Drug Addiction Services of Hawaii, Inc.

Outpatient

Drug Addiction Services of Hawaii, Inc. Program Information

Gender:
Ages: 18 and over
Grades:
Estimated Enrollment:
Length of Stay:
Program was founded in: 1976
Accreditations: Affiliations:

Drug Addiction Services of Hawaii, Inc. Contact Information

Address:
1130 N. Nimitz Highway, Suite C-302
Honolulu, HI 96817
Phone: 808-961-6822
Fax:
Email:
Website: http://www.dashhawaii.org/
School Contact:
Alternative Contact:
Therapy Provided?:

Program Description:

Kû Aloha has served over 8,000 persons who have had problems with alcohol and substance abuse and addiction since 1976. Through the organization's growth, a new philosophy and approach has emerged which is compassionate, holistic and centered around each participant or “haumana”(student). In July 2006, the Board of Directors voted to change the organization's name to be in line with its new philosophy and services:

Kû Aloha Ola Mau continues to transform and grow true to its name which means, “stand lovingly and compassionately in everlasting life and health”. We stand for those who are struggling to attain recovery and our services are given with the utmost Aloha.

Since 1976, the organization developed prevention education services related to the transmission of communicable diseases, offered intensive outpatient services, culturally and spiritually based services, medical and psychiatric services, pharmacotherapy and has integrated services such as lomilomi, acupuncture by licensed specialists and ho`oponopono by renown kupuna (elders). The program has become a comprehensive program offering psychiatric, social work, primary care, pharmacotherapy to include methadone, buprenorphine and other medications for the addiction of opiates, medication management and case management, outreach and counseling services.

In 1995 the program director received a national award for excellence in the field of opioid treatment. In 2003 this program of Kû Aloha also achieved national accreditation by CARF with the highest recommendation possible.

Kû Aloha’s cultural program in Puna has been recognized by the Center for Substance Abuse Treatment as one of six model rural remote and culturally distinct projects in the nation. In 2003, the organization began working with the transgender population through a planning grant award from the Center for Substance Abuse Prevention. Kû Aloha now participates in clinical trials for pegalyated interferon in the treatment of Hepatitis C and provides numerous community workshops.

Kû Aloha’s history is to incorporate interventions that are innovative and creative. In the past 17 years, Kû Aloha moved towards incorporation of evidenced based practices and research into its creative and loving process. In 1994, the organization began moving toward recognition of the importance of culture and spirituality. Today, the organization has begun serious incorporation of spirituality in all of Kû Aloha’s programs, sites and services.

Kû Aloha’s staff include certified substance abuse counselors, social workers, accounting staff, staff assistants, physicians, a psychiatrist, medical assistants, RN’s and LPN’s, marriage and family therapists and health educator/outreach worker. Volunteers include people from various walks of life including homemaking, graduates of the program, active haumana (student-client), psychology, personally experienced, social work and counseling psychology interns and psychiatric residents.

The organization is located in Honolulu, Hilo and Puna. It serves approximately 350 persons across all of its sites on a daily basis. More than half of these are on the Big Island.

Mission Statement
To create a healing environment free of stigma which provides the opportunity for our haumana to identify and build upon their unique gifts and qualities to create healthy, fulfilling and productive lifestyles which will benefit themselves and the broader community.

We will reach our goals in partnership with our haumana to address spiritual, physical, social, vocational and emotional areas. Fostered by mutual respect, a sense of connection to community and purpose in life will bring out the beauty and goodness “ho`omaikai” in all persons. Evidenced based practices, culturally respectful approaches and a sense of spirituality provide hope and success for people from all walks of life who are dependent on opiates.

Target population
The programs serves adults 18 and over and adolescents with parental consent who are either are or have been addicted to opiates including but not limited to pain medication such as oxycontin, and others and heroin and other illicit narcotics. Participants include local residents as well as participants of other programs on the mainland and from other countries who are in Hawaii on a temporary transfer basis.

Program description
The program provides outreach, interim services, HIV and other communicable disease prevention education, pharmacotherapies such as methadone and psychiatric medication, primary care, psychiatric consultation and substance abuse treatment and continuing care services. Prenatal counseling, hepatitis support group and methadone/NA recovery groups are also offered on site. The program provides short and long term detoxification and maintenance treatment. A haumana (student/participant) advisory board provides support and feedback to continue excellent services and to empower the participant population.

Services
The project offers a mix of activities and curriculum which includes relapse prevention, individual and group counseling, family counseling and drug and alcohol education. Support for vocational and educational needs are provided directly or through referral. Case management and individualized services are creative, participant directed and comprehensive targeted to medical, psychiatric, social, economical, and spiritual needs.

Staffing
The program is run by the Clinical Supervisors, who are CSACs in the Honolulu and Hilo Clinics. They are supervised by the Clinical Director, Marcia Tsue Horiuchi, DCSW, LCSW, CSAC. Seven substance abuse counselors with extensive experience and/or master's degrees provide direct care. The Medical Director is Dr. Joseph Turban, M.D., FACEP and Dr. Charles Park, an addiction Psychiatrist, is available for on-site psychiatric consults. Dr. Samuel Reuben, M.D is the Medical Director in Hilo. Lisa Cook, the Executive Director is the Program Sponsor for both sites. Acupuncturist is Dr. James Zhong.

Site
The facilities are located in Honolulu at 1130 N. Nimitz. Hwy. Ste. C-302 and in Hilo at 900 Leilani Street. The Honolulu site is ten minutes from the Honolulu airport on Nimitz. The Hilo site is five minutes from the airport and one block from the main road.

Funding
The Alcohol and Drug Abuse Division pays for the indigent who do not have QUEST or are not eligible due to exceeding the income status. They also pay for the counseling services for those who have Medicaid insurance. Kû Aloha takes HMSA QUEST and ALOHA CARE QUEST. There are also slots for those referred by Needle Exchange. Haumana (participants) may pay for their own treatment services as well. Some private insurances will reimburse for medication fees.

History
Drug Addiction Services of Hawaii, Inc. initially provided methadone treatment in 1976. This group was primarily comprised of career criminals addicted to heroin. Services were limited and the modality was little known; although the population was fairly large compared to other treatment programs. Since then over 8,000 addicted have been treated and treatment services expanded to include primary and psychiatric care and a comprehensive continuum of care.

Ten years ago, the organization began studying the role of spirituality in treatment and successful recovery. This focus led to a culturally based, assets approach which led to the formation of a drug free program, Hui Ho`ola. Today, Kû Aloha is working towards a full integration of spirituality in all of its programs and services.

Success
Decrease in drug use, increase in stability, decrease in arrest rates for new charges, decrease emergency room visits and psychiatric disturbances, and increases in educational/vocational activities and drug free social activities are some of the measures of success. Hui Ho`omaikai's success parallels that of the Alcohol and Drug Abuse Division's stated rates for all treatment programs in Hawaii.

Defined outcome measures are tacked on a semi-annual and annual basis. There is a consistent increase with active clients who live in a stable living environment, who are not arrested on new charges and who do not access the emergency room. Also indicated are decreased drug usage and psychological distress.

Drug Usage

DASH treated 520 persons addicted to opiates in fiscal year 2000. In treatment,


90% were living in a stable environment
96% were not arrested on new charges.
51% were engaged in education/training programs.
16% were involved in the care of children, parents or other family members
18% were homemakers.
Psychological distress


92% of haumana still enrolled in the program did not access the emergency room for medical services.
93% of haumana still enrolled in the program were not hospitalized for medical problems.
61% of haumana enrolled in the program did not psychological distress.
Six month follow-up of discharged haumana found 91% did not access the emergency room since discharge and 87% were not hospitalized for medical complications.


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