Transcript to presentation

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
Mana (talents, power, strengths) Chart
Something important about me
that I want to share is……
3 personal qualities that help me
as a _________, are:
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
(human)
‘Aina
(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)
SPIRITUALITY
Definition of addiction:
Traditional
Chronic relapsing
biopsychosocial disease;
brain disease
Spiritual
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”
Treatment Goal
Traditional
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 selfesteem., 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
Increased productivity,
Spiritual
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)
Definition of Recovery:
Traditional
Spiritual
Drug 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.
Intervention
Traditional
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
Number and length of healing
management, vocational training, sessions and other traditional
primary care, psychiatric care, etc. 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’d
Western
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:
(heartsong)
LOVE
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
WITH A
DISEASE(S)
TO
HAUMANA (students) WITH MANA
AND UNIQUE GIFTS ON A
SPIRITUAL JOURNEY
**HOW WE SERVE**
The definition of PROFESSIONAL approach has changed from:
DISTANCING &
OBJECTIVITY
TO
CONNECTING
WITH EACH PERSON
OUR kuleana:
(responsibility)
To heal ourselves
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’d
These 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?