Difference between revisions of "Template:Nhsc-v1-110"

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c o n f l i c t s , and present competing
+
: conflicts, and present competing incentives to maintain cooperative, Hawaiian collective lifeways or to adopt more contemporary, competitive and individualistic lifeways associated with modern American lifeways. A significant part of the problem is perhaps that there are no real alternatives that one can freely turn to aside from the dominant Western lifestyle. A great deal of evidence has been accumulated in particular on how a native Hawaiian child who wants to retain the Hawaiian lifestyle is heavily penalized in the state educational system.  
incentives to maintain
+
 
cooperative, Hawaiian c o l l e c t i ve
+
: Such conficts and stresses foster mental and emotional disorders among native Hawaiian families in particular. In addition, lower levels of formal education attainment and higher levels of unemployment and underemployment contribute to stresses and disorders . . . <u>149</u>/
lifeways or to adopt more
+
 
contemporary, competitive and
+
====Hawaii State Department of Health Programs====
i n d i v i d u a l i s t i c lifeways
+
 
associated with modern American
 
lifeways. A s i g n i f i c a n t part of
 
the problem is perhaps that there
 
axe no real a l t e r n a t i v e s t h a t one
 
can freely turn to aside from the
 
dominant Western l i f e s t y l e . A
 
great deal of evidence has been
 
accumulated in p a r t i c u l a r on how a
 
n a t i v e Hawaiian child who wants to
 
r e t a i n the Hawaiian l i f e s t y l e is
 
heavily penalized in the s t a te
 
educational system.
 
Such conficts and s t r e s s es
 
f o s t e r mental and emotional
 
disorders among native Hawaiian
 
families in p a r t i c u l a r . In
 
a d d i t i o n , lower levels of formal
 
education attainment and
 
higher levels of unemployment and
 
underemployment contribute to
 
s t r e s s e s and d i s o r d e r s . . . 1 4 9/
 
Hawaii State Department of Health
 
Programs
 
 
According to the Hawaii State
 
According to the Hawaii State
 
Department of Health, the community's
 
Department of Health, the community's
 
needs for mental health services
 
needs for mental health services
exceed t h e . a v a i l a b l e public and
+
exceed the available public and private resources, although the State is attempting to decrease the gap and
p r i v a t e resources, although the State
+
make its services available to more
is attempting to decrease the gap and
 
make i t s services available to more
 
 
people. The Mental Health Division of
 
people. The Mental Health Division of
 
the Health Department now operates
 
the Health Department now operates
Line 40: Line 15:
 
centers—five on Oahu, and one in each
 
centers—five on Oahu, and one in each
 
of the other counties (Hawaii, Maui,
 
of the other counties (Hawaii, Maui,
and Kauai). 150/ Many of these
+
and Kauai). <u>150</u>/ Many of these
c e n t e r s also operate s a t e l l i te
+
centers also operate satellite
f a c i l i t i e s to reach more people. The
+
facilities to reach more people. The first ethnic-oriented mental health
f i r s t ethnic-oriented mental health
+
clinic, which is for Chinese-speaking
c l i n i c , which is for Chinese-speaking
 
 
persons, was opened in June 1980. A
 
persons, was opened in June 1980. A
 
new program has also been funded to
 
new program has also been funded to
 
set up a network of community
 
set up a network of community
r e s i d e n t i a l f a c i l i t i e s.
+
residential facilities.
 +
 
 
The centers on the neighboring
 
The centers on the neighboring
 
islands report some problems, mainly
 
islands report some problems, mainly
 
with manpower. The island of Hawaii
 
with manpower. The island of Hawaii
has only one community r e s i d e n t i al
+
has only one community residential
f a c i l i t y fcr m e n t a l l y - i l l adults--wit
+
facility for mentally-ill adults--with
 
only four beds. The county hopes to
 
only four beds. The county hopes to
expand the f a c i l i t y to twelve beds.
+
expand the facility to twelve beds.
 
Maui County reports that outpatient
 
Maui County reports that outpatient
 
services are adequate in the Central
 
services are adequate in the Central
Maui area, but are limited in We&t
+
Maui area, but are limited in West
Maui, the Soutn Shore and "up~countr>
+
Maui, the South Shore and "up-country"
 
areas, and on Molokai and Lanai.
 
areas, and on Molokai and Lanai.
In addition to i t s community menta
+
 
health centers, the Mental healtr.
+
In addition to its community mental
Division also operates four
+
health centers, the Mental health Division also operates four
 
specialized programs:
 
specialized programs:
Courts and Corrections, whijh
+
 
provides mental health
+
* Courts and Corrections, which provides mental health consultation to the State's court and correctional programs;
consultation to the S t a t e 's
+
* Children's Mental Health Services;
court and correctional programs;
+
* Hawaii State Hospital; and
Children's Mental Health
+
* Alcohol and Drug Abuse.
Services;
+
 
Hawaii State Hospital; and
+
The first three of these programs
Alcohol and Drug Abuse.
+
report problems of manpower availability that may restrict services.
The f i r s t three of these programs
+
 
report problems of manpower availab
 
i l i t y that may r e s t r i c t services.
 
 
The Alcohol and Drug Abuse program
 
The Alcohol and Drug Abuse program
 
does not provide direct services
 
does not provide direct services
i t s e l f . Tnrough contracts with
+
itself. Through contracts with private agencies, the program allocates
p r i v a t e agencies, the program a l l o cates
 
 
State and Federal funds to
 
State and Federal funds to
 
twenty-one drug abuse and alcohol
 
twenty-one drug abuse and alcohol
 
programs statewide. The State program
 
programs statewide. The State program
 
does provide technical assistance,
 
does provide technical assistance,
research, and t r a i n i n g to these local
+
research, and training to these local
 
programs.
 
programs.
The Alcohol arid Drug Abuse branch
+
 
 +
The Alcohol and Drug Abuse branch
 
completed a statewide population survey
 
completed a statewide population survey
 
of the incidence and prevalence of
 
of the incidence and prevalence of
 
substance abase in Hawaii. Preliminary
 
substance abase in Hawaii. Preliminary
 
data from the survey indicate
 
data from the survey indicate
t h a t :
+
that:
Hawaii has a s i g n i f i c a n t ly
+
 
higher percentage of people
+
* Hawaii has a significantly higher percentage of people
 
{{p|110}}
 
{{p|110}}

Latest revision as of 21:08, 30 March 2006

conflicts, and present competing incentives to maintain cooperative, Hawaiian collective lifeways or to adopt more contemporary, competitive and individualistic lifeways associated with modern American lifeways. A significant part of the problem is perhaps that there are no real alternatives that one can freely turn to aside from the dominant Western lifestyle. A great deal of evidence has been accumulated in particular on how a native Hawaiian child who wants to retain the Hawaiian lifestyle is heavily penalized in the state educational system.
Such conficts and stresses foster mental and emotional disorders among native Hawaiian families in particular. In addition, lower levels of formal education attainment and higher levels of unemployment and underemployment contribute to stresses and disorders . . . 149/

Hawaii State Department of Health Programs

According to the Hawaii State Department of Health, the community's needs for mental health services exceed the available public and private resources, although the State is attempting to decrease the gap and make its services available to more people. The Mental Health Division of the Health Department now operates eight community mental health centers—five on Oahu, and one in each of the other counties (Hawaii, Maui, and Kauai). 150/ Many of these centers also operate satellite facilities to reach more people. The first ethnic-oriented mental health clinic, which is for Chinese-speaking persons, was opened in June 1980. A new program has also been funded to set up a network of community residential facilities.

The centers on the neighboring islands report some problems, mainly with manpower. The island of Hawaii has only one community residential facility for mentally-ill adults--with only four beds. The county hopes to expand the facility to twelve beds. Maui County reports that outpatient services are adequate in the Central Maui area, but are limited in West Maui, the South Shore and "up-country" areas, and on Molokai and Lanai.

In addition to its community mental health centers, the Mental health Division also operates four specialized programs:

  • Courts and Corrections, which provides mental health consultation to the State's court and correctional programs;
  • Children's Mental Health Services;
  • Hawaii State Hospital; and
  • Alcohol and Drug Abuse.

The first three of these programs report problems of manpower availability that may restrict services.

The Alcohol and Drug Abuse program does not provide direct services itself. Through contracts with private agencies, the program allocates State and Federal funds to twenty-one drug abuse and alcohol programs statewide. The State program does provide technical assistance, research, and training to these local programs.

The Alcohol and Drug Abuse branch completed a statewide population survey of the incidence and prevalence of substance abase in Hawaii. Preliminary data from the survey indicate that:

  • Hawaii has a significantly higher percentage of people
-p110-