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INSIGHTS ON PBS HAWAII: Follow-Up Discussion to Haleakala: A Trek for Dignity


>>MAHEALANI: NEXT ON INSIGHTS
ON PBS HAWAII, A FOLLOW-UP DISCUSSION TO “HALEAKALA: A
TREK FOR DIGNITY.” [INTRO MUSIC]>>MAHEALANI: ALOHA AND
WELCOME TO INSIGHTS ON PBS HAWAII.
I’M MAHEALANI RICHARDSON. WITH THE RIGHT SUPPORT,
UNDERSTANDING AND RESOURCES, THOSE COPING WITH MENTAL
ILLNESS CAN RECOVER AND LEAD FULL LIVES.
THAT’S THE MESSAGE BEHIND THE FILM WE JUST AIRED AND IT’S
BROADCAST PREMIERE “HALEAKALA: A TREK FOR
DIGNITY.” IN THE FILM, A GROUP OF LOCAL
RESIDENTS WHO LIVE WITH MENTAL DISORDERS HIKE INTO
THE CRATER AND REFLECT. THE FILM SHOWS A SENSE OF HOPE
AND EMPOWERMENT. TONIGHT, WE DISCUSS MENTAL
ILLNESS IN HAWAI’I AND EXPLORE WHAT LIFE IS LIKE FOR
THOSE COPING WITH MENTAL HEALTH ISSUES.
YOU’RE WELCOME TO SHARE WITH US YOUR QUESTIONS AND
COMMENTS ABOUT TONIGHT’S SHOW BY CALLING 973-1000 OR
800-238-4847 IF YOU’RE ON A NEIGHBOR ISLAND.
YOU CAN ALSO WATCH INSIGHTS STREAMED LIVE AT
PBSHAWAII.ORG. JUST CLICK ON THE TITLE OF
TONIGHT’S SHOW. OR YOU CAN FIND US ON
TWITTER @PBSHAWAI’I. ON TO OUR GUEST THE DON LANE
OF MAUI IS THE DIRECTOR CAMERA MAN AND EDITOR OF THE FILM
“HALEAKALA: A TREK FOR DIGNITY.” HE HAS BIPOLAR
DISORDER WITH PSYCHOTIC FEATURE ASND EXPERIENCED
SYMPTOMS SINCE HE WAS 14 YEARS OLD.
HIS GOAL IS TO DIMINISH THE STIGMA ASSOCIATED WITH MENTAL
ILLNESS AND HELP OTHERS RECOGNIZE THEIR VOICE.
DON IS CURRENTLY A MEDIA SPECIALIST FOR MENTAL HEALTH
KOKUA. DANIEL LANE OF MAUI IS ALSO A
CLINICAL PSYCHOLOGIST AND CLINICAL HYPNO THERAPIES AND
ALSO DON LANE’S FATHER. LAST TEN YEARS, PRACTICED AT
MAKAWAO MAUI. PRIOR TO THAT POST, HE WORKED
AT MAUI MEMORIAL MEDICAL CENTER PROVIDING SERVICES FOR
THE INCOMPETENTER INPATIENT AND ADOLESCENT PSYCHIATRIC
UNITS. NAOMI CROZIER IS THE MENTAL
HEALTH CASE MANAGER AND SUPPORTIVE HOUSING
SPECIALIST AN BEND BENEFITS PLANNER FOR MENTAL HEALTH
KOKUA ON MAUI. NAOMI ALSO APPEARED IN THE
HALEAKALA DOCUMENTARY AND IN WHICH SHE SHARED HER OWN
RECOVERY STORY. WIDOWED AT THE AGE OF 39,
NAOMI TURNED TO DRUGS TO DEAL WITH HER OVERWHELMING
ANXIETY. HAS BEEN IN RECOVERY SINCE
2006. TRISHA KAJIMURA BASED IN
HONOLULU, IS EXECUTIVE DIRECTOR OF MENTAL HEALTH
AMERICA OF HAWAI’I. ORGANIZATION PROMOTES MENTAL
WELLNESS THROUGH EDUCATION ADVOCACY AND SERVICE.
WORKED IN THE HUMAN SERVICES IN HAWAI’I FOR 18 YEARS IN THE
AREA YEAHS OF SUBSTANCE ABUSE, CHILD ABUSE AND
NEGLECT PREVENTION AND HIV CARE.
THANK YOU FOR JOINING US. WHY DON’T I START OFF WITH
YOU. VERY ENLIGHTENING FILM VERY
PERSONAL TO YOU. WHY DON’T YOU SHARE WHY YOU
DECIDED DO THIS PROJECT.>>YOU KNOW, I WANTED TO DO
THIS PROJECT ACTUALLY IT TO REACH OUT TO OTHERS WHO MAY BE
EXPERIENCING MENTAL HEALTH ISSUES OR SYMPTOMS OF MENTAL
HEALTH ISSUES. AND THE BEST WAY FOR ME TO DO
THAT WAS TO UTILIZE MY SKILLS AS A FILMMAKER AND PUT A FILM
TOGETHER THAT COULD REACH OUT TO THOSE INDIVIDUALS AND
SPEAK TO THEM. BUT ALSO, TO REACH OUT TO THE
GENERAL PUBLIC AND LET THEM KNOW THAT WE ARE JUST LIKE
EVERYBODY ELSE. WE CAN RECOVER.
WE CAN BE ACTIVE PART OF SOCIETY.
>>MAHEALANI: TREK INTO THE CRATER HALEAKALA.
THREE YEARS AGO YOU MADE THIS FILM.
YOU JUST STARTED ON THE ROAD TO RECOVERY.
TALK ABOUT HOW YOU FELL INTO MENTAL ILLNESS.
>>FIRST STARTED EXPERIENCING SYMPTOMS AT THE AGE OF 14.
AND I WAS DIAGNOSED WITH CLINICAL DEPRESSION.
I DIDN’T KNOW WHAT IT MEANT. I THOUGHT IT WAS YOU’RE SAD
ALL THE TIME. IT’S MUCH MORE COMPLEX.
FROM THERE, GRADUATED FOR LACK OF A BETTER WORD, TO
BIPOLAR DISORDER. DEALING WITH THIS MY WHOLE
LIFE. COPING WITH THIS I SHOULD SAY.
MY WHOLE LIFE. AND UP ‘TIL NOW, I JUST FEEL
IT’S TIME TO SPEAK OUT. IT’S TIME TO SHARE THIS, I SEE
THIS AS A MOVEMENT.>>MAHEALANI: YOU WERE, YOU
COULD SAY THINGS REACHED A CRITICAL MASS WHEN YOU WERE
HOMELESS. DID YOU FEEL AT THE TIME YOU
DIDN’T HAVE ANY RESOURCES, ANY OUTLET, ANY CARE FOR YOU?
>>I DID FEEL THAT. AND YOU KNOW, YOU’VE GOT TO
IMAGINE, BEING IN PSYCHOSIS, BEING IN A MANIC STATE, YOUR
PERCEPTION OF THE WORLD IS VERY DIFFERENT.
I CALL IT A WAKING DREAM. AND SO WHEN THAT’S GOING ON,
IT’S REALLY HARD TO SEE WHAT’S RIGHT AROUND YOU.
YOUR SUPPORT BASE, THE ABILITY FOR MEDICATION
MANAGEMENT, TALK THERAPY, THOSE TYPE OF THINGS, YOU
DON’T SEE THOSE THINGS BECAUSE YOU’RE IN A DIFFERENT
WORLD. IT’S HARD TO DESCRIBE.
>>MAHEALANI: DR. LANE, YOU WERE IN THE FILM AS WELL.
AND THIS IS YOUR OWN SON WHO YOU SAW THIS PROGRESSION
HAPPENING. WHAT WAS IT LIKE FOR YOU AS A
FATHER AND WITH A CLINICAL BACKGROUND.
>>IT WAS A CHALLENGE ON PERSONAL AND PROFESSIONAL
LEVEL WHEN DON WAS FIRST DIAGNOSED WITH MAJOR
DEPRESSION, LIVING ON THE EAST COAST WITH HIS MOM AND I
WAS LIVING ON THE WEST COAST. I WAS GETTING INFORMATION
FROM HIS MOM ABOUT WHAT WAS GOING ON AND I DIDN’T REALLY
UNDERSTAND THE FULL EXTENT OR THE SEVERITY OF WHAT WAS
HAPPENING. THE FIRST BIG EVENT,
HOSPITALIZATION, HAPPENED IN NEW YORK.
AND IT WAS THEN THAT WE WERE TALKING WITH THE PHYSICIANS,
PSYCHIATRISTS AT THE HOSPITAL AND THEY TOLD US ABOUT THE
DIAGNOSIS OF BIPOLAR, AT THAT TIME, PSYCHOTIC FEATURES.
>>MAHEALANI: WHAT WAS THE MOMENT THAT HAPPENED THAT HE
ENDED UP IN THE EMERGENCY ROOM I’M ASSUMING?
>>I CAN TELL THAT STORY. BECAUSE I WAS ON THE EAST
COAST AT THE TIME. I WAS IN NEW YORK CITY.
I WAS SEEING MY PSYCHOLOGIST AT THE TIME.
AND HE CAN TELL I WAS IN A PSYCHOTIC STATE.
AND HE GAVE ME A NOTE AND HE SAID, I WANT YOU TO GET ON THE
SUBWAY. I WANT YOU TO GO UP TO THE
HOSPITAL AND CHECK YOURSELF IN.
JUST HAND THEM THIS NOTE. THAT WAS A SURREAL JOURNEY IN
ITSELF. SO I WAS EXPERIENCING THESE
PSYCHOTIC SYMPTOMS ENDED UP IN THE HOSPITAL.
I DON’T KNOW HOW I MADE IT. BUT I DID MAKE IT AND I WAS
HOSPITALIZED AT THAT POINT BECAUSE I WAS GOING THROUGH
PSYCHOSIS.>>MAHEALANI: DR. LANE,
SEEING YOUR OWN SON GO THROUGH THIS, AND PRACTICING IN A
CLINICAL SENSE, WHAT DID YOU LEARN THAT MAYBE PERHAPS
DIFFERENT THAN WHAT YOU HAD DEALT WITH WITH YOUR OWN
PATIENTS?>>I THINK BECAUSE WHAT DON
WENT THROUGH, I LEARNED A DEEPER LEVEL OF COMPASSION
FOR THE PEOPLE THAT I WORK WITH.
WHEN I MEET WITH SOMEONE, I USUALLY SEE PEOPLE ONCE A WEEK
FOR ABOUT 50 MINUTES. AND SO I SEE JUST A REALLY
SMALL PICTURE OF WHO THIS PERSON IS AND WHAT THEIR LIFE
IS LIKE. AND GOING THROUGH THAT
EXPERIENCE WITH MY SON, WITH DON, WHEN I MEET WITH PEOPLE
NOW, I ALSO LOOK AT THE POSITIVE TRAITS THAT THEY
HAVE. NOT JUST THE SYMPTOMS AND THE
PROBLEMS THEY’RE COMING IN WITH.
I THINK IT’S REALLY HELPED ME TO HAVE A MUCH MORE BALANCED
PERSPECTIVE FOR THE PEOPLE THAT I’M WORKING WITH, MORE
PATIENTS, OR UNDERSTANDING, MORE COMPASSION.
>>MAHEALANI: NAOMI, HOW DID YOU COME INTO MENTAL ILLNESS
AND THIS IS STARTED WHETHER YOUR HUSBAND PASSED AWAY?,
RIGHT?>>I BELIEVE I GOT CAREGIVERS
BURNOUT ON THE MAIN FOCUS IS ON MY HUSBAND WHO HAD CROHN’S
DISEASE. HE WAS DYING, PASSED AWAY IN
2005. I DIDN’T REALLY HAVE
SELF-CARE. SO WHEN HE PASSED, I STARTED
SELF-MEDICATING AND I FELL INTO A DRUG ABUSE FOR ABOUT A
YEAR-AND-A-HALF.>>MAHEALANI: PRESCRIPTION
MEDICATION?>>NO.
>>MAHEALANI: ILLEGAL DRUGS.>>ILLEGAL DRUGS.
I WAS SO DIFFERENT FROM ME. IT TAKES ALL OF YOUR MORALS
AND VALUES AND GOOD JUDGMENT PASSES OUT WINDOW.
I BECAME SOMEBODY THAT MY PARENTS, I MEAN, MY FAMILY AND
MY LOVED ONES DIDN’T RECOGNIZE.
>>MAHEALANI: I CAN IMAGINE THAT IT’S SO HARD NOT ONLY FOR
YOU, BUT YOUR FAMILY MEMBERS, WOULD HAD ARE STRUGGLING TO
DEAL WITH THIS THE SITUATION. CORRECT.
>>MAHEALANI: HOW DID YOUR LIFE MAKE A TURN AS YOU WERE
GOING THROUGH THIS?>>WELL, I KNEW THIS IS NOT WHO
I WAS. MY FAMILY SAID, THIS IS NOT
WHO YOU ARE. BEING A DRUG ABUSE AT AGE 39,
MY SON CAME TO MY RESCUE AND SAID, LOOK, YOU’RE EITHER
GOING TO DIE OR GO TO PRISON. SO HE ACTUALLY CHECKED ME INTO
A REHAB FOR 28 DAYS. AND IT’S VERY HUMBLINGING TO
BE CHECKED IN BY YOUR 17-YEAR-OLD SON.
I HAD GOOD SUPPORT. VERY LUCKY TO HAVE MY MOTHER,
BROTHER AND MY SON WHO WERE THERE FOR ME THROUGHOUT THE
WHOLE JOURNEY. AND STILL THERE FOR ME.
I THINK IT’S REALLY IMPORTANT TO HAVE GOOD SUPPORT BASED
SYSTEM.>>MAHEALANI: WHEN
OFTENTIMES, TO MAKE A CHANGE, YOU HAVE TO HIT ROCK BOTTOM.
WHAT WAS THAT MOMENT THAT YOU HIT ROCK BOTTOM AND YOU WENT
THIS HAS TO CHANGE?>>I BELIEVE EVERYBODY’S
BOTTOM IS DIFFERENT. I CAN’T REALLY PINPOINT ONE
THING. I JUST KNEW THAT I BECAME
SOMETHING, SOMEONE THAT I WASN’T PROUD OF.
WHEN I LOOKED IN THE MIRROR, I DIDN’T EVEN RECOGNIZE
MYSELF. AND MY FAMILY MEMBERS WERE
JUST THERE TO SUPPORT ME AND GUIDE ME, PUSH ME, EVER SO
GENTLY INTO MAKING A CHANGE.>>MAHEALANI: WHAT SOURCE OF
SUBSTANCES WERE YOU ADDICTED TO AT THE TIME AND CRYSTAL
METH.>>YES.
>>MAHEALANI: HOW LONG DID THIS PROCESS LAST FROM THE
TIME THAT YOUR HUSBAND DIED TO WHEN YOU ACTUALLY SAW SOME
LIGHT IN YOUR LIFE?>>WELL, BEFORE HE PASSED, I
WASN’T USING. BEFORE HE PASSED, BURNOUT,
CAREGIVER’S BURNOUT. SO I THINK I HAD ANXIETY,
PANIC ATTACKS, AND SO WHEN HE DID PASS, I WAS SORT OF JUST
LOST. AND I RAN INTO A GROUP OF
FRIENDS WHO WAS ABUSING DRUGS AND I DIDN’T FEEL LIKE I HAD
A SENSE OF PURPOSE ANY MORE. SO WHEN I RAN INTO THIS ONE
FRIEND, WOULD WAS DOING THE DRUGS, INTRODUCED ME TO THAT,
YOU KNOW RIGHT FROM WRONG BUT I GUESS YOU’RE AT A POINT IN
TIME YOU DON’T EVEN CARE ANY MORE AND YOU GIVE IT A TRY.
ONCE YOU DO THAT, HIJACKS YOUR BRAIN, HIJACKS YOUR MORAL,
VALUES.>>MAHEALANI: TRISHA, THESE
ARE VERY STORIES TO YOU. Y.
MENTAL ILLNESS IS A REALLY COMMON THEME IT’S A VERY
MENTAL DISORDER AFFECT ONE IN FIVE AMERICANS.
SO IT’S VERY COMMON. AND PEOPLE STRUGGLE TO FIND
TREATMENT AND TO FIND THE RIGHT HELP.
SO ONE THING THAT REALLY IMPRESSED ME ABOUT THIS FILM
WAS THE COURAGE OF THE PEOPLE IN THE FILM TO TELL THEIR
STORIES BECAUSE THAT’S WHAT’S GOING TO MAKE A DIFFERENCE FOR
OTHERS. AND SO HE REALLY COMMEND THEM
FOR DOING THAT AND FOR TAKING THAT STEP.
>>MAHEALANI: YOU SEE MENTAL ILLNESS AS ALMOST LIKE THE
BASELINE THAT LEADS TO OTHER SOCIAL ILLS? BECAUSE YOU
ALSO DEAL WITH HIV, YOU’RE DEALING WITH CHILD ABUSE,
HOMELESS AND OTHER ISSUES.>>IN WORKING IN OTHER AREAS
OF HUMAN SERVICES IN THE PAST, WE DID OR WHAT I DID SEE IS
THAT SOME OF THE PEOPLE WHO STRUGGLED THE MOST WITH THE
ISSUE AT HAND ALSO HAD A MENTAL HEALTH DISORDER.
SO IT EXACERBATES WHATEVER OTHER STRUGGLES YOU’RE
DEALING WITH. AND THERE’S SO MANY PEOPLE
STRUGGLING WITH THAT, THAT I REALLY SAW IT AS AN AREA THAT
WE NEED TO IMPROVE IN AS A COMMUNITY.
>>MAHEALANI: DR. LANE, WHEN YOU TALK ABOUT MENTAL
ILLNESS, THERE’S A BIG RANGE, BIPOLAR, PEOPLE WHO HAVE
DEPRESSION, AND THESE SYMPTOMS COULD BE, ARE THEY
HEREDITARY OR THERE’S USUALLY SOME SORT OF TRIGGER?
>>WELL, THERE’S A VARIETY OF VARIABLES THAT ARE INVOLVED
WITH MENTAL ILLNESS. STRONG GENETIC COMPONENT TO
IT. PEOPLE ACE FAMILY MEMBER THAT
HAS BEEN DIAGNOSED WITH BIPOLAR.
THEY HAVE A 20% GREATER RISK OF HAVING A BIPOLAR EPISODE OR
SYMPTOMS THEMSELVES. SO THERE’S THE GENETIC PART
THAT’S INVOLVED WITH IT. THERE’S SITUATIONAL THINGS
THAT COME UP. SO TYPICALLY, WHAT HAPPENS IS
THAT AT LEAST BASED ON MY EXPERIENCE, IS THAT YOU HAVE
SOMEONE THAT’S A BIT MORE VULNERABLE OR SUSCEPTIBLE TO
MENTAL ILLNESS, AND THEN OFTENTIMES, THERE’S A TRIGGER
AND IT COULD BE EXTERNAL TRIGGER.
RELOCATION, DIVORCE, LOSE A JOB.
OR SOMETHING INTERNAL. AND BY INTERNAL, I MEAN THE
WAY THAT WE THINK. OUR THOUGHTS ARE VERY
POWERFUL. OUR THOUGHTS CAN TRIGGER
DEPRESSION, SYMPTOMS OF DEPRESSION, SO A PART IT HAVE
IS A BIG PART OF IT IS GENETIC ENVIRONMENT.
AND ALSO SITUATIONAL FACTORS.>>MAHEALANI: DON, SO YOU LED
THIS TREK INTO THE CRATER.>>YES.
>>MAHEALANI: HOW LONG DID IT TAKE YOU TO GET DOWN THERE?
7-MILES? 7, 9-MILES TO GET DOWN AND OUT?
>>THE FIRST DAY WAS 9-MILES. THE TOTAL TRIP WAS ABOUT
15-MILES.>>MAHEALANI: THIS IS A
PHYSICAL TREK AS WELL?, PHYSICAL MENTAL SPIRITUAL, IT
WAS AN ALL ENCOMPASSING TREK?>>ABSOLUTELY.
YEAH. I LIKE TO SAY IT’S ANALOGY TO
LIFE. RECOVERY PROCESS.
PHYSICAL, SPIRITUAL, IT’S MENTAL.
IT WAS A CHALLENGE IN EVERY ASPECT IN EVERY WAY.
>>MAHEALANI: HOW DID YOU PREPARE FOR SOMETHING LIKE
THAT?>>I THINK IT WAS MORE ABOUT
MENTALLY PREPARING. I’VE DONE THE TRIP MYSELF
PRIOR TO GOING INTO THE CRATER FOR THE DOCUMENTARY.
I ACTUALLY, HOMELESS AT THE TIME.
HOMELESS FOR A SHORT PERIOD OF TIME.
AND I STAYED IN THE CRATER BY MYSELF WITH A SLEEPING BAG AND
A TARP. AND NO TENT.
JUST LAID THERE. WENT THROUGH THE CRATER.
EXPERIENCED IT PRIOR SO I KNEW WHAT TO EXPECT.
>>MAHEALANI: NAOMI THIS WAS THE FIRST TIME HIKING INTO
HALEAKALA.>>NO.
I’VE BEEN IN THE CRATER BEFORE.
THIS IS AN ANALOGY OF LIFE. IF WE CAN MAKE IT THROUGH THE
HURDLES WE CAN MAKE IT THROUGH EVERYTHING.
>>MAHEALANI: THE TREK IS 14-MILES TOTAL?
>>15.>>MAHEALANI: HOW DID IT
CHANGE YOU?>>IT CHANGED ME, I THINK,
THAT’S A GOOD QUESTION. SPIRITUALLY.
IT BROUGHT US TOGETHER. THIS FILM MADE MORE
TRANSPARENT ABOUT WHAT HAPPENED IN LIFE AND WHAT WE
CAN DO. AND WHAT WE CAN OVERCOME.
BROUGHT US CLOSER FAMILY.>>MAHEALANI: IT WAS NOT ONLY
INDIVIDUAL, BUT IT WAS A GROUP GROWTH.
THAT’S WHAT I FELT ANYWAY.>>I’D LIKE TO ADD SOMETHING
ABOUT THAT. THE TREK.
IT WASN’T JUST A TREK. IT WAS AN EXPEDITION.
IT REALLY WAS. BY THAT, I MEAN I HAVE
MILITARY EXPERIENCE. EARLY SEVENTIES I WAS IN LIGHT
WEAPONS INFANTRY AND WE SPENT A LOT OF TIME IN THE FIELD, A
LOT OF TIME MARCHING. I WAS SO IMPRESSED WITH THE
DETERMINATION, THE STAMINA THAT THE GROUP COHESIVENESS,
GOING ACROSS THE CRATER WAS DIFFICULT.
GOING DOWN THE BACK SIDE OF THE CRATE, KAUPO TRAIL.
THAT WAS ONE OF THE MOST DIFFICULT HIKES THAT I’VE
BEEN ON EVEN WITH THE MILITARY.
>>MAHEALANI: TALK ABOUT THE CONDITIONS.
WEATHER, ENVIRONMENT, WHAT WAS IT LIKE?
>>IT’S CHANGED MOMENT BY MOMENT.
IT WAS CHANGING.>>DRAMATIC CHANGES.
>>WE HAD THE CLOUDS ROLLING IN.
WE’D HAVE MIST, SUN, WE WERE HOT.
WE WERE COLD. WITH.
>>MAHEALANI: AND YOU WERE PACKING A LOT OF WEIGHT.
>>WE HAD A BACKPACK.>>MAHEALANI: HOW MUCH WEIGHT
DID YOU HAVE ON YOUR BACK?>>WHATEVER WE BROUGHT IN, WE
WILL TO TAKE OUT. TOILET PAIN, BANANA PEELS,
YOU NEED TO TAKE OUT. WE CARRIED ALL OF OUR OWN
GEAR.>>MAHEALANI: IT WAS AMAZING
HOW THE GROUP REALLY STUCK TOGETHER.
BUT WAS THERE EVER A MOMENT WHEN ONE MEMBER SAID, I CANNOT
DO THIS? AND THE REST OF YOU HAD TO SAY NO, YOU CAN DO THIS?
>>4 MORE MILES.>>I DIDN’T HEAR ANYONE SAY I
CAN’T DO THIS. EVERYONE DID IT.
EVERYONE DID A REMARKABLE JOB.
AND AGAIN, THAT WAS JUST SO IMPRESSED WITH EVERYONE JUST
PULLING TOGETHER AND MAKING THIS HAPPEN.
>>I THINK WE ALL HAD OUR OWN LITTLE INTERNAL STRUGGLES.
BUT THE THING IS THAT WE OVERCAME THEM.
OVERCAME THEM AS INDIVIDUALS AND AS A GROUP.
>>MAHEALANI: TRISHA, YOU WATCHED IN FILM AND YOU’VE
SEEN A LOT OF SUCCESS STORIES AND SEE PEOPLE WHO ARE STILL
STRUGGLING WITH MENTAL ILLNESS.
HOW DO YOU HELP THEM MAKE THAT TURNING POINT?
>>WELL, IT’S REALLY IMPORTANT FOR PEOPLE TO HAVE
ACCESS TO APPROPRIATE TREATMENT.
TO BE ABLE TO RECOGNIZE WHEN THEY NEED HELP AND TO KNOW
WHAT HELP IS AVAILABLE FOR THEM.
SO I THINK IT’S A MATTER OF PUTTING PEOPLE TOGETHER WITH
THE RESOURCES AND ALSO, ENCOURAGING THEM TO BUILD
THEIR SUPPORT NETWORK.>>MAHEALANI: THE RESOURCES
ARE OUT THERE. BUT WHY IS IT THAT THERE ARE
JUST SO MANY PEOPLE WHO SEEM LIKE THEY FALL THROUGH THE
CRACKS?>>RIGHT.
THERE’S A LOT OF ANSWERS TO THAT QUESTION.
I WOULD SAY ONE OF THE BIGGEST ISSUES IS THE STIGMA AND SHAME
THAT CREATES FEAR OF ASKING FOR HELP.
FEAR OF BEING OPEN ABOUT YOUR ISSUES.
THERE WILL ACTUALLY IS A SCARCITY OF RESOURCES HERE
AND IN THE RURAL AREAS ESPECIALLY WITH OUR
PHYSICIANS SHORTAGE. NOT BEING ABLE TO SEE A
PSYCHIATRIST WHEN YOU NEED ONE, TO HEAD OFF A CRISIS, NOT
BEING ABLE TO GET THE MEDICATION THAT YOU NEED
RIGHT AWAY IF THAT IS IN CASE APPROPRIATE TREATMENT.
RESOURCES ARE SCARCE AND IT’S REALLY SOMETHING THAT WE NEED
TO BUILD ON.>>MAHEALANI: RIGHT.
IT’S INTERESTING BECAUSE ON THIS VERY SHOW, INSIGHTS, WE
JUST TALKED ABOUT THE DOCTOR SHORTAGE ESPECIALLY FOR THE
NEIGHBOR ISLANDS. DR. LANE, YOU MUST SEE THAT
ALL THE TIME. DO YOU HAVE A WAITING LIST FOR
PEOPLE WAITING TO SEE?>>I HAVE A WAIT LIST.
AS I SAID, I SEE ABOUT 35 TO 40 PEOPLE A WEEK.
I’VE BEEN DOING THAT FOR TEN YEARS.
IN NUMBER COULD EASILY INCREASE TO 50 TO 60 PEOPLE A
WEEK. I JUST DON’T HAVE THE TIME.
THE RESOURCES, THE ABILITY TO SEE THAT MANY PEOPLE.
BECAUSE I DO MEET WITH PEOPLE FOR 50 MINUTE SESSIONS ONE
TIME A WEEK.>>MAHEALANI: FIVE ZERO.
>>YES. 50 MINUTE SESSIONS.
I CAN GET ANYWHERE FROM TWO REFERRALS A WEEK OR CALLS TO
SEVEN OR EIGHT. BECAUSE I SEE SO MANY PEOPLE
CURRENTLY, AND BECAUSE OF A LACK OF RESOURCES AND
AVAILABILITY ON MAUI, UNLESS SOMEONE NEEDS TO BE SEEN
URGENTLY, I DO PUT THEM ON A WAIT LIST CAN BE ANYWHERE FROM
2 TO 3 MONTHS.>>MAHEALANI: BECAUSE WAS LACK
OF RESOURCES, THEY END UP IN THE EMERGENCY ROOM?
>>THEY END UP IN THE ER. OFTENTIMES, THE HOSPITAL MAUI
MEMORIAL MEDICAL CENTER ONLY HAS I THINK IT’S 12 BEDS ON
THEIR PATIENT ADULT UNIT. SO THEY MIGHT END UP IN THE ER.
MIGHT NOT BE BED SPACE FOR THEM.
AND UNLESS THEY’RE IN A A ACUTE CRISIS OR DANGER OF
HURTING THEM SELF OR SOMEONE ELSE, OFTENTIMES THEY TURN
BACK INTO THE COMMUNITY. IF THERE’S NO BED SPACE, THE
ER IS FULL, THEY CAN’T COME IN?
>>WELL, THE OTHER OPTION WOULD BE AGAIN, IF IT WAS AN
INVOLUNTARY HOSPITALIZATION OR IF THEY ARE GOING TO HARM
THEMSELVES OR SOMEONE ELSE, THE NEXT OPTION WOULD BE
AMBULANCE OVER TO OAHU. AND MAYBE ADMITTED TO
QUEEN’S.>>MAHEALANI: WHEN SOMEONE HAS
A MENTAL ILLNESS, IS THERE SUCH A THING AS BEING HEALED
OR FULLY RECOVERED?>>FULLY RECOVERED, I THINK
IT’S MORE OF A MANAGEMENT ISSUE.
ONCE SOMEONE HAS A PSYCHIATRIC ILLNESS, THEY’RE
MORE VULNERABLE TO HAVING A RELAPSE WITH THAT ILLNESS.
SO A LOT OF, THERE’S PREVENTIVE THINGS THAT PEOPLE
CAN DO. SEE THERAPIST ON A REGULAR
BASIS. TAKING PRESCRIBED
MEDICATION, TAKE THE MEDICATION AS DIRECTED.
HEALTH IN TERMS OF DIET AND EXERCISE ARE REALLY
IMPORTANT. STAYING WAY FROM CAFFEINATED
TYPES OF BEVERAGES, DRUG, ALCOHOL.
STUFF LIKE THAT.>>TOUCH ON THAT.
FOR AMERICA IDEA OF RECOVERY FOR SOMEBODY WITH A SEVERE AND
CHRONIC MENTAL ILLNESS FOR EXAMPLE IS SOMEBODY WHO IS AN
ACTIVE PART OF SOCIETY, HOLD A JOB AND MANAGE THE SYMPTOMS.
THROUGH MEDICATION MANAGEMENT OR THE THINGS THAT
MY FATHER JUST MENTIONED. TO ME, THAT’S RECOVER.
>>DAN: OF COURSE, YOU’LL NEVER BE CURED SO YOU’RE
ALWAYS WORKING ON COPING, FINDING COPING MECHANISMS
METHODS.>>MAHEALANI: HOW DO YOU COPE?
>>STARTS WITH THE SUPPORT BASE.
SEE THEM ALL AROUND THE TABLE. MEDICATION MANAGEMENT, TALK
THERAPY, INTROSPECTIVE, TRYING TO UNDERSTAND WHAT’S
GOING ON, AND JUST ALWAYS LOOKING FOR OTHER WAYS TO COPE
TOO. BREATHING TECHNIQUES LIKE IN
THE DOCUMENTARY. MY FATHER TAUGHT ME THE
SHAKOHATSI, JAPANESE BAMBOO FLUTE.
AND WITH THAT, I WAS ABLE TO DO SOME BREATHING TECHNIQUES
THAT ALLOWED ME TO CALM MY NERVES AND ANXIETIES.
>>MAHEALANI: LLOYD FROM WAIALAE HAS A QUESTION FOR
NAOMI. AND HE WANTED YOU TO DESCRIBE
SORT OF YOUR MENTAL DAY TO DAY LIFE.
HOW DO YOU COPE ON A DAY TO DAY BASIS?
>>YES. GET UP.
HAVE AN ATTITUDE OF GRATITUDE THAT’S FOR SURE.
I START WITH THAT. AND USUALLY RUN, I RUN A
COUPLE OF MILES BEFORE I GO TO WORK.
BEING A MENTAL HEALTH WORKER, I MANAGE MY STRESS LEVEL.
AND THEN I BASICALLY GO TO WORK.
BUT I JUST HAVE A DIFFERENT OUTLOOK TODAY.
I REALLY TAKE A LOOK AT SELF-CARE.
WHAT’S IMPORTANT TO ME. AND I HAVE A LOT MORE
COMPASSION TODAY BECAUSE WHAT I DO AND I TRY TO SHOW THE
PEOPLE I WORK WITH AND THE PEOPLE THAT I WORK ON THE
STREETS THAT ANYTHING IS POSSIBLE.
REMEMBER, I’M BORN AND RAISED ON MAUI AND I KNOW A LOT OF
PEOPLE ON THE STREETS. I KNOW THE PEOPLE THAT ARE
SUFFERING AND I KNOW THAT IT’S HARD AND GIVE THEM A LITTLE
BIT OF HOPE. THEY SHARED, SOMETIMES I
SHARE MY STORY. TRY NOT TO DISCLOSE TOO MUCH,
BUT WHEN IT’S APPROPRIATE, I DO.
>>MAHEALANI: DO YOU FEEL THAT HELPING OTHERS HAS HELPED
YOUR SOUL AS WELL?>>DEFINITELY.
DEFINITELY. WHAT ITS DO IS JUST SHARING MY
STORY, I MAY BE ABLE TO HELP SOMEONE WHO IS IN THE
CAREGIVER BURNOUT. OAR JUST STRESSED OR HAVING A
HARD TIME IN LIFE. I THINK BY SHARING PART OF
MYSELF TO THEM HELPS A LOT.>>MAHEALANI: YOU KNOW, THE
INTERESTING THING TRISHA, WE HAVEN’T REALLY TALKED ABOUT
STATISTICS OF MENTAL ILLNESS IN HAWAI’I.
ARE THERE STATISTICS OUT THERE AND HOW MANY PEOPLE WHO
MIGHT BE AFFECTED THE BY SOMETHING LIKE THAT?
>>WELL, GENERAL OVERALL STATISTIC IS ONE IN FIVE.
AND WHEN IT COMES TO SERIOUS AND PERSISTENT MENTAL
ILLNESS, ONE IN 25. WOULD BE YOUR BALLPARK
FIGURE. SO IT’S A SIGNIFICANT AMOUNT
OF PEOPLE.>>MAHEALANI: AND THEN FOR
YOU, YOU’RE ACTUALLY HELPING PEOPLE GET TO THE RESOURCES
THEY NEED. SO HOW DO THEY FIND YOU?
>>THEY CAN FIND US ON THROUGH OUR WEBSITE.
WE HAVE A FACEBOOK PAGE. WE GET CALLS FROM PEOPLE EVERY
DAY LOOKING FOR RESOURCES AND WE TRY TO CONNECT THEM WITH
WHAT’S APPROPRIATE IS THAT EARLIER, YOU MENTIONED THE
STIGMA OF MENTAL ILLNESS AND IN THE FILM, A BIG PART OF IT
WAS THE NATIVE HAWAIIAN EXPERIENCE.
AND THE STIGMA. DO YOU FIND ANY CULTURAL
DIFFERENCES IN TERMS OF MENTAL ILLNESS?
>>I FIND THAT A LOT OF CULTURES STRUGGLE WITH THE
SHAME OF OTHER PEOPLE KNOWING FAMILY BUSINESS OR WHAT’S
HAPPENING TO ME, WHEN IT’S NOT, IT DOESN’T PUT ME IN THE
BEST LIGHT. SO I THINK IT IS KIND OF A
COMMON THEME ACROSS CULTURES IN HAWAI’I AND IT DOES HOLD
PEOPLE BACK. I CAN TOUCH ON THAT TOO.
MY MOM IS FROM JAPAN. SHE’S JAPANESE AND SHE DIDN’T
SAY A WORD TO HER FRIENDS ABOUT WHAT SHE WAS GOING
THROUGH. REALLY HARD.
NEVER GRUMBLED TO ANYBODY ABOUT ME.
SHE KEPT IT ALL INTERNALLY SO I FELT REALLY BAD.
>>MAHEALANI: WHAT ABOUT YOU DR. LANE, WAS THERE ANY
STIGMA ON YOUR PART DEALING WITH THIS AS A FAMILY?
>>THAT’S REALLY GOOD QUESTION.
SO THERE’S MY PERCEPTION OF HOW I THOUGHT I KNEW MENTAL
ILLNESS AND THEN THERE WAS THE REALITY OF HOW I VIEWED MENTAL
ILLNESS. AND I DIDN’T REALLY
UNDERSTAND THAT THERE WAS A DISCREPANCY BETWEEN THE TWO
UNTIL DONNY’S HOSPITALIZATION IN NEW YORK.
I REALIZED AT THAT TIME WHEN WE WERE TRYING TO MAKE
ARRANGEMENTS FOR HIM TO COME HERE TO MAUI, SO HE WOULD HAVE
HIS FAMILY SUPPORT, I FELT I WAS SUPPORTIVE AND
ENCOURAGING. I WANTED HIM TO COME HERE.
HE GOT HERE AND THEN HE NEEDED TO BE INVOLVED WITH THE
MEASLES SYSTEM HERE ON MAUI. IT WAS AT THAT TIME I
RECOGNIZED THE THOUGHT OF BECAUSE I WORKED AT THE
HOSPITAL FOR THREE YEARS, AND I KNOW A LOT OF THE
PSYCHIATRIC STAFF AND SOME OF THE MEDICAL STAFF, WHAT ARE
THEY GOING TO THINK OF ME AS A FATHER AND AS A PROFESSIONAL
IF MY SON HAS THIS ILLNESS.>>ARE THEY GOING TO SEE ME AS
A INCOMPETENT PROFESSIONAL, I CAN’T CURE MY SON AS A BAD
PARENT? AND THEN ALSO, HOW WOULD THEY PERCEIVE DONNY.
I HAD TO DO A LOT OF DEEP SOUL SEARCHING AND COME TO THE
TERMS THAT THIS WASN’T ABOUT ME.
THAT THIS WAS ABOUT MY SON AND I NEEDED TO REACH OUT TO HIM
WITH LOVING COMPASSION AND WHO WAS IT BETTY DAVIS SAID,
WHAT OTHER PEOPLE THINK OF ME IS NONE OF MY BUSINESS.
WE DON’T KNOW WHAT OTHER PEOPLE THINK.
IF WE’RE THINKING THEY’RE THINKING THIS PARTICULAR
THING, WHAT’S GOING ON IS REALLY A PROJECTION OF WHAT
WE’RE THINKING ABOUT OURSELVES OR ABOUT SOMEONE
ELSE.>>IF I CAN EXPAND ON THAT
WELL. FROM MY PERSPECTIVE AT LEAST,
MY FATHER BECAME VERY, VERY SUPPORTIVE.
ESPECIALLY WITH THE DOCUMENTARY FOR EXAMPLE.
I SAY, I DIDN’T KNOW IF YOU WOULD COME ON THIS TRIP WITH
ME, WITH US, AND WHEN I ASKED HIM, WITHOUT ANY RESTRAINT,
WITHOUT ANY THOUGHT, YEAH, I’LL GO ON WITH YOU.
AND HE DID. FROM THAT POINT ON, HE’S BEEN
EXTREMELY SUPPORTIVE.>>MAHEALANI: WERE THERE TIMES
WHEN YOU FELT, WHEN YOU WERE IN YOUR DEEPEST AND DARKEST
MOMENTS YOU FELT I CANNOT TALK TO MY FATHER ABOUT THIS?
HE’S THE PERSON WHO HAS TO TREAT PEOPLE LIKE ME.
>>EXACTLY. I WANT TO SAY THERE’S
SOMETHING ELSE CALLED SELF-STIGMA.
THERE’S ALSO A FEELING OF BEING A BURDEN TO OTHERS
AROUND YOU. IT DOESN’T ONLY AFFECT THE
INDIVIDUAL WITH MENTAL ILLNESS.
IT AFFECTS EVERYBODY. SO THERE CAME A TIME I FELT,
MY PERCEPTION WAS SKEWED. I WAS IN PSYCHOSIS.
MORE OF A MANIC STATE. I FELT I DON’T BELONG HERE.
THAT’S REALLY AT THE POINT I FELT HOMELESS FOR A SHORT
PERIOD OF TIME. IT WAS MY CHOICE.
>>DAN: DIDN’T GET KICKED OUT. MY FATHER DIDN’T KICK ME OUT
OF THE HOUSE BUT BEING IN THAT, IT’S HARD TO IMAGINE
BEING IN THAT STATE OF MIND, IT’S LIKE I DON’T BELONG
ANYWHERE. I NEED TO DISAPPEAR OR NOT BE
HERE.>>MAHEALANI: YOU KNOW, FAITH
FROM HONOLULU WANTS TO TOUCH UPON THE ISSUE OF MENTAL
ILLNESS AND HOMELESSNESS. TRISHA, EVEN HERE IN
HONOLULU, WE SEE IT ALL THE TIME.
THAT WILL SOMEONE WHO CLEARLY NEEDS SERVICES ARE HOMELESS.
AND HOW DO YOU HELP THOSE KINDS OF PEOPLE WHO SEEM LIKE
THEY’RE REALLY FAR OFF?>>WE HAVE THE STATE OF
HAWAI’I HAS OUTREACH WORKERS, CONTRACTED TO DIFFERENT,
THROUGH DIFFERENT SOCIAL SERVICE PROVIDERS WHO ARE
DOING THAT WORK EVERY DAY. AND WHAT WE REALLY NEEDED FOR
THE STATE TO PUT MORE RESOURCES INTO OUTREACH
BECAUSE THOSE WORKERS, THEY KNOW EVERY CHRONICALLY
HOMELESS PERSON ON THE STREET.
AND THEY’VE BEEN TRYING TO GET THEM INTO SHELTER.
SO I KNOW THAT IT’S POSSIBLE, BUT IT TAKES A LOT OF WORK.
AND IF WE HAVE PEOPLE IN PSYCHOSIS LIKE DONE WAS
SAYING, OFTEN TIMES, THEY CAN’T CONSENT TO THEIR OWN
TREATMENT. THEIR ILLNESS PREVENTS THEM
FROM SEEKING HELP. WE NEED THE PEOPLE GOING OUT
SEEKING RELATIONSHIPS.>>MAHEALANI: THERE HAS TO BE
TRUST. I’M GUESSING INITIAL
ENCOUNTER IS NOT GOOD.>>RIGHT. IT COULD BE.
OFTEN TIMES, WHEN PEOPLE HAVE BEEN HOMELESS FOR THAT LONG,
HAVE BEEN MENTALLY ILL AND ON THE STREET WITHOUT TREATMENT,
THEY HAVE ALREADY HAD BAD RELATIONSHIPS OR
RELATIONSHIPS WITH AGENCIES AND WORKERS GO SOUR FOR ONE
REASON OR THE OTHER. SO THEY NEED TO REBUILD TRUST
WITH A NEW PERSON.>>MAHEALANI: MAUI WE HAVE TWO
OUTREACH WORKERS GO INTO THE BUSHES AND PULL PEOPLE OUT AND
LINK THEM UP WITH SERVICES.>>MAHEALANI: WHAT IS THE
MENTAL ILLNESS AND HOMELESS SITUATION ON MAUI? WE TALK
ABOUT IT A LOT ON OAHU. WHAT’S HAPPENING ON MAUI?
>>IT’S FAIR. WE’RE WORKING REALLY HARD TO
GET PEOPLE LINKED UP INTO RESOURCE AND GET THEM INTO THE
SHELTERS. GET THEM HEALTH CARE.
HOUSING. THERAPY, MEDICATION,
MANAGEMENT. MENTAL HEALTH KOKUA HAS
WRAP-AROUND SERVICES. IT’S REALLY GOOD.
>>WE LOST SOME RESOURCES MENTAL HEALTH RESOURCES ON
MAUI. WE HAD THE ADOLESCENT
RESIDENTIAL, OR INPATIENT PROGRAM THAT CLOSED DOWN AT
THE END OF LAST YEAR. AND THAT PROGRAM IS OPENED AND
CLOSED AT LEAST A FEW TIMES THROUGHOUT THE YEARS.
AND THEN THE BEGINNING OF THIS YEAR, WE HAD THE PARTIAL
HOSPITALIZATION, DAY TREATMENT PROGRAM AT THE
HOSPITAL THAT ALSO CLOSED DOWN.
>>MAHEALANI: MAUREEN FROM KONA HAS A REALLY INTERESTING
QUESTION. SHE SAYS, HOW MANY PEOPLE MAY
BE OUT THERE AS FUNCTIONAL FOLKS WITH MENTAL ILLNESS AND
ARE THEY JUST ONE TRIGGER AWAY FROM HAVING A CRISIS?
UNSEEN, UNKNOWN?>>I DON’T KNOW, THE ANSWER TO
THAT QUESTION. WHAT I DO KNOW ON A NATIONAL
LEVEL, IS THAT THERE 60 MILLION PEOPLE IN THE
UNITED STATES A YEAR THAT HAVE A DIAGNOSABLE PSYCHIATRIC
ILLNESS. AND THAT’S COMPRISED OF ABOUT
44 MILLION ADULTS AND 13 MILLION CHILDREN AND
ADOLESCENTS. OUT OF THAT 60 MILLION
PEOPLE, ONLY ABOUT HALF OF THEM SEEK TREATMENT.
EITHER BECAUSE THEY DON’T WANT TREATMENT, BECAUSE OF
STIGMA, LACK OF SERVICES, THAT’S JUST STATISTICS ON
MORE OF NATIONAL LEVEL.>>MAHEALANI: ONE OF OUR
CALLERS WANTED TO KNOW ABOUT HOW THE FAMILY MEMBERS OF
PEOPLE WHO ARE MENTALLY ILL ARE AFFECTED.
WHAT HAVE YOU SEEN OUT THERE IN TERMS OF YOUR DEALINGS WITH
PEOPLE?>>SURE.
IT CAN BE VERY TAXING ON CAREGIVERS AND FAMILY
MEMBERS. WOULD REALLY WANT TO HELP
THEIR LOVED ONE GET MORE HELP. THERE’S ORGANIZATION THAT’S
CALLED NAMI NATIONAL AND LOCAL.
IT’S IMPORTANT FOR FAMILY MEMBERS TO GET HELP FOR
THEMSELVES. SOMETIMES EVEN GETTING
COUNSELING OR THERAPY FOR THEMSELVES WILL HELP THEM A
WHOLE LOT DEALING WITH THE BEHAVIOR.
THEY CAN’T FORCE THEIR FAMILY MEMBER TO CHANGE.
THEY CAN’T FORCE THEIR FAMILY MEMBER TO CHOOSE A CERTAIN
PATH. AND OFTENTIME, JUST KNOWING
THAT WHAT THEY’RE DOING TO TRY TO SUPPORT WILL, IS ENOUGH AND
THEY NEED TO BECOME RECONCILED WITH THAT.
>>MAHEALANI: NAOMI, DID YOUR FAMILY MEMBERS AT ANY TIME
SEEK HELP FOR THEMSELVES WHEN ME WERE GOING ALONG THE PATH
WITH YOU IN TERMS OF MENTAL ILLNESS?
>>UNFORTUNATELY NOT. BUT THEY DID ATTEND THERAPY
SESSIONS WITH ME. THAT WAS PRETTY UNIQUE.
I FIND THAT PLEASANT. WE GOT TO GROW TOGETHER BUT
THEY DIDN’T DO IT ON THEIR OWN.
THEIR FOCUS WAS TAKING CARE OF ME.
MY SON BECAME THE PARENT. HE WAS SO WORRIED.
PUT ME INTO TREATMENT. WATCHED ME THROUGH THE WHOLE
PROCESS. PICKED ME UP ON WEEKENDS.
MY MOM WAS THERE. MY BROTHERS WERE THERE.
I REALLY HAVE A VERY UNIQUE STRONG BASE SUPPORT SYSTEM
AND CONTINUE THAT TODAY. I’M REAL FORTUNATE TO HAVE
THAT.>>MAHEALANI: WAS THERE A TIME
THAT YOU DENIED TREATMENT AND FELT THAT YOU DIDN’T HAVE A
PROBLEM?>>I WAS ASHAMED, VERY, VERY
SHAMED. HOW CAN A 39-YEAR-OLD WOMAN,
GOOD EDUCATION, GOOD FAMILY BACKGROUND, MY FATHER WAS A
POLITICIAN. WELL KNOWN IN THE COMMUNITY.
EX-POLICE OFFICER. SO WE HAD, WELL KNOWN IN THE
COMMUNITY. FALL INTO DRUGS ABUSE, I WAS
TOTALLY ASHAMED. I DIDN’T WANT TO SEEK HELP.
I ISOLATED.>>MAHEALANI: ONE OF OUR
CALLERS WANTS TO KNOW, HOW THE OTHER PEOPLE ON THE
EXPEDITION OR TREK ARE DOING TODAY.
DID EVERYONE FEEL LIKE THEY TURNED A CORNER AFTER THIS
TREK IN HALEAKALA?>>YES.
AFTER SPEAKING WITH EVERYBODY, I FOLLOWED UP WITH
EVERYBODY AS NAOMI DID AS WELL, AND THEY ALL SAID THERE
WAS GROWTH IN THEIR PERSONAL LIVES, IN KNOWING THEIR
ABILITY, GOES BEYOND WHAT THEY THOUGHT IT COULD.
PRIOR TO THE TRIP. YOU KNOW, IT’S A CONTINUOUS
PROCESS. WE’RE ALWAYS, AGAIN, TRYING
TO FIND WAYS TO COPE. WE GO THROUGH HURDLES AND IT’S
JUST ABOUT FINDING THOSE COPELANDING MECHANISMS AND
GETTING THROUGH.>>MAHEALANI: ANN FROM KALIHI
BRINGS UP THE ISSUE OF VETERANS AND PTSD.
I WANTED TO ASK YOU ABOUT THAT.
AS A CLINICIAN AND MILITARY BACKGROUND, YOU MIGHT HAVE
SOME EXPERTISE ON THAT.>>I DO SEE VETERANS IN MY
PRIVATE PRACTICE ALL THE WAY BACK TO THE VIETNAM WAR.
AND TO VETS WHO HAVE RETURNED FROM IRAQ AND AFGHANISTAN.
THE STATISTICS REGARDING SUICIDE AMONG VETERANS IS
ALARMINGLY HIGH. ON ANY GIVEN DAY, THERE ARE 22
VETERANS AND THESE AREN’T VETERANS THAT HAVE ONLY SEEN
COMBAT. BUT THESE JUST VETERANS
ACROSS THE BOARD. ON EVERY DAY, 22 VETERANS TAKE
THEIR LIFE. SO THERE’S IS ALSO A STIGMA IN
THE MILITARY. THERE’S INSTITUTIONAL
STIGMA. I WORKED FOR THE POLICE
DEPARTMENT AND IF YOU WERE A SOLDIER OR IF YOU WERE A
POLICE OFFICER, IF YOU HAD ISSUES THAT YOU’RE STRUGGLING
WITH, YOU DIDN’T TALK ABOUT IT.
BECAUSE IT WASN’T THE THING TO DO.
IT WASN’T MACHO. YOU DIDN’T FIT IN.
YOU WERE SEEN AS WEAK.>>MAHEALANI: HAS IT CHANGED
AT ALL LET’S SAY, FROM A IT GENERATION AGO IN TERMS OF
STIGMA OF MAYBE GETTING HELP OR HAVING AN ISSUE WITH MENTAL
ILLNESS OR DO YOU THINK THINGS HAVEN’T CHANGED?
>>WELL, MY UNDERSTANDING AT LEAST WITH THE MILITARY IS IT
IS CHANGING A BIT BECAUSE WHAT THEY’RE HAVING SOME LEADERS
DO NOW, PLATOON LEEDERS, SQUAD LEADERS, PEOPLE IN THE
UPPER ECHELON, THEY’RE BEING TRAINED TO WORK THROUGH THE
STIGMA. THEIR OWN STIGMA OF MENTAL
ILLNESS AND WHEN THE TROOPS HEAR IT FROM THEIR SQUAD
LEADER OR PLATOON LEADER OR COMPANY COMMANDER IT’S OKAY
TO OPEN UP AND TALK ABOUT THIS.
THEY FEEL MORE FREE TO TALK ABOUT IT.
A LOT MORE HAS TO HAPPEN. WHEN YOU HAVE 22 VETERANS A
DAY THAT ARE STILL ENDING THEIR LIFE.
>>A LOT OF WORK NEEDS TO HAPPEN STILL.
>>MAHEALANI: SOMEONE HAS AN INTERESTING QUESTION ABOUT
TEACHERS AND WHAT THEY CAN DO TO IDENTIFY AND SUPPORT
STUDENTS WHO HAVE MENTAL ILLNESS.
EARLIER, DON TALKED ABOUT UNDERGOING DEPRESSION AT THE
AGE OF 14. SO WHAT IS YOUR ADVICE TO
TEACHERS OUT THERE WHO ARE TRYING TO GET THROUGH MATH
CLASS AND SCIENCE AND ALL OF A SUDDEN, THEY HAVE A STUDENTS
WHO HAVE AN ISSUE LIKE THIS.>>TEACHERS ARE SOME OF THE
BEST EYES THAT WE HAVE ON KIDS. AND MENTAL HEALTH
ISSUES EMERGE AT ALL AGES BUT WE DO HAVE HAWAI’I HAS SOME
VERY BAD SUICIDE ATTEMPT AND IDEATION RATES STARTING IN
MIDDLE SCHOOL.>>MAHEALANI: MIDDLE SCHOOL?
>>MIDDLE SCHOOL. SO WE DO NEED OUR TEACHERS TO
HAVE THE TRAINING TO RECOGNIZE SIGNS OF PROBLEMS
WITH THEIR STUDENTS AND TO KNOW HOW TO GET THEM HELP.
>>MAHEALANI: WHAT ARE THE SIGNS? MIGHT NOT BE SO
OBVIOUS.>>IT MIGHT NOT — IT’S
IMPORTANT TO LOOK FOR BEHAVIOR CHANGE, ISOLATING
CHANGES IN THE RELATIONSHIPS WITH THEIR FRIENDS.
LOOKING FOR SIGNS OF CHANGES AT HOME.
IT REALLY JUST PAYING ATTENTION AND MAKE THE
APPROACH. REFERRALS.>>MAHEALANI: ACTING OUT,
GRADES.>>THE USUAL? YOU MIGHT NOT
BE SO OBVIOUS IF THERE MIGHT BE AN UNDERLYING MENTAL
ILLNESS ISSUE. RIGHT.
I MEAN, THEY REALLY WON’T KNOW UNTIL THE CHILD GETS
PROFESSIONAL HELP.>>MAHEALANI: GUEST THOUGHTS
ON PSYCHOTROPIC GUESTS AND IMPACT ON MENTAL ILLNESS.
DOES ANYONE HAVE ANY THOUGHTS ON THAT?
>>WELL, THEY HELPED ME. MEDICATION, IT’S PART OF THE
MEDICATION MANAGEMENT. IT’S A BIG PART OF HELPING TO
KEEP ME STABLE.>>WHEN DON WAS NOT ON
MEDICATION, WE DIDN’T KNOW WHO HE WAS.
WE DID THE BEST THAT WE CAN DO TO SUPPORT HIM.
EVEN THOUGH WE FELT LIKE WE WERE BEING PUSH AWAY.
WE FELT LIKE WE WERE WALKING ON EGGSHELLS.
IT DIDN’T MATTER WHAT WE SAID. IT WAS NOT THE RIGHT THING.
IT WAS REALLY, REALLY ROUGH. PUT A STRAIN ON OUR
RELATIONSHIP, FAMILY RELATIONSHIP.
THERE’S A TIME AND A PLACE FOR PSYCHOTROPIC MEDICATION.
NOT EVERYONE WITH A PSYCHIATRIC ILLNESS NEEDS TO
BE TREATED WITH MEDICINE. SOME PEOPLE DO IT, DEPENDS
UPON THE SEVERITY OF THE SYMPTOMS.
WHAT WHEN YOU LOOK AT RESEARCH, MEDICINE IS REALLY
GOOD TO HELP MANAGEMENT THE SYMPTOMS.
IT DOESN’T CURE THE PROBLEM. IT DOESN’T RESOLVE THE ISSUE.
IT MAKE THE PERSON MORE AVAILABLE TO DO THE WORK IN
THERAPY. AND TO MAKE SOME BEHAVIORAL
CHANGES. PSYCHOTHERAPY IS VERY
EFFECTIVE IN TREATING PSYCHIATRIC ILLNESSES AND
DISORDERS. BEST OF BOTH WORLDS IS WHEN
YOU COMBINE THE TWO.>>MAHEALANI: WHAT ABOUT SOME
OF THE ALTERNATIVE METHODS OF TREATMENT OUT THERE.
>>I LOOKED INTO THAT BECAUSE OF DON’S SITUATION.
THERE IS HIGHER DOSES LIKE ONE TO NINE GRAMS OF OMEGA 3 THAT
HAVE BEEN FOUND TO BE HELPFUL FOR BIPOLAR.
THERE’S NOT MUCH ELSE, THERE’S ST. JOHN’S WART,
THERE’S A COUPLE OF OTHER TYPES OF HERBS THAT CAN BE
USED FOR HELPING WITH DEPRESSION AND ANXIETY.
THE PROBLEM IS YOU REALLY NEED TO SEE A MENTAL HEALTH CARE
PROVIDER FIRST RATHER THAN TRYING TO SELF-MEDICATE
BECAUSE YOU DON’T KNOW HOW MUCH TO TAKE.
WHAT ELSE IT MIGHT INTERACT WITH.
YOU DON’T KNOW WHAT THE SIDE EFFECTS OF EVEN HERBAL
INTERVENTIONS LIKE ST. JOHN’S WART DOES HAVE SIDE EFFECTS.
SO YOU SEE A MENTAL HEALTH CARE PROVIDER FIRST.
GET THE ASSESSMENT. TALK ABOUT ALTERNATIVE
TREATMENTS OUT THERE. AND YOU ALSO TALK ABOUT MORE
OF THE TRADITIONAL WESTERN APPROACH.
>>MAHEALANI: YOU TALKED ABOUT SELF-MEDICATING FOR MENTAL
HEALTH ISSUES. ARE THERE MUST BE PEOPLE OUT
THERE WHO ARE JUST TRYING TO HEAL THEMSELVES.
USUALLY, WHAT I SEE IS SOMEONE IS SELF-MEDICATING, THEY’RE
DOING IT WITH DRUGS OR ALCOHOL.
AND IT IN THE MOMENT, IT DOES HELP WITH SOME OF THE
EMOTIONAL PAIN AND IT DOES ALSO CREATE A LOT OF
COLLATERAL DAMAGE IN THEIR LIFE.
>>MAHEALANI: YOU KNOW, TRISHA, YOU MENTIONED
ADVOCACY AND THAT’S ONE OF THE THINGS THAT YOU DO.
WHAT ARE SOME OF THE ADVOCACY OPTIONS BOTH ON OAHU AND THE
NEIGHBOR ISLANDS LIKE MAUI?>>SO ONE OF THE BIG ISSUES
RIGHT NOW IS PRESCRIPTIVE AUTHORITY FOR CERTAIN
PSYCHOLOGISTS AROUND THOSE CERTAIN PSYCHOLOGISTS ARE
THOSE THAT HAVE COMPLETED A MASTER OF SCIENCE IN
PSYCHOPHARMACOLOGY AND PASSED BOARD LICENSURE FOR
THE ABILITY TO PRESCRIBE PSYCHOTROPIC MEDS FROM A VERY
NARROW FORMULARY. THAT’S A BILL, HB1072.
THAT WE’RE ADVOCATING FOR IN THE LEGISLATURE.
>>STRONG ADVOCATE FOR THE BILL.
GIVING TESTIMONY IN PERSON THREE TIMES IN THE LAST TWO
SESSIONS. CURRENTLY THAT BILL HB1072 IS
GOING THROUGH THE SENATE RIGHT NOW WITH THE WAYS AND
MEANS COMMISSION. OR THE WAYS AND MEANS.
AND I BELIEVE IT’S GOING TO BE DECIDED UPON.
>>DECISION-MAKING IN WAYS AND MEANS IS ON MONDAY.
>>MAHEALANI: THIS IS A BILL IN HAWAI’I THAT HAS FAILED IN THE
PAST, STRONG OPPOSITION FROM THE PHYSICIAN COMMUNITY.
THEY FEEL THE LACK OF EDUCATION OR SCHOOLING IN
REGARDS TO DIAGNOSING AND ALSO PRESCRIBING THESE
MEDICATIONS.>>I DID WANT TO SAY IT PASSED
APPROXIMATELY 8 YEARS AGO WHERE IT WAS VETOED BY LINDA
LINGLE. THERE IS STRONG OPPOSITION.
A LOT OPPOSITION COMES FROM MISINFORMATION REGARDING THE
CURRICULUM.>>I THINK THAT PEOPLE HAVE
SAFETY CONCERNS. THINK IT’S REALLY, THAT’S
IMPORTANT TO BE CONCERNED ABOUT THE SAFETY OF PATIENTS
AND MAKE SURE THAT THEY’RE BEING TREATED APPROPRIATELY.
BUT THIS BILL DOES PROVIDE THE PROPER SAFEGUARDS AND WE FEEL
THAT IT WOULD BE A SAFE OPTION.
>>MAHEALANI: WE DON’T HAVE A PHYSICIAN ON THIS PANEL
TONIGHT. DR. LANE, YOUR THOUGHTS ON
THIS?>>WELL, THERE’S A LOT OF BAD
INFORMATION OUT THERE ABOUT THIS BILL UNFORTUNATELY.
I’VE HAD PSYCHOLOGISTS ON MAUI ASK MY OPINION ABOUT IT.
I’M PERSONALLY IN FAVOR OF THE BILL AND THEY WERE SURPRISED
AND THEIR REBUTTAL WAS, HOW CAN YOU BE FOR THIS BILL WHEN
ALL THE PSYCHOLOGIST NEEDS TO DO IS A DO A 20-HOUR COURSE IN
PSYCHOPHARMACOLOGY AND THEN PRESCRIBE? SO WHAT THEY
DON’T KNOW IS THAT IF YOU LOOK AT THE CURRICULUM, THIS
PROGRAM, PROGRAMS THAT THEY OFFER, IS ACTUALLY
TWO-AND-A-HALF YEAR PROGRAM. YOU HAVE TO BE LICENSED, I
BELIEVE, AS A LICENSED CLINICAL PSYCHOLOGIST FOR 2
YEARS. YOU GO THROUGH THIS
TWO-AND-A-HALF YEAR PROGRAM OF COURSEWORK THAT PARALLELS
THE COURSEWORK THAT NURSES AND PHYSICIANS GET GOING TO
MEDICAL SCHOOL. AFTER THE TRAINING, YOU’RE
SUPERVISED BY MD FOR A YEAR WHILE YOU’RE PRESCRIBING AND
THEN YOU HAVE TO PASS A NATIONAL LICENSING EXAM.
THAT’S ON TOP OF A PSYCHOLOGIST THAT ALREADY HAS
NINE TO 11 YEARS OF EDUCATION IN PSYCHOLOGY, HUMAN
DEVELOPMENT, PLUS 3,000 HOURS OF POST DOC AND COMPLETING A
NATIONALLY LICENSING EXAM. IT’S EXTENSIVE.
>>MAHEALANI: I WANTED TO READ A COMMENT.
THIS DOCUMENTARY AND DISCUSSION ARE VERY GOOD.
THERE NEEDS TO BE A WAY TO PUT BOTH OF THESE ON THE INTERNET.
YOU CAN FIND THIS DISCUSSION ON PBSHAWAII.ORG AND WILL
YOUR FILM, “HALEAKALA: A TREK FOR DIGNITY,” BE ON THE
INTERNET AVAILABLE FOR ALL TO SEE ONE OF THESE DAYS.
>>I’M LOOK AT OPTIONS RIGHT NOW.
THAT IS THE GOAL. THAT IS THE GOAL TO NEXT STEP
WOULD BE TO GET IT NATIONAL AND THEN AFTER THAT, MAKE IT
A AVAILABLE IN ANOTHER VENUES.
OR VEHICLES.>>
>>MAHEALANI: WHAT WERE SOME OF THE OTHER LINKS IN TERMS OF
MAKING THIS FILM AND THE TRANSFORMATION THAT THESE
WENT PEOPLE WENT THROUGH AS THEY WENT THROUGH THE JOURNEY
TOGETHER. WHAT WERE SOME OF THE
TRANSFORMATIONS THAT THEY WENT THROUGH?
>>I THINK A LOT OF IT THEY FELT, OR KNEW, AFTER GOING
THROUGH THAT RIGOROUS JOURNEY PHYSICALLY AND MENTALLY, THEY
COULD ACCOMPLISH A LOT FROM GOING THROUGH THE JOURNEY.
THAT WAS A TRANSFORMATION THAT I HEARD FROM MULTIPLE WHO
WENT THROUGH THE CRATER.>>THE IDEA IS YOU’RE MORE
THAN A LABEL OR DIAGNOSIS. THIS IS A SMALL PART OF MUCH
BIGGER COMPONENTS THAT MAKE UP WHO YOU ARE.
I’LL HAVE PEOPLE COME IN AND SAY, I’M DEPRESSED.
OR I’M BIPOLAR. WAIT A MINUTE.
YOU HAVE A DIAGNOSIS OF THAT, ABOUT YOU THERE’S ALSO ALL OF
THESE OTHER PARTS OF YOU OTHER THAN JUST BEING SOMEONE WITH
THIS DIAGNOSIS.>>MAHEALANI: HOW DID HIKING
INTO HALEAKALA CHANGE YOU AS A PERSON?
>>WELL, AGAIN, I THINK IT BROUGHT ME A LOT CLOSER TO
DONNY. I WANTED TO DO WHATEVER I
COULD TO REACH OUT TO HIM. THAT’S A VERY IMPORTANT
COMPONENT TO HELPING SOMEONE SUFFERING FROM THE
PSYCHIATRIC ILLNESS. EVEN WHEN THEY’RE PUSHING
AWAY, BE THERE. CALL THEM, LET THEM KNOW
YOU’RE THINKING ABOUT IT THEM.
IF THEY PUSH YOU AWAY AND DON’T WANT TO TALK TO YOU,
STAY IN CONTACT WITH THEIR FRIENDS BECAUSE THEIR FRIENDS
WILL KNOW WHAT THAT PERSON IS DOING.
AND YOU HAVE A BETTER OPPORTUNITY TO DO AN EARLY
INTERVENTION EVEN IF YOU’RE JUST IN CONTACT WITH THE
FRIENDS OF YOUR RELATIVES.>>THAT’S SOMETHING THAT
REALLY HELPED ME TURN A CORNER, KNOWING THAT FINALLY
KNOWING THAT PEOPLE WERE AROUND ME.
I HAD THAT SUPPORT. I HAD NAOMI.
NAOMI HELPED ME A LOT. I HAD MY FATHER.
MY STEP MOTHER. JUST I HAD A LARGE SUPPORT
BASE THAT I JUST DID NOT SEE. BUT WHEN I FINALLY SAW IT, IT
REALLY HELPED ME TURN THAT CORNER.
THAT SUPPORT BASIS EXTREMELY IMPORTANT.
>>MAHEALANI: IT’S INTERESTING, YOU BRING UP THE
TOPIC OF PEOPLE WHO AT THAT MOMENT DO NOT WANT HELP.
IT’S GOT TO BE REALLY, REALLY HARD FOR THOSE AROUND THEM TO
TRY TO GET THEM HELP. IF THE PERSON DOESN’T WANT
HELP.>>IF THE PERSON DOESN’T WANT
HELP. THE BEST HE CAN BE, BEST HE CAN
DO IS LET THE PERSON KNOW THAT YOU’RE THERE AND AVAILABLE.
SO SHORT STORY HERE. WHAT HAPPEN WITH DON NOT ON
MEDICINE, WAS THAT HE CAME AND HE LIVED WITH US.
WE HAVE AN ATTACHED OHANA. AND IT WAS INCREDIBLY
DIFFICULT AND CHALLENGING AND THERE WERE THINGS THAT AS A
PARENT AND AS A MENTAL HEALTH PROFESSIONAL, WE KNEW WERE
IMPORTANT FOR HIM DO THAT WAS IN HIS BEST INTEREST.
IN THE MIDST OF WHAT HE WAS GOING THROUGH, HE WAS DOING
THE OPPOSITE. SO AS A PARENT, I DID THE VERY
DIFFICULT CHALLENGING THING AND SAID, THIS IS WHAT I NEED
TO SEE YOU DO IF YOU WANT OUR HELP.
IF NOT, COME BACK AND LET ME KNOW WHEN YOU WANT OUR HELP.
IT RESULTED IN YOU LEAVING THE HOUSE AND BEING HOMELESS.
AND THAT WAS REALLY PAINFUL AS A PARENT TO HAVE TO GO THROUGH
THAT, KNOWING THAT I HAD TO SET THOSE LIMITS BECAUSE I
KNEW PROFESSIONALLY, AS A PARENT, IT WAS IN IN HIS BEST
INTERESTS AND KNOWING THAT MY SON WAS ALSO HOMELESS ON THE
BEACH WHEN HE HAD A PLACE TO STAY.
>>MAHEALANI: IT SOUNDS LIKE TOUGH LOVE.
NAOMI IS THAT WHAT PRETTY MUCH YOUR FAMILY DID TOO? THERE
WAS TOUGH LOVE THERE?>>TOUGH LOVE.
>>MAHEALANI: CAN YOU GO INTO DETAIL ABOUT THAT? WHEN YOUR
SON WAS YOUR PARENT.>>CORRECT.
>>MAHEALANI: AT THAT TIME.>>IT’S SAD TO HAVE YOUR SON
HAVING TO TAKE CARE OF ME, GOING TO SCHOOL, HE AND MY
MOTHER WOULD TRY TO TAKE CARE OF ME WHEN I WAS ISOLATING
FALLING APART. SO HE MADE THE CALL.
HE MADE THE CALL TO TREATMENT CENTER AND I REMEMBER HIM
TALKING TO THE GENTLEMAN ON THE PHONE AND THE GENTLEMAN
SAID, YOU KNOW, UNFORTUNATELY, I CAN’T TALK
TO YOU. YOU’RE A MINOR.
PLEASE PUT YOUR MOM ON. HE HANDED ME THE PHONE.
YOU GOT TO DO THIS. A LIGHT WENT ON, I NEED TO DO
THIS. I NEED TO MAKE A CHANGE.
AND I WAS REALLY, REALLY GRATEFUL THAT I DID THAT.
>>MAHEALANI: IN DEALING WITH PEOPLE WHO HAVE MENTAL
ILLNESS, DO YOU FIND THERE ARE FAMILY MEMBERS AND FRIENDS
WHO PERHAPS ENABLED THE ILLNESSNESS IF THE PERSON IS
VERY STRONG AND DOESN’T WANT HELP AND THE FAMILY MEMBER IS
STILL TRYING TO COPE WITH THEIR ILLNESS.
>>I THINK IT’S A LOT OF UNEDUCATION TOO.
THEY DON’T KNOW WHAT TO DO. THEY DON’T KNOW WHERE TO TURN.
A LOT OF IT KEEPING IT IN THE HOUSEHOLD. THEY DON’T TALK
ABOUT IT. SO AS A CASE MANAGER, I
ENCOURAGE PEOPLE TO TALK ABOUT IT, TELL SOMEBODY.
SEEK HELP. SEEK SELF-CARE HELP.
THAT’S HUGE.>>MAHEALANI: RIGHT.
>>I WOULD LIKE TOO SAY THAT’S REALLY WHERE IT BEGINS AND
WHAT WE’RE DOING RIGHT NOW. DISCUSSING THE ISSUE.
ONCE YOU DISCUSS IT, IT BEING BECOMES NORMAL.
REMOVES SOME. STIGMA BY TALKING ABOUT IT AND
DISSEMINATEDDING ACCURATE INFORMATION.
THAT’S REALLY IMPORTANT.>>MAHEALANI: WHAT ABOUT THE
FAMILY MEMBERS DEALING WITH THEIR OWN EMOTIONS OF TRYING
TO HELP A FAMILY MEMBER WHO PERHAPS DOESN’T WANT HELP?
>>IT CREATED A STRAIN AND A CHALLENGE ON OUR MARRIAGE.
WE DIDN’T REACH OUT, OUTSIDE OF THE RELATIONSHIP FOR
SUPPORT. I THINK PART OF THAT WAS
BECAUSE WE HAVE A VERY STRONG RELATIONSHIP, VERY STRONG
MARRIAGE. I THINK THE OTHER PART OF IT
IS, MAYBE I STILL HAVE SOME REMNANTS OF MENTAL ILLNESS
STIGMA MYSELF BECAUSE FOR ME, IF I NEEDED TO SEE A
THERAPIST, I KNOW MOST OF THE THERAPISTS ON MAUI.
AND I WOULD SEE A THERAPIST. I HAVE.
WE HAVE WITH OUR DAUGHTER. WHEN SHE WAS GOING THROUGH
SOME ISSUES, SOME ANXIETY ISSUES.
FOR ME PERSONALLY, I WOULD PROBABLY COME OVER TO OAHU AND
SEE SOMEONE BECAUSE I HAVE TWO CLOSE OF A RELATIONSHIP WITH
OTHER MENTAL HEALTH CARE PROVIDERS ON MAUI.
>>MAHEALANI: DR. GRAY, CLINICAL PSYCHOLOGIST OF OAHU
WANTS TO KNOW, WHAT HAPPENS IF A MENTAL ILLNESS PATIENT
CANNOT ACCESS THEIR MEDICATION? TRISHA, WHAT
HAVE YOU SEEN?>>WELL, THEN THAT’S WHEN YOU
FIND PEOPLE GOING INTO CRISIS.
NOT EVERY PERSON WITH A MENTAL HEALTH DISORDER IS ONE
TRIGGER AWAY FROM A CRISIS. IT DEPENDS WHAT THE PROBLEM
IS. SOMEONE WHO NEEDS MEDICATION,
PRESCRIBED MEDICATION, THAT CAN’T GET IT, A LOT MORE
LIKELY TO END UP IN ER OR CRISIS.
>>MAHEALANI: EVEN IF THEY HAVE INSURANCE, THEY STILL
HAVE TO PAY COPAY.>>DEPENDS ON THE INSURANCE.
COPAYS CAN BE PROHIBITEDDIVE FOR SOME PEOPLE.
DEPENDING ON LIVING EXPENSE. HAWAI’I HAS SUCH A HIGH COST
OF LIVING IT’S CHALLENGING FOR PEOPLE TO AFFORD MEDICAL
CARE IN GENERAL.>>MAHEALANI: WHAT CAN PEOPLE
DO TO LEVEL THE PLAYING FIELD IF THEY HAVE CHALLENGES
PAYING FOR THEIR MEDICATION.>>WE NEED TO WORK ON ACCESS.
WE REALLY DO NEED TO WORK ON ACCESS.
>>WE NEED HEALTH CARE TO BE MORE AFFORDABLE.
AND WE NEED TO WORK ON THE HEALTH DISPARITIES THAT WE’RE
SEEING AMONG ETHNICITIES AND INCOME LEVELS.
>>I HAVE A PERSONAL STORY. HEARD THE STORY FROM SEVERAL
INDIVIDUALS THAT COPE WITH MENTAL ILLNESS.
A FRIEND HAD TO ADMIT THEMSELVES TO THE HOSPITAL TO
GET THEIR PRESCRIBED MEDICATION, BECAUSE THEY
COULDN’T GET A HOLD OF A PSYCHIATRIST OR PRESCRIBER,
APRN, TO BE ABLE TO PRESCRIBE THAT MEDICATION FOR THEM.
THAT WAS THE ONLY WAY THEY COULD GET THAT AND NOT GO INTO
CRISIS. SIMILAR THING HAPPENED TO ME.
HAVING GO TO THE ER TWICE. SECOND TIME, THEY DIDN’T WANT
PRESCRIBE MEDICATION. I UNDERSTAND THEY’RE NOT A
PHARMACY BUT WHERE ELSE DO I GO WHETHER IT COME DOES THAT
POINT? LUCKILY, I HAD NAOMI WHO TOLD ME ABOUT MENTAL
HEALTH KOKUA. I WENT THROUGH THE PROGRAM AND
NOW I WORK THERE HOW DID YOU TWO MEET.
>>I WAS A PEER COACH AT MENTAL HEALTH KOKUA IN 2010.
I MET DON. ONE OF MY FIRST CLIENTS.
AND SO WE’VE BEEN WORKING WITH EACH OTHER FOR A NUMBER OF
YEARS. AND JUST SO HAPPENED I INVITED
HIM TO A FILM FESTIVAL.>>THAT’S RIGHT.
>>AND HE WASN’T GOING TO GO. HE WAS IN A GROUP HOME.
WASN’T GOING TO GO. YOU GOT TO GO.
COME ON. I KNOW HE’S INTO FILMING.
I SPENT THE WHOLE ENTIRE DAY. I THINK HE WATCHED EVERY FILM.
THEN HE GOT TO TALK TO DR. VENDETTI.
>>MAHEALANI: WHAT KEEPS YOU GOING AND KEEPS YOU DEDICATED
TO HELPING THESE PEOPLE?>>I WANT TO SEE SOCIAL
JUSTICE. I WANT TO SEE HAWAI’I BE A
FIREPLACE FOR PEOPLE WHO ARE DISENFRANCHISED OR
DISADVANTAGED FOR WHATEVER REASON.
AND SO THIS IS AN AREA THAT I REALLY FEEL THAT WE CAN DO
BETTER IN. WE CAN PROVIDE MORE CARE.
WE CAN GIVE PEOPLE MORE ACCESS TO TREATMENT.
AND WE NEED TO.>>MAHEALANI: NAOMI, WHAT DO
YOU SEE AS THE SOLUTION FOR HELPING MORE PEOPLE WITH
THESE MENTAL CHALLENGES?>>EDUCATION OF PUBLIC MORE.
EDUCATING THEM. BE MORE COMPASSIONATE.
MORE OPEN MINDED.>>MAHEALANI: WHAT ABOUT YOU
DR. LANE?>>EDUCATION AND TRAINING FOR
HALF THE PEOPLE THAT WILL SEE THEIR PRIMARY CARE PHYSICIAN
AND THEY HAVE A DIAGNOSABLE PSYCHIATRIC ILLNESS, IT GOES
MISSED. IT GETS MISDIAGNOSED AND THEY
DON’T GET THE APPROPRIATE CARE.
PART OF THIS BEGINS WITH EDUCATING OTHER MEDICAL
HEALTH CARE PROVIDERS REGISTERED NURSES, APRNS,
PRIMARY CARE PHYSICIANS, THEY HAVE LIMIT TRAINING IN
PSYCHIATRIC ISSUES. EVEN WITH MEDICATION, I’LL
HAVE SOME PHYSICIANS THAT WILL CALL ME UP AND THEY’LL
SAY, WHAT DO YOU THINK, WHAT ANTIDEPRESSANT DO YOU THINK
THIS PERSON SHOULD BE ON? WE’LL TALK ABOUT IT.
OBVIOUSLY THAT FINAL DECISION IS UP TO THAT PHYSICIAN.
WE NEED MORE PHYSICIAN TRAINING.
TRAINING IN THE EDUCATIONAL TEACHERS, NEED TO BE TRAINED
ABOUT MENTAL HEALTH ISSUES, WHO IDENTIFIED ISSUES.
>>MAHEALANI: THANK YOU SO MUCH TO YOU ALL TONIGHT.
ENLIGHTENED DISCUSSION AND GOOD LUCK WITH THE FILM.
>>THANK YOU VERY MUCH.>>MAHEALANI: INSIGHTS ON PBS
HAWAII WILL NOT AIR NEXT THURSDAY AS USUAL.
INSTEAD WE BRING YOU A SPECIAL PRESENTATION FEATURING TWO
HAWAI’I WOMEN WILL COMPETE FOR A BERTH NEXT WEEK ON U.S.
OLYMPIC WRESTLING TEAM. JOIN US FOR THE FILM “WINNING
GIRLS” SHOWING ATHLETIC JOURNEY OF 18-YEAR-OLD TESHYA
ALO IN HER FIRST SHOT AT OLYMPICS.
AND WE’LL TALK TO THE OLYMPIC VETERAN CLARISSA CHUN WHO
SAYS THIS IS HER LAST SHOT AT AIMING FOR OLYMPIC GOLD.
THANK YOU FOR JOINING US TONIGHT ON INSIGHTS ON PBS
HAWAII. A HUI HO.

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