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Youth Builders - Workgroup Reports - Resource Assessment

INTRODUCTION

The Resource Assessment Team (RAT) was responsible for collecting information about existing prevention and graduated sanction programs that were related to the four Priority risk factors. The RAT used several existing databases, which helped to identify known programs in the community. In addition, published resource catalogs were used in identifying the various resources in Hawaii County. Special thanks to the Family Court of the Third Circuit, Casey Family Programs, for sharing their resource lists with the team.

The team identified 114 programs or sanctions within the County of Hawaii, which address the four priority risk factors. A telephone survey was then conducted of these resources to determine geographic and financial accessibility along with adequacy to meet consumer demand for services. The goal is to illustrate the location of resources, financially accessibility by families with limited income, and if these services exists in adequate amounts. The team then identified what part of the prevention / graduated sanctions continuum each program addressed, the ages they serviced, and if transportation was available through the program. The following are the criteria for each field of information represented in the program matrix.

Graphic

Geographic Accessibility: The team began by dividing the island into north, south, east, and west regions. Next, each organization was asked to define their area of service according to figure 1. The team wanted to identify what regions a program served by either having an office located there or through an outreach program that met consumer demand in the area. Simply accepting clients from all parts of the island cannot be a basis for stating the program served an island wide community. We want to identify areas where demands for services are greater than what is currently available. The issue of transportation to and from the program is dealt in a later part of the survey.

Financial Accessibility: To determine financial accessibility, the team asked if a fee to the individual accessing that service (private insurance coverage was considered a fee) was required. If a consumer fee was a prerequisite of service, then the program was determined to be not accessible to all potential consumers. However, if individuals were serviced based on a referral from the Family Court or a State / County office that would absorb the costs then service was accessible. In addition, if accommodations such as fee waivers and sliding fee scales or other adjustments were used to increase access, the program was considered financially accessible.

Adequacy: In assessing if current resources existed in adequate amounts to meet consumer demand, the group asked if a program turned away potential clients or had a waiting list due to issues relating to capacity. If any of these conditions existed for a program, than the amount of service available was determined to be inadequate. This measure was not a gauge of a program’s ability to administer services. Rather the purpose is to represent any shortages in the services currently available.

Ages Served: The groupings in this category were taken from examples of other counties that have completed the Comprehensive Strategy Planning Process. The exception is the “parent” category, which was included to define programs aimed at improving parenting skills or alleviating conflict between parents.

Transportation: the relatively large size of Hawaii County (roughly twice the landmass of the other 3 counties in the State combined) and lack of mass transit options available in the community was the basis for identifying programs that offered transport alternatives to clientele.


PREVENTION / GRADUATED SANCTIONS CONTINUUM

With guidance from OJJDP, the resource workgroup then developed a framework to identify and categorize programs addressing the 4 priority risk factors into a continuum of services. The framework consists of 2 sections, a prevention component and a graduated sanctions segment. The Prevention side of this continuum contains pro-social activities that provide positive recreational options along with education programs that raise awareness about the four priority risk factors. In addition early intervention services for “at risk” youth and their families are also considered prevention options.

Graphic - OJJDP's Prevention / Graduated Sanctions Model

The goal is to offset risk factors in the community, family, and schools through education and positive activities that promote the physical, mental, and social development of all youth. Early intervention services in this section are designed to step in before the onset of problem behaviors and prevent the youth’s involvement in the Juvenile Justice System. The graduated sanctions part of the continuum combines accountability and sanctions with increasingly intensive treatment, residential, secure, and rehabilitation services. The aim is to develop a wide range of sanctions to fit the varying degrees and types of criminal offenses with the focus of modifying the youth’s problem behavior and prevent further penetration into the System.


PREVENTION

Prevention: This category includes pro-social activities and organized sports that provide healthy and positive recreational opportunities that are meant to replace negative behavior. In addition, Programs focused on educating youth, their families, and the public about community, family, school and peer risk factors and how they contribute to problem behaviors such as substance abuse, delinquency, teen pregnancy, school dropout, violence, and substance abuse. The goal is promote positive social, physical, and mental development of all youth.

Early Intervention: These programs are aimed at youth who have had contact with the Family Court system as non-offenders (neglected, abused, and dependent) or as status offenders (runaways, truants, alcohol offenders, and incorrigibles) that are not presently sanctioned under the Juvenile Justice system. These youth are at high risk for problem behaviors due to their exposure to community, family, school, and peer risk factors. With respect to risk factors 2 and 3, programming intended to promote parenting skills and alleviate conflict in the home were included in this category with the understanding that some services may be used as options on the graduated sanctions side of the continuum.


GRADUATED SANCTIONS

Immediate Intervention: Immediate services are directed at youth who are first–time delinquent offenders who are primarily misdemeanor and non-violent offenders (however in some instances, some violent offenders are eligible for these services based on an Individual Education Plan / 504 School Team’s and or Family Court’s discretion). Non-serious repeat offenders (Generally misdemeanor offenses) may also be eligible for services in this category (under Family Court discretion). These youth are at risk of committing more serious crime or developing into chronic offenders.

Intermediate Intervention: Services aimed at offenders who are inappropriate for immediate intervention who have committed serious offenses that may include some violent offenders (under the discretion of Family Court). Furthermore, individuals who do not respond successfully to immediate intervention as evidence of re-offending (repeat property offenders or drug involved individuals) may be eligible for these services.

Out of Home Placements: Programs that provide alternative residential services to a range of consumers from children exposed to domestic abuse to youth offenders with drug or mental health needs. These services are not meant to place youth into secure conditions but rather offer treatment or a safe environment in a setting that provides for the individual’s mental, physical or social behavioral needs.

Secure Care: Those programs that provide structured treatment in a secure environment. These services are aimed at rehabilitating the youth while insuring public safety. The objective is for the individual to eventually reintegrate back into the community and function without re-offending.

After Care: Services are directed at youth that are discharged from a secure facility for reintegration back into the community. These programs are aimed at monitoring the activities of parolees and providing social support and treatment services. Programming from other sections of the continuum may be employed to facilitate the transition from a secure environment into the community.

The survey assisted in identifying gaps in service and program coverage. Due to the discontinuity of the resource workgroup through the CS planning process, the assessment performed was not as comprehensive as recommended by the OJJDP planning framework. The team was not able to locate all of the programs and organizations that provide positive activities such as organized sports and other recreation opportunities. However, the assessment completed is a good point to regroup and do a more extensive assessment of the resources in Hawaii County. The team has made recommendations contained at the end of this report to more clearly define the categories listed and plans on continuing the survey process into the implementation stage of the Plan. A more comprehensive assessment should be completed by the end of 2002.


PROGRAMS

The various programs were reviewed, evaluated, and sorted into the four categories according to the four prioritized risk factors the program addressed. The services were then sorted with respect to what part of the prevention/graduated sanctions continuum the program fit (prevention, intervention, immediate, etc). This was primarily done to ease identification of the strengths and gaps in the prevention/graduated sanctions continuum of services. Some resources address multiple risk factors and were therefore listed in more than 1 risk factor category.

In addition to using the assessment matrix to identify gaps along the sanctions continuum, the RAT also used first hand knowledge of the current service environment in Hawaii County to make recommendations and identify the key issues relating to the risk factors and the current system.


PREVENTION / GRADUATED SANCTIONS MATRIX

Risk Factor 1:
Availability of Drugs

Graphic - Prevention / Graduated Sanctions Matrix
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Graphic - Prevention / Graduated Sanctions Matrix
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  Graphic - Prevention / Graduated Sanctions Matrix
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  Graphic - Prevention / Graduated Sanctions Matrix
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Risk Factor #2:
Family Management Problems
Graphic - Prevention / Graduated Sanctions Matrix
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  Graphic - Prevention / Graduated Sanctions Matrix
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  Graphic - Prevention / Graduated Sanctions Matrix
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  Graphic - Prevention / Graduated Sanctions Matrix
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Risk Factor #3:
Family Conflict
Graphic - Prevention / Graduated Sanctions Matrix
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  Graphic - Prevention / Graduated Sanctions Matrix
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  Graphic - Prevention / Graduated Sanctions Matrix
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  Graphic - Prevention / Graduated Sanctions Matrix
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  Graphic - Prevention / Graduated Sanctions Matrix
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  Graphic - Prevention / Graduated Sanctions Matrix
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Risk Factor #4:
Early and Persistent Anti-Social Behavior
Graphic - Prevention / Graduated Sanctions Matrix
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  Graphic - Prevention / Graduated Sanctions Matrix
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  Graphic - Prevention / Graduated Sanctions Matrix
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  Graphic - Prevention / Graduated Sanctions Matrix
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  Graphic - Prevention / Graduated Sanctions Matrix
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  Graphic - Prevention / Graduated Sanctions Matrix
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  Graphic - Prevention / Graduated Sanctions Matrix
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GAPS IN SERVICE

1. Not having an on-island in-patient substance abuse treatment facility (both for male and female clients). This treatment center would provide gender specific services that dealt with the core issues leading to drug use.
2. Gap in a secure environment for status offenders or repeat runaways who do not commit any other crimes. There are no programs, both for CPS and Family Court that treat the individual or the issues causing them to run.
3. Mandate by the State to require driver education for all 16-18 year olds without having sufficient classes in the schools to meet the demand. The result is only those youths that have the money to pay to attend the program will be able to drive. This factor along with current transportation issues on the island combine to make it difficult for young people to participate in activities such as part-time work, school related sports, or attending college.
4. Insufficient transportation system to service youth to get them to the key areas of the island to beaches, movies, activity centers, etc. This would relate to the youth resenting a parent for not being able to provide transportation.
5. Need for more activities for the intermediate school age kids.
6. Need for more youth centers and clubs centered on clusters of communities away from the main population hubs of Waimea, Kailua, Hilo and Naalehu.
7. Need for more mentoring programs in the Kona area, both the peer and adult –to-peer types.
8. Develop a standard evaluation of both content and implementation of programs to see how effective it is, and how or what we need to improve it. Ask the kids how effective the programs are. This is for both programs in the community and for curriculum courses held in the Department of Education. Need to evaluate the need and effectiveness of the program.
9. Expand current programs to have more variety for the different ages of both parent and child.
10. Insufficient parenting classes available to Family Court.
11. Need for more anti-drug campaigns.
12. Look at what type of training that pre-school teachers have in the area of identifying risk #4. If none, then we will need to develop and integrate requirements into Early Childhood Education Programs at the college level. This should also include elementary educators. Options for referral and for linkages to community service providers need to be developed.

OUTREACH, COMMUNICATION & MEDIA

INTRODUCTION

The Hawaii County Outreach, Communication & Media Workgroup is comprised of representatives from a variety of public and private sector organizations – all of whom have a stake in communicating and networking effectively the results of the Comprehensive Strategy planning process. Key representation comes from the Office of the Mayor, Dept. of Education, Dept. of Human Services, Hawaii Island United Way, Hawaii Police Dept., Hawaii Island Chamber of Commerce, Office of the Prosecuting Attorney, Hawaii Tribune-Herald, Salvation Army, and Na Leo ‘O Hawaii public access TV.

The first step was to help formulate and embrace a vision Statement for the Comprehensive Strategy group: “Every youth in Hawaii will be a responsible, healthy and caring community member.” Everything that we say and do during the planning and delivery processes will relate back to fulfilling this vision.

Hawaii County has many troubling statistics as it relates to youth, but the Comprehensive Strategy group was able to agree on four priority risk factors:
1) availability of drugs;
2) family management problems;
3) family conflict; and
4) early and persistent anti-social behavior.

It is now the Outreach and Media workgroup’s primary responsibility to facilitate the exchange of ideas and information internally among the various workgroups so that the best plan possible can be developed. Simultaneously, the team is developing ways to introduce the planning process and pending plan to the community. Here are some of the tactics we will be using:

* The production and distribution of a monthly newsletter intended for internal use to keep planning participants informed about individual workgroup activities and overall Comprehensive Strategy activities and timelines.
* The development and implementation of a logo and name contest for the Comprehensive Strategy planning group among youth throughout Hawaii County. In October, we will launch a call for entries throughout County public and private schools. This will raise awareness about the program and also give youth the opportunity to share their ideas and creativity.
* The production of a “talking points” brochure for use internally among Comprehensive Planning Strategy participants, and another version for use in educating the community about the program. The public version will also be a valuable tool for those from the planning group who make public presentations.
* The selection of the best and most appropriate web-sites for obtaining information about the efforts, and ways that the community can become involved.
* The development of a media plan that provides a variety of mediums for disseminating information about the planning process, the plant itself, and ways for the community to get involved. This will include the production of radio PSAs, public access TV spots and programming, and both news releases and advertisements intended for use in island newspapers.
* The involvement of youth in the workgroup projects. This will be achieved with the help of the Youth Workgroup and other participating agencies.

Another important role of the Outreach, Communication and Media Workgroup will be to “reach out” to other organizations in the community so that we can integrate ideas and programs effectively. Hawaii Island United Way, which provides annual funding to 34 non-profit human service organizations, will be a key partner in the workgroup’s “outreach” efforts. With its own funding priority of “Strengthening Families and Nurturing Children,” United Way can help us network with established agencies that will be able to help in the implementation of the plan.

Because of the size of Hawaii County community – Hawaii County includes the entire island of over 4,000 square miles – effectively communicating with multiple ethnic and income groups will be a challenge. The means we develop will need to be modeled to fit each area’s needs, and we will have to be patient and flexible in the delivery process. If we all keep focused on the vision Statement, we believe we can make a difference and help mobilize the entire community to assume responsibility for “our” children.


LEGISLATIVE, POLICY & SYSTEMS

INTRODUCTION

The role of the Legislative, Policy & Systems (LPS) Workgroup is to:

1. Review and recommend changes to State and local laws and policies related to all stages along the Comprehensive Strategies continuum;
2. Assess and make recommendations related to information sharing and management information systems among relevant agencies and organizations; and
3. Review and make recommendations regarding case management functions currently in place.

To accomplish these objectives, input was sought from the Data Collection, Resource Assessment, Objective Decision-making, and Youth Workgroups. These Workgroups were asked to identify the legislative, policy, and systems issues relating to at-risk-youth, that they had uncovered during the course of their research and discussions. Their insights were compiled into a list that was organized according to the following operational categories: Education; Law Enforcement; Health and Human services; Juvenile Justice System; and Community Resource Systems.

The LPS Workgroup further discerned whether issues affected legislative, policy, or systems issues and labeled them accordingly. These terms were defined as follows:

- Legislative issues pertain to laws, ordinances or rules;
- Policy issues pertain to the internal process of a single agency, department, or organization; and
- Systems issues pertain to processes and practices that involve multiple agencies, departments, or organizations.

The LPS Workgroup also contributed a partial list of Hawaii State laws that relate to youth to the growing body of information assembled by the Comprehensive Strategies workgroups for inclusion in the Community Assessment Report. The complete list of issues, which cites the origin of the issue/recommendation, is attached as Appendix A and the list of Hawaii State Laws as Appendix B, to the report.

This body of information was reviewed, discussed, and amended at a LPS Workgroup meeting on August 31, 2001. After discussion, Workgroup participants identified the issues felt to be priorities. The criteria for “priority issues” included:

- Relationship to priority risk factors: availability of drugs; family management problems; family conflict; and early and persistent anti-social behavior;
- Relationship to goal of building a seamless continuum of services and sanctions, from prevention programming to the development of graduated sanctions;
- Realistic potential of attaining positive impact given resources available; and
- Significant widespread benefit possible from targeting particular issue.

PRIORITY LEGISLATIVE, POLICY, AND SYSTEMS ISSUES

Educational System

Issues relating to this system were not included in the present list of suggested priorities.

Law Enforcement System

Issues relating to this system were not included in the present list of suggested priorities.

Health & Human Services Systems

Policy Issues:

Issue: The July 2001 issue of the Office of Justice Programs’ “Juvenile Justice Bulletin,” notes that a substantial body of research has established a connection between childhood abuse and neglect and delinquency. To assist in evaluating the adequacy of the response to this vulnerable group of children, data should be obtained that measures State agency practices and polices relating to abused and neglected children. This should include but not be limited to: length of time children spend in the “system;” number of transfers between foster parents per child; number of children assigned to caseworkers; and correlation between involvement in Hawaii’s protective services system and later delinquency. (Data)
Recommendation:

Explore how to obtain data. Ascertain whether State Legislative Auditor’s Office has examined this issue. If not, consider asking for assistance. Include best practices/ standards as a gauge for comparison.

Research whether the child protective services strategy known as Structured Decision Making (described in July 2001 “Juvenile Justice Bulletin” or other emerging best practices might be applied to Hawaii’s child protective services system.

Systems Issues:

Issue: Child Welfare Cases: Not infrequently there is confusion as to which agency has the lead role in making decisions involving child custody and placement. This can be considered a primary concern in cases in which the child is a law violator with mental or behavioral problems (i.e. substance abuse affected at the time the police are notified) and family is known to be or believed to be dysfunctional. (Obj. Dec.)
Recommendation:

It is highly recommended that a “receiving home” facility be opened in East Hawaii and in West Hawaii where children can be placed at any time, night or day, and held for a period of time. Personnel from all agencies involved can access the youth, assess the situation, have preliminary input and then meet in a multi-disciplinary team setting to establish roles and identify appropriate placement. (Obj. Dec.)


Issue: Drug use and addiction among youth as well as their parents is a major problem in Hawaii County. (Youth)
Recommendations:

Hawaii County needs to address the whole issue from the standpoint of law enforcement, prevention, treatment,
aftercare, drug availability, and criminal prosecution, etc. (Youth)

Prevention efforts should be focused on children who are in the “middle-school” age group, such as those in the 6th through 10th grades. (Leg.)

Recreational activities for young people, offer youth a positive alternative to drug use. Groups should be encouraged to start new prevention oriented activities, particularly for youth in the 6th through the 10th grades. Existing organizations, such as the YMCA, churches, sports organizations, etc., already provide such activities. We need to support these organizations financially in the form of providing needed resources such as building more fields for sports, having public buildings that would be suitable for activities such as concerts, dances, plays, etc. (Youth/Leg.)

Recommendations from: “Substance Abuse – The Nations’ Number One Health Problem” Update Feb. 2001. Prepared by the Shneider Institute for Health Policy, Brandeis University.

1. Increasing tobacco and alcohol taxes in Hawaii County may reduce the use. Can a County tax be levied on tobacco and alcohol? Could the tax fund be used to address reduction of use and/or treatment with the youth? Notation, a 10 percent increase is likely to reduce the teenage smoking by 7%. Besides the discouragement factor, funds might be generate to address program needs. More education programs to discourage underage smoking and more should be spent on educating youth and adults about the dangers of drugs.
2. Develop public awareness campaigns to increase the knowledge and change community attitudes towards alcohol, tobacco and drugs. The media usage by tobacco and alcohol industries to promote their products has increased. The tobacco industry has spent $6 billion in 1998, and the alcohol industry $1 billion in 1997. While we may not affect not a reduction on advertising this County can do its own to promote anti alcohol, tobacco and drug media education.
3. Basically there are two strategies to reducing illegal drugs: one is to reduce the supply and the other the demand. Law enforcement attempts to reduce the supply, the reduction of demand may be accomplished through prevention, early intervention and treatment services. More programs should be developed for demand reduction.
4. Develop youth programs, such as peer counseling and gang prevention. Life skills training on communication, problem solving and stress management might assist in addressing some of the motivators for drug usage.
5. Promote Safe and Drug-Free Schools and Communities Act (SDFSCA) programs in the schools that address a better understanding of the negative consequences of drug use.
6. Use the Franklin Reality Model of cognitive restructuring for student skills development and drug choice intervention.
7. Utilize MADD and SADD more in respective community environments such as the schools and the community. Media campaigning may be part of this effort.
8. More enforcement against underage purchases of tobacco and alcohol and/or recognition to businesses for their effort to maintain the enforcement.
9. Revocation of driver’s license after the second DUI conviction. No reinStatement of the license. Provide community education on the impact of transportation issues.
10. Stronger regulations to reduce teenage access to alcohol. Adults who illegally give alcohol to minors should be penalized.

Issue: The data revealed that when compared to the rest of the State, a disproportionate numbers of Hawaii County families live in poverty. Data which measures relational links between factors such as: income; number of parents in household; domestic violence; child abuse; availability of drugs and alcohol; and school performance will facilitate the development of effective community responses. (Data)
Recommendation: Seek data.

Juvenile Justice Systems

Legislative Issues:

Issue: Laws and policies that protect the privacy of juveniles often impair the necessary exchange of information between agencies and organizations that are striving to serve the same child. This amounts to multiple systems that are not effectively interfacing with each other. (Legislative)
Recommendation:

Research the problem and assess whether changes in legislation and policy can be made to facilitate the exchange of necessary information without compromising the rights of children. (Legislative)


Issue: Laws and policies that protect the privacy of juveniles often impair the necessary exchange of information between agencies involved in the adjudicative process and agencies and organizations that are striving to create more opportunities for youth to perform restitution or meaningful community service that relates to the crime committed. (Obj. Dec./Legislative)
Recommendation: The victim piece needs to be strengthened by looking at current legislation relating to confidentiality and liability laws. (Obj. Dec.)

Systems Issues:

Issue: When Hawaii County youth are sent to Oahu’s detention facility or the HYCF, Hale Ho’omalu, they are isolated from family supports and supports and programs established in their communities of origin. For example, youth who are affected by the Felix Decree are separated from their caseworkers, medications, etc. This practice also results in additional costs to transport staff from island to island.
(Obj. Dec./Leg.)
Recommendation:

Alternatives such as tracking, electronic monitoring and other best practices for youth who qualify for detention but may not pose a serious threat to the community given adequate supervision and programming should be explored.
(Obj. Dec.)

An assessment center where evaluations would occur and resources and wrap provisions authorized so qualified youth may remain in enhanced community placements in lieu of detention. Discussion needs to take place as to interagency collaboration in order to access alternatives to detention through blended funding or utilizing hybrid case management. (Obj. Dec.)

Video conferencing/telecommunication capacity for certain hearings for youth in detention home may also represent substantial savings for the system. (Obj. Dec.)

A cost benefit analysis should be done regarding the efficacy of building appropriate on-island facilities. (Leg.)


Issue: There is a need for more programs/services that address the underlying causes of status offenses such as truancy and running away. The bulk of these cases involve runaways. Existing programs respond to the negative behavior without attempting to alleviate the underlying causes of the behavior. (Resource/Leg.)
Recommendation: Do assessment.

Issue:

Youth who are multi-agency involved, such as a probationer having legal status with Child Welfare Services and receiving high end mental health services from the Department of Health’s Family Guidance Center may have several social workers involved who are driving their own treatment plans. While parties participate in coordinated service planning it is primarily mental health directed.

Attempts to work together are made difficult by the facts that treatment funds are appropriated by department rather than by child and one deputy attorney general is assigned to represent all or almost all of the departments involved, despite sometimes conflicting positions.

The Felix case exacerbates this situation and creates an immediacy to the need to address it. (Obj. Dec./Leg.)

Recommendation:

An integrated model of care is needed. (Obj. Dec.)

A system-wide assessment instrument should be used at the first contact with juvenile justice system. (Obj. Dec.)

A pot of treatment funds should be allocated per child, rather than by Department.

Additional legal staff should be made available to assist the various Big Island Departments who serve children at-risk.


Issue:

Re. Court reviews and motions to revoke probation: The options for the court are limited to the availability of community resources. There is a need for more intermediate sanction programs and facilities. Youth may be institutionalized for the purpose of accessing their array of
services.

Youth need to be qualified as Felix class in order to access therapeutic programs such as multi-systemic therapy and teaching family homes. There is heavy reliance on mental health services and a limited array of graduated sanction programs for non-Felix youth. (Obj. Dec.)

Recommendation:

There needs to be more opportunities for youth to earn restitution or perform meaningful community service that has a relation to the crime committed.

Sources of funds to support programs such as forfeiture monies should be explored.

Community and business engagement through education and involvement needs to be worked on. (Obj. Dec.)


COMMUNITY RESOURCE SYSTEMS

Systems Issues:

Issue:

Viable transportation for Hawaii County youth is needed. This transportation should enable youth to move to and from key destinations of interest, including but not limited to, beaches, movies, recreation centers, and employment. (Resource)

State law mandates that all 16-18 year olds must attend a driver’s education course prior to obtaining their driver’s license. High Schools in Hawaii County lack sufficient driver’s education classes to meet the demand. Consequently, access to a driver’s license is reduced for those who cannot afford private classes. (Resource)

Recommendation: ?

Issue: The scope and nature of available services for youth in Hawaii County is constantly changing. However, it is critical for decision-makers to have an ongoing and current knowledge of available resources and services. (Resource)
Recommendation: Identify an agency or organization that will undertake to compile and maintain a County-wide registry, which lists all programs/agencies/organizations that provide services for Hawaii County youth. An example of such a County-wide registry, for Hawaii County’s senior population, is the Partners-in-Eldercare Directory. (Resource)

Issue:

How effective are current community programs in addressing the risk factors?

How do we establish that preventive measures are effective? What degree of “reduction” is envisioned? After consider, the degree of reduction achieved, how cost-effective are the programs?

What criteria are used to determine effectiveness? Should a community criteria of effectiveness be established versus allowing programs to determine their own measures of effectiveness?

What Really Works? There is a body of meta-analysis (combining of different research studies to formulate an overall result of effectiveness) that has given rise to information about effective programs. Do we set policies about program development based on research effect program? (Resource)

Recommendation: Explore possibility of obtaining help from the State Legislative Auditor or Legislative Reference Bureau regarding these issues.

Issue: On a macro level, how can we assure, on an ongoing basis, that the overall system response to youth at-risk is functioning in an optimal manner?
Recommendation: Explore possibility of obtaining help from the State Legislative Auditor or Legislative Reference Bureau regarding these issues.

OBSERVATIONS

As a result of the research and analysis, the Legislative, Policy, and Systems Workgroup offers the following observations:

1.

The vast majority of issues raised by the other Workgroups related to systems issues. Of the fourteen total issues identified as priorities by the Workgroup, eleven related to systems issues.

Overall, priority issues cited related to the following concerns:

- The need to maintain and assure the availability of information and data, both relating to aggregate trends and relating to specific individuals;
- The need for agencies, organizations, families, and the community to work together to address complex issues such as drug use, poverty, limited public transportation, and a lack of positive recreational options;
- The need for greater and more effective coordination and communication among multiple agencies serving a single child at-risk;
- Gaps in the overall system of care, including, a need for more programs that address underlying causes of status offenses and a need for more intermediate sanctions; and
- The need to develop means to measure the effectiveness of individual agencies and programs as well as the effectiveness of the overall system of all agencies and programs that serve the needs of at-risk youth.
2.

As a result of the significant prevalence of systems related issues, at the August 31, 2001 meeting, Workgroup participants recommended focusing on the underlying systems challenges in order to improve services to youth. Because so many systems issues relate to a need for greater communication and coordination, the following broad strategy was suggested:

a. Gather key persons and agencies;
b. Develop a common vision of an appropriate outcome or solution;
c. Educate all partners regarding the function of the agencies involved to ascertain areas of responsibility, overlaps, and gaps;
d. Build trust; and
e. Use laws and policies as tools to achieve outcomes rather than as outcomes in and of themselves.
3.

The Office of Youth Services has perhaps, the broadest statutory mandates regarding youth-at-risk. (Chapter 352D, HRS). A comprehensive mandate is also apparent in laws pertaining to the Department of the Attorney General, which however, assign it mandates that relate specifically to the juvenile justice system. (Sec. 28-10.5, HRS) State Law charges other major departments with broad responsibilities regarding specific areas, such as education, health, human services, and the court system, i.e. the Family Court.

It is of interest that the systems problems cited largely relate to the interface between the work of the major departments, i.e DOE, DOH, DHS, and the Judiciary. The Office of Youth Services statute, which articulates to some degree, a strategy for promoting coordination among the work of the major departments should be revisited.

4. A review of the information provided by the other Workgroups also revealed a need to develop means to measure the effectiveness of individual agencies and programs that serve youth at-risk. This need to measure effectiveness applies as well to the overall system of all agencies and programs that serve the needs of at-risk youth in the community. In many cases, it is simply not clear whether individual programs, as well as the larger system, are accomplishing the outcomes desired by the community.
5. We were able to resolve a number of “issues” simply through discussing them with knowledgeable personnel who were interested in and committed to improving the system. This was particularly true regarding Educational System issues. In the course of discussion, key personnel were able to provide information that either led to a resolution of the question or informed us that work on a solution was already underway.
6. It is evident that many Comprehensive Strategy participants have invested countless hours of time in this project because they feel that it is worthwhile work that will benefit the youth in the community. However, in order to maintain commitment and interest among Comprehensive Strategies participants, it was suggested that the project’s vision be revisited at the next workshop.

This discussion should result in a re-energized overall picture of what Comprehensive Strategies participants are striving to achieve. Further this vision should be broken down into measurable outcomes, accompanied by timelines from beginning to end, and workgroup assignments that are understood by participants. The understanding and agreement that could result from such a dialogue would assist participants to measure their progress, facilitate their ownership in the effort, and reinforce the sense that the participation is accomplishing a useful end.

 

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Hawaii County's ICE Hotline - East Hawaii call 934-VICE (8423) or West Hawaii call 329-0-ICE (0423)

 

The Healing Our Island website is a Hawaii County resource to promote a drug free, healthy community. It's mission is to have everyone working together to heal our island from the harmful effects of crystal methamphetamine or 'ice.' Hawaii has been impacted by the harmful effects of substance abuse upon families, businesses, and communities. In order to improve Hawaii's quality of life, this site promotes community based programs and grassroots efforts toward education, prevention, treatment and recovery for youth and at-risk adults. The goal is to ensure that Hawaii Island is a healthy and safe place for our children and our families. This information exchange is being provided as a public service.

The County of Hawaii strives to keep this material accurate and up-to-date. The viewer is cautioned to check with the appropriate County department or agency responsible for maintaining the information to validate its accuracy.

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