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Principal Investigator: May Michiko Okihiro
Organization: WAIANAE COAST COMPREHENSIVE HEALTH CTR
Fiscal Year: 2024
Award: $375,000
Funding agency: NIH Office of the Director
ABSTRACT
Similar to other indigenous people, Native Hawaiian (NH) view health and well-being holistically.
These concepts are centered on lōkahi (balance) among relationships with family and
community, akua (spiritual), and ʻāina (land, sea). NH communities were once thriving,
sustainable ecosystems. However, westernization of local economies, displacement of people
from their ʻāina, and the illegal overthrow of the Hawaiian monarchy brought about rapid
changes. Today, historical trauma persists as intergenerational cycles of disparities. The health
of NH youth has worsened. Eurocentric approaches to address health disparities have done
little to interrupt these cycles, especially in under-resourced communities.
The project will address historical trauma and barriers to effective care by moving beyond clinic
walls to create a system of support that embraces NH cultural values and practices, empowers
youth, and promotes lōkahi, resilience, health, and a stronger community. Two well-established
NH-serving federally-qualified community health centers will partner with schools and place-
based community organizations. Together they will increase access to care by identifying and
cross-referring challenged youth for wellness promotion and targeted care/management across
organizations, especially for mental health concerns. Partners will apply NH values, promote
traditional NH concepts in the context of modern methods, and use trauma-informed
approaches. Partners will also collaborate around community-identified outcomes of value
through data sharing and dissemination of results to community members, funders, and
policymakers. This important project will expand knowledge about strategies needed to
implement and sustain a NH youth-centered system of care and the value of such a system to
support youth through young adulthood.
Terms: <21+ years old><Access to Care><Address><Adult><Adult Human><COVID crisis><COVID epidemic><COVID pandemic><COVID-19 crisis><COVID-19 epidemic><COVID-19 era><COVID-19 global health crisis><COVID-19 global pandemic><COVID-19 health crisis><COVID-19 pandemic><COVID-19 period><COVID-19 public health crisis><COVID-19 years><Caring><Chronic><Clinic><Cognition Therapy><Cognitive Psychotherapy><Cognitive Therapy><Cognitive treatment><Collaborations><Communication><Communities><Community Health Centers><Complex><Consensus><Culturally Appropriate Education><Culturally Responsive Education><Culture-Based Education><Curriculum><Diabetes Mellitus><Disparities><Disparity><Ecologic Systems><Ecological Systems><Ecosystem><Education><Educational Curriculum><Educational Models><Educational aspects><Equilibrium><Ethnic Group><Ethnic People><Ethnic Population><Ethnic individual><Ethnicity People><Ethnicity Population><Family><Fostering><Hawaii><Hawaiian><Health><Health Care Systems><Health Instruction><Health Services Accessibility><Health Tutoring><Health education><Healthcare><Healthcare Systems><Impoverished><Imprisonment><Indigenous><Information Dissemination><Instructional Models><Interruption><Intervention><Intervention Strategies><Island><Knowledge><Laws><Learning><Life><Life Expectancy><Mental Health><Mental Health Services><Mental Hygiene><Mental Hygiene Services><Mentorship><Methods><Modeling><Modernization><Movement><Multicultural Education><Multicultural Multilingual Education><Multicultural literacy><Native Hawaiian><Native Hawaiian and Other Pacific Islander><Native Hawaiian and Pacific Islander><Native Hawaiian or Other Pacific Islander><Native Hawaiian or Pacific Islander><Neighborhood Health Center><Nutrition management><Obesity><Outcome><Pacific Islander><Parents><Personal Satisfaction><Persons><Policies><Policy Maker><Population><Poverty><Prevalence><Prevention><Process><Psychological Health><Public Health><Qualifying><Racial Group><Renaissance><Research><Research Resources><Resources><Risk><SARS-CoV-2 epidemic><SARS-CoV-2 global health crisis><SARS-CoV-2 global pandemic><SARS-CoV-2 pandemic><SARS-coronavirus-2 epidemic><SARS-coronavirus-2 pandemic><Schools><Sea><Services><Severe Acute Respiratory Syndrome CoV 2 epidemic><Severe Acute Respiratory Syndrome CoV 2 pandemic><Severe acute respiratory syndrome coronavirus 2 epidemic><Severe acute respiratory syndrome coronavirus 2 pandemic><Social Support System><Spirituality><Students><Support System><System><Testing><Trauma><Work><Youth><Youth 10-21><access to health services><access to services><access to treatment><accessibility to health services><adiposity><adult youth><adulthood><availability of services><balance><balance function><body movement><care access><care services><care systems><cognitive behavior intervention><cognitive behavior modification><cognitive behavior therapy><cognitive behavioral intervention><cognitive behavioral modification><cognitive behavioral therapy><cognitive behavioral treatment><community based organizations><community organizations><coronavirus disease 2019 crisis><coronavirus disease 2019 epidemic><coronavirus disease 2019 global health crisis><coronavirus disease 2019 global pandemic><coronavirus disease 2019 health crisis><coronavirus disease 2019 pandemic><coronavirus disease 2019 public health crisis><coronavirus disease crisis><coronavirus disease epidemic><coronavirus disease pandemic><coronavirus disease-19 global pandemic><coronavirus disease-19 pandemic><corpulence><cultural values><data dissemination><data sharing><diabetes><disparity in health><dissemination of results><economic outcome><educational methods><educational practices><educational principles><empowerment><ethnic subgroup><ethnicity group><evidence base><graduate school><healing><health care><health disparity><health service access><health services availability><high school><improved><incarcerated><incarceration><innovate><innovation><innovative><insurance plan><intergenerational><interventional strategy><lesson plans><local economy><member><mental health care><mental healthcare><parent><pilot test><racial population><racial subgroup><resilience><resilient><service availability><severe acute respiratory syndrome coronavirus 2 global health crisis><severe acute respiratory syndrome coronavirus 2 global pandemic><structural determinants><structural factors><treatment access><well-being><wellbeing><young adult><young adulthood>