who are you?. where are you going? hui ho‘ola o na nahulu o hawai‘i the group that gives life...
TRANSCRIPT
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?