La'akea Village

Day treatment program: covid and the doh rules that were put into effect significantly altered our approach to providing services. Prior to march 2020, the campus was considered a community hub where participants and mentors gathered in morning circle, a community and communal lunch was served every day, the country store was open and many activities took place. All of this quickly took a pivot to limit potential exposure for this vulnerable population. We had to find ways for our participants to continue to touch and feel the inclusive, life sharing setting where they engage in a healthy productive lifestyle. With the help of zoom, the participants continued to connect for morning circle, zumba, hula, fitness, non-violent communication and numerous other classes. Our agricultural activities continued to thrive as participants and mentors scheduled times to come onto campus in pairs. As the pandemic subsided and protocols of isolation were revised, we began to again hold full 5 day per week day program activities beginning in august 2022. Participants are again meeting on campus daily, joining in morning circle, discussing the various options to contribute to the La'akea community such as garden and farm harvesting of produce (papayas, eggs, avocados, star fruit, ulu leaves, oregano, lemon grass are just some of the products we grow and sell). We have been able to reinstate our monthly community activity calendar as well and each week we go into the community to participate in various events such as surfing, volunteering at maui humane society, starlight farms volunteering. On campus we also hold weekly community events such as yoga, jewelry making and non-violent communication circle. We have recently upgraded our data and goal tracking capabilities with a software program, therap. This program has the capabilities for mentors to log data in real time through their smartphone. Even the anecdotal stories can be recorded. All of this is resulting in increased data collection. Funding from medicaid waiver subjects La'akea to rigorous and thorough annual audits by the department of health. Although meeting compliance standards is not our end goal, we view clean audits and successful re- certifications as critical confirmation of our ability to serve the safety and well-being of our participants. The country store is considered a part of program rather than a retail endeavor and been subject to strict safety rules. This has been a key location for many skill building and community interaction activities. The pandemic necessitated a pivot to producing a subscription-based weekly csa produce box distributed in the community. Participants were involved in harvesting and producing the boxes. For example, kat, one of participants, picked and packed the produce box to bring home to her father who was one of our first csa members. The "store" was able to move outside under the fresh pa'ia air for a weekly farmers market and participants are involved in all aspects including the harvesting, preparing, selling and engagement with the community. In november, 2022 we were finally able to re-open the country store here at La'akea Village so that participants would again learn retail skills of running a small business in addition to interacting with the public. Our community lunch and food production program out of the kitchen was shifted for the beginning portion of the year. Initially we did have small groups of 2-4 people back in the kitchen to continue their skills training. For example, abby, one of our participants, recently received her safe food handling certificate. She is practicing safety, hygiene, and cleaning routines in the campus kitchen with her mentor to prepare small scale meals. We have been able to re-introduce volunteer lunch once a week with many participants who work to help prepare the lunch for all. When we are fully staffed and at participant capacity we will be able to again prepare and eat lunch daily.

Our residential home, mele house, became the mele house bubble during the pandemic. In this way, we were able to continue working toward providing programs that are full of rich and gratifying experiences, that help with everything from how to write an email, or say a name, or make eye contact, to learning to cross the street or use a knife, to actual job skills like manning a cash register. This program is created to help reach the goals of each participant's individual service plan (isp) that is developed with the participant, their family, La'akea and the doh case manager. The isp articulates the diagnoses, goals, appropriate strategies, behaviors and safety analysis to track. Staff assigned to each participant write daily data notes, and supervisors aggregate these and prepare monthly and quarterly assessments for each participant's file which are submitted to the participants' case managers at the department of health. These assessments record outputs like services provided and activities completed, but they also document outcomes, both through anecdotal stories and metrics that show progress against goals. The mele house was closed for several months due to staffing. In 2023 our goal is to hire new staff and re-open the mele house for 5 residents. Our residents who went home to live with their families when the mele house was closed tell us weekly that they are ready to move back to the mele house. We know it is an essential service for our participants to gain more independence and practice daily living skills.