THE COMMUNITY OF HILO
AND
MENTAL HEALTH KOKUA
SW 631 – Michael Makekau
Instructor – 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
HAWAII MENTAL HEALTH STATISTICS
Total Individuals Served by Adult Mental Health Division Statewide 2003-2007
Total Individuals Served by Adult Mental Health Division County 2003-2007
Celebrating 40 Years in Hawaii
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.
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/Hawaii
Served 170 people
22, 360 Bed Days (95% occupancy)
90% Improved Independent Living Skills
Maui
Served 915 people
17,520 Bed days (87% occupancy)
90% Decreased Homeless
Oahu
Served 338 people
27,735 Bed Days (95% occupancy)
95% Increased Quality of Life
Kauai
Served 26 people
5,475 Bed Days (85% occupancy)
90% Increased Quality of Life
MENTAL HEALTH KOKUA
SAFE HAVEN PROGRAM (Oahu)
Served 77 people
9,125 Bed Days (95% Occupancy)
81% Increased Quality of Life
PEER COACH (Statewide)
Served 97 People
52 PEER Coaches hired by MHK
97% Increased Skills
Note: MHK hires more people with mental illness than any
other company in Hawaii.
MENTAL HEALTH KOKUA 2011 DEMOGRAPHICS
Statewide Characteristics of Persons Served
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 STAKEHOLDER SURVEY
SCALE 1= Strongly Disagree 5 = Strongly Agree
CARF ACCREDITATION
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.
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 Hilo
1997 - 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 Oahu
2012 - 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.
Outcomes
Outputs
Inputs
Activities
Participation
Short
Staff
Board of Directors
County Advisory
Board
Administrative
Management
Volunteers
Committees
Facility/Site
Locations
Kauai
Oahu
East Hawaii
West Hawaii
Maui
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
Funding
Aloha United Way
Hawaii Community
Foundation
Kaiser Permanente
Harry & Jeanette
Weinberg Foundation
Foodland
Define mental health
research gaps and
agenda.
Identify opportunities
for programs.
Generate
understanding that
addressing mental
health issues is
fundamental for
establishing
physical health.
Serve the needs of
the community with
respect to the
specific target
population of the
mentally ill.
Medium
COMMUNITY
Identify 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.
INDIVIDUAL
Treat, refer, and
encourage selfmanagement 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.
In-Kind Donations
LOGIC MODEL - MENTAL HEALTH KOKUA
Long
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.
Problem, Issue or Geographic Area Assets (resources)
Concern Being
the Organization
Addressed
Serves/could
serve
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 which
the org should
partner in the future
Assisting
individuals with
mental illness to
address mental
health issues and
work towards
recovery and
independent
ways of living.
Resources
originating outside
the neighborhood
Residents
Churches
Vocational Rehabilitation
Alumni –
Mentorship
Military (Hickam
AFB)
US Dept. of Housing and
Urban Development
(HUD)
Higher education
institutions
Staff
HPD
Churches
PEER Coaches
Investment
developments
Residential
Assistants
Public information
Students
Businesses
Volunteers
Land
Home-based
enterprises
Currently Serves: Contributions,
gifts, grants, and
Kauai
similar amounts
Oahu
received
Maui
Hawaii
Direct public
support
Could Serve:
Indirect public
Molokai
support
Lanai
Other Rural
Government
Areas
contributions
(grants)
Program service
revenue
Employment
Interest on savings partnerships
and temporary
Banks
cash investments
Media Institutions –
Newspaper, Radio,
Residential Homes Social Networks
(Own)
Welfare Expenditures
Other income
Technology
Information
Federal Gov’t.
More businesses to
provide workplace
employment
Hospitals
State and County
Institutions/Programs
Other mental health
institutions
Public Schools
The Food Basket
Civic clubs
Libraries
Bank of Hawaii
Cultural Programs
Parks
First Hawn Bank
Social Service
Agencies
Radio/TV Stations
Organizations that
provide activities for
individuals with mental
illness
Service Clubs
Individual
businesses
Athletic Clubs
KOKUA Counseling
Centers
Boy/Girl Scouts of
America
Government
Officials
Communities
Kona Neighborhood
Vacations Hawaii
American Psychiatric
Assoc.
Aloha United Way
Salvation Army
Aloha United Way
Capital Improvement
Expenditures
Kaiser Permanente
Foodland Hawaii
ARC
Being able to
survive w/o gov’t
funding during
cutbacks
Organizational Asset Inventory
RECOMMENDATIONS
$9,000,000
FINANCIAL STATEMENT
2011 - MHK
2003 2004
2005
2006
Revenue = Purple
Expenses = Yellow
Assets = Green
Amount of income in 2011: $7,939,022
Mental Health Kokua
Other organizations performing similar types of work
$7,939,022
$313,496
Assets in 2011: $8,767,535
Mental Health Kokua
Other organizations performing similar types of work
$8,767,535
$128,300
2007
2008
2010
2011
Donate online: www.mhkhawaii.org
Monetary Donations - Corporations & Foundations:
Aloha United Way Combined Federal Campaign
Foodland GiveAloha
Harry & Jeanette Weinberg Fdn., Inc.
Hawaii Community Foundation
Hawaii Island United Way
Honolulu Friends Meeting
Kaiser Permanente
Katherine Grosscup
Kauai United Way
Maui United Way
Rotary Club of Kahului
The Movie Museum
Winifred Mann Trust
Western Union
Hawaii Hotel Associations
In-Kind Donations - Corporations & Foundations:
Elena’s, Home of Filipino Food
Diverse Mortgage
Kaloko Furniture
Let Them Eat Cupcakes
Sts. Peter and Paul Church
COSTCO
Roy’s Waikoloa Bar & Grill
Big Island Candies
KTA Stores
Blue Hawaiian Helicopters
Legal Aid Society
Sts. Peter and Paul Church
2013 Board of Directors
Uson Ewart, Chair
Sean Tadaki, Vice Chair
Peter Wolff, Jr., Vice Chair
Greg Tatsuguchi, Vice Chair
Cindy McMillan, Secretary
Ronald Gregorio, Treasurer
John Breinich
Patrick Duarte
Alan Tamanaha
Anthony Guerrero, MD
Joanne Nakashima
Pat Duarte
Elaine Waldow
Terrence Watanabe
Hawaii County Advisory Board
Angela Gannon
Irene Solloway
Maui County Advisory Board
Glenn Kunitake
Charles Maalea
Elaine Waldow
Kauai County Advisory Board
Joanne Nakashima
Administrative Management Staff
Greg Payton -Chief Executive Officer
Dennis Koo - Chief Operations Officer
Summer Such - Chief Financial Officer
Keisha Bolden - Chief Human Resources Officer
Jim Carter - Director of Programs
Frank Cummings - Maui County Services Director
Gary Michell - Hawaii County Services Director
Les Gusman - Oahu County Services Director
Pamela Menter - Safe Haven Services Director
Jessieann Yokoyama - Consumer & Senior Services
Director
Merrily Worrell - Kauai Program Services Manager
Melby Albano-Housing Division Manager
Shelilah 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 from
http://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.