Bill Text: HI SCR103 | 2019 | Regular Session | Introduced
Bill Title: Urging The Inclusion Of Native Hawaiian Cultural Intervention Treatment Programs, Wellness Plans, And Holistic Living Systems Of Care In The State Of Hawaii's Response To The Rise Of Misuse And Abuse Of Opioids Or Illicit Substances In Hawaii.
Spectrum: Partisan Bill (Democrat 2-0)
Status: (Engrossed - Dead) 2019-04-15 - Report adopted; referred to the committee(s) on JUD with none voting aye with reservations; none voting no (0) and Representative(s) Eli, Gates, Holt, Nakamura excused (4). [SCR103 Detail]
Download: Hawaii-2019-SCR103-Introduced.html
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THE SENATE |
S.C.R. NO. |
103 |
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THIRTIETH LEGISLATURE, 2019 |
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STATE OF HAWAII |
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SENATE CONCURRENT
RESOLUTION
URGING THE INCLUSION OF NATIVE HAWAIIAN CULTURAL INTERVENTION TREATMENT PROGRAMS, WELLNESS PLANS, AND HOLISTIC LIVING SYSTEMS OF CARE IN THE STATE OF HAWAIi'S RESPONSE TO THE RISE OF MISUSE AND ABUSE OF OPIOIDs OR ILLICIT SUBSTANCES IN HAWAiI.
WHEREAS, Hawaii and the United States as a whole are facing a serious opioid crisis that is "claiming the lives of thousands of people, plunging families into tragedy, and taking a devastating toll on society", according to Governor David Ige in the 2017 report The Hawaii Opioid Initiative: A Statewide Response for Opioid and Other Substance Misuse Issues; and
WHEREAS, the warning signs of public health trends on the continent, which are normally delayed in their arrival to the islands, are beginning to appear in Hawaii; and
WHEREAS, fatalities from drug poisoning have outpaced auto accidents in Hawaii; and
WHEREAS, substance misuse and substance use disorders cost the United States more than $442 billion annually in crime, health care, and lost productivity; and
WHEREAS, studies show that risk factors, such as poverty, personal trauma, and cultural trauma, tend to be associated with increased rates of substance abuse; and
WHEREAS, according to the Office of Hawaiian Affairs, perceptions of health and illness are shaped by cultural factors such as methods of communication, expression of symptoms, coping styles, and willingness to seek treatment; and
WHEREAS, the Office of Hawaiian Affairs further observes that in western cultures, illness is conceived as a pathological imbalance in the body, whereas Native Hawaiians view ma‘i (illness) as a disruption in lōkahi (the unity between akua (gods), kānaka (humans), and ‘aina) and Native Hawaiians reference illness categories such as ma‘i i kino (body sickness), ma‘i i waho (sickness from outside influences), or ma‘i ma loko (sickness from within caused by quarrels in the family); and
WHEREAS, incorporating cultural intervention, holistic health, and wellness plans in treatment programs may increase prevention of opioid and other drug addictions, misuse, and abuse; and
WHEREAS, Native Hawaiians comprise nearly forty percent of the statewide population admitted to addiction treatment programs, representing more than double the Native Hawaiian community's percentage of the total population; and
WHEREAS, section 226-20, Hawaii Revised Statutes, states that planning for the State's socio-cultural advancement with regard to health includes prioritizing programs, services, interventions, and activities that address identified social determinants of health to improve Native Hawaiian health and well-being consistent with the United States Congress' declaration of policy as codified in title 42 United States Code section 11702, and to reduce health disparities of disproportionately affected demographics, including native Hawaiians, other Pacific Islanders, and Filipinos; and
WHEREAS, the Department of Health Alcohol and Drug Abuse Division has received national and international recognition in integrating holistic treatment systems, including those that support Native Hawaiian cultural programs, kupuna (elders), and practitioners; and
WHEREAS, the State of Hawaii's Opioid Initiative does not identify cultural treatment programs or traditional holistic living systems as essential in preventing the spread of the opioid crisis in the Hawaiian community and the community as a whole; and
WHEREAS, the State of Hawaii's Opioid Initiative neither counts among its membership the primary state agencies charged with bettering the conditions of the Native Hawaiian people, nor does it include a diverse and robust membership of Native Hawaiian programs, kupuna (elders), practitioners, families, or patients with experience in providing or receiving cultural intervention treatments; and
WHEREAS, the Hawaii State Opioid Action Plan does not include cultural treatment programs as a primary focus but is categorized as a living document that should continue to grow and expand; and
WHEREAS, the State of Hawaii's Opioid Initiative concludes that "now is the time to capitalize on all opportunities to develop a more comprehensive system of care that will effectively address the opioid crisis as well as the disease of addiction in Hawaii"; now, therefore,
BE IT RESOLVED by the Senate of the Thirtieth Legislature of the State of Hawaii, Regular Session of 2019, the House of Representatives concurring, that this body urges the inclusion of Native Hawaiian cultural intervention treatment programs, wellness plans, and holistic living systems of care in the State's response to the rise of misuse and abuse of opioid or illicit substances in Hawaii; and
BE IT FURTHER RESOLVED that cultural and wellness organizations and individuals tasked with improving the well‑being of Native Hawaiians be represented proportionately on the State of Hawaii's Opioid Initiative or on an appropriate focus group within the initiative, to be spearheaded by the Department of Health Alcohol and Drug Abuse Division; and
BE IT FURTHER RESOLVED that sufficient funds be appropriated by the Legislature and released by the Governor to comply with section 226-20, Hawaii Revised Statutes; and
BE IT FURTHER RESOLVED that certified copies of this Concurrent Resolution be transmitted to the Governor, Director of Health, Chair of the Hawaiian Home Commission, Chairperson of
the Board of Trustees of the Office of Hawaiian Affairs, mayors of each county, and Executive Director of Papa Ola Lokahi.
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OFFERED BY: |
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Opioid Initiative; Substance Abuse; Native Hawaiians; Cultural Health Frameworks
