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HomeMy WebLinkAboutCOM 0484.000 1998-2000 M<y or M ALAN S. KONISHT DONALD IKEDA County Clerk Deputy County Clerk ...rr O~`Mr+' CONSTANCE R. KIRIU Legislative Auditor OFFICE OF THE COUNTY CLERK County of Hawaii Hawaii County Building 25 Aupuni Street Hilo, Hawaii 96720 CD October 5, 1999 co 0 ~ ~ "-t c; - Jr The Honorable James Y. Arakaki, Chair ~ Hawaii County Council ~ 25 Aupuni Street Hilo, HI 96720 ~ - w Dear Mr. Arakaki, w RE: Nonprofit Final Reports For your review and perusal, attached you will find thirty-seven (37) year-end reports as required of all County-funded nonprofit organizations. These reports have been reviewed by our office and are in conformance with the Code. Specifically, Section 2-142(d), Hawaii County Code states: In the case of grants, the nonprofit organization shall submit a final written report to the legislative auditor within sixty (60) days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grants and a listing of other funding sources and amounts obtained during the award period. To date, we have not received reports from the Boys and Girls Club of Hilo, the Hawaii Island YMCA Mediation Services, and Rose House. However, our office is currently working with these agencies to fulfill the requirement. Should you have any questions, please feel free to call Legislative Assistant Liana Cox-Ishizu. Sincerely, Constance R. Kiriu Legislative Auditor 1 Comm. No.~~__ F51e No. B l~~ CRK/Ici Ref. To: S E'pC Att. Ref. Date 8 ~ American Red Cross Hawaii State Chapter August 25, 1999 To: County of Hawaii Department of Finance Hawaii Cotmty Building 25 Aupuni Street Hilo, Hawaii 96720 From: Kathleen Yule Director, Branch Operations American Red Cross 4155 Diamond Head Road Honolulu, Hawaii 96816 Subject: Human Services Nonprofit Grant Year-End Report FY98-99 This past year has been filled with many challenges as well as opportunities for the Red Cross as we make ow way into the next century. What became evident in recent mornhs was the need to move to modem emergency communications equipment to ensure service excellence and responsiveness to customers, clients and donors. Changes made by our national organization, as well as collaborating emergency services agencies and our volunteers underscored the need for the Red Cross in Hawaii County to make these improvements, now. Compatible, reliable, computer-based emergency communication tools are a requirement for providing services today. Through the support of the County of Hawaii, the American Red Cross was able to pwchase four state-of-the-art computer workstations plus two color printers for our branch offices in Hito and Kallua-Kona. These technological improvements allow the branch offices to receive up to the minute weather reports concerning approaching storms via the Internet; track volunteer resources via ow CHERS (Chapter Environmert Resowce System) database and keep an inventory of material resowces for disaster response. In addition, vital information required for maintaining quality service delivery to the community is available via the Red Cross corporate website, which the branch offices are now able to access. The Red Cross continues to provide disaster response and preparedness services to the residents of Hawaii County. A wide range of health and safety classes is also made available to enswe the safety and well being of ow communities. Peace of mind is attainable for those families with loved ones in the armed forces as the Red Cross is able to send emergency messages anywhere in the world. Umredwayagency 4155 Diamond Head Road • Honolulu, HI 96816 • Tel. 808-734-2101 Fax: 808-73s-8626 www.hawaii.redcross.org Page 2 For fiscal year 1999 (July 1, 1998 to June 30, 1999) the following services were provided to the residents of the County of Hawaii in our efforts to "provide reliejto victims of disasters and help people prevent, prepare for and respond to emergencies. " Volunteers provided disaster services to eighteen families, victims of single family fires. These families received food, shelter and clothing to meet their immediate, emergency needs. In order to continue to provide these services to their community, 559 volunteers attended various disaster services response classes. Seventy-one courses were offered in Emergency Response to Families I & II, Damage Assessment, Shelter Operations and Mass Care, just to name of few. Forty families were able to contact their loved ones in the armed forces to notify them of a family emergency through the Red Cross emergency communications program. These services are provided 24 hours a day, 365 days a year through a worldwide communications network. Information is verified and delivered to the servicemember's command to assist them with the decision to of whether or not to send the servicemember home. The American Red Cross continued to provide health and safety courses throughout the island in our efforts to promote a safe and heahhy community. First aid and CPR courses enabled 3,674 individuals to be better prepared to respond to a family member or neighbor in need. Through our aquatic program 1,551 children and adults learned lifesaving skills -vital for members of a community surrounded by water! Additionally, over 20 individuals received Nurse AideTraining, which equipped them with the mazketable skills to gain employment as a caregiver. Providing the above mentioned services would be impossible without the support of the 1,110 dedicated volunteers who give of their time and talents to their community. Of these volunteers, 233 are youth or young adults who have learned disaster preparedness skills, to be peer educators in health & safety classes and participated in various community events promoting Red Cross services. All of the Red Cross services provided to the community were enhanced by our ability to upgrade our computer systems at the branch offices. We have been able to manage our material and human resources in a more efficient manner through various databases. The volunteers and paid staff have been able to obtain current information regazding disasters worldwide as well as the latest changes/improvements in service delivery from our national headquarters. The support of Hawaii County has enabled the lead disaster relief organization in the state to have the tools it needs to ensure the safety of Hawaii County's families. The American Red Cross -always there... touching more lives, in new ways... under the same trusted symbol. Organization: American Red Cross Project Name: Connectivity Project Summary of Income ~ F ~ " Total A enc Amount Total P ram Amount u.`.. Count of Hawaii $7,000 $7,000 State of Hawaii Federal Funds Private Foundations United Wa Funds $46,000 Admissions Donations $8,464 Fundraisin $13,514 Pa Phone Vendin Machines Service/P ram Fees $111,196 Third- art reimbursements Tuition Other Please list) Deficit funded b enerel $62,150 operatin fund of Hawaii State Cha ter $248,324 $7,000 Havraii County Grant FY99 19-Aug-59 The Arc C ; IC- C~ ~'ic LEGISL',, ~ • ' ~iTOR 99 JUL 16 Afi II ~ 48 of Hilo 1099 iVninnuenue Avenue Constance R. Kiriu, Legislative Auditor Hilo, Hnzvaii 96720 Office of the County Clerk Phone: (303) 935-5534 County of Hawaii Fn_Y: (sos) 961-oi4s Hawaii County Building 25 Aupuni Street Hilo, Hawaii 96720 Lb'ith over 4l yenrs of Sen~ice, the Arc of Hilo is JUIy 15, 1999 carunitted to securing for nlI yeoyle with ,nentnl Dear MS.KII'IU, retnrdation and outer disnbilities the oyyortttrtity to choose artd The Arc of Hilo provides twenty-four hours a day residential and support services. The support we provide is Administrative, Managerial and renlize tlteirgonls of other supports for our consumers in our Department of Health licensed zvltere ntttt Itozv they [ennt, Domiciliary home. We provide monitoring and the implementation of live, work, n,td ylny. individual habilitation plans and active treatment along with living skills instruction to our consumers. Formerly known as the Hilo Associntio,t for The County funds help support the two required staff members that Retnrded Citizens, Provide the actual hands-on training, cooking, cleaning and maintenance, that is required to operate the home. The home maintains Rni,tbozu Crnfts n,td Hilo individuals with mental retardation and/or developmental disabilities Vocntio,tal Reltnbilitntion who, without our home, might require institutionalization. This would cost certrer. the State and County far more money than it does to keep them in our home and our consumer's own community. T/te Arc of Hilo is qunlificd ns n yroducing The County funds are to cover the short fall for home staff salaries and ngertcy for yeoyle with other operating fiscal short-falls. The only funding we get for staff salaries is from each consumer's Social Security; Level of Care severe disnbilities under payments, which is $517 per month, per consumer. The Level of Care the yrovisio,ts of Public (LOC) payments only cover one staff's salary and benefits for one year. l.n7v 9z-zs, The Jnvirs- This leaves us without funds for the other required staff position and for TVnguer-O'Dny Acr. our relief staff. Because the home is mortgaged through the U.S. Department of Housing and Urban Development, consumer rent is off- An ~(fiuare of The Arc set, depending on their monthly income, which for our group, is their \'nrivnnt orgn,ti_nrio,t. Social Security payments. HUD requires us to put money into a special account; Reserve for Replacement, which is used to repair the home, Y~~ I A United Way Agency such as, toilets, stoves, roof repair and other required maintenance, in order to keep the house in good shape. The consumers, after paying their share of rent, must pay for transportation, food and all other items to meet there needs. They have to do this out of their allotted $474 per month. So, as you can see, there is not enough money to cover all costs that are required, to live a normal life, without the County's assistance. Each consumer has an individual plan that usually cover five domains of training, such as, making choices, self care, mobility, social skills, home management, cognitive skills, i.e., continued math skill development ,time telling, reading and writing, all skills required to maintain each person so that they can live to their full potential. Along with this, they are taught living skills, such as cooking, cleaning, maintaining their personal belongings, shopping and etc. We also have many leisure activities scheduled each day. One note of interest, one of our consumers is blind and wheel chair bound, yet she does her own laundry and even does some cooking using the microwave oven. I hope this gives you a brief overview of what the County's support is doing for our folks and Agency. Without your financial assistance we would have to close the home. This would be quite an upset because our tenants have made this their home, some for as long as seventeen years. Submitted by, Allen Dillon RSS Administrator The Arc of Hilo ~D m July 29, 1999 sue. ~?O_ 1099 A'nimraernre Avenue C p~ Milo, Hnzonii 96720 ~ _ Phone: (303) 935-8534 Constance R. Kirin ' F Far: (S03) 961-0143 Office of the County Clerk a County of Hawaii - Hawaii County Building ° LVitlr oaer 41 years of 25 Aupuni Street J Service, the Arc of Hilo is HIIO, Hawaii 96720 coounitted to securing for all yeoyle with mental Dear COnStanCe, retnrdntior: and other disavitiries the Enclosed please find the Summary of Income report for the Ka Home opportunity to choose and Pulama County Grant funding for the fiscal year 1998-99. realize t/reirgonts of Should you have any questions, please call me at (808) 935-8534. where nrrd /row they team, live, work, and piny. Sincerer( Formerly known as the ,/f Hilo Association for JV LE Retarded Citizens, Allen Dillon Rninbom Crafts and Hilo RSS Administrator Vocational Rehnbititntion Center. The Arc of Hilo is quntified ns n producing agency for yeoyle with severe disabilities under the yrovisions of Public Lnro 92-28, The Jnvits- T\'ngner-O'Day Act. An A.ffilinte of The Arc Nntiarnl Organization. Y~i A United Way Agency Agency%'Organization:THE ARC OF HILG ProjectName:KA HOME PULAMA CILIARY HOME Summary of Income FY 98-99 Revenuuer~ource • _ Total Agency Amount Total Program Amount County of Hawaii I 29,000 _ 2g~ppp Stare of Hawaii Federal Funds - Private Foundations t United Way Funds I 1 9, 4 0 0 I 3 2. 3 3 Admissions Donations Fundraising Pay Phone Vending Machines Servic°.~Program Fees Turd-Par^y re:rrtbursement(s) Tui[ion Others (P!ease list) U ITY LEVEL OF CRRE YMENT FOR 5 TENANTS $310.20 $310.20 -'~,TQT _ $794.20 $fi32.53 *HIVW:.UNITED WAY FUNDS ARE SPLIT BETWEEN OUR 2 APARTMENT COMPLEXES AND KR HOME PULAMR AND THIS AMOUNT REFLECTS FUNDING FOR THE PERIOD OF 1-1-99 THROUGH 6-30-99; HIVW'S FISCAL YEAR. BAY CLINIC, INC. fl fancily o~professionals committed to inipro~iril~ the health o~their communities Hilo Bay Clinic Ka`u Family Health Center Pahoa Family Health Center 311 Eialunianaole A~~enue P.O. Box iU P.O. Box 6}.i.> Hilo, HI 9(ii20 :~a'alehu, H[9ti7i2 Puhua, HI!1tii:H Fillii, 'Jtifl t42~ SUR 9YD-~:iLl xOR'~9G.5-'~~II Fax HUH'. P~~l 47!>.i Fas tillRi 92!)-9USi Fax HUR S1N.; b2 iU uo r .n m rn f? O September 1, 1999mv b~-'~','~ ~ Constance R. Kiriu, Legislative Auditor Office of [he County Clerk 3 ~ 25 Aupuni St. o ~ ; Hilo, HI 96720 ~ a Deaz Ms. Kiriu, Enclosed please find our year-end report on the Violence Intervention Program. Thanks in large part to the county funding for this program, we were able to expand our reach from the Puna district into Ka'u during this past year. Our program is unique because it helps communities that aze unserved in helping men who batter to live in violence-free relationships. To our knowledge, we aze the only healthcaze organvation offering these services to adjudicated men on our island and perhaps in the state. We thank the County of Hawaii for helping to make this possible. Alo~ha~,{ ~ ~ Stepha~:e ! auniu Executive Director Cc: Mary Furlong, VIP Lissa Van Kralingen, Executive Asst. Del De Los Santos, CFO "Seri'itig l~ou l{/!th rlloba" BAY CLINIC, INC. A~amilti of professionalscommitted to irnprnrigr the health of their communities Hilo Bay Clinic Ka`u Family Health Center Pahoa Family Health Center .ill Kalanianaole :ycenue P.O. [lox 70 P.O. Box 14.ii Hilo, H[ 96720 ~\a'alchu, HI t)G77`? I'uhoa. HI !)ti77N NOH~ 9G9-I-127 RUN '1'19-7.i1 l HnN !71;.5 9711 Fax NUS 9ti1-179.1 Pax HOH'~ p49-91!87 Fas HUN !R~,S tU Violence Intervention Project Bay Clinic, Inc. Annual Report, FY 1998-99 The Violence Intervention Project of Bay Clinic, Inc., completed its fourth year of services in the Puna district and the first year of services in the Ka'u district. V[P provides direct services (batterer's groups) to court ordered men who batter in the districts of Ka'u and Puna. We also track compliance and provide collateral services to agencies such as the Judiciary, Adult Probation, and CPS. VIP assists in community awareness and education, and helps to coordinate and implement victim advocacy services for women and children. Objectives and Accomplishments l . V IP achieved the goal of making domestic violence services locally available to individuals and families in the Puna and Ka'u districts. 2. VIP assisted in training and educating community members and agencies of the Puna and Ka'u districts by offering specific trainings to agencies and general information presentations to community goups. These included: *Presentations to the Adult Mental Health Team; Americorps Volunteers; Foster Parents Organization; In-services to several medical providers; any Health fair anywhere; and a bi-monthly presence on KPUA's Community Forum. *Participa[ing in bringing "WhaPs Love Got To Do With [t?", a two part live drama educating teens about dating violence and how to make a safety plan if there is violence in their home. This play was performed at 10 Big Island Schools and included teacher in-services and follow-up. *Presented a 50 minute anger management presentation to six 7'" grade health classes on the Big Island. *Remained a participant of the Domestic Violence Interagency Team, as a voice for Puna and Ka'u; and a member of S.T.O. R.M., networking with other agencies and groups to work towards common goals. *Coordinated the delivery of victim services to women ant children in Puna and Ka'u by referring victims of enrolled batterers to Child and Family Services support groups, and to Family Crisis Shelter, Inc. children's support. Unfortunately, both of these progams will run out of funding in September 1999 and leave many women and children without accessible help, once again. VIP will continue to provide victim support by referring victims to ATV's Victim Component who will conduct safety checks. "Servltig ~/ou U dh ,,llalfa " *Provide more in depth intake and referral services through our Men's Case Manager, including networking with probation officers, CPS workers, and attending court hearings. 3. VIP reduced isolation from services and increased accessibility by increasing [he size of the Puna men's group and adding a Ka'u group that meets Thursdays in Na'alehu. VIP completed 48 groups in Puna and 48 groups in Ka'u. In FY 1998-99 VIP provided services to men as follows: Puna Ka'u Total Intakes 40 23 63 Completions 17 14 31 G:rent Members 18 14 29 Terminations 5 6 I1 Transfers 2 0 2 Ofthe 31 men who completed VIP's batterer's groups: -24 still live with their partner -[he men have direct contact with 78 children (including supervised visits) -three have started over due to recidivism. Many of these men do not have valid drivers licenses or legal transportation to travel to Hilo or Kailua, and would not use those services, making them non-compliant, subject to contempt and rearrest, starting the whole cycle over again. 4. VIP has increased the ability of family members to identify signs of abuse through education and understanding and improved the ways in which they address and resolve their concerns. Every man who is enrolled or has completed the VIP Batterer's program is also a member of a family and the community of Puna and Ka'u. These men become more aware of the use of power and control tactics in their lives and become a resource to their families. VIP staff also are a visible resource to the community of Puna and provide referrals and coordination of services to community members. Staff has made presentations to local schools and organizations and will continue to do so. Victims are more likely to seek help and support if they see the perpetrators receive consequences. 5. VIP has not met the goal of increasing and enhancing multicultural leadership and administrative skills among local community members. Two staff members do facilitation and provide direct services, so they haven't been able to provide employment or training to the community to begin community based leadership. It is interesting to note that two of the men who completed the group said that it increased their communication skills and they are more active in the Hawaiian Sovereignty movement. Other group members serve as coaches, security at schools, and often, because of the rural nature of Puna and Ka'u, we have men who are related to each other in the same group. V[P has had such combinations as father/son, brothers, in-laws and schoolmates or co-workers. The presence of more than one group member in a social or work situation tends to remind men of altema[ive behaviors and provide support in choosing those behaviors by using [he skills taught in group. The intention of the group format is for men to hold each other accountable, a much more achievable goal in a small community. On the Fiscal side, VIP has increased services with the help of a $5,000.00 AlohaCare grant. This money allowed VIP to provide increased case management and offer more community education, such as the play, "What's Love Got To Do With It?". The County of Hawaii Human services Grant provided $18,000.00, which allowed V IP to maintain existing services. Men's group fees were used for mileage expenses. Many of the services VIP provides are performed by volunteers. Summary In 1997 there were 1,091 calls to police for Domestic Violence, with 480 arrests. 20% of these were in Puna and 30% were in South Hilo. In 1998, Puna, with a population of 27,500, reported 276 cases of abuse with 95 arrests. Ka'u, population 5,600, reported 35 cases of abuse with IS arrests. Over all, while the Violence Intervention Program has delivered a high rate of services for the amount of money spent, Domestic Violence services to women and children and community awareness are badly needed in Puna and Ka'u. Our goal is to: *Keep the victim safe *Hold the perpetrator accountable, and *Make the community aware that they have the power to stop domestic siolence. The Violence Intervention Project of the Bay Clinic, Inc. remains committed to building and maintaining healthy, strong, and safe communities. Agency/Organization: Bav Clinic. Inc. Project Name: violence Intervention Program Summary of Income Revertut3 Sources F[SCAL YEAR '[998 -7999 Total A enc Amount Total Pro ram Amount Count of Hawaii 18,000 18,000 State of Hawaii 86 291 Federal Funds 321 304 Private Foundations 42,303 5,000 United Wa Funds Admissions Donations 9,969 Fundraisin Pa Phone Vendin Machines Service/Pro ram Fees 1,412 727 3,760 Third- art Reimbursements 1,158 379 Tuition Others Please list 245,670 Rental, Interest & Other Income; Sales; Reimbursements; Refunds; Patient Fee Receivables; Other 3rd Party Receivables 'TOTAi_ ~tEUENUES 3,294,643 26,760 Big Island AIDS Pr r' ~ . ' - ~~ii C:'E ~.~~~iTOfi 2U-}3 Kino'ole Stree[ Hilo, Hawaii 96-2U Phone (808)951-2~Z8• FAX (805)951-?k29 • Ema~~B~P~~TLr~~.~~ 7/18/99 Constance R. Kiriu Legislative Auditor County of Hawaii 25 Aupuni Street Hilo, Hawaii 96720 Deaz Constance Kiriu: Board of Directors Chuck t open Attached is the naaative as required for recipients of the county's Presidenr nonproSt grapt. 1998 - 1999. I have enclosed a sheet detailing funding received from other sources and reports due to funding Phil Siple SOl1rC0S. Via' President ste~e Fiesselton Thanks to county support, Big Island AIDS Project was able to Secrrrar~ provide quality case management services to ninety -one people infected with the HIV virus. If you should have questions Virginia scnnster regarding this report please call me at 981-22428. Treasurer Newton Chu S1llcerely, Donna Date Lorene Hough Mat')' H S p Executive hector ~ Crnig Lvman . Gail Makuakane-Lundin - Dr. Jon Martell ~ - - Jeffrey Mende Georgia Merrill Dr. Sara Millman Marv Hyslop Erenitii~c Dircdor ~ i i,~,,.~, i,i.,,,a Big I91and AIDS Project Final Repoli County Funding 1998 - 1999 BIG ISLAND AIDS PROJECT COUNTY NON-PROFIT GRANT NARRATIVE 1998 -1999 JULY, 1999 During the 1998 - 1999 fiscal yeaz, Big Island AIDS Project received $8000 in county grant money to provide case management services to people living with HIV/AIDS in East Hawaii. Case managers provided a comprehensive needs assessment to twenty-four (24) new clients infected with the AIDS virus. Based on the needs assessment, a Gaze plan was developed for each individual. This caze plan identified in what azeas assistance was needed. Referrals and advocacy were provided based on this plan so that people could access medical services, housing, food, insurance, financial assistance, transportation, employment assistance, etc. Case management serves the public good by helping people get the medical, support and financial caze they need. Case managers in collaboration with the client's physician monitor the health and well being of then clients so those clients can remain productive members of the community. People who receive case management services eazly in the disease process often remain healthy and productive for many years. Case managers also discuss with clients how the disease is spread and what to do to keep from infecting others. Because there is no cure or vaccine for AIDS, education is extremely important. Case managers also refer men and women who aze HIV positive to the Big Island AIDS Project prevention educator to provide in-depth harm and risk reduction sessions. The mission of the Big Island AIDS Project is to prevent the spread of HIV and AIDS and to maximise the quality of life for those affected. County money is and was critical to this mission. Maximizing the quality of life is a direct outcome of case management. Providing health education/harm reduction and risk assessments on a one to one basis is one of the most effective ways of preventing the spread of the virus. Big Island AIDS Project used county money to provide these critical services. During 1998-1999, twenty-four (24) new clients with HIV/AIDS were provided case management and prevention education services through Big Island AIDS Project's case management services. The total number of persons with HIV/AIDS who were provided services through case management was ninety-one. (91) Additionally, Big Island AIDS Project provided HIV transmission training to over 114 work sites in East Hawaii including the County Water Department and the Department of Pazks and Recreation. Prevention education was provided to high risk teens at the Salvation Army Interim Home, Teen Court, Boys and Girls Club, Big Island Substance Abuse, Hale Ohara and the YMCA.HIV education on how to protect themselves and others from the HIV virus. Over thirty calls a month aze received by the agency from community residents asking where they can be tested for HIV. Referrals aze made to a number of sites on the island depending on how much privacy an individual wants. I Big Island AIDS Project Final Report County Funding 1998 - 1999 Big Island AIDS Project received the following funding in 1998 - 1999 and is required to submit the following quarterly and final reports to: Department of Health HIV/STD Prevention Branch: Federal funds Monthly fiscal reports, quarterly narratives, final narrative and fiscal report. Funds received: $256,240 Department of Health HIV/STD Prevention Branch: -State funds - Monthly fiscal reports, quarterly narratives, final narrative and fiscal report. Funds received: $74,780 AIDS Community Care Team: Federal Ryan White funding - Monthly fiscal reports, quarterly narrative reports, final narrative and fiscal report. Funds received: $52,242 Maui AIDS Foundation -Federal funds. Monthly fiscal reports for HUD housing money Funds received: $11,750 State o[Hawaii Office of Housing: -Federal HOPWA funding Annual fiscal and narrative report. Amount is pass through from Maui AIDS Foundation (see above) Hawaii Island United Way -Monthly fiscal reports, quarterly narratives and final fiscal report. Funds received: $4500 Hawaii Community Foundation: Final report narrative and fiscal accounting Funds received: $5200 Atherton Foundation: Final narrative and fiscal report. Funds received: $4000 2 BIG ISLAND AIDS PROJECT 07/19/99 Custom Report July 1998 through June 1999 Jul '98 -Jun '99 Income 4400 • GRANTS 4460 • COUNTY OF HAWAII 8,000.00 Total 4400 • GRANTS 8,000.00 Total Income 8, 000.00 Expense 5100 • GROSS PAY 7,240.00 5200 • PAYROLL TAXES 5210 • FICA/MED 473.36 5220 • SUI 286.64 Total 5200 • PAYROLL TAXES 760.00 Total Expense 8,000.00 Net Income 0.00 Page 1 ~~gStANCF 4eG SAO R BrG Isl..-~~~ SussT~~ic~ ABL~sE COL'~iCII. August 31, 1999 . ,~,cra'e Otlice a':enl treatment „ie„~;e Constance R Kiriu Legislative Auditor A so' Fax County of Hawaii c c; 25 Au uni Street w P ro ^ =i Hilo, Hawaii 96720 *~~escent Outpatient Treatment oy S.A. F. E. Pr°gram , ~ ' ~.feP, RE: Big Island Substance Abuse Council N , -,:.a ~ ae;zo East Hawaii -Substance Abuse Treatment Pro ram ' ~a~rt g ° O ._3r,e; ~ Year-End Report ~ ~ Cem Ola Hou ~ Men Deai Ms. Klrlu: ~~ic^_alic Living Program s'"~i Through the past yeaz and with the help from Hawaii County, the Big Island Fe72g Substance Abuse Council (BISAC) has been expanding and enhancing our substance abuse treatment programs to address the needs of the residents of the Wahl Ola Hou -Women a;;r.mlc dying Program County of Hawaii. The BISAC East Hawaii program has served over four ,creec hundred (400) adults, adolescents and children (infant to age 5) our Outpatient ee~zg Substance Abuse Treatment Programs and Children's Milieu Program. Of these, thirty-eight (38) clients obtained services through the County's funding aFrne H°~opulapula 0 Na Wahine award. BISAC has been able to meet and su ass our ob'ectives to serve this apeutic Living Program ~ ~ _,ao st~aei tazget population. -v:~a•i 96720 GoaUBenchmark #I: OO:palienl Treatment BISAC's goal is to decrease the debilitating consequences of alcohol addiction Baby S.A.F.E. Program and other drug use and abuse among adult and adolescent residents of East a% Ka.w. street Hawaii by providing educational and vocational training, individualized ~a,. zms substance abuse treatment, and thera eutic livin Our benchmark measures a~Knna. Hawan 96745-2073 p g• a,a-o2ea and reflects sixty percent (60%) of clients who successfully complete treatment a ?,a-oz7t Fax demonstrated a life style of recovery as evidenced by "clean" Urinalysis testing at three (3) and six (6) months after completion of treatment. This acts as a wAiMEA ualit indicator that drives ro am chan a and direction of treatment outoaiient Treatmem q y p ~ g ~ '?o Mamala'noa Highway services. C-n and C-12 -~s. t•awan 96743 sw~st;s GoaUBenchmark#2: ~s;-oeos Fax BISAC's goal is to affect significant change in functioning levels for substance abusing adults and adolescents in regards to job readiness. Thus, by providing vocational counseling and improving educational status, the client will :v^:atienl Treatment :5 d;ala;a Roan experience an improved quality of life in their function capacity, coping skills ' ~ and family life style, which will include a successful reintegration into the ~a,:a~: esnz-ag, s -_.;301 3-27 =ax r. + Page 1 of 3 Constance R. Kiriu August 30, 1999 community of East Hawaii. Our benchmark met the seventy-three percent (73%) of all BISAC clients who successfully complete treatment achieved one (1) or more of the following goals to diminish their access to public entitlements: obtained employment; enrolled in school or vocational training; or participated in volunteer service. This benchmark drives quality changes within BISAC's pre-vocational, educational and career curriculum to better foster market change and employment opportunities in East Hawaii. The steps BISAC took for each goal are as follows: Objective #1: 1) At least one (1) substance abuse educational Public Service Announcement was conducted quarterly. 2) BISAC provided over forty (40) Community Education presentations requested by agencies or organizations in which there is an identified need. 3) Staff Training was conducted monthly for outside participants on and off the island. 4) BISAC has a Quality Assurance Program which assures improvements based on identified needs. 5) Clinical Supervision was provided to all staff for a minimum of one (1) hour weekly to assure all staff maintained high professional standazds and treatment efforts remain focused. 6) Consumer focus groups were held quarterly to receive input from consumers in order to enhance program services. 7) Consumer Satisfaction Surveys were conducted monthly with the input computed and circulated about the agency in order to improve services. 8) Comprehensive evaluation of all clients served enabled our network providers to address identified needs while the client is still in treatment. 9) BISAC's collaboration with the University of Hawaii and Hilo Community College ensured that each client entering treatment had access to these services. 10) BISAC's Collaboration with the Workforce Development Division and First-to-Work program increased independent and vocational involvement. Objective #2• 1) BISAC conducted urinalysis (U/A) upon admission and randomly selected clients for U/A within a seven (7) day period. 2) The relapse prevention plan was presented within first three (3) weeks. 3) Clients were triaged in their appropriate level of treatment within twenty-four (24) hours of treatment admission. 4) Clients completed the relapse prevention plan within the social milieu on a daily basis. 5) Clients self disclosed and internalized coping strategies at two (2) weeks in group. 6) Clients provided written verification for 12-step support groups at three (3) weeks. 7) Clients attended appropriate cultural or community events supporting their recovery efforts. 8) The three (3) and six (6) month follow-up surveys indicated that clinically dischazged clients did not require any new treatment episodes. 9) Clients attended Aftercaze sessions at three (3) and six (6) months post treatment to ensure recovery efforts and requirements for new treatment episodes. Page 2 of 3 Constance R. Kiriu August 30, 1999 10) All clients completed a resume within thirty (30) days of admission. 11) All TLP clients attended three (3) job interviews prior to dischazge. 12) All clients attended vocationaUeducational classes and develop job readiness skills at three (3) weeks. 13) Clients established a bank account within one (1) month of treatment. 14) All TLP clients were able to complete appropriate personal hygiene, meal preparation, laundry and budgeting within first three (3) weeks of treatment. 15) Clients avoided previously established detrimental relationships within the first six (6) weeks of treatment. Clients will be able to identify and avoid high-risk situations within eight (8) weeks of admission. l6) Clients obtained a supportive sponsor within two (2) weeks of admission. 17) Clients attended family therapy at one (1) time per week. 18) Clients attended group sessions five (5) times per week to develop positive relationships with peers, self and others. BISAC adheres to the belief that chemical dependency is a disease with amulti-generation impact. This disease must be treated from a holistic (physical, spiritual, emotional) approach in order to achieve long term success. With the integration of family therapy, group therapy, education, intensive case management and referral, the disease of addiction can be forced into remission. When remission occurs, the individual can have a positive effect on the faznily and become a contributing member of society, as opposed to a drain on the County's ever-decreasing resources. Part of BISAC's treatment methodology is enculterated in its multidisciplinary treatment team, which is comprised of medical doctor who specializes in addiction, a certified chemical dependency nurse, certified chemical dependency counselors, vocationaUeducational therapist, masters degree mental health professional, a psychiatrist and numerous consultants. As such, services delivery is provided to clients by individual treatment planning based on their problems and needs and triaged into an appropriate level of caze. Through the County of Hawaii grant for our East Hawaii treatment programs, BISAC was able to continue to serve the indigent residents and families of East Hawaii. Enclosed, please find a Summary of Income for the BISAC East Hawaii Programs. Should you require any further information, please contact me or my Administrative Assistant, Paulette Smith at (808) 935-4927 ext. 223. Sincerely, ~L~Z~ Gloria J. Egle-Oaks, CSAC, RAS Chief Executive Officer GEO/pls Enclosure Page 3 of 3 AGENCY/ORGANIZATION: BISAC Project Name: SA Treatment EH Summary of Income Revenue Sources PRECEDING FISCAL YEAR 1998-1999 Total Agency Amount Total Program Amount Count of Hawaii 50,000 25,000 State of Hawaii 1,127,904 842,359 Federal Funds 10,315 7,515 Private Foundations 50,000 25,000 United Wa Funds 17,500 14,875 Admissions - Donations 1,471 1,454 Fundraisin 5,143 5,143 Pa Phone - Vendin Machines - Service/Pro ram Fees - Third- art Reimbursements 525,165 394,321 Tuition - Others (Please list) - Client Private Fees 1,865 1,265 DHS Client Fees 38,125 38,125 Interest Income 5,579 5,579 Miscellaneous 904 715 TOTAL REVENUES 1,833,971 1,361,351 Clients Served by Modality Clients units Therapeutic Living 5 5s Day Treatment 3 1a Intensive Outpatient 27 1as Outpatient Treatment level 3 5 Total 38 AGENCY/ORGANIZATION: BISAC Project Name: SA Treatment WH Summary of Income Revenue Sources PRECEDING FISCAL YEAR 1998-1999 Total Agency Amount Total Program Amount Count of Hawaii 50,000 25,000 State of Hawaii 1,127,904 285,545 Federal Funds 10,315 2,800 Private Foundations 50,000 25,000 United Wa Funds 17,500 2,625 Admissions _ Donations 1,471 17 Fundraisin 5,143 - Pa Phone _ Vendin Machines _ Service/Pro ram Fees _ Third- art Reimbursement(s) 525,165 130,844 Tuition _ Others (Please list Client Private Fees 1,865 600 DHS Client Fees 38,125 - Interest Income 5,579 - Miscellaneous 904 189 TOTAL REVENUES 1,833,971 472,620 Clients Served by Modality Clients units Day Treatment 3 1a Intensive Outpatient 65 3a3 Outpatient Treatment level 9 75 Total 77 A~ ~T/~~ / C`q~ BRANTLEY p.O. Box 1407, Honokaa, Hawaii 96727 • Telephone: (808) 775-7245, Fax: (808) 775-0211 ~ , CENTER, INC. 'Rehahilitation Opportunities far Persons with Handicapping Conditions" q~. ~r August 10, 1999 ~ 6` Constance R. Kiriu Legislative Auditor Office of the County Clerk Hawaii County Building 25 Aupuni St. Hilo, HI 96720 Dear Ms. Kiriu: Enclosed please find the Annual Report for FY 1998-99 and the Summary of Income Report. I have sent an original plus two copies. If you have any questions, please call me at 775-7245. Sincerely, Cami Post Administrator w,,, n un~rea ww ngencv ANNUAL NARRATIVE REPORT FY 1998-99 The public has benefited in several ways by utilizing County funds to provide transportation services to people with disabilities. Brantley Center offers a variety of services to rural communities. These services include: yard maintenance services, janitorial services, t-shirt silk screening services, small assembly services, and vehicle cleaning services. Brantley Center stafftransport consumers to and from various job sites each day in order to provide community based vocational skills training. The Center is the only community rehabilitation program for people with disabilities who reside in the rural azeas of Hamakua and North and South Kohala. County funding is critical to the mission of Brantley Center, Inc. Due to the large geographical azea we serve, reliable transportation is very important in order to provide community based vocational training, and training on accessing community resources. During FY 1998-99, Brantley Center, Inc. provided vocational skills training and independent living skills training to forty-one (41) consumers. We served an additional (2) consumers compazed to the previous yeaz. A total of thirty-four (34) consumers were provided rehabilitation services at any one time for FY 1998-99. Sixteen (16) consumers increased their levels of functioning in independent living skills enabling them to live more independently in their community. Twenty-one (21) consumers increased their levels of functioning in social skills and skills in accessing resources within their community. Eighteen (18) consumers increased their levels of functioning inpre-vocational and vocational skills which has increased their employability and ability to become financially self-sufficient. Seven ('n consumers obtained competitive employment during FY 1998- 99. The Following is a list of state, federal, and private funding sources and reporting requirements: Department of Health -Quarterly narrative and expenditure reports Department of Human Services -Quarterly narrative and expenditure reports Hawaii Island United Way -Quarterly narrative and expenditure reports ANNUAL NARRATIVE REPORT FY 1998-99 The public has benefited in several ways by utilizing County funds to provide transportation services to people with disabilities. Brantley Center offers a variety of services to rural communities. These services include: yazd maintenance services, janitorial services, t-shirt silk screening services, small assembly services, and vehicle cleaning services. Brantley Center staff transport consumers to and from various job sites each day in order to provide community based vocational skills training. The Center is the only community rehabilitation program for people with disabilities who reside in the rural areas of Hamakua and North and South Kohala. County funding is critical to the mission of Brantley Center, Inc. Due to the lazge geographical azea we serve, reliable transportation is very important in order to provide community based vocational training, and training on accessing community resources. During FY 1998-99, Brantley Center, Inc. provided vocational skills training and independent living skills training to forty-one (41) consumers. We served an additional (2) consumers compazed to the previous yeaz. A total of thirty-four (34) consumers were provided rehabilitation services at any one time for FY 1998-99. Sixteen (16) consumers increased their levels of functioning in independent living skills enabling them to live more independently in their community. Twenty-one (21) consumers increased their levels of functioning in social skills and skills in accessing resources within their community. Eighteen (18) consumers increased their levels of functioning in pre-vocational and vocational skills which has increased their employability and ability to become financially self-sufficient. Seven (7) consumers obtained competitive employment during FY 1998- 99. The Following is a list of state, federal, and private funding sources and reporting requirements: Department of Health -Quarterly narrative and expenditure reports Department of Human Services -Quarterly narrative and expenditure reports Hawaii Island United Way -Quarterly narrative and expenditure reports ANNUAL NARRATIVE REPORT FY 1998-99 The public has benefited in several ways by utilizing County funds to provide transportation services to people with disabilities. Brantley Center offers a variety of services to rural communities. These services include: yard maintenance services, janitorial services, t-shirt silk screening services, small assembly services, and vehicle cleaning services. Brantley Center staff transport consumers to and from various job sites each day in order to provide community based vocational skills training. The Center is the only community rehabilitation program for people with disabilities who reside in the rural azeas of Hamakua and North and South Kohala. County funding is critical to the mission of Brantley Center, Inc. Due to the lazge geographical azea we serve, reliable transportation is very important in order to provide community based vocational training, and training on accessing community resources. During FY 1998-99, Brantley Center, Inc. provided vocational skills training and independent living skills training to forty-one (41) consumers. We served an additional (2) consumers compazed to the previous yeaz. A total ofthirty-four (34) consumers were provided rehabilitation services at any one time for FY 1998-99. Sixteen (16) consumers increased their levels of functioning in independent living skills enabling them to live more independently in their community. Twenty-one (21) consumers increased their levels offimctioning in social skills and skills in accessing resources within their community. Eighteen (18) consumers increased their levels of functioning in pre-vocational and vocational skills which has increased their employability and ability to become financially self-sufficient. Seven (7) consumers obtained competitive employment during FY 1998- 99. The Following is a list of state, federal, and private funding sources and reporting requirements: Department ofHealth -Quarterly narrative and expenditure reports Department of Human Services -Quarterly narrative and expenditure reports Hawaii Island United Way -Quarterly narrative and expenditure reports Agency/Organization: Rran i P,y c'PmPr_rn~Ioject Name: 'transportation for people with disabilities - Hatnakua Summary of Income Total Agency Amount Total Program Amount County of Hawaii 2 0 0 0 0 2 0 0 0 0 State of Hawaii Federal Funds Private Foundations United Way Funds 13 5 0 0 Admissions Donations 2 7 3 8 8 Fundraising (net) 7 610 Pay Phone Vending Machines 3 3 6 Service/Program Fees 8 5 5 0 8 Third-parry reimbursement(s) Tuition Others (Please list) Refunds 6387 Interest 186 338293 20000 Agency/Organization: sranr~ Pv f Pntar. rn~ioject Name: 'tr'ansportation for people with disabilities - Hatnakua Summary of Income Total Agency Amount Total Program Amount Counry of Hawaii 2 0 0 0 0 2 0 0 0 0 State of Hawaii Federal Funds Private Foundations United Way Funds 13 500 Admissions Donations 2 7 3 8 8 Fundraising (net) 7610 Pay Phone Vending Machines 3 3 6 Service/Program Fees 8 5 508 Third-party reimbursement(s) Tuition Others (Please list) Refunds 6387 Interest 186 338293 20000 Agency/Organization: BranrlPy center,-. Tn~IojectName: Transportation for people with disabilities - Haniakua Summary of Income Total Agency Amount Total Program Amount Counry of Hawaii 2 0 0 0 0 2 0 0 0 0 Slate of Hawaii Federal Funds Private Foundations United Way Funds 13500 Admissions Donations 2 7 3 8 8 Fundraising (net) 7610 Pay Phone Vending Machines 3 3 6 Service/Program Fees 8 5 5 0 8 Third-party reimbursement(s) Tuition Others (Please list) Refunds 6387 Interest 186 338293 20000 Bridge House, Inc. P.O. Box 2489 Kailua-Kona, HI 96745 Phone:(808)322-3305/Fax: (808)322-0809 E-mail: bridgeh(r~gte net ~ ~ ~ N~ -o i i' C'am` September 20, 1999 County of Hawaii Dept. of Finance 25 Aupuni St., Room 118 Hilo, Hawaii 96720-4252 To whom it may concern: Enclosed is the Bridge House, Inc. Yeaz-End Report for FY 1998/99. The report is late Due to shortage of administrative staff. The transition from last FY to this year has left Bridge House with a shortage of funds and we aze without one key staff position. If you have any questions regazding this matter please call me at 322-3305 during regular business hours of between 8:30 AM and 4:30 PM weekdays. Sincerely, Cheryl Taupu Executive Director A Hawaii Island ~o~ United Way Agenc Bridge House, Inc. Year End Report FY 1998/99 Number of Treatment Units or Bed Da s N/A Number of Su rtive Livin Units 2754 Number of Clients Admitted 86 Number of Units for Women N/A Number of Women Admitted 45 Number of Treatment Units for Native Hawaiians N/A Number of Native Hawaiian Clients 30 Number of Treatment Units for IDU N/A Number of IDU Clients Admitted 17 Number of Treatment Units for Dru Abusers N/A Number of Dru Abusers Admitted 17 Number of Treatment Units for Alcohol Abusers N/A Number of Alcohol Abusers Admitted 13 Number of Treatment Units for Dru /Alcohol Abusers N/A Number of Dru /Alcohol Abusers Admitted 44 7 Number of Clients a. Screened, Not Admitted 23 b. Admitted 86 c. Discharged I Clinically (Completed program) 22 II Dismissed (clinical reasons) 4 III Expelled 9 IV Referred Out 1 V Left against staff advice (voluntary Discharged) 44 8 NARRATIVE PORTION a. Accomplishments/Special Problems/Challenges: During this fiscal year Bridge House faced numerous challenges and managed to deal with each challenge. These challenges included the purchase of a new van, and dealing with much sicker client both physically and mentally. Additionally, Bridge House admitted several opiate addicts who were receiving methadone maintenance treatments. These clients were switched to LRAM while in Bridge House. A compromise was worked out between Bridge House and DASH. Clients were transferred to ORLAMM, which is administered 3 times per week instead of 7. This allowed those clients to continue their treatment and Bridge House to workout a viable transportation schedule for all residents. Another challenge was retaining good staff. At the present time Bridge House is almost fully staffed with only the Administrative Assistant's position unfilled. This position is being staffed as needed by a Temp service. Bridge House continues to work cooperatively with other agencies to ensure that clients receive appropriate services and care. b. Report on Outcome Objectives: Outcome Measures Threshold/ActualNariance 1. Residents admitted will receive clinical discharge. 65% 27% -38°k We surmise that this variance was primarily due to residents being sicker physically and mentally. Also, Bridge House admitted more IDUs. This population, in our experience, has a harder time dealing with cravings for their drug, thereby not being able to remain in supportive living. 2. Residents clinically discharged complete substance abuse treatment. 90% 100% 10% !00% of the Bridge House clients receiving clinical discharge complete substance abuse treatment because Bridge House requires completion of substance abuse treatment before granting a Ginicel discharge to all residents. 3. Residents clinically discharged employed 6 mos. Post discharge. 50°h 50°~ 0% c. Technical Assistance. None requested this fiscal year. d. Other Nothing to report this fiscal year. e. Staffing There were several staff turnovers this fiscal year and it has been a challenge retaining good staff, but by the end of June our staffing situation had stabilized and we presently are almost fully staffed with only the Administrative Assistant's position still vacant. The Vocational Skill Building Coordinator's position is now being done by a volunteer. In exchange for the use of space in the Bridge House Nursery, the volunteer provides all the duties of the vocational skill builder per the existing job description. Staff members are as follow: Executive Director Cheryl Taupu Program Director Benjydette Puakela Case Manager David Goldbloom Voc. Skills Coord. (Volunteer) Harold Pawaserat Night Manger Melina Guiterres Weekend Manager Jon Ward Outreach Worker Melina Guiterres PT Controller Barbara Nance Administrative Assistance Position open (services provided by a Temp.) This report prepared by: Cheryl Taupu, Executive Director Signature: Date: a6o`~> ~ • CATHOLIC O;!=FICA ~ ~.;F LEGIS!~~; i,= :'',..;TOR CHARITIES th~ o~~~e5e of I,ono~~lu ~p" pp~~ 215 Vorth Kukui Street, ;201 /Honolulu. Haw ai'i 96817; X8081 536-5:; d / F~p($yp~,59®>~~ ~6 Morris Masuda, Executive Director CATHOLIC CHARITIES COMMUNITY SERVICES July 7, 1999 Constance R. Kiriu Legislative Auditor Office of the County Clerk Hawaii County Building 25 Aupuni Street Hilo, Hawaii 96720 FINAL REPORT ON THE COUNTY FUNDS AWARDED THROUGH THE RESPITE/CHILDCARE CONTRACT TO KA HALE O KAWAIHAE FOR THE PERIOD FROM JULY 1, 1998 THROUGH JUNE 30, 1999 As of June 30, 1999, Catholic Charities Community Services expended the full award of $11,000. The funds were primarily used to hire a childcare worker to provide respite and childcare services to homeless participants of the Ka Hale O Kawaihae Homeless Transitional and Emergency Shelter. The childcare worker delivered respite services in a nurturing and safe environment that enabled parents to attend appointments with doctors, counselors, social service providers, and potential landlords and employers. The childcare services also allowed the parents to participate (without interruption) in necessary programs and classes to assist them with independent living. Highlighted below are the program outcomes for the reported period: 1. 66 previously homeless individuals were placed into permanent housing. 2. 35 individuals obtained employment. 3. 3 adults secured driver's licenses, enabling them to access employment. 4. 240 life skill classes were conducted. Classes included anger management, pre- employment preparation, budgeting, and substance abuse counseling. Other funding sources for the Ka Hale O Kawaihae shelter include: I. Emergency Shelter Grant Program $ 25,000 2. State Homeless Stipend Program $121,000 3. General Operating Revenues (Program fees) $ 20,000 4. Fundraising/Donations $ 50,000 Page 2 C. Kiriu Please contact Gil Van Order at (808) 882-7609 if you have any questions. Thank you very much for helping us provide this service to the homeless families of Hawaii. Sincerely, i ' f ' J Moms M. Masuda Executive Director Center for Independent Living-East Hawaii a00 Hualani St., Suite 16D Hilo, Hawaii 96720 AU ust 23, 1999 Ph: (808) 935-3777 g Fax: (808) 961-6737 E-mail: cileh®mterpac.net Ms. Constance R. Kiriu, Legislative Auditor Office of the County Clerk ~ County of Hawaii ~ 25 Aupuni Street y-. Hilo, Hawaii 96720 ~ a Dear Constance: ~ o -+n Enclosed under cover of this letter, please find my year-end report (fiscal 1998 - coo 1999) as a final requirement for our funding. Also enclpsed is the "Summary of Income" statement. Should you have any further questions, please feel free to call me at 935-3777. Thank you. Sincerely, ~QI.UI,Cc Ul Laura L. Tobosa Branch Coordinator /ms Enclosure P UniteCWaY Agency HAWAII COUNTY NON-PROFIT GRANTS ANNUAL REPORT FISCAL 1998 - 1999 It is estimated that 12,000 people on the Big Island have some form of disability and these individual's personal choices are limited by larger systems where institutions are touted as the answer to long-term care. This is not acost-effective alternative. CIL-EH &CIL-WH has been a catalyst for thousands of adults and families with disabilities to get control of their lives. What value do you place on daily life situations? When a family needs to find a place to live, or a young woman needs to transfer to the toilet, or a father needs to become re-employed, or an elderly man needs to get to his doctor's appointments... CIL-EH & WH has been there with these people. Additionally, the cost of institutionalized care is approximately $35,000 a year versus CIL-EH & WH's service unit cost of an average of $5,000 per person annually. If a conservative estimate is made that 25% of the consumers served by CIL-EH & WH were to be institutionalized, the increased annual cost to taxpayers would be over several million dollars. The tremendous waste of human resources would add substantially to contribute the growth and economy of society. Conversely, when independent living options are negotiated and taught by CIL-EH & WH staff, the achieved consumer goals establish a foundation for continued participation and inclusion in the lift of the community. Consumers are empowered to do things for themselves as best as they can, to establish natural support networks, to take back responsibility for their lives. Distinctive changes in public policies and attitudes have also occurred through CIL-EH & WH's influence. Laws, such as the Americans with Disabilities Act (ADA), have mandated changes in public accommodations, employment practices, telecommunications, and other areas. Staff members are active participants with various coalitions addressing Medicaid, housing, employment, transportation, accessibility, rehabilitation research, and a host of other issues. From outcomes as mundane as a curb ramp to major health care policies, CIL-EH & WH has been instrumental in providing technical assistance and advocacy efforts to support positive changes in our community. The County grant has supplemented CIL-EH & WH's modest and limited budget to function at a minimum level of expenditure. For the fourth consecutive year, the freeze on staff salaries continues. This has led to a few employees searching for better paying jobs and other engaging in outside employment. Service requests are increasing due to negative economic trends coupled with the movement of government moving away from providing monetary subsidies. Hawaii County Non-Profit Grants Annual Report Fiscal 1998 -1999 Page 2 Goals and Outcomes: Consumer/Leeal Ri¢hts: 80% of the consumers in this goal area learned how to self-advocate and 20% are still progressing towards their goals. No goals have been dropped. Communication: 75% of the consumers have acquired the ability to communicate effectively and 25% are still in progress. No goals have been dropped. Daily Livins/Self--Care: 50% of the consumers achieved their goals by acquiring the skills necessary to carry out basic household chores. 45% of these consumers are still working on their goals and 5% have dropped their goals. Emalovment: 30% of consumers achieved their goals to increase their employment options. 30% are still in progress and 40% have dropped their goals. Eguiament/Assistive Devices: 50% of consumers in this goal azea have achieved their goals by acquiring a mobility aid to gain maximum independence in their home, community and school. The remaining 40% of the consumers aze making progress on their goals. 10% have dropped their goals. Educationll'rainin¢: 60% of the consumers have achieved their goals by acquiring the necessary training and maintaining their educational schedule. 20% of these consumers are working on their goals and 20% have dropped their goals. Finances/Benefits: 65% of the consumers have achieved their goals by acquiring their entitlements or necessary resources for their educational training. 21 % are still working on their goals and 14% have dropped their goals. HealthCare/Nutrition: 78% of the consumers have achieved their goals by acquiring and maintaining their personal medical needs. 5% are still working on their goals and 17% have dropped their goals. Housin¢: 46% of the consumers achieved their goals by acquiring accessible and affordable housing. 25%aze working on their goals and 29% have dropped their goals. Mobili 55% of the consumers aze able to travel safely and independently in their home and in the community. 44%aze working on their goals and 1% have dropped their goals. Personal Assistance Services: 46% of these consumers who have acquired and maintained a personal care attendant for their personal assistance services. 35% are working on their goals and 18% have dropped their goals. Goals and Outcomes CIIrEH & CILrWH Page 2 Self-)3elo/Personal Growth: 67% of the consumers have learned to develop and apply problem-solving and decision-making skills. 18% are still working on their goals and 15% have dropped their goals. Social/Recreation: 67% of the consumers actively participate comfortably in social situations either in a support group or in the community. 11 % are actively working on their goals and 10% have dropped their goals. Transportation: 74% of the consumers have acquired the necessary transportation for their individual needs. 22% are actively working on their goals and 4% have dropped their goals. Agency/Organization: HCIL Project Name: CIL-EH ~ CIL-WH Summary of Income Total Agency Amount Total Program Amount County of Hawaii $ 1.1,000 $ 11,000 State of Hawaii 719,992 179,9b8 Federal Funds 543, 475 92,126 Private Foundations 43, 584 1, 000 United Way Funds 70, 265 14 000 Admissions Donations 10 , 2 50 4, 7 9 0 Fundraising 12 000 1 000 Pay Phone Vending Machines Service/Program Fees 11 000 Thvd-party reimbursement(s) Tuition Others (Please list) Cow?ty of Maui 25,000 $ 1, 446,Sb6 $ 303,884 CHILD AND FAMILY SERVICE Final Written Report Fiscal Year 1999 Submitted to Office of County Clerk `r' m This report covers the CFS program on the Big Island described in our 1998 Coun~ -ii Non Profit Grant application. Some of these programs operate in both East and sat , Hawaii, others operate on one side of the Island only. This report covers CFS's 19~- 1999 frscal year. ' ' r - This report covers accomplishments and problems for the following CFS Big Island ° programs: r Sex Abuse Treatment Services: Island wide HomeBased Servcies: East Hawaii TLC Long Term Foster Care: West Hawaii Family Planning Health Education: West Hawaii ~ ~ 7 rn Hate Ohana Spouse Abuse Shelter: East Hawaii ~ Jr~`~, ca HomeReach: East Hawaii ~ N ~ CO Fiscal Year 98-99 County Nan-Profit Page 2 MAJOR ACCOMPLISHMENTS DURING THE YEAR Sex Abuse Treatment Services: Island-wide During this year, 72 new clients were served. Forty-four of 44 child vidims increased their perception of safety, sense of empowerment, ability to express anger and ability to express needs. Forty of 40 non- offending spouses demonstrated the ability to proted and provide a safe home and 48 of 49 non-offending spouses acknowledged that their child's sexual abuse and 23 out of 23 offenders demonstrated an understanding of their sexual deviance, learned how to intervene, control and manage deviant sexual behavior and foster a more appropriate non-aggressive lifestyle. HomeBased Services: East Hawaii During this year, 34 new families were accepted for services, incuding 52 adults and 101 children. No referrals were turned away or placed on a waiting list. Thirty-seven families were discharged, including 32 where the children remained in the home, for at lease 3 months. TLC Long Term Foster Care: West Hawaii 4 youths received 855 days of residential foster care. All 4 were either reunited with family or significantly improved their relationship with their family of origin. Family Planning Health Education: West Hawaii Education/Outreach adivities were provided via diced contads with 1,767 individuals in West Hawaii. Indired contads through the media and community meetings were estimated at 19,744 individuals throughout West Hawaii. The Family Planning worker has developed educational materials for use in the community and responded to requests from schools and other community organizations for distribution of family planning materials and live presentations on family planning issues. Hale 'Ghana -Spouse Abuse Shelter: East Hawaii During this year, a total of 230 people needing safety from domestic violence were admitted to Hale Ghana. During the same period, 229 people were discharged from the shelter. Fiscal Year 98-99 County Non-Profit Page 3 HomeReach: East Hawaii The program is a DOH funded program targeted at parent/caretakers of children 0 - 8. fourteen (14) families were admitted to the program. This year, 100% of parents, as of this date, completed the program showed an increase in: positive parenting skills, knowledge of child development and behavior, and knowledge of community resources. Three families were discharged. Three families who were discharged, were satisfied with services. PROBLEMS ENCOUNTERED AND CORRECTIVE ACTION TAKEN Sex Abuse Treatment Services -Island wide No problems noted HomeBased Services: East Hawaii No problems noted. TLC Long Term Care: West Hawaii No problems noted. Family Planning Health Education: West Hawaii. No problems noted. Hale 'Ghana -Spouse Abuse Shelter -East Hawaii No problems noted. HomeReach Servlces: East Hawa(1 No problems noted. Report prepared by: Lee Lord Agency/Ctrganization: Child and Family Service Project Name: Hawaii County Grant Pro~am Summary of Income Revenue Sources Fiscal Year 1998-1999 Total A en Amount Total Pr am Amount Coun of Hawaii $7,000 Stale of Hawaii $1,314,200 Federal Funds $196,787 Private Foundations United Wa Funds $35,000 Admissions Donations $2,876 Fundraisin Pa Phone Vendin Machines ServicelPro am Fees $238,361 Thvd- reimbursements Tuition Others Please List Laun washer & er $499 Gain in Dis I of Pr $1,002 TOTAL REVENUES $1,788,725 $7,000 115 Kapiolani Street . . Hilo, Hawaii96j 21 Fast HaWall Coahtlon for the Homeless Fax (808) 93520 r Phone 9808) 981 59 ~ O Email: ehcha;interpaCStet o~~~ -LT i-~i N ~''-J July 26, 1999 cn q Constance R. Kiriu o --~;~1 Deaz Ms. Kiriu, ro ~ First of all ?et me thank the County of Hawaii for its continued support of the Kihei'Pua Emergency and Transitional Shelter Programs. Your continued support allows EHCH to provide our much-needed services to the homeless population in the County of Hawaii. County funds totaling $35,000.00 annually were used to support our case manager's salazies, which aze 2 case managers at $24,000.00. These funds supported one full-time case manager and a portion of the second full-time case managers' salary. The main goal of each case manager is to work with our clients to try to determine the underlying cause of homelessness or whether the client will be chronically homeless and refer them to the appropriate agency and to assist the client in obtaining self-sufficiency. In our fiscal yeaz 98-99 when these funds were utilized EHCH served 655 individuals with emergency shelter and services of which 507 were unduplicated. In addition to those that were housed there was an additional (958) that were provided emergency services such as food, clothing, personal hygiene items, showers etc. See the attached grid for all-funding sources and amounts. Please feel free to contact me at # 961-2559 with any questions or additional information that you may need. Yours in Community Service, Steven Bader Executive Director East Hawaii Coalition for the Homeless All Funding Sources Hawaii Community Development Corporation of Hawaii $251,390.00 Combined Federal Campaign $ 101.57 Hawaii Island United Way $ 17,500.02 Federal Emergency Management Agency $ 2,000.00 Donations $ 4,943.74 Other $ 852.16 G~isis ~ s The Family Crisis Shelter, Inc. ~ L~ _ ~ P.O. Box 612 Hilo, Hawaii 96721-0612 (SOS) 935-8229 Fax 934-7600 yyt ~o July 28,1999 ~v r- ~ m ~ O C cD ~i r- - --i Ms. Constanoe Kkiu ca ' ` Legislature Auditor r'' , i,n County of Hawaii = 25 Opine Street w ? Hib. Hawa"n 96720 0 : ; o ~ Dear Ms. Kirin I have encbsad the narrative and fiscal reports far the NomProfit Funding Grant provided to the Family Crisis Shaker, bc. for FY 1998-99. ff you have any questions or need firrther information, please do not hesitate to contact me ffi (808)9358229. Sincerely, Linda S. SlWter Pregrem Director wry A United Way Agency Coun~raf Hawaii Annual Report for Nan-Profit Funding Family Crisis Sheter, Irtc. FY 1998-99 Tha Family Crisis Shaker, Inc. (FCSI) was funded through the Courrty of Hawaii, Non-Profit Funding Grant in FY 1998-99 to provide shaker services in West Hawaii through county support for soma of the staff salaries. We were also funded to provide a two facilitffiors and a men's group for Domestic Violence perpetrators in Waimea. County funding assisted in providing specific services to victims and child witnesses of domestic violence during their stay ffi the shaker and elan akar departure. Funding from the County of Hawaii provided 20% of the Program Director's salary, l8% of the Shaker Supervisor's salary, 19% for a full time Yctims Advocate and 28% for a ha1F time Yctims Advocffie. Wkhout the funding provided, The Family Crisis Shaker could not have provided serves to the numbers of victims that so desperately needed them. The backbone of arty agency is iYs staff. Thffi is particularly true for the shaker. As there is only one adwcffie available on the evening and night shifts, the agency may have been put in a position where we would need to cut hours aF operation. In addition, administrative staffing are partially being funded through this grant Administrative staffing is essential to providing the type of crisis work the shaker employees do. M FY 98-99, the West Hawaii Family Crisis Shaker provided emergency shaker for 139 and 94 aduks. The total of 233 individuals served by the Sheter program was a decline from 253 individuals FY 97-98. However, this can in part be attributed to the numbers of vromen seeking shaker for themselves and their children who were actively using drugs and/or alcohol. Tha number of dual diagnosed women seeking services has increased dramatically over the past year. Although wa cannot admit clients actively using drugs and/or alcohol, we do refer them to the appropriate agenaies/supportaervices. Another factor was the number of homeless women seeking shaker. Again, we cannot admk clients 'rf their safery is not ffi risk These cliems are referred to the East Hawaii Homeless Shaker for services. One outcome goal for each person, while ffi the Shekar, is to create an individualized safety plan. This is used when they encounter en abusive situation in the community. Marry of our residents have not fah ssve for a long time prior to coming to tfie Family Crisis Shelter. Our Staff assists Shaker residents in creating an individual plan in a smell, therapeutic setting. In the last year, 355 incident free days of safety were provided to all residents who were being shekered. This is an incroase from the previous year. The Waimea men's group has been a complete success. Some of our men's group participants are unable to gat to either Hilo or Kone on a weeidy basis. Others cannot gat to group in mwn because work schedules conflict finencial reasons, or they cannot arrive on time for group. As eur participants are not admitted to group late, they often risk being arrested for violating a court order. the Waimea men's group is held on Friday aftamoons at Tu Tu's house from 5:30 to 7:30. The participants are very grateful for the ability to attend group without having to drive for an hour to get there. The group has been consistently at it's ma~dmum level almost from inception. The FCSI provides regular reports to other funders. Quarterly reports that include a narrative, fiscal report, and outcome goals met ere provided to the Hawaii State Department of Human Services, Federal Family Yolence Prevention and Service Act funds and Hawaii Island United Way. Annual year-end reports are submitted for Federal Victims of Crime Act through the Prosecutor's Office and a grant from the County of Hawaii -Office of Housing and Community Development An annual audit is also completed by an independent auditing firm, John Carbonate, CPA. Thank you for the opportunity to provide much needed services to tfie County of Hawaii through the non-profit grants. We look forward to continuing our quality services neM year. Submitted by, T Linda S. Blotter Program Diroctor Agency/Organization: The Familv Crisis Shelter. Inc. Project Name: West Hawaii Shelter Summary of Income Revenue Sources Fiscal ear 1998-1999 Total A ency Amount Total Pro ram Amount Count of Hawaii 29,000 20,000 State of Hawaii 910,459 157,181 Federal Funds 144,831 123,589 Private Foundations United Wa Funds 33,500 25,125 Admissions Donations 11,750 6,000 Fundraisin 3,500 2,000 Pa Phone Vendin Machines Service/Pro ram Fees 44,900 6,000 Third- arty reimbursements Tuition Others Please list TOTAL REVENUES 1,177,740 339,895 ORIGINAL Agency/Organization: The Familv Crisis Shelter. Inc. Project Name: Alternatives to Violence Program Summary of Income Revenue Sources Fiscal ear 1998-1999 Total A ency Amount Total Pro ram Amount Count of Hawaii 29,000 9,000 State of Hawaii 910,459 581,341 Federal Funds 144,631 21,042 Pdvate Foundations United Wa Funds 33,500 Admissions Donations 11,750 450 Fundraisin 3,500 140 Pa Phone Vendin Machines Service/Pro ram Fees 44,900 38,900 Third- art reimbursements Tuition Others Please list TOTAL REVENUES 1,177,740 650,873 ORIGINAL ~`N`~,DREMg~O6 The I'rieads of the I. - l; .r D Children s Advocacy C 6K of East Hawaii ~ _ ? ~ ~ 0 ~ 1290 Kiaoole Streegg SEP -3 Pi~l 4~ 04 'dw Hilo. Hl. 86720 °'~Q~STxrw"° (808) 935-5437 September 3, 1 999 Office of the County Clerk County of Hawaii Hawaii County Building 25 Aupuni Street Hilo, Hawaii 96720 Attn: Ms. Constance Kiriu, Legislative Auditor Dear Ms. Kiriu: Thank you for your reminder of September 1, 1999 concerning our year-end report for County funded non-profit organizations. Due to a miscommunication, the report was not completed and we do apologize for the tardy submission. For the fiscal year July 1 ,1998 through June 30, 1999, in which we received and expended an 58,000 grant from the County: • 353 children (victims of sexual/physical abuse and/or neglect) in East Hawaii received funding for clothing, tutoring, sports fees, after-school care and Christmas gifts. • We assisted advanced training for our professionals by funding: • Airfare to San Diego for a police detective and a Child Protective Service worker. Also, two days" per diem for CAC Director -East Hawaii not covered by federal funds. Monies were expended for a Maltreatment of Children Seminar. • Airfare and registration fees for a police officer and SANE nurse to attend a forensic evidence workshop on Maui. • Airfare to the Huntsville, Alabama child abuse investigation training for a Child and family Service therapist on contract to the CAC-East Hawaii. Our volunteers are seeing a steady rise in requests for services due to welfare cutbacks and an increase in the general reporting of abuse cases. Additionally, the implementation of the Felix/Waihee Program through the DOE and DOH has also identified additional abuse cases and request our services through their own systems. We would like to express our appreciation to your staff for their assistance and to the County Council for making our services possible for the positive growth of our children in their time of great need. Sinc ely, = ~~J Secretary Friends of the Children's Advocacy Center Board Agency/Organization: Friends of the Children's Advocacy Center-East Hawaii Project Name: Special Needs Fund Summary of Income: FY 98/99 FISCAL YEAR 1998/1999 Revennue Source Total Agency Amt Total Program Amt County of Hawaii 8,000.00 8,000.00 State of Hawaii ~ Federal Funds ~ Private Foundatio 21,250.00 21,250.00 United Way Funds ~ ~ Admissions Donations 7570.66 7570.66 Fundraising 3845.00 3845.00 Pay Phone ~ ~ Vending Machines Service/Pro ram F e 3rd Pt Reimburse ~ 9 Tuition Other(please list) Interest Income 579.28 579.28 Women's Legal Fourlr 1875.00 lg7 (restricted rant); TOTAL REVENUES 43,119.94 43,119.94 i 0 Friends of the Children's Advocacy Center of West Hawaii 77-6403 Nalani St. • Kailua-Kona, Hawaii 96740 ~ ~ (808) 326-2828 • FAX (808) 326-2819 ''n August 5, 1999 _ a _ Constance R. Kiriu _ ~ Legislative Auditor ~ Office of the County Clerk Re: Final written report for grant period 7/1/98 - 6/30/99 Aloha Constance; The money we receive from the County of Hawaii continues to enhance the lives of West Hawaii's abused and neglected children. During the gant period we provided services for 403 children, which is just about 30% more than last year. Unfortunately we expect the numbers to increase by at least 25% this year. With the money we received, we were able to provide funds for children to participate in athletic events, summer camp, summer fun programs, hula, chorus and school events. The funds also provided clothing, school tuition, childcare services and airfare for vacations with foster parents. In addition to the County grant and our 2 block grants from the Victoria & Bradley Geist Foundation and the Teresa Hughes Trust, we received additional grams to send children to Winners' Camp. With the money we received we were able to send 10 children to Winners' Camp. Our mission is to "help a victim become a child again". We greatly appreciate the money we receive from the County of Hawaii and our other funding sources as it helps us meet the needs of West Hawaii's abused and neglected children. If you have any questions please call me at 331-2425. Mahalo for your continued support, ~ ~ Heidi C. O'Guinn Administrative Assistant Friends of the Children's Advocacy Center of West Hawaii Summaay of Income Total A en Amount Total Pro am Amount Coun of Hawaii 8000.00 State of Hawaii 0.00 Federal Funds 0.00 Private Foundations 39875.00 United Wa Funds 0.00 Admissions 0.00 Donations 11260.00 Fundraisin 28568.00 Pa Phone 0.00 Vendin Machines 0.00 Service/Pro am Fees 0.00 Third-Pa reimbursement 0.00 Tuition 0.00 Others lease List Interest 1983.00 89688.00 -o HAWAII ISLAND ADULT CARE, INC. Q TELEPHONE: (808) 961-3747 FAX: (808)961-3740 34 Rainbow Drive, Hilo, Hawaii 96720 ~ r Ms. Contance R. Kiriu `D Legislative Auditor 'c "T (7 ~ T County of Hawaii ~ Aupuni Street a '"r, Hilo. Hawaii 967''0 = ~ o G 2 -ern cn O N 7J Dear Ms. Kiriu: On behalf of Hawaii Island Adult Care, Inc., [would like to extend a heartfelt Mahalo to everyone that made this grant possible. This Brant enabled us to provide a valuable service to all the caregivers in the community. Hawaii County, like the State of Hawaii and the rest of the nation. is experiencing the disproportionate growth rate of its older population. The 1990 L".S. census shows the elderly population (601 in the County of Hawaii is 17.'_% 1'_'0.7») of the total population. During the next decade the population 60- is projected to increase b} over 90%, while the resident population is expected to increase b} less than 30%. [n addition. it is well established that Hawaii's current life expectancy at birth is the highest in the nation 178 yeah for Hawaii, as compared to 73 years for the nation Moreover, the County's old-old population Ithose 7~ years and older? is projected to increase by a dramatic l'_0% b} the year X000. If these demographic data are our destiny. then the prospects for adequate caring for our elderly population look bleak. The "person power' needed to provide professional long term care services will be insufficient, and the burden of care on family caregivers will increase.. Based on these facts, we at Hawaii Island Adult Care want to make a difference in helping to support the family caregivers. However, it seems that most famil} members need help in learning to assume the caregiving role. Families often find themselves thrust into a caregiving situation with no pre- ¦ Hilo Adult Day Care Center ¦ Senior Helpers ¦ Caregiver Connection ¦ Small Group Homes paration for the kinds of duties and stresses that come with caregiving. Because we at HIAC understand the needs of the caregiver- Caregivers Training was started 1 1 years ago. HIAC attempts to address the needs of the family care- giver by providing "hands on" trainins in home nursing skills and classroom classes which include such topics as the normal aging process, chronic conditions, medication. Alzehmeirs'Dementia. Tips on handling difficult behavior in Alzehmeirs people and etc. This is a "proactive" approach. By providing training it is hoped that caregivers will be more effective and willing to provide in-home care, thereby reducing premature institutionalization, and unnecessan hospital admissions. Added, and significant, benefits of this program include an increased communit} awareness of issues facing [he aging population. increased recognition of families as health care providers. the development of an informal support network of Tamil} caregivers, confidence building ter the primary caregiver, and insen ice opportunities to for the present health and human service industry providers.. The monies that we received from the Count} enabled us to continue the training of caregivers that is so much needed. It it warn"t for these monies this valuable training would not have been able to be giving. W'e have meet our objectives b}: a. Providing classes that though the caregivers the various aspects of aging. chronic conditions. and caring for a disabled. older adult. The classes gave the caregivers the opportunity to socialize with other caregivers and receive peer support. The impact of the classes hopefully made the caregiving experience more meaningful and manageable. A second impact have improved home care for the disabled older adults being cared for by family members. A third impact is the expected reduction of elder abuse and neglect b~ caregivers. A fourth impact will be the reduced or delayed hospital and nor long term care admissions as a result of the improved quality of home care b~ family caregivers. Through the training's approximate 80 caregivers have benefited b~ attending these training's. This amount will add to [he much needed trained caregivers in our community. These 80 trained caregivers will impact the lives of at least 80 people; this does not include those caregivers that also help and care for other people. To my best estimate these 80 trained caregivers will also impact the lives of at least other -t0 people within six months. Besides the training classes, we also did mini workshops at several health fairs. provided community civic groups talks on carious topics. We went into the community because we know that it is not always ease for people to come to us. W'e also offered to the caregivers "tree" day care sen ices at our center so more people could take advantage of the classes. Also, since our main concern was for people to come and learn, we offered our classes for tree: but we will start charging fees for the upcoming classes. This year, HIAC was not able to write for funding through other sources, but we will be working on that so we can provide training all year round. At present, we continue to have a once a month caregivers support group. W'e have found that caregivers need this time where they can come and be around other caregivers that are Qoing through the same things that they are they' are. We also have available a lending library of books, videos and informational material pertinent to providing care for an older adult. HIAC also sends out quarterly newsletters to about '_,000 people. Our mission at HIAC has always been to provide a sate home-like environment setting where we care for the trail elderly, physically%mentalh challenged adults. Also giving the caregiver respite time during the day so they can continue to be good caregivers and keep their loved ones home for as long as possible. W"e strongly believe in teaching caregivers; so their caring experience will be meaningful and manageable: not tilled with stress and resentment. Attached is a cope of the Summary Income that was requested b~ your office. Again, because of the County of Hawaii grant this was made possible. The people of Hawaii can truly be thankful that the members on the allocations committee approve our request for Caregivers Training each year. It takes everyone working together to get things accomplished and HIAC is proud to be part of such an important project. With much Ma/\/h~a~llo. Carolyn Cra Actina Executive Director Agency/Organization: Hawaii Island Adult Caze. Inc. Project Name: Caregiver Training Inst Summary of Income Revenue Sources FISCAL YEAR 1998-1999 Total Agency Amount Total Program Amount County of Hawaii 19,000 4,000 State of Hawaii 120,148 Federal Funds OOA 2,315 Private Foundations 67,299 United way Funds 21,840 Admissions Donations 2,776 Fundraising 7,565 Pay Phone Vending Machines 591 Service/Program Fees 138,121 Third-parry reimbursement(s) Tuition 238,371 Others (Please List) Small Group Home rent 8,142 Charity Walk 3,000 Interest 880 Tt7iAL 630,048 4,000 KAPI' OLANI CHILD PROTECTION CEN~,~,_ , A Kapi ~olani Medical Center jor Women and Children Pro t'I'il.C l I f-~ ~ ~ Hawaf i Branch, West Hawaii Office ~ - - ~~~T(J~ 1 y; 74-5605 Alapa St. B 5 & 6 Mezzanine 1'~ K°u~°-Ko°°. Hi 9e~ao ®99 AUG -9 AM I I ~ 4 Phone 808 329-4020 Fax 808 329-8628 Email cptwh@gte.net YEAR END REPORT TO THE HAWAII COUNTY COUNCIL Fiscal Year 199&99 Non-Profit Human Service Graut I{aoi'olani Child Protection Center Hawaii County non-profit grant funds were used exclusively this year as part of the funding match for a Federal Title IV-B/2 grant received by Kapi' olani Child Protection Center. County funds aze critical to enswe the 12% match required and also critical to our ability to pay for operating expenses of the program. The project funded was the West Hawaii Counseling and Supportive Living Project. The public benefit derived from this project has been (1) the reduction of child abuse and neglect for West Hawaii families involved in the project, (2) improved likelihood of long-term safety for children (3) improved chances of long term substance abuse recovery for parents involved with the project, (4) reduced incidences of domestic violence among participating pazents, (5) enhanced likelihood of stable employment for pazents, (6) improved collaboration amongst community agencies, and (7) an improved standard of practice for community service providers through Project training opportunities. This collaborative project seeks to assist parents in providing a safe home for their children. The major focus of the program is on working with pazents, and in particulaz women, who have substance abuse problems which have placed their children at risk of child abuse and neglect. During the past yeaz 107 new families benefited from services provided by this project. Additionally, 39 families were carried over in continuous service from the previous fiscal year and 18 families had their cases reopened. Individuals served in these families included 224 adults and 328 children. Referrals for services were received from State Agencies (DHS, DOH, DOE, the Judiciary), hospitals and community medical providers, non-profit agencies (Family Support Services of West Hawaii, Family Crisis Shelter, Bridge House), community counselors and chwches. There were also numerous self-referrals. Ninety cases were closed over the fiscal year. Of these, only three, or 3.3% had a new report of child abuse or neglect made. Participation in this project is voluntary. A pazent must want help and must work collaboratively with project staff to obtain the help they need. This element of the project design is one of the main reasons why the project has been beneficial for neazly all the families served. The parent (or other caregiver) works with project staff to design for themselves a plan of services that will best meet their needs. Project staff members then intensively assist the parent in obtaining the mix of services that will help them. Project staff provide some of these services and project partners within the West Hawaii Community provide others. We believe that the greatest accomplishment of the project is that we remain flexible in order to address individual service needs for each family in the program. The enhanced communication and coordination with clients continues to be proved the most positive aspect. Engaging families in the process of identifying their family stresses and taking proactive steps to overcome them remains the most efficacious tool of ow project. With families actively involved in directing their self-growth, we can bring long lasting change and thus safety for children. Hawaii County Council Final Report Fiscal Year 1998-99 Page 2 As the name of the project connotes, supportive living services and counseling are the main services provided by the project. We work in partnership with Bridge House to pay some of the charges for women to live at Bridge House while they are in early treatment for substance abuse. The project paid part of the cost of supportive living at Bridge house for 9 women between July 1, 1998 and June 30, 1999. Of those women, 4 remained clean and sober for at least 6 months post dischazge, 2 are still in treatment and 3 went back to using drugs. These figures are well above the national average for clients remaining clean and sober following substance abuse treatment. In addition to room and board, the supportive living component of the project includes a pazenting education group for both men and women at Bridge House, and supportive assistance with housing, jobs and medical care throughout the period that the pazent stays involved in the Title N-B project. Once discharged from Bridge House, KCPC program staff remain involved with the clients to assist them in developing the life skills necessary to appropriately care for themselves and their children. It is clear that the supportive relationship established with clients during their early recovery effort only deepens in later therapy and thereby increases their hope for life-long recovery. A systematic approach to recovery in every area of a woman's life must be supported as all relationships and life skills are developed. We have found that the more intensively we can stay involved with the parent after dischazge from the supportive living environment, the more likely it is that the parent will stay clean and sober. Long term successes with substance abusing mothers remain correlated to the amount of time and follow-up relationship we can provide. The majority of the parents who become involved in the project receive some kind of counseling services. For some this may be individual counseling to improve their overall functioning; for others counseling may be provided in a group setting to address a specific azea of need (such as domestic violence, parenting, substance abuse). We work with a number of providers throughout the West Hawaii azea to try to match the parent's counseling needs with services available in the community. For many, if not all, of the individuals receiving counseling services through the project, the specific counseling service they need is unavailable to them anywhere except through the project. Some families referred to the project primarily need help in accessing available services in the community. For some, this may mean childcaze, for others this may mean parenting classes. Project staff identify appropriate community resources for the pazent, link the pazent with the resource and provide coordination assistance to ensure that the parent's needs aze met. For other families, access to existing programs may not be available. When that is the case we will try to develop services to meet client needs. Training of community providers around issues that pertain to child abuse and neglect is another component of the project. This past year the project sponsored an intense two-day training on the relationship between substance abuse and child abuse and neglect. The project sponsored nearly 100 individuals for this training, including doctors, nurses, teachers, school counselors, drug treatment specialists, foster pazents, CPS workers and counselors. This training was most pertinent, as drug abuse is currently the number one risk factor for child abuse and neglect. (Approximately 85% of all child abuse reports involve substance abuse by one or both parents. At least 50% of those reports involve the use/abuse of methamphetamine.) The project also sponsored cone-day training that highlighted the substance abuse treatment resources available in West Hawaii. Over 75 people attended the training. Hawaii County Council Final Report Fiscal Year 1998-99 Page 3 Attached to this report is a summary of clients served and services provided through the project this past fiscal year. Narrative and fiscal reports on the project are submitted to the State Department of Human Services and Hawaii Island United Way. In addition, formal presentations on the project are given to the West Hawaii Title IV- BRegional Planning Committee and to the Statewide Title IV-B Planning Committee. Submitted by: ~"l~`~~~ti~-,~C,~ Mary Jo Westmoreland Hawaii Branch Administrator Hawaii County Council Final Report Fiscal Year 1998-99 Page 4 UNDUPLICATED PEOPLE SERVED Annual Goal Actual # of persons/families Proposed to be (unduplicated) PEOPLE SERVED served for wntract year. Unduplicated Cumulative YTD 1. Total Number of Families Referred 125 107 2. # Families Who Received Direct Services 100 102 3. # Adults Who Received Direct Services 120 124 4. # Children Who Received Direct Services 25 34 5. # Families Who Received Linkage With Other Service 15 2 Providers Only TOTAL NUMBER OF PEOPLE SERVED Year To Date/Carried Over From Previous Year Adults Children Families 1. New Referrals 164 232 107 2. Carried Over From Previous Otr/Yr 60 96 39 3. Cases Closed 1 Time 137 201 89 4. Total New Cases Active at End of Period 87 126 57 5. Reopened Cases 32 41 18 6. Reopened Cases Carried Over From Previous Otr/Yr 7. Reopened Cases Closed 11 10 7 8. Total Reopened Cases Active At End of Period 21 31 11 9. Total All Cases Active At End of Period and Carried Over = 4+8 108 157 68 Hawaii County Council Final Report Fiscal Year 1998-99 Page 5 SERVICES Annual Goal Actual # of Activities Performed Proposed services for (unduplicated) SERVICES contract year. Cumulative YTD # Hrs # Hrs 1. # Assessments Completed 200 500 218 403.75 2. # Intake & Case Mgmt Activities Provided 1000 1250 2376 1267.00 3. # Counseling Services Provided 800 1000 858 1318.75 4. # Adjunct or supportive services Provided 30 60 18 53.75 5. # Educational Activities Provided 50 50 40 70.25 6. # Supportive Living Days Paid 200 4800 139 3336.00 7. # Administrative, Community Networking & 75 100 303.00 574.25 Marketing Activities Provided 8. # Training Provided to Community 2 16 14 40.50 ADDITIONAL EXPLANATION OF SERVICES AND ACTIVITIES: 1. Includes service needs assessments, medical needs assessments, family social work assessments, mental health assessments, anger assessments, parenting assessments, substance abuse assessments, drug screens. 2. Incudes completing Intakes, service coordination, medical care coordination, and mental health care coordination. 3. Includes anger management counseling, substance abuse counseling, mental health counseling, life skills counseling, individual, couple, family and group counseling. 4. Includes outreach and support services, childcare, resplte and other services as needed. 5. Includes parenting classes, individual parenting skill building, life skills classes, individual INe skill building, anger management Gasses. 6. Incudes RPC meetings, Statewide IV-B/2 meetings, Neighborhood Place meetings, Development of MOA's, interagency planning meetings, service development, marketing program in community. 7. Includes training provided by staff as well as training provided by contracted trainers paid for with IV-B/2 funds. All counts (#1 through #5) include services for adults and children combined. Hawaii County Council Final Report Fiscal Year 1998-99 Page 6 AGENCY COLLABORATION: Agencies Collaborated With This Year Planning or Referral Provided Paid For or Assisted With Linked Agency/Private Provider Training Source Services Shared Case Mgmt - Client Jointly/On Site Cost Of Service With Services Coordination Agency CPS X X X X X ACCESS Capabilities X X X X ABC Institute X X X X Attorneys X X ATV X X X X BISAC/Baby SAFE X X X X X Bridge House X X X X X X CAC X X DASH X X X DHS-BESSD X X X DOH-Family Guidance Ctr. X X Elementary Schools X X Family Center X X Family Court X X Family Crisis Shelter X X X Family Support Services WH X X X X X Hawaii Housing Authority X X Intermediate Schools X X KHH-Big Island Dem Project X X KITDP X Kealakehe High School X X Kona Community Hospital X X X X Konawaena High School X X X X Legal Aide X X N. HI Community Hospital Kona Interim Home X X X Neighborhood Place X X X X Perinatal Support Services Physicians X X X X Psychologists X X X Public Health Nursing Private Counselors X X X X X Probation X X X Prosecutor's Office X X OLCC X X Rose House X X Self X Traffic Court X X WH AIDS Foundation X X UH WH X Hawaii County Council Final Report Fiscal Year 1998-99 Page 7 OUTCOMES ACHIEVEMENT OF PROPOSED OUTCOMES , OUTCOMES Proposed Annual Cumulative YTD °k Achieved % # Families who have had no new report of child abuse or 80°k 96.6°k 86 neglect at the completion of their service plan Families who completed their Service Plan 65°k 60.7% 54 Families who did not complete their service plan 15% 21.3% 19 Families who refused servicesldismissed for cause 10% 4.5% 4 Families program was unable to contact after referral 5% 11.2°k 10 from community agencyldeceased Families linked with other service providers only - no 5°~ 2.3% 2 service plan Outcome data below represents areas targeted by diems in their service plans as needing improvement. Data is for dosed cases only for clients who completed their service plans during this period. Clients who have completed Supportive Living Services 40°~ 66.7° 4 who are still engaged in the substance abuse recovery process six months post SL discharge Clients not in Supportive Living who are still engaged in 40% 85.7% 24 the substance abuse recovery process Clients who have improved their individual functioning 80% 90.5% 38 Clients who have improved their problem solving skills 80% 76.7°~ 23 Cliert<s who have improved their family relationships 80% 84.8% 28 Clients who have improved their parenting skills 80% 93.3% 14 Clients who have irr~roved their family support 80% 88.9% 8 Clients whose medical care coordination has irproved BO% 100.0% 3 Clients whose service coordination has improved 80% 96.6% 56 Clients whose status and needs have been fully 80% 98.6°k 73 assessed Explanation of Outcomes Total Outcome data is for unduplicated cases cored during the period. Outcome data is obtained through interviews with the clients at the time of case closure, through reports of providers who delivered services to clients and interviews with CPS social workers. Of the 9 cases that were closed this quarter, 5 individuals had established a service plan but did not complete ft. Of these, 4 relapsed into substance abuse, 3 of whom had been Supportive Living clients and 1 did not follow through with services. Of the four families closed where no service plan was developed, 1 could not be contacted, 1 was linked with other services onty, 1 refused services and 1 single mother died after assessment, before a Service Plan could be developed. Year to date, for those who completed their service plans outcomes were very good and in most cases better than anticipated, However, a larger percentage than we anticipated did not complete their service plans. Overall there were only 3 new reports of child abuselneglect of the 89 families we served and cosed during the fiscal year. Hawaii County Council Final Report Fiscal Year 1998-99 Page 8 OUTCOMES IFor Reopened Casesl ACHIEVEMENT OF PROPOSED OUTCOMES OUTCOMES Proposed Annual Cumulative YTD Achieved °h # Families who have had no new report of child abuse or 80% 100°k 7 neglect at the completion of their service plan Families who completed their Service Plan 65% 65.7% 6 Families who did not complete their service plan 15% 1.4°~ 1 Families who refused servicesldismissed for cause 10% Families program was unable to contact after referral 5% from community agency/deceased Families linked with other service providers onty - no 5% service plan Outcome data below represents areas targeted by clients in their service plans as needing improvement. Data is for dosed cases only for clients who completed their servcee plans during this period. Clients who have completed Supportive Living Services 40% who are still engaged in the substance abuse recovery process six months post SL discharge Clients not in Supportive Living who are still engaged in 40% 100% 2 the substance abuse recovery process Clients who have improved their individual functioning 60% 66/7°,6 2 Clients who have improved their problem solving skills 60% 100% 1 ClierHs who have improved their family relationships 80% N/A 0 Clients who have improved their parenting skills 80% NIA 0 Clients who have improved their family support 80% NIA 0 Clients whose medical care tbardina6on has improved 80% t00% 1 Clients whose service coordination has improved 80% 100% 9 Clients whose status and needs have been fully BO% 86.0% 7 assessed III.b. Explanation of Outcomes Total Outcome data is for reopened cases closed during the period. Outcome data is obtained through interviews with the clients at the time of case closure, through reports of providers who delivered services to clients and interviews with CPS social workers. One client did not start services after a Service Plan was developed and one client completed all services successfully. Agency/Oiganiz2t10n: Kapiolani Child PrOjectName: Title IVB Counseling and Protection Center Supportive Living Project Summary of Income Total Agency Amount Total Program Amount County of Hawaii 9 , 000 9 , 000 State of Hawaii 27 1 ~ 277 Federal Funds 160,000 160,000 Private Foundations United Way Funds 4 , 250 4 , 250 Admissions Donations Fundraising 14 5 Pay Phone Vending Machines Service/Program Fees Thvd-party reimbursement(s) Tuition Others (Please list) Charity Walk 3,240 3,240 Family Support Services of West Hawaii-Kohala Family Center Quarterly Repor[ July 1998 to June 1999 KOHALA FAMILY CENTER ANNUAL REPORT Family Center Programs Description: The Family Center provides an atmosphere of trust that strengthens families and enables residents of all generations and backgrounds to work and learn together. Kohala Family Center, a program of Family Support Services of West Hawaii, is available to individuals and families of atl ages. The Kohala Family Center services the geographical azea from Niuli'i in the north, to Kawaihae in the south. The Family Center also houses FSSWH Healthy Start Services. The Family Center is open 9:00 a.m. to 1.00 p.m. Monday through Thursday. In addition, the center provides a place for other agencies and community organizations to facilitate the needs of their programs. Goal: The goal of the West Hawaii Family Centers is to support and promote the strengthening of individuals and families in West Hawaii. Staff guide families through a process (much like a travel agent) of documenting their goals (destinations), from where they are starting (embarkation), options for resources that will help them reach their destination (transport), interim stops or milestones (layovers), method of "payment" for the journey (time and energy resources they have for traveling), timelines for reaching milestones or destinations (schedules). This approach empowers the family as they take responsibility for their choices, rather than engaging an interventionary case manager or case management system. Family Center Objectives: • To provide support to members of the community through education. • To provide direct support to families. • To provide personalized access to events, activities and services available to families in the community. • To provide a centralized meeting space for community groups and services. • To create partnerships between the community and the Family Center. • To support and participate in community development for families. • To help reduce distress that could harm the family. • To improve each family's awareness and links to the resources they want. • To participate in doing an annual evaluation of the Family Center. The above objectives are met through the following Family Center services. Family Center Services Information and Referral: One of the main functions of the Family Center is to provide people information and referral to help meet their needs. This service is available to all members of the community. There were 39 new and 27 returning community members for a total of 66 people served. The highest numbers of requests during the year were for family activities, mental health issues, non-referral support and volunteerism. Girls' Project - "Power of the Dream": In November 1998, the center participated in a girl's conference. This was attended by 14 girls from Kohalawho expressed interest in having another conference. In June and July the Family Center has a series of 5 workshops that will be open to 8'", 9s' and 10'" grade girls in the Kohala district. The girls that attended the "Power of the Dream" conference were all given an invitation to attend and they were welcome to bring a friend. The workshops will be 2 hours in length, with the exception of the outdoor program, which will last for 4 hours. The first half of the workshops aze devoted to "fun" activities and the second half to life skills. All girls that attend 4 out of 5 workshops will be eligible for an excursion to Kona to have lunch at the Hard Rock Cafe and a movie at Consolidated Theaters in July. There is 1 staff person and 2 women volunteers from the community helping with the girls. The volunteers have given 29 hours of volunteer time to this activity. The following workshops were offered during June: • June 15'", Make-up with Mindy Tashnick / "Identifying goals" presented by Judith Gregor - Family Centers Program Manager. • June 22°°, Outdoor program with Kumu Raylene Lancaster from Queen Lili'ukalani Children's Center • June 29`", Relaxation Techniques with Fran Wollazd / "Relationships" presented by Ana Garcia - a local pediatrician. There aze 12 girls enrolled in the workshops. Community Service/Volunteers: 12 volunteers provided administrative support, facilitated workshops or helped plan workshops. They gave a total of 90 hours. Learning Disabilities Workshop: This was a 1'/z-hour workshop and was attended by 7 adults. Women's Wisdom Sharing: The Family Center collaborated with Tutu's House in Waimea to bring this workshop to Kohala. Women's Wisdom Sharing is a supportive discussion group format for women to explore their true spiritual nature and share thoughts, opinions, experiences and ideas. Noni Kuhns from Tutu's House facilitates the group once a month and 5 women attended regularly. Learning Disabilities and Attention Control Problems Workshop: This workshop was presented by Judy Stevenson. There were 7 people participating in the workshop. Healing Touch Workshop: Fran Wollard from Hospice and Noni Kunes from Tutu's house, presented a workshop that was an introduction to working with energy fields to balance and induce relaxation to allow the bodies own natural healing. There were 4 people that participated in this workshop. Sewing Machine Use: A volunteer from the community gave 12 hours to oversee the use of the Family Center's sewing machine. The community is welcome to use the machine. Childbirth classes: These classes were attended by 12 adults over a period of 6 weeks. The class was facilitated by a community volunteer who gave 14 hours of service. Summer Craft Classes: One of the Family Center volunteers has organized "Summer Crafts" for youth ages 6 - 12 yeazs. The classes will be offered on July 6 to August 10 on Tuesdays and Thursdays from 1:30 - 3:00 p.m. This project will be held at the Hisaoka Gym Conference Room, Kamehameha Park, in paztnership with the Depaztment of Pazks and Recreation. Community Brochure: A resource brochure was developed to be used in the community. The brochure proved to be very popular and there was a second printing to meet community demands. Advisory Committee: The Family Center Coordinator has a team of community advisors that met once a month to discuss the Family Center's role in the community and how it can be most effective. Donations: A total of $3,485.00 was given to the center in in-kind and cash donations during the year. Location for Service Providers Two agencies use the Family Center on a regular basis. These agencies aze, Access Capabilities Inc. which uses the facility once a week for anger management classes, and Alanon which uses the facility once a week for a support group for families of alcoholics. Other Community Involvement T.E.A.M. Kohala (Together Everyone Accomplishes More): This is a community group that is looking at community needs and ways to address these needs. Our Family Center Coordinator attends these breakfast meetings and the Family Center has input into the decision making. The Family Center collaborated with T.E.A.M. Kohala to present a drug forum to the community. Members of the local schools, Police Department, Prosecuting Attorney's Office and Family Court participated. During the meeting the community was informed of the services that the Family Center provides. The program was broadcast on the local cable station so the community could phone in with questions and responses. The Family Center was used for the 3 planning sessions. Five Mountain Medical Group: This is a networking meeting for people to keep in touch with programs that are happening in the North Hawaii azea. Our Center Coordinator has been attending these meetings and is representing the Kohala district. The Family Center Coordinator supplied information on summer programs for youth in the Kohala area. This information will be in a directory that is being compiled by Five Mountains Medical Group and Tutu's House. This directory will be available to all North Hawaii residents. Other Family Sunnort Services of Rest Hawaii Programs Housed in Kohala Family Center Family Support Services operates its Healthy Start Program out of the Center. Healthy Start is a program that works with "at risk" mothers. These mothers aze given support and educated on various parenting issues. We have one Outreach Worker that services the geographical area of North Kohala. She is presently working with 12 families in the community. Program Di/Dcultles • The Family Center Coordinator resigned at the beginning of June and we have been in the process of hiring her replacement. This has affected operations at the center for the month of June. • The Family Center is in need of some repairs to the physical plant to improve its public reception area. We are looking into acost-effective way of improving the center's appeazance. Report completed by: Judith Gregor Program Manager -Family Centers Signed Date:...? .0~9/~'. !r......... Annual Activities Report Period: July 1998 -June 1999 Site: Kohala Family Center ~ Completed By: Judith Gregor Activities People Volunteer TFC Community Served Hours $Collected S Benefit Advisory committee 9 adults Power of the Dream -Conference 14 youth/ 1 adult $75.00 Power of the Dream -Workshops t2 youth 29 hours $180.00 Financial Strategies 1 adult lhour $10.00 Women Sharing Wisdom 5 adults 2 hours $25.00 Sewing Machine Use 1 adult 12 hours $120.00 Healing Touch Workshop 4 adults 1 hour $20.00 Leaming Disabilities Workshop 7 adults 1.5 hours $52.50 _ Childbirth classes 12 adults 14 hours $420.00 Easter Egg Hunt 40 child/ 20 ad 14 hours $300.00 Menopause workshop 7 adults 2 hours $35.00 Caregiver Support group 1 adult 4 hours $5.00 Lauhala Weaving workshop 20 adults 7 hours $100.00 Holiday crafts workshop 40 people 2 hours $200.00 ' Parenting Workshops 18 adults 16 hours $540.00 Community Brochure COLLABORATIONS T.E.A.M. Kohala Meeting 27 adults Drug Forum 35 adults Five Mountains Medical Group 12 adults Kohala Elementary school 6 adults Kohala High School 8 adults Boys and Girls Club 18 adults TOTALS: 105.5 hours $2,082.50 MEETING SPACE Leaming Disabilities Workshop 1.5 hours $30.00 Access Capabilities 60 hours $1,200.00 Financial Stratagies Workshop 1 hour $20.00 _ Women Sharing Wisdom 2 hours $40.00 AI-anon 2 hours $40.00 Sewing Machine Use 12 hours $240.00 Healing Touch 1 hour $20.00 Menopause workshop 2 hours $40.00 Lauhala Workshop 7 hours $140.00 Holiday Craft Workshop 2 hours $40.00 TOTALS 90.5 hours 57,810.00 GRAND TOTAL -COMMUNITY BENEFIT $3,892.50 Kohala Family Center annual '98-'99 Annual Activities Report I $ amounts for community benefit:) Meeting Space = $20 per hour Life Skill/Craft Classes = $5 per person Parenting Classes = $30 per person Childcare = $4 per child/hour Volunteers = $10 er houe Kohala Family Center annual '98-'99 Annual Report Form Information and Referral Quarter: July 1998 June 1999 Kohala Family Center Completed by: Judith Gregor Customers: New Returning Contact by: _ telephone 23 11 outreach 10 2 walk-in 6 14 ~ Representing: self 26 18 agency 3 2 other 10 7 Referred by: none 8 16 fam/friend 10 8 agency 7 3 other 4 unknown 10 TOTAL 68 people 39 new 27 return Service Area: Requests Needs Met Unmet Unknown aclivities/events 7 1 5 1 adoption info childcare 3 2 1 divorce info 1 1 ~ education 2 2 elderly services employment 2 2 _ family planning 3 3 family violence FC & FSS info. 12 12 financial 6 4 2 food 2 2 foster parent 1 1 handicapped health 1 1 help with forms housing 1 1 in-kind mental health 8 6 2 _ non-referral supt. 9 9 parenting info. 6, 6 ~ i i r form Kohala annual98-99 Annual Report Form Information and Referral Service Area: Requests Needs Met Unmet Unknown i phone nos. 5 5 legal 4 3 1 sexual abuse _ substance abuse 2 2 support groups 7 5 2 teen services 2 2 transportation 3 1 2 volunteerism 7 7 window handouts 1 1 clothing 1 1 _ diapers 1 1 TOTAL: 96 72 15 9 i i r form Kohala annual98-99 Annual Noncash Report Period: July 1998 -June 1999 Location: Kohala Family Center Completed by: Judith Gregor NON-CASH SUPPORT ttems Donated rimelserv. Donated Subsidies TOTALS VOLUNTEERS Easter Egg Hunt 14 hours $140.00 Menopause Workshop 2 hours $20.00 Women's Wisdom Sharing 2 hours $20.00 Parenting classes 16 hours $160.00 Sewing Machine Use 12 hours $120.00 Gidget 4.5 hours $45.00 Shalive 6 hours $60.00 Caregiver Support Group 4 hours $40.00 Lauhala weaving 7 hours $70.00 Caregiver Support Group 4 hours $40.00 Childbirth classes 14 hours $140.00 Easter Egg Hunt 2 hours $20.00 Power of the Dream - 6 volunteers 65 hours $650.00 Healing Touch workshop 2 hours $20.00 Total Volunteer 154.5 hours 57,545.00 DONATED GOODS Hawaiian Fresh Egg Farms eggs $13.00 Big Island Poultry eggs $13.00 Takata Store candy $12.00 Nakahara Store Juice/misc goods $16.00 Union Market paper goods $6.00 Arakaki Store candy/misc goods $15.00 Computers $450.00 clothing $580.00 Salvation Army Christmas gifts $1,200.00 Rotary cash donation $1,000.00 Christmas trees $180.00 Total Donations $3,485.00 Total Support $5,030.00 amounts for non-cash support) Volunteers = $10 er hour Noncash Report Fonn -Kohala annual '98-'99 Agency/Organization: Family SLLODOLC sere Project Name: Fami ~ cP~ rs Summary of Income ads p x 44.> ~ a = ' #?.xr a x, s•'re° , -v,•.-.Y x rw Revenue Sources, ~ FISCAL YEAR 1998-199 t t~~ ig ~ ,t„ti r-" - ~ Total Agency Amount Total Program Amount County of Hawaii 47 , 000 47 , 000 State of Hawaii 1 , Z 80 , 6 90 Federal Funds 4 6 3, 196 8, 5 35 Private Foundations 154 569 United Way Funds Admissions Donations Fundraising 93,240 25, 166 Pay Phone Vending Machines Service/Program Fees Third-party reimbursement(s) 2 580 Tuition Others (Please list) Interest I I , 161 T _ 2,077,436 105,701 ..:+J:?'~. '.4 r JIAWAII COUNTY ECONOMIC OPPORTUNITY COUNCIL 47 Rainbow Drive Hilo, Hawaii 967242098 Telephone (808) 961-2681 Fax (808) 935.9213 July 28, 1999 ~ G~ O~ 9 i ~ `_'.7. N -J ;C~r1 Constance R. Kiriu -o Legislative Auditor t c?' Office of the County Clerk N 25 Aupuni Street Hilo, HI 96720 Dear Ms. Kiriu: Enclosed is our report which includes an explanation of the public benefits derived from the grant and a listing of other funding sources and amounts obtained during the award period to be in compliance with Section 2-142 (d) of the Hawaii County Code. If you have questions regarding our report please call Jane Horike at 961-2681. Sincerely, u Ge ee o o ama ExAcut~ Director HAWAII COUNTY ECONOMIC OPPORTUNITY COUNCIL TRANSPORTATION JULY 1, 1998-JUNE 30, 1999 FINAL WRITTEN REPORT 1. Public benefits derived: The benefits derived outweigh the cost of running the program. HCEOC is the only agency in the County who provides transportation services specifically targeting low-income persons. Elderly citizens, disabled and pre-school children who had no means of transportation other than HCEOC vehicles were linked with financial institutions, post offices, shopping areas, medical facilities, pre-schools, nutrition sites, rehabilitation and day care centers. HCEOC worked closely with public agencies(Office on Aging, County Elderly Activities Division, County Nutrition, State Vocational Rehabilitation, Hale 'oluea) and private agencies (Brantley Center, Hilo Adult Day Care, East Hawaii Goodwill, Vocational Rehabilitation Center, Dialysis Center) to coordinate and plan schedules, services and referrals. Collaboration with these agencies identified gaps in services and provided for the needs of the low-income population. The services allowed participants to become self-sufficient economically and socially, helping them lead healthier more fulfilling lives. Elderly and disabled persons specifically were able to remain in their own homes and be independent of others. Without HCEOC's transportation, the participants would become isolated and disassociated with society. 2. How County money aids in meeting the critical mission of the program funded: As mentioned above, HCEOC provides the only transportation for targeted groups of low-income elderly, disabled and pre-school residents. The range of services included the identification of peopled with special needs and the implementation of point-to-point specialized transportation, which ran off the main highway into rural area communities, low-income housing and pocket communities. Services were provided to and from the client's home, with drop-off points at specific service agencies and resource centers where immediate needs of the passengers were addressed. County money funding the HCEOC Transportation program helped to pay for salaries and fringe benefits for drivers, a mechanic who ensured safety and reliability of vehicles, supervisors and other support personnel on pro-rated time; gas and oil, vehicle maintenance repair expenses; insurance and other program support costs such as supplies, telephones and utilities. 1 3. How the agency is meeting its goals and objectives: Program Objectives The overall goal was to link low-income elderly, mentally and physically disabled individuals and pre-school children with public and private resources to expand their socialization opportunities and reduce problems of isolation: a. Provide elderly with specialized transportation from home to resource facilities to give them access to nutritional meals, medical treatment, shopping, government services, social/ recreational activities and other services to sustain them in independent living. b. Provide disabled persons with specialized transportation from home to resource facilities, to give them access to rehab services, employment and training opportunities, medical treatment and shopping to sustain them in independent living. c. Provide disadvantaged pre-school children with transportation from home to Head Start Centers to give them access to education activities. d. Maintain fleet of clean operable vehicles to ensure regular, dependable transportation for the targeted clients. Scheduled Activities Carried Out Hilo District a. Transported Wainaku, Papaikou, Pepeekeo, Honomu, Hakalau area elderly residents to shopping, medical and other public and private services facilities in Hilo. b. Transported Keaukaha, Wainaku, Papaikou, Pepeekeo, Honomu, Hakalau elderly residents to nutrition centers to participate in County sponsored hot meal programs and to County senior center activities. c. Transported Hilo area elderly residents to shopping, medical and other public and private service facilities in Hilo. d. Transported Hilo area elderly resident to County sponsored hot meal programs at Seven Seas Luau House and Pomaikai Senior Center. e. Transported Hilo area disadvantaged pre-school children to Piihonua and Clem Akina Head Start Centers. f. Transported Hilo area disabled adults to the Hilo Vocational Rehabilitation Center, East Hawaii Goodwill and Hale 'Oluea Center g. Provided handi-lift services for Hilo disabled clients to dialysis treatment center, medical and public and private services facilities. 2 (continue: Scheduled activities carried out) Hamakua District a. Transported Hamakua area elderly to shopping, medical and other public and private service facilities in Hilo and to Waimea facilities. b. Transported Laupahoehoe/Ookala area elderly to County sponsored Papaaloa hot meal site. c. Transported Paauilo/Honokaa area elderly to County sponsored Paauilo hot meal site. d. Transported Waimea area elderly to County sponsored Waimea hot meal site and to shopping, medical and other public and private service facilities in Waimea. e. Transported Kohala area elderly to County sponsored Kohala hot meal site and to shopping, medical and other public and private service facilities in Waimea. f. Transported Kohala area disabled adults to and from Brantley Center in Honokaa. g. Transported Hamakua area disabled adults to and from Brantley Center. h. Provided handi-lift services for Hamakua area disabled clients to dialysis treatment center, medical and other public and private services facilities. i. Provided handi-lift services for North/South Kohala area disabled clients to dialysis treatment centers, medical and other public and private service facilities. Kona District a. Transported Kona elderly residents to shopping, medical and other public and private service facilities. b. Transported Kona area elderly residents to County sponsored hot meal program at Holualoa Community Center. c. Transported Kona elderly residents to the Kona Senior Center at Yano Hall and Hale Hookipa. d. Transported Kona elderly residents to King Kam Hotel for Hoolaulea on Fridays of each week. e. Transported Kona area disadvantaged pre-school children to Keauhou and Kailua Head Start Centers. f. Provided handi-lift services for Kona area disabled clients to dialysis treatment center, medical and other public and private service facilities. 3 (continue: Scheduled activities carried out) Ka'u/Puna District a. Transported Ka'u area elderly residents to shopping, medical and other private and public services facilities in Hilo. b. Transported Puna area elderly residents to County sponsored Keaau hot meal site and to shopping, medical and other public and private service facilities in Hilo. c. Transported Puna area elderly residents to County sponsored Pahoa hot meal site. d. Picked up lunches and returned food containers and utensils for Keaau and Pahoa hot meal program. e. Delivered nutritious meals to frail elderly shut-ins in the Pahoa and Keaau area. f. Transported Puna area disadvantaged pre-school children to Hawaiian Beaches Head Start Center. g. Provided handi-lift services for Puna/Volcano area disabled clients to shopping, dialysis treatment center, medical and other public and private service facilities. Support Activities a. Mechanic repaired, maintained and did service checks on vehicles to insure that each were in safe condition. b. HCEOC recruited and had available qualified substitute drivers who replaced regular drivers who were on leave. c. Drivers attended Driver Improvement Training class. d. HCEOC complied with all Federal, State and County rules and regulations regarding licensing and equipment. 4. Statistics on the number of clients served: Attainment of Stated Program Objectives The HCEOC Transportation Program has accomplished its program objectives of providing transportation services for disadvantaged elderly, pre-school and disabled adults throughout Hawaii County. A total of 1,176 unduplicated participants were provided transportation services this year. The number of unduplicated persons served and the number of passenger trips made during the year were as follows: 4 (continue: Attainment of stated program objectives) UNDUPLICATED PASSENGER PERSONS TRIPS SERVED MADE ANNUAL ANNUAL ELDERLY 652 97,153 DISABLED 316 40,225 PRE-SCHOOL 208 28,706 TOTAL 1,176 166,084 5. 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C.7] y N A A O U w p N W 00 N A U r Gi ~G' T O~ ~ U y O~ v. A T y ~ ~ J N ~ O U pp pp U W pp w J A A V ~D A N $ $ $ $ $ $ o $ 8 $ $ $ $ 8 $ $ $ z~ ~ U U y u N Y b O~ N N J A w O~ to 00 W A w N J Q U w ~O 00 W A W O~ O ~O A N U ~O ~O w A ~ n.] A N O po T to 00 U O~ to A In ^ O .N. 00 .W.. O p~ pw J O~ U to O W O V O ~O Q~ Apo W ~n O O O O O S O O S S S S O O O S S O S OFFICE „DITO'~ LEG`SLf~~ , ~ KONA ADULT DAY 9 S R P O. BOX 1360 KEALAKEKUA, Hl 96750 (808) 322-7977 September 22, 1999 Constance R. Kiriu Legislative Auditor Office of the County Clerk County of Hawaii 25 Aupur.i St. Hilo, HI 96720 Dear Ms. Kiriu: Please find attached Kona Adult Day Center's year-end report for the fiscal year 1998-1999. On behalf of the Board and staff, we extend our appreciation for the support of the Executive Office on Aging and the County of Hawaii. Aloha, Kenneth T. Ono Executive Director "We extend the qualify of life for your family" Agency/Organization: Kona Adult Day CentegiojectName: Kona Adult Day Center, Inc. Summary of Income Total Agency Amount Total Program Amount County of Hawaii 15 000 15 000 State of Hawaii 27 , 919 27 , 919 Federal Funds _0- -0- Private Foundations 20,897 20,897 United Way Funds 15 , 000 15 , 000 Admissions _0- -0- Donations Fundraising 16 , 9 7 7 16 , 9 7 7 Pay Phone Vending Machines -0- -0- Service/Program Fees Included in Tuition Included in Tuition Third-party reimbursement(s) Tuition 146 , 869 146 , 869 Others (Please list) Services For Seniors 7,566 7,566 Nurs. Home W/0 Walls 16,374 16,374 In Kind Revenue 85,308 85>308 Interest Revenue 1,818 1,818 Sale of Assets 1 145 1 14 374,452 374,452 Kona Adult Day Center, Inc. Annual Report July 1, 1998 -June 30, 1999 I. Background and Summary Adult day health services are described as supportive services provided in a protective setting for part of a day by an organized program for elderly and disabled adults. Our clients presently range in age from 41 to 96 years old. The basic objective of the program is two-fold: 1) provides an enrichment program for clients through the socio-medical model adult day health program and 2) provide respite from continuous caregiving for primary caregivers and their families. Kona Adult Day Center (KADC) is a cotrununity-based, freestanding adult day center, conceived in 1986 and implemented in December 1988, to provide an alternative for caregivers that would enable an impaired family member to remain in the home as long as appropriate. Thus faz, the need for respite is greatest among caeegivers of persons with Alzheimer's disease or related dementia. Until Kona Adult Day Center opened, there were no community-based adult day services for residents of West Hawaii/Kong. KADC is still the only adult day program in West Hawaii. The community has benefited tremendously by having this long term care alternative available to those in need. The Center provides supervision, protective care, socialization and health monitoring for its participants. The impact of KADC within the community is very positive. Health and social services providers within the long term care network have interfaced with the program, with referrals flowing back and forth between various providers on a routine basis. Physicians who utilize adult day services for their patients have looked upon the program as a necessary health intervention which meets the social, wellness, and functional maintenance needs of their patients. Local physicians agree that their patient load of those aged 60+ is increasing rapidly and that the number of patients diagnosed with Alzheimer's disease and related dementia is intensifying. Needless to say, after ten years of operation, KADC has made a niche for itself in the community and within the long-term care continuum. The Kona Adult day Center program is recognized statewide by providers of adult day services as a model of adult day health service provision. Kona Adult Day Center was originally licensed through the Department of Human Services as an adult day care facility. "Day care" is defined as a social model of care, while "day health" is a medical model of adult care. In 1995, after rigorously adapting to State of Hawaii's strict requirements for adult day licensing, KADC was surveyed by the Department of Health and proudly received its adult day health license. The Center is the only freestanding, nonprofit adult day health program in the State of Hawaii. All other day health programs are affiliated with a hospital. 2 II. Experience and Capability A Necessary Skills and Experience Since 1988, Kona Adult Day Center has been providing licensed day care services to the residents of West Hawaii. In 1995, KADC received a license to operate a day health program. KADC has current agreements with [he following: State Department of Human Services, P.O.S.: contract effective through June 30, 2000 Nursing Home Without Walls: effective through June 30, 2001 County of Hawaii: effective through June 30, 2000 Services for Seniors: effective while funding available Hawaii Island United Way: funding through December 31, 1999 May Templeton Hopper: funding through December 3l, 1999 In addition to payments from the above listed organizations/programs, KADC receives partial or full payments from individual day center enrollees. B Oualitv Assurance and Evaluation The Kona Adult Day Center has established the following program goals and objectives: Program Goals for the Individual: a) The client will be able to associate with a place and a group corresponding to his or her own sense of identity. b) The client's maximum level of independence will be assessed and maintained through individual program planning. c) Mentally and physically impaired adults will be maintained at their highest level of functioning, thus preventing or delaying further deterioration. d) Health monitoring as well as protective and supportive care for the frail and disabled adults will be included in care planning and services. e) The participants knowledge of and access to elderly services available in the community will facilitated. t) Premature or inappropriate institutionalization in a nursing home or a hospital will be prevented. g) Socializing, peer interaction, and continued relationships with the community will be ensured. h) Isolation and prejudice often associated will frail and disabled adults will be reduced. Program Goals for Families and Other Careeivers: a) Families that desire to keep elderly members in the home will be given relief from full- time caze of an impared older adult. b) Family members will be enabled to continue productive careers instead of being homebound with an elderly, disabled spouse, parent or other family member. c) Families and other caregivers will be assured that elders dependent upon them are being cared for appropriately during the day. Program Goals for the West Hawaii Community: a) An integral component of the community service network and of the long-term care continuum will be made available to the West Hawaii community. b) The medical community and other resources statewide will be provided a liaison in the area of geriatrics, especially Alzheimer's disease and other related disorders. **Client centered outcomes: a) 90% of the participant's hygiene/self care will be maintained or improved; b) 90% of the participant's socializa[ion/interac[ion skills will be maintained or improved; c) 90% of the participant's families will express satisfaction with Kona Adult Day Center services d) 90% of the participants will be maintained at home for a minimum of 6 months with adult day health services. [n addition to our internal quality assurance activities, KADC is monitored by the Following organizations: l . State of Hawaii Department of Health Hospital and Medical Facilities Branch Sharon K. Matsubara, B.S.N., R.N., Surveyor 1270 Queen Emma Street, Suite 1100 Honolulu, HI 96801 Telephone: (808) 586-4090 Fax: (8081 586-1747 2. State of Hawaii Department of Human Services Purchase of Service Gail Ninomoto, Program Specialist 810 Richards Street, Room 400 Honolulu, HI 96813 Telephone: (808) 586-5669 Fax: (808)586-5700 3. Hawaii [stand United Way Helen Hetttmes, President and CPO P.O. Box 745 Hilo, HI 96721 Telephone: (808) 935-6393 4. County of Hawaii Dept of Finance Harry Takahashi, Director 25 Aupuni St. Rm. 118 Hilo 96720 Telephone: (808) 961-8234 Fax: (808) 961-8248 C. Coordination of Services KADC coordinates services for older adults through participation in the "Interdisciplinary Team". Coordinated through the Department of Health Case Management Coordination project, the Interdisciplinary Team meets once per month in the KADC conference room to confidentially discuss "at risk" adults. The Team has many clients in common and works to efficiently and cost effectively improves their lives through coordination of community services. Members of the Team include Public Health Nursing Services for Seniots, Coordinated Services for the Elderly, Wes[ Home Health Services, Winn's Claims, Legal Aid Society Hawaii, Care Resources Hawaii, Veterans Administration, Hospice of Kona, Center for Independent Living, and Kona Adult Day Center. The Team representatives assist clients, and when appropriate their families, with issues of health, social, recreational, financial, adaptive medial equipment, legal and transportation. 4 (n August 1998, the KADC Board took the opportunity with the resignation of [he Executive Director to reassess KADC's management and clinical structure with the goal of strengthening both elements at a reduced financial cost. KADC entered into an agreement in September 1998 with Kona Health Services to provide an Executive Director (Ken Ono), all clinical nursing services, and a Medical Director, at a savings of approximately $1,100 per month. Robin Seto, M.D., aboard-certified in[emist and board certified gerontologist is the Medical Director. D. Facilities KADC is located in a 6,000 square foot single story building that is fully handicapped accessible. The Center has an operating capacity of 45 clients and has an average daily census of 25-30 clients. The Center is equipped with all necessary equipment and no additional equipment is required to meet the needs of this RFP. The Center is open Monday through Friday from 7:30 a.m. to 5:00 p.m., excluding holidays. III. Service Delivery KADC provides services to the impaired adults, 18 years or older, who meet the eligibility requirements for adult day care/day health services. These persons include the frail, vulnerable elderly, and other adults who require protective and/or supervised care in a safe environment. In specific terms, these include the following persons: those with Alzheimer's disease or related dementia disorders, those with physical disabilities, such as stroke or Parkinson's disease, those with mental retardation or other stable chronic mental conditions, and those requiring socialization and stimulation in order to remain functional and active members of their home and community. At a minimum, KADC's adult day health services shall include the following activities: • Development and continual monitoring of individual service plans which are consistent with medical reports of the adult's health condition and activity limitations. • Provision of leadership, assistance and supervision by staff in the individual's participation in all appropriate program activities. • Provision of leisure, recreational and socialization activities that provides interaction between staff and participants and among participants. Provision of individual or group physical conditioning exercises and simple calisthenics, constructive games or crafts that maximize the individual's physical and mental capabilities, and help to strengthen and improve limb and motor coordination. Provision of reminders, encouragement and assistance by staff to enable the individual to maintain or to improve personal hygiene, selfcare, and attention to health care needs, including the provision of staff supervision ofself-administered oral and non-oral medications. • Provision of counseling by staff to individual and to the individual's family caregivers, if any, to assist in simple decision-making and problemsolving, to resolve adjustment problems, to build upon available family support, and to increase awareness on the part of the individual and/or family caregiver of appropriate social services and heal[h/medical care resources in the community, including the provision of referral services to secure needed services. During initial assessment of each participant, an individual plan of care is developed. This plan of care, approved by the client's personal physician is shared with the participant's family and is updated on a six-month basis. The individual plan of care clearly defines the goals planned for the participant. Each individual plan of care will specify how the objectives are [o be carried out, who will oversee each objective and will record the results of each step. 5 a) Intake and Assessment: The program dvector and the nursing coordinator receive referrals from various sources (hospital discharge planner, physicians, home health care agencies, Nursing Home Without Walls, Public Health Nursing/Case Management Coordination Project, families, Department of Human Services caseworker, Coordinated Services for the Elderly, and others). b) The intake and assessment processes include ascertaining pertinent information for social and medical assessments, baseline survey for caregiver burden, physician history and physical, determination of appropriateness for day care services, and home, hospital, or office visit with the client and family. c) Assessment needs result with [he formulation of a plan of care prior to enrollment. The care plan will include [he need to coordinate other agency/community services [o meet the identified needs of the client. d) Nursing coordinator must receive TB clearance and history and physical report from client's physician prior to client enrollment. e) After completion of intake paperwork by client, family, physician and appropriate resources, client is admitted [o KADC. f) Respite/ Vacation: A client's position may remain open during a period not to exceed ten successive days for vacation, or if the caeegiver in need of respite should arrange care for the client at another location. g) Dischazee: Dischazge is based on the broad goals of the client, family, or referral source and in most cases, will be included in the individual's care plan. When discharge is anticipated or eminent, the nursing coordinator and case manager will implement the discharge plan. Discharges are frequently influenced by a change in the status of the client, in the social home support system, or in [he primary caregiver's ability to continue to provide for the needs of the client. Discharge procedures include, at a minimum: a discharge summary including recommendations for continued care; referrals to community service agencies, care homes, institutions, and the like; and, a follow-up call or letter by the KADC program director on the client's status one month or sooner after discharge. Outcomes to be achieved: • Participant's hygiene/selfcare will be maintained or improved. • Participant's socialization interaction skills will be maintained or improved. • Participants and families will express satisfaction with KADC services. Participants will be maintained a[ home and within the community for 6 months with adult day health services. KADC participants will empower to become more self-sufficient by constant encouragement and reinforcement of independent care by Center staff. Participant's personal hygiene, socialization skills and general well being will be improved through attendance of the adult day health program. Positive social change occttrs when caregivers are relieved of the burden of full-time caregiving allowing them to continue with job, family matters and personal goals with the knowledge that their loved ones are cared for in a safe, secure and encouraging environment. Evaluation: Program effectiveness is measured through annual surveys, one specific to caregivers and one specific to referral sources. These surveys describe strengths and weaknesses of the program and assist KADC staff and Board of Directors in preparing future short and long-range goals. The KADC adult day health program is licensed through the Department of Health and undergoes an extensive annual site visit to include facility, progratn/record keeping, operational, and administrative and fiscal review. Quarterly and annual evaluation reports are required by most KADC funding sources, including Department of Human Services, Hawaii Island United Way, Hawaii County, and May Templeton Hopper Foundation. 6 The Standards and Guidelines for Adult Dav Services developed by the National Institute on Adult Day Services, a branch of the National Council on Aging, provides important benchmarks which Kona Adult Day Center has elected to follow. Continuity of Service KADC presently provides [he only licensed adult day care services in West Hawaii. We expect to continue to serving many of the same clienu in the new contract period without a break in service. We are ready and capable to provide services as of the new contracting date and, provide consistent, uninterrupted service throughout the contracting period HOSPICE of H I LO f 1'1. EB R.iT I LI P E D.A1' bl Dn~' ~ ~ np c c-~ ' w_ -1; "UANII Of UI0.t(TOR1 ~ _ August 26, 1999 ~ - , n ,y ~ i. ii~::~.,,,,, rn o Constance R. Kiriu Legislative Auditor " County of Hawaii 25 Aupuni Street Hilo, HI 96720 Dear Ms. Kirui: u,, Thank you very much for your letter of July 23, 1999 reminding us of the ~ ~ requirement for non-profit organizations to file ayear-end report within sixty days after June 30 of the fiscal ear. Hos ice of Hilo is lease to submit the attached "u~.,~~~~.~, Y P P ~~.,~,,,.a.~.~ : report for fiscal year 1998-1999. .I " If you require further information or clarification, we would be pleased to comply. ""s°"""°°" We deeply appreciate the continuing support from the County of Hawaii for our program. ~muoxr conci~ .~~aeA~ i rh,:~u ~ SRin~ce~reMly, ~ Jw' r~~ ~ w, Brenda Ho, RN, MSN ~ E,U Executive Director ~~~~,.r ~,~~~n,~~~, ,~o ° ° ''E cc Liana Cox-Ishizu °~""vadin°~ °w Office of the Legislative Auditor Nnbrp Alooti~ 111) rt,ued ? 1]~~ek~ .mpL~~n K Lmv~hvn. E5q ,vinccT ?~n~n~dq Ex~ UnIC~tl V1ti11 ® 7011 WAIANUENUE AVENUE, HILO, HI 967?1] TELLPHONE: X808) 969-1733 FACSIMILE: (BOS) 969-{gr*~i E-mail' hospice©hialohn.net wtivw.web-factocmm/hospice/ Hospice of Hilo Year-End Report to the County of Hawaii For a Nonprofit Organization Grant for Fiscal Year 1998-1999 August 27,1999 Hospice of Hilo Year-End Report to the County of Hawaii For a Nonprofit Organization Grant for Fiscal Year 1998-1999 Overview. Our initial funding request for fiscal year 1998-1999 was for a total of $58,200 as follows: Spiritual Care Services $21,200 Staff Development $ 5,600 Outlier Costs $31,400 Our grant awazd from the County of Hawaii was for a total of $8,000. We applied the entire grant towazd outlier costs, i.e. toward cost overruns in cases where extraordinazy medical needs significantly outpaced our Medicaze reimbursement rate. The public benefit derived. Out of a total of 211 patient cases covered during the grant period, 133 (or 63%) incurred cost overruns. The County grant enabled us to partially cover the outlier costs incurred in these cases. Outlier costs included (1) medications, (2) durable medical equipment, (3) patient supplies, e.g. bandages, skin care supplies, chux, diapers and (4) patient services, e.g. medical procedures, radiation, lab services, ambulance. How County money aided in meeting the critical mission of the Grogram funded. The county grant has been a key component in our on-going fund development program. Because the reimbursement from Medicare and other insurance plans are insufficient to cover the substantial medical costs of terminally ill patients, Hospice of Hilo, like every other hospice program, is required to constantly seek other streams of revenue in order to maintain quality services. The mission of the Hospice program is to provide compassionate, holistic in-home caze for the terminally ill and thew families. The philosophy of Hospice is that no one should be denied a dignified and comfortable death because of an inability to pay. Consequently, there is no cost to the patient or family for the core hospice services. Because Hospice is a Medicaze certified program, we operate under a capitated reimbursement system in which we receive a fixed per diem regardless of the cost of care. Because we serve many patients with extraordinary medical needs, our costs frequently outrun our reimbursement revenues. These outlier costs for the period of the County grant were as follows: 1 Hospice of Hilo Outlier Costs Durable Medical Patient Patient Medications Eauioment Supplies Services Total July 1 through Dec. 31, 1998 26,867 14,100 2,652 7,555 $51,174 Jan. 1 through 18,929 9,634 -0- 9,131 $37,693 June 30, 1999 TOTAL 45,796 23,734 2,652 16,686 $88,867 The County grant allowed us to cover 9% of the total outlier costs. How the aQencv is meeting its Foals and objectives. Below are the goals we outlined in our grant application and a brief description of the outcomes achieved. a. Relocate to the new facility. The public phase of our capital campaign was completed in February 1998. The campaign resulted in $2.3 million in cash and pledges. Construction on our new facility was completed in July 1998. We held our Grand Opening Celebration of August 1, 1998 b. Expand the grief/bereavement support program to the community at large. During the grant period our bereavement support program has grown in scope and quality. Our Bereavement Coordinator conducted two workshops to train local high school counselors on how to support grief among youth, and assisted the counselors in establishing operative support programs at their respective schools. He also arranged for Judith Bohme, Director of The Wazm Place in Fort Worth, Texas, to come to Hilo for a training of local professionals in her particular model of children's grief work. He has selected a corps of hospice volunteers and provided them special training in grief support. They now serve as facilitators in our grief support program. Special 8-week grief support groups for children have been offered in our facility, using age-appropriate techniques such as art-therapy, play therapy, and music-therapy. A special widows and widowers support group is also now offered. He has also provided individual consultation in cases of complicated grief. All of these programs are offered free of charge to the general public. In addition, we continue to provide bereavement support to our hospice patients and families as an integral part of their Gaze. Z c. Eapand spiritual care component of hospice. The spiritual caze component of our program did not expand during the grant period, due in part to our inability to hire a Spiritual Care Coordinator. However, this responsibility for spiritual care was assumed by all of the members of the Interdisciplinary Team as an integral part of their work. d. Improve the professional competency of staff in areas of pain management, symptom management, bereavement counseling, and spiritual care. During the grant period our clinical staff improved professional competency through the following educational and training activities: 8/1/98 RN Casemanagers attended a 2-hour workshop for physicians and nurses on Nazcotic/Controlled Substance Regulations, presented by the Drug Enforcement Administration 11/ 6/98 Two RN Casemanagers, one on-call nurse and the Medical Social worker attended a 2-hour HIV Nutrition workshop sponsored by Big Island AIDS Project. 11/13/98 Dr. Alice Adee presented an in-service training to the clinical staff on HIV dementia and lymphoma symptoms. 1/29/99 Three RN Casemanagers, one on-call nurse, our Medical Social Worker and our Bereavement Coordinator attended an 8-hour grief and bereavement training by John Lunn, RN, M.Div. of Hospice Hawaii. 2/10 /99 All staff attended an in-service training on Buddhist beliefs and rituals related to death and dying by Rev. Thomas Okano. 4/14/99 All clinical staff (RN Casemanagers, Medical Social Worker, Bereavement Coordinator) attended the 4-hour National Bereavement Teleconference, "Living with Grief.• At Work, At Schoo% At Worship, " at the UHH media center. 4/21/99 The Clinical Director, Medical Social Worker, Bereavement Coordinator and two volunteers attended the "Death Not cation Training, "sponsored by the Office of the Prosecuting Attorney and Mothers Against Drunk Drivers. 4/22/99 Medical Director Dc Alice Adee conducted a clinical staff training on congestive heart failure. 6/3/99 - 6/6/99. The Admissions/Program Improvement RN attended athree-day conference, "Education for Providers ojEnd-of-Life Care, " in Honolulu sponsored by the Hawaii Medical Association. 3 6/11/99 - 6/14/99 The Clinical Director attended a 3-day conference in Fort Lauderdale, Florida on "Nurses Pain Management Program, " sponsored by Prudue Frederick Drug Company. 6/14/99 The Bereavement Coordinator attended a 5-hour training on Critical Incidence Stress Debriefing with the Hawaii County Fire Department. 6/16/99 The clinical staffattended an in-service training on "Oxygen Use" presented by Gaspro. 6/23/99 - 6/26/99. Medical Director, Dr. Alice Adee, attended the three day Academy ojHospice Physicians Annual Symposium in Salt Lake City, Utah. e. Expand public/professional education. Throughout the grant period we continued to increase the number and range of public educational presentations, including the following programs: 9/2/98 A presentation on the Hospice Program to 17 site managers and administrators of the Hawaii County Nutrition Program. 9/22/98 A presentation on the Hospice program to 5 members of the Mayor's Committee on the Status of Women. 11/6/98 A presentation on "The Gift of Grief: Reflections on the Unfolding Process of Grief," to 47 attendees of the 23rd annual Big Island Liturgy and Arts Conference at Malia Puka O Kalani Catholic Church. 12/11/98 A presentation on the Hospice program to 35 Alu Like Seniors. 1/8/99 A presentation on the Hospice program to 12 members of the Hilo Stroke Club. 2/18/99 A presentation on the Hospice program to 16 students of the Hilo High School Health Occupation class. 2/26/99 A presentation on "'What is Hospice? What Services are Available?" to 10 members of the East Hawaii Kiwanis. 3/1/99 A presentation on "The Gift of Grief and its Unfolding Process," to 20 lay members of the hospital, social and bereavement ministries. 3/24/99 A presentation Hospice and Grief and Bereavement to 13 staff members of the St. Francis Dialysis Center. 4 We have also developed a monthly lecture series, free and open to the public, on topics related to the end-of--life that included: 3/25/99 Panel Discussion by Hospice staff on Hospice Care 4/29/99 Lecture of Advance Directives and Medical Power of Attorney 5/27/99 Panel Discussion on Rituals of Remembrance: Memorial Traditions in Various Faith Communities." 6/24/99 Lecture of Long Term Care Planning During the period of the grant our staff also provided several professional training seminazs and workshops for local professionals including: 11/10/98 A 4-hour workshop on supporting the grief process in children presented to 15 counselors from Hilo High School and Waiakea High School. 12/2/98 A presentation on the hospice philosophy and program to 14 Liberal Arts majors enrolled in the Hawaii Community College Human Development class. 12/3/98 Part II of the workshop for 16 Hilo High School and Waiakea High School Counselors. 1/29/99 An 8-hour training for 59 professionals (social workers, clergy, child welfaze workers) on supporting the bereaved through the grief process. 3/11/99 A lecture on Grant Proposal Writing to 10 Sociology students of the grant writing class at University of Hawaii at Hilo. 5 f Continue to provide high quality hospice services to East Hawaii community. Beginning in January 1999 Hospice of Hilo instituted a revised Quality Assurance program. The only data available currently are from the first quarter of 1999. These are reported below. [Note. Family satisfaction with various aspects of hospice caze is is rated using a 5-point scale: 5 (excellent), 4 (good), 3 (average), 2 (fair), 1 (poor)]. Evaluate how well the Hospice program: Mean Score a. explained the patient's condition 4.5 b. helped the family understand what to expect 4.3 c. helped the family understand death & dying 4.0 d. supported the family's feelings 4.3 e. supported the family's beliefs 4.4 f. helped the family cope with changes in life 4.2 g. helped patient cope with changes in life 4.6 h. explained pain and symptom management 4.6 i. brought patient's pain to comfortable level 4.8 j. brought patient's symptoms to a comfortable level 4.8 k. increased family's confidence to caze for patient 4.8 1. helped family and patient with spiritual needs 4.3 m. supported patient's quality of life 4.6 n. helped family at time of death 4.6 o. supported family since the death 4.6 p. helped family cope with changes following death 4.4 q. provided satisfactory after-hours service 4.7 Statistics on the number of clients served. During the fiscal year we served a total of 211 patients. Of this number 71 (34%) of our cases experienced cost overruns for medications alone. In addition, we also served the members of patient families with psychological, social and bereavement support services. Other funding sources and amounts received during the award period. See attached form. 6 Agency/Organization:Hospice of Hilo Project Name: Hospice Summary of Income Total Agency Amount Total Program Amount County of Hawaii 8 , 000.00 8 , 000.00 State of Hawaii 7 ,129.00 7 ,129.00 Federal Funds 9 g Private Foundations 10 , 000.00 10 000.00 United Way Funds 18 , 523.24 18 , 523.24 Admissions g g Donations 61 896.00 Fundraising 43 ,130.85 43 ,130.85 Pay Phone g 6 Vending Machines g g Service/Program Fees g B Third-party reimbursement(s) 1,087,891.68 1,087,891.68 Tuition 9 9 Others (Please list) Workshop Fees 1,325.00 1,325.00 Rebates 1,423.75 1,423.75 Contract services 410.00 410.00 Honorarium 300.00 300.00 $1,240,029.52 $1,240,029.52 1 i~ Kona Association for Retarded Citizens LEGISL~~f'=~'~~;~ITGR Kona Krafts 99 JUL 2S Pt112~ 26 Annual Report to the County of Hawaii for Fiscal Year 7/1/98-6/30/99 Use of non-profit grant funds This report covers the period from July 1, 1998 through June 30, 1999 and describes the use of the resources provided by the County non-profit funds and the benefits derived from the awarding of the grant: benefits accrued both to the individuals affected; their family members and to the citizens of the County of Hawaii The County of Hawaii provided $12,000.00 for fiscal yeaz `98-99 to assist in the provision of services at the Captain Cook Domiciliary home for residents with Developmental Disabilities. These funds were essential to providing for the care of 5 residents of the home and insuring their health & safety. In addition, the residents obtained the benefit of professional staff so that they could progress in learning independent living skills. $12,000.00 a year is allocated at $1,000.00 a month and was used specifically to augment the cost of staffing the home on the weekends. Other funding sources and revenue to operate the home come from the individual residents benefits from State Supplemental Payments (eligibility determined by the department of Health) and the Social Security Administration. It is a complex formula that is also supplemented by the Housing and Urban Development federal level Department. In essence, HUD considers that the Social Security amount received by the residents is their `income' As part of the Section 8 housing assistance program, HUD pays 70% of their rent at the group home and each resident pays 30% from their `income'. Then the State Supplemental Payments pay for the caregiving staff required to insure their health & safety. The Domicilaiary home operates at a loss because the public support available to pay the expenses of the group home (which are tightly controlled and do not include overall agency indirect costs) exceed the revenue available. The County funds help offset a portion of that loss. The public benefits from the use of these funds to support the caze of these residents because without a safe environment other costs would soon become appazent. Safety issues resulting from lack of judgement may result in accidents that would add cost to the Public Safety division, the police may incur costs necessary to intervene in cases of public safety. Hospitals would be required to admit more cases at public expense. In addition, revenue in the form of taxes may be reduced as the families of these adults who need constant care would be denied the ability to work and earn wages to contribute to the economy. In summary, The funds provided by the County are a relatively small amount and yet, they provide a much needed and fully warranted public expense that both saves the county taxpayers from incurring unnecessary additional expense and enhance the Counties ability to increase tax revenues. AGENCYIORGANIZATION: KONA ASSOCIATION FOR RETARDED CITIZENS PROJECT NAME: KONA KRAFTS Summary of Income Total Agency Amount Total Program Amount County of Hawaii 12000 12000 State of Hawaii 602867 0 Federal Funds 41807 0 Private Foundations* 41100 0 United Way Funds 29000 0 Admissions 0 0 Donations 11543 0 Fundraising 25649 0 Pay Phone 0 0 Vendin Machines 10781 0 Service/Pro ram Fees 186018 45917 Third-part Reimbursement s) 0 0 Tuition 0 0 Others (Please list) 0 0 Interest Income 6117 0 966882 57917 FUNDING SOURCES FY 1998-1999 KONA ASSOC. FOR RETARDED CITIZENS dba: KONA KRAFTS PRIVATE FOUNDATIONS: McINERNY FOUNDATION $15,000 WILCOX FOUNDATION 5,000 FREER FOUNDATION 5,000 ROBERT/HELEN NICHOLS FUND 1,750 ATHERTON FAMILY FOUNDATION 5,000 HL COMMUNITY FOUNDATION 9,050 HAWAII PACIFIC FED. CAMPAIGN 300 ~L ~ FIivAL KEPUKT Kona LiteracyCouncd '99 AUG 3Q PIS 1 ?1 The public benefit derived from the funding received ti• g,i Cs>ygiy ~w~ the continuation of the free literacy programs provided by the voluift ' ititor~'of 41je`1Cd~a Literacy Council at the Kailua Learning Center. l he S2u00 we received tiom the county assisted us in maintaining our objective of keeping the center open so that we could continue to help break the illiteracy cycle in our community. We continued to write grants, solicit donations and participate in titnd raising projects. The Kona Literacy Council meets the critical mission of the program by keeping open the Kailua Learning Center in order to continue to improve the basic skills of adults, including the foreign born, by offering free one-on-one tutoring in reading, writing, spelling, math, key boarding and computer literacy. [ he Kona Literacy Council continues to meet its goals and objectives to: A. Create greater awareness of'services offered by the Kona Literacy Council and the Kailua Learning Center through direct solicitation of employers, civic organizations, labor unions, social service agencies, churches, health care providers, media, entertainment & community events. B. Continue leasing of space at the Alii Sunset Plaza to use as a learning center and administrative office. C. Continue volunteer staffing of the Kailua Learning Center from 10:00 am to b:UU pm, Monday through Saturday. D. Expand programs to reach more non-reading adults and meet anticipated goals of new readers. E. Help break the illiteracy cycle by providing more family literacy activities. F. Expand lending library to include videos and read along tapes. G. Acquire more basic skills soffware. H. Acquire basic office supplies; i.e. toner and paper for copier machine, letterhead paper and envelopes, brochures, stamps, etc. I. Increase collaboration between existing agencies. Since opening in Sept.,1992, over 425 adults have been tutored one on one and over SO adults have attended English as a Second Language Glasses. We have added a bilingual English/Spanish class. 'This past year we have helped over 50 students improve their basic skills. The specific objectives of the volunteer tutors of the Kona Literacy Council are to help adult students: raise their reading levels from 0 through 12; increase computation skills from arithmetic through Algebra and Geometry; develop communication, reading and writing skills of the ESL students; prepare adults for the GED exam; the Competency Based High School Diploma program; Fireman's test; driver's license test; and U. S. Citizen test. Some other personal goals of the students included: helping their children with their reading and homework; filing out job applications and other forms; learning to type and read the Bible. Most of the 425 students who have studied with the volunteer tutors have tnade remarkable progress in their basic skills and self esteem thereby improving their hues and becoming better family members, workers and community members. fhe dedicated 25 volunteers of the Kona Literacy donated over 2,~ti0 hours last year. We are constantly recruiting new tutors and office staff and otter tutor training twice a year to keep up with the demand for good volunteer tutors. Some of our volunteers are snowbirds, leave the Island or obtain full time employment, leaving us with vacancies to till. W e recruit new tutors by newspaper articles and word of mouth. Tutors need to successfully complete a twelve hour tutor training workshop and are requested to make a commitment of at least one hour per week. ()nice help must make a commitment of at (east one tour-hour shift per week. Most of our volunteer tutors have had prevwus teaching experience and all our dedicated volunteer tutors and office staff" desire to improve their community by giving the gift of literacy. I"he Kona Literacy Council has applied for and received funding from: Hotel Chanty Walk S2,bUU, Department of Education -Kona Community School for Adults $3,000, Elks Club $250, student donations $1,275, memorials $185, private donations ti7,28 L We have applied to various state and federal agencies and corporations locally and on the mainland without success. Generous private donations from our tutors and friends of the Kona Literacy Council have provided most of the funds. Agency/Organization: ltd /~.?Tf/' Project Name: 7 - o Summary of Income Tdotal Agency Amount Total Program Amount County of Hawaii y p State of Hawaii p ~ ~ C7 FederaiFunds D Private Foundations Q United Way Funds ~ Admissions p Donations Fundraising ~ Pay Phone p Vending Machines 0 Service/Program Fees Q Third-party reimbursement(s) Tuition ~ Others (Please list) ui v 9 MENTAL HELP HAWAII MEMO TO: Constance Kiriu, Legislative Auditor ~ r- ~ m rNn O FROM: Joanne Lundstrom, ED -O T~ ~=a o a DATE: September 8, 1999 0 - ~ cn O' RE: Year End Reporting Requirement Apologies for the delay in presenting our year end report to you. We too are closing our books for fiscal yeaz 98-99 and enclosed is the report. Please call Nancy at our Hilo office, 935-7167, if you have questions about this. Mahalo L'~~ . ~.~~n~~ ...~r.n... 193 Kinoalc Slrccl, q9 - }Illu, Hawgll 967211 - Phonc (8118) 7JS-7167 Fnx (811X) 9JJ-IW27 Agency/Organization: Mental Help Hawaii Project Name: Transitional Rehabilitation , ervices Summary of Income REUeatke ~w! t ~ x' i k # ~ Y P. ~ ~,tmawsaW 5~~ I Total Agency Amount Total Program Amount County of Hawaii 14,000.00 14,000.00 State of Hawaii 932,756.09 98,359.05 Federal Funds 729,402.00 Private Foundations 219,218.29 168.70 United Way Funds 82,131.63 23,799.96 Admissions Donations Fundraising Pay Phone Vending Machines Service/Program Fees 245,554.00 24,802.35 Third-party reimbursement(s) 257,402.00 43,461.00 Tuition Others (Please list) Honolulu County 124,796.44 Other Support 10,092.32 15.00 Other Revenue 28,927.80 Interest Income 5,804.28 113.58 *TOTAL REVENUES 2,650,084.85 204,719.64 MENTAL HELP Hawau TO: Constance Kiriu Legislative Auditor ~ m Hawaii County ~ rn ~ ~ m ,r - r ~ - ~O n FROM: Joanne L. Lundstro ~ No Executive Director/CE " - ~ DATE: September 16, 199 ' ~ ~ ~ N O SUBJECT: County of Hawaii Awazd Mental Help Hawaii Program Services Report for FY 99 Grant funding at $14,000 was received in FY 99. Following is our year end program benefit and services report: 1. Public Benefit Grant funds were applied to operating costs of Hale Lehua, a transitional residential facility, located in Hilo, that specifically serves persons who have serious mental illnesses, and who would be at risk of homelessness or institutionalization if a transitional community residence were not available. The public benefit is the availability of a cost effective humane resource for this population in Hawaii County. 2. Application of County Grant funds in achieving mission The actual cost per day per client in FY99 to live and receive rehabilitation services in Hale Lehua was $70 a day. The grant in effect provided 200 bed days for clients in placement. Comparative bed day costs in a psychiatric hospital aze estimated at $600 to $800 a day. The mission of the program was achieved through a combination of State, United Way, and County grant support. 3. Meeting Goals and Objectives Grant funding enabled us to continue operating the facility, and serve 29 persons. By year end of the 23 persons dischazged from Hale Lehua, only one person required hospitalization. All clients showed improvement in daily living skills. Anon profit organization 1122 11th Avenue Honolulu, Hawaii 96816 Phone (808) 737-2523 Fax (808) 734-1208 4. ClienC~served Mental Help Hawaii provides services through the following residential projects in Hawaii: • SURF - a transitional residential program in Kona • Hale Lehua - a transitional residential program in Hilo • Hilo Hale - a supportive living facility in Hilo In addition, we provide day activity programming in Hilo and case management services island wide. In FY 99, at Hale Lehua, we served 29 persons, including 17 men and 12 women. Seventy-two percent (72%) of Hale Lehua clients aze between 25 to 50 yeazs old, 45% were diagnosed with schizophrenia disorders, and 31% with depression and/or bi-polaz disorders. Of persons completing placement, 85% moved to more independent living in the community. 5. Other Funding Sources Please see our previously submitted FY 99 Summary Report, dated September 8, 1999. cc: Lazry Shon, East Hawaii Residential Service Coordinator SEP-14-99 11:52 AM M?r~cal HeIF~ Hi lu ~7 E: 934 E+439 p_p1 Agency/Organization: Mental Help Hawaii Project Name: ~ itionnl Rehabilitation ervices Surnmary of Income Revenue Sources r: ~ ~M1,,~, ~-a ~ #FI~CAL AR,1998-1999 Total Agettcy Amount Total Program Amount County of Hawaii 14,000.00 I4,OOU.00 $IaIC oC Hawaii 932,756.09 95,399.05 Federal k''unds 729,402.00 Private Foundations 219,218.29 168.70 United Way Funds 82,131.63 23,799.96 Admissions Donations Fundraising Pay Phone Vending Machines Service/Program Pees 245,554.00 24,802.35 third-party reimbursement(s) 2$7,402.00 43.4ti 1.00 Tuition Others (Please list) Honolulu County 124,796.44 _ Other Support 10,092.32 I S.UO Other Revenue 28,927.80 hdcrosl htcrnnc 5,804.28 1 I x.58 'TOTAL REVENUES 2,b50,084.85 204.719.64 ~ V4~ O~ August 23, 1999 ~ r~, Ms. Constance Kiriu ~ Legislative Auditor ~ n Office of the County Clerk r- 25 Aupuni Street i- Hilo, H2wal1 9672 Administrati~JificZ i1,ra..,. ,nn1 r,~li, ,,k~~. Y1 Dear Ms. Kiriu: ~ ~ ~~„hdF.c~r, ~u-ii ~i„e,m~~a Enclosed are the Office for Social Ministry reports for the Fiscal Year 1998- wi,, Hi 1999 for the following programs: ~r,,,~<~ nua-~a s u~,o Pat aae.v s;-s-va Hawaii Island Food Bank rou Free i-nr-4;s-ur,o Care-A-Van Outreach Program for the Homeless ~--m,~r <r~u~t,,~, ~ Mobile Care Health Project Maui County Branch Thank you for your continue assistance and support of our projects. „ •,,,,,,i,~„~,,,,,, ~~a~i,.k,~ rii ,F,-4s-~sn Please feel free to call me at (808) 935-3050 ex 109 if you have any questions ~ti,,,.P aria-~ to-N about any of our programs. F,,~ ana ~~a n-mail r,r~~.lani~*y;iP ncr Sin~c~erel~y, Oahu Branch l r, in; P.vi ~ bchv.m Catherine Hawkins ~ rii ~ ,.,r, Director of Development ~i„~,~~ n~~rs-ze i-en»a r.,t ~,nn-~,_ Ministry for Perum~ with Disabililiec P I ~'i, ~ La~~,, ~~ho.l{I .n-_.-_ Phun, _ '..;t iaJ ~ v _ f i1 r v~'.~.i ...l i I ~ , ~ , ~ _ ~ „ - .,ar , _ Agenc,nOr~aniZatiOn: Office for Social Project Name: Hawaii Island Food Bank Ministry -Hawaii Island Catholic Social Miniitry Summary oFlncome - . ReyenuerS`ources FISCAL YEARL998-1999 , _ ".c . _ Total Agency Amoun[ Total Program .~moun[ Counry~ot~Hawaii 85,000 30,000 State of Hawaii 407,189 35,489 Federal Funds ~ PrivareFounda[ions ~ 137,500 42,000 United Way Funds 19 500 11 000 Admissions Dona[ions ~ 36,583 13,000 Fundraising 95 , 000 95 , 000 Pav Phone Vending Machines i ServiceiProgram Fees ~ 130,150 ~ 130,150 Third-pam reimbursemen[(s) S1Ytlf}(~Y[ Other Revenue ~I 31,610 I Oth~S~~~i~tti Fees 67,505 ~ Interest Income 400 400 II Diocese Support 304,542 SHEG 62,000 Rice Bowl 6,000 FEMA 59,004 ~i TOTAL REVENUES 1,441,983 357,039 Hawaii Island Food Bank Final Report for Hawaii County Funding Fiscal Year 1998-99 1. Public Benefit Derived The Hawaii Island Food Bank (HIFB) is a project of the Office for Social Ministry (OSM) of the Diocese of Honolulu. The Hawaii Island Food Bank serves the community through a threefold mission that seeks to: Prevent the waste of all edible food in Hawaii County • Distribute this food to hungry and food-insecure* families and individuals • Educate the community about hunger and food insecurity and what we can do, together, to help combat these growing problems. The Hawaii Island Food Bank began providing services to the Big Island community in 1989. The food bank was created as a response to community concerns about the growing numbers of hungry people on the Big Island. As explained in the following sections, the HIFB provides a service to the nonprofit community of the Big Island. What is lesser known to the community though, is the service that the HIFB provides for its major donors. By taking good, edible food off of donors' hands, the HIFB provides a way for its donors to save space, as well as time, energy and resources they would have to provide in order to dispose of goods they would normally send to the nearest landfill (see Attachment 1). A. How food enters the food banking network On a daily basis, the food bank goes out into the community and collects food and non- food items from grocers, wholesalers, distributors, and farmers. Donated items, which are referred to as "salvage" items, are trucked back to either our Hilo or Kona warehouses where they are then weighed and sorted for distribution to member agencies. Food is also introduced into the food banking network by individuals and organizations who donate throughout the year by delivering nonperishable goods and produce to either one of the warehouses. Donors are given receipts for their donations and some donors participate in a food reclamation service that allows them to receive credit from national manufacturers. All donations are tax deductible. 'Food insecurity is the lack of access to enough food. Hawaii Island Food Bank Final Report for Hawaii County Funding Fiscal Year 199&99 Page 2 B. How food is distributed The food bank serves the entire island by distributing recovered (salvaged) food via a network of 130 member agencies which include food pantries, meal programs, youth programs, low-income senior housing, programs for the differently-abled, homeless shelters, and domestic violence shelters (see Attachment 2). Agencies contribute a nominal $.14/pound or less for each pound of food that they receive from the food bank. This Shared Maintenance Contribution (SMC) goes directly to pay for operational costs of the food bank like rent, utilities, vehicle maintenance and equipment maintenance. The food bank is acost-efficient way for agencies to save on their food program budgets enabling them to channel more funds into other program services. The food bank allows smaller organizations and churches to exist; many of these emergency food providers would be unable to serve meals or distribute food boxes without the budget-friendly resource that the food bank is. Since beginning operations, the Hawaii Island Food Bank has distributed over 10 million pounds of food (a retail value of over $22,000,000) the majority of which otherwise would have ended up in area landfills. 2. The Necessity of County of Hawaii Funding Without funding provided by the County of Hawaii, the Hawaii Island Food Bank would be hard-pressed to effectively carry out its daily operations. The HIFB receives 1/3 of its funding from a Shared Maintenance Contribution (SMC) of $.14/pound (or less) that member agencies contribute when they shop at the food bank. This SMC assists the HIFB with paying its utilities and equipment upkeep and repair costs. The remaining 2/3 of the HIFB's budget comes from granting organizations fundraising events. County of Hawaii funding provides for 10% of the HIFB's budget, in fact it is the only government funding we currently receive and it is more crucial than ever. Over the past three fiscal years, distribution of food has increased by an average of 200,000 pounds each year. FY96-97: 1.3 million pounds of food were distributed FY97-98: 1.5 million pounds of food were distributed FY98-99: 1.7 million pounds of food were distributed Hawaii Island Food Bank Final Report for Hawaii County Funding Fiscal Year 1998-99 Page 3 Funding from the County of Hawaii plays an important part in our overall operations and allows us to continue providing acost-effective resource for nonprofit organizations that directly serve needy populations as well as donors that provide food for the HIFB to distribute. 3. How the HIFB is Meeting its Goals and Objectives Accomplishments for fiscal year 1998-99 are as follows: The Hawaii Island Food Bank took in over 1.6 million pounds of food donations from local retailers, wholesalers, distributors, and farmers (Of this amount, approximately 100,000 pounds of food were given by organizations, schools, businesses and churches that held food drives as well as by individual donors). The vast majority of this donated food would normally have ended up in area landfills. Over 1.7 million pounds of donated food were salvaged and sorted and distributed throughout Hawaii County via our network of 130 member agencies. Agencies include homeless shelters, hot meal programs, emergency food pantries, adult day care programs, substance abuse recovery programs, domestic violence shelters, child day care programs and agencies serving people living with AIDS. ¦ Through the Hawaii Island Food Bank's member agency meal programs: ? 52,498 individuals were served over 407,000 meals (duplicated counts). As a comparison, in FY97-98 41,698 individuals were served over 413,000 meals (duplicated counts). Through the Hawaii Island Food Bank's member agency food pantries: ? 119,078 individuals were served (duplicated count). In comparison, in FY97-98, 82,465 individuals were served (duplicated count). Over 185,000 pounds of food were directly distributed to 80 low-income seniors through the Senior Brown Bag Program (see Attachment 3). This project was started in May of 1997 to assist our kupuna who are living on fixed incomes and Hawaii Lsland Food Bank Final Report for Hawaii County Funding Fiscal Year 199&99 Page 4 who often have difficulty accessing grocery stores and other resources like food pantries. Each week, Food Bank staff deliver goods like bread, milk, and yogurt, which help to create nutritionally balanced diets which are extremely important for the elderly population. This service is free to seniors living in the three, participating East Hawaii complexes. The Senior Brown Bag Program began distribution to West Hawaii seniors at one housing complex in July of 1999. The program will expand to other senior housing complexes in West Hawaii in the coming fiscal year. The HIFB continues to provide educational opportunities for the community to learn about hunger and food insecurity (food insecurity is the lack of access to enough food) through education partnerships with local schools; community expos; presentations to civic groups; features on local radio stations' community programming; the annual Check-Out Hunger fundraising campaign held in cooperation with local retailers; and the annual food and fund drive. The HIFB also keeps the public informed of its events and happenings through press releases on its various events (see selected press releases, Attachments 4A-4N). How does the HAWAII ISLAND, F~OD BANK work in the Community . Food and Non-Food Items / from Donor Sources Wholesalers, retailers, distributors. Federal Departments. State Departments, County Departments, schools, businesses, churches, civic clubs. individuals - Hawaii Island Food Bank Warehouses located in East Hawaii Hawaii Island Food Bank and West Hawaii Non-Profit Member Agencies Food pantries. meal programs, homeless shelters, substance abuse recovery programs, after-school _ programs, spouse abuse shelters, programs for the differently-abled, child and adult day care programs The Big Island's Hungry & Food-Insecure The unemployed, homeless, single-parent families. differently-abled, the working poor, the ill, seniors, children, and those in abusive situations HAWAII ISLAND FOOD BANK Member Agencies Member agencies span the entire Big Island. These are the programs and agencies that directly distribute food to those in need. Alu Like, Inc. Glad Tidings Church American Red Cross Go Spread His Word Annunciation Catholic Church Grace Baptist Church • ~ Bay Clinic, Inc. Ha'aheo School PTA, Inc. Big Island AIDS Project Hale Lehua Big Island Substance Abuse Council Hawaii Island Adult Care ~ ~ Boy's & Girl's Club of Hilo Hawaii State Foster Parents Association, ~ ~ ~ ` Care-A-Van, East Hawaii East Hawaii (Foster parents) Care-A-Van, West Hawaii Hawaii State Foster Parents Association, Catholic Charities Family Services West Hawaii (Foster parents) (Foster parents) Hawaii's Volcano Circus Sacred Heart Catholic Church, Catholic Charities, Na 'Ghana Hilo ARC - Kahome Pulama Pahoa Pulama (Foster parents) Hilo Alliance Church Salvation Army, Hilo Temple Central Kona Union Church Hilo Missionary Church Corps Chiefess Kapiolani Kokua PTA His House Salvation Army, Kona Temple Child & Family Service, East Hawaii Ho'oulu Lahui Corps (Foster parents) Immaculate Heart of Mary Salvation Army, Honokaa Child & Family Service, West Hawaii Keaau Bible Church Solid Rock Ministries Christ Lutheran Family Program King's Fellowship St. Anthony Catholic Church Christ Lutheran Feeding Program Kona Adult Day Care Center St. Benedict Catholic Church Church On A Sure Foundation Kona Family YMCA St. Joseph Catholic Church Drug Addiction Services Hawaii Kona Krafts St. Michael Catholic Church East Hawaii Coalition for the Kona Seventh-Day Adventist Church St. Theresa Catholic Church Homeless Life Church of Hawaii Thy Word Ministries, Hilo Family Support Services of Waimea Makana Foundation Thy Word Ministries, Kona Family Support Services of Malia Puka O Kalani Church Under His Wings West Hawaii Malu Aina United Community Church Foster Parents Association, Kona Meet-N-Eat University of the Nations Foundation for God Neighborhood Services Ministries WHOFL Bridge House New Hope Christian Fellowship West Hawaii AIDS Foundation New Hope Puna West Hawaii Family Crisis New Life Christian Center Shelter l¦~`1 'Ghana, Family of the Living God YMCA, Waiakea Settlement Ola'a First Hawaiian Church YWCA Family Support Services Operation Blessing/Mizpeh Ministries Our Lady of Lourdes Catholic Church ` PATCH, Hilo (Foster parents) ~ PATCH, Kona (Foster parents) ;?1 ~ Pahala Assembly of God Paradise Park Church of the Nazarene Puna Friends of the Park Rose House Sacred HearUHoly Rosary, Naalehu April 1999 HAWAII ISLAND FOOD BANK Senior Brown Bag Program ~ WHAT: Senior Brown Bag Program WHY: Created in 1997 to assist our kupuna living on fixed incomes. HOW: Food is distributed free, twice a week to three (3) low-income senior housing complexes in East Hawaii. Food Bank staff deliver food that supplements the diets of participating seniors. West Hawaii will begin distribu- tion to seniors in 1999. FACTS ABOUT OUR KUPUNA: Of the County of Hawaii's registered seniors, 46.3% are living at poverty level. Since beginning this much-needed service in 1997, over 300,000 pounds of food have been delivered to an average of 80 seniors in participating hous- ing complexes. Through the Hawaii Island Food Bank's Senior Brown Bag Program, partici- pating seniors receive an additional 33 pounds of food in their diet per month. TYPES OF FOOD DELIVERED TO SENIORS: Q Milk, cheese, yogurt, eggs • Bread Juice • Fresh produce • Baked goods like cookies and cakes that seniors may find to be too extravagant on a fixed income. ,,~,~si iv9v 26-Hawaii Tribune-Herald, Sunday, July 11, 1999 Islandwide food drive exceeds goals for second year in a row The Hawaii Island Food Bank - has surpassed its food drive goals for k ; li the second vear in a row. Commtu»ty members save $66.569 and 77,943 pounds of food during [he 1999 ` Annual Food & Fund Drive (goals: ~8 550.000 and'S.000 pounds). A Highlights of the 1999 Annual ip•_"_~_*- - - Food K Fund Drive included the - drive's first ever "Can Casde Extrav- atanza" mwhich atea reams from ele- men[ary. intermediate and high schools constructed buildings from canned and other packaged foods. Another hishlieht of the drive was the "Fill A Bag. Feed A Fami- ly" project. This project. which was i Y'k . sponsored by Rotary Club of Hilo, Rotary Club of Hilo Bay, South Hilo _ _ - Ro[ary Club. Bank of Hawaii, and ~ Hawaii Tribune-Herald encoutaged _ community members to give to the t-god bank by providing specially- printed brown paper bags in the Sun- Students from Waiakea Intermediate School work on the construction dav. Feb. '?8, edition of the Hawaii Tti- of a canoe hale -built from non-perishable food -during the Hawaii bune-Herald. Big Island Bank of Island Food Bank'S 1999 "Can Castle Extravaganza:' Hawaii branches served as drop-off distributes food throu hout Hawaii [o the needs of our neighbors. het sites and the Hawaii Tribune-Herald g p- inserted the baes free of charge into County via a network of member ing us [o surpass our goal again this the Sunday, February 28 edition of agencies that directly feed those in year. the paper. need. Operations are carried out "The broad support of the Food A major food gifr came from the from a wazehouse in East Hawaii Bank from so many organizations National Association of Letter Car- and a warehouse in West Hawaii. throughout the entire Big Island Tiers fNALC) Food Drive during The food bank distributes an aver- makes me very grateful and so proud age of one million pounds of food each of the unselfish generosity of our which letter tamers collect food veaz. communtn~:' donations from their postal cus- - ~.~y.A, ••Doc" Buvers. CEO & The Hawaii Island Food Bank is Comers' mail boxes for local food ChaimtanofC.BrewerandCompany, a project of the Otfice for Soctal banks. Over 18.000 pounds of food again served as the drive's honorary Ministry of the Diocese of Honolu- were collected dtuine the (999 NALC chairman. Said Buvers of the drive. lu; an atfiliate of Second Harvest, dre Food Drive. "I am moved by the willingness o[ so National Food Bank Network, and a The Hawaii Island Food Bank many people to generously response Hawaii [stand United W'ay Asency. Fortress of food Hawaii Tribune-Herald. Monday, April 19.1999-5 1',I i' n~I-~{t t ~ ~ ' ~ Yli ' kit . .~2 jH'`~ - Mks; - ~ • t ~ '`IRIff r, . .rn. 'i til „e.:.-+ .j~ j t `ems... ~ I . ' v t - ....,...,a. , T-H photo by Williaming Hawaii Island Food Bank's 1999 Can Castle Extravaganza, held Saturday at Prince Kuhio Plaza, challenged the architectural know- now of teams representing six Big Island schools. Gift certificates were awarded in categories such as school spirt. most cans col- lected and peoples choice. Shown above is the entry from Keaau Elementary & Intermediate School. complete with a draw bridge and moat. The event is part of the Hawaii Island Food 8ank's 10th annual Food & Fund Drive. wESt Hawa~ ~ , Sunda}, April 18, 1999 • vot_ xxxt ao. n • 12 t Pages • One Dollar West Hawaii volunteers help `Make a Difference' By ARLENE STEPHL For full coverage of - - West Hawaii Today =.:+c A group ofchildren from Kona was one Make a Difference Day,' of 500 across the nation to receive a local See USA Weekend inside ^ award far its efforts Oct. 24 on Make a ai Difference Da}. Lomberg said 25 children from 15 fami- r The Kona Association for Hebrew lies m the Kona area panictpated, plus 30 - ~ r Educa[ion and the Arts (KAHEAi collected sponsors. The group collected $2.060 and ~ ~ cans of food and donated them to [he donated it to six chari[ies, including Kona - ' • ~f ; Hawaii Island Food Bank, a one month pro- Crafts, Kona Community Hospital ~ ~r ject. Maternity Auxiliary. Kona Adult Day Care Shirona Lomberg, KAHEA president. Center, Women's Crisis Shelter and said this is the third yeaz the group has par- Shriner's Hospital for Crippled Children. '.,d~.4 - ucipated, choosing each time to collect "It's very important to me the children "'PR° food. This year they collected 371 pounds, see [he process, what happens when you - more than five times as much as the 73 extend yourself," Lomberg said. "and see dunds collected the first year. where the food goes and what happens to -an.aw to wtrr KAHEA also asked individuals and busi- it" VOIUnteere from Kona ASSOCiatiOn for nesses across the island to help by sponsor- At the food bank the children weighed Hebrew Education and thB Arts Show off ing the children's efforu by contributing 10 the food, saw the refrigerator and all the the 371 pounds Of canned goods COIIBCt- cents for each pound of canned food col- shelves where the food is placed, and talked ed in October and donated t0 Hawaii lected. The money was donated [o other See PROJECT: Island Food Bank for Make a Difference charities. ~ Page 4A Day. ...Project brightens nearly 14 million lives From Page 1 A the year KAHEA has five projects cleanup volun[eers from Pahoa, about the shelters and organiza- designed to help the needy in the University of the Nations people Lions where the food goes. community and other areas, in support of vaditional manage "They tried to guess hou~ much including planting trees, baking and Kona Outdoor Circle. food we collected before we traditional pastries to give to the Since 1992 millions of weighed it." She said her S-year- needy or to raise money for chari- Americans have spent one day a old daughter. Merav, came close ty, has purchased a buoy for reef veer helping outers. Each year to the right weight. restoration, and has raised money efforts that cap[ure the spirit of Lomberg stressed the impor- for hurticane victims and critically this day, the fourth Sa[urday in ill children. Lance of teaching charity [n child- October, are chosen to receive Some 2 million people across ren at an early age. awards so [heir work can continue. 'Tzedaka in Hebrew means the nation pan[cipated in Make a In the last vear, Make a charity. The word comes from Difference Day in Octobeq help- Difference Dav has funneled $2.5 mg people in need. Nearly 14 mil- Tzedek, which means justice. 1[ is million to charit}~. our res onsibilit -and obligation lion lives were touched. Make a Difference Day is spon- p ) ~ For its efforts. KAHEA will to create that in our lives and receive xn award certificate from cored by USA Weekend magazine enforce it on the next generation, the sponsors, USA Weekend mag- and its S4I carrier newspapers, especially through action, azine and its partner, Points of including West Hawaii Today, in Children who grow up im~olved in Light Foundation. Partnership with the Points of caring for their communin and the Others in West Hawaii who par- Light Foundation and us network world will carry this idea and live ucipated and were recognized are of 500 volunteer centers. The it and will pass it to their chit- Aurora Children's Clinic, Tom foundation is the nation's leader in dren," Lomberg said. Whitaker's third grade class at promoting more effective volun- In its effort w practice it [hrough Kahakai Elementary School, leering. 14-Hawaii Tribune-Herald, Sunday, April 4, 1999 UH-Hilo urges community to help .with food drive The li niversit} of Hawaii at Bank. Monetary contributions are The campaign is part of Hawaii Hilo is participating in the "Fill a also being collected. Island Food Bank's 1999 "Hunger Bag, Feed a Family" campaign, "UH-Hilo is proud to be a part Relief' Food and Fund Drive. which began March 15 and runs of [his community and we want It is supported by the Rotary through April 17. to do our part in helping to improve Clubs of Hilo, Hilo Bay and South Drive Coordinator Walter Dudoit [he quality of life;' said Chance]- Hilo, in partnership with the Hawat7 says faculty, staff and students are for Dr. Rose Y. Tseng. "I urge all Tribune Herald and Bank of being urged to 5I1 a bag with non the members of our UHH family to Hawaii. perishable food items to be turned support this worthy cause;' Tseng . over to the Hawaii Island Food added. 6-Hawaii Tribune-Herald, Tuesday, March 23, 1999 4u'~j~}K[1~~ ~y~~r /'Q~ t Helping feed hungry ~ l v, ,~rY''1 I . J~ ~ 1 , L y' ~ ~ {AN V 4: •N A a r } r:lyp.-x ~G7SLEYLii,' e ~ r i The Big Island Automotive Trades Association recently held a food drive far the Hawaii Island Food Bank. The island-wide drive collected 1,165 pounds of food that will be distributed among 130 mem- ber agencies of the Food Bank feeding those in need. ~ - ~ - L - ' v ~ ~ J - = X y l~ ~ ? ~ ~ _ v - ~ v - ~ ~ ~ _ ~ - G u z - - ~ ~ ~ - ~ T._ ^U c _ _ y ~ ' ` _ ~ J O _ _ N 5 - ~ - _ . _ ~ ~.s r`L' v G i ~ _`1JLL ~ c L ~ U ~C _ ~ aJ c v~ c 3 c vZv:. 5~ D ~ _W _ y y - C. ¦ ~ - - = _ .3 ~ _ - L ~ ~ ^ - - J - j ~ J f \V ~i.S~~S._~cJ ~-rv - x -~'-~G - - ~ .y r C _ , ~ ~ ~ - C r T ~ C~i ^ y^ ^ V r x u p ~ O ~ Y O tP _ - / 7 L ~ v . 011 C CJ = = 'r ~ m h T L ~ ~ A C y C 1 T- t- J ^J r__ C / N G J cyJ J ~ ~ J. T 00 r v 'L ~ ~ ~ O ~ Q C 'J QOM N ~ _ ~ - ~ N N rL., J; ~ ~ 7 7 ~ Y ~y i ~ Oll C ~ C T - ` m v L ~ ~ ~ ~ J ~ G ? C ~ C ~ X cr U .'v :a °J i, a cu m C A~ T1. L ^ C~ ~ j= ~ - r ~ ~ J ~ ~ O _ 3__%=~Y- J ~ _ - ui' ..'.'a Y '7 - L u n 'c Hawaii Tribune-Herald, Sunday. February 28. 1999-31 Rotary clubs begin `Fill a Bag, Feed a Family' campaign The Rotarv Clubs of Hilo, Hilo Clubs of Hilo Bay and South Hilu Bay and South Hilo, in partner- to see if [hey would assist. They ship with Hawaii Tribune-Herald and did!" Bank of Hawaii will conduct a frtt The three Rotan~ clubs were ever protect to fight hunger on the respon,ible (or underwriting the Big Island. cost and printing of the _5.000 Dubbed "Fill a Bag, Feed a Fam- grocery bags. The Tribune-Herald ily;' the campaign involves place- agreed to insert the bags free of men[ of a brown grocery bag into charge. Bank of Hawaii offered a February edition of the Tribune- open all of its branches to accept the Herald. filled bags of food. "It has been a Dunng the month of March, very positivecommunitveffon:~suid people can fill a bug with non-per- Chang. fishable food items and drop the The monument task of helping sacks off at any Bank of Hawaii to fold the bags and attaching branch. Each bag will also con- envelopes fell to various volun- tain an envelope for those who leers from the community: ten stu- would like to make monetary dona- dents' of Halau Kapili Hou. the [ions. This project is one component Native Hawaiian Vocation Educa- of the Food Bank's 1999 "Hunger [ion Project of Alu Like Inc.; Hawaii Relief' Food and Fund drive. Island Food Bank volunteers; and This first-time project began the female inmates of Hawaii Com- several months ago when Carol munity Correctional Center. Ignacio. executive director of the Beryl Iraminu. HCCC warden. Hawaii lsland Food Bank, a project said. "This project has been a ven~ of the Office for Social Ministry, positive effort for our female mentioned a similar project to inmates and for the communin~ Nathan Chang, the community ser- at-large. Just knowing they would vice director for the Rotary Club of be helping to make a difference Hilo. Ignacio said, "The brown generated a lot of positive energy bag project discussed took place in among the women involved with Oregon. Nathan was looking to thts effort" develop a Rowry project that would lgnacio satd, "We are grateful for help to feed our island's hungry. He and humbled by the generosity of took the idea and worked with oth- the Rotary Clubs of Hilo, Hilo Bay er organizatjons to make it a real- and South Hilo, the Hawaii Tri- it_v. bane-Herald, Bank of Hawaii. and "1 met with the Community Ser- all of the volunteers who make this vtce Directors from the Rotary protect possible." ~ g-Hawaii Tribune-Herald, Tuesday, February 9, 1999 For a good cause ~ - , a,~„s.~ .x'x + ~ F r ~r 6~ f I` 1 1 ~~II : T,y~ l ~ J,' f « xw d' x,.. w o-~ T•H photo by William Ing KWXX-FM radio morning duo Eddie O., at right, and Kat take pies in the Lace from St. Joseph students recently. The messy event was the payoff after SL Joe students responded successfully to a challenge from the radio personalities to amass 2,000 cans of food for the Hawaii Island Food Bank in a week's time. Aher the combined student body collected more than 3.000 cans, High School Principal Leroy Andrews and Grade School Principal Sister Grace got pied as well. The Food Drive coincided with National Catholic School Week. 8-Hawaii Tribune-Herald, Sunday, December 27,1998 Fur HIV/AIDS inlurmuuun call the booth lees and silent aucuun items m pruiect at yts I -2-12H. the recent Chnstmas Crab Fair orga- nized by Na Limu Hana. Hiiton W'aikuloa's employee volun~eer cvm- HIItOfI W21kO1O2 munity outreach oreamzation. On Dec. 4 several non-profit In making the donations, hotel urganizauons received early Christ- General Manager Dieter Seeger said. mas gifts as a result of fund-raising "It is tin important gaol of our resort extorts at Hilton Waikoloa Village. u, give back w the cummunn} that Duke Gonzales, director of com- wa arc all a pan ot. We will conun- munnv relations for Hawaii Shnnen tie to support our [eam members Hospital for Crippled Children, who work hard at these events and we AIDS Project accepted a check for 514,0W and lay thank the community for their con- Thc Bie Island A1DS Protect has Sweeney from Dolphin Quest accept- tinucd support of Dolphin Days and «centh• been awarded a 53,(>DU grant ed a check for 5!2,556 for the Pacir_ our Crati Fair." irum me Atherton Family Foundation. is Manne Life Foundation. These - The gran[ will be used to purchase donations were net proceeds of thts • .,ut~~muuon eywpment. including a year's Dolphin Days, a benefit week- C, Brewer 2110 C.O. computer and printer for HIV/AIDS end held at the Kohala Coast resort The largest macadamia nut com- Intemetresearch. Trcatmen[ regime, (or the past tour years. parr in the world has appoin[ed iur HI~~ and AIDS have become so Carol Ignacio, executive direc- Scott C. Wallace to the new position ~umplcA and ne« urugs are appear- ux for Hawaii Island Food Bank, presiden[ and ehtef operating uffi- in~_ sr, quickly that only through acceptexladorwuonof$5,837.12,and cer. Mauna Loa Macadamia Nut computer research can physicians. Michelle Medeiros accepted 52,100 Corporation head ]im Andrasick clients and case managers keep For W'aimeasTutu's House. These said,"Tftereisnobetterqualitledper- abrcast of all the changes. donations resulted from oroceeds of son in our company [o take the Mau- na Lua brand to [he next level. Scott Wallace is an experienced and skilled marketing and sales executive who has a passion for our business and has the numbers to prove it." Wallace is a native of Covina. Calif. He was ttx~uited by Mauna Lua in 1994 to revitalize the company's sales and marketing efforts in the United States. Wallace and his wife. Patti, make their home in Orange County, CaliL, near Mauna Loa's office in [n•ine. 20-Hawaii Tribune-Herald, Sunday, December 27, 1998 Fund-raiser HA AHED C~hIk1UNIT~c ~#1~~'FTZ,~$~ stk- '-+e, - ~ M q F il. ;c c-' x. , Presenting a check to Heather Brian of the Hawaii Food Bank are the top fund-raisers of each class group at Ha'aheo School: Kaolani Willard. Kaeila Patao, and Zoi and Hannah Moore.The Ha'aheo School PTSA returned a portion of the money raised to a charitable community organization. In light of the holiday season, to help pro- vide meals to needy families, a contribution was made to the Hawaii Food Bank. 6-Hawaii Tribune-Herald, Tuesday, December 15, 1998 sic Automotive Trades `holding food drive The Big lslandAutomotive Trades Association is holding an island-wide food drive to benefit the Hawaii Island Food Bank through Jan. 11. BIATA is an orgahization com- prised of automotive-related business- es including service stations, repair shops, collision repair shops, automo- tive supply sores and oew and used car dealerships. The public is encouraged to drop off,canned donations at any service station or automotive-related business displaying "Official Food Drive Drop Off Station" signs. These include: Parts Center Hawaii-all NAPA stores: Aloha Ot[o Parts; Fairway Service Station; Ota's Service Station; Curt's 76, Inc.: Hilo Auto and Trvck; Hilo Radia[or and Glass; Magoo's Auto Pans; Automo- tive Supply Center; Bayside Chevron Service; Chika Nakano Repair Shop; Larry's Chevron Service; Masa's Shell Service; BJ's 76; Fast Fuels 76; Kilauea General Store; Coastline 76 Service; Mackey's 76; Big Island Toyota; Rannikks Auto Specialists; Ignacio's Auto Service; Kamuela Shell Service; Harold's Union; Kailua-Kona Chevron; Daleco; Shige's Service; Maz's Auto Parts; and State Auto Pans. Agencies, people help the homeless On Noy. ICJ thr Notional Home less Awareness Week ti'as observed :n Wailoa State Part.. Free meals, haircuts, and other donations were liven by "Under His Wins:' St. Joseph's Church. Care-A- Van~Hawaii Island Food Bank. Bis Island Candies. Me Donald~s. and odr er aeencies. OnTuesdo~. Dec. m Wailoa State Park. during the next National Homeless Awareness Week, volun- teers will aeain be offerim± free meals for the Christmas holidays. Lunch will be served of noon. Coordinators offer their "special [hanks to all acencies and volunteers for their time and efforts for the com- munih." including a big "mahalo" to St. Josephs Church's second-year confirmation lass students for the table decuruuuns. ~~-Hawaii Tribune-Herald, T uesday, December 8, 1998 s F-q~ll• ~ u:-n.~ ,~Hawafi TrlbtrtsHersld, TueWey, November x,,,908 Quick bites 'easy, holiday way to help the hungry Chedt-0ue the anwul fee~oiaer mgihe Hawaii tLVed Fend7bak aad Iocal stores, `will wrt 7Dec. l through 7aa 31. Help IYaya sbe hungry and ftrod- ' inseciae by palling green dotntion tags ucheek-out counters. It'a a simpk way to help. Donation tags for S I, S2 or SS ate stxruted by • cashiers sod the amount added po the •customer's bill. i.ast year's effort brought in S 15,000. For every dollar donated, the Hawaii IsLud Food Bank is able to provide S 15 worth of food to its island-wide network of 130 member agencies. All dotutions stay on the island to help drone who need it moat. says adttanisotatur Heather Brien. Participating stores are: Bayaide Chevron: Big Island Mini Mart; Cap- tain Caok Stop 'n Shop; Honauaau Stop 'n Shop: Island Markets: Kami- gaki Market; Koss Stop 'n Shop; KTA Super Stores; Manono Mini •Mart; Mstauyama Food Mart; Ocean View Market; Rice Aid (fomrerly Pay- -less); Safeway; Sunny C Store; Stun Save Supemurkets; Takata Stoles; T. • Kaneshiro Store; Waikoloa Yllage Market; Weatem Pacific Interiors, ~Kom, and Wiki-Wild Mae Throughout the camtxiga the Keasu and Kawailani Wiki-Wild Ytdeo Stores will offer ftrx renal of "Hidden In America; ' a Showorne Origimis Picaue starring Jeff Bridges. [t tells the tak of a widowed father who suddenly finds himself unemployed and struggling as Ire attempts w continue w feed his two children. "Hidden In America" por- tnya the aheme that is associased with hunger and all of the obatacks that face fanaiiigivho arestatgglftrg with ~ urytis Iced dpisrey. Food Bank Week gets Hewlett-Packard support As u sponsor of National Faid Bank Week, which was held a week ago. Hewlett-Packard Company has ~•Tlle pUl'~70Se Of ~oinccieHorts~~thSecontiHarvestand 1~iallOnal FOOd Bank affiliated Food banks ro raise aware- ness and money to help the problem Week is to acknowl- oFhungenn~menca" edge that while hunger Scecilicall,. Hewlen-Packard has pm.-ided technology pr[xiucts and ser- 1S STlll a huge problem. rice, `nr an onrne don°°°" aystem. there is something we Thi, ,ystem enables people to make monetary contributions direc[Iv to can do about it." v nauonal Second Harvest or member food banks over the Internet. Online donations in honor of -Martha National Food Bank Week can be piekett Interim made at ht[p:((vvwwsecondhar- + vest.ore un[il Jan. I. CE~, Second "The purpose of National Food Bank Week is to acknowlzdee that Harvest whilz hunger is still a huge prob- lerit, there is something we can do warehouse or for into on how to hold about it." said ~lanha Pickett. Inter- a food drive. call 935.3050 in East im-CEO of Second Hanes[. "Second Harvest wants to reco~- Hawaii or 322-1418 in West Hawati. nize. food banks and corporate pan- Second Harvest is [he na[ion's Hers such as HP for their help in largest chars[able hunger-relief orga- fighdno hunger, and send the menage nizanon with a national network of tha[ there are ways to help on a local 18"7 regional food banks. serving all and national level - evenone can ~0 s[a[es and Puer[o Rico. which make a difference." ~ distribute more than one billion National Food Bank Week cele- Pounds oFdonated food and grocery braces and recognizes the wort; of the Products annually. entire Second Harves[ network. which The Second Harvest network sup- consists of 18 i regional food banks Ports nearly 50.000 local charitable across [he nation. agencies. operating more than 94.000 the theme of the extended obser- Food programs, including food vance is "Ge[ Connected" anaAmer pantries. soup ki[chens. womeds scans are encouraged [o he:p ~.vi[h the ,helters. Kids' Cates and helps teed domestic hun_eer relic: efforts. 2ti million hungry,amencans. mciud- ;,w make " etum~ ,:onnzcted" as ':nv~ tight million hungry children possible. Secor,e :-saner -as entun- anc roue million seniors each year. iisred a [ol!-tee numeer :i _ >z='ona i'.anes[ can provide study FOOD and :ntroduc:r.~_ onunc uata on _o regonal food banks and - inancial uonauor..:aoar,~iiuz~ at :n arrange forin[erviewswithlocai httu:(hvww~secondhar~est.or__ =nu nauonal represen[atives. Sec- ,r.u :v.ea .an be reached on :he T. he i-ia~._~i s~~nu = ~~a 3~n:~ imnzs the pupiie u, :ae:...ur,. l' ~re '•~lae Web a[ http:(/w'w•vvaec- East and Wtst Huuaa ~.~ar^nuu,r~ nndhan~est.org. The Hawaii ismnu Fn~:,~ 3anx... 7~''`~ctt-Packard i, [he world ; Suosidian Jutnnuuur. ~,rean,: ~ - _auinc pmvtdcr of di^_ital-imaging non u( the Oahu-haseu :iun~nuw ~'-pnow^_}~ and products. enablin_ Foodbank. ~.~'mch ~ ^icniner u'rnc and office users to explore Second?-Iar:=~a.:4:[,~r_::_-_~n -"-ausc:utdpc~[icalnzwapPlicauons :n addrea. ernes me ~~.U: '~~ieual,ma_^mg. unu hnid m,~~_ant-. . gat[-Packard Compam is a Since I`+u~~. tn~ i! :ate --umuJobalprovidenitcomput- mbut;:dmnr:'..^.an"r r.iii:.~ inr_rnct anJ Invanet ,oluuuro. ul loud to y ae: v. ,.r~ -'.-,ee,. _ontmumcotwns products memher .[r~ena.: rr,cr. .nu measurement solutions. all w 'nun!fi~ and next-m,ccurc •.n m; d,e "men are recognized Ibr escellencc Island. - .n uualny and wppor[. Hewlett- Thc Hawaii island ruuU Bank a Packard has I_i.'_l)0 employees and also cncouragme ,choai,. nu;mes,_ "''d mvcnuc of S4'_.9 billion m m 1~7 zs. civic doh, and eruum ::nd .nuren- ilu~al year. es to hold Jinx! trove, in hcin !cad ~:ur Information aMiul Hewlett-Pack:u[1 neiehhors m ncea. .:nit iu pn,ducu can tiiund on the Tu scttcdulc a war ~i .in 'ri(F!S ',V',v Wch at hltpa/w'w'w'•hp.cum. ~eeac?iOr,anization: Office for Social Project Vame: Care-A-Van Outreach for the Ministry -Hawaii Island Catholic Social Miniitry Homeless Summary or Income ! Reuenue:S-autces:.:. EISC.ALYE:9R=L998-L999= - _ Total Agency amount Total Praeram amount i - CountyoiHawati I 85,000 35,000 Sta[eo2Hawaii ~ 407,189 371,700 I °ederalFunds ' PrtvateFounda[ions 137,500 ~ 5,000 I ~I Unaed Wav Funas 19.500 4,000 i admissions 'i ~ 'Donations 36,583 ~ 6,583 i i Fundraising 95 , 000 ~ ~ Pay Phone vending Machines Service~Pro~ram Fees 130,150 ' I ?bird-oamretmbursement(si ~ i ilxtlf}1iY[ Other Revenue 31,610 i ' Othc~S~$~~i Fees 67,505 Interest Income 400 Diocese Support I 304,542 SHEG 62,000 Rice Bowl ' 6,000 I FEMA 59>004 ~ TOTAL.RE.UENUES 1, 441, 983 ~ 422 , 283 CARE-A-VAN Outreach for the Homeless Program The Care-A-Van program has been providing services to the homeless in Hawaii County for the last 9 years. The public benefit derived: The public benefit derived from the Care-A-Van program is that there is a program that responds to the emergency needs of the homeless. Our outreach services provide emergency services such as food, clothing, hygiene and urgent first aid assistance for the homeless. Outreach staff assist people into emergency and transitional shelters and directly into permanent housing whenever possible. Our staff provides intensive case management services that help people into drug/alcohol programs, help them with job skills and also help them to maintain housing. How County funds aid in the mission of the Care-A-Van oroQram: The County funds aid in the mission of the Caze-A-Van program by providing funding for a staff position for the case management component of the program. The case management staff aze critical in helping the homeless persons maintain housing and ending the cycle of homelessness. Intensive case management services aze the key to keeping people off the streets, as homelessness is always more than just a housing issue. Issues such as drug and alcohol addiction, unemployment, mental illness, and other types of misfortune usually require follow-up and intensive assistance so that a person might stabilize in their situation. Attached are the Care-A-Van program annual statistics and the programs' goals and objectives. Fiscal information is also attached using the County of Hawaii suggested forms. STATE HOMELESS OUTREACH PROGRAM FINAL REPORT FY (Form no. HMLS O-05) Agency: Hawaii Island Catholic Social Minicrrv (Care-A-Van) Fistal Year: 1999 Date: Auttust 2. 1999 I. NUMBER OF PARTICIPANTS SERVED a. Complete the following table by inserting the proposed numbers of homeless to be served as identified in your agency's Application Form and the actual numbers of homeless persons served for the period Julyl, 1998 to Jtme 30, 1999. (a) (b) (c) (d) FY'99 FY `99 FY `99 FY'99 Proposed Actual Actual Actual Total New Clients Continuin Total (1) Total # Unduplicated 1500 593 270 863 Homeless Persons (2) # Unduplicated Single 900 260 270 530 Persons (3) # Unduplicated Families 200 143 0 143 w/children (3a) # Unduplicated Individuals 600 333 0 333 in Families (4) Total Encounters (duplic.) 5000 593 5827 6420 Noes: (a) Nuraba psoposedto be served far the fsal yeu 1999, July 1, 1998 to hme 30 1999. (b) Numbs of new cfiaos who was saved for the very fire time dsuvgthe fia®1 year 1999 (i.e never be® seen before by your agmry a°d raoeived an radial make). (c) Numbs of cadwuulg clients who were ahrady being saved at the start ofthe time period being reporter who received saviors durmgthe fiscal year (i.e. ertha rxeived an vuake date a fonow-up sav~ca). (d) Taal numbs served for the fiscal year. (b) - (c) _ (d) (b) Explain any variances greater than 15% between the proposed number of persons served and the actual number of persons served All of the above numbers except number (4) are below the expected outcomes for the year. The percent variances for these are all in the range of approximately 40 % below the proposed amounts. The total encounters have a percent variance of 28% beyond the proposed amount. The primary reason for these lower numbers is due to the intensity and time that the outreach staff are finding themselves spending with these chronic clients. When the outreach programs first began identifying the homeless on the Big Island, the numbers of individuals were high. After spending time placing the "acute" clients into housing, the remaining homeless population became the more "chronic" and time-cona~m;ng ganp, Thy chronic population require much more intense levels of services that require much more of individual staff time in building report, trust, and dealing with issues of severe mental illness and lifelong substance abuse. Care-A-Van continues to provide services to both the acute and chronic clients, but is seeing a trend in higher numbers of chronic clients versus acute. The overall number of clients is lower, however the nttmber of new clients identified is higher than our proposed amount. The Care-A-Van staff is finding themselves working more intensely with the newer clients to hopefully arrest the chronic cycle of homelessness for these individuals. The quality and level of our services is extremely high, exceeds our goals and is demonstrated on the next page. (Rev. 7/98 FNLRPT99.OUT) pg 1 2. LEVELS OF SERVICES PROVIDED a. Complete the following table by inserting the proposed levels of services [o be provided as identi5ed in your agency's Application Form and the actual levels of services provided in the fiscal year being (a) (b) (c) FY'99 FY'99 Variance Pro sed Actual 1. Number of new client intakes/assessments 100 i93 18% 2. Number of clients provided case management 100 210 100% 3. Number of referrals and follow-up (non-medical) 800 1563 95% 1. Number of clients provided medical care or referred 1000 1074 7. I% 5. Number of clients provided food supplies or referred 1000 1392 39% 6. Number of clients provided supplies (clothing/blankets) 100 2416 504% 7. Number of family counseling encounters 1000 2483 150% 8. Number of lifestyle counseling encounters 300 1331 340% Notes: (a) :Vumbapropoaedto be saved for the 6sml year 1999, hly 1, 1998 to Jwe 30, 1999. (b) Actual numbs ofpaams saved fa the fiscal ye.r hly 1, 1998 to hme 30, 1999. (c) Variance bawem proposed levels of service and the actual levels of savior provided usmgthe formula: (b?{a) (a) b. Explain any variances greater than 15% between proposed levels of service and the actual levels of service provided All outcomes and goals exceed the proposed levels of service provided due to the tremendous need for these type of services for the homeless on the Big Island Care-A-Van is fmding that we are providing more intense services for the more chronic populations so our levels and quality of services are beyond the proposed. We also identi5ed more than the proposed amount of new clients and are providing more intense services for these individuals in an attempt to arrest the cycle of homelessness for these individuals. (Rev. 7/98 FN[.RPT99.OU1~ pg 2 3. OUTCOME OBJECTIVES ACHIEVED a. Complete the following table by inserting the outcome objectives defined in your agency's Application Form and inserting the appropriate proposed and actual figures for the 5scal year. OUTCOME OBJECTIVE (a) (b) (c) FY `99 FY `99 Variance Pro sad Actual °/a 1. Number of persons placed in emergency or transitional housing 80 I25 56% 2. Number of persons placed in permanent housing. 80 151 89°/a 3. Clients placed in drug/alcohol treatment. 40 20 50% 4. Clients who will successfully access specific mental healUt raze 28 142 400% treatment treatment services. 5. Clients who will successfully access appropriate medical or dental 1000 1074 Z4°/a care. 6. Clients who will participate in long-term case mazlagement and 100 210 110% life-skills case management through the Care-A-Van program. Notes: (a) Proposed laud of outcome objeaive for We t~l year 1999, July 1, 1998 to hme 30, 1999. (b) Amin vumbc ofpeasaos amievivgthe outcome objective for the final year July 1, 1998 to Iwe 30. 1999. (c) E~laiv avy variavcn p}eater thn 1 S%bcwaen proposed oivcane objectives avd the actual umo°me obje¢ives adtieved during fiaml year 1999 (July 1, 1998 to hme 30, 1999). b. Explain any variances greater than 15% between proposed outcome objectives and the actual outcome objectives achieved during fiscal yeaz 1999 (Jtily 1, 1998 to June 30, 1999). All of the above outcome objectives exceeded the proposed amounts exce}rt for item (3). The primary reason for this low nttmber is the extremely limited resotrrces available for structured ding and alcohol treatment on the Big Island. Our staff have found accessing Big Island Substance Abuse Council (BISAC) can be a very timely process and many clients aren't able to access the treatment dttring thetr small period of willingness for treatment. Another factor that affected this number was the May closing of the only other structured treatment program on the Big Island, Po'iolani. The closing of this program limited access to treatment for our clients. A third factor affecting this number was our method of reporting placement into altetnative "treatment" options. In the past, placement into a sober living environment and placement into psychotherapy for drug and alcohol treatment were not included into the count for placement into treatment. In July, Care-A-Van held an in-service to clarify this matter and all staff were instructed to include Utese other placements in the overall drug/alcohol treatment category. We believe this in-service will help to capture all placements for drug and alwhol treatment in the future. (Rev. 7/98 FNLRPT99.OUT) pg 3 GENERAL COMMENTS a. Briefly describe your agency's key accomplishments for [he fiscal year 1999 (July I. 1998 to June 30. 1999). In the last 5sca1 year, the Care-A-Van program has continued to provide high quality, direct services to the homeless population on the Big Island Care-A-Van exceeded almost all of its proposed outcomes and projected levels of service provided for the last fiscal year. We succeeded in placing l51 persons into permanent housing which is over twice the amount that we proposed We are also proud to note that we have been very successful with accessing mental health services with a percent variance of 400% over life proposed number. Care-A-Van has also been very involved in pursuing economic development opportunities for our clients. Through a Department of Labor (DOL) grartt, Care-A-Van and Mobile Care sponsored a Dental Assistant Training program. [n the last yeaz, six students graduated from the program and are now employed frill-time. Care-A-Van also applied for and approved for another DOL grant in the amount of 5100.000 to provide tuition for IS cosmetology students in West Hawaii. This program, which is geared towards homeless and transitional individuals, is expected to begin in September of 1999. During the last yeaz Care-A-Van also was able to start a seh sufficiency program called The Women's Workshop with a 510,000 Wienberg grant. This project provides women in transition from homelessness with an opporhutity to learn sewing skills, social skills, and to gain valuable employment readiness training in a supportive and empowering environment. Cate-A-Van also continues to spearhead the Big Island Strategic Plan on Homelessness, which is currently in the planning stages of developing a Continuum of Care plan for the County of Hawaii. This group which consists of various community agencies that serve the homeless is attempting to identify the needs of our homeless populatio4 the gaps in service and to propose workable solutions. Care-A-Van was recently awazded a grant through the Hawaii Community Foundation for the Homeward Bound Fund This grant was awarded for seed money to provide emergency bed space for West Hawaii clients with special needs. Since that money was awazded we have also received 5650.00 from private donors to add to this fund b. Briefly describe any internal or external bazriers to attaining program goals which your agency encountered during the fiscal year 1999 (July 1, L998 to June 3Q 1999). As was discussed on page one, Care-A-Van did not meet its proposed goal for total numbers of participants served We did however exceed the number of new client intakes and most of the levels of services and outcome objectives. When reviewing the overall performance, Care-A-Van feels very satisfied with these fiscal year resulu. We have noted however, that we are averaging more time and intense services with our chronic clients in order [o best assist them into and maintaining permanent housing. We are finding that this quality of service provided helps to break [he cycle of homelessness. The high numbers we have for our levels of services and outcomes achieved evidences this. It is challenging to provide this quality of service while still attempting to meet the high quantity of participants served Care- A-Van is wmmitted to assisting people with the highest quality of service and importance. so we are constantly striving to find the balance with the issue of quality versus quantity. An external barrier for Care-A-Van this past fiscal year was the issue of accessible drug and alcohol treatment programs. Over the past year a major program closed and left only one other alternative (BISAC) far our clients. We continue to seek out and encourage alternate treatment programs for our clients through various counseling centers and sober living environments. This factor affected our outcome for placement into drug and alcohol treatment. We hope [o increase this number for the next fiscal yeaz number by finding some alternative treatment solutions for our clients and documenting them as dmg and alcohol treatment. (Rev. 7/98 FNLRPT99.OU1') pg 4 ~genc,~/O ,anization: Office for Social Project Fame: MOBILE CARE HEALTH PROJECT Ministry -Hawaii Island Catholic Social Minsitry ~ummarv or Income RevenuerS'outces:.: I FISC.~LYEi4R:1998-L999- :a-_- _ Tutai Agency Amoun[ io[al Program ?.noun[ County of Hawaii ~ 85 , 000 20, 000 Sta[e of Hawaii 407 , 189 Fede.~al Funds ~i, Priva[eFounda[ions ~ 137,500 90,500 ~ "Hued Way Funds 19.500 4,500 ~ Admissions ~I Donanons ~ 36,583 ~ 3,000 'Fundraising 95 , 000 Pay ?hone ~ i vending Machines i I Service.~Program Fees I 130, 150 I~ '~hird-pam re[mbursemennsi 3IXS#}6Yt Other Revenue i 31,610 Othb"~~Yl~f~g~Fi Fees 67,505 ~ Interest Income 400 ~ Diocese Support ~ 304,542 i SHEG 62,000 I Rice Bowl 6,000 ~ ~ FEMA 59,004 TOTAL' REILENCJES 1, 441, 983 II 118 , 000 MobiletCare Health Project The Mobile~Care Health Project has been providing services to the homeless, low- income uninsured and indigent people in need of dental and medical Gaze in Hawaii County for the last 2 years. The County of Hawaii has generously assisted with the only government funding received by this project for the last two years. The public benefit derived: The Mobile Care Health Project is the only program that provides dental and medical care to low-income persons on this island. Services aze provided in a Winnebago Van that has been converted to a mobile dental and medical clinic. Dentists and a physician's assistant staff the van as it travels to areas of West Hawaii delivering care to the people in need. The Mobile Care Health Project is often the only way that a person can receive dental or medical Gaze for sometimes urgent or life threatening dental and medical situations. Before the Mobile Care Health Project, these people had to go to the emergency room, where they were often not treated for dental emergencies but billed for a visit to the emergency room just the same. These aze bills that are not usually paid by the individuals who have no money to begin with and the taxpayers and others end up covering the costs of such visits. Therefore, the Mobile Caze Health Project has effectively reduced the number of inappropriate visits to costly facilities such as the hospital emergency rooms, etc. as well as provided needed dental and medical care to the low-income person in Hawaii County. How County funds aid in the mission of the Mobile Care Health Proiect: The County funds aid in the mission of the Mobile Care Health Project by providing funding for a staff position for the clirvc coordinator. The clinic coordinator is responsible for recruitment of volunteer dentists and medical personnel from the community and for scheduling of the personnel at every clinic. Without this position, the Mobile Care Health Project could not operate effectively and efficiently. Attached aze the project's 6 months statistics. Fiscal information is also attached using the County of Hawaii suggested forms. YiOBiLE •C.aRE VlobilevC:ue is ajoint project tit Hawmi Islmtd Catholic Social ~limstrv and St Frmtcu Healthcare System. The mission of the project is to provide accessible and affordable ntadical vtd dental sentces to the low-income.uninsured :utd homeless peopla of the Big Eland. DEVT.~L SERVICES: Crsent and raurine care -oral examinations. ~-ray s. restorations. primary treatment for ~,um dise;ue, limned ~ndadonhcs, extractions. dental education :utd referrals. VIED(C.~L SERVICES: Acute;md episodic Bare. chronic disease mana~~ement. heai[h assessments. immunizations, health education and referrals. ~O >PPOINTMEYTS: Prionn for health services is eiven to patients in acute need of.:are. Patients renuesnng non-urcem care are seen as time permits. ELIGfBILTY FOR SERVICES: Patients should brine insurance cards:md fmnih financial ~.~eriticanon for the past ~-I months. Patients requesting sen,~ses that are net coy Bred br insurance are ;>sked to support ~IobiletCare by contnbunng based on their abilitt to pay. FOR .ADDITIONAL INFOR\-L1 ['ION: Call ~fobiler Care - 936-8.156 or OS~(• 9~~-05U ~iOB[LE~C.aRE SCHEDCLE .~uEust -September, 1999 Kailua ' Health Fairs I North Hawaii Kau St. Michaels Health Education ' Annunciation Catholic HOVE-Oceamtew Catholic Church ~ Screenings i Church -Waimea ~ Community Center 3AM-3.30P61 IOAN[-'Pl{ ~ 830.AM-3:00 PIVt ~'°Pahala- Holy Rosan~ Medical-Dental y[obiletCare ~ Medical- Dental Catholic Church HIV Testing Department of Health Quest:lssistance 3 30A.bt-3:OOPV1 Mondays Kau Family Health Center **Kawaihae Transitional Medical-Dental Bay Clinic - Wiseheart Shelter i Hamakau Health Center ~ 3 30AM-3.00 Pbl Hui Ytalama Ola Va Oiwi Medical -Dental August Monday Tuesday Wednesday i Thursday Friday Vlobde Care Chmc ~ ~~Vlobtle Care ~ ~ I Clinic' HOVE ' 't tootle Care Cluuc ~ 10 1 I ~Lob~le Care I IZ I3 11obJz Care Clime Pahala Clinic -Waimea : lb ~fobde Care Chmc ~ I7 I R HOVEHealth 19 ylobde Cure Clinic -Waimea _0 Fav HOVE ~ ' Communuy Center ' .3 ~lobdc Care Chmc 'a I .G Vlobdc Care Clinm `.lobtle Care Clinic -Pahala 'I 1 Kawaihae alt .Vlobde Care Chnm I September I Monday I Wednesday Thursday Friday ' Saturday L ' I ; ~Alobda Care Clinic -Waimea i bto'ode Care Chmc 'i a HOVE HOLID.41 8 ;U btobilc Carc Clinic i I ' ^Kawaihae ' 13 ~Vtobde C:uc Clinic ~ I~ ~ I ~ i I G A7obde Carc CIImc -Waimea ! 7 ~ I K Vgobde Care ' I ~ tl c -Pahala 'U A1obJc tare Chmc ' I 13 Vlobde Carc Chmc -Waimea '1 Mobile Carc Chmc 'i HOVE '_7 ~lobde C.ue Chmc .8 ~_9 Hawi Health Fmr ;U St Augustine Church REVISED 7-30-99 Administrative Report for MobiletCare Health Project Statistics: January 1, 1999 -July 1, 1999 Total Patient Visits - 685 Total Clinic Days - 67 Demographics: of 292 New Patients Age: 0-17 6% 18-45 54% 45-60 29% 60+ I 1 °'o Ethnicity: Caucasian 44% Haw/Pt.Haw 19% Other Pacific Isle 9% Hispanic 7°,'0 Filipino 7% Other 14% Residency: rcten to # otmonths or ycan of raidencv w Hawau 10+ yrs. 57% 2-10 yrs. 25% 3mons-2yrs. 12% > 3mons 6% Housing: Sheltered 73% At Risk Homeless 21 °.'o Homeless 6% Financial Resources: Welfare 22;'0 None 20% P/T Employment 14°i° SSI (Disability) 12°'° Social Securiri 11°'0 SelfEmployment 6% Other 15% Dental Insurance: None 48% Quest 34;'0 Medicaid l7% Other l Medicallnsurance: None 39% Quest 32°'0 Medicaid 9% Medicare IS% Other 5% Daily Log Mobile Care 1999 gas. 378 _ ---_-----193 384. 2791 454: 329 35 r 130. r 15. 2! ---6: 1501 ---------32~ 44; - 70 SOi ;elf $3,572.09 MC 1999 Medical OS-Jul-99 New: I8 Return: 3 Not Seen: 0 Insured: 0 Uninsured: 3 Refer HHC: 0 Refer KFHC: 0 AcuteJChrotdc A/C: 3 Immunizations: 0 RX: 0 Cardiac HTN/EKG: 0 DM; 0 Cholesterol Screen: 0 Respiratory: 0 Health Educarion: 0 Fees: $0.00 Highlights of the ~Iobile~Care Health Project 1998-1999 ? The Dental Assistant Training Program (DAT) continued for the second year utilizing the MobilevCare Health Project clinical setting and professional volunteers. In the past avo years The DAT project has provided educational and technical training for eleven (I 1) women. Women on welfare and looking forjob training oppommities were tazgeted for the project. Eight of the eleven women are currently working in the dental field including one who works as a dental assistant for the MobilevCare Health Project. • The award of a Rtual Health Outreach Grant (RHOG) to a consorrium that includes the Mobile~Caze Health Project, rural community health centers - Hamakua Health Center and Bay Clinic, St. Francis Healthcare System and GTE was implemented in October, 1998. This grant has enabled the addition of the medical component to the Mobile~Caze Health Project A physicians assistant who works forthe community health centers has been assisted to staff the project, providing comprehensive health screening, primary medical care and referrals for continuing care. The RHOG will also provide the resources to upgrade our commtutications network using appropriaze ±elemedicine applications that are expected to improve access to healthcare for our patients. • The expansion of the Mobile+rCaze Health Project to East Hawaii is expected in December 1999. The OtHce of Social ivtinistry was awazded a 5260,000. Community Development Block Grant by the County of Hawaii to purchase the van. American Dental International was selected through the competitive bid process as the vendor for the second van. This new unit will enable services to reach the population in East Hawaii who have Limited financial and transportation access to health care. Patients from East Hawaii currently travel 150 miles one way to access services unavailable to them locally. This two operatory dental van will be delivered in Honolulu in early October and will be exhibited at the American Dental National Convention in Honoltilu, October 8-11. The MobilevCaze Health Project will be spotlighted at the same location to encourage support for the project and the importance of community service health care to the thousands of dentists, dental hygienists, and assistants who will in attendance. The Office of Social Ministry and the St. Francis Healthcare System will be featured as the sponsoring partners of this project. • Additional community outreach and collaboration include participation in the Hawaii Island Rural Health Association, the Primary Care Association Roundtable, local rural community health Fairs held in cooperation with the community health centers, the Departrnent of HealtlvPublic Health Nurses, Salvation Army and Hui Malama Ola Na Oiwi. The MobilevCare staff, sponsored by the Sisters of SC. Francis traveled to Kalaupapa for a service project and a visit to the mission. • The MobiletCare Health Project has been featured in HMSA Island Scene, the Hawaii Dental Journal, the Hawaii Business News, the Honolulu Star Bulletin, West Hawaii Today and the Hawaii Tribune Herald. An upcoming issue of the American Dental .Association News will feature the project prior to the Honolulu convention. The MobilevCare Health Project is committed not only to providing direct healthcare to the poor but also to working to change systems that perpetuate this injustice. This would not be possible without the ongoing support of the donors. Mahalo to the County of Hawaii, Hawaii Medical Services Association, the W.K Kellogg Foundation, the Robert F. Black Foundation, Hawaii Island United Way, The Harry and Jeanette Weinberg Foundation -AIM for Excellence -Weinberg Fellows, The Sisters of St. Joseph of Carondelet, St. Paul Province, Hawaii Visitors Industry, Ronald McDonald Children's Charities, the Catholic parishes of the Big Island and all the of the other donors who have given generously to support the MobilevCare Health Project. Kaye Lundburg Project Coordinator Phone: 808-935-3050 E-mail: mrkelaaaloha.net ap o~ ~ F ~ Milo Interim Home THE SALVATION ARMY o HILO INTERIM HOME .f P O BOX SOBS / HIlO. HAWRII %]291085 /PHONE 9595855 ••1°•~~•• Qy/Wy~y~~y~yKONA INTE~R~yI~yM,y HOME ~j y~,~~y FOUNDED IN BBB h /~hM1A /lY1 RJR MFN/s/~ ~~`A'A'R'/~~'"-~~/LJ1Nl4 P.O. Box 5085 Hilo, HI 96720 cry co July 26, 1999 On c r- N . 01 r Constance R. Kiriu, Legislative Auditor ~ Oflice of the County Clerk - tv `yi County of Hawaii ~ o 25 Aupuri Street - Hilo, HI 96720 Dear Ms. Kiriu: Enclosed are final reports and Summary of Income Forms for The Salvation Army - Hilo & Kona Interim Homes, recipients of County non-profit grants covering the period July 1998 to June 1999. Please call me at 935-4411, should you require additional information or clarification of the information contained in these reports. Sincerely, K. auline Pavao Administrator lk Enclosures ~j~ r upl y~ d' ~ =~6c 0i 7uly 23,1999 To: Alvin Jitchaku From Elaine Watai /County Re' 4th Quarter Report SERVICES PROVIDED ' Service This Period Year To Date Youth Ages 9 - 1 ~ 1,066 Organized Activities 43 Community Service Projects 17 Community Service by Youth 188 Volunteer Enlisted 57 Educational Activities ib Educational Aci. Participation 148 Collaboration with Community Resources 23 Community Resource Contacts. 4S Smart Moves 14 Smart Moves Participation 222 Youth Participation in Dances 600 ~ +r 1 07i 26i 1999 08:55 1 PAGE 01 July 23,1999 In 41~in Jitchaku From iaame W'a[ei /County !Zo 1th Quarter Repoft SERVICES PROVIDED 5y~en ire This period Ycsr To Drle Youth Ages 9 • I'' I,U66 t~ o Org~nizrd activities 43 t4~ Community .ten ice Projects 1 . 5~q Cormunity rn ice by l'onlh 188 ~b Volunteers Enlisted 57 '2"~~ 4-~ Educational 4ctivities Iti F.dacational Act. Participation 148 `~33 Collaboration with Community Resources 23 ~9' Communin- Resource Contacts. 45 (8~ Smart Mo+r.w 14 Smart ~Invey Participation 222 ~ Youth Participasion in Dances 600 v O'i23i1999 16:2i 1 P:;GE 02 NARRATIVE REPORT Accomplishments: Describe activities that were accomplished this quarter. Give assessment of progress toward meeting program objectives. I . Implemented Smart Moves programs in three schools; Kealakehe Elemerrtary , intermediate and Hrgh School. Programs successfully implemented were "Smart Kid's" "Stay Smart" and the Peer Mentor training. Also was able to present and do Smart Kid's with the Girl Scout program at JackHall Housing. At he conclusion of the programs, I organized Awards activities, with refreshments, dinners and presented certificates made from our computer's in the KIH office. We also took some of the Smart Kid's group on a Horse and Carriage ride after an Awards preservation. All of these children come from destitute families in the Public Housing area's and never did and probably would not have been able to do such an activity had it not been for our Smart Moves funds.. 2. The Kealakehe High School group, was able to do activites outside of their school area, to get a feel of Social ertuepreneurship activities, which we hope to expound on more in our new school year. 3, Our Keslakehe Neighborhood Crime Watch group, was nominated for the County Kilahana Volunteer Recognition Award. We came in second to the Laupahcehoe Train program. 4 We took a group of youth and adults to the Hawau Hotel Association Charity Walk. Our pledges was over 5200.00. We walked six miles; the food before and after was excellent! 5 Our Kealakehe Community Youth Council members are very active in the community. We participated as volunteers in the Crime Stoppers Telethon, have been training with the upcoming World Indigenous People's Conference on Education, Youth portion that will be coming to Kona; approximately 150 youth. We have also betn making our youth aware of the AG Commtuity Action Workshops that I attend. They co- sponsored the Teen Dance for the month of May. They collected approximately 6 cases of canned goods, served over 500 Ice cream sundae's, did intermission activities such as Energizers, gave away door prizes, decorated the facility and cleaned up, The canned goods will be given away as part of a "Welcome to Kealakehe" activity scheduled to be done at the Hawaiian Homes project, Kaniohale at Lai O Pua. 6. [ am a member of the Kealakehe High School SCBM, as a Commutty Component representative. I am a member of the Studertt Life Committee. Wt hope to organize an all night celebration for our first graduation elass,the class of 2001 I 2 0'i 23/1999 16:21 1 PAGc 03 7 The Kealakehe High School cultural programs were again implemented this year. The Royal Court performed in their brand new Gym at Kealakehe, and also at the Keauhou Shopping Center. In addition to these extra performances, they are doing performances at the Kona Coast Resorts (a Timeshare tourist resort). Being able to perform in this environment increases their self esteem. I have been asked to work with this group again next year, so I will be doing my Smart Moves at the High School again, The successful accomplishments for my area has been taking Smart Moves in the community to the three schools and community based groups such as the Scouting groups .Being able to expand our Adult/Parent participation with our youth, through our Neighborhood Cttime Watch component. PROBLEMS ENCOUNTERED, CORRECTIVE ACTIONS TAKEN: Describe problems encountered and any steps taken to alleviate problems. The one big problem 1 encounter is not having enough assistance. i have been fortunate to have collaborators in my programs, but when I cannot attend an activity because of conflict of schedules, illness or more activities, it becomes a very stressfitl situation For me. Such as trying to teach three classes of Smart Moves in one school and another school wants the program at the same time. In my zest to provide services to all, I am not able to accomodate all the requests and its too bad, because there's a lot of youth out there We have a big problem with computer's and Printers out here. We have programs that will enable me to produce my own brochures and flyers and not sutFicient printers to provide me with a finished product. t continue to try to attain our vision of someday having a Youth (Facility) Center because 1 believe that will eliminate a lot of problems for ow area in that we will have a central meeting place for our youth and also our aduhs/ volunteers. 1 do appreciate having the funds to provide our youth here with quality activities. 3 0 x/23/1999 16:29 1 r~l:~ dl COMMUNITY RESOURCES and COLLABORATIVE EFFORTS. Describe any community resources this program has utilized this quarter and in what capacity. t will just provide you with the collaborating agencies that I have worked with this quarter, Alu Like inc. YAPP, Queen Liliuokalani Children's Center, Kona . Community Policing Program, Hawait Youth Challenge Group, Meet & Eat, Housing Community Developement Corporation of Hawaii /Urban Real Estate, Kaniohale - Lai'O Pua, Neighborhood Place of Kona, Housing Urban Deveiopement, CPS., just to mention a few. FUTURE PLANS/EVENTS 1. "Summer Fun at Kaimalino" (Basketball Clinic). July 20th., -August 26,1999. Tuesday's & Thursday's. "Sportsfest " at Kailua -Kona on August 21,1999. 3 Kealakehe Neighborhood Crime Watch 2nd. Annual Retreat at Pawni Beach at QLCC. 52 families attending. a. Kealekehe Neighborhood Crime Watch 2nd. Annual Block Party. (Community awareness for a Youth Center.) S "Make A Difference Day" community project. "Y2K Fair;'. 6 'Project Welcome Lai O ` Pua families" (So far 126 families). 7 "Volunteer Recognition Dinner or Luncheon for our Youth /Adult volunteers." 4 The Salvation Army A,encyiOrganization; Kona Interim Home Project Name: Summary of Income Revenue Sources FISCAI.`fEAR 1998 - 1999 Total Agency Amoun[ Total Program Amount CounryofHawaii $29,000.00 $29,000.00 State of Hawaii 367 144.00 Federal Funds Private Fouadarions United Way Funds Admissions Donations Fundraising Pay Phone Vending Machines Service/Progtam Fees Third-parry roimbursemen[(s) Tuition Others (Please list) TOTAL REVEIYIJES $405 060.00 aQ o~ ~ ~ Hib Interim Home THE SALVATION ARMY o HILO INTERIM HOME f P O BO%5085 / HILO, HAWAII 981Y1t 1085 /PHONE 959-5855 KONA INTERIM HOME FOUNDED IN tB85 9(X9(X)W14kXX~(DF7(~(M4(~9(~1(9H2~?X9(i~1~1F~(~(X~l('~X~fX~(~(~( P.O. Box 5085 Hilo, HI 96720 c.o ca July 26, 1999 ~ O !7 c C r rri N ' 07 -1 Constance R. Kinu, Legislative Auditor ~ Office of the County Clerk 3 County of Hawaii ro 25 Aupuni Street ~ Hilo, HI 96720 Dear Ms. Kiriu: Enclosed are final reports and Summary of Income Forms for The Salvation Army - Hilo & Kona Interim Homes, recipients of County non-profit grants covering the period July 1998 to June 1999. Please call me at 935-4411, should you require additional information or clarification of the information contained in these reports. Sincerely, ~C• Pauline Pavao Administrator Ik Enclosures THE SALVATION ARMY - HILO'IlYTERIM HOME P.O. BOX 5085/HII-O, HAWAII 96720 (808) 959-5855/959-7980 (FAX) MANAGEMENT REPORT FY: NAME OF OUTREACH COUSELOR: Eazl V. Kalawaia Jr. MONTH: _Annual 1999 PROGRAM: ORC Hilo _ORC JRP ORC MISS _ORC PUNA/HII.O XX COUNTY A Funding Source: OYS OYS OYS OYS COUNTY 'Service Units Provided H~ rx~~ol naivitie rnuoa. Hilol ct~ml~ r mFl Clime rNUSSI csmv roxci Budgeted for Month: Actual for Month: 22 Budgeted Yeaz to Date: Actual Yeaz to Date: 184 B. No. clients on waiting list: 'Definition of Service Unit: ORC HQ.O (Outreach to Yottth and Families) • A unit of service shall be defined as oae hotu of dyed services to or on behalf of a client in any of the service categories outlined in Form B (Program Activity Indicators). ORC PUNA/HII,O (Gang Prev®tion Services) A unit of service shall be defined as one activity, session or event in any of the service categories outlines in Form B (Program Activity Indicators) ORC MISS & ORC JRP A unit of service shall be defined as the nttmber of clients receiving program services. _ ORC - PUNA A unit shall be defined as one youth served. t OAC FORM 2105/Rw. 7/94 x ORC FORh12105rRer 764 III. TOTAL EXPENDITURES BUDGET CATEGORY THIS PREIOD YEAR TO DATE CONTRACTED PERSONNEL $ $ $ EQUIPMENT $ $ $ , SUPPLIES $ $ $ STAFF TRAVEL $ $ $ OTHER EXPENSES $ $ $ 2 TOTAL EXPENDITURES: $ $ $ IV. SERVICES PROVIDED THROUGH THIS CONTRACT A STATISTICAL (MONTHLYI + SERV[CE THIS PERIOD YEAR TO DATE CONTRACTED • YOUTH AGES 9 - 17 "22 184 150 • ORGANIZED ACTIVITIES "61 728 300 • COMMUNITY SERVICE PROJECTS "02 07 OS • COMMUNITY SERVICE BY "37 162 45 YOUTH • VOLUNTEERS ENLISTED "03 56 06 • EDUCATIONAL ACTNITIES "10 100 y 75 • EDUCATION ACTIVITY "24 163 50 PARTICIPATION • COLLABORATION WITH "03 45 06 COMMUNITY RESOURCES • COMMUNITY RESOURCE "03 78 25 CONTACTS • SMART MOVES "7 80 64 • SMART MOVES PARTICIPATION "24 154 = 40 • IMPROVE YOUTH FUNCTIONING "00 118 10 • IMPROVE FAMILY FUNCTIONING "00 99 18 • Number for the month of June i. ; NARRATIVE REPORT 1. Accomplishments: Describe activities that were accomplished this month. Give an assessment of progress toward meeting program objectives. i During this final biennium, the Kuha' o club Youth Advisory Council worked hazd in p(aztning and implementing Drug-Free dances at the Shipman Gym. The Drug-Free dances has been renamed to the "SMART Moves dance". Council members coordinated efforts with other club members in sign making projects to be posted at the dance. In efforts to enhance the overall quality of educating community youth of the Kuha' o club objectives for positive youth development, youth council members and staff implemented a series of SMART Moves activities in conjunction with the present lucky number drawing with great success. Members posted various questions on banners along the walls of the gym during the dance, questions included: "What drug causes the most deaths in the U. S.?", "What is a consequence?", "What is the addicting drug in Tobacco?", "What is it called when someone your age wants you to do something~you don't want to do?", "Name three gateway drugs.", "What aze two consequences of adolescent sexual involvement?" , "What does S.A.S.S. stand for" and "What can happen if you drink too much alcohol too fast?" When the lucky number was drawn, one of the questions were asked by the DJ. The winning ticket holder would then have to answer the question correctly in order to claim their prize. If the ticket holder did not know the answer, he or she would have to find someone who did. Youth Development Specialists implemented a SMART Moves booth which youth could receive additional lucky number tickets by answering those SMART Moves questions on banners of the gym walls. Students were given a ticket for every 2 banner questions they answered correctly. Of the 40 students who registered with the SMART Moves booth, 29 were non Kuha' o club members. Outreach efforts through out the January and March events to another 15 and 33 youth, respectively, regarding the SMART Moves banner questions as well as Kuha o program opportunities were also well received and definitely contributed to their knowledge of SMART Moves material. Great enthusiasm was shown by dance participants as#hey crowded in front of the DJ when the lucky number was being announced and yelled out the answer to the SMART Moves questions. Prizes ranged from CDs, CD carrying cases, sports pazaphernalia and hats as well as tickets to the next SMART Moves dance. The was an average of 275 plus youth at these monthly dances. Prior to each dance, Kuha' o staff has implemented Pazent Gathering sessions at the Keaau YSC trailer hosting about 9 families. The Pazent SMART component of the SMART Moves curriculum is covered during these sessions where parents have successfully gone through Peer and media pressure sections as well as "Prevention Baseball" activities with great enthusiasm. With this family involvement, staff attempts to provide opportunities for reinforcing SMART Moves material at the home as well as elicit needs and assessments of their community through brainstoraring `,and informal "talk stor}~' sessions. Also during this last semester, 27 Kuha' o club members participated in the Vulcan Athletic Leading Through Example (VALTE) clinics held at the University of Hawaii at Hilo Athletic facility. The University of Hawaii Vulcan Men's Basketball and Women's Volley ball teams hosted clinics during the months of February and Match which club members were able to learn fundamental passing, rebounding, dribbling, volleying and spiking techniques as well as playing in games against their peers. The young Vulcan athletes encouraged students to complete their education requirements, stay away from drugs and other anti social behaviors as well as shazed some of their positive sports related experience. Kuha'o club staff implemented SMART Moves sessions with club youth. The Start Smart sessions are for preteens ages 10-12, teaching accurate information and skills to resist pressures of alcohol, tobacco, other drugs or sexual involvement. Members analyze influences from the media and their peers as well as learn to resist those pressures. SMART Girls are similar to the Start SMART sessions but focus on female issues and concerns while promoting positive attitudes and building self esteem. The Be SMART sessions aze training session designed to prepaze participating students to assist in planning and implementing SMART Moves sessions to other students. It provides accurate information about alcohol, tobacco, other drugs and adolescent sexuality as well as strategies to promote positive attitudes and behaviors to their peers. The staff continue to implement Be-SMART sessions for ten qualified youth. Youth Development Specialists also implemented Q&A sessions with club members providing alternative educational activities as well as focus group discussions. '~hhere have been a few new activities implemented which include mathematics tournaments where students race against each other to solve addition, subtraction, multiplication and division problems on a eraser boazd or newsprint according to their respective abilities. Another game done on the eraser boazd is a word scrambling game in which participants must again race against each other to unscramble various words. Words aze derived from various subject azeas covered during the afterschool program ,i.e., specific outdoor games, SMART Moves curriculum and positive social behaviors which reinforce Kuhn' o club objectives for positive youth development. Another game is `Sword spin" which students challenge others as well as their own abilities to spell various word using the educational device. Eazlier this semester, nineteen girls from the various SAH/KIH Youth Service Center programs participated in a journey retreat to KMC, Volcano. On Friday night, their mothers joined the group for dinner, mask making activity and a Legacy session. The latter is a section of the journey for the parents to share with their children about their own experiences as a youth. By Saturday, the girls were well on their Journey, making new fiiends and asking themselves questions they may never have asked before, like `Soho am I?", and `Svhat is my path in life?" By the end of the weekend, the girls had overcome a lot of obstacles and finding the courage it takes to becoming a women. At the end, the participants were left with some insight into themselves, new fiiends and their path to womanhood. The two Kuha' o club youth involved with this event shared some very positive feedback regarding their mothers' participation and the relations that have evolved since the journey. One participant wern as far as saying that the interaction with other girls provided a `Snake up call" as to her maturity into womanhood. Youth Service Center staff were invited by Mrs. Rena Caminos to present information of the afterschool program to their Upper Puna Community group. YSC staff answered questions regazding services offered as well as networked with other community agencies and service providers including: Queen I;ili' iuokalani Children's Center, Alu Like, YWCA family support services, Mt. View and Keaau school, Pulama I na keiki, DHS, P&R and Hawaii Counting Housing. Collaborative efforts continue with the Upper Puna Community group to implement SMART Moves activities as well as community enrichment events in the that azea. During the month of Mazch, the Kuha' o Youth Counerf participated in a three day "Spring break" Journey/Leadership Training camp in Kapoho. Participating council members have been very instrumental in assisting staff in planning and implementing positive as well as fun activities For Kuha' o club members and community youth throughout the ' 98/' 99 school yeaz and will continue to be an important tool to providing a continuum of services to the Keaau, Mt. View and Pahoa communities. The Journey/Leadership training camp provided Youth Council members opportunities to strengthen their already evident dolls and qualities of being a leader of their peers as well as time for bonding with their fellow team members and have a fun experience. Members participated in SMART Moves discussion groups to further their knowledge in resistance strategies of peer and media pressures for drug use and adolescent sexual involvement as well as brain storming future program activities addressing program objectives. Council members also participated in Journey sessions which analyzed and encouraged positive self image growth as well as family cohesion. Council members made masks and participated in two guided imagery sessions as well as kept journals that reflected their training experiences. Members discussed Strategic Planning steps by establishing values, underlying guidelines and envisioning outcomes of the Kuha' o Youth Service Center as well as their roles as program leaders. Members will meet again to continue their planning steps and develop a Youth Council MissionrStatement. The goal of this Journey/Leadership training camp was to build and strengthen relations of Youth Council members for program success in planning and implementing positive experiences for club members and community youth. Also during March, twelve girls from the Big Island were chosen to attend the Girl Power! Camp at Camp Erdman in Oahu. The girls who participated in the retreat were between the ages of 10 to 14, and were recruited from the YSC's and outreach programs in Lanakila, Pahoa, Keaau, and Kona. The purpose of the camp was to have fim, bond with other girls, and to discover their gifts and talems and make a difference in their communities. There were approximately 120 girls and 30 adult staff and volutrteers present at the three day camp. There were also a variety of workshops to choose from which focused on everything from self-esteem to conflict resolution. At the end, the group of girls from each community put together a "Make a Difference Plan" based on their issues and concerns girls face. Each group presented their vision of what way they could make life better for girls in their community (fairs, workshops, neighborhood watch, etc) in front of all of their peers! The Girl Power! Camp had achieved its goals! The girls had a great time, made lots of new friends, discovered their gifts, learned some positive skills, and created a realistic plan to help better the life of girls in their communities. The Kuha' o Newz final issue was distributed in May to Kuha' o members, pazents as well as Keaau school students, faculty and staff. The newsletter provided information on upcoming Kuha'o club and SAHIH events as well as articles of what members aze participating in. Students wrote articles about workshops and seminars they have gone to and issues they feel to be important. The newsletter provided information of what is offered at the Youth Service Center including study halls, educational activities, sport orientated events as well as the Smart Moves progam, excursions and family orientated events like the SMART Moves dances, Pazent Gathering sessions and Project Family activities. On May 10th, the County YDS along with other Teenage Pregnancy Pazenting & Prevention Systems members including YSC educator Mazlene Trotter and Helen Green of the FI'ilo Bay Clinic did a Public Service Announcement on the KPUA radio station "Community Forum" segment. Discussions were made regazding Youth Service organizations involved which included the Hilo bay Clinic, The Salvation Army Hild/Kona Interim Horne, Department of Education's GRADDS program, Public Health Service and Public Nurses Services. TAPPPS members also discussed upcoming prevention awazeness community evems hosted by the committee which included an informational booth set up at Borders book store and a Book Mazker give away to all the public high schools in the Hawaii county. The YDS continue to implement Be-SMART sessions for ten qualified youth. qualification to this curriculum is to complete the Start SMART sessions. These ten students continue to learn accurate information about tobacco, alcohol, other drugs and adolescent sexuality as well as strategies to resisting peer and other pressures. Participants continue to alternate in CO-facilitating the Start SMART sessions with YDS Mazlene Trotter. Each week, two Be-SMART participants aze assisting in activities, preserrtations and role playing scenarios for other Start SMART participants. 2. Problems, Encountered, Corrective Actions Taken: Describe problems encountered and any steps taken to alleviate the problem(s). i During this final semester, there were minimal problems which were remedied by cooperative deliberation by Youth Service Center staff. Great flexibility and creativity has turned minor set backs into positive experiences for participating Kuha' o club members, like rescheduling of dances, educational activities and family enrichment sessions. Also initiating grade level study group sessions while utilizing other available Keaau school class because of the trailer's ('united amount of chairs and space. These scenarios and others like them continue to present themselves in day to day operations but do not inhibit the experiences available to participating members. NARRATIVE REPORT (continued) 3. Community Resources and Collaborative Efforts: Describe any community resourtxs this program bas utilized this quarter and in what capacity. Describe activities that have promoted/developed collaborations with etdsting community organizationslresources. Collaborative efforts with the P.AG.E. divisions of the Puna and Honolulu Police departments has provided awesome opportunities for community youth to enjoy an evens of dancing and socializing in a safe, drug-free environment. The Kuha' o Youth Council Leadership camp was also the result of cooperative efforts with the Kapoho Beach Lots community in providing a house as well as swimming and fishing facilities. Many of otu participating council members had never been on a camping trip as well as gone fishing. t There were awesome collaborative efforts with the Uttiversity of Hawaii at Ililo Athletic Department for this school yeaz. Participating youth were involved in many positive shorts activities with Student athletes as they affirmed educational success as well as resisting drug use and anti-social behaviors. Other collaborative effort has been made with the T.A.P.P.P.S. or Teenage Pazent Pregnancy Prevention Systems group in networking and planning with other youth service providers events that encourage abstinence from adolescent sexual frivol"vement. The T.A.P.P.P.S. group meets every second Tuesday of each month, coordinated by Moyra Tanaka. The most recent being a Public service announcement and Forum members participated in on the KPUA radio station. Agencies also involved included Hilo Bay clinic; Hilo, Waiakea and Pahoa GRADS programs, QLCC, Department of Health, Boys & Girls Club of Hilo, and Department of Health Public Health Nursing. Collaborative efforts with service providing agencies like Big Island Aids Project and the Sexual Assault Support Services have been very instrumental in providing accurate information to SMART Moves participants. These representatives present subject material on various activities which include information on drug abuse and the body safe segments of the Start SMART sessions. During the month of April, the County Youth Development Specialist attended a "Community Action" seminaz in Oahu hosted by the Attorney General's office. The YDS was delegated as a representative of the Office of Youth Services Hawaii County Team. The Island wide team consisted of other youth service providers and community members including Hawaii YWCA Teen Court, Boys & Girls Club of Hilo, Kanu O Ka' aina, West Hawaii Family Support Services, Huliau O Kahakai Learning Center, County of Hawaii Dept. of Pazks & Rec., Drug Addiction Services of Hawaii, Puna Americorps, Na Laukoa, Queen Liliuokalani Children Center and Access Capabilities Inc. The Hawaii County team formulated an action plan to implement a workshop for county wide youth as an advisory committee to eventually plan a Hawau Island Youth conference in the yeaz 2000. A follow up meeting was held in Waimea this month which tentative dates and agendas were made. The preliminary plan is a one night retreat (Friday to Saturday) will be held at a QLCC Kona beach site during the later part of October or eazly November. 30 youth representatives ( 2 to 4 from each district) will be involved with 12 to 15 adult chaperones. Currently the group is working on possible funding sources to defer projected costs for food and other supplies. On June 25, the team will be meeting in Oahu for further follow up with other participating OYS county teams. 4. Future Ptans/Events: • 1. Continue Kuha' o Summer Program 2. Prepazation of the new upcoming school yeaz I I Earl V. Kalawaia Jr. v - ~ Typed name and title of person completing report Signature of person completing report 959-5855 Phone # The Salvation Army AgencyiOrganization. Hilo Interim Home ProjectVame: Summary of Income Revenue Sources _fTSCAI:.I'EAR -1998 - 1999 Total Agency Amount Total Program Amount CounryofHawaii $ 34,000.00 $ 34,000.00 State of Hawaii Federal Funds Private Foundations United Way Funds 10,200.00 Admissions Donations Fundraising Pay Phone Vending Machines Service/Progtam Fees Third-Parry reimbursement(s) Tui[ion Others (Please list) TOTALREVEMJES $1,186,493.00 E Lcu I~w. T a OFFICE 0~ THE sl ~S West ~lawaii LEGtSLhT~"r /-'1DiTOR o~ I~ 7~~~5 Y=oNV~c~atiovrt 99JUL-2 AM11~35 h _ a E k.. ~ .~o p~. uw..l July 2, 1999 Constance R. Kiriu Legislative Auditor Office of the County Clerk County of Hawaii ZS Aupuni Street Hilo, HI 96720 Re: Final Report Fiscal Yeaz 1998/1999 Dear Ms. Kiriu: Enclosed please Snd our Yeaz End Financial Report, Summary of Income and Narrative detailing the use of County funds for the just ended fiscal yeaz. If you have any questions, please feel free to contact me. Sincerely, ST HAWAII AIDS FOUNDATION Georgie K y Executive or /gk Enclosures 75-240 Nani Kailua Drive, Suite 5 •Kailua-Kona, Hawaii 96740 A United Way Tel. (808) 331-8177 Fax (808) 331-0762 Email: Whaf@aloha.net Member Agency NARRATIVE REPORT -FINAL FISCAL YEAR 1998/1999 WEST HAWAII AIDS FOUNDATION Our application for funding from the County of Hawaii centered on providing continuing educational/outreach programs to the communities of West Hawaii on the subject of sexually transmitted diseases with a focus on HIV/AIDS and behavior change to facilitate a decrease in the incidence ofHIV/AIDS in West Hawaii. During this last fiscal yeaz we have continued our education programs in the community. Areas of special focus were in our public and private schools; social service agencies, shelters, workplaces and community forums. We have provided specific programs for our high-risk tazget audiences including: men, women of childbearing age, youth both male and female, substance abusers and homeless or potentially homeless individuals. These programs have been done in collaboration with the Department of Education, Care O Van, and Family Support Services of West Hawaii to name a few. We have additionally done special community programs on medical issues, feaz of AIDS, HIV Testing, and World AIDS Day among others on an at least quarterly basis. HIV testing and education programs have been announced to the general public by way of public service announcements in the print media, radio and television. We have a one full time and one part time outreach workerleducators as well as peer educators from our various tazget audiences. Statistically, an improvement has been shown in our community with regazd to the incidence rate of AIDS which we feel is a direct result of our educational/outreach programs. We continue to be aware, however; that the fight is not over but that our on- going educational programs have helped individuals from all walks of life to make more informed decisions about risky behavior as it relates to HIV/AIDS and other sexually transmitted diseases. We have expanded our focus in programs for Asian/Pacific Islanders, Filipinos, and Hawanaos during the past year and continue our collaborations with already existing agencies and foundations working in those communities. The success of these collaborative efforts continue to be felt in the community and we look forward to the enhancemem of these programs in the coming years In addition to our educational programs we offer case management services to those affected by HIV/AIDS including the client and their family. We have a substantial increase, during the past year, in the number of individuals accessing our services and have expanded services through grant writing and fund raising to meet, as much as possible, the needs of all of these individuals. An important note is that the number of women accessing services as clients at this Foundation has tripled in the last two yeazs. This follows a growing trend on the mainland of seeing more women in the high risk audiences and the challenges faced by these women as individuals and mothers is substantial. Through our education programs and case management a minimum of 2,500 individuals were provided with services during the last fiscal year and that number will most likely increase in the coming year. We would like to take this opportunity to thank the County of Hawaii for its continued support of our programs. People can and do make a difference. You have made it possible for us to make a difference in our community. WEST HAWAII COUNTY OF HAWAII JULY 1998 AIDS FOUNDATION YEAR END through REPORT JUNE 1999 urren ear: o a o a oun y- un e Year-End Report Agency County Programs EXPENSES SUMMARY CATEGORY YTD YTD YTD Personnel 228,474.97 5,792.00 95,128.13 - - - - Professional Fees 3,998.28 1,012.52 - - - - Supplies 5,584.20 120.00 4,378.94 Telephone 4,989.59 235.11 2,395.60 Postage & Shipping 2,269.32 869.32 - - - - Occupancy 19,686.79 728.00 7,070.30 Equipment - - Printing 2,447.54 881.36 - - - - - Publications & Subscriptions 709.00 _ 15.00 - Travel & Transportation 5,178.41 50.00 1,409.53 - - - Conferences, Conv., & Meetings 742.55 693.80 - - - - - - Specific Assist. To Individuals 62 094.93 - - - - - Membership Dues - - Awards & Grants - - _ _ _ Other (Advertising, Audit, _ - _ - - - Interest, Program Ex_ pense, _ Repairs, Insurance, - Fundraising Expense, etc.) 30 903.59 1,074.89 12,754.96 - - TOTAL EXPENSES 367,079.17 8,000.00 126,609.46 WEST HAWAII AIDS ~ _ - - FOUNDATION HIVIAIDS PREVENTION SUMMARY OF INCOME ` Fiscal Year: July 1998 -June 1999 - _ _ - Total 9 Total - ~ Agency $ Program Revenue Sources Amount Amount County of Hawaii 8,000.00 8,000.00 State of Hawaii 227,231.00 _56,807.75 - - Federal Funds 61,986.50 61,986.50 Private Foundations ~ - - - _ _ United Way Funds 4,500.00 4,500.00 - - _ _ - Admissions f _ _ Donations 8,214.71 _ - _ Fundraising 2,620.69 - - - - - _ _ _ TOTAL REVENUES 312,552.90 131,294.25 c file name: ~ County 98-99 Year End prepared: June 30, 1999 m q~ ~n The Island of Hawaii YMCA ~o ~ ° ` ' Youth At Risk Program - Fiual Report PY 1998-99 r ,a c, o - Funding received from the County of Hawaii ($57,000) in PY1998-99 was used to support programs cA that target youth at risk. Those programs were: • Summer Fun (for grades Kindergarten - 8th, June- August) • Holiday Fun (for grade Kindergarten - 8th, Christmas and Spring school breaks) Youth Sports (Volleyball, Martial Arts, Midnite Basketball) Youth Leadership (Jr. Leaders, Youth and Government) • Youth Aquatics (Progressive swimming, sailing, windsurfing, ocean safety) • Life Skills (CPR, First Aid, Lifeguazd training, Risk Management, Prevention of Child Abuse) The goals of all youth at risk programs is to provide safe age and developmentally appropriate activities that challenge a participant's physical, social, mental and spiritual development in an environment that has the safety and structure to identify and achieve personal goals and gain skills. Many youth exhibit low self-esteem, which can lead them into poor choices. Youth who can accept and accomplish challenges have a higher self-esteem than those who aze not given the opportunity to succeed The Island of Hawaii YMCA expended $878,573 on youth at risk programs in 1998, with $57,000 of that contributed by the County of Hawaii grant. Because the programs involved youth, the major expense was staffing costs. The YMCA exceeds the State requirement ratio of staff to participant to ensure that the participants experience a safe, yet challenging environment. Because the focus of YMCA work is through the informal counseling/modeling that occurs between staff and youth participant, the staff numbers must be high to support that interaction. To move from anactivities-based program model to one that measures outcomes is a big step, particularly for an organization as large as The Island of Hawaii YMCA, requiring thoughtful, systematic review and planning. This review has been completed, and the Association has decided to implement the outcomes structure in the 1999 Summer programs, camps and other activities. The selection of a specific area will facilitate the coordination of staff training, and will allow the Association to gather the required feedback in the most consistent manner. The Association provided programs and services to 4,004 individuals of Hawaii County in 1998-99, with the Youth At Risk programs providing services to 2,408 youth. The Youth At Risk programs had a successful 1998-99. The Ocean Fest, Healthy Kids Day, Y-Not Tri, and the Free Dive Tournament increased the public's awareness of healthy lifestyle choices available for our youth, and al] youth participants had a great time. Youth Sports had an excellent year, with the Na Opio Volleyball team taking 8th place in the 13 -18 age in the Youth Volleyball tournament (Sacramento, California). • • The Youth Legislature program also had a great year, sending a larger delegation (21 youth) than in 1998. The program was able to successfully recruit participants that reflect the diversity of our community more so in 1998 than in past years. Sheetl PY 1998-99 _ _ Summary of Income - - - - Total A envy Amount Total Project Amount County of Hawaii _ 57,000 _ _57,000 State of Hawaii _ ~ 5.57,271 25,400 Federal Funds 0 0 Private Foundations 136,000 75,000 United Way Funds 66,017 66,017 Admissions 0 0 Donations 292,266 267,899 Fundraising 72,170 28,379 Pay Phone 0 _ 0 Vending Machines 4,245 0 Service/Program Fees 535,731 353,270 Third Party Reimbursement 0 0 Tuition 0 0 Others 16,677 Membership Fees 14,420 5,608 Investment Income 4,662 Total Revenues S 7,758,459 S 878,573 Page 1 1111 YWCA Hawaii Island FAMILY SUPPORT SERVICES i 65 Keawe Street Hilo, Hawaii 96720 #a' Telephone (808) 961-3877 Fax (808) 961-9140 Puna Office: Telephone (808) 965-6027 Fax (808) 965-6037 August 30, 1999 ~ r ac m Office of the County Clerk m -n County ofHawaii ~ Hawaii County Building w ' 25 Aupuni Street ~ ~ Hilo, Hawaii 96720 o ; O: c~+ y RE: Section 2-142(d), Hawaii County Code, Final Written Report. Attached is the final written report for submittal to the legislative auditor. Enclosed you wilt find a narrative report of the YWCA of Hawaii Island Family Support Services project. Followed by the Summary of income report. If you have any questions regarding this report please contact Andrew Kahili or Lisa Supan at 961-3877. Thank you for your consideration in this matter. Sincerely, Susan J. Labrenz, MSW (J Executive Director 1 of 3 ty~ A United Way Agency County of Hawaii Final Report Narrative Report Organization Summary: YWCA of Hawaii Island Family Support Services 165 Keawe Street Hilo, Hawaii 96720 Amount allocated by the County of Hawaii in FY 1998-1999: $10.000 1) Explain the public benefit derived? By offering pazent/child group activities to our clients in East Hawaii, we were able to decrease the isolation experienced by many families, especially in the lower/upper Puna and Hamakua azea of the island. A dramatic increase in social interactions with other families with similaz backgrounds and experiences opened the door for a supportive environment for all that participated. The group activities allowed families the opportunity to identify and discuss pazenting techniques, family stressors and the importance of a social support system. All activities were geazed towards working with the entire family, weather it was just a single family or extended family living with the child. 2) Describe how the County money aids in meeting the critical mission of the program funded? a. Specifically, the money allows our pazenllchild group activities an avenue to address some of the primary concerns facing many families in East Hawaii. The number one item being address is the prevention of child abuse and neglect through pazenting education, new skills learned, group discussions and families sharing information with each other. b. When something of such value is offered to the community, the first question is always, "How much does it cost?" Again this past yeaz were able to provide these pazent/child group activities to families free of charge because of the generous funding provided by the County of Hawaii and the State of Hawaii, Department of Hawaii, Maternal Child Health Branch. For the majority of our families, if a fee was chazged for group activities , they could not have attended. 2of3 3) Explain how the agency is meeting its goals and objectives? Specifically the outcomes of the pazenUchild group activities were as follows: I. Families participating in activities will demonstrate decreased social isolation and increase in the development of a social support network. We believe that the families that participated in pazentchild group activities demonstrated a decrease in isolation and an increase in a social support system. After the initial group activities, families expressed a feeling of community or a part of a group where they felt supported, safe and comfortable. In addition, families were eager to Team new parenting techniques and other life skills through the various topics covered in each session. A major impact for all families was the contact with other families/pazents/caregivers with children of similaz ages and the discussions of similar concems and/or problems in common and the different approaches utilized by families. For many families, just having the opportunity to share and discuss concerns and/or problems was a decrease in family stress, which leads to better pazenting and a decline child abuse and neglect. II. Families participating in pazenUchild group activities will demonstrate increase in problem-solving skills and enhanced self-esteem. Families that participated in the pazenUchild group activities demonstrated an increase in problem-solving skills and enhanced self-esteem. Many families expressed to their outreach worker on weekly home visits and within our family support services annual satisfaction survey that they found the group activities to be appropriate, informative, instructional and fun for the whole family. In addition, as they gained confidence with their new skills and because of the involvement of the entire family in group sessions. It was shazed at times the whole family would be involved in implementation and self-esteem increased. Overall, families want these activities to continue and hope more will be offered in the future. 4) Include statistics on the number of clients served? This yeaz estimated number of families served: 144 families Actual number of families served: 348 families 5) List other funding sources and amounts obtained during the award period. The State of Hawaii, Department of Health, Maternal and Child Health branch (MCHB) and Department of Human Services, Purchase of Services Division, and the YWCA of Hawaii Island. Through the agencies listed above, the YWCA of Hawaii Island Family Support Services program is subject to annual monitoring reviews and reports. See attached report "Summary of Income" 3 of 3 Agency/Organization: YWCA of Hawaii Island Project Name: ParenUChild Group Activities Summary of Income Total A enc Amount Total Pro ram Amount County of Hawaii 67,000 10,000 State of Hawaii 1,405,285 995,210 Federal Funds 172,414 0 Private Foundations 29,800 0 United Wa Funds 61,000 0 Admissions 26,748 0 Donations 48,732 0 Fundraisin 22,367 0 Pa Phone 0 0 Vendin Machines 400 0 Service/Pro ram Fees 578,777 0 Thrid-pa reimbursements 0 0 Tuition 0 0 Others (Please List) Investments 22,727 0 Misc. 19,927 0 2,455,177 1,005,210 `~IID~ OFFICE Cf= THE LEGISLATI~;E ~111D170R Y~/~/~A 99 SEP 24 AM 8~ 58 Hawaii Island September 21, 1999 Office of the County Clerk County of Hawaii Hawaii County Building 225 Atlpuni Street Hilo, Hawaii 96720 SUBJECT: Section 2-142(d), Hawaii County Code, Final Written Report. Attached is the final written report for submittal to the legislative auditor. Enclosed you will find a narrative and income summary report of the YWCA of Hawaii Island Sexual Assault Support Services project. My apologies for the delay in this report. The transition of services to Kapi'olani Medical Center SATC resulted in the program director transferring to their employ earlier than anticipated. If you have questions regarding this report please contact me at 935-7141. 1~~G:eY,2, ~.~/LC Susan J. Labr nz Executive Director w,~ A United Way Agency 145 Ululani Street t Hilo, Hawaii 96720 t Telephone (808) 935-7141 t Fax (808) 935-5150 75-5759 Kuakini Highway, Suite103C t Kailua-Kona, Hawaii 96740 t Telephone (808) 334-0308 t Fax (8081 334-0406 County Narrative FY 1998-99 1. Explain the public benefit derived. The YWCA of Hawaii Island Sexual Assault Support Service (SASS) is part of the Sexual Assault Response Team (BART). BART was established to provide community multidisciplinary response to reported sexual assault, and is composed of advocates for sexual assault victims, sexual assault nurse examiners (SANE), and law enforcement officers. SASS provides crisis intervention services and support and advocacy to child and adult victims through the SASS hotline and face-to-face contact at hospital forensic exams and interviewing sessions at the Children's Advocacy Centers of East and West Hawaii, and in the SASS offices. When sexual assault victims receive forensic exams at the hospital their clothes are often retained as evidence. SASS makes available "care kits" that consist of clothing and toiletry articles, and includes stuffed animals for young children. SASS provides both short and long term individual and family counseling to alleviate the psychological sequel of sexual trauma, and group counseling for teens, adults who were molested as children, and parents of children who have been molested/assaulted. SASS provides assistance to victims filing Civil Criminal Compensation Claims. SASS provides prevention education to children in schools, to community groups, and to the community at large at Health Fairs. SASS also provides specific training to the Hawaii County Police Department, social service agencies in the County, to the SANE nurses, and to members of the community wishing to become part of the SASS hotline after-hours staff. SASS staff serve on various County and State advisory committees that address Sexual Assault and Domestic Violence, and the Interagency committees within the County. 2. Describe how the County money aids in meeting the critical mission of the program funded. County funds support the on-call crisis workers who respond 24 hours a day 365 days a year to the emergency needs of victims of sexual assault. County funds pay phone bills so that the crisis line is available island-wide and responders have pagers so that they can be reached at all times. County funds supplement other funding so that the SASS program can reach more people. While not specifically funding prevention workers, the general overhead funding makes it possible for us to provide prevention services to children, adults and professionals. 3. Explain how the agency is meeting its goals and objectives. Even though this was the most difficult year in the 22 history of SASS, dedicated workers met the needs of all requesting service either directly or through referrals to professional therapists when advanced therapy was needed. The master contractor required us to terminate our bachelor's level workers and hire master's level workers to provide counseling services. Unfortunately, they were no competent qualified master's level staff available to be hired to meet the demands of the master contractor. The YWCA continues to believe we have provided the most appropriate service for our community and regret the difficulties experienced during the last fiscal year. As of 9/30/99 the master contractor will provide the service directly. 4. Statistics on the number of clients served. Crisis Intervention Throughout 1998-1999 SASS received 427 crisis phone calls. The total time spent on this service was 185.65 hours. Crisis Stabilization/Crisis Counseling services was provided to 156 clients. Of the 104 clients that were aged seventeen and younger, 71 were female and 33 were male. Of those who were aged eighteen and older, 45 were female and 7 were male. Total time spent on these services was 297.22 hours. Clinical/Legal Advocacy The total number of victims receiving clinical/legal advocacy services was 254. Of the 137 aged seventeen and younger, 95 were female and 42 were male. Of the 117 aged eighteen and older, 101 were female and 16 were male. The total number of clients receiving legal advocacy services was 105. Total time spent on Clinical/Legal Advocacy services was 522.80 hours. This includes 336.37 hours in Assessment and Counseling, 131.01 hours in Case Management, and 55.42 hours in Legal Advocacy. Community Health Promotion Services (Prevention) The total number of adults and children receiving Prevention Education services was 2705. Total time spent on these services was 286.41 hours. Coordination with community agencies and systems advocacy involved 65.25 hours, while consultation involved 1.75 hours. The time spent in community support services and resource development was 7.25 hours. 5. List other funding sources and amounts obtained during the award period. Kapi'olani Medical Center: $ 108,740 VOCA : $ 27,470 Donations and fees: $ 1,565 Agency/Organization: YWCA of Hawaii Island Project Name: Sexual Assault Suaaort Service Summary of Income Revenue Sources FISCAL YEAR 1998 -1999 Total A enc Amount Total Pro ram Amount Coun of Hawaii 67,000 57,000 State of Hawaii 1,405,285 108,740 Federal Funds 172,414 27,470 Private Foundations 29,800 United Wa Funds 61,000 Admissions 26,748 Donations 48,732 1,040 Fundraisin 22,367 Pa Phone 0 Vendin Machines 400 Service/Pro ram Fees 578,777 525 Third- a reimbursements 0 Tuition 0 Others Please list Investments 22,727 Misc. 19,927 TOTAL REVENUES 2,455,177 194,775