Hui Ho`ola O Na Nahulu O Hawai`i
Culturally–based Intensive Outpatient and Outpatient Services
The Hui provides substance abuse prevention, education, treatment and continuing care services to its haumana (students/participants). It is a spiritually-based program utilizing traditional cultural healing modalities, ceremonies, practices and activities which are embedded within evidenced–based practices in the addictions field. Core Hawaiian values, which are universally oriented, provide the guidance for the program and its activities, from administration and management to the day to day “life” of the program and its participants.
Services include screening, assessment, intake, intensive outpatient, outpatient treatment, continuing care and prevention intervention. The Hui also conducts outreach and provides presentations to community groups on request.
The project offers a variety of activities and curriculum which includes relapse prevention, individual and group counseling, family counseling and drug and alcohol education. Traditional cultural chants and practices are a regular part of the weekly schedule. Support for vocational and educational needs is provided directly or through referral. Transportation is also provided to and from the project and healing sites for those in need.
Hui Ho `ola offers traditional healing methods including ho`oponopono (Hawaiian spiritual counseling), lomilomi (Hawaiian spiritual massage) and acupuncture.
Project Coordinator is Sarah Kelaukila Carter, who also provides ho`oponopono. Clinical Supervisor is Randal Like, Hawai`i Certified Substance Abuse Counselor. Consultation to the Hui staff provided by Kupuna Pearl Ulu Garmond, as well as genealogy and Hawaiian history. Gene Abraham is a licensed acupuncturist and Mariposa Blanco is a licensed lomilomi practitioner.
Former providers include Kupuna Abigail Napeahi and Kupuna and Kumu Myra Kolani Chartrand who guided the project from its beginnings to a full healing center.
The Project Coordinator, Clinical Supervisor and cultural providers all have extensive knowledge of and were raised in the Hawaiian culture. One staff member is tri-lingual in Hawaiian, English and Filipino. The Staff Assistant/Driver transports na haumana to and from their homes and Hui sites. The traditional counselor provides counseling, assessment and other treatment services.
The Hui accepts referrals from all parts of Hawai`i Island; however, its sites are in East Hawai`i. The counseling facility is located at 15-1926 Puakalo Street in Kea`au, Hawai`i. It is a comfortable two story, handicap accessible home on one acre of land. The Kapoho Cultural Educational Center is in Kapoho. It is an acre of undeveloped land utilized for traditional ceremonies, overnight retreats, farming, hula, groups and graduation ceremonies. A large pavilion and a handicap accessible restroom provide shade and comfort deep in this private area where there are few houses and no traffic.
The project is funded by the Alcohol and Drug Abuse Division and `Imi Ke Ola Mau, a Native Hawaiian advocacy group. The project also receives monetary and in-kind donations and participates in collaborative activities with various other individuals, social services and business groups such as the Queen Lili`uokalani Children’s Center and the Pahoa Business Association.
The Hui was developed out of a grant from the Center for Substance Abuse Treatment in 1997 provided to the Alcohol and Drug Abuse Division. Its core approach is based upon the assets model which focuses on the community knowing its own strength, needs and resources and on building capacity. The Hui’s Policy Steering Committee, comprised of community members and members of the target population, has provided much guidance and assistance to all aspects of the program and opened the Hui’s healing center.
The Hui’s outcomes include a decrease in unemployment by 14%, increase in monthly income, and decrease in arrest rates. There was a decrease in utilization of inpatient and emergency room services. Improvements in self-esteem, problem solving skills and reduction in other drug use reached statistically significant improvements. Family functioning, psychological symptoms, cohesion and other protective factors also improved. These results were compiled through an independent evaluation of the program over three years ending in 2006 which confirmed that these changes were directly related to the program efforts.
- 79% of haumana were either employed, attending school or engaged in an educational/training program since discharge
- 100% of haumana were living in a stable environment 6 months after discharge
- 100% of haumana did not miss work or school due to drinking or drug use 6 months after discharge
- 80% of haumana did not use drugs and/or alcohol for 30 days prior to a 6 month follow up survey
- 100% of haumana had no arrests since discharge
- 100% of haumana had no emergency room visits since discharge