“…Political disenfranchisement, acculturation stress, and ethnic marginality are correlates of Hawaiian identity positioned within a lower strata of society beset with indicators (poverty, unemployment) for qualitative distress associated with negative statistics and a higher overall risk burden for mental health problems (Baumhofer & Yamane, 2019; Fojas et al, 2018; Fujikane & Okamura, 2008; Irwin & Umemoto, 2016; Kaholokula et al, 2020). This Hawaiian cultural awakening has underscored questions and implications related to Native Hawaiian self-determination, independence, and sovereignty (Laenui, 1996). According to extensive archival research conducted by an eight-member task force sanctioned by Alu Like, Inc., a Native Hawaiian community advocacy organization, on the historical development of Hawai‘i’s mental health system:In 1963 Hawai‘i became eligible for a $50,000 federal grant-in-aid to begin planning for a statewide comprehensive community mental health system.
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