Search :

Looking for Drug Rehab and
Treatment Centers in Ahuimanu, Hawaii ?

Please call 800-405-8409 to speak with one of our counselors who will help you find the correct treatment option for your specific situation. Or simply fill out the drug rehab treatment centers Ahuimanu , Hawaii referral request form below and a counselor will contact you ASAP.

Each drug rehab in Ahuimanu, Hawaii has a different approach to the recovery process. Take note of what is important to you, and make decisions based on your personal needs. Keep in mind that in Ahuimanu there are a multitude of treatment options to choose from: outpatient treatment, in patient treatment, support groups, drug rehabilitation, alcohol rehab, drug treatment programs, sober living, halfway houses, long term treatment, short term treatment, counseling, and many more. An individual can become thoroughly confused by asking a half-dozen recovering alcoholics or drug addicts in Ahuimanu how they conquered their abuse of alcohol or drugs; the answers vary although each of them are convincing and emotional. They will cite such diverse approaches as hospitalization, diet, exercise, counseling, sauna's, religion, hypnosis, amino acids and self-help groups. When it comes to successful treatment, only one thing is certain: practically any approach will work for some of the people, some of the time. To put it another way, successful drug rehabilitation is like a designer suit- it's got to be tailor-made for each individual. A great deal of variation exists in the degree of dependence among drug users. The teenager who smokes marijuana three times a week is not as dependent as the thirty year old who has smoked marijuana six times a day for 15 years and has already relapsed after being in two drug rehabilitation centers. It's obvious that these individuals need different approaches to treatment. Similarly, among cocaine users are some who use it in binge fashion, one or two days a month, and others who use it several times each day. Again, different treatment approaches are required for each case.

For those who do not have a long history of drug addiction, an outpatient treatment program might be the correct decision. This form of treatment may be a viable solution for those who have a brief drug addiction history. These individuals might only need the guidance and counseling available though this method of treatment. On the other hand, those who have experienced an extended period of drug addiction, choosing the correct drug rehab program typically means that they should enter into an in patient drug rehab program not located in Ahuimanu. The structure, 24-hour support and change of enviornment made available through this type of drug rehab recovery program can be highly effective for those recovering from a long term drug addiction problem. Most drug rehab professionals in do not recommend any one "best" treatment approach, recognizing the many variations among drug and alcohol abusers. In general, the levels of treatment range from simple and behavioral to complex and medical. The person dependent upon drugs or alcohol may have used the chosen substance for so long that he or she has literally forgotten how to cope with the daily challenges of life; how to have a meaningful, drug-free lifestyle; or how to solve the social or psychological problems that prompted the substance abuse in the first place. In these instances, a very comprehensive approach must be prescribed if the individual is to expect any degree of successful recovery. Once stability is achieved, the "clean" or sober individual can take several steps to enhance recovery and avoid relapse. Among the general recommendations are belonging to a group as a support system, having a religious involvement, practicing good health habits; including proper diet, sleep, and exercise, as well as goal planning and self enhancement projects.

Google Bookmarks
Hawaii State Facts
Population: 1,224,398
Law Enforcement Officers: 3,429
State Prison Population: 5,100
Probation Population: 15,581
Violent Crime Rate
National Ranking: 41 2004 Federal Drug Seizures
Cocaine: 4.3 kgs.
Heroin: 1.1 kgs.
Methamphetamine: 22.7 kgs.
Marijuana: 24.6 kgs.
Ecstasy: 0 tablets
Methamphetamine Laboratories: 7 (DEA, state, and local)

Sources
Drug Situation: The Hawaiian Islands are made up of eight major islands and a 1,500 mile chain of islets, covering 6,422.6 square miles in the North Central Pacific Ocean. Hawaii is populated by approximately 1.2 million people, with the largest ethnic variety in any of the states. All of the illegal drugs that are available on the mainland can also be found in the islands, with crystal methamphetamine (ice), marijuana, cocaine HCL, crack cocaine, heroin, and predatory drugs being the leading threats in the state. As part of the Los Angeles Field Division, the Honolulu District Office (HDO) is located 2,500 miles from the continental United States. The HDO has an Area of Responsibility (AOR) that encompasses the State of Hawaii, the islands of Guam, Saipan, Commonwealth of the Northern Mariana Islands (CNMI), and American Samoa.

The majority of drugs are brought into the state by aircraft passengers or through the use of shipping companies and the U.S. postal service. Hawaii has several (International) airports and airfields on six of the eight islands. The largest of the airports is the Honolulu International Airport on Oahu. In any given year, there are more than seven million visitors to the Islands. The majority of the incoming flights originate from the U.S. mainland, Canada, and Asia.

Cocaine: Cocaine is Hawaii’s third most significant drug threat. Cocaine prices indicate that sufficient quantities of cocaine and crack cocaine are available to meet user demand. The distribution and abuse of powdered and crack cocaine are associated with criminal activities such as homicides, assaults, and child abuse/neglect cases. Pacific Islander, Mexican, and local organizations are the primary transporters of powdered cocaine into the state while Pacific Islanders and local organizations convert the powder cocaine into crack and distribute the cocaine at the retail level along with street gangs.

A variety of drug organizations engage in wholesale and retail cocaine distribution in Hawaii. It is believed that Mexican DTOs with ties to California and Mexico primarily distribute cocaine at the wholesale level. Independent dealers and street gangs distribute cocaine at the retail level. Cocaine is often used with other drugs including alcohol, heroin and/or marijuana. Cocaine is also often distributed with other drugs. Cocaine on the Big Island is popular and easily acquired by users. On Maui, cocaine distribution is controlled primarily by Mexican organizations that also deal in black tar heroin on the west side. Cocaine HCl is rarely seen in Guam and Saipan.

Crack cocaine is also readily available. Most crack is converted as needed, usually an ounce or two at a time, although occasionally pound quantities have been smuggled into Hawaii.

Heroin: Much of the heroin used in Hawaii is black tar heroin, although there is some smuggling and distribution of Southeast Asian heroin.

Methamphetamine: Crystal methamphetamine (ice) is the drug of choice in Hawaii and is considered by far the most significant drug threat. Per capita, Hawaii has the highest population of ice users in the nation. Experts unanimously blame the high crime rate (predominantly property crimes) in Hawaii on drugs. High purity ice, ranging from 96-99 percent pure, is readily available, and is commonly abused throughout the State. Ice abuse and associated violent crimes, such as domestic abuse, child neglect, hostage situations, and homicides continue to increase throughout the entire island state. Pound quantities of ice arrive from the southwest regions of the U.S. smuggled by couriers, by parcel services, and U.S. Postal Service. Local addicts can purchase ice from a variety of sources, since ounce dealers are abundant throughout the state. Most of the meth laboratories that are seized in Hawaii are small “conversion” laboratories, with analysis of glassware and chemicals revealing that most laboratories are capable of manufacturing ounce quantities.

Ice continues to be smuggled into Guam from Hong Kong, Korea, the Philippines, and West Coast locations such as San Jose, CA; Seattle, WA; and Oregon. Recent intelligence indicates that most of the ice trafficking is still linked to Chinese traffickers sending multi-kilo quantity shipments from Hong Kong. However, the Filipino, Korean, and Vietnamese traffickers are still heavily involved in smuggling various amounts of this drug into Guam.

Guam and Saipan sit on the doorstep to Asia and are only a few short hours via air from such Asian cities as Manila, Taipei, Hong Kong, Tokyo and Seoul. With a multitude of ice production labs existing in the Philippines, Peoples Republic of China, Korea and Taiwan which are able to manufacture ice cheaply, relatively large quantities of the drug can be transported to Guam and Saipan where it commands a much higher price and where a larger user population exists. The cost of ice in Guam/CNMI is approximately seven times the purchase price in the domestic U.S.

Predatory Drugs: Abuse of predatory drugs, including MDMA, GHB, and LSD (lysergic acid diethylamide), is increasing among Hawaii’s youth and the large military population stationed in Hawaii. These drugs are readily available and typically consumed among military personnel, teenagers, and young adults attracted to dance clubs, raves, and bars. In July of 2003, agents from the Naval Criminal Investigative Service and the HDO conducted a controlled purchase of approximately one gram of Alpha-Methyltryptamine (AMT) from an active duty sailor. In August 2003, another gram of AMT was purchased. A subsequent search warrant was conducted and 10 grams of AMT were seized.

MDMA, or Ecstasy, is an increasing problem on Guam and in the CNMI. Seizures and intelligence information have increased throughout the region. Based on the information available, Ecstasy appears to be the fastest growing problem in the region.

In Hawaii, teenagers and young adults (20-30 years old) are increasingly using Ecstasy, which is readily available at raves, nightclubs, and some hotels. Ecstasy is not manufactured here, but is shipped from the mainland through the U.S. Postal Service, parcel services or smuggled on incoming flights through the Honolulu Airport. Ecstasy abuse is rising among the large military population in Hawaii. Local military officials view ecstasy use as the major drug use issue affecting active duty military in Hawaii.

Predatory drugs pose the biggest problem for the military population. Hawaii is home to more than 78,000 military personnel and their dependants located on five major military bases and facilities, with most located on Oahu. Military law enforcement personnel are seeing predatory drugs as the drug of choice since it is popular among the younger military personnel, in part because of the speed at which these drugs leave their systems.

On the Big Island, raves and nightclubs are a source for MDMA; however the rave scene is not prolific.

Similar to the methamphetamine trade, Asian syndicates are primarily responsible for the trafficking of YABA. Approximately 500 YABA tablets were seized in Guam (2003) during an inspection of a military aircraft. The YABA was destined for Hawaii from Thailand.

Marijuana: Hawaii’s second most significant drug threat is marijuana. This drug is widely available and continues to increase among Hawaii’s juveniles. Hawaiian grown cannabis is commonly cultivated and contains some of the highest tetrahydrocannabinol (THC) in the nation. Although most of the marijuana available in Hawaii is produced locally, “BC BUD” is increasingly smuggled into the Continental U.S., and subsequently Hawaii, from Canada. Local and Pacific Islander DTOs are the primary wholesale and retail marijuana distributors.

Hawaii remains a national leader in the production of high-grade cultivated marijuana. Home-grown marijuana, either harvested from indoor grows or from small garden to larger outdoor grows, remains a staple for the local demand and for export to the mainland. Medical marijuana certificates allow local users to grow several plants at their residences for personal consumption. The availability of marijuana is common, and use is perceived by the local population as normal. Small mail order marijuana operations from the Big Island to the mainland exist and survive by shipping small quantities through air parcel providers. Marijuana is also being purchased in San Francisco and shipped to Maui via parcel service. Mexican marijuana and Canadian marijuana (“BC BUD”) continue to be seized occasionally at the Honolulu International Airport. On the Big Island, marijuana cultivators are involved in poly-drug trafficking. Marijuana is frequently encountered in public schools (grades 6-12) in Hawaii. Marijuana is readily available in Guam and Saipan, where it is grown locally in clandestine areas and smuggled from Palau. Marijuana users are not as common as ice users in Guam. On Saipan, marijuana is sold on junior-high school and high school campuses.

The State of Hawaii has historically been one of the highest producers of high level Delta-9- tetrahydrocannabinol (THC) content marijuana in the U.S. Marijuana cultivation is abundant on all five major islands; however, the vast majority of fields are located on the Island of Hawaii (Big Island/Hawaii County) and the Island of Maui. Cultivation occurs mostly outdoors in all agricultural environments from sea level to 8,000 feet elevations, in forested areas, cane fields, former cane fields, mountains, pasture land, federal and state parks, as well as residential backyards. Often marijuana is found growing in the same areas. Due to Hawaii’s moderate weather and year-round nurturing climate, outdoor cultivation remains a year-round agri-business. Indoor cultivation is a growing concern and continues to be more prevalent than seizure statistics indicate. The demand for marijuana, the high prices it commands, and the relative ease in growing, either indoor or outdoor, are all strong incentives for marijuana cultivation in Hawaii. Recent medicinal marijuana legislation and a 2001 DEA decision authorizing further hemp studies give the Hawaii cultivator the perception of leniency in marijuana enforcement.

Other Drugs: The most common sources for diversion of pharmaceutically controlled substances continue to be doctor shoppers; employees who steal from the drug inventory; prescription fraud, including forgeries and other types of prescription falsification; and physicians who indiscriminately prescribe and write prescriptions for reasons other than legitimate medical purposes. Hydrocodone is one of the most abused pharmaceutical drugs in Hawaii, ranging from $3-$9 per tab on the street. OxyContin's street price has risen 20% (80 mg/$18; 40 mg/$9; 20 mg/$4-5; 10 mg/$3) due to increased demand. Local pharmacies in Hilo report that individuals are purchasing the maximum limits for pseudoephedrine-based OTC drugs.

DEA Mobile Enforcement Teams: This cooperative program with state and local law enforcement counterparts was conceived in 1995 in response to the overwhelming problem of drug-related violent crime in towns and cities across the nation. There have been 409 deployments completed resulting in 16,763 arrests of violent drug criminals as of February 2004. There have been four MET deployments in the State of Hawaii since the inception of the program: Hilo, Waipahu, Maui, and Kona.

DEA Regional Enforcement Teams: This program was designed to augment existing DEA division resources by targeting drug organizations operating in the United States where there is a lack of sufficient local drug law enforcement. This Program was conceived in 1999 in response to the threat posed by drug trafficking organizations that have established networks of cells to conduct drug trafficking operations in smaller, non-traditional trafficking locations in the United States. Nationwide, there have been 22 deployments completed resulting in 608 arrests of drug trafficking criminals as of February 2004. There have been no RET deployments in the State of Hawaii.

HAWAII

This is a summary, click here for Discretionary Funds in Detail.

Hawaii Discretionary Funds

Hawaii Formula Funding						Fiscal Year 2004/05
Hawaii Substance Abuse Prevention and Treatment Block Grant:							$ 7,218,541
Hawaii Community Mental Health Services Block Grant:							$ 1,717,222
Hawaii Projects for Assistance in Transition from Homelessness (PATH):							$ 300,000
Hawaii Protection and Advocacy Formula Grant:							$ 406,700
Hawaii Subtotal of Formula Funding:							$ 9,642,463
Hawaii Discretionary Funding						Fiscal Year 2004/05
Hawaii Mental Health							$ 1,254,227
Hawaii Substance Prevention:							$ 2,379,517
Hawaii Substance Abuse Treatment:							$ 2,356,310
Hawaii Subtotal of Discretionary Funding:							$ 5,990,054
Hawaii Total Mental Health Funds:							$ 3,678,149
Hawaii Total Substance Abuse Funds:							$ 11,954,368

Grantee: Hawaii State Dept of Health
Program: Jail Diversion
Congressional District: HI-01
FY 2004 Funding: : $297,672
Project Period: 09/30/2002 - 09/29/2005
The Adult Mental Health Division (AMHD) and the State of Hawaii Department of Mental Health will administer the program through the Hawaii County Community Mental Health Center. Coordination of treatment will involve various agencies, such as the Big Island Substance Abuse Council, Department of Health and Human Services, Department of Public Safety, and the Intake Service Center. Social workers from the Intake Service Center will conduct the initial screen of jail inmates who appear to be suffering from co-occurring mental health and substance abuse disorders. This post-booking jail diversion program will serve the entire island of Hawaii.

Grantee: University of Hawaii
Program: SAMHSA Conference Grants
Congressional District: HI-01
FY 2004 Funding: : $29,400
Project Period: 08/01/2004 - 07/31/2005
This conference presents evidence-based practices to Hawaii stakeholders and assists the State to comply with a court order to improve the mental health system. The conference will also extend technical assistance and dissemination to largely underserved Pacific Territories and Jurisdictions of American Samoa, Republic of the Marshall Islands, Federated States of Micronesia, Republic of Palau, Guam and the Commonwealth of Northern Marianas Islands. Practices that address illness management and recovery and cultural competence are highlighted.

Grantee: Child and Adolescent Mental Health Div
Program: Alternatives to Restraint & Seclusion SIGs
Congressional District: HI-01
FY 2004 Funding: : $236,958
Project Period: 09/30/2004 - 09/29/2007
The Department of Health's Child and Adolescent Mental Health Division (CAMHD) will strengthen infrastructure and enhance the capacity of service providing agencies to use best practices and support positive behaviors without the use of aversive techniques, through training, organizational development strategies, peer review, and other promising approaches. The proposed project will be implemented by its 8 public sector Family Guidance Centers and more than 20 contracted provider agencies. One set of project activities will focus on the program level, supporting agencies to establish organizational climates and program treatment milieu that foster positive behaviors and mitigate against use of restraint and seclusion; to follow-up on each incident of restraint and seclusion to determine why it happened and how to prevent reoccurrence; and to use program and state level data on sentinel incidents for quality improvement. Another set of activities will focus on supporting line staff to gain the attitudes, skills and knowledge they need to implement evidence-based practices for preventing aggressive or out-of-control behavior by program participants and for effectively deescalating such behavior when it does occur without resort to aversive techniques. The project will develop a Best Practices in Residential Care Network consisting of experts among agency staff who will gain capacity to provide peer-to-peer training and technical assistance within and across agencies. A project Web page and an e-mail listserv will facilitate networking, training, technical assistance, and dissemination activities.

Grantee: State of Hawaii Department of Health
Program: State Mental Health Data Infrastructure Grants
Congressional District: HI-01
FY 2004 Funding: : $142,200
Project Period: 09/30/2004 - 09/29/2007
This project will continue the State's effort to build infrastructure to collect data and report the remaining Mental Health Block Grant Uniform Reporting System Developmental Measures. Grant efforts will focus on (1) local provider training to improve data quality, (2) implementation of web-based technology using DS2K + data standards to collect, report, and improve accessibility of data, and (3) strengthening internal and external database linkages. Project outcomes will include consistent data definitions, timely capture of data, improved measure of service outcomes and client change, improved data quality, and enhanced ability to analyze and report on developmental measures such as school attendance, school performance, and involvement with the criminal justice system. The project outcomes will be evaluated based on the ability to produce the data required for URS and other desired reporting. The project will also be evaluated in terms of its ability to produce data that is useful to and is used by system stakeholders.

Grantee: State of Hawaii
Program: Emergency Response
Congressional District: HI-01
FY 2004 Funding: : $99,997
Project Period: 06/01/2003 - 05/31/2005
The State of Hawaii Department of Health is developing a comprehensive emergency response plan for the mental health and substance abuse needs of the community and the appropriate infrastructure to implement such a plan. Implementation of coordination efforts will begin with the creation of an Intra-Departmental Disaster Planning Task Force of key State Departmental representatives to assess needs and develop an appropriate plan. A VOAD Task Force would convene and include organizations and other non-profit community agencies with disaster response roles. The Disaster Coordinator for Mental Health Response would be responsible for establishing and facilitating the Task Forces and for coordinating their efforts.

Grantee: United Self-Help
Program: CMHS Statewide Consumer Network Grants
Congressional District: HI-01
FY 2004 Funding: : $70,000
Project Period: 09/30/2004 - 09/29/2007
United Self Help plans to utilize funds to enhance capacity and infrastructure to be consumer centered, recovery based and consumer driven. Consumers will be transformation agents as the program strengthens organizational relationships, promote skills development in leadership/business management; and identify/provide technical assistance to consumers to engage in the transformation process. Untied Self Help will advance its work from a previously funded network, which expanded consumer networks statewide. Consumer participation will be represented from the local level, attend statewide trainings on leadership/business management and establish legislative taskforce(s) that train and support consumers in legislative activities. A Consumer Assessment Team will also be developed to facilitate key roles in program evaluation, design and implementation. The network will also share its resources and expertise with neighboring islands and Pacific Territories.

Grantee: State of Hawaii Department of Health
Program: Evidence Based Training & Evaluation
Congressional District: HI-02
FY 2004 Funding: : $308,000
Project Period: 09/30/2003 - 09/29/2006
Two evidence-based practices (EBPs), the treatment of co-occurring disorders and illness management and recovery, will be introduced into the adult mental health care system of the State of Hawai'i through the state's Department of Health. Six community mental health centers throughout the state will participate in this project. The impact these EBP protocols have on consumers' outcomes and their satisfaction with the services that they receive will be evaluated. The project will monitor and evaluate the programs developed to train providers and other involved stakeholders in the selected EBPs. Hawai'i is ethnically and geographically diverse, with communities comprised of Native Hawaiian, Pacific Islander (including Guamanian, Chamorro, Micronesian, Samoan), Asian and Asian American (including, Chinese, Japanese, Filipino, Korean, Vietnamese, other), Latino and Portuguese, African American, and American Indian populations. Due to the rich diversity of our population, it will be important to determine and evaluate adaptations to the EBPs necessary for meeting the unique needs of communities served. Geographically, Hawai'i consists of urban, suburban, and rural areas both within the same island as well as across the different islands. Coexisting urbanization and geographic isolation are a fact of life throughout much of the State and will be taken into consideration. The state will also develop a mechanism to sustain EBP training beyond the life of this project. A Center for Evidence Based Practice has been established within the Adult Mental Health Division of the Hawaii Department of Health and will be responsible for oversight of this project, ongoing training in other EBPs, and all EBP continuing education activities.

Grantee: Five Mountains Hawaii
Program: Drug Free Communities
Congressional District:
FY 2004 Funding: : $100,000
Project Period: 10/01/2003 - 09/30/2005
The grantee will: (1) Reduce substance abuse among youth and, over time, among adults by addressing the factors in a community that increase the risk of substance abuse and promoting the factors that minimize the risk of substance abuse and; (2) Establish and strengthen community anti-drug coalitions.

Grantee: Kumpang Lanai
Program: Drug Free Communities
Congressional District:
FY 2004 Funding: : $100,000
Project Period: 10/01/2003 - 09/30/2005
The grantee will: (1) Reduce substance abuse among youth and, over time, among adults by addressing the factors in a community that increase the risk of substance abuse and promoting the factors that minimize the risk of substance abuse and; (2) Establish and strengthen community anti-drug coalitions.

Grantee: West Kauai Business & Professional Assoc
Program: Drug Free Communities
Congressional District:
FY 2004 Funding: : $100,000
Project Period: 10/01/2002 - 09/30/2005
The grantee will: (1) Reduce substance abuse among youth and, over time, among adults by addressing the factors in a community that increase the risk of substance abuse and promoting the factors that minimize the risk of substance abuse and; (2) Establish and strengthen community anti-drug coalitions.

Grantee: YMCA of Honolulu
Program: Prevention of Meth and Inhalant Use
Congressional District: HI-01
FY 2004 Funding: : $350,000
Project Period: 09/30/2003 - 09/29/2006
Ka Lokahi 0 Na Kanaka is designed to further examine the effectiveness of a community-based intervention approach involving individual and family mentoring to prevent, reduce, or delay Methamphetamine and inhalant use among at-risk Asian and Pacific Islander adolescents between the ages of 11-14 attending middle school in a low- income urban area of Honolulu, Hawaii. This project will target young female and male adolescents of Hawaiian, Samoan, and Filipino descent who have been found to be at high risk for Methamphetamine and inhalant abuse. The mentoring approach utilized in this study is age and gender specific and culturally appropriate for the targeted population. Measures examining changes in drug use, as well as behavioral, family, and school functioning will be documented to evaluate program effectiveness.

Grantee: Coalition for a Drug Free Hawaii
Program: HIV/AIDS Cohort 4 Services
Congressional District: HI-01
FY 2004 Funding: : $350,000
Project Period: 09/30/2003 - 09/29/2008
The Coalition for a Drug Free Hawaii in Honolulu, HI has received a 5 year grant to provide integrated substance abuse and HIV/AIDS prevention services to minority and underserved populations. The grantee plans to increase access to effective gender-specific and culturally relevant SA/HIV prevention services for girls who are runaway, homeless, out-of-school, chronically truant, and status offenders. Project goals are to increase awareness and understanding of the problems; increase the leadership capacity within and among service providers; establish a vision and plan for addressing the problem and supporting girls' optimal health and wellness at the individual and systems level; demonstrate a science-based prevention program adapted for Pacific Island an Asian girls on the islands of Oahu and Kauai; evaluate program effectiveness for this population and sustain the program through integration into supportive local and statewide systems.

Grantee: Ke Ola Mamo
Program: HIV/AIDS Cohort 3 Services
Congressional District: HI-01
FY 2004 Funding: : $350,000
Project Period: 09/30/2002 - 09/29/2005
Ke Ola Mamo proposes an integrated program of substance abuse and HIV prevention for Hawaii's subpopulation that is most at risk for both substance abuse and HIV infection-- Asian and Pacific Islander transgenders, and men who have sex with men (MSM). The project will focus primarily on transgenders (TG) who face more barriers than MSM in being able to access the services benefits of mainstream society.

Grantee: Waipahu Community Association
Program: Drug Free Communities
Congressional District: HI-01
FY 2004 Funding: : $100,000
Project Period: 09/30/2004 - 09/29/2005
The grantee will: (1) Reduce substance abuse among youth and, over time, among adults by addressing the factors in a community that increase the risk of substance abuse and promoting the factors that minimize the risk of substance abuse and; (2) Establish and strengthen community anti-drug coalitions.

Grantee: Honolulu Community Action Prog Inc
Program: HIV/AIDS Cohort 2 Expansion Cooperative Agreements
Congressional District: HI-01
FY 2004 Funding: : $63,636
Project Period: 09/30/2001 - 03/31/2005
'Ahahui 'Opiopio 'Imi Pono (Young People's Association for Well Being) Mentoring Project is a substance abuse and HIV mentoring program for Asian/Pacific Islander youth, with special emphasis on Hawaiians, and Filipinos, ages 12-15, who are at risk for substance abuse and HIV. This project, believed to be the first HIVP/mentoring program specifically for Pacific Islanders, will add new HIVP and mentoring services to existing substance abuse services while integrating primary healthcare services into its expanded system. While three mentors will be matched based on cultural background and youth and family preferences, access to services will be increased with the creation of new and improved linkages among the existing services and agencies within this community.

Grantee: Bay Clinic, Inc
Program: CSAP 2004 EARMARKS
Congressional District: HI-02
FY 2004 Funding: : $248,525
Project Period: 07/21/2004 - 07/20/2005
Pulama I Na Opio 0 Hawai'i, translated to mean Embracing the Youth of Hawai'i, (The Pulama Project) administered by Bay Clinic, Inc., is an initiative that offers access to substance abuse education, prevention, intervention, treatment and aftercare options to teens aged 13-17 years on the Island of Hawai'i. With troubled and at-risk youth as our priority, The Pulama Project decreases fragmentation of services with a network of community health centers, teens and their families, effective substance abuse service providers, programs active in the lives of at risk youth, and government agencies responsible for public health and safety. In our rural island environment diverse cultures converge, marijuana is grown in the wild, alcohol and illicit drugs are easily available, the agriculture and tourism-based economy lacks vibrancy, mainland newcomers and immigrants from the Philippines and South Pacific islands move here, and the indigenous people, the Native Hawaiians, still struggle with the aftereffects of colonialism. Despite the natural beauty of our surroundings and the legacy of "aloha", growing up here can be a difficult task for youth. In CY2000, 6,656 State of Hawaii residents were admitted into substance abuse treatment programs. 24.1% of those residents (1,604) were between the ages of 12-17, and 59.6% (3,967) were Native Hawaiian or Asian/Pacific Islander. In CY2002 the largest residential treatment program for adolescents in the state admitted 25% of their clients from the Island of Hawaii, even though our island has only 12% of the total state population. The "Ka Leo O Na Keiki" 2002 Drug Use Study done by the Hawaii Department of Health's Alcohol and Drug Abuse Division found that our island had the largest proportion of students with elevated risk factors for substance abuse. Clearly, all is not well in paradise. The Pulama Project works with a teen council to create a safety net for at-risk youth and their families, and unique training opportunities

Grantee: Drug Addiction Svcs of Hawaii, Inc
Program: HIV/AIDS Cohort 5 Services
Congressional District: HI-02
FY 2004 Funding: : $250,000
Project Period: 09/30/2003 - 09/29/2008
Asian and Pacific Islander (API) transgenders (TG) and MSM are a difficult-to-reach population, with possibly the highest current rates of HIV and substance abuse among all behavioral and/or ethnic groups in Hawaii. Behaviors and conditions that put these populations (especially TG's) at risk are: prostitution; unprotected anal and oral sex; marginalized status resulting in discrimination and harassment; poverty and homelessness; low self-esteem; and lack of access to mainstream health and social services. The trends in AIDS reporting, HIV treatment and testing data and STD data show that API are a racial category with the greatest need for HIV and substance abuse prevention. The proposed five-year project will serve 250 young API TG's and MSM in the treatment group and will include 150 in the comparison group. Participants will be between ages 15 and 27. In integrating substance abuse and HIV prevention, the project utilizes a combination of strategies from science-based models, from SAMHSA, for substance abuse prevention, and from the CDC, for HIV prevention. For example, the CDC advocates prevention case management, individual-level-interventions (ILl) and group-level interventions (GLI) among others, while SAMHSA indicates that mentoring and alternative activities are effective. The proposed project adapts the following strategies to conform to cultural interests and styles of learning: mentoring; GLI; case management; prevention education; development of life management and social skills; outreach; and alternative activities. In further integrating these disciplines: 1) all staff will be trained to provide both SA and HIV prevention interventions; 2) the curriculum includes two one-hour sessions on the increased risk of unsafe sex due to drug use as well as separate prevention education on SA and HIV; and 3) care plans for the intervention participants will include steps to prevent both SA and HIV.

Grantee: State of Hawaii Department of Health
Program: Cooperative Agreement for Ecstasy & Other Club Drugs Prevention Services
Congressional District: HI-02
FY 2004 Funding: : $292,356
Project Period: 09/30/2004 - 09/29/2009
The State of Hawaii, Department of Health has contracted with the Coalition for a Drug-Free Hawaii propose to conduct the Hawaii Ecstasy Project to expand evidence-based prevention services/practices intervention called Challenging College Alcohol Abuse social norms program that is culturally relevant and effective in address the increasing and urgent problem of ecstasy use among residents in the Windward School District of Oahu. he plan is to modify the Challenging College Alcohol Abuse to address ecstasy and use it with high school students. The project will expand the capacity of service providers, schools, parents and community members to deal effectively with the problem of ecstasy abuse..

Grantee: The Judiciary, State of Hawaii
Program: Adult Juvenile and Family Drug Courts
Congressional District: HI-01
FY 2004 Funding: : $400,000
Project Period: 09/30/2002 - 09/29/2005
Family Treatment Drug Court (jurisdiction over substance abusing parents who have abused or neglected their children): Parents will be guided through 12 months of treatment services that may include addiction treatment, parenting skills, domestic violence counseling, mental health assistance, educational training and job placement. There will be rigorous monitoring by the judge. The program will serve 30 families the first year.

Grantee: Maui Youth & Family Services,Inc
Program: Residential SA TX
Congressional District: HI-01
FY 2004 Funding: : $500,000
Project Period: 09/30/2002 - 09/29/2005
The collaboration between Maui Youth and Family Services, Inc., and the Marimed Foundation for Island Health Care Training, Inc., will provide both agencies with comprehensive experiential learning, aftercare, and continuing care to youth ages 12 to 18. The treatment curriculum, characterized by active learning, outdoor/ocean activities, and cognitive-behavioral approaches, addresses three determinants directly promoting successful relapse prevention: the family, peer environment, and the adolescent's stage of mental and emotional development. Fifty percent of the client population will be native Hawaiian and 11 percent will be Asian.

Grantee: County of Hawaii - Office of the Mayor
Program: Sole Source for Hawaii
Congressional District: HI-02
FY 2004 Funding: : $297,967
Project Period: 08/01/2003 - 07/31/2006
The Ke ala Hou "To Heal; To Restore to Health" project is a program administered by a partnership of Adoledcent Treatment Specialist in Community Based Organizaitons with the Office of the Mayor, County of Hawaii. The community based treatment agencies will provide the youth from the Island of Hawaii with a residential treatment program that is both experientialy and culturally based. The programs targets adolescent methamphetamine users. Treatment consist of 5 components: 1) an experiential learning component in which youth participate in a variety of activities desigined to motivate and foster learning life skills and values; 2) a continuing education component in collaboration with the Dept. of Ed. that allows studnts to remain on grade level while in treatment; 3) A spiritual component which includes culture 4) counseling to address underlying feelings and provide coping mechanisims 5) intensive family involvement using traditional Hawaiian concepts as well as theories that address open communication, trust building and using common goals to work through issues.

Grantee: Department of Health, State of Hawaii
Program: State Data Infrastructure
Congressional District: HI-02
FY 2004 Funding: : $100,000
Project Period: 09/30/2002 - 09/29/2005
ADAD plans on accomplishing the SDI goals by collaborating with CSAT in the development of standard measures (data definition and formats for presentation and storage), implementation rules using Web Information Technology (Web IT), and in the promoting of common performance data definitions, one time data entry, systematic analysis of performance data, reuse of Web applications, and compliance with the Health Insurance Portability and Accountability Act (HIPAA) of 1996. As a result, ADAD will propose partnerships with related in-State programs such as mental health, Medicaid, and criminal justice. ADAD proposes also to build staff capacity by developing technical staff for the analysis of treatment access, quality assurance, and provider/program performance.

Grantee: Department of Health, State of Hawaii
Program: Treatment of Persons w/Co-Occuring Substance Related and Mental Disorders
Congressional District: HI-02
FY 2004 Funding: : $1,009,743
Project Period: 09/30/2003 - 09/29/2008
The collaborative and cooperative efforts of Hawaii's Department of Health, including the Adult Mental Health Division (AMHD) and Alcohol and Drug Abuse Division (ADAD) will develop and enhance the capacity and infrastructure of the State of Hawaii's service system to provide integrated, evidence-based treatment services to people who have co-occurring substance use and mental health disorders.