Project Kealahou, meaning "the new pathway" in the Hawaiian language, will build gender- and culturally-responsive trauma-informed practices across Hawaii's child-serving systems to address the complex needs of Hawaii's ethnically-diverse girls with significant trauma issues. The system of care will be for girls ages 11-18 (girls may stay enrolled through age 20) with serious emotional disturbances and trauma histories. It will serve girls in the child welfare, juvenile justice, educational and mental health systems in the Central, Windward, and East Honolulu areas of the island of Oahu. The project will expand to younger girls and broaden its scope to engage primary care in the third year of implementation.
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HI Discretionary Funding Fiscal Year 2014
The project will implement a trauma-informed care and recovery-oriented system in Hawaii. The system of care will build upon a network of providers who have a set of management skills on trauma-informed care. Trained and certified consumers, who will be able to bill Medicaid, will direct and facilitate services and, thus, ensure sustainability of services beyond the life of this grant. This project will serve adults with schizophrenia, bipolar, or depressive disorders and apply a trauma-informed perspective to the current system of care by embedding a recovery framework within the trauma-informed system of care and strengthening the trauma-informed care capacity of the Hawaii mental health system. The project will train all providers in the state in trauma-informed screening, assessment, and service delivery; offer approximately 150 consumers the Seeking Safety model every year; develop a cadre of about 140 consumer peer providers using Illness Management and Recovery (IMR) and Wellness Recovery Action Planning (WRAP) interventions; and support those peer providers from within a supported employment framework.
The Hawaii PBHCI project will stablish within the target CMHCs a consumer-centered integrated primary and behavioral health care health home for people who have severe and persistent mental illness that is consistent with the chronic care model. I.1. Hire providers and support staff to offer primary care and health home services. I.2. Partner with the Kalihi-Palama Federally Qualified Health Center (FQHC). I.3. Follow health home and chronic care standards and expectations. I.4. Modify electronic health record systems within CMHCs to meet meaningful use.
II. Provide integrated care services to 600 mental health service consumers in the health home. II.1. Develop culturally and linguistically appropriate recruitment materials and protocols. II.2. Inform CMHC behavioral health staff members of scope and array of health home services and collaborate on developing referral protocols. II.3. Outreach activities targeted, in order of priority, to consumers who have no active primary care practitioner (PCP), consumers who have a PCP and co-occurring chronic medical conditions, all other CMHC consumers at risk of developing chronic conditions. II.4. Begin enrollment of CMHC service recipients into health home. II.5. Provide health home services to CMHC service recipients with 200, 375, 475, and 600 consumers cumulatively enrolled in Project Years 1 through 4.
III. Improve the physical health status of adults who have severe and persistent mental illnesses who have or are at risk for co-occurring chronic medical conditions. III.1. Improve access to integrated, coordinated primary and behavioral health care for the population of focus. III.2. Improve the perception of the quality of integrated, coordinated primary and behavioral health care for the population of focus. III.3. Improve health care outcomes for the population of focus.
The proposed project will build a new infrastructure allowing statewide interagency collaboration to happen in a meaningful, accountable, and sustainable way. This effort will focus initially on a sub-population of youth who have been underserved in the past - youth with co-occurring behavior problems and developmental difficulties. Eventually, it is hoped that the infrastructure for interagency collaboration built via this project can address the needs of other multi-agency youth including youth in state custody, youth in the juvenile justice system, transition-age youth, and so forth. The proposed project will be governed by a "Children's Cabinet" of agency leaders, and it is expected to roll-out in three phases: a consensus building phase during which: 1) some expanded services start to be provided to the target population and 2) ongoing discussions among stakeholders and agency leaders are held to finalize the architecture for the collaboration-facilitating entity (year 1-2); a demonstration phase during which case-review and policy-development activities are conducted at both the state level and in a few regional pilot areas (year 2-3); and a consolidation phase during which the lessons learned in the pilot regions are utilized to organize collaborative activities in the remaining regional areas, and specific funding commitments are made by the participating agencies to support the ongoing function of the new entity (year 3-4).
Hawaii's SPF-PFS project seeks to improve the quality of life for Hawaiians by continuing to implement the five vital steps of the SPF process to bring about effective prevention strategies and sustainable prevention infrastructures statewide to meet its goal of reducing and preventing underage drinking among persons aged 12 to 20. The project will build and strengthen collaboration among state agencies, stakeholders, and communities statewide concerning substance abuse and its associated consequences.
The Coalition for a Drug Free Lanai services Lanai Island, HI, a rural area with a population of 3,507.
The goals of the Coalition are: (1) establish and strengthen collaboration among Coalition for a Drug Free Lanai's partner organizations in support of the community's effort to prevent and reduce substance abuse among youth; and (2) reduce substance abuse among youth in Lanai Island, HI, and, over time, reduce substance abuse among adults by addressing the issues in our community that increase the risk of substance abuse and promoting the factors that minimize the risk of substance abuse.
The Coalition will achieve its goals by implementing these strategies:
(1) Identify risk factors for Lanai youth.
(2) Increase feedback from community members regarding alcohol, tobacco, and other drug use among Lanai youth.
(3) Disseminate data to community members.
(4) Educate Lanai community on risk factors.
(5) Present data and educational information to community leaders and decision makers.
(6) Enhance skills and knowledge of community members, parents, and school.
(7) Raise awareness of the need for policy changes/reform.
(8) Analyze and recommend changes/reforms to current policies regarding alcohol, tobacco, and other drugs on Lanai.
(9) Reduce youth access to alcohol, tobacco, and other drugs.
(10) Change the design of public properties to decrease public drug use.
(11) Enhance youth skills.
(12) Provide incentives for youth achievement.
The coalition will prevent and reduce youth substance use by implementing the following strategies: (1) Increase awareness of Community Works in 96744's mission to build a community where substance abuse is minimized and youth and their families effectively utilize community resources to support healthy lifestyles and promote positive youth leadership development. (2) Maintain clean and well-lit parks and surrounding areas in 96744. (3) Raise the tax on alcohol sales and use the tax collected for prevention education. (4) Educate local retail outlets that sell suspected drug paraphernalia of the dangers of underage drinking and marijuana use among youth. (5) Educate and engage families and youth in cultural reservation practices reinforcing a sense of place, building protective factors. (6) Support positive youth development efforts that build protective factors.
The Department of Health proposes the Hawaii Pathways Project to strengthen the infrastructure, partnerships, and service system to provide permanent housing to individuals and families living on Oahu. The project will provide assertive outreach, case management, and treatment services. The project will also adopt a Housing First model, to provide comprehensive housing and treatment services without preconditions of the individual's alcohol or drug use. The project will focus on attaining high fidelity to the model. It will build sustainable partnerships, infrastructure, and practices through the Hawaii Interagency Council on Homelessness (HICH) and a Statewide Plan. The project has four goals: 1) Individuals will live in sustainable, permanent supportive housing; 2) Individuals will receive Medicaid and other mainstream entitlements; 3) Will provide community-based evidence-based treatment for substance use and psychiatric disorders that is client driven and recovery oriented; and 4) Will provide recovery resources and supports, including peer navigation and peer support. The project will serve 120 individuals (40 in each year). The project will deliver Housing First through a team that provides clinical services, intensive case management, housing, vocational and peer support. The project will also enroll all 120 individuals into 3rd party networks, and will assist 15 agencies (150 unduplicated individual practitioners within these agencies) with enrollment in 3rd party networks. Supplemental activities will allow the Project to assist veterans who experience homelessness and chronic homelessness with serious mental illness and/or co-occurring substance use and mental disorders, and other individuals (non-veterans) who experience chronic homelessness with serious mental illness and/or co-occurring substance use disorders and serious mental disorders.
The He Lei Keiki project will establish a track in the Family Drug Court (FDC) which will focus on reunifying children ages zero to three that have been abused or neglected with their families in safe and nurturing homes. The FDC team will partner with community organizations to provide services to families that are evidence based, culturally sensitive, and trauma informed, to break cycles of drug addiction. The FDC proposes to build onto the program by adding a zero to three track to increase and enhance services to families with very young children. Goal 1: enhance access to appropriate services for children who are abused or neglected to ensure long term success for the children. Objectives: every child in the age range, and their siblings, will have a treatment plan that addresses the service needs of each child to ensure long term success; each family in the track will have an assigned parent coach that will work with the parent(s) to provide developmentally appropriate, strength based skills training for parent and child interactions and learning; and If children have been placed in foster custody, each family will have a visitation coach that will ensure a minimum of two visits a week. The coach also will work with the parents to ensure that the visit is developmentally appropriate and encourages attachment and bonding. Goal 2: develop and provide training to address the needs of the children during reunification. Goal 2 objectives: develop a curriculum and provide training that focuses on strength based interventions to assist the reunification process and ensure that families within the track have a family team conference within the first three months, and a minimum of every six months thereafter. These goals and objectives are intended to increase appropriate visitation to reduce attachment problems; increase parents' ability to interact and parent their children; and bring the foster families onto the team to shorten a child's stay in foster care.