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SIRACUSA:Well, I was wondering, the gentleman raised some issues and I was <br />wondering if our Director would care to address any of them. <br />ALAMEDA:Mr. Director? <br />YUEN:Well, I think there were two questions he asked. One is how did the <br />number eight arise or arose out of our discussions with the State Department of Health as to what <br />the optimum scale of a facility like this would be? They felt that they wanted definitely more <br />than the five unrelated persons. They thought that eight was sufficient. More staff the better the <br />control level. So that’s why we added the staff as being additional to that. The eight was the <br />clients. <br />The variance would, this gets into a technical discussion of a variance. A facility would not <br />qualify for a variance. <br />ALAMEDA:Any other questions for our testifier? Seeing none, thank you very much, <br />Mr. Carter. You can be seated. <br />CARTER:Thank you. <br />ALAMEDA:Sir, could you please state your name and address for the record? <br />MICHELL:My name is Gary Michell. My address, office address is 75-166 Kalani <br />Street in Kailua-Kona. I’m the Hawai`i Island Services Director for Mental Health Kokua. <br />Mental Health Kokua has been providing recovery based rehabilitation housing for adults who <br />have mental illness in the State of Hawai`i for the last 30 years. We do not have any homes right <br />now in the Keaau Ag Lots, and so we’re not involved in that dispute. We are one of several <br />housing vendors that are contracted by the Department of Health, the Adult Mental Health <br />Division in Hawai`i County; and we are monitored and certified by Adult Mental Health <br />Division. <br />Just to give you some ideas of the numbers of consumers that we have served over the past fiscal <br />year, we’ve served 135 consumers. That’s a total of over 15,000 bed days. Current zoning laws <br />allow us to serve only five unrelated persons in group homes. We recently opened a property in <br />the upper Kaumana section, a very large property about 2,500 square feet. We currently have <br />five consumers in that house, although we’re capable of accommodating very easily eight <br />consumers. What that means is that right at this very moment there are three consumers out <br />there that either have inadequate housing or they’re homeless. <br />Our studies have shown that the mentally ill, if they had adequate housing, mental health <br />treatment is more effective, there’re fewer hospitalizations and they live more productive lives. <br />On the other hand, for the mentally ill who do not have adequate housing, what we find is that <br />they decompensate, they destabilize; and the end result is the use of County funding for police <br />intervention, for emergency room visits, for increased hospitalization, and so forth. <br />EXHIBIT D <br />9 <br /> <br />