48,600
Project Period: 04/15/2004 - 04/14/2005
There are three objectives for this conference: 1) to disseminate data on evidence-based practices to help identify the prevalence of co-occurring disorders and provide improved treatment in Hawaii and the Pacific Territories and Jurisdictions; 2) to educate attendees on the concept of recovery in mental illness; 3) inform about cultural competency in the provision of services for co-occurring disorders.

Grantee: The Judiciary, State of Hawaii	Honolulu, HI
Program: Adult Juvenile and Family Drug Courts	TI14345
Congressional District: HI-01
FY 2004 Funding: : $400,000
Project Period: 09/30/2002 - 09/29/2005
Family Treatment Drug Court (jurisdiction over substance abusing parents who have abused or neglected their children): Parents will be guided through 12 months of treatment services that may include addiction treatment, parenting skills, domestic violence counseling, mental health assistance, educational training and job placement. There will be rigorous monitoring by the judge. The program will serve 30 families the first year.

Grantee: Maui Youth & Family Services,Inc	Paia Maui, HI
Program: Residential SA TX	TI14261
Congressional District: HI-01
FY 2004 Funding: : $500,000
Project Period: 09/30/2002 - 09/29/2005
The collaboration between Maui Youth and Family Services, Inc., and the Marimed Foundation for Island Health Care Training, Inc., will provide both agencies with comprehensive experiential learning, aftercare, and continuing care to youth ages 12 to 18. The treatment curriculum, characterized by active learning, outdoor/ocean activities, and cognitive-behavioral approaches, addresses three determinants directly promoting successful relapse prevention: the family, peer environment, and the adolescent's stage of mental and emotional development. Fifty percent of the client population will be native Hawaiian and 11 percent will be Asian.

Grantee: County of Hawaii - Office of the Mayor	Hilo, HI
Program: Sole Source for Hawaii	TI15338
Congressional District: HI-02
FY 2004 Funding: : $297,967
Project Period: 08/01/2003 - 07/31/2006
The Ke ala Hou "To Heal; To Restore to Health" project is a program administered by a partnership of Adoledcent Treatment Specialist in Community Based Organizaitons with the Office of the Mayor, County of Hawaii. The community based treatment agencies will provide the youth from the Island of Hawaii with a residential treatment program that is both experientialy and culturally based. The programs targets adolescent methamphetamine users. Treatment consist of 5 components: 1) an experiential learning component in which youth participate in a variety of activities desigined to motivate and foster learning life skills and values; 2) a continuing education component in collaboration with the Dept. of Ed. that allows studnts to remain on grade level while in treatment; 3) A spiritual component which includes culture 4) counseling to address underlying feelings and provide coping mechanisims 5) intensive family involvement using traditional Hawaiian concepts as well as theories that address open communication, trust building and using common goals to work through issues.

Grantee: Department of Health, State of Hawaii	Honolulu, HI
Program: State Data Infrastructure	TI14592
Congressional District: HI-02
FY 2004 Funding: : $100,000
Project Period: 09/30/2002 - 09/29/2005
ADAD plans on accomplishing the SDI goals by collaborating with CSAT in the development of standard measures (data definition and formats for presentation and storage), implementation rules using Web Information Technology (Web IT), and in the promoting of common performance data definitions, one time data entry, systematic analysis of performance data, reuse of Web applications, and compliance with the Health Insurance Portability and Accountability Act (HIPAA) of 1996. As a result, ADAD will propose partnerships with related in-State programs such as mental health, Medicaid, and criminal justice. ADAD proposes also to build staff capacity by developing technical staff for the analysis of treatment access, quality assurance, and provider/program performance.

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 2004 Funding: : $1,009,743
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.