THE COMMUNITY OF HILO AND

MENTAL HEALTH KOKUA

SW 631 – Michael MakekauInstructor – Theresa Krief

MENTAL HEALTH STATISTICS

• As many as 450 million people suffer from a mental or behavioral disorder.

• Nearly 1 million people commit suicide every year.• Four of the six leading causes of years lived with disability are due to neuropsychiatric disorders (depression, alcohol-use disorders, schizophrenia and bipolar disorder).• One in four families has at least one member with a mental disorder.

Family members are often the primary caregivers of people with mental disorders. The extent of the burden of mental disorders on family members is difficult to assess and quantify, and is consequently often ignored. However, it does have a significant impact on the family’s quality of life.

• In addition to the health and social costs, those suffering from mental illnesses are also victims of human rights violations, stigma and discrimination, both inside and outside psychiatric institutions.

THE COMMUNITY OF HILO

Total Individuals Served by Adult Mental Health Division Statewide 2003-2007

HAWAII MENTAL HEALTH STATISTICS

Total Individuals Served by Adult Mental Health Division County 2003-2007

Mental Health Kokua began in 1973 as a program of the Mental Health Association with one donated house on Sierra Drive in Kaimuki on Oahu. The program was incorporated as a non-profit organization called, “The House”. Since those early days, “The House” expanded services beyond housing to include case management, psychosocial rehabilitation, vocational and outpatient services. With the expanded business scope, in 1994 The House changed is name to “Mental Help Hawaii”. In 2000 the organization merged with Maui Kokua Services to become Mental Health Kokua.

Celebrating 40 Years in Hawaii

Mission Statement:

“We believe that all citizens should have an opportunity to live and participate in and contribute to their communities. Through specially designed services and settings, Mental Health Kokua assists people with mental illness achieve their optimum level of recovery and ability to function in the community.”

RESIDENTIAL RECOVERY SERVICES CONTINUUM

Safe Haven. This facility offers outreach, medical and psychiatric care, case management, 24-hour residential services, and social rehabilitation activities for persons who are homeless and have mental illness. Mental Health Kokua and Kalihi-Palama Health Center work collaboratively in operating this unique facility in downtown Honolulu which provided housing for 60 people in 2008 with 34 residents graduating and now off the streets in Honolulu living in permanent housing.

Therapeutic Living Program (TLP). An immediate, short-term alternative to institutionalization, the Therapeutic Living Program, located on Oahu and in Hilo include community placement, access to clinical care, and linkage to needed community resources.

Transitional Residential Resources. A 24-hour supervised group residential facilities and individualized services in traditional housing settings serving persons with serious mental illnesses. Located on Oahu, Maui, Kauai and East and West Hawaii.

Supportive Living Housing Sites. Supportive group housing is provided on a less intense level with consumer support available 8-16 hours a day on site and on-call. Residences are located in Oahu, Maui, Kauai and East and West Hawaii.

CONSUMER COMMUNITY SUPPORT SERVICES

Homeless Outreach. Outreach services are extended on Maui and Kauai to connect homeless mentally ill persons with mental health and special services including entitlements, and assist them in moving to transitional or permanent housing.

Case Management. Community based care management services on provided on Maui to individuals who need support and assistance in community recovery. Comprehensive services include crisis stabilization, treatment planning, recovery plan assessments and implementation, individual and group counseling, medication assessment and monitoring, and self-care education.

Psychosocial Rehabilitation. Mental Health Kokua offers a Maui therapeutic day rehabilitative social skill building service which allows individuals with serious mental illness to gain the social and communication skills necessary to allow them to remain in or return to naturally occurring community settings.

PEER Coach. The mission of the PEER coach project is to provide persons with mental illness the opportunities to empower themselves by teaching and learning skills necessary for daily living. The PEER coach, by using the empowerment-based model of recovery seeks to provide the consumer with participation in social and community based activities for a limited time per week.

MENTAL HEALTH KOKUA – COMMUNITY HOUSING 2011 

Big Island/HawaiiServed 170 people22, 360 Bed Days (95% occupancy)90% Improved Independent Living Skills

 MauiServed 915 people17,520 Bed days (87% occupancy)90% Decreased Homeless

 OahuServed 338 people27,735 Bed Days (95% occupancy)95% Increased Quality of Life

 KauaiServed 26 people5,475 Bed Days (85% occupancy)90% Increased Quality of Life

SAFE HAVEN PROGRAM (Oahu)

Served 77 people9,125 Bed Days (95% Occupancy)81% Increased Quality of Life

 PEER COACH (Statewide)

Served 97 People52 PEER Coaches hired by MHK97% Increased Skills

Note: MHK hires more people with mental illness than any other company in Hawaii. 

MENTAL HEALTH KOKUA

White   529

Asian/Pacific Islander 

363

Multi-cultural   160

African   34

Hispanic   31

Native American   14

Mid Eastern   4

Other   164  Total 1299

MENTAL HEALTH KOKUA 2011 DEMOGRAPHICS

Statewide Characteristics of Persons Served

MENTAL HEALTH KOKUA STAKEHOLDER SURVEYSCALE 1= Strongly Disagree 5 = Strongly Agree

The programs and services provided by MHK are accredited by the Commission on Accreditation Rehabilitation Facilities (CARF). CARF is an independent, nonprofit organization whose mission is to ensure that services meet consumer expectations of quality and outcomes. MHK must comply with business standards set by CARF, which involves leadership, governance, strategic planning, input from stakeholders, legal requirements, health and safety, outcome management, human resources, fiscal management, risk management, technology, and rights of persons served. In 2012, MHK earned a perfect score with CARF for the second consecutive year; only 3% of surveyed organizations earn no recommendations. Only one in a thousand programs surveyed who receive CARF accreditation receives a perfect score. This shows that MHK not only provide excellent care, they are leaders in administering health care services in Hawaii and the nation.

CARF ACCREDITATION

TIMELINE – MENTAL HEALTH KOKUA

1973 - Mental Health Association began a program as “The House” with a $40,000 annual budget and a few volunteers.1979 - The House created the Network vocational program.1983 - The House developed the Duplex, the first non-profit mental health program to develop HUD housing.1988 - The House created the first clubhouse/psychosocial program in Hawaii.1991 - The House opened Hilo Hale/HUD in Hilo, HI.1992 - The House opened the SAIL housing programs opened on Oahu.1994 - The House became Mental Help Hawaii.1994 - Safe Haven opened as the first homeless shelter in Hawaii for people with mental illness.1995 - PATCH Place opened in Hilo1997 - Mental Help Hawaii became nationally accredited by CARF.2001 - Mental Help Hawaii and Maui Kokua Services merged to become Mental Health Kokua.2001 - MHK developed Kealahou transitional housing in Kona; developed the PEER Coach program, and Maui case management.2002 - Hale Noho transitional housing on Oahu, and the PATH homeless outreach program in Maui and Kauai.2004 - Hale Koho opened on Oahu and Ho`okahua/ HUD transitional housing opened in Kauai, HI.2005 - MHK developed Kona Kokua/ HUD transitional housing in Kona, HI.2006 - Hale Amau/ HUD transitional housing opened in Hilo, HI.2008 - Developed Maui Case Management; Market Street transitional housing opened on Maui.2009 - Waipio Gentry/ HUD transitional housing opened in Leeward Oahu; Mill Street opened in Maui; Kokua Counseling Centers opened in Oahu, and MHK received perfect score with CARF international accreditation.2010 - MHK with USDA acquisition opened MHK Maui Market St admin/ program office.2011 - Fort Weaver/ HUD transitional housing opened in Leeward Oahu2012 - MHK developed Oahu Case Management; 2nd consecutive perfect score with CARF international accreditation; MHK has more than 200 employees on 4 islands, 26 locations, and 1400 persons served annually.

Staff

Board of DirectorsCounty Advisory BoardAdministrative ManagementVolunteersCommittees

Facility/Site Locations

KauaiOahuEast HawaiiWest HawaiiMaui

Funding

Aloha United WayHawaii Community FoundationKaiser PermanenteHarry & Jeanette Weinberg FoundationFoodland

In-Kind Donations

Form and strengthen public health partnerships with mental health programs.

Integrate mental health into public health program efforts.

Develop mental health communication messages for target audiences

Safe Haven

Therapeutic Living Program

Transitional Residential Resources

Supportive Living Housing Sites

Homeless Outreach

Case Management

Psychosocial Rehabilitation

PEER Coaching

InputsOutputs

Activities Participation

Outcomes

Short Medium Long

Define mental health research gaps and agenda.Identify opportunities for programs.

Serve the needs of the community with respect to the specific target population of the mentally ill.

Generate understanding that addressing mental health issues is fundamental for establishing physical health.

COMMUNITYIdentify mental health implementation and integration barriers in systems, communities, and families.

Collaboratively work towards improvement of community conditions and establishing roles in the community.

Mental health strategies are integrated into targeted efforts to improve the health of individuals and populations.

Communities are more supportive and healthy.

Individuals are more resilient—adaptable, able to cope with stress.

Quality of life improves.

Optimal mental and physical health are achieved.

Disparities in qualities of life are reduced.

Public, mental, and physical health systems are integrated at all levels, sectors, and settings.

Achieve optimum level of recovery and ability to function in the community.

INDIVIDUALTreat, refer, and encourage self-management of mental and physical health issues.

Increase in knowledge, attitudes, and beliefs.

Have increased sense of empowerment.

Initiate and sustain regimens of healthy behaviors.To realize of recovery and vocation/personal goals.

To maintain consumer engagement in treatment.

LOGIC MODEL - MENTAL HEALTH KOKUA

Problem, Issue or Concern Being Addressed

Geographic Area the Organization Serves/could serve

Assets (resources)

Resources needed/resources under utilized

Individuals (with talents, skills, gifts who are connected to the organization)

Citizens connected to the Org w/ associations in the Community

Institutions in the Community which currently partner with the org.

Institutions in the Community whichthe org shouldpartner in the future

Assisting individuals with mental illness to address mental health issues and work towards recovery and independent ways of living.

Currently Serves: KauaiOahuMauiHawaii Could Serve: Molokai LanaiOther Rural Areas 

Contributions, gifts, grants, and similar amounts received Direct public support Indirect public support Government contributions (grants) Program service revenue Interest on savings and temporary cash investments Other income Residential Homes (Own) Technology Information Being able to survive w/o gov’t funding during cutbacks

Resources originating outside the neighborhood

Higher education institutions

Churches

Investment developments

Public information

Businesses

Land

Employment partnerships

Banks

Media Institutions – Newspaper, Radio, Social Networks

Welfare Expenditures

Capital Improvement Expenditures

Residents

Alumni – Mentorship

Staff

PEER Coaches

Residential Assistants

Students

Volunteers

Home-based enterprises

Individual businesses

KOKUA Counseling Centers

Government Officials

Churches

Military (Hickam AFB)

HPD

Hospitals

Public Schools

Libraries

Parks

Social Service Agencies

Service Clubs

Athletic Clubs

Boy/Girl Scouts of America

Communities

Aloha United Way

US Dept. of Housing and Urban Development (HUD)

Federal Gov’t.

State and County Institutions/Programs

The Food Basket

Bank of Hawaii

First Hawn Bank

Radio/TV Stations

Kona Neighborhood

Vacations Hawaii

American Psychiatric Assoc.

Aloha United Way

Salvation Army

Kaiser Permanente

Foodland Hawaii

ARC

 

 

 

Vocational Rehabilitation

More businesses to provide workplace employment

Other mental health institutions

Civic clubs

Cultural Programs

Organizations that provide activities for individuals with mental illness

 

 

 

 

 

 

 

 

 

 Organizational Asset Inventory

RECOMMENDATIONS

Amount of income in 2011: $7,939,022Mental Health Kokua $7,939,022Other organizations performing similar types of work $313,496

Assets in 2011: $8,767,535Mental Health Kokua $8,767,535Other organizations performing similar types of work $128,300

FINANCIAL STATEMENT2011 - MHK

Revenue = Purple Expenses = Yellow Assets = Green

2003 2004 2005 2006 2007 2008 2010 2011

$9,000,000

Donate online: www.mhkhawaii.org

Monetary Donations - Corporations & Foundations:

Aloha United Way Combined Federal CampaignFoodland GiveAlohaHarry & Jeanette Weinberg Fdn., Inc.Hawaii Community FoundationHawaii Island United WayHonolulu Friends MeetingKaiser PermanenteKatherine GrosscupKauai United WayMaui United WayRotary Club of KahuluiThe Movie MuseumWinifred Mann TrustWestern UnionHawaii Hotel Associations

In-Kind Donations - Corporations & Foundations:

Elena’s, Home of Filipino FoodDiverse MortgageKaloko FurnitureLet Them Eat CupcakesSts. Peter and Paul ChurchCOSTCORoy’s Waikoloa Bar & GrillBig Island CandiesKTA StoresBlue Hawaiian HelicoptersLegal Aid SocietySts. Peter and Paul Church

2013 Board of DirectorsUson Ewart, ChairSean Tadaki, Vice ChairPeter Wolff, Jr., Vice ChairGreg Tatsuguchi, Vice ChairCindy McMillan, SecretaryRonald Gregorio, TreasurerJohn BreinichPatrick DuarteAlan TamanahaAnthony Guerrero, MDJoanne NakashimaPat DuarteElaine WaldowTerrence Watanabe

Hawaii County Advisory BoardAngela GannonIrene Solloway

Maui County Advisory BoardGlenn KunitakeCharles MaaleaElaine Waldow

Kauai County Advisory BoardJoanne Nakashima

Administrative Management Staff

Greg Payton -Chief Executive OfficerDennis Koo - Chief Operations OfficerSummer Such - Chief Financial OfficerKeisha Bolden - Chief Human Resources OfficerJim Carter - Director of ProgramsFrank Cummings - Maui County Services DirectorGary Michell - Hawaii County Services DirectorLes Gusman - Oahu County Services DirectorPamela Menter - Safe Haven Services DirectorJessieann Yokoyama - Consumer & Senior Services DirectorMerrily Worrell - Kauai Program Services ManagerMelby Albano-Housing Division ManagerShelilah Peters-Development/Office Manager

References

Hilo, Hawaii Island. Retrieved March 17, 2013, from http://www.gohawaii.com/big-island/regions-neighborhoods/hilo.

McKnight, John & Kretzmann, John. (1996). Mapping Community Capacity. Evanston, IL: Institute for Policy Research, Northwestern University. Retrieved from http://www.northwestern.edu/ipr/publications/papers/mcc.pdf.

Mental Health Kokua (2013). Retrieved March 17, 2013 fromhttp://www.mentalhealthkokua.org/.

MHK Outcomes and Stakeholder Survey FY2011 (2011). Retrieved March 17, 2013, from http://www.mentalhealthkokua.org/publications/MHK_Outcomes2.pdf.

U.S. Census (2010). State and County Quick Facts. Retrieved March 17, 2013 from http://quickfacts.census.gov/qfd/states/15/1514650.html.