Facilitator Group Results - Hawaii Island Meth Summit 2

THE HAWAII THE HAWAI'I ISLAND METH SUMMIT 2

August 25, 2003
Waikoloa Marriott

FACILITATOR GROUP RESULTS

There were 9 sectors with a total of 16 groups:

Legislators
Prevention and Education
Faith-based
Community
Business
Law Enforcement
Treatment
Social Services
Judiciary

The question posed to the groups was "Based on what you have heard today and what you know about the drug problem on the Big Island, what challenges face YOUR SECTOR and what are you willing to do about it?" To obtain a list of challenges, affinity charting was used where each group brainstormed challenges, clustered like ideas, named each cluster of challenges and voted for the top 2 priority challenges. The challenges are listed in order of priority.

Starting with the top priority, each group was then asked "What are you willing to do about this challenge facing your sector?" Action steps were then solicited using the "who is going to do what by when" process.

GROUP 1 - LEGISLATORS

CHALLENGES

1. Financial Resources - 9 votes

Funding for treatment
Funds to help the drug program
More money to develop and maintain facility
Tracing the money
Funding
Public health nursing funding

2. Programs - 8 votes

For the kids
More recreational possibilities
Inadequate treatment facilities
Mid-elementary school awareness program

3. Law enforcement - 3 votes

Enforcement maintaining rights
Create new laws from summit recommendations
Importation of ice from California and elsewhere via air cargo, mail, harbors (no searches)
Amending criminal laws
Change existing statutes that will conform to Federal law

4. Economic development - 2 votes

Need for jobs
Economy
Bring in clean industry

5. Strategy - 2 votes

Agreeing on priorities
Develop consensus priorities
Community accessible information system
Assessing program effectiveness
Unwilling to try new things
Coordinate the Hawaii Drug Control Strategy Summit
Write the Hawaii Drug Control Strategy: A New Beginning

ACTION STEPS

1. Financial resources

By 12/31/03, Lorraine Inouye will follow up regarding SB 1305 and all other bills relating to drugs to assure release of funding from the Governor for those programs such as substance abuse, domestic violence, etc.
By 03/31/04, Eric Hamakawa will consider an amendment to the statute regarding adults selling drugs to minors. The amendment will include a financial penalty.
By 12/31/03, Melodie Aduja (State Legislature) and Fred Holschuh (County Council) will follow up with congressional delegation regarding increase or continuation of federal funds.
On an ongoing basis, Andy Levin will lobby State Legislature for more treatment funding.
By 01/31/04, Lorraine Inouye will introduce a bill to use Tobacco Funds and/or cigarette tax to fund ice programs to guarantee sustainability.
By the end of today, Fred Holschuh will speak with Dr. Fukino, DOH Director, on increase Public Health Nursing funding to do preconception counseling.
On an ongoing basis, Leningrad Elarionoff will seek private funding.
On an ongoing basis, State and County Legislative Auditors will monitor spending of funds appropriated for specific districts for program effectiveness.
By 01/31/04, Lorraine Inouye will introduce a bill to codify Public Health Nursing into the Hawaii Revised Statutes.
On an ongoing basis, Rory Flynn will follow up with the County Dept. of Transportation regarding Federal DOT funds.

2. Programs

By 9/30/03, Fred Holschuh will follow up with Billy Kenoi regarding Federal monies so all areas get their allocation to extend County programs and he will also follow up with County Parks & Recreation.
On an ongoing basis, Leningrad Elarionoff will encourage his community to participate in programs.
By 11/30/03, Cindy Evans will approach the Dept. of Education superintendent and Legislature Education chair to integrate drug education awareness programs to each grade level.
By 9/30/03, Fred Holschuh will ask Billy Kenoi for a Council briefing on summit follow up.
On an ongoing basis, Fred Holschuh will lobby County Council regarding County grantees having a drug crisis intervention as part of their program.
On an ongoing basis, Rory Flynn and Fred Holschuh will develop a way to monitor the effectiveness of initiatives.

3. Law enforcement

By 12/31/03, Lorraine Inouye will follow up with Ed Kubo on a constitutional amendment regarding walk and talk and wiretapping.
By 12/31/03, Lorraine Inouye will work with Ed Kubo on how our laws relate to all incidences regarding reporting ice use, dealing ice, etc.
By 12/31/03, Lorraine Inouye will follow up with Ed Kubo regarding his statement on "threshold" (amount of substance).

GROUP 2 - PREVENTION/EDUCATION

CHALLENGES

1. Lack of awareness of the problem and a need to increase the information presented in the schools, willing to risk bringing in information - 8 votes
2. Expand services to retain students
3. Increase caretaker/parent involvement at home and school
4. Retain cultural relevance to all stakeholders - 3 votes
5. Replace "No Drugs" with positive community activities and messages from media
6. Building trust between educators and students
7. Schools need to be ready to collaborate with community efforts (top down willlingness) - 2 votes
8. Community building, getting commitment - 2 votes
9. K-12 drug prevention curriculum - 1 vote
10. Foster homes/therapeutic homes for "learning ready" students with a liaison to addicted parent - 1 vote
11. Faith-based working partnership with schools
12. Special education is "dumping ground" for education to the detriment of LD kids
13. Teachers need better specific strategies to work with these kids and families
14. Interaction of teachers with sober addicts to gain understanding
15. How the community can formulate positive message by increasing activities, drug free environments, etc. - 1 vote
16. Increase parent component of reading, home visits, newsletters - 3 votes
17. Schools cannot do it all
18. Drug testing would also require increase in treatment programs - 2 votes
19. Drug testing is controversial
20. Events need to include whole community - 2 votes
21. Need to hear more from recovering people
22. Identify student and offer increased options within the school system to retain them in school - 3 votes
23. Confidentiality issues can be a challenge
24. Re-empowering parents - 1 vote
25. What if parents are the users?

ACTION STEPS

1. Lack of awareness of the problem and a need to increase the information presented in the schools.

Breaking ice video in production for use by teachers on their own schedule - Family Support Service/CRI by November 2003
Find presenters to come to educate teachers how to recognize and handle drug problems - BISAC, MD, CRI, Gary Shimabukuro, NA presentations, school principals by October 2003
Target counselors for education first so they can help student and family - District office, complex superintendents
Find or develop grade appropriate drug education - SRS, PE dept. heads, Kam Schools, health resource teachers, Alu Like, current, on-going

2. Expand services to retain students

Same actions steps as #1

3. To increase parent/caretaker involvement at home and school

Make educational sessions convenient for families

4. To replace "No Drugs" with positive community activities and positive messages in the media

Emphasize after-school, free activities from 3-7 p.m. - RFPs for 501(c)(3)'s
Actively support community efforts

GROUP 3 - PREVENTION/EDUCATION

CHALLENGES

1. Lack of community resources to deal with substance abuse treatment and intervention - 12 votes

Big problem, limited resources
Voluntary evaluation, participation
Need more time

2. Lack of education regarding substance abuse - 12 votes

Develop curriculum
Drug education
To provide quality and effective drug education (prevention) to our schools
Pregnancy education
Consistent, relevant education
Poor parenting skills
Positive education
Lack of time to share information with teachers and try to motivate them to implement
Finding trained instructors
Substance abuse counselors need higher education to deal with ice
Not enough personnel trained in substance abuse
Encourage more CSACs in non-profits

3. No youth treatment - 6 votes

Residential treatment for youth
Help kids directly
Support youth residential
Organize youth groups
Join with like-minded people

4. Personal intervention needs for further support - 5 votes

Family project sessions
Continuous support groups for recovering addicts
Sponsor newcomers (CMA addicts)

5. Privacy as barrier - 1 vote

Parental consent

ACTION STEPS

1. Lack of community resources to deal with substance abuse and intervention

Continue to provide information to community in newspaper
Share accurate, current information
- justice system, Feds
- support groups
- web sites to other media resources
- CRI, Billy Kenoi
- look at community needs
- CRI directory in East and West Hawaii media
Develop ways for awareness to happen
- use resource booklet e.g. Waimea Power of Choice, Kona Neighborhood Place, blue flier
- work proactively with teens
- DOE identify resource distribution of services
- Sept. '03 Counselor training
- Care Hawaii Inc. Office # 326-2283
- Kealakehe High School - Sandy Daniels help teachers implement health standards in classroom
- Debra Fuller will develop a resource booklet for East Hawaii
Develop community-based outreach programs
Establish a sustainable protocol for recovering users
- develop guidelines
- find help at AA, NA and other programs that have recovery steps for addicts
Get involved in community response to ice

2. Lack of education relating to substance abuse

Train more personnel in substance abuse
Encourage more CSACs in non profit organizations. - 4000 hours of direct services needs to apply to take test
Involve more local residents

GROUP 4 - FAITH-BASED ORGANIZATIONS

CHALLENGES

1. Congregation awareness - 11 votes

Consistent, relevant education
Getting members of congregation involved outside our church
Educate and provide service opportunities
Personal and group awareness through education
Real awareness
Education, rehabilitation, prevention
Outreach through written and spoken messages
Educating faith communities
More treatment centers
Share my experience, strengths and hope in meetings
Motivating those active in the disease

2. Utilization of faith-based organizations - 10 votes

Church = multitudinal resource
Availability for help
How to mobilize community volunteers
Get churches involved
Continue to serve
No specific program in the church for addict

3. Youth activities, center - 5 votes

Youth activities
Inform youth and parents
Youth activity center
Youth facility

4. County collaboration - 4 votes

County relationships, networking
Unorganized in resources
County red tape

5. Honor the individual, especially the addict - 2 votes

Prohibitionist mentality
The community needs to reach out to ice addicts
Accepting addicting persons - fear, ignorance by parishioners, fear of condemnation by addicts
Respect each other
Demonstrate openness

ACTION STEPS

1. Congregation awareness

Educational materials
Testimonies, speakers
Workshops
Advise of dangers, i.e. theft of tools of mentors
Start with capacity building of board members of church by getting on agenda of next board meeting and continue at other meetings. Go to church business meetings to present ideas.
Pastors, elders, and church member representative of a community (interfaith) meet regularly to discuss problem to reach community. Work together as one. Faith Against Drugs.
Report of results of Meth Summit through faith web-site is being worked on
Educate churches on how they can help to decrease their fears
Educate church members, policy makers, clergy about the problem - what is the problem, who are the abusers, how you can help, whole recovery process is using spiritual strengths
Find out what other churches are doing - get a list of services "Faith Against Drugs"
Get testimony from abusers after church is accepting. It takes an addict to accept an addict. Identify abusers and involve them in leadership.
Bahai has holy book - addiction is a substitute for spirituality. Welcome beacon-safe haven

2. Utilization of faith-based services

Introduce to country living - learn about God & nature
Exercise class - body tempo maintenance
Live foods health workshop and eventually motivate person to recovery to lead classes
Participation from church to help person find a job, advocate for them, i.e. take to appointments. Give hope & support to increase self confidence
Go to all churches to learn what are programs in place now
Survey congregation to find what skills they have that they can share and teach
List resources of all churches & accessible to everyone
Trained Baha'i youth workshop that can go into community and reaches youth with presentation, i.e. social issues like abuse, addiction
Create recovery ministries within the church
12 step Christ-centered regeneration meetings: evaluates people and their needs, including Ohana
Be speaker on radio, luncheons-share what you are doing
Faith-based model is first place to give forgiveness & amnesty to ice user without condoning the use
Meet their daily needs: clothing, shelter, provide transportation
Immediate response to children, i.e. CPS involved
Contact people:
- Healthworks, Under the Banyan, Michael/Tara Flynn - 934-7837
- Les Estrella, Faith Against Drugs - 934-7852
- Roger Christie - 961-0488
- JC Posse, Outreach Ministry of New Hope Keaukaha - 936-8015 (h), 981-0747(b)
- Antonio/Juanita Carrisal, Baha'i Faith South Kohala - 883-8584

GROUP 5 - COMMUNITY

CHALLENGES

1. Community apathy/non-involvement - 14 votes

Community communication
Community participation
Lack of values
Public awareness and involvement
Denial/apathy
Show your aloha
Non participation
Lack of awareness
Must get involved
Shame factor in getting help
Increased criminal activity
Help eliminate source
Parent/family involvement
Saving our youth

2. Education - 10 votes

Saving our youth
Promote cultural connectivity
Comprehensive education in schools
What to do
People are uneducated
Trainable work force retention sustaining effort

ACTION STEPS

1. Community apathy/non-involvement

Involving County Parks for youth-based activities
Contacting community and getting them involved
Getting youth involved to get their parents involved
Educate NIMBY
Work on community needs/interests that keys on prevention
Partnering with government to restructure P&R system to meet community needs - community facilities not available to community for free
Keeping parks/recreational areas alcohol-free
Hosting alcohol-free events for families
More immediate government involvement
Stay committed to challenges
Assessment of existing facilities

2. Education

Communication through newsletters and various readily available media
K-12 drug curriculum
Youth involvement in drug education
Government should have a drug policy master plan
Drug "ice" education for teachers
Parent education through coalitions, unions, work site/business
School-wide drug education working with student/faculty using lots of visuals
Rebuilding values

GROUP 6 - COMMUNITY

CHALLENGES

1. Youth activities - 10 votes

Community center
Teen activities
Work with children in church
Youth opportunity
Create positive leisure atmosphere for youth
Increase amount of school activities for youth
Youth activities/transportation
Activities for kids after-school/summer

2. Community mobilization - 9 votes

Drug traffic intelligence gathering
Community organization
Community drug (ice) awareness
Community mobilization
Ice scare media campaign targeting youth
Find a trained coordinator to direct community resources against drugs

3. Education - 6 votes

Leadership training
Parenting classes
Substance abuse education at 4th-5th grades
Substance abuse advocacy training
Educate families about ways to help a loved one who is using

4. Transportation - 3 votes

Hele-on transportation for youth of rural areas
Transportation to existing programs for kids
Transportation to treatment

ACTION STEPS

1. Youth activities

Youth center - infrastructure and staff
Using existing P&R facilities
Partner and network
Identify individuals/resources in each community
Involve youth in community meetings, faith-based and school programs
Mentoring

2. Community mobilization

Community organizing
Drug awareness
Medical/physical complications
Positive action
Leadership training - process oriented
Block watch
Partnering with County, State, non-profit, non-govt., faith
HIRHA will educate on legislative process by December
Waikoloa will network with other partners to develop a skateboard park in conjunction with community center by December
4-H is willing to share education curriculum on an ongoing basis
Hilo Wooden Boat does sailing, building, education
Hilo Youth Center will partner with faith-based organization for youth activities, involving drug prevention
YWCA Hilo will start prevention education for middle school girls in January
Waikoloa Neighborhood Pot Luck to be held with an education program
North Hawaii Community Learning Center will do youth mentoring
County mentoring - network together to get additional money
Establish a newsletter/email/communication network - request County to provide the list of attendees
Ka'u Resource Center and Distance Learning has wellness program (HEROS), education and prevention programs

GROUP 7 - COMMUNITY

CHALLENGES

1. Lack of community accountability/involvement - 9 votes

General social acceptance of drug use/abuse
Awareness of the problem
Close relatives don't want to turn him/her in
Community involvement
Unwilling to be involved/fear of involvement
Lack of volunteer support
Changing prevailing attitudes
Participation of community
Personal ownership
Motivation of community members to be involved

2. Treatment and rehabilitation - 8 votes

Lack of on-island treatment
Adolescent treatment
Treatment within our community
Detox
Lack of safe homes
More programs to help parents deal with child who comes out of treatment

3. Transportation - 6 votes

Transportation for young people
Transportation for recovering addicts

4. Lack of supportive community programs - 6 votes

Lack of intervention resources
Lack of foster homes
Knowing what works
Youth centers
Capacity building
Melding the haves with the have-nots to empower themselves
Instituting "culturally sensitive" education programs
Getting fun activities and curricula to out of school care providers, volunteers, mentors and how do we get kids to come
Need park development/skateboard park

5. Lack of media coverage/resources - 6 votes

Not enough media
Media/communication
Getting message out!

6. Economic development - 5 votes

Economy/employment
Need economic development/large certified kitchen

7. Funding - 1 vote

Funding - seek more Federal funding

8. Lack of law enforcement - 1 vote

Lack of law enforcement

ACTION STEPS

1. Lack of community accountability/involvement

Educate the community about ice through regular community meetings:
- Melissa (Keaukaha) will schedule periodic meetings by 9/1
- Ka'u partners (38 organizations) scheduling community education. Next one is on 10/15. Ongoing weekly meetings
- Kea'au have recovering addicts testimony outreach (Ka'u, Keaukaha)
- www.hawaiicounty resource - Angela to contact Karin at West Hawaii,Hawaii Tribune Herald and Laura Dierenfield at North Hawaii News by 8/26 to make sure website is publicized
By 8/31/03, Team Kohala to contact all newspapers on-island to see how a weekly space can be donated/dedicated to community "ice" updates
By the end of today, Angela will speak with faith-based community in attendance at summit to ask if they would speak to their congregations to increase awareness
- Clergy to discuss/network at their meetings to strategize message to get out
- Ask clergy to approach their congregation (bulletins and verbally) with a message to include resources, Hawai'i County web-sites, phone numbers for vice, hotline)
- Prosecutor's office pulling together list of all faiths in East Hawaii to
  form a coalition and educate them. Pat, Sidney and Aloha to polist list by 9/30/03. Product will be out by the end of the year. Melissa and Aloha part of planning process which is happening now
Make a list of "5" simple things that everyone can do to get involved:
- Attend community education programs and bring your kids, friends, colleagues
- Make signs with your kids for "sign waving" (i.e. this is a "drug-free house"). Option to put it in your yard.
- Be a Hero - work with your police dept. Call the anonymous vice hotline if you know of an ice house/dealer
- Support your State and County representatives
- Talk to your kids about ice
- Talk to your friends and have them pass on the ice awareness message
- Walk the talk
- Befriend a child outside of your family/volunteer to be a mentor
- Support someone coming out of recovery, make an extra effort to support their recovery
- Form/start/join a neighborhood watch group

GROUP 8 - BUSINESS

CHALLENGES

1. Education/awareness - 14 votes

Close knit family (in same business) hesitate to report on each other
Lack of focus/awareness for collective campaign for educational programs for businesses, i.e. stronger approach collectively
Lack of knowledge on how bad the problem is and how it affects businesses
Treat as illness, not punitive
Lack of ability to provide information, confidentiality barrier (unions)
Workplace attitude
Affect those in poverty and those with jobs (no distinction on class)
"Drug business" established in businesses
Lack of education, connect with police
As a high profile person, resources to tap into but probem kept secret and allows addicted persons access to tangible items

2. Coordination/collaboration - 10 votes

Lack of focus/awareness for collective campaign for educational programs for businesses, i.e. stronger approach collectively
Lack of cohesive campaign
Lack of coordination
Union and business (small and big) share in solution

3. Limited resources - 5 votes

Increasing difficulty in finding dependable employees
Rising cost of medical services
Limited resources, looking for ways after aware of problem to create answers
Insurance coverage doesn't adequately cover treatment program
Treatment program not in place
Don't have individual resources, union and businesses need to work together
Employers have problems, no tools. Unions have problems, also no tools
Economic problem/education problem, not individualized problem
Lack of police

4. Security/safety - 3 votes

Security, loss of product, theft
Tentativeness businesses have about bringing people with drug problems into their establishment (liability and risk), new and current employees
Street use/drug abuse has negative effect on business environment
Verbal abuse of staff from the public on drugs
"Drug business" established in businesses
Lack of police

5. Legal issues (perplexity) - 2 votes

Liability, work loss, absenteeism, quality of work
What can you ask a prospective employee? Drug test? Ask if they have substance abuse problem?
Lack of ability to provide information, confidentiality barrier (unions)

6. Programs - 0 votes

Treatment program not in place

7. Root causes = lack of jobs, education, economy - 0 votes

ACTION STEPS

1. Address education and awareness through collaboration and coordination

Mary will create a list of those agencies that need volunteers and put up on healing our island web-site
Fairmont Orchid will host a Health Education Awareness Campaign in 2004
Fairmont Orchid will take advantage of educational resources such as: HCPD, Mayor's office, BISAC, Kahua 'Oihana and national unions
Businesses/unions will encourage participation and/or support of community organizations
Become personally educated
John S. will hire more people with drug addiction problems in collaboration with others (agencies) and with increased education
Gary Y. (HGEA) will increase awareness of what resources are available and coordinate with agencies in contact with ice, i.e. WIB, County level, etc.
Lee of BISAC will initiate and coordinate a "Business Task Force" umbrella campaign
Identify legislation to deal with issues affecting employers/employees and campaign for legislation
Hawaii Leadership Series - community service component: 1/3 of group will be "hands-on" activity relative to ice use
Work with labor for better drug policy for employees/employers
Assist "marketer" with educational awareness (island-wide educational campaign)
Big Island Women in Travel will take information back (1st step awareness program), i.e. B. Kenoi for them to then share with others

GROUP 9 - LAW ENFORCEMENT

CHALLENGES

1. Education/training - 18 votes

Double standards/other drugs
Community understanding of roles of law enforcement
How to identify use
Educating youth on drug prevention
Educating public on dangers of ice
Educating local law enforcement
Get associations/organizations involved
Participate in educating community
Requiring drug education in public schools

2. Legislation - 17 votes

New medical privacy law as barrier to effective treatment
Inability to use existing wiretap law
Hawaii Constitution is more liberal than U.S. Constitution which in turn gives criminals more rights
Major state constitutional amendments to bring parity between Feds and State to assist law enforcement
Increase effectiveness of law enforcement through legislative action to improve Walk and Talk, Knock and Talk, and Title III law
Making sense of all the community information on drug use, look for software tools to analyze information

3. Funding - 16 votes

Lack of manpower
Funding to support programs
Increase in manpower
Manpower to support enforcement efforts
Lack treatment services on neighbor islands
Additional funding by Federal govt. for educational programs
Letters to Congress lobbying for financial assistance for drug programs
Heavy caseload for probation and parole officers of substance abusers
Reduce property crimes committed by drug addicts
Lack of prosecutors focused only on high level drug defendents/organizations
Not enough people on my staff

4. Coordinated law enforcement - 10 votes

Supervision of enforcement activities from distance
Coordinating enforcement efforts between County/State/Federal agencies
Coordination of a planned law enforcement response

5. Criminal justice/public information - 7 votes

Accurate information for public
Id drug-related arrests in CJ system
Quick ID of offenders and past drug history
Provide support services (info, stats, arrest processing) to law enforcement
Reporting between govt. agencies, confidentiality problem
More emphasis in drug investigation involving ice

6. Treatment - 5 votes

Insurance coverage for ê's
Lack of treatment facilities, resources
Finding and providing effective treatment for offenders
Eliminate the combination of alcohol and drugs

7. Geography - 1 vote

Most of my staff on Oahu

8. Prison - 1 vote

Jail overcrowding
Increase in incarcerated population
Staff involvement in bringing in drugs

9. Community - 1 vote

Recruiting community-based individuals to mobilize to address the drug problem
Sustaining community involvement
Addressing community complaints with limited manpower
Lack of sufficient manpower in certain enforcement situations due to legal limitations by State courts

10. Assessment - 0 vote

Assessment of agency ability to address challenges

ACTION STEPS

1. Education/training

By November 2003, Margaret will have Hawaii State Bar Assn. provide information in public schools
By December 2003, Margaret and the Hawaii State Commission of the Status of Women will initiate a mentoring program
By December 31, 2003, Mitch/DEA/PA will develop a Powerpoint presentation on the roles of law enforcement, State vs. Federal and provide presentation to Dept. of Education and Legislature
By January 2004, Val from the AG office will provide community mobilization training on grant programs
Ongoing, Larry and HIDTA will provide monthly local law enforcement training on the Big Islan
Ongoing, Norman and Bob from HPD will educate the community on the roles of law enforcement and public dangers of ice
Jay and HIDTA will research software to analyze information and exchange information to law enforcement and community
By August 2004, Charles will encourage all Pop Warner football coaches to attend drug seminar

2. Legislation

By December 2003, Mitch/DEA/PA will develop a Powerpoint presentation on the roles of law enforcement, State vs. Federal and provide presentation to Legislature
By August 2004, Jay K./LE coalition introduce major State Constitution amendments on differences between State and Federal laws
In September 2003, HIDTA/AG/U.S. Attorney will attend a State Drug Summit and will address major State/Federal laws, medical privacy, increase effectiveness of law enforcement, change wiretap laws, too liberal Hawaii State Constitution

GROUP 10 - TREATMENT

CHALLENGES

1. Government - 5 votes

Lack of and need for government leadership in providing legislation for parity treatment/benefits for substance abuse/mental health
Government restraints keep investments away from ownership - no permanent facilities, mortgage on facilities not allowed by Feds
Insurance limits

2. Need for treatment facilities - 5 votes

Homes for the programs
Not enough treatment facilities
Need for adolescent centers in-patient and out-patient
Lack of resources

3. Family/community - 3 votes

Intervention with family, parent/family involvement
Loss of cultural values
Stigma and family denial about "private" problems
Needing more support for cultural aspect of the communities and ohana I work with
Youth lack of identity, spiritual emptiness
Community involvement
Fostering family involvement
Changing environment of home/community

4. Continuing after care - 2 votes

After care for adolescents, pre,during and post treatment
Transitioning after treatment

5. Funding - 1 vote

Long term stable funding
Limited function
Assistance in identifying and obtaining govt. funding
Lack of sufficient youth services
Accessibility to treatment

6. Vision/future - 0 votes

Need for children to become competent and expect a good future

ACTION STEPS

1. Government

Kat Bradley will introduce bills, keep in touch with her, get phone number from 5 Mountains
Brief legislators, take Kevin to educate them in joint session, in town rally
Candice will represent groups' priority at 9/4 Waikoloa
Lobbying, call/write letters, encourage public lobbying efforts
Get legislator to introduce/reintroduce bill
Ask Senator Russell Kokubun and Rep. Hamakawa to sponsor bill
Open letter to the editor asking for parity

2. Need for treatment facility

2.2 million designated for 13-18 age group facility
Turn drug houses into safe house, find support - faith based, 5 Mountain, 501(c)(3)
Take small steps to realize facilities by:
- spread the word, identify key people
- encourage govt. support for facility
- tap into the diverse cultures
- make connections/integrate ancient wisdom
- realize how were all in treatment
Keep being the squeaky wheel -keep…keep..
Tap into Weinberg/other funds
Make sure money goes to treatment facility, not administration
Create coalitions, like North Hawaii Drug-Free Coalition, to have a say in where money goes. Coalitions have more funding oppportunities
Encourage shared use of existing facilities
Keep attending meetings at grassroots level
Take care of ourselves to keep strong and able to serve

GROUP 11 - TREATMENT

CHALLENGES

1. Seamless care

Transitional programs
Continuing care (seamless)
Support services
Activities and transportation to them

2. Partnerships

Importance of partnerships, separate principles-focus on problem
More community involvement
Need to fine tune goals between agencies
Shrink down goals to meet resources to eliminate burnout
Turnstile on DV and ice within criminal justice system

3. Funding

Need for on-going/long term funding
Grant writing organizations
Self sufficiency

4. Access to ice

Availability/easy access to ice

ACTION STEPS

1. Create seamless, continuing care-support services for clients in transition

Survey needs/needs assessment - Sandra, Maria and Kalani
Recovering community to share stories, support each other - Kelau and Kalani
Court contact for community service - Sandra and Maria
Identify all support services, i.e. AA, NA, etc. - Harry
Empower families and individuals (i.e. Parent Project through Young Life) - Maria, Sandra
Individualized treatment program/plans - Maria, Sandra thru BISAC

2. Kukakuka - Partnerships

Create a data base, constantly updated - Kalani (email, name)
Communication through talk story/networking - Sandra, Janice, Maria
Share services/referrals - Kalani, LaVerne, Harry, Phyllis, Kaipulani, Kelau, Aunty Myra, Sandra, Maria and Janice
Newsletters, hot line, community board - Harry, Cyd
Participation of clients, their experiences - Kelau
Utilizing existing web sites, i.e. healingourisland.com
Letter writing campaigns to change legislation - Janice
Utilizing existing services/resources

GROUP 12 - TREATMENT

CHALLENGES

1. Community/families - 7 votes

Lack of awareness
NIMBY - not here!
Unwillingness to see it's happening
Needs to be included in treatment
Needs to know how to help, what treatment is/isn't
Foster families need connections with affected families
Culturally appropriate

2. More residential facilities - 6 votes

Need $$$
Where put 'em
Lack trained staff
Bed space
Family services/babies
Family therapy too
Women's space

3. Education - 3 votes

Cultural
Age-appropriate
Family, public, community too
Doctors, CPS, judges, probation
Intermediate staff training
Trained mentors
Diversity of staff training
#4 can feel superior authority

4. More $$$

Can't expand (beds, staff, etc.)
More uniform pay scale for staff
More treatment days paid
Use what we have wisely
Avoid politics

ACTION STEPS

1. Community/family

Community center, esp. adolescents in S. Kona, 6 months - Cheryl Taupu, Bridgehouse
Family treatment idea, on drawing board, Feb. 2004 - Care Hawaii in East Hawaii
Spreading the parent project, ongoing - Care Hawaii in East Hawaii
Hold East and West community meetings with police, in 90 days - Regina, Danielle, Ipo, BISAC, Verna at Care Hawaii
Extended, increased treatment in Puna, mid-October - Rhonda, Hui Malama
Dr. Rick Delaney's treatment model, February - Regina @ Parents, Inc.
Community response to ice in East Hawaii, February - Collaboration between Rhoda, Verna, Danielle, Ipo, and Regina

2. More treatment facilities

Working on program, West Hawaii - Verna, West Hawaii Care Hawaii/BISAC Barb Rasale, case manager
Support what's already happening - Regina
Continue to serve present clients - Danielle
Help with new adolescent treatment program - Danielle
Support intensive treatment on BI - Care Hawaii
Volunteer hours to Kona adolescent facility - Cheryl, Bridgehouse

GROUP 13 - TREATMENT

CHALLENGES

1. Lack of qualified personnel - 9 votes

Obtaining appropriate training for professionals
Find qualified counselors

2. Too short treatment - 5 votes

Not enough time
Need longer stay time
Need longer treatment time
Increasing length of stay in treatment

3. Education and awareness - 4 votes

Realize drug addiction
Better community understanding of addiction/disease

4. Lack of coordinated care - 4 votes

No resource/referral information
Connection with community groups
Collaborate for treatment
War coordination/leadership
Coordination of disciplines

5. Lack of money - 2 votes

Money
Shortage of funds
Need funding

6. Lack of adolescent and children treatment - 2 votes

No place to detox children in crisis
Unable to test kids who appear to have used
Lack of education for kids
Sustaining adolescent residential treatment funds

7. Lack of adult treatment - 2 votes

Not enough treatment services
No treatment programs
Need continuum of services - "residential treatment"
Expanding adult access to treatment
Managed care has too much control

8. Lack of transportation for treatment - 0 votes

ACTION STEPS

1. Lack of qualified personnel

Training budget - DASH
Now, approved practicuum site - BISAC, Assess capability
Within 12 months, provide training site and trainer 2x a year for continuing required training on West side - Bridgehouse
Within 3 months, invite Jamal/Dr. Kunz to train nurses on ice - Ka'u Hospital

2. Too short treatment

Now, provide pre-treatment services - Access capability
In Jan.-June 2004, ask ADAD for more than one therapeutic living stay per year - Bridgehouse

GROUP 14 - SOCIAL SERVICES

CHALLENGES

1. Inadequate staffing - 7 votes

Accountability to need
Lack of staff support - CRI
Not enough staff
Increasing caseload without increasing staff
Lack of trained/dedicated foster homes

2. Barriers to service - 6 votes

Family members' attitude
Lack of understanding/education
Open communication/collaboration with treatment
Community knowledge of available services
System "hopeless" attitude

3. Inadequate substance abuse prevention/treatment services

Available treatment services
Access to services
Accessibility to refer
Inadequate/not enough slots to refer clients to
Support for addicts' families
Lack of mother/infant residential
D/A assessment
Lack of business/youth mentoring

ACTION STEPS

1. Inadequate staffing

Ongoing, approach State and local legislature through union/private sector - CWS Advisory Committee, Don Bebee, Marge Bartelt (pager 899-9777)
By October, look into proposals and grant writing - Don Bebee, Donna Ruden, other group members contact Don if hear about grants/proposals

2. Barriers to services

Ongoing, CRI group - Susan/Don
Ongoing, education/awareness of services/problems - Havinne, 211, Sept. Ice Epidemic TV program
Referrals to Crystal Meth Anonymous
By October 31st, learning intake/discharge criteria, policies of different programs - Lovi
By 11/30, Hui Laulima as resource to learn about other agencies/programs - Don

GROUP 15 - SOCIAL SERVICES

CHALLENGES

1. Treatment - 7 votes

Limited treatment resources
Lack of residential treatment
Drug treatment programs
Counseling program
Lack of medical insurance coverage to pay for length and level of treatment
Treatment/recovery takes longer than Federal Laws allows (one year) before termination of parental rights in CPS
No readily available treatment/medical level of care for all family members

2. Resources/funding - 5 votes

Funding in rural areas
Staff shortage
Funded coalition coordinator for DV
Transportation

3. Awareness - 4 votes

No public awareness campaign
Awareness of staff who are not substance abuse sensitive
Ice addiction is criminalized instead of being treated as a medical problem and treated accordingly

4. Elderly/seniors - 0 votes

Dependence on older adults for assistance
Crimes against elderly

5. Follow up/continuum of care - 0 votes

Continuum of care coordination
Supervised release - change in check in

ACTION STEPS

1. Treatment

Develop treatment plan to include extended family and patient to include co-dependency awareness
More extensive training for foster care providers
Change language in contracts to provide education for extended family members
Monitoring payments in accordance with contracts/agreements

2. Resources/funding

RFP accessibility - DHS advertisements should be island-wide
Clarify/streamline RFP process
Collaboration between RFP applicants
Coordinate effort with govt. agencies to match needs with resources

GROUP 16 - JUDICIARY

CHALLENGES

1. Treatment - 10 votes

Having enough treatment agencies for referrals (particular locations, esp. Ka'u, HOVE, etc.)
Lack of treatment programs
Treatment resources
Sober living houses
Residential treatment facility
Lack of specialized treatment alternatives
Minimal resources
Treatment in our probationers who are addicted
Treatment modalities for clients
Lack of treatment alternatives
Limited resources to accomplish mission
Lack of family and community support for offenders
Research and list non-traditional community support

2. Sentencing - 10 votes

Mandatory sentencing barrier to treatment
Parolee apathy
Getting clients to attend treatment
Prison overcrowding
Too lenient sentencing
Too many breaks for those not in compliance

3. Education - 8 votes

System changes with staff
Knowledge of addiction
Educating staff as well as clients
Ready access to information
Funding for additional staff
Updating the education programs regarding DUI-intoxicants referrals

4. Ice - 0 votes

ACTION STEPS

1. Treatment

Sober living houses
- funding for, i.e. grants, etc.
- contracts with existing sober living houses
- contract more bed spaces
On 9/2, Aolani will speak with Warren about getting additional beds
Assess treatment options in our communities to identify gaps
Do adult matrix modeled after existing juvenile matrix for Hawaii Island - graduated interventions
Group 16 will meet to begin the process by video conferencing in Prosecuting Office in Hilo and Kona
Zach will collect names and phone numbers for Group 16
First meeting scheduled for 9/19 from 9-11 a.m.

2. Sentencing

Address sentencing options for ice, drug driven crime
Meet to discuss sentencing options on 9/19 from 9-11 a.m.