TWO MONTHS AFTER THE DEVASTATING WILDFIRES, THE PHYSICAL CLEANUP CONTINUES ON MAUI, BUT AS SURVIVORS SIFT THROUGH THE RUBBLE, WE TAKE A CLOSER LOOK AT HOW PEOPLE ARE MENTALLY COPING WITH THE DISASTER.

WHAT KIND OF HELP AND RESOURCES ARE AVAILABLE TO SURVIVORS, FAMILIES AND THE LARGER COMMUNITY STRUGGLING IN THE AFTERMATH?

AND DO WE HAVE ENOUGH RESOURCES TO HELP ALL THOSE WHO NEED IT?

TONIGHT’S LIVE BROADCAST AND LIVE STREAM OF INSIGHTS ON PBS HAWAII START NOW.

¶¶ ¶¶ ALOHA AND WELCOME TO INSIGHTS ON PBS HAWAII.

I'M YUNJI DE NIES.

IT’S BEEN TWO MONTHS SINCE THE DEVASTATING FIRES ON MAUI, BUT FOR MANY, THE TRAUMA IS STILL VERY FRESH AND WILL LIKELY HAVE AN IMPACT LONG AFTER THE FIRE DEBRIS IS CLEARED AWAY.

TONIGHT WE ARE FOCUSING ON MENTAL HEALTH AND HOW PEOPLE ARE COPING IN THE WAKE OF THE DISASTER.

WE’RE ALSO LOOKING AT WHAT KIND OF HELP IS AVAILABLE AND WHAT MORE IS NEEDED FOR BOTH THE SHORT AND LONG‑TERM.

WE LOOK FORWARD TO YOUR PARTICIPATION IN TONIGHT'S SHOW.

YOU CAN EMAIL OR CALL IN QUESTIONS.

AND YOU’LL FIND A LIVE STREAM OF THIS PROGRAM AT PBSHAWAII.ORG AND THE PBS HAWAII FACEBOOK AND YOUTUBE PAGES.

NOW, TO OUR GUESTS.

DR. CHAD KOYANAGI IS A COMMUNITY PSYCHIATRIST AND THE THE MEDICAL DIRECTOR FOR CRISIS CONTINUUM AND MEDICAID SERVICES WITH THE DEPARTMENT OF HEALTH, ADULT MENTAL HEALTH DIVISION.

HE IS PART OF THE TEAM ASSISTING THOSE AFFECTED BY THE MAUI DISASTER.

SONDRA LEIGGI BRANDON IS THE VICE PRESIDENT OF BEHAVIORAL HEALTH FOR THE QUEEN’S HEALTH SYSTEM.

SHE EARNED HER MASTER’S DEGREE IN NURSING FROM UH MANOA AND EARNED A POST MASTER’S CERTIFICATE IN PSYCHIATRIC MENTAL HEALTH FROM JOHNS HOPKINS UNIVERSITY.

MICHELLE NAVARRO ISHIKI IS A LICENSED CLINICAL SOCIAL WORKER.

BORN AND RAISED IN PAIA, MAUI, SHE SPECIALIZES IN SUBSTANCE ABUSE, TRAUMA, AND MENTAL HEALTH ISSUES.

SHE HAS WORKED IN VARIOUS SETTINGS IN SUBSTANCE ABUSE TREATMENT CENTERS AS BOTH A THERAPIST AND ADMINISTRATOR.

KEVIN NAGASAKI IS AN ENVOY WITH THE SALVATION ARMY AND HAS SERVED THE LAHAINA COMMUNITY FOR 25 YEARS.

HE AND HIS TEAM HAVE BEEN DEDICATED TO HELPING HOUSELESS COMMUNITY MEMBERS THROUGH THE SALVATION ARMY’S LAHAINA LIGHTHOUSE CORPS.

SADLY, THE FACILITY AND KEVIN’S LIVING QUARTERS WERE LOST IN THE FIRE.

THANK YOU FOLLOW OUR HERE TONIGHT.

PARTICULARLY MADE THE JOURNEY FLEW HERE FROM MAUI.

WE APPRECIATE IT.

START WITH YOU.

YOU HAVE THE UNIQUE PERSPECTIVE OF BOTH GIVING SERVICE AND HELPING THOSE.

AT THE SAME TIME HAVING EXPERIENCED ALL OF THIS PERSONAL LOSS.

TELL US HOW YOU'RE COPING RIGHT NOW.

>> DAY BY DAY.

IT'S KIND OF TOUGH.

I MEAN, YOU KNOW, TO SEE A LOT OF PEOPLE WE KNOW IN THAT SAME SCENARIO AS I AM FROM HOTEL TO HOTEL.

OR TRYING TO GET TO CERTAIN SERVICES MENTAL HEALTH OR INSURANCE OR TRYING TO GET ID'S BACK.

EVEN JUST TRYING TO GET THEIR IDENTITY BACK FOR THEMSELVES.

YOU KNOW, MEALS PART OF THE ONE THING THAT WE DO.

IN HELPING OUT.

AND GETTING THEIR IMMEDIATE NEEDS BIG THING.

EVEN THOUGH IT'S NOT VERY MUCH, BUT AT LEAST IT'S A START.

SO YOU CAN GET A FOOT UP IN WHATEVER YOU'RE DOING.

AND A LOT OF IT IS I THINK, ON YOUR PERCEPTION ON HOW THAT'S WHY WE DON'T CALL THEM VICTIMS.

WE CALL THEM SURVIVORS.

I THINK THAT IS THE BEST WAY TO DESCRIBE THEM.

PEOPLE EVERYBODY IS IN SURVIVAL MODE.

BASICALLY.

AND I THINK AS IT PROGRESSES, IT'S GOING TO TAKE TIME.

FOR ME.

LOOKING AT WHAT HAD HAPPENED.

AND LEAVING THERE.

TRYING TO FIGHT THE FIRE WITH A HOSE.

WAS KIND OF CRAZY.

BUT AS IT CHANGED, PEOPLE AND AS YOU SEE COMING ACROSS, YOU JUST KNEW THAT MAYBE IT'S TIME THAT WE GOT TO DO SOMETHING ELSE.

I MEAN, FOR US, WAS MORE THINKING OF, WHAT ARE WE GOING TO DO TOMORROW?

SO WE GOT UP AND 900 MEALS NEXT MORNING TO HELP THE PEOPLE.

>>Yunji: YOU'VE BEEN WORKING ON MAUI FOR SOME TIME NOW.

FLYING BACK IN THE MORNING TO SEE MORE CLIENTS.

>> WHAT ARE YOU HEARING FROM FOLKS ON THE GROUND THERE AS TO WHAT THEY'RE DEALING WITH AND HOW THEY'RE COPING?

>> SOME DAYS, I'M WITH FOLKS WOULD ARE MAKING IT JUST THROUGH THE DAY.

OR JUST THROUGH LUNCH.

IT'S SOMETIMES MOMENT TO MOMENT FOR A LOT OF FOLKS.

THE ONE RECURRING THEME IS HOUSING.

WHERE ARE WE GOING TO GO?

HEAR WE HAVE TO LEAVE THE HOTEL ON THIS DAY.

OR IS IT THAT DAY?

THAT'S THE ONE THING THAT I HEAR.

OR THAT FAMILIES ARE REALLY BEING AFFECTED.

THE ENTIRE FAMILY.

IN VARIOUS WAYS.

AND JUST TRYING TO KEEP THEM TOGETHER AS WE NAVIGATE THROUGH THIS IS SOMETHING THAT SO IMPORTANT.

AND OUR KEIKI WHO WERE IN IT AND ARE WE NOW SEE THE SYMPTOMS OF WHAT THEY'VE BEEN THROUGH.

>>Yunji: HOW IS THAT, HOW DOES IT PRESENT ITSELF?

HOW DO YOU SEE, I'M INTERESTED WHEN YOU TALK ABOUT THE WHOLE FAMILY, YOU KNOW, WHEN YOU THINK ABOUT PERHAPS IN ANOTHER CIRCUMSTANCE, MAYBE ONE MEMBER OF THAT FAMILY HAS EXPERIENCED TRAUMATIC EVENT.

>> FOR THE WHOLE FAMILY TO EXPERIENCE THAT TOGETHER, HOW IS THAT DIFFERENT AND HOW DOES THAT PLAY IN THE WORK THAT YOU DO THEY DON'T WANT TO BE A PART.

HAVE TO GO TO WORK.

KIDS HAVE TO GO TO SCHOOL.

KIDS ARE AFRAID TO BE AWAY FROM MOM OR DAD.

WIFE IS AFRAID TO BE AWAY FROM KIDS AN HUSBAND.

THEY ALL WANT TO STAY TOGETHER.

AND THAT IS PRETTY MUCH WHAT I'M STARTING TO SEE NOW.

WITH THE FAMILIES.

I'M STARTING TO SEE WHOLE FAMILIES NOW AND YEAH, THAT'S WHAT I SEE.

>>Yunji: CAN YOU BUILD ON THAT SUNNY KNOW THAT YOU WORK WITH SURVIVORS AS WELL.

WHAT ARE YOU SEEING?

>> I THINK IT'S REALLY HARD FOR PEOPLE TO FOCUS ON THEIR MENTAL HEALTH WHEN THEY HAVE THEIR BASIC NEED THAT ARE UNMET.

IN THE SURVIVAL MODE YOU WILL STAY IN THE MODE UNTIL YOU HAVE SECURE HOUSING, SECURE FOOD, YOU'RE NOT FOOD INSECURE ANY MORE.

AND TO THOSE NEEDS ARE MET, REALLY CAN'T FOCUS ON TAKING CARE OF YOURSELF OR EVEN TAKING CARE OF YOUR FAMILY MEMBERS.

SO I THINK THAT IS REALLY IMPORTANT.

THE OTHER THING IS PEOPLE AND FAMILIES HEAL DIFFERENTLY.

OR PROCESS GRIEF AND TRAUMA DIFFERENTLY.

AND SO IT ALMOST DOESN'T ALLOW THEM WHEN THEY'RE ALL SO AFFECTED.

IF YOU'RE RECOVERING, MAYBE BETTER THAN SOMEONE ELSE, THERE'S ALMOST THIS GUILTY THINK THAT IS ASSOCIATED WITH.

WHEN YOU'RE TRYING TO TREAT THE WHOLE FAMILY, HOW DO YOU DO THAT GIVEN THAT EVERYONE IS DOING THEIR OWN RECOVERY DIFFERENT PACE?

>> I THINK IT'S IMPORTANT TO TREAT THE WHOLE FAMILY.

TREAT THEM WHERE THEY'RE AT.

AS INDIVIDUALS.

AND AS A FAMILY.

>>Yunji: CHAD, I WONDER IF YOU CAN BUILD ON WHAT RESOURCES ARE AVAILABLE RIGHT NOW.

WE KNOW THAT THERE IS A SHORTAGE MENTAL HEALTH PROFESSIONALS.

SHORTAGE OF MEDICAL PROFESSIONAL ACROSS THE BOARD NO MATTER WHAT SPECIALTY YOU LOOK AT.

WHEN IT COMES TO MENTAL HEALTH WHAT RESOURCES ARE AVAILABLE FOR THE SURVIVORS RIGHT NOW I WANT TO SAY, ON BEHALF OF DEPARTMENT OF HEALTH, HEARTS GO OUT TO VICTIMS AND EVERYONE AFFECTED BY TRAGEDY ON MAUI.

SO OUR JOB AT DEPARTMENT OF HEALTH IS TO COORDINATE MUCH OF THE MENTAL HEALTH RESPONSE WHICH IS GOING TO TAKE YEARS.

INITIALLY WE WERE OF COURSE TASKED TO ASSESS THE SITUATION, FIND OUT WHAT THE NEEDS ARE, WE ARE MOVING TOWARD IT'S, TRYING TO WEAVE TOGETHER A LONGTERM AND INTERMEDIATE TERM PLAN TO WE'VE TOGETHER ALL THE RESOURCES WE HAVE INCLUDING ALL THE AWESOME VOLUNTEERS STEPPED UP TO VOLUNTEER THEIR TIME, THERAPISTS, SOCIAL WORK DOH STAFF ALL OVER THE STATE.

FEDERAL WORKERS.

GOT 17 MILLIONED GRANT FROM SAM SEA PLAN OUT FOR THE NEXT 2 YEARS.

LONGTERM PLANS PEOPLE MORE ADVERSELY AFFECTED BY THE PSYCHOLOGICAL AFFECTS OF TRAUMA.

LAHAINA HEALTH CENTER SERVICE COORDINATED THROUGH THE DEPARTMENT OF HEALTH, EVERY DAY FROM 9:00 TO 4:00, CHECK IN MEETING AND MEETING OF THE MINDS FEDERAL PEOPLE COMING IN TO HELP US, DEPARTMENT OF HEALTH, VOLUNTEERS, WORKERS FROM ALL OVER THE ISLAND OF MAUI, SOME WORKERS FLYING IN WITH WAIANAE AND KAUAI.

PUBLIC HEALTH WORKERS.

COMPLEX TASK TO FIGURE OUT WHAT ALL THE NEED ARE PROVIDING CULTURALLY COMPETENT CARE, ASSESSING READINESS OF INDIVIDUAL PEOPLE AND COMMUNITIES TO ACCEPT THAT CARE.

AND WE LOOK FORWARD TO BEING RESOURCE TO PROVIDE SERVICES FOR THE PEOPLE WHEN THEY WANT TO GET IT.

>>Yunji: CAN YOU BUILD ON THAT IDEA OF CULTURALLY COMPETENT CARE, WHAT DO YOU MEAN BY THAT?

LARGE NATIVE HAWAIIAN POPULATION THERE.

ALSO A LARGE IMMIGRANT POPULATION THERE.

FILIPINO COMMUNITY.

>> DOES THE MENTAL HEALTH STRATEGY HAVE TO BE DIFFERENT DEPENDING ON WHO THE PERSON IS.

>> YES.

UNDOCUMENTED FOLKS.

FILIPINO AMERICANS.

NATIVE HAWAIIANS.

AND EACH OF THE SURVIVORS OF THE FIRE HAVE DIFFERENT REACTIONS TO HOW THE FIRE AFFECTS THEM AND DIFFERENT WAYS THEY SEEK HELP AND DIFFERENT PLACE THEY SEEK HELP.

SOME PEOPLE GO TO CHURCHES.

SOME NATIVE HAWAIIAN HEALERS.

SOME PEOPLE GO TO THEIR SCHOOLS.

AND SO FINDING THE RIGHT COMBINATION OF SERVICES TO PROVIDE THESE PEOPLE AND HAVE HAD USE TRANSLATORS TO TALK TO DIFFERENT FOLKS, FILIPINO BACKGROUND OR OLELO AND SO FINDING THE RIGHT COMBINATION OF FOLKS TO DELIVER THAT CARE AND ALSO, DELICACIES OF HAVING SOME.

FEDERAL WORKERS COME IN AND LOCALS HESITANT INTERACTING WITH THE FEDERAL FOLKS.

HELPING THEM WITH SUCCESS COMMUNITIES IS IMPORTANT.

>>Yunji: INTERESTED TO KNOW HOW YOU GET PEOPLE TO ACCEPT CARE WHEN YOU KNOW AS EXPERT THEY NEED IT BUT THEY MAY NOT KNOW THAT THEY NEED IT IN THE MOMENT HOME.

WHAT HAPPENS TO FOLKS WHO DON'T PROCESS THIS?

WHAT ARE SOME OF THE NEGATIVE OUTCOMES THAT IS NOT DEALT WITH, TRAUMA NOT PROCESSED.

>> GOING TO BE A LONGER TERM SPEAK OF THE NEGATIVE IMPACTS, ON THEIR MENTAL HEALTH, ON THEIR SOCIAL, ABILITY TO SOCIALLY INTERACT WITH FOLKS, WE'RE GOING TO SEE MORE ISOLATING.

AND WE KNOW WHAT HAPPENS WHEN PEOPLE ISOLATE.

THEY HAVE TENDENCY TO WANT TO HURT THEMSELVES OR OTHERS.

BUT HOW DID WE KNOW WHEN PEOPLE NEED HELP?

WE KNOW BECAUSE WE KNOW WHAT WE'RE LOOK AT.

BUT IT'S NOT UP TO US TO SAY YOU NEED HELP.

THAT IS NOT CULTURALLY APPROPRIATE.

WE SHOW UP LET THEM KNOW I'M HERE.

ANY SMALL COMMUNITY.

I'M FROM A SMALL COMMUNITY ON MAUI, WHEN YOU GO INTO A SMALL COMMUNITY, YOU DON'T GO IN AND SAY, WE'RE GOING TO DO THIS AND WE'RE GOING TO DO THAT.

>> THE WAY I GREW UP, WAS OKAY, THIS IS WHAT I DO.

IF THERE'S ANYTHING THAT I DO OR I HAVE THAT I CAN SHARE WITH YOU, LET ME KNOW.

I THINK THAT IS THE DIFFERENCE IN COMING FROM A SMALL COMMUNITY IS THEY'LL LET YOU KNOW WHAT THEY NEED.

SO THAT LEVEL OF RESPECT.

>>Yunji: LET'S BUILD ON THAT.

THINKING ABOUT THE TIME FRAME.

WE'RE TWO MONTHS OUT.

IT IS STILL SO NEW.

WE KNOW THAT PEOPLE HAVE JUST IN SOME NEIGHBORHOODS HAVE JUST STARTED TO BE LET BACK TO VIEW THEIR PROPERTY.

WHERE ARE WE IN THAT KIND OF TRAJECTORY AND HOW LONG DO ARE THESE SERVICES GOING TO BE NEEDED?

>> I THINK CHAD MENTIONED SERVICES WILL BE NEEDED FOR YEARS.

>> AT LEAST 2 YEARS OUT WE CAN PROJECT 2 YEARS OUT PROBABLY NEED SERVICE BEYOND THAT.

STILL IN THE ACUTE PHASE WHERE GOING BACK INTO THE ZONE, PEOPLE MAY BE RETRAUMATIZED AND HAVE REEXPERIENCED KIND OF THE TRAUMA THAT THEY'VE HAD.

SO I DON'T THINK WE'RE AT THAT POINT.

I CALL IT KIND OF RESCUE RECOVERY.

I DON'T THINK WE'RE IN THE RECOVERY PHASE YET.

I THINK PEOPLE ARE STILL UNTIL PEOPLE GET INTO STABLE HOUSING OR ABLE GO BACK IN THEIR HOME TO KIND OF CLOSE OUT OR SAY GOOD‑BYE TO THEIR HOMES, AND SAY GOOD‑BYE TO THEIR LOSS, I THINK WE'RE STILL REALLY IN THAT ACUTE PHASE.

AND IT'S JUST ABOUT BEING THERE.

YEAH.

>>Yunji: THAT SOUNDS VERY CONSISTENT WITH WHAT YOU'RE TALKING ABOUT.

PEOPLE NEEDING TO GET ID CARD OR JUST TRYING TO FIGURE OUT HOW TO GET SOME FOOD.

>> SURE.

>>Yunji: WHEN YOU'RE INTERACTING WITH FOLKS AND HAVING MORE COMFORTING CONVERSATIONS WHAT ARE THOSE LIKE?

WHAT ARE PEOPLE NEEDING RIGHT NOW?

>> I THINK A LOT OF THEM ARE TRYING TO FIND THEIR OWN CLOSURE.

TO THEMSELVES.

EVERYBODY BREATHING DIFFERENTLY.

EVERYBODY THINKS DIFFERENTLY EVERYBODY PROCESSES DIFFERENTLY.

AND I THINK A LOT OF IT HAS TO DO WITH SOME OF COURSE LOST LIVES.

NOT JUST THEIR HOMES.

SO THEY HAVE TO DEAL WITH THAT TRAUMA THERE.

AS FOR AS FOR US, SALVATION ARMY WE TRY TO BE THERE IN THE BEGINNING.

AND WE KNOW THAT THIS IS GOING TO BE A LONGTERM THING.

IT'S NOT GOING TO BE NO SPRINT.

IT'S GOING TO BE A MARATHON FOR ALL OF US.

WE'RE NOT GOING TO SEE MAYBE THE RESULTS RIGHT AWAY.

BUT WE CAN TRY AND MEET THOSE HUMAN NEEDS AS MUCH AS WE CAN.

RIGHT NOW.

MIGHT BE JUST A MEAL.

MIGHT BE JUST SOME DIAPERS OR FORMULA.

WHATEVER.

JUST TO GET THEM BY.

NEXT DAY, THAT THEY CAN CONTINUE TO FIGHT.

>>Chair Kia'aina: LIVE OF THAT DAY‑TO‑DAY KIND OF STRUGGLE, IT IS VERY STRESSFUL.

>> YEAH.

>> I WOULD SAY IT'S VERY STRESSFUL.

YOU KNOW, I MEAN, BEING, I DON'T KNOW IF IT'S CURSE OR WHAT, BEING IN THE SYSTEM, KNOWING HOW THE PROCESS IS, IS REALLY INTERESTING.

YOU KNOW, BEING MOVED, BEING DISPLACED HOW WE'RE SAYING.

YOU DON'T KNOW IF YOU'RE GOING TO BE HEAR TODAY.

OR MOVE TOMORROW.

TO ME, THAT IS LIKE REALLY NOT BEING GROUNDED BECAUSE YOU DON'T HAVE ANY FOUNDATION TO BUILD ON FOR THE NEXT DAY.

>>Yunji: IF YOU'RE IN THAT KIND OF CIRCUMSTANCES, CHAD, THEN HAVING TALKED THERAPY THAT IS PROBABLY NOT ON THE TOP OF YOUR LIST.

BECAUSE YOU'RE JUST TRYING TO FIGURE OUT WHERE YOU'RE GOING TO SLEEP THAT NIGHT OR NEXT WEEK.

HOW DO YOU KIND OF BALANCE THAT WHEN YOU THINK ABOUT MEETING NEEDS OF THOSE SURVIVORS RIGHT NOW AND MAKING SURE THAT YOU'RE THERE FOR THEM IN THE RIGHT WAY?

>> IN PSYCHOLOGICAL FIRST AID, TALK ABOUT JUST AT FIRST, LOOKING AND SEEING WHAT'S GOING ON WITH THE SURVIVORS.

LISTENING.

ABOUT A MONTH INTO MY GOING TO MAUI, KEPT HEARING OVER AND OVER THAT A LOT OF THE PEOPLE IN LAHAINA WERE GETTING TIRED OF PEOPLE ASKING THEM EVERY SINGLE DAY, HOW ARE YOU DOING?

HOW ARE YOU DOING?

GETTING SOME BURNOUT WITH THE PROFESSIONALS TRYING TO WITH GOOD INTENTIONS, BE HELPFUL.

NOT THE RIGHT APPROACH.

WE SHOULD HAVE BEEN MORE LISTENING AND ASSESSING THEIR NEEDS AND THEN PROVIDING FOR THE BASIC NEEDS SUCH AS HOUSING, WHERE TO GET THIS OR THAT.

FILE CERTAIN KINDS OF DOCUMENTS.

MEETING THOSE NEEDS ALLEVIATING A LOT OF THE MENTAL DISTRESS FROM LOSING EVERYTHING.

>>Yunji:EL THIS KIND OF BUILDS ON THIS.

MARTHA IN MILILANI.

WHY DON'T YOU TAKE THIS ONE.

>> PEOPLE SURVIVED FIRE BUT LOST EVERYTHING.

HOUSE AN EVERYTHING IN IT.

CARS.

PETS.

I DON'T KNOW WHAT TO SAY TO THEM.

ASK HOW THEY ARE DOING SEEMS SO INADEQUATE.

PROBABLY A QUESTION THEY GET FROM EVERYBODY.

>> GOING TO WHAT YOU WERE SAYING.

WHAT IS THE BEST THING TO SAY, HOW CAN WE HELP?

GREAT QUESTION.

THANK YOU MARTHA.

WHAT DO YOU SAY TO THAT IN.

>> GREAT QUESTION.

I THINK IT'S JUST LETTING PEOPLE KNOW YOU'RE THERE.

I THINK SOMETIMES YOU MAKE THE EXPERIENCE PART OF THE NORMAL OR NORMATIVE CONVERSATION WITHOUT MAKING IT SEEM SO STRANGE TO ASK HOW SOMEONE IS DOING.

I THINK LETTING PEOPLE KNOW YOU'RE THERE TO LISTEN AND THERE TO HELP.

IS IMPORTANT TO OPEN THAT DOOR AND TO SAY YOU CAN COME AT ANY TIME.

I'M AVAILABLE AT ANY TIME.

CALL ME AT 2:00 IN THE MORNING.

OAR 9:00 AT NIGHT AND WHEN YOU'RE READY TO TALK, I'M HEAR.

>>Yunji: GOES WHAT YOU HAD SAID.

>> YEAH.

I DON'T SAY SORRY.

BECAUSE THAT'S HEAVY.

YOU CAN'T MEASURE PEOPLE'S LOSS.

SO I JUST SAY, HEY, I'M HERE.

LET ME KNOW IF YOU NEED ANYTHING.

AND I'VE HAD PEOPLE BREAK DOWN IN MY ARMS AND IF I'VE HAD TO HOLD THEM UP OR HUG THEM, THAT'S WHAT I SAY, I AM, SO VERY SORRY.

>>Yunji: YEAH.

AND KEVIN, BUILDING FROM MARTHA, WHAT IS THE BEST THING TO SAY, HOW CAN WE HELP IN AGAIN, GOING BACK TO THE FACT THAT YOU YOURSELF ARE A SURVIVOR.

AND LOST WHERE YOU LIVED ALSO ARE HELPING NOW TO SERVE FOLKS ON GROUND THERE.

WHAT IS THE BEST THING TO SAY?

>> BEST THING TO DO IS NOT SO MUCH SAY.

LISTEN.

LIKE HOW CHAD WAS SAYING.

SOMETIMES IT'S RESCUES‑JUST BEING THERE AND LETTING THEM KIND OF COME TO YOU AND OPEN UP AND KIND OF LET IT OUT.

MAKES IT SO MUCH MORE EASIER BECAUSE THEN THE CONVERSATION STARTS DIFFERENTLY.

THAN HOW ARE YOU DOING TODAY?

EVERYBODY GOING TO SAY, I'M OKAY.

NOTHING IS WRONG.

I'M DOING THIS.

DOING THAT.

BUT ACTUALLY DEEP INSIDE, HURTING.

SO GIVE THEM THAT OPPORTUNITY TO SPEAK TO YOU.

>> I MEAN, OF COURSE I'M NOT CLINICAL LIKE YOU FOLKS.

I MEAN, IT'S THE SAME KIND OF LET THEM HAVE THAT OPPORTUNITY TO OPEN UP AND KIND OF GRIEVE.

>> CAN I SAY, WHEN KEVIN SAYS, NOT CLINICAL, HIS SKILL TO JUST BE ABLE TO KUKAKUKA HAVE PEOPLE OPEN UP IN HIS SPACE.

THAT IS HUGE.

YOU DON'T HAVE TO BE CLINICAL TO CONNECT WITH PEOPLE.

I THINK THAT'S THE THING THAT'S IMPORTANT TO TELL.

IS THAT ANYONE CAN HELP.

JUST LISTEN.

LISTEN TO PEOPLE.

LET THEM KNOW YOU'RE THERE.

>>Yunji: YEAH.

RICK IN HONOLULU HAS THIS QUESTION, I WONDER IF YOU COULD TAKE THAT ONE.

SHORTAGE OF MENTAL HEALTH CLINICIANS IN THE STATE, I GRADUATED 80s.

BECAUSE MY SYLLABUS IS NOT ONLINE.

STATE LICENSURE WILL NOT GIVE ME A LICENSE TO PRACTICE IN HAWAII.

WHAT WOULD YOU PROPOSE TO EASE IT TYPE OF ROAD BLOCK TO GET MORE PEOPLE LICENSED HERE?

WHAT CAN BE DONE TO RECTIFY BARRIER NOT JUST FOR RICK'S CASE, BUT MORE BROADLY, HOW DO WE MAKE SURE THERE ARE ENOUGH CLINICIANS THAT CAN SEE ALL OF THESE FOLKS?

WE DO KNOW THERE'S A NEED STATEWIDE AND COMING OUT OF THE COVID, MENTAL HEALTH CHALLENGES IN THE MENTAL HEALTH.

TAIL END OF PANDEMIC.

ADDING THIS.

CAN'T BE ENOUGH TO DEAL WITH   ALL OF THE NEED OUT THERE.

>> REALLY GOOD QUESTION.

PART OF THE TASK WITH DEPARTMENT OF HEALTH, AND WITH ALSO RESILIENCY, TO SORT THROUGH ALL HUNDREDS OF PEOPLE VOLUNTEERED TO HELP WITH THEIR SERVICE.

>> ALL THE PEOPLE, REALLY APPRECIATE THEIR EFFORTS TO WANT TO HELP.

OF COURSE, LICENSURE ISSUES ARE MANDATORY AND EVEN WITH GOVERNOR'S ALLOWING OUT OF STATE PROVIDERS TO HELP MAUI PEOPLE WHICH IS GREAT THING.

STILL NEED HELP OF SOME OF THE FEDERAL RESOURCES THAT HAVE COME IN.

LIKE $17 MILLION GRANT.

AND SO PART OF THE PROCESS OF FIGURING OUT THIS RESILIENCY CENTER AND SERVICES FOR THE NEXT FEW YEARS, IS TO BUILD UP THINGS LIKE THE MAUI CCBHC, OUR NEW FEDERAL MODEL FOR PROVIDING COMMUNITY‑BASED MENTAL HEALTH CARE.

SO THAT IS UNFOLDING.

WE'RE HAVING FEW LARGE GRANT THAT IS ARE HELPING WITH BRINGING IN RESOURCES, BRINGING IN SPECIAL EXPERTS, EXPERTS POSSIBLE WORKFORCE DEVELOPMENT TRAINING.

AND OF COURSE, THE COORDINATION, TAKES PLACE AT THE HEALTH CENTER.

WE'RE ABLE TO SEE WHAT PEOPLE DO AND HOW TO COORDINATE SHORT‑TERM EMERGENCY SURVIVAL KINDS OF SERVICES, ALONG WITH TRAUMA THERAPY SERVICES GOING TO UNFOLD OVER THE NEXT FEW YEARS.

>>Yunji: TALKED ABOUT THAT $17 MILLION.

ANOTHER QUESTION HERE FROM MILILANI.

THIS IS ONE COMING IN FROM MAUNA.

SAYS, I'VE HEARD RUMORS THAT CERTAIN ETHNIC GROUPS GETTING PREFERENTIAL TREATMENT AND MORE HELP.

ANY TRUTH?

HOW DO YOU ALLOCATE THAT MONEY WHERE IT'S BEST SPENT?

>> HALF THE BATTLE UTILIZING A GRANT LIKE THAT CONSTANTLY ASSESS AND REASSESS WHAT THE NEEDS ARE.

>> SEEING HOW THE DIFFERENT FOLKS ARE RESPONDING TO CERTAIN INTERVENTIONS IN THE COMMUNITY.

WHETHER IT BE CLINIC, OR OUT IN THE COMMUNITY.

CERTAIN CULTURALLY RELEVANT PRACTICES OTHER INTERVENTIONS AND ADJUSTING YOUR APPROACH TO SEE WHAT'S WORKING BEST AND WHAT IS NOT WORKING SO WELL.

AND FIGURING OUT NEEDS THAT WAY.

>>Yunji: TAKE THIS ONE FOR YOU WHEN HELPING FAMILIES WOULD HAVE SURVIVED THIS TRAGEDY, HOW DO YOU WORK WITH THE CHILDREN AND ADULTS?

PLEASE DESCRIBE THE APPROACH AND THE PROCESS.

FROM CHERYL IN KULA.

I WILL TAKE TO YOU.

BOTH WORKING ON GROUND.

>> INTERESTED TO KNOW, WHEN YOU TALKING ABOUT SERVICE WHOLE FAMILY, HOW YOU ACTUALLY DO THAT.

>> YEAH I ONE WAY TO GET A WHOLE FAMILY TOGETHER IS DO FAMILY THERAPY.

GET EVERYONE IN THE ROOM.

TAKE DIFFERENT APPROACHES AND JUST HOW OPEN THE FAMILY IS RECEPTIVE TO RECEIVING THAT TYPE OF CARE.

SCHOOLS CAN DO ONE PART WITH CHILDREN.

WORK WITH INDIVIDUALS ADULTS AND DEVELOPING SOME OF THOSE SKILLS COPING SKILLS RERESILIENCY TO THE INDIVIDUAL, BRING THEM TOGETHER TO WORK ON THE WHOLE FAMILY TOGETHER.

>>Yunji: WHAT DO YOU THINK IS BEST STRATEGY ADDRESSING WHOLE FAMILY.

SOME CASES RIGHT NOW WITH ALL THE SORT OF INSTABILITY, MIGHT NOT BE PRACTICAL TO GET EVERYONE IN ONE ROOM.

PARENT MIGHT BE WORKING.

KID BE MIGHT BE AT SCHOOL.

FAMILIES MIGHT BE SPLIT UP BECAUSE OF HOUSING SITUATION.

HOW DO YOU ACTUALLY DO THAT.

>> IMPORTANT KNOW WHAT ORGANIZATIONS IN THE COMMUNITY.

CERTAIN FAMILIES I DO WORK WITH, PARTICULAR AGE RANGE REFER THEM OUT TO INDIVIDUAL.

FAMILY SESSIONS TOGETHER JUST TO HAVE THAT VIEW FOR THEM.

BUT I DO COLLABORATE WITH THREE OR FOUR OTHER ORGANIZATIONS WHO WE JUST KIND OF CIRCLE AROUND AND DO REFERRALS WITHIN EACH ORGANIZATION.

MEET NEEDS AGE, GENDER.

TO BE ABLE TO HAVE WRAPAROUND SERVICES FOR OUR FAMILIES.

>>Yunji: ERIC IN KAILUA HAS A QUESTION.

SIMILAR TO ONE WE COVERED EARLIER.

AS A STATE WE ALL WANT TO BE HERE FOR OUR COMMUNITY.

AND FOR OUR NEIGHBORS.

IN MAUI OF COURSE IS PART OF OUR COMMUNITY.

ERIC IN KAILUA SAYS, ASK MAUI SURVIVORS HOW THEY'RE DOING, CAN THAT QUESTION BE OVERASKED?

I WANT TO LEND AN EAR.

DO WE RUN THE RISK OF BEING ANNOYING?

HOW DO WE BEST ASK HOW TO LISTEN?

I THINK ERIC IS RIGHT.

WE WANT TO BE HERE FOR EACH OTHER.

BUT WE DON'T WANT TO BE ANNOYING.

>> YEAH.

I MEAN, BEGINNING, EVEN FROM MY FEDERAL OFFICERS, IT WAS ALWAYS HOW ARE YOU DOING TODAY?

WHAT CAN I DO FOR YOU?

IN THAT SENSE.

AND I MEAN, I GUESS HOW YOU DEAL WITH IT.

FOR PERSONAL LEVEL, I TRY TO BE AS POSITIVE AS I CAN.

TO ANSWER THEM.

BECAUSE AS I PEOPLE, WANTING TO TELL ME SOMETHING, THAT IS GOING ON IN THEIR LIVES, I CANNOT BE NOT BOGGED DOWN BUT TRYING TO BE MORE OPEN AND BE MORE RESILIENT TO WHAT OTHERS ARE SAYING.

AND AT THE SAME TIME.

>> I KIND OF LUCKY THAT I CAN CLOSE THE DOOR AND SAY, OH, THIS IS MY SAFE SPACE.

THAT IS MY GOOD SPACE.

YOU GOT TO HAVE SOME KIND OF DIVISION.

OTHERWISE, OF THE BEGINNING, I MEAN, FIRST NIGHT I NEVER SLEEP.

BECAUSE MINDS THINKING.

WHAT AM I BEING DO NEXT?

WHAT IS THE NEXT PROCESS?

HOW CAN I HELP THAT PERSON?

WHAT IS THIS PERSON'S NEED TODAY?

ANSWER TO THAT QUESTION IS CERTAINLY, HAVE TO TAKE AS MUCH AS YOU CAN AND FARM IT OUT THE BEST WE CAN.

>> I WANT TO SAY SOMETHING TO THAT TOO.

SOMETHING REALLY UNIQUE AND VERY SPECIAL FOR US HERE IN HAWAII VERY SPECIAL FOR US IN HAWAII WE CAN SAY HAVE THAT CONNECTION, WHO IS YOUR MOM?

WHO IS YOUR DAD?

I KNOW YOUR UNCLE.

ANOTHER WAY TO OPEN UP AND PROVIDE SPACE FOR FOLKS.

MAKING THAT CONNECTION.

THAT'S SOMETHING THAT REALLY IS VERY UNIQUE TO WHO WE ALL ARE.

IN OUR STATE.

>> EVEN TODAY, I HAD SOMEBODY WHO DELIVERED PRODUCE, YOU'RE A MENTAL HEALTH.

I ME SAID, I WANT TO TALK TO YOU ABOUT MY FAMILY MEMBER.

STARTED TALKING ABOUT HIS FAMILY MEMBER.

I LISTENED.

AND HE SAID, BUT THEN YOU STARTED TO REALIZE HE NEEDED A LITTLE BIT OF HELP TOO.

AND HE NEEDED SOMEBODY TO TALK TO.

AND SO IT'S NOT ALWAYS WHERE IT'S SO OVERTLY, THIS PERSON NEEDS HELP.

JUST THAT LISTENING AND THEN REALIZING THE PERSON I'M TALKING TO COULD USE SOMEBODY TO LISTEN TO THEM TOO.

>>Yunji: I'M KIND OF DRAWING ON THAT.

THERE'S A QUESTION HERE FROM MILILANI.

I WONDERED IF YOU WOULD ANSWER.

IS THERE A NEED, NOT THIS ONE.

IN YOUR EXPERIENCE, ARE SURVIVORS RELUCTANT TO ACCEPT HELP AND SERVICES?

WHAT DO YOU SAY TO FAMILY MEMBERS WHO MIGHT BE LIKE THE PERSON APPROACHED YOU, MY UNCLE OR MY DAD OR MOM.

WHOMEVER NEEDS SERVICE HAVEN'T HAD THE BAND WIDTH TO ENGAGE AND FIND THEM.

WHAT KIND OF THINGS SHOULD WE BE LOOK FOR IN FRIEND AND FAMILY HOW DO WE GET THEM TO GET HELPFUL WE THINK PERHAPS THEY NEED IT BUT HAVEN'T NECESSARILY ENGAGED?

>> HARD QUESTION.

TO KNOW EVERYBODY A LITTLE DIFFERENT.

I THINK WE LOOK FOR, WE CLINICALLY LOOK FOR SIGNS AND SYMPTOMS.

THAT PEOPLE ARE MANIFESTING HARD TIME SLEEPING.

>> ALCOHOL TO COPE.

LOOK FOR CLINICAL THINGS THAT PEOPLE ARE DOING.

BUT I THINK YOU KNOW YOUR FAMILY MEMBERS BEST.

AND SO WHEN THEY START TO LOSE OR HAVE NO JOY IN THE THINGS THEY USED TO LOVE DO REFUSING TO LEAVE THE HOUSE.

>> JUST ABOUT MAYBE YOU CAN REACH OUT TO SOMEONE FOR THEM AND SEE IF THEY'LL ACCEPT HELP FROM SOMEONE ELSE.

YOU HAVE TO TRY DIFFERENT VARIATIONS TO ASSIST AND HELP.

TO GET THEM TO HOPEFULLY HAVE ONE PERSON POSSIBLY REACH THEM.

TO GET THEM TO SEEK SOME HELP.

I STILL THINK IT'S REALLY HARD BECAUSE A LOT OF PEOPLE ARE REALLY IN SURVIVAL.

>>Yunji: MICHELLE, IF YOU WOULD ANSWER THIS ONE FROM JOHN IN KANEOHE.

MAJOR ORGANIZATIONS HAVE NOT TAKEN THE BLAME FOR THE FIRE.

IS THERE A BUMP TO HOLD BACK THE HEALING PROCESS.

NO ONE STEPPED UP FOR THE BLAME.

OBVIOUSLY VERY COMPLICATED QUESTION.

WITHOUT SPECIFIC PERSON TO SAY, IT'S YOUR FAULT MYRIAD OF PEOPLE BEING OR ORGANIZATIONS BEING BLAMED, WITHOUT A SINGLE.

>> RIGHT.

WHAT I WOULD SAY TO THAT IS HUMAN NATURE.

WE WANT TO BLAME SOMEONE.

BUT I BELIEVE AT THIS TABLE WE ARE HEAR TO SERVE EVERYONE.

THERE'S PEOPLE WHO ARE FOCUSING ON THAT PORTION AND I CHOOSE TO NOT BE A PART OF THAT BECAUSE IT WILL TAKE AWAY FROM SERVING AND MEETING THE NEEDS OF MY COMMUNITY.

>> I ALSO WONDER, CHAD, GIVEN PHYSICAL SCARS ARE SO EVIDENCE, PEOPLE I WAS TALKING TO, A FATHER WHO HAS A SON WHO BUS ROUTE NOW FOR THE NEW SCHOOL PASSES BY THE FIRE, BY THE DEVASTATION EVERY MORNING.

AND WAS TALKING ABOUT JUST HOW EVERY MORNING THESE CHILDREN ARE ON THE BUS, I GET CHICKEN SKIN THINKING ABOUT THAT.

THESE CHILDREN ARE ON THE BUS STUDENTS PASSING BY THIS SITE EVERY DAY AND HAVING TO SEE THIS.

THAT IS RE‑EXPERIENCING, SO VERY MUCH VISIBLE IN THE COMMUNITY.

UNTIL THAT IS CLEARED AWAY, WHAT DOES THAT DO TO THE PSYCHOLOGICAL IMPACTS OF ALL OF THIS?

>> SO THAT'S IMPORTANCE OF TRYING TO DO OUR BEST TO ASSESS NEEDS OF THE GENERAL COMMUNITY.

USING WHATEVER TOOLS THAT WE HAVE TO GENTLY GAUGE WHAT THE NEEDS ARE.

WITH KIDS ESPECIALLY AND ADULT AS WELL.

SOME OF THE, WHEN I WAS GOING OUT IN THE FIRST FEW WEEKS, GO GO OUT TO PARKS, HONOKAI PARK AND NAPILI PARK, EVEN WHEN IT WOULD BE STRONG WINDS BLOWING, OH, MY GOD FEELING WINDS MYSELF.

UNCOMFORTABLE FOR THE KID AN FAMILY THAT IS WERE JUST THROUGH THE FIRES.

IMPACT OF JUST GUST OF WIND IS SO PROFOUND AND SO NUMBER OF THINGS THAT CAN TRIGGER SOMEONE WHO HAS BEEN THROUGH A CATASTROPHIC EVENT LIKE THIS CAN BE THINGS THAT MENTAL HEALTH PROVIDER CAN'T EVEN ANTICIPATE.

JUST BEING THERE FOR THE PEOPLE AND KNOWING THAT THEY HAVE MENTAL HEALTH SERVICES WITH THEY'RE READY TO GET IT IS SO IMPORTANT.

>>Yunji: CAN YOU TALK ABOUT THAT TOO?

JUST THE FACT THAT THIS IS STILL AN ACTIVE DEVASTATION SAY, STILL CLEAN‑UP.

SO MANY ENVIRONMENTAL CONCERNS GOING TO TAKE ESTIMATE IS AT LAST A YEAR TO CLEAN UP CORE OF WHERE THE FIRE HAPPENED.

IN THE MEANTIME, IMAGES ARE ON TELEVISION ALL THE TIME OR IN THIS CASE, STUDENTS ARE WHO ARE PASSING IT BY ON THEIR BUS TO AND FROM SCHOOL EVERY DAY.

HOW DO YOU HEAL AND GIVEN THAT REMINDER CONSTANTLY?

>> YEAH, THINK EVERYONE HEALS IN DIFFERENT WAYS.

YOU THINK ONE THING IS IMPORTANT IS YOU KNOW, PERHAPS WE SHOULD ASK THE CHILDREN WHAT WOULD HELP MAKE THAT JOURNEY A LITTLE EASIER BETTER FOR THEM.

MAYBE YOU PAINT THE WINDOWS INSIDE THE BUS.

SO THEY CAN'T SEE IT.

I THINK ONE THING WE FORGOTTEN TO SOMETIMES IS ASK PEOPLE WHO IS EXPERIENCED THIS OR REEXPERIENCED THIS OR GOING THROUGH THIS, WHAT IS GOING TO HELP YOU HEAL?

AND I THINK CHILDREN HAVE THE CAPACITY TO TELL YOU.

RIGHT?

CAN WE PAINT WINDOWS?

I THINK AMAZING TO START TO GET THE PEOPLE WHO EXPERIENCED THIS, PEOPLE WHO HAVE GONE THROUGH THE TRAUMA, SURVIVORS, WHAT IS IT GOING TO TAKE FOR YOU TO HEAL?

AND WHAT CAN WE DO TO HELP YOU?

THAT WAS BEAUTIFUL.

I WANT TO BRING THIS TO YOU FROM MAUI IN AINA HAINA.

>> FAMILY VISITING US FOR THE HOLIDAYS ON OAHU FROM AINA HAINA.

PEOPLE ON MAUI CANNOT DO THAT THIS YEAR.

GET CHOKED UP AND CRY THINKING ABOUT IT.

WHAT SERVICES BEING DISCUSSED TONIGHT RAMP UP AS GET CLOSER TO THE HOLIDAYS.

>> YOUR ORGANIZATION ALSO DOES A LOT AROUND HOLIDAYS.

TOO FAR OUT.

>> MIGHT BE SECRET.

BUT A LOT OF ORGANIZATIONS AND BIGGER COMPANIES HAVE STEPPED IN TO DO DIFFERENT THINGS.

LIKE HOW THEY DO IN THE MAINLAND.

WINTER WONDERLAND, DEAL.

WHERE YOU CAN HAVE TAKE MAYBE SURVIVOR KIDS ONE DAY, AND THEN DO THE COMMUNITY THE WHOLE REST OF THE WAY.

JUST SO THAT NOBODY IS LEFT OUT, TO MEET ALL THE NEEDS.

AND I THINK THANKSGIVING COMING UP, TALKING ABOUT IT EARLIER THAT'S GOING TO LOOK DIFFERENT.

USUALLY WE HAVE DIFFERENT PLACES THAT WE DO SERVE MEALS.

OF COURSE, BIG ONE IS IN THE BLAISDELL.

WE DO ONE AT THE COLLEGE.

WE USED DO ONE IN LAHAINA.

SO YOU KNOW, I THINK IT'S GOING TO LOOK DIFFERENT.

BUT I THINK THAT TRADITIONS IS GOING TO CARRY THROUGH.

BECAUSE THAT IS PART OF THE HEALING PROCESS.

I REMEMBER MY GRANDPARENTS' GOING, I REMEMBER MY MOM AND TAKE ME TO THIS.

DOING THE ANGEL TREE.

PICKING ANGEL OFF THE TREE.

OR BUYING A GIFT.

I THINK THAT IS GOING TO BE PART OF THE HEALING.

DOING THAT SEASON.

>>Yunji: HOW IMPORTANT ARE TRADITIONS IN THIS TIME?

>> I THINK THAT'S PART OF, HUGE COMPONENT OF EVERYBODY'S HEALING IS TO FIND SOME NORMALCY IN SUCH DEVASTATING TIMES.

IT'S PROFOUND TO HAVE THOSE TRADITIONS IN PLACE AND EVERY WEEKEND, THERE HAS BEEN SOMETHING, SOME ORGANIZATION THAT COMMUNITY HAS BEEN PUTTING ON EVENTS FOR KEIKI.

FOR OUR FIRST RESPONDERS.

WHO I WANT TO JUST GIVE SO MUCH THANKS TO FOR EVERYTHING THAT THEY'VE DONE.

FOR OUR COMMUNITY.

SO EVENTS FOR OUR FIRST RESPONDERS, OUR PROVIDERS, OUR KEIKI, IT'S BEEN SOMETHING THAT HAS BEEN REALLY, IT'S BEEN HAPPENING EVERY WEEKEND AND YOU KNOW, IT'S NICE THAT PEOPLE ARE HONORING THE FACT THESE ARE FOR OUR CHILDREN, AND OUR FAMILIES IN LAHAINA.

HAD TO KIND OF FOLKS HAVE HAD TO MAKE SURE WE ARE KEEPING THESE THINGS FOR LAHAINA.

EVERYTHING THAT IS OFFERED IS FOR LAHAINA.

FOR NOW.

AND UNTIL WE GET THEM WHERE THEY NEED TO BE.

>>Yunji: CAN YOU TAKE THIS ONE.

FROM SOMEONE IN MILILANI.

IS THERE A NEED FOR BIGGER FOR NURSES TO PLAY IN THE RECOVERY PROCESS?

TALKED A LITTLE BIT EARLIER ABOUT SOME LICENSING AND TRYING TO FREE UP TO GET MORE PROVIDERS IN THE MIX THERE.

WHAT IS THE ROLE OF NURSES TO PLAY IN THIS RECOVERY?

>> AT THIS MOMENT, MANY NONPROFIT AGENCIES THAT ARE HAVING VARIOUS TYPES OF CENTERS, SET UP AT THE PARKS.

OR AT THE HOTELS.

TOO MANY FOR ME TO NAME.

MANY THEM HAVE VOLUNTEER NURSES, DOCTORS, MOST NEEDS FOR PHYSICAL CARE ARE PROBABLY GOING TO BE RESUMING PRIMARY CARE, NOT SO MUCH PHYSICAL INJURIES, I WOULD SAY THAT AT THE MOMENT, I THINK A LOT OF THE NURSING NEEDS ARE BEING MET.

MAYBE ISSUES THAT POP UP LATER ON, BUT I THINK WILLINGNESS OF THIS VIEWER TO THINK THAT WAY IS GREAT.

BUT IF ANY DOUBT, THEY SHOULD CHECK IN WITH THE DEPARTMENT OF HEALTH AND SEE IF THERE'S ANY NEED THAT HAVEN'T THOUGHT ABOUT.

>>Yunji: THIS ONE COMES FROM JAN.

INTERESTING PERSPECTIVE HERE.

INTERESTING IS BECAUSE I THINK SO MANY OF YOU WANT TO HELP AND WE DON'T KNOW HOW.

YOU WERE SAYING YOU DON'T NECESSARILY NEED A MEDICAL DEGREE TO HELP OUT.

WE NEED TO SHARE WITH SURVIVORS ANY PHOTOS WE MIGHT HAVE OF THEIR HOME OR FAMILIES SPECIAL EVENTS.

MEMORY PHOTOS THAT COULD BE OF INTEREST TO THEM.

IS IT TOO SOON?

HOW DO WE HANDLE THAT?

I PROVIDED SOME GOOGLE SATELLITE FAMILY TO FRIEND OF HER WHICH SHE LOST.

HAPPY TO HAVE THOSE PHOTOS.

WHAT ARE SMALL WAYS THAT THE AVERAGE PERSON MAY BE ABLE TO HELP.

>> I THINK IF YOU HAVE PHOTOS, I LUCKILY, HOPEFULLY SOME THINGS ARE SAVED IN THE DIGITAL CLOUD.

BUT I THINK I'VE KNOWN PEOPLE WHO HAVE LOST FAMILY MEMBERS, HOUSE IS BEEN LOST AND BEING ABLE TO FIND THOSE MOMENTOS, HAVE SOMETHING SPECIAL, HANDED DOWN, EVEN IF HIGH SCHOOL BOYFRIEND, CLASS RING, MAYBE GIVE IT BACK TO THE FAMILY.

SO THE FAMILY HAS MOMENTO.

LITTLE THINGS HELP PEOPLE HAVE CLOSURE AND CLOSE TO THEIR HEART.

I DON'T THINK IT'S TOO SOON TO OFFER THAT OFFER THAT IF YOU HAVE THAT OPPORTUNITY DO THAT.

>> GREAT.

WHATEVER YOU CAN HELP, WHATEVER EXPERTISE YOU HAVE TO HELP FAMILIES, BECAUSE THEY DON'T HAVE THE PHYSICAL THINGS TO GRAB ON TO NOW.

BUT REPLICATING A PIECE THAT IS THEY MAY HAVE HAD, OR HAD THAT THEY DON'T HAVE ANY MORE.

SO GREAT IDEAS.

>> CLASSMATE WITH A YEARBOOK.

WILLING TO GIVE UP YEAR BACK TO A CLASSMATE MAY HAVE LOST THEIRS.

HAD SOME PHOTOGRAPHERS ON MAUI.

DOING FAMILY PHOTOS.

AND USING THE HOMES IF THE FAMILIES WERE OKAY WITH IT.

AND BLENDING THEM IN FRONT OF THEIR HOMES.

>> I KNOW THAT YOU'RE ON THE GROUND AT THE HUB.

AND SEE WAIT THE NEEDS ARE.

FIRES HAPPENED.

>> DROVES PEOPLE DROPPING OFF THINGS.

DONATION SITES.

ENOUGH.

SEND US MORE MONEY FOR FOR YOU AND SAVE GOOD WILL FOR LATER A A POINT WHERE PHYSICAL LOW DONATIONS ARE NEEDED?

DIAPERS AND BABY CLOTHING?

WHAT ARE YOU SEEING ON THE GROUND ON THE HUBS PHYSICAL NEEDS?

>> ITEM WISE ALWAYS GOING TO BE A NEED FOR IT.

BECAUSE PEOPLE CONSTANTLY SOME PEOPLE CANNOT GET OUT.

SOME PEOPLE HOTELS.

THEY DON'T HAVE TRANSPORTATION.

I MEAN, THERE'S AN AWESOME A WAY WAY AROUND IT.

A LOT OF IT HAS TO, DONATIONS, DID COME IN FLOODING ISLAND GENEROUSLY.

BUT THERE WAS A LOT AT ONE POINT IN TIME.

YOU KNOW, I MEAN, STORED.

IF YOU TAKE IT OUT GRADUALLY AN SPREAD IT OUT I THINK IT WILL LAST.

BUT I MEAN, THAT'S A TOUGH QUESTION.

I MEAN, BECAUSE SO MUCH.

>> WE ALL HAVE THE IMPULSE TO HELP.

ALL WENT INTO OUR CLOSETS.

2 KIDS TOOK ALL THE CLOTHES AND SENT THEM.

MAYBE THAT IS NOT USEFUL AT THAT MOMENT.

WHAT IS USEFUL NOW?

>> WELL, RIGHT NOW, WE REOPENED STORE.

TRYING TO GIVE EACH INDIVIDUAL A LIKE A VOUCHER.

TO COME.

AND PICK SOMETHING OFF THE RACK.

NOT JUST DIGGING THROUGH A PILE.

THAT YOU CAN HAVE A CHANCE.

YOU FEEL KIND OF NORMALCY, SHOPPING IN THE STORE.

TAKING SOMETHING OFF THE RACK.

THAT I LIKE THAT COLOR PURPLE.

I LIKE THAT COLOR YELLOW.

I ALWAYS COME BACK TO THE PART OF THE HEALING.

I THINK THAT IS GOOD PART OF IT.

>> THOSE DONATIONS, YES, I MEAN, ALWAYS GOING TO NEED IT.

I THINK EVEN IN THE LONG RUN, A LOT OF HUBS ARE RUNNING OUT OF STUFF.

LIKE HE WERE TALKING ABOUT.

ONLY USE SO MANY FEMININE THINGS AND YOU KNOW, YOU NEED MORE THAN TWO TO GO WITH THAT.

>> YOU NEED FOOD AND YOU NEED OTHER HOUSEHOLD ITEMS.

>>Yunji: RIGHT.

NEED IS GREAT.

WHEN WE ASKED SURVIVOR WHAT IS WE CAN DO FOR THEM, WE HAVE TO BE PREPARED TO FOLLOW THROUGH WHATEVER ANSWER IS.

>> QUESTION DID NOT BE HOLLOW.

IS THIS ADVICE WHAT TO ASK AND WHATNOT TO ASK OR MAYBE HOW TO APPROACH A SURVIVOR?

FROM ELEANOR IN WAHIAWA.

THAT'S A GOOD POINT.

CAN'T ASK HOW CAN I HELP YOU AND NOT ACTUALLY DELIVER.

>> ONE OF THE MOST IMPORTANT MESSAGES LESSONS WE LEARNED.

CHALLENGE OF PUTTING TOGETHER A COMPREHENSIVE LONGITUDINAL PLAN FOR COMMUNITY FIND OUT HOW WE CAN BE AVAILABLE AT THE RIGHT TIME OFFERING RIGHT TIME OF SERVICES THESE PEOPLE.

IF YOU ASK THEM THE QUESTION OF WHAT THEY NEED, AND THEY TELL YOU, THEY NEED SOME SMALL LITTLE THING, YOU CAN PROVIDE, GREAT.

IF SOMETIMES GOING TO ASK FOR THINGS THAT SEEM INSURMOUNTABLE.

AT LEAST TRY TO FIND WHAT THEY NEED, OR TRY TO MAKE A GOOD ATTEMPT TO RESOLVE WHATEVER ISSUE THAT THEY'RE DEALING WITH AND SO THAT'S WHY WE HAVE COORDINATE ALL OF THESE DIFFERENT PEOPLE, ALL OF THE DIFFERENT AGENCIES, ALL OF THESE DIFFERENT RESOURCES AND TAPPING INTO THE BEST KNOWLEDGE OF PEOPLE WOULD LIVE COMMUNITY AS WELL AS NATIONAL EXPERTS IN THE WORLD.

>>Yunji: I'M THINKING ALSO THAT THERE WAS THAT IMPETUS AT THE BEGINNING TO HELP.

AND NOW, DONATION SITES AREN'T THERE.

HOW DO WE MAKE SURE PEOPLE WANT TO HELP, WE CONTINUE TO KEEP MAUI IN FRONT IN MIND?

AT LEAST TWO YEARS FOR THAT 17 MILLION.

SOUNDS LIKE IT COULD BE MUCH LONGER.

HOW DO WE MAKE SURE WE CONTINUE TO THAT RELATIONSHIP.

WE CONTINUE TO HELP?

>> I THINK IF IT'S TIME THAT YOU CAN DONATE, CAN YOU DONATE TIME.

I THINK IF IT'S MONEY WILL HELP TO SUPPORT NONPROFITS VOLUNTEERS.

ORGANIZATIONS THAT ARE DOING GREAT WORK.

THERE ARE VARIOUS WAYS.

EVEN IF IT'S DONATIONS, COMING UP TOWARDS HALLOWEEN.

CHRISTMAS.

TOYS OR COSTUMES.

SO I THINK THERE IS AN OPPORTUNITY TO GIVE IN SOME WAY.

AND WHETHER THAT IS SERVING THANKSGIVING MEALS, OR DONATING MATERIALS, OR EVEN DONATING MONEY, OR TIME, I THINK THAT IS ALL VERY IMPORTANT.

VALUED AND NEEDED.

>>Yunji: FOR YEARS TO COME.

ED IN WAIKIKI ASK, HOW IMPORTANT IS TALKING ABOUT WHAT HAPPENED FOR THE SURVIVORS?

>> WHEN READY IT'S HUGE.

IT HAS A PROFOUND EFFECT ON PEOPLE'S MENTAL HEALTH.

TO JUST HAVE THE ABILITY TO, IT'S NOT ALWAYS EXACTLY WHAT HAPPENED THAT DAY.

THEY'LL EVENTUALLY MAKE IT THERE WHEN THEY'RE TALKING TO YOU.

BUT LIKE KEVIN SAID, WE ALL AGREE, IT'S JUST SITTING AND LISTENING.

NOT ASKING ANY QUESTIONS.

HOLDING SPACE FOR THESE FOLKS.

IT'S AMAZING, I WAS ON THE PLANE ONE DAY.

THIS WOMAN WITH GOOD INTENTION SAID, DID YOU LOSE YOUR HOUSE?

I WAS LIKE, OH, WOW, SO JUST BEING MINDFUL, TO ALL OF THAT.

THAT ISN'T IMPORTANT.

RIGHT NOW.

WHAT IS IMPORTANT IS TO JUST BE THERE.

>>Yunji: CAN YOU BUILD ON THAT TOO?

QUESTION FROM ED.

HOW IMPORTANT IS TALKING ABOUT WHAT HAPPENED FOR THE SURVIVORS WHY IS IT IMPORTANT TALK ABOUT THIS.

>> PERSON IS READY TO TALK ABOUT THE CATASTROPHIC EXPERIENCE, THAT WILL MINIMIZE CHANCE OF MUCH MORE LONGTERM SERIOUS PSYCHIATRIC SYMPTOMS.

THE FLIPSIDE IS KIND OF PRODDING, WE TALKED ABOUT BEFORE, PRODDING TOO MUCH.

AN DIGGING INTO PEOPLE'S PAIN WHEN THEY'RE NOT READY TO TALK ABOUT IT YET.

CAN BE REVERSE AFFECT.

NEGATIVE.

AND ISOLATE PEOPLE FROM PROVIDERS.

NOT HAVING THEM WANT TO TALK AGAIN.

HAVING THEM WANT TO TALK ABOUT.

WHEN IS THE RIGHT TIME TO TALK?

SKILLED PROFESSIONALS WHO ARE ABLE TO DEAL WITH TRAUMA AND VARIOUS TYPES OF THERAPY ARE REALLY HELPFUL FOR TRAUMA.

>>Yunji: I WANT TO MAKE SURE WE PUT UP THIS SLIDE WE HAVE FOR MENTAL HEALTH SUPPORT.

JUST SO THAT VIEWERS DO KNOW IF THERE'S SOMEONE IN YOUR LIFE WHO MIGHT NEED SOME SUPPORT RIGHT NOW, STATE DOES HAVE RESOURCE.

HAWAII CARES TEXT OR CHAT.

988, CRISIS TEXT LINE THERE AS WELL.

ALONG WITH WEBSITE SHOWING YOU FROM THE STATE.

WHICH HAS RESOURCE FOR FAMILIES.

>> I THINK REALLY IMPORTANT TO KNOW THAT THOSE RESOURCES ARE OUT THERE.

IT CAN FEEL LIKE ADDING MORE PAPERWORK, ADDING MORE BUREAUCRACY TO TRY TO ENGAGE WITH THAT.

>> WHAT DO YOU SAY TO FOLKS RELUCTANT TO REACH OUT.

MIGHT NEED HELP.

DON'T WANT TO DEAL WITH DIAL ANOTHER NUMBER OR FILE ANOTHER PIECE OF PAPER?

>> FIRST THING TO IS START TALKING ABOUT YOUR FEELINGS, EVEN TO A FRIEND.

I MEAN, THERE'S A LOT OF VALUE JUST EVEN TALKING FAMILY MEMBERS, TALKING TO YOUR FRIENDS.

>> MAUI'S SMALL, GOOD TO KNOW SOMEBODY YOU KNOW WHO CAN FIND YOU THE HELP.

AND GREAT COMMUNITY PROVIDERS WHO ARE THERE WHO ARE AVAILABLE TO TAKE NEW PATIENTS.

SO EVEN IF YOU DON'T WANT TO CALL ANOTHER NUMBER, OR FILL OUT ANOTHER PAPERWORK, THERE'S SOMEBODY WHO KNOWS SOMEBODY WHO CAN HELP YOU AND PEOPLEING AND ABLE TO HELP YOU WHEN YOU'RE READY.

>>Yunji: CAN YOU BUILD ON THAT.

>> I MEAN, LIKE FOR US, ON THE RECOVER SIDE LIKE RECOVERY IS QUICKNESS BEGINNING.

TRYING TO MEET ALL OF THOSE NEED.

OPEN UP AND GIVE PEOPLE SHELTER A CHANCE.

BUT YOU KNOW, ALSO GOING TO BE A LONGTERM RECOVERY PLAN ALSO THAT WE DON'T KNOW WHAT IS GOING TO LOOK LIKE.

2, 3, 4, 5 YEARS FROM NOW.

I THINK IT'S GOING TO BE A WHILE.

BUT IF WE CAN GIVE THEM THE CHANCE AT LEAST TO LIKE I SAY, PICK SOMETHING OFF THE RACK OR HAVE THAT CHANCE, GIVE THEM LITTLE HOPE THEY HAVE THAT CHANCE TO I DON'T KNOW, CONNECT WITH US, BEST THING I CAN SAY.

IT MIGHT NOT BE LIKE SHE SAID, MIGHT NOT BE THE STORY BUT WHAT HAPPENED ON THAT TUESDAY.

IT MIGHT BE SOMETHING THAT HAPPENED DURING THAT WEEK, THAT STRUGGLING, OR HAVING A HARD TIME DEALING WITH, AND YOU KNOW, THAT IS, THAT WE HEAR, TO HEAR THEM OUT.

>>Yunji: THERE'S A QUESTION HERE, SCHOOLS IN THE AREA REOPEN, PARTICULARLY LAHAINA LUNA HIGH SCHOOL, BIRD'S EYE VIEW OF THE DEFAMATION.

WILL TEACHERS AND COUNSELORS PROVIDE TIME FOR STUDENTS VENT SHARE GRIEVES AND TRAUMA.

HOW IS THE D.O.E.

INTEGRATE WITH YOUR AGENCY AND MAKING SURE THAT STUDENT ASKS GET RESOURCES WHERE THEY ARE?

>> ANYONE KNOW THE ANSWER TO THAT?

>> I WILL SAY THAT LAHAINA IS SO SPECIAL, LAHAINA LUNA IS SPECIAL.

I KNOW THAT THEY ARE GOING TO HAVE A PLAN IN PLACE.

I TRUST THAT THEY WILL BECAUSE OF HOW SPECIAL.

>>Yunji: I THINK THAT KEONE RAISES GOOD POINT.

IT'S NOT WILL THAT NECESSARILY HAPPEN.

WE DON'T NECESSARILY KNOW THAT RIGHT NOW.

SHOULD THAT HAPPEN, WHAT KIND OF RESOURCES DO YOU THINK COULD BE BENEFICIAL FOR STUDENTS IN THE CLASSROOM OR IN SCHOOL IN THE SCHOOL SETTING?

>> SO I WOULD HOPE THAT D.O.E.

WOULD HAVE SOMETHING IN PLACE FOR THE TEACHERS ON STAFF RECOGNIZE IF KIDS ARE HAVING BEHAVIORS THAT ARE OUT OF ORDINARY FOR THEM, MAY BENEFIT FROM A REFERRAL TO SCHOOL COUNSELOR OR MENTAL HEALTH PROVIDER CHILD PSYCHOLOGIST, CHILD PSYCHIATRIST.

I THINK RESPONSE FROM DOH AND OTHER AGENCIES IS THAT WE WANT TO HAVE OUR EYES AND EARS OPEN EVERYWHERE IN THE COMMUNITY SCHOOLS.

CHURCHES.

HOTELS.

PARKS.

SO THAT PEOPLE WHO ARE OBSERVING SURVIVORS ARE MINDFUL OF TRAUMA, HOW CAN IT AFFECT SOMEONE'S PSYCHE, AND BE AWARE OF ALL THE RESOURCES.

AND IF PERSON DOESN'T KNOW RESOURCES JUST LOOK AT THE DEPARTMENT OF HEALTH WEBSITE, BE PUT IN THE RIGHT DIRECTION.

OR CALLED CARES LINE.

>> >>Yunji: WE ARE ALMOST OUT OF TIME OF THE I WANT TO MAKE SURE WE GET A FINAL THOUGHT FROM EACH OF YOU.

UNDER A MINUTE IF YOU CAN.

KEEP THE QUESTION, ANSWER SHORT.

I'LL START WITH YOU.

WHAT WOULD YOU WANT PEOPLE TO KNOW ABOUT WATTS HAPPENING ON MAUI AND HOW THEY CAN BEST HELP?

>> COMMENT I WANTED TO MAKE, SEEING SOMEONE LIKE KEVIN.

>> GOING UP FIRST MONTH.

>> PEOPLE AT THE PARK, STREAM, BRIDGES SURVIVORS OF THIS TRAGEDY.

FELLOW MAN FROM DIFFERENT WALKS OF LIFE, TEAMING TOGETHER HELPING EACH OTHER, JUST MAKES ME WANT TO CRY TO SEE PEOPLE, DEALING WITH TRAGEDY THROUGH ALTRUISM AND HELPING FELLOW MAN.

>> SAME.

>> ECHO THE SAME.

BIG MAHALO TO EVERYONE WHO HAS GIVE THEIR TIME.

OWN RESOURCES TO HELP OURPEOPLE HUGE WILL CONTINUE TO BE A HUGE VERY BIG PART OF OUR HEALING.

>> I WANT TO ECHO WHAT CHAD SAID.

I THINK ONE OF THE GREATEST SOURCES OR VALUE THAT I'VE SEEN, COMING INTO MAUI, IS THAT PEOPLE OF MAUI ARE INCREDIBLE AND SO GIVING AND WHAT INCREDIBLE COMMUNITY.

IF WE CAN BUILD UPON THAT AND THAT BUILD THAT RESILIENCY I THINK THEY ARE THE SOLUTION TO WHAT THE FUTURE LOOKS LIKE.

>>Yunji: REALLY GOES BACK WHAT YOU WERE SAYING ABOUT LISTENING.

YEAH.

WE'LL CLOSE OUT WITH YOU.

I THINK WE'RE ALL JUST SO MOVED THAT YOU'RE DOING THE WORK ON THE GROUND.

YOU ARE SURVIVOR OF THE YOURSELF.

AND YOU ALSO DECIDED TO MAKE THE TRIP TO COME HERE AND JOIN US TONIGHT.

WE REALLY REALLY APPRECIATE IT.

>> THANK YOU.

>>Yunji: WHAT WOULD YOU WANT PEOPLE TO KNOW WHAT'S HAPPENING ON GROUND ON MAUI AND HOW THEY CAN BEST BE OF SERVICE.

>> WITH THIS OPENING UP OF THE TOURISM AND ALL OF THAT, THERE'S A LOT OF STIGMA OF WHAT IS HAPPENING OUT THERE.

I THINK THAT IF WE STICK TO OUR PHILOSOPHY OF BEING THE HELP, VERSUS BEING HINDRANCE, I THINK IS GOING TO GO A LONG WAY IN THE HEALING PROCESS.

I THINK THAT IS GOING TO BE A WHILE.

AND YOU KNOW, WITH PROFESSIONAL HELP, THINK A LOT OF PEOPLE ARE GOING TO BE HAVE EASIER TIME COPING WITH THE DIFFERENT THINGS THAT IS HAPPENING IN THEIR LIVES.

I MEAN, BEING SURVIVOR, BEING A SURVIVOR IS I GUESS A GOOD THING.

BECAUSE YOU UNDERSTAND WHAT THE PEOPLE THAT ARE GOING THROUGH.

AND I GUESS THE HARDEST PART IS I THINK IS TRYING TO BE STAY COMPASSIONATE WITH THEM.

THROUGH EVERYTHING AND JUST BEING EARS AND JUST BEING THE SOUL THAT YOU CAN HELP THEM OUT IS BEST AS YOU CAN.

>>Yunji: I MEAN IT SOUNDS LIKE FROM EVERYTHING YOU'VE SAID, THAT ACTUALLY BEING OF SERVICE HELPED YOU IN YOUR OWN HEALING.

>> TRUE.

FOR MYSELF, HAD TO BE LIKE A SWITCH.

LIKE I SAID, YOU HAD TO SWITCH FROM DISASTER TO SURVIVOR.

AND I THINK A LOT OF PEOPLE ARE DOING THAT IN THE HOTELS AND EVERYTHING.

COMING TO GETTING HELP FROM THE CENTER THE.

HEALTH CENTER.

DR CENTERS.

CLOSING SORRY.

THERE'S THIS LADY.

SHE WAS MAD.

SHE WAS JUST MAD.

I MEAN, SHE CALLED ME EVERY NAME FROM A TO Z THAT I CAN THINK OF.

SOME I DON'T EVEN KNOW.

AND YOU KNOW, JUST MAD.

SO YOU KNOW, I TRIED TO TALK TO HER AND GIVE HER SOME FOOD.

SOME WATER.

AND EVERYTHING.

SHE'S JUST FINALLY CALMED DOWN.

ASKED ME FOR SHIRT.

>>Yunji: WE'LL HAVE TO LEAVE IT THERE.

>> I'M SORRY.

OUT OF TIME.

I WITH LEAVE TO HEAR THE REST OF THAT BEAUTIFUL STORY.

MAHALO TO YOU FOR JOINING US TONIGHT AND WE THANK OUR GUESTS, DR. CHAD KOYANAGI, MICHELLE NAVARRO ISHIKI SONDRA LEIGGI BRANDON AND KEVIN NAGASAKI.

NEXT WEEK, CAN HAWAII HAVE A WE'LL GET THAT STORY.

VIABLE BEEF INDUSTRY?

CATTLE RANCHING HAS BEEN PART OF THE ISLANDS FOR CENTURIES, BUT IN RECENT DECADES, OUR DEPENDENCE ON MAINLAND IMPORTS HAS GROWN.

IS THERE A WAY TO INCREASE OUR LOCAL EFFORTS TO FEED THE COMMUNITY WHILE KEEPING PRODUCTS AFFORDABLE?

PLEASE JOIN US THEN.

I’M YUNJI DE NIES FOR INSIGHTS ON PBS HAWAI`I.

ALOHA!