• A survey of the knowledge, attitudes, and practices of formal agency-based service providers on the Coast with regard to their sensitivity to native Hawaiian service needs.
By the beginning of 1983, the first research effort had been completed and documentation of this effort was being produced. The second effort was almost completed, and the third was being initiated.
Another program involving federal funds transferred from the National Institute of Mental Health to the Administration for Native Americans is the "Most-In-Need" (MIN) project. 154/ This program, also administered by Alu Like, addresses the needs of native Hawaiian youth through service system change, as well as improved relations among community, private, county, and state agencies. The need for this program was founded in the experience that native Hawaiian youth were particularly affected by disjointed care from traditional service delivery systems.
On the island of Molokai, the most-in-need group was identified by island human service providers as native Hawaiian youngsters between the ages of 12 and 14 years, residing in the Hawaiian Homestead areas of Hoolehua, Kalamaula, Kapaakea, Kamiloloa and One Alii. Puu Huoli, a subsidized housing project in Kaunakakai, and the Mana'e (east) end of the island, were also targeted. An estimated 2 50 youth fall into the target group.
Since 1979, the MIN Project has contacted and established positive relationships with over 150 native Hawaiian youngsters. The Project operated a demonstration summer program for two years and implemented a special after-school program in 1981 in the Hoolehua, Kaunakakai, and Mana'e areas. In addition, MIN conducted studies in juvenile delinquency and recreation to further clarify problems and concerns on Molokai.
D. MEDICAL HEALTH SERVICES
Among the programs operated by the State of Hawaii in this area are: public health nursing, chronic diseases, and nutrition.
The public health nursing program focuses on "wellness"—health promotion and maintenance, and disease prevention. The program provided services to 33,268 individuals during 1979-80, through visits to homes, private and parochial schools, day care centers, care homes, neighborhood centers, and nursing offices. The program also provides ongoing home health services to eligible people on Molokai and Lanai.
The objective of the Chronic Disease Branch is to reduce the complications and severity of chronic diseases by providing prevention, detection, and educational services. Major activities include:
- Screening for diabetes, hypertension, and cervical cancer;
- Provision of financial assistance to those with end-stage kidney disease; and
- Consultations to medical facilities about the rehabilitation care of chronically-ill patients.
The Nutrition Branch seeks to promote "wellness" in the State through good nutrition and the reduction of the risk of nutritionrelated diseases. Direct nutrition services, consultation to other public and private agencies, and educational services are provided. Recently, the Branch developed and distributed a new publication that is entitled, "You Can Reduce Your Risk of Disease Through