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Office of the Administrative Director of the Courts – THE JUDICIARY STATE OF HAWAI‘IJUDICIARY COMM. NO. 11417 SOUTH KING STREET ALI‘IŌLANI HALE HONOLULU, HAWAI‘I 96813 TELEPHONE (808) 539-4900 FAX (808) 539-4855Rodney A. MaileADMINISTRATIVE DIRECTORBrandon M. KimuraDEPUTY ADMINISTRATIVE DIRECTORDecember 7, 2020Via electronic submissionThe Honorable Ronald D. KouchiPresident of the SenateState Capitol, Room 409Honolulu, HI 96813The Honorable Scott SaikiSpeaker of the House of RepresentativesState Capitol, Room 431Honolulu, HI 96813Dear President Kouchi and Speaker Saiki:Pursuant to Section 601-21, Hawai‘i Revised Statutes (HRS), the Judiciary istransmitting a copy of the Report on Statewide Substance Abuse Treatment MonitoringProgram, including data collected in accordance with HRS § 321-192.5 from any circuit court,adult probation, and provider of substance treatment that provides substance treatment topersons served through public funds administered by the Judiciary.In accordance with Section 93-16, Hawai‘i Revised Statutes, we are also transmitting acopy of this report to the Legislative Reference Bureau Library.The public may view an electronic copy of this report on the Judiciary’s website at thefollowing link: https://www.courts.state.hi.us/news and reports/reports/reports.Should you have any questions regarding this report, please feel free to contact KarenTakahashi of the Judiciary’s Legislative Coordinating Office at 808-539-4896, or via e-mailat ey A. MaileAdministrative Director of the CourtsAttachmentc:Legislative Reference Bureau LibraryOffice of the Clerk, Hawai‘i State SenateOffice of the Clerk, Hawai‘i House of Representatives

ANNUAL REPORT TO THE THIRTY-FIRST LEGISLATURE2021 REGULAR SESSIONONACT 40, SESSION LAWS OF HAWAI‘I 2004HRS § 601-21A Report on Statewide Substance Abuse TreatmentMonitoring ProgramPrepared by:The Judiciary, State of Hawai‘iDecember 2020

ANNUAL REPORT TO THE THIRTY-FIRST LEGISLATURE2021 REGULAR SESSIONONACT 40, SESSION LAWS OF HAWAI‘I 2004HRS § 601-21A Report on Statewide Substance Abuse TreatmentMonitoring ProgramHRS § 601-21 requires the Judiciary to: (a) collect data in accordance with HRS § 321192.5 from any circuit court, adult probation, and any provider of substance abusetreatment that provides substance abuse treatment to persons served through publicfunds administered by the Judiciary; and (b) include in the contract with any treatmentprovider all criteria established by the Department of Health pursuant to HRS § 321192.5 to determine whether the treatment provider is achieving success in treatingindividuals with substance abuse.The Judiciary’s efforts to comply with the above-referenced statute are outlined below: The Judiciary continues to include language in its Requests for Proposals andexisting contracts with substance abuse treatment providers to hold programsaccountable for complying with the Department of Health (DOH) criteria todetermine success in treating individuals with substance abuse. The Judiciary receives available data taken from the Alcohol and Drug AbuseDivision (ADAD) Web Infrastructure for Treatment Services (WITS) informationsystem. The reports from WITS are attached. The data provided by ADAD is based on information provided by the treatmentproviders. Some of the information may not match with what is contained fromCaseload Explorer (CE), the Judiciary statewide Adult Client Services Branch(ACSB) case management information system for probation, as there may beinconsistency in the way data is entered and interpreted.The following Fiscal Year 2020 (FY20) probation data is provided by ACSB’s casemanagement information system for probation. 913 unduplicated adults entered 992 programs with 1,078 admits in FY20. Thehigher number of admits reflects clients being admitted to treatment more thanonce during the year. 5,862 offenders were active in treatment during the same year.2

Of the 5,862 offenders, 4,593 were males, 1,247 were females, and 22 wereunspecified. Treatment services include assessments, motivational enhancement, outpatient,intensive outpatient, day treatment, individual counseling, and residential care,with continuing care following the core treatment program. Special needs,including those for pregnant and parenting women and individuals with cooccurring (mental health and substance abuse) disorders have been addressedby treatment programs. Through the efforts of the Interagency Council on Intermediate Sanctions (ICIS),programs have been evaluated using the Correctional Program Checklist (CPC)to determine how much in alignment programs are with the application of bestpractices in working with offenders. Most programs have integrated thesepractices into their curriculum with the offenders to address their criminalthoughts and behaviors. The CPC assessment team continues to be active in supporting the vendors asthey implement these practices, by providing opportunities for greater interactionbetween programs and the criminal justice system through training. Probationofficers are consistently transmitting Level of Services Inventory-Revised (LSI-R)data which provide vendors with the risk (to recidivate) classification of referredoffenders to address dosage and treatment placement. Clients from Neighbor Islands had to travel to O‘ahu or Maui for residential typeplacements, reflecting the need for higher levels of substance abuse treatmenton all islands. There are no residential treatment programs on Hawaiʻi Island,Kauaʻi, Lānaʻi, and Molokaʻi.3

Neighbor Island Referrals for Residential TreatmentBig IslandKauaiMaui3rd CC5th CC2nd CCHabilitat526Hina Mauka31625Hoomau Ke Ola1223HOPE TreatmentServices612Poailani12216Salvation Army ARC3122Salvation Army ATS24316Salvation Army FTS312Sand Island TreatmentCtr19119Total Referred to Oahu1154081Aloha House154135Total Referred to Maul154135SubtotalTreatment ProvidersReferred To:OAHU236MAUITOTAL Neighbor Island Referrals1543904

Table 1.1: Number of Judiciary Referrals by IslandThis report counts the number of referrals made by the Judiciary to providers.Services for these referrals may not have been paid for by the Judiciary. Countsare unduplicated within a provider agency and in the Total column and rows.Island (# of Clients)FiscalYearAgeGroup2020AdultProvider AgencyHawaiiKauaiLanaiMauiMolokaiAction with Aloha, LLCAlcoholic Rehabilitation Services ofHawaii, IncAloha House, Inc.OahuTotal24241,7121,712512512Big Island Substance Abuse Council646646Bridge House, Inc114114CARE Hawaii, Inc.145Child and Family Service82074767Ho'omau Ke OlaHope Treatment Services33Ka Hale Pomaika'i4836182252251111444549Kline-Welsh Behavioral Foundation377377Kokua Support Services283283227Ku Aloha Ola Mau25Malama Na Makua A Keiki7272Ohana Makamae, Inc77Po'ailani, Inc2424Salvation Army-ATS435435Salvation Army-FTS102102The Queen's Medical Center127127Waianae Coast Comprehensive HealthCenter17117119634,0895,9584649Women In Need44AGE GROUP TOTAL963Children Alcoholic Rehabilitation Services ofHawaii, Inc594798453Aloha House, Inc.2Big Island Substance Abuse Council21515Bobby Benson Center22CARE Hawaii, Inc.44Child and Family Service22Malama Na Makua A Keiki55Maui Youth and Family Services, Inc1111Salvation Army-FTS11Young Men's Christian Association ofHonolulu2424791154,1686,073AGE GROUP TOTAL153FISCAL YEAR TOTAL97862518481645

Table 1.2: Number of Judiciary Referred ClientsAdmitted by Island, Agency, and GenderThis report counts all clients that the providers have indicated werereferred to them by the Judiciary and admitted into a treatment regime.Service rendered to Judiciary referred clients may not have been paidfor by the Judiciary.Client Gender (# of vider AgencyFemaleMaleBig Island Substance AbuseCouncil190456646Bridge House, Inc1797114CARE Hawaii, Inc.33110Hope Treatment Services92433Ku Aloha Ola Mau11142526070169156915AGE GROUP TOTALChildren Big Island Substance AbuseCouncilAGE GROUP TOTALISLAND TOTALKauaiAdult71058Child and Family Service257Women In Need12324417425933336244AGE GROUP TOTAL44ISLAND TOTAL4417Ka Hale Pomaika'iAloha House, Inc.122389CARE Hawaii, Inc.49158Malama Na Makua A Keiki72Ohana Makamae, IncAGE GROUP TOTAL255527982558113151824856793645AGE GROUP TOTAL93645ISLAND TOTAL9364551924AGE GROUP TOTALISLAND TOTALAdult713Maui Youth and Family Services,IncOahu5122072Malama Na Makua A KeikiAdult172245Children Aloha House, Inc.Molokai97845ISLAND TOTALAdult29633AGE GROUP TOTALMaui2145266Children Alcoholic Rehabilitation Services ofHawaii, IncAdult2TotalCARE Hawaii, Inc.AGE GROUP TOTALLanaiUnknownKa Hale Pomaika'iAction with Aloha, LLC61816

Alcoholic Rehabilitation Services ofHawaii, Inc3691,3431,712CARE Hawaii, Inc.88388476Ho'omau Ke Ola8217225Hope Treatment Services1992111Kline-Welsh BehavioralFoundation74303377Kokua Support Services5023328322Ku Aloha Ola MauPo'ailani, Inc111324Salvation Army-ATS52383435Salvation Army-FTS8814102The Queen's Medical Center359212742128136AGE GROUP TOTAL8543,233Alcoholic Rehabilitation Services ofHawaii, Inc222446Bobby Benson Center22CARE Hawaii, Inc.44Waianae Coast ComprehensiveChildren Health CenterWomen In NeedChild and Family Service11912Salvation Army-FTS1714,08821124Young Men's Christian Associationof Honolulu816AGE GROUP TOTAL3247079ISLAND TOTAL8863,28014,1671,4264,64246,072FISCAL YEAR TOTAL7

Table 1.3: Number of Clients Admitted by Gender and AgencyNumber of AdmissionsFiscalYearIslandGenderAge urtVeteransTreatmentCourtTotal2--2CARE Hawaii, Inc.21--21Hina Mauka18--18Kline-Welsh BehavioralFoundation91111Kokua Support Services10--10Salvation Army-ATS41-5Salvation Army-FTS31-423--233--39331971--11--1943198Action with Aloha, LLC38--38CARE Hawaii, Inc.70--70Hina Mauka912-93Ho'omau Ke Ola185-23Kline-Welsh BehavioralFoundation2512441Kokua Support Services55--55Salvation Army-ATS353-38Waianae CoastComprehensive Health Center67--672--24012244272--22--24032244291--1AGE GROUP TOTAL1--1GENDER TOTAL1--1ISLAND TOTAL498255528FISCAL YEAR TOTAL498255528ProviderAction with Aloha, LLCWaianae CoastComprehensive Health CenterWomen In NeedAGE GROUP TOTALChildrenSalvation Army-FTSAGE GROUP TOTALGENDER TOTALMaleAdultWomen In NeedAGE GROUP TOTALChildrenSalvation Army-FTSAGE GROUP TOTALGENDER TOTALUnknownAdultCARE Hawaii, Inc.8

Table 2.1: Number of Clients Admitted by Agency and CourtTypeNumber of 20OahuAdultAction with Aloha, LLC400040CARE Hawaii, Inc.920092Hina Mauka10920111Ho'omau Ke Ola185023Kline-Welsh BehavioralFoundation3413552Kokua Support Services650065Salvation Army-ATS394043Salvation Army-FTS3104Waianae Coast ComprehensiveHealth Center900090Women In Need5005AGE GROUP TOTAL495255525Salvation Army-FTS3003AGE GROUP TOTAL3003498255528498255528ChildrenISLAND TOTALFISCAL YEAR TOTAL9

Table 2.2: Number of Clients Admitted by Island,Agency and GenderNumber of AdmissionsFiscalYearGeoAge tion with Aloha, LLC238-40CARE Hawaii, Inc.2170192Hina Mauka1893-111-23-23Kline-Welsh Behavioral Foundation1141-52Kokua Support Services1055-65Salvation Army-ATS538-43Salvation Army-FTS4--4Waianae Coast Comprehensive Health Center2367-90Women In Need32-597427152512-3AGE GROUP TOTAL12-3ISLAND TOTAL984291528FISCAL YEAR TOTAL984291528Ho'omau Ke OlaAGE GROUP TOTALChildrenSalvation Army-FTSThis report counts clients who have had one or more program enrollments during the fiscal year. If aclient has multiple program enrollments during the fiscal year, they are counted only once.10

Table 3.1: Number of Clients Admitted byIsland, Agency and RaceNumber of erAsian BlackHawaiian/PartHawaiianMixed PacificNotOtherUnknown White TotalIslanderHawaiianAction withAloha, LLC6-113-10-1040CARE Hawaii,Inc.29530511011192Hina Mauka1235413113114111Ho'omau Ke 36-652Kokua SupportServices729132811465Salvation ArmyATS111172-5-743Salvation ArmyFTS1-2----14Waianae CoastComprehensiveHealth Center12-46441211190Women In ISLAND TOTAL8513213381387475528FISCAL YEAR TOTAL8513213381387475528AGE GROUPTOTALChildren Salvation ArmyFTSAGE GROUPTOTAL11