Who are you?

Where are you going?

Hui Ho‘ola O Na Nahulu O Hawai‘i

The group that gives life back to the people of Hawaii

Program Description

Hui Ho‘ola O Na Nahulu O Hawai‘i is a project of Drug Addiction Services f Hawai‘i, Inc., a non-profit service agency that provides information, prevention, referrals, treatment and continuing care for substance abusers in the State of Hawai‘i.

Our program integrates science based substance abuse treatment approaches with the spiritual wisdom, healing, and traditions of the Hawaiian and local cultures to achieve landmark solutions to the problem of addiction.

Our Mission is to create a healing community grounded in the spirit and culture of Hawai‘i that reaches out to Hawaiians of all ethnicities suffering from the disease of addiction.

Our purpose is to have one vision and one heart to create an environment of healing for the disease of addiction; to promote abstinence from drugs and alcohol; to enhance access to culturally appropriate services; and to increase the quality of life for the haumana, families, and the community.

     

Treatment Philosophy

Assets Model Approach - Treatment emphasis is on strengths, talents in contrast to disease. Example, “Proud mother” vs. “drug addict”, Haumana vs. client

    Kupuna Abbie’s mana‘o – Everyone is born with talents and mana. Substance abuse separates the spirit from the person.

Uhane hele (loss of spirit) - lost touch with mana - spirit needs to be awakened and reconnected.

Assessment

- Bio Psycho Social- DSM IV- (ASI) Addiction Severity Index- Mana Chart

Something important about me that I want to share is……

3 personal qualities that help meas a _________, are:

Mana (talents, power, strengths) Chart

Logo of my future

A special talent that I would like to develop is….

3 personal qualities that limit my development as a ________, are:

Treatment Interventions

Hawaiian Protocol, Cultural Traditions, and Values Education

& Skill building

Spirituality – Building Relationships and Making Pono with:

Creator

Lokahi (balance, unity)Kanaka ‘Aina(human) (land that feeds you)

Individual Counseling

Acupuncture

Addiction Education

Protocol – Chanting, Meditation & Prayer

Family Education, Prevention and Support

Ho‘oponopono Sessions

Genealogy – ‘Ohe Kapala (bamboo stamp)

Malama ‘Aina (caring for the land)Gathering practices, conservation etc.

Vocational Training – Raising Fish, Farming

Kane Group - Hale Mua (men's eating house)

Hula

Hiuwai Ceremony (clearing self of negativity in the ocean).

Lomi Lomi

E ALA E (Sun Rising)

Definition of addiction:

Traditional Spiritual Chronic relapsing biopsychosocial disease; brain disease

Spirit has left the body - “Uhane hele”

Out of “pono” (righteous, right in mind, body and spirit”)

Mind body and spirit are out of balance- “Pono ole”

SPIRITUALITY

Treatment GoalTraditional Spiritual

Drug free state or decrease in alcohol/drug use

To return to a state of pono (to make things right where life is restored.

To reconnect to a higher self and higher power.

Improved interpersonal relationships, improved self-esteem., reduced criminal involvement, stable living arrangement, decrease psychological disturbance, etc

To know “Who are you?”

Through seeking and regaining their own identity (culture based), they reconnect to themselves and in doing so, they reconnect to their higher power – Akua (God)

Treatment Goal cont’d

Traditional Spiritual Increased productivity, To decide, “Where are you

going?”

When they go into treatment, they have to address the pain. The fight or flight syndrome appears and they need support. The approach is “ohana” (family) versus patient/counselor support. That is where healing begins, so the issues can be addressed and finally put to rest to then move forward.

Evaluation:

Traditional Spiritual Behavioral outcomes (outside) Changes within (inside)

Traditional SpiritualDrug free, stable lifestyle To be in pono – to unify mind

body and spirit. To be in balance - Relationship to self and others,

God (Akua), others and the land is in pono. Life is restored.

Definition of Recovery:

InterventionTraditional Spiritual

Pharmacotherapy, cognitive behavioral, motivational interviewing, humanistic approaches, etc. relapse prevention, education to look at the disease process, interpersonal relationships, PTSD, abuse histories, etc.

Healing modalities such as ho`oponopono, acupuncture, lomilomi, la`au, reiki.

Relapse prevention Chants and ceremonies, traditions, genealogy, hula, ohe kapala, hi`u wai, lokahi bowl of light….etc.

Intervention cont’d

Traditional Spiritual

Face to face Face to face and distance

Protocol dictated by organization, standardized approaches

Protocol dictated by culture

Dosage

Traditional Spiritual

Pharmacotherapy, case management, vocational training, primary care, psychiatric care, etc.

Number and length of healing sessions and other traditional activities. Individual to multiple family and community involvement. For example, ho`oponopono may last one hour to several hours. An activity could be for one hour or for the weekend. Includes number and intensity of healing sessions.

Structure and Relationships

Traditional Spiritual Corporate values Cultural values

Board of Directors Elders as advisory/ Spiritual guides

Doctor/Nurse/Counselor to Patient

Teacher (kumu) or elder (kupuna) to student (haumana), leader (alaka`i), helper (kako`o)

Cost/benefit decisions Decisions from the “na`au”

SAMPLE CROSSWALK

Western Cultural/Spiritual Problem: Marital conflict

Couples counseling Ho`oponopono (spiritual conflict resolution) with elder (kupuna)

Problem: Sexual trauma

Counseling and therapy Lomilomi (spiritual massage)

Problem: Craving

Increase dosage Acupuncture

Relapse prevention group Hemu chant

SAMPLE CROSSWALK cont’dWestern Cultural/Spiritual

Problem: Depression

Cognitive behavioral approach in counseling

Spiritual counseling (ho`oponopono with kupuna)

Pharmacotherapy Geneaology and Cloak (ohe kapala)

Psychotherapy Water ceremony – hi`u wai

DRUG ADDICTION SERVICES OF HAWAI`I, INC.

HUI HO`OMAIKAI IKA PO`E O HAWAI`I

“Together in partnership, we bring out the goodness and beauty of the people of Hawai`i”

OUR PU`UWAI MELE: LOVE

(heartsong) SPIRITUAL FOUNDATION

**WHO WE ARE**

DASH has moved….

FROM: a “Substance Abuse Treatment Center” providing a comprehensive continuum of

care

TO: A HEALING CENTER, providing a Spiritually-based holistic health

and wellness focus

**WHO WE SERVE**

from:PATIENTS TO HAUMANA (students) WITH

MANA

WITH A AND UNIQUE GIFTS ON A

DISEASE(S) SPIRITUAL JOURNEY

**HOW WE SERVE**

The definition of PROFESSIONAL approach has changed from:

DISTANCING & TO CONNECTING

OBJECTIVITY WITH EACH PERSON

OUR kuleana: To heal ourselves

(responsibility) To assist in the healing of others

EVERYONE

IS

PRECIOUS

GUIDELINES FOR CULTURAL/SPIRITUAL SERVICES

• Staff themselves must make a commitment to spirituality – to discover their own spirituality and to learn and practice the values, behaviors, and concepts. Go inside for answers – from board to participant

• Hire staff whose background matches the culture of the population

• Philosophy must be congruent and consistent from management and administration to the curriculum

• The setting must elicit a sense of comfort and relevance.

GUIDELINES FOR CULTURAL/SPIRITUAL SERVICES Cont’d

• The core values must be universal and easy to understand.

• Engage elders of the community who are respected in terms of family and community structure.

• Maintain “pono”: staff interrelationships with self and others, God/Akua/Grandfather, etc. , and the land/sky/sea (as appropriate). Why? Because staff are powerful when modeling desired behaviors.

• Accept that each person is a precious gift

• Focus interaction on who you are

• And where are you going?

GUIDELINES FOR CULTURAL/SPIRITUAL SERVICES

Cont’dThese guidelines are based upon

1) a seven year history of operating a culturally and spiritually based program in Hawaii which integrates research and “modern-day” knowledge and tools,

2) the wisdom of our dear kupuna,

3) many many prayers and

4) faith in the assets based planning and capacity building model.

Who are you?