Original subtitles

(somber piano music)

Downloaded from YTS.BZ

Official YIFY movies site: YTS.BZ

(waves lapping and wind blowing)

[Dr. K] Growing up in Hawaii is one of the

greatest places a kid could

spend their formative years.

Back then, I can't remember

really noticing homeless people all that much.

The last five years or so, the homeless problem has exploded

and every street you see people who are

sleeping in the doorways or

or lying on a sidewalk, and it's one of the things that

tears at my soul and my heart to know that there's

so many of these people who are suffering,

and the problem is so big now that people just kind of

assume that it's there, and they don't

think twice about

people who are like that

and that's partially what compels me to do the work that I do,

and to surround myself with excellent people who can share my conviction

for wanting to help these people and really try to do a good job for these

homeless people.

So nice to see you.

We weren't even looking for you.

So the voices are getting bad again?

Yes, it's driving me crazy.

Oh boy.

They're threatening me with

with murder.

They want to murder me.

They're telling me to commit suicide.

Oh, no

You don't want to commit suicide, do you?

No

No, I don't want to commit suicide.

What does that mean?

Winner

Winner

You wrote that?

Ya

Oh

You are a winner.

I always lose.

I always

you know

my situation, I lose.

So I wrote down 'winner.'

Hold that for me up there like that.

Ready? One, two, three, go.

I got it.

You got it, okay.

Remove your hands.

There you go.

Alright

Thank you so much.

Oh, lucky we ran into you.

If we get you into the shelter, you gonna stay?

Yes

You sure?

-Yes -You just left Tutu Bert's.

- Huh? - You just left Tutu Bert's.

Ya, three days ago

- I uh... - How come?

I was facing mental illness

and they told me

to keep on walking and take the bus.

It has a force that I couldn't stop.

I couldn't stop, it was unstoppable.

They forced me to leave the home

and take my welfare and get on the bus

and come here.

Do you drink at all?

No

Not at all?

- No... - Do you use any drugs?

- No, no drugs... - No drugs either?

- Just cigarettes... - Okay good, good.

Let me make some calls.

I think I can get you in.

- Okay... - But I want you to stay Abner.

-Ya -And I'm going to check.

Okay?

-Ya -Alright

Let me make some calls and then we'll come back, okay?

-Okay -You're going to stay here?

-Ya -Alright

- Did you get something to eat already? - Yes

You did? Okay.

You okay then for now?

Yes, I'm okay.

Alright, let me make some phone calls.

Alright, thanks Abner.

- Appreciate you. - Thank you so much.

Have a good day buddy.

Thank you for taking your own shot.

That's a good idea.

Get you back on track. Okay?

Okay

Alright

- Thank you so much... - Alright, see ya.

Thank you

[Dr. K] For the folks that are chronically homeless,

They need people who come to them and provide care where they're at.

In particular with patients who are mentally ill.

They need a little extra motivation or engagement to connect with them first.

Our important goal is to find the most vulnerable,

most ill, most chronically homeless individuals and give them a chance

of addressing their housing, health and psychiatric needs.

I just have a whole bunch of shots for people who are due and,

and, extras for

people who might be appropriate for medications.

[Shona] Hi Levan!

Good morning

Oh, nice jacket.

[Shona] You look nice and warm.

Dr. K is going to give medicine, okay?

How ya been Levan?

- Good good good good ya. - Good?

Okay yeah I'm more on the side yeah.

Yes, on the side.

Not by the road.

Not in the rain.

Ya, good for you, I'm proud of you.

You're not walking in the road anymore, are you?

Ya

[Dr. K] So the advent of these monthly shots

that are these newer medications

that treat schizophrenia

have been a tremendous tool that we use.

If you offer them oral medications for schizophrenia

to a chronically homeless person, the chances of success is almost zero.

Versus if you, offer them a shot, which means that

they'll have like 30 days worth of medication in their system.

They're getting a month's worth of medications in one shot.

The compliance is like 100%.

[food sizzling on pan]

[Clint] I was trying to do the keto diet so I'd have a lot of protein like

fish, tofu, quinoa, or steak.

Ya

I don't know

but sometimes like rice and bread

tastes so good.

It's like you can't get away from it.

You know it's like...

It's the best.

(cracking egg)

I grew up eating rice, like breakfast, lunch and dinner.

But ever since I started taking my medication, I gained, like,

I don't know, maybe like 20, 30 pounds.

And it's not, that's not like, too much, but,

I think if I don't like, try to like,

control my weight, I think with the medication,

if I just eat like anything, then I think I'll gain a lot of weight.

I think staying at home and doing nothing too, kind of makes you like

eat because you just have like, nothing to do.

So like

eating kind of like cheers you up, you know?

[knife chopping]

I'm diagnosed with schizoaffective disorder,

which is like a combination of the best of both worlds

of schizophrenia and a major mood disorder.

So it's like that combined.

When I was off medication

you have positive symptoms like hallucinations and voices.

And then with the mood disorder, it's

like your mood kind of changes and goes up and down.

And your energy level changes.

I think a lot of people know about the positive symptoms, which is like

hallucinations, voices and delusions.

But there's another side of it

called negative symptoms.

And it's a little bit harder because they don't have

too much treatments for.

So it's like,

affect, flat face

or like loss of energy or like loss of pleasure of doing things.

I'm kind of stable on my medication with not too many like delusions,

but the negative symptoms kind of like take a slow toll on me.

And it kind of like prevents me from doing a lot of things.

When I was struggling, like,

I'm still struggling, but

my dad was encouraging me to do something, you know.

So he would take me out to go stand up paddleboarding

and paddle out to Kaneohe Bay.

So yeah, it was nice, you know,

just to like have somebody that was like,

you know, just encouraging me to do something.

You know, because I guess one of my symptoms is just to do nothing.

I used to be really passionate about going to the ocean

and surfing and stuff

like really into it,

but then I just kind of lost interest

after I got my diagnosis.

And like one of the symptoms is like, you can't like

get pleasure in doing things.

So I don't know how true that is, but sometimes I feel like

I lost that, like

spark, you know, or something.

When I was having an episode,

I was like walking through all these back roads

and like, all of these thoughts in my head.

And I remember coming over here.

Let's see if I can find the exact dumpster.

Ya

Ya, it brings back memories man.

It was kind of a little trip.

But yeah, I remember walking around Kaneohe and just

just out of my mind, you know?

And I got here, and I

I just got into the dumpster

and I started crying, and I thought there was a dead baby,

but it just

It just seems like so surreal like

You know did that really happen?

You know, like...

when I, when I remember about it, you know.

I don't know how long I was there, but it wasn't good.

And then I ended up, going to the mall to try to visit

my ex-girlfriend, who worked there.

When I first got into the mall, like

all the stimulus was just so overwhelming

and the colors and everything.

I went into the store

and bought like

15 shirts of the same shirt because,

something something about the colors,

about, like, good and evil or something.

And then, I went to go try to visit my ex-girlfriend,

and then I went downstairs,

to eat at the first place we had our first date.

And then I think they called the cops on me.

And then we were standing around,

and the cops were standing around me in a circle.

They said they couldn't arrest me because I wasn't doing anything wrong.

So I kind of, like, lunged

towards one of the police officers,

and they, tackled me.

And I remember they had a knee on my neck,

and I just passed out.

But like shout out to them because that was like

the first step of my recovery.

If they didn't, like, stop me

and then take me to the psych ward,

like, I could have just wandered

like more and got more

into my psychosis and like, who knows what could've happened?

[Dr. K] He goes wild when he

he doesn't know someone and they approach him.

Since I was in training,

he's probably been here since then.

For whatever reason, without

any kind of psych treatment.

[Shona] Do you sing Ainoa?

Like when you play music, do you sing?

[Ainoa] Once upon a time.

You play music and sing for me one day, okay Ainoa.

One day you sing for me alright.

[Dr. K] Usually the guys we work with,

more likely than not, they'll take the meds,

but he's particularly paranoid.

[Shona] Hi Ainoa, you hungry?

You want to come get food?

No?

You have drink?

No?

You need anything else? Do you have your pens?

Let me know if you need anything okay Ainoa.

(unintelligible yelling)

(unintelligible yelling)

(unintelligible yelling)

So, right after Shona talked to him,

that guy John

came around then was telling him,

“Oh, you need to leave, you're going to get trespassed,

and I'm going to call the cops.”

Oh boy.

His little outburst just now,

he gets so agitated that

sometimes he'll throw stuff around,

people feel unsafe around him

and he gets into people's personal space.

He's yelling, screaming, swearing.

Seeing the severity of his psychosis,

we can't let him just languish in psychosis,

homelessness, and

not being able to house him.

So we decided to go for the ACT Order on him.

[Dr. K] Ten years ago, a bunch of the

social service agencies, including IHS,

rallied around, creating this law in Hawaii,

which would help people with mental illness or substance abuse

be compelled to comply with recommended treatment.

Best case scenario with this law in Hawaii,

you'll see somebody with schizophrenia

who meets the criteria for the law.

They have been incarcerated or arrested

or been in a psychiatric hospital in the recent past.

And a person like that should stay on their shot or their medication.

In the event that they start to refuse a shot.

The treatment team can

give them the option of come with us to the clinic

or we can come to your house and give you the shot

or if you don't take the shot voluntarily,

then we have to use this paper and

have you taken by police to the emergency room for the medicine.

[Connie] The Outreach Navigation Program

was actually the brainchild,

of the fact that when they passed the law

to allow what we call Assisted Community Treatment,

It's court ordered treatment in the community

that we decided,

hey, we really want to do this

because we see the people that need it.

You know, we really want to help those people

who can't really help themselves access to treatment to get it.

One thing that people don't realize

is that many times they thought,

when we do a mental health evaluation order, an MH-1

and, you know, the police takes somebody to the emergency room

that they're going to get treatment,

but the reality is, if that person goes to the emergency room

and they say, “Sorry, buddy, I'm not interested.”

They basically let them go

because, you know, you can't treat a person over objection

without a court order.

[waves lapping against the shore]

[Clint] When I first got arrested,

you know, when I went to the mall

and I was just kind of like, all over the place,

they said they were going to return me back to my home, my parents,

and my parents were like, “Dude, like, we don't know what to do with him,

like, we have no idea.”

But because I wasn't violent or because I didn't want to hurt anybody

or because I didn't want to hurt myself,

the ward said they couldn't take me.

So it's this weird like loophole

where it's like, if you're not violent,

if you're not hurting somebody, if you're not hurting yourself,

then they won't admit you to the ward.

Which is kind of like a weird rule.

So my parents, like, wrote up this whole, like, letter

of all the weird stuff I was doing within the recent time

and like, just by chance

they knew some kind of nurse through like their friends or something

and then they got me in.

So like, luckily, like, my parents were like lobbying for me.

So then I got my medication, you know.

Some of the nurses at the hospital told me I'm kind of lucky because

I got a diagnosis so

instantly you know, so definite.

Because some people, it's hard for them to get a diagnosis.

Like, imagine if you're like,

right at the limit, you're kind of functional, but you're like,

you're you have schizophrenia, but you're kind of functional.

Like you won't believe that you have schizophrenia, you know,

and you'll just go on with your life being affected by schizophrenia you know.

And you won't get you want your medication,

but mine's is like over the top.

So like I wasn't drinking, I wasn't on any drugs.

So they can definitely say like, “Dude, you got schizophrenia.”

But for other people, it's like they could be in limbo

for years, you know

and

and not get treatment.

A lot of my friends are,

from my high school,

and they all, like,

went to college in the mainland and

kind of like stayed there or did their own thing.

And even my friends from Kaneohe,

they moved to like Vegas or

San Francisco or New York and

I just was like,

I don't know, Kaneohe is pretty nice

and I just stayed here.

Or maybe it's because, maybe it's because I,

I have a illness

so I kind of like have to live with my parents.

But even if I didn't, like, Kaneohe is pretty nice.

I would want to stay here.

There's going to come a point where you just take a big inhale

and you exhale fully.

And at the bottom of the exhale you have to hold your breath.

And it has like this kind of like trippy music.

And it kind of puts you in like this euphoric state.

But yeah, it's just nice though

you gotta remember that part.

(guided meditation plays in background)

It sounds like so trivial, but once you start

appreciating your breath and you can kind of, like, appreciate

some basic stuff, you know, like,

instead of going, like, super far, like high up,

if you go the opposite direction and you bring it all

the way to the most basic thing of appreciating your breath,

then I don't know, it just seems less daunting.

You're just like,

it's just your breath, you know?

It's like the most basic thing.

I'm not too sure

if stress triggers schizophrenia, but

it seems like every time I started doing a bunch of things and I get

up my really full schedule, then

I'd, usually have an episode.

Because like at first I was like, dude, I don't want to stay on disability because

I'm just like, using everybody's like, energy you know.

But then after I realized that I'm probably going to have an episode

if I try to get too busy.

So now I'm rethinking

maybe I have to

reimagine what my goals and reimagine what my

definition of success is.

Right now, I work for Lyft

so I just work whenever I want to work.

Or if I feel bad that day, I just don't work.

And

I kind of schedule my life with like

little obligation, like hardly any obligations.

And so I think,

I think having less

like responsibilities helps me

like maintain myself in recovery.

There have been some times

where we can find him.

But this is

this is the mission today.

Ideal scenario, he doesn't resist.

He doesn't run into traffic.

He cooperates.

It would be even better

if he would agree to take medication, which he never has with us before,

but that would, that would be ideal.

I have, a client that I need to be transported to Queen's Medical Center.

It should've been set up by the major

and Sergeant Grant.

It's a Assisted Community Treatment court order

that I'm trying to get this client transported

to Queen's.

[Police Dispatcher] And you're a counselor?

I work with IHS.

We go and we get Assisted Community Treatment orders

to medicate the real resistant, homeless individuals.

[Dispatcher] Okay

And that's for mental health?

[Dave] Yes, for mental health.

Medication for mental health.

It's Assisted Community Treatment Order.

So all I need is for them to transport.

They don't need to do anything other than that.

[Dispatcher] All right, we'll send an officer, flag them down okay.

[Dave] Okay, thank you.

[Dispatcher] You're welcome, buh-bye.

Now we wait.

Hey, how's it going?

[Officer] Looking for the guy?

So he's right around the corner here, like, white gray shirt, long pants.

He's right around the corner here.

[Officer] Like saying he wants to kill himself?

No, so this is, I have an Assisted Community Treatment Order.

So we're trying to medicate him with antipsychotic shot.

But in order to do it, we need to do it in a hospital setting.

So all I need you to do is take him to Queen's.

That's it.

[Officer] We can't, well I got to run it by the, Queen's first,

but if they want it...

It's already set up with Queen's.

It's already set up with Grant and your major.

For everyone's future reference,

you all have my approval to assist IHS with the court approved ACT Order.

That's from the major.

[Officer] Where's the gentleman at?

Right around this corner, but he's...

he's agitated.

(inquisitive music)

[Ainoa] Where's the vending machine? I just came from my car brah.

What name brah?

Who framed my name brah?

Your car is over there man.

I'm in a wheelchair now.

It's a medical center.

- [Dave] It is. - [Ainoa] Okay

[Ainoa] What is that?

- [Dave] You just need one shot. - [Ainoa] The 5 a.m.

[Ainoa] The Vineyard, Vineyard.

[Dave] They're gonna let you go.

They're going to let you go right after.

[Ainoa] The rover, a vending machine! The police officer.

- [Dave] The vending machine? - [Ainoa] Why are you talking to me?

[Ainoa] I'm under the custody of the police officer!

[Dave] You're not in trouble.

[Ainoa] Officer, okay let me out officer please.

[Officer] I know, okay.

- [Ainoa] It's a medical institute. - [Officer] This is.

[Ainoa] And the officer...

[Dave] All you got to do is take one shot.

[Ainoa] This is Beretania St. and Vineyard.

You know what that is...

[Officer] You know you're supposed to get a shot today.

That's all you're here for and then you'll be on your way.

[Dave] You're not in trouble.

[Ainoa] Why are you talking to me?

You know what, officer I'll be quiet.

(bee buzzing)

[Voicemail] To mark this message as read, press...

Message deleted.

Next message from 1-8-0-8-7-9-9.

- [Christina] Hey, how are you? - [Clint] Hi, good.

[Christina] Alright

Where do you normally get your shot, in your arm?

-[Clint] Ya -[Christina] Okay

[Clint] Before I was on medication, but I was on the pills.

[Christina] Ya?

And then I eventually just stopped taking my meds and having...

[Christina] Hard to remember sometimes to take the orals, yeah.

Ya and not just that, but even trying to make it to a doctor's appointment.

- Sometimes life just gets busy. - [Christina] Yep

So when you come here, it's like, okay, I'm getting my shot not matter...

You're good for 90 days.

Yea, no matter, 60...

[Christina] I think you're...

Three months?

Oh yeah, three months

Ya, 90 days

[Christina] One, two, three.

[Christina] Good job.

Oh, you're a pro.

I was worried.

Derrick's like, “Someone's filling in for you.”

I was like, “Oh no, it's going to be bad.”

[Christina] Aww, no, no, no

You're like a pro.

[Christina] I'm a nurse, so we do a lot of shots.

[Christina] Thank you so much. Nice to meet you.

- [Clint] Bye Christina. - [Christina] Bye

Okay

Ya, she was a good one.

[Director] How can you tell?

The shot wasn't painful.

Ya, I'm supposed to rub it.

I'm so happy to get it because

I don't know, I like I think one of the things about schizophrenia

is that, like after a while, you like, don't want to be having it,

like you just want to forget that you even have schizophrenia.

Getting the shot is like,

a sure way of getting my medication.

And the medication is so crucial.

Where it's like, I could do everything I wanted

health wise, like eat good, sleep good, rest.

And if I wasn't on my medication, I would still have an episode.

So it's like it's not even a question of like, “Are you coping with it well?”

The question is, “Did you take your medication?”

Without it, you're unable to even ask for help, you know?

Because you're so like...

If it was for me, I'd be so consumed with all the delusions and stuff

that I wouldn't even stop to think like, “Oh, I need help.”

It would just be so engulfing my everything

that I wouldn't even know anything is wrong with me.

I would think,

I would think that that was just

how it was, and I would forget about schizophrenia.

I would forget that I'm sick.

I moved out of this house, out of my parents' house

and I went to go live in Kailua for two years,

and I was just hanging on by a thread,

but it didn't even occur to me

that I was sick.

While I was engulfed in my thoughts,

like I didn't even think I was sick.

The only reason why I went back on medication was because I had episode

and I had the voices were telling me that I was Jesus

and that I had to die for everyone's sins.

And I woke up

and I had a knife to my arm.

And because I'm kind of like a scaredy cat,

I was like, “Oh, this is wrong.”

And then I called 911

and the ambulance came and took me to the ward.

But if it wasn't for that knife,

like

pushing me to the point of, whoa, something is wrong, dude,

I need medication.

But before that, I was just living life like

my mind was so occupied by delusions

that I didn't even have time to think, like, I need help.

[typing on keyboard]

(mouse clicking)

Functions are kind of like functionality.

Like, you can, like, do interactive things.

Like you give it something

and then it processes it and then it gives you something back.

But I noticed that when I take on too much, then I have more symptoms.

Like I got a job, programming

and that was good for three months.

And then

all of a sudden I got super dark

and I

just stopped working.

I just,

in my mind, like, shut down.

And then they called me and was like,

“Oh, you can't be doing this,

you know like you got to like, work.”

And so I lost that job.

So,

for Ainoa, initially his reaction to the medication was pretty decent.

Like he was very upset the day that he went in.

But after that, he he actually came up to me

and talked to me a little bit, which was unusual because

I'm not one of his favorites.

Shona is much better with him,

but he actually sought me out

like the next week and said “Hi” and stuff,

so that was positive.

[Dave] Ainoa we got to get you your shot.

We don't want to have to call the police Ainoa.

Shot real quick.

[Ainoa] Go away please.

[Dave] I don't want to have to call the police.

[Ainoa] Goddamn, you're tripping brah!

The police going to come Ainoa and take you to the hospital.

We don't want to do it that way.

(Ainoa unintelligible)

You can.

[Dave] Just one shot.

[unintelligible]

[Dave] I don't want to call police.

[Ainoa] I'm going this way brah! (unintelligible)

I'm in Chinatown and you send my dumb-ass (unintelligible)

I'm just a fucker brah!

[Dave] Ainoa, we're just trying to help you -Go fuck your life!

- [Dave] We're just trying to help you. - [Ainoa] Fuck you man!

It's the sidewalk I'm on Beretania brah!

[Dave] It is.

(unintelligible)

[Ainoa] Fucking asshole!

[Dave] Ya, that's kind of how I thought that would go.

See all the sores on his face though?

I did not like that, at all.

That's from when he was assaulted.

And then he he picks all the scabs,

so it always looks like it's fresh.

Want me to go by myself?

No, no

Absolutely not.

We'll just use the ACT Order.

I wish he would have accepted it on his own, but...

just not ready yet.

Ya, we should just do it tomorrow.

Then there's the weekend.

Okay

I'll contact HPD and we'll do it that way.

Ugh, just like before.

Does he have...

his shot ready at the pharmacy or do you have it?

What the hell do you think I do man?

I didn't know if you left it there or if you had it.

The man, the myth, the legend.

Awesome, got it. Thank you!

You are the man.

At least we found him.

Well, he looked real bad though today.

He looked worse than...

Hey, he's about to be mad at you.

No, no, I ain't high-fiving that.

I am not high-fiving that.

I told you, about three more shots, two more shots in.

-Ya -And maybe we'll see a change.

Then it will start getting into his system well.

We'll, try again.

[dramatic piano music]

[Shona] Give me your book, it's going to get wet.

[Shona] This weather is not helping us.

(Shona breathes heavily)

[Shona] I think we should go up

then come back down the street and check all the little alleyways.

Because he used to be down the alleys on here, too.

- [Shona] He's in some parking garage. - [Dave] He's in some parking garage.

[Shona] With this weather.

[Dave] We're relentless, though, we'll get him

If it's not today, it'll be on Monday.

It will definitely be on Monday.

I don't like him going this long without his shot...

[Shona] Medication, yep.

[police sirens]

But he was upset when we were at the hospital.

He was pissed.

He was screaming, yelling. I tried to talk to him

a few times, trying to tell him that we don't want to do it that way.

We'd much rather you just accept your medication.

But he wasn't hearing any of that.

He kept telling the officer to tell me to go away.

He kept telling the officer, “Officer, can you make him go away officer?”

“Officer?”

But towards the end, after he took his shot, he thanked us and...

Shakas

seemed jovial. He was pleased.

He wasn't upset anymore.

He said, “Sorry.”

Schizophrenia is such a tough condition.

It's a biological brain disorder, which is very serious.

However, given some of the treatment that we have now, we can really ameliorate

a lot of these symptoms, especially if we start treatments early.

Treatments include medications and psychotherapy.

This illness results in various biological changes

that happen in the brain, which affect one's ability to problem solve,

to think clearly without having distortions of reality,

without having auditory hallucinations which feel very real.

Unfortunately, this condition also causes one to not be

so aware of the impairment or of the

symptoms of the illness.

So one may not believe that diagnosis is correct, and they believe

that the delusions that they're having are completely true.

In mental health, this word, 'anosognosia' is becoming very,

commonly used.

And it's a very helpful paradigm to understand when you're treating someone

with schizophrenia or related conditions, because it really affects one's ability

to understand their illness, to be compliant with treatment,

and to maintain a steady course of improvement and remission.

It's a complete lack of awareness of

the disabling symptoms that are caused by the illness.

It's different from denial unfortunately, it's part of the illness,

and it results in a fairly global lack of awareness of one's impairment,

as well as the overall impairment that the symptoms cause.

It leads to people not wanting to take medication, not even seeing

the need to take medication, not wanting to see a psychiatrist, and

is highly correlated with poorer outcome.

(bus accelerates)

You want coffee? I'll go get it for you, yeah.

- Right now? - Yes, I'll go get you McDonald's coffee.

- I'll just go walk in, I'm sorry. - No, it's okay.

I'm just going to give this to her.

- You like coffee, you want creamer, sugar? - Cream and sugar, please.

Aloha

[Shona] No problem.

[Shona] Aw, he saw me outside of L&L. He gave me knuckles.

[Dave] Who?

[Shona] He said, “I'm sorry I walk away sometimes.”

- [Shona] Our boy. - [Dave] Oh!

[Shona] We're gonna get him coffee.

McDonald's!

-[Dave] McDonald's -[Shona] Ya, McDonald's

(unintelligible)

Hotel St.

[Dave] Yes, Hotel St. [Shona] Yes, Hotel St.

Messing up your planning?

- Huh? - Messing up your planning?

What is that?

The money, messing up your money planning?

Messing up your guys' money planning huh?

[Shona] No, no, you're not messing up anything. You okay?

[Ainoa] I was going to buy my own.

- [Shona] You don't want food? - [Ainoa] No

[Ainoa] I was walking, somebody gave me a breakfast.

[Shona] Oh, that's so nice.

[Ainoa] I sleep on the sidewalk, I got to get me an apartment.

[Shona] Yes, you do!

We can work on that for you.

[Ainoa] No, no, I'm alright.

[Ainoa] I checked in with the store and they said I got to wait.

[Shona] Okay

[Ainoa] Ay, take care huh?

[Dave] You do good, okay? Stay out of trouble.

[Ainoa] I was, 1969 and '74 Kaneohe (unintelligible)

They all arrived in the McDonald's.

[Shona] Ya, McDonald's is good.

[Dave] Oh, you look so much clearer.

[Ainoa] What was that?

Nine one report

[Dave] Ya

[Ainoa] I guess I'm only over here though, senior citizen.

[Dave] Ya

[Ainoa] (unintelligible) over here, so, Hotel and Market St..

Just check it out, I was really small.

[Dave] That's when you were little.

(Ainoa unintelligible)

- [Dave] Good to see you. - [Ainoa] Medical RX?

[Ainoa] Rx?

[Shona] Yes, Rx, medical.

- [Ainoa] Oh, great! - [Dave] Well, see you later.

- [Shona] Bye Ainoa. - [Ainoa] Aloha!

- [Dave] Bye. - [Ainoa] Aloha!

[Shona slapping Dave]

I love him.

I love him, he talks so clear.

And he said he wanted an apartment!

I know, I've never heard that.

I've never heard that.

See, like how he was positive like that.

That's how he was when he left the hospital.

Only then like before that he was irate.

He was not happy.

When he was leaving the hospital, he was like,

“Oh, thank you, aloha!”

And then he comes up like that and

not just seeks out Shona, because that's his buddy, but,

you know, wants to talk to me. I was shocked.

That's the kind of stuff that makes my day.

Then he's like, “You know, I sleep by the church.”

“Oh ya on the sidewalk at the church.”

“I got to get an apartment.”

Oh my God.

So I'm telling Chez and Jordan right now.

I'm so happy.

- That's so what I wanted from the morning. - Oh my God!

And he apologized for walking away from us!

Oh my goodness.

Aww so great.

Today was even more.

Today was even better.

More positive.

Today was much better.

The best I've seen him ever, ya?

Yes, ever.

I think it's going to take a little bit more medication.

I think we still have to do baby steps with him.

Some more medicine in him

and just keep the routine,

keep going back and talking to him and building that rapport up.

And hopefully he'll trust that,

you know, we can help him get somewhere safe to sleep.

Hopefully he'll start doing medication on the street.

Hopefully, but that might be a couple more shots down the road.

I don't know, after today I have...

- I have a good feeling. - Ya

We just have to stay on top of his schedule,

make sure he doesn't get behind on the scheduling.

But yeah, EBT first maybe, hopefully

- And get him finances. - Yep

Get might I.D. going.

This is the Koʻolau Clubhouse

and I'm going to walk around and show you what's inside.

Clubhouse is a psychosocial rehabilitation model, and its mission

is to help people with mental illness with their rehabilitation

going back to work or school and having a place to come, a place

to come back to, a place to belong and have meaningful relationships.

When I first came, I was very like timid

and Eve called me and called me and

- and I came back. - I bothered him a lot.

Ya

I isolated and she called me.

Ya, I outreached him a lot. It was during to COVID too.

Ya, I think.

Ya

(pop music playing on speaker)

Something's wrong.

You gotta go to a setting.

Okay, Taylor Swift is singing the song?

Ya

And that's a good thing.

I was wondering what her music sounded like.

You want to go to try George Benson after this?

Ya, try.

At the Clubhouse,

we don't really talk about our mental illness that much,

but it's kind of understood that

everybody here has experienced something similar.

And so it's kind of bonding

where you feel kind of at ease because you're like, oh,

they actually understand, like something that I went through.

And we don't have to talk about it,

like we don't have to go dive, dig deep into it, but

we can, you know, be around each other and,

and just talk to each other and, and just hang out and stuff.

Alex, you want to go to the pool?

[Alex] No, no thank you.

It'd be good.

Tong, you want to go to the pool?

So the thing about the pool,

you guys, you don't need to swim swim.

You can also just walk for exercise.

Clubhouse is there to provide a wide range of services.

If you look at the standards, we're providing a lot of different things.

We're looking at the whole person.

Health, employment, education, and community.

So it might be that somebody comes in for work,

but the other person might come in to have a new place to belong.

And so the Clubhouse really provides a whole array

of opportunities or services depending on what that person needs.

This is the employment board.

And so one of the things that the Koʻolau

the Clubhouse does is they help you transition back into society.

So they have employment where they partner with employers.

And if you call in sick, then one of the staff members

will cover for you.

So the employers know, okay, they always have an employee

and they feel confident hiring someone like us.

And on our side, we get the opportunity

to work somewhere without as much stress.

We if we call out sick, then we know someone's going to cover for us, you know?

And so it's kind of like a transition to

to getting back into employment and like getting back into society.

- [Dave] Do you want some coffee? - Ya

- [Shona] You want a coffee? - No

[Shona] No?

[Dave] How about some pancakes?

No

- Pancakes? Can? - [Dave] Ya!

Right now?

Wow, I'll grab my stuff.

-[Shona] Okay -[Ainoa] I'll come back.

[Dr. K] Holy moly.

[Shona] Oh, he makes me so happy.

[Dr. K] That's a miracle.

[Shona] I have to do the happy dance every time I see him.

Oh my God.

[Dr. K] That is the greatest, greatest story ever.

[Shona] Ya

[Shona] Pancakes?

[Dave] Just pancakes? You want a sandwich too?

- [Shona] Pancakes and sausage? - [Ainoa] Sausage

[Dave] You want soda?

[Ainoa] Coffee, coffee

[Shona] Coffee

Look, he met a friend.

He has friends!

[Shona] Here's your pancakes and sausage.

[Ainoa] Good morning.

Good morning.

[Shona] Good morning.

[Dave] Is everything okay?

[Ainoa] I'm only until back in the store and there's no blue and white patrol.

And only have myself on the sidewalk.

I'll just sleep.

[Dave] What about if we get you a bed?

[Shona] Like at a shelter?

[Ainoa] I'll go check in first then if anything changes,

then I can go down to Iwilei.

[Shona] Okay, you know where it is?

Next time, we'll check up on you, if you want to go, let us know.

-[Ainoa] Okay, okay -You look good.

[Shona] Yay

Keep it up buddy. Stay out of trouble.

[Ainoa] That's in the bar, distributor.

Or it's a liquor store.

[Shona] Yes

[Ainoa] More than 7 years of age.

Adolescent, here at the Fort St. Mall, Hotel St..

You got to be 21 to buy alcohol, right?

- Do you drink alcohol? - [Ainoa] No

[Dave] You don't drink alcohol.

[Ainoa] Sometimes

[Dave] So sometimes?

[Ainoa] It hasn't been for like 3 years.

[Dave] Oh really?

[Ainoa] Only McDonald's.

I come over here and buy me a cup of coffee.

What's your favorite place to eat?

[Ainoa] I just come here, I'm only on Bishop St., that's why.

- You stay around here, ya? - [Ainoa] Ya

Thank you for your sharing. How's that charity?

[Shona] No, you're not charity.

[Ainoa] The church is once upon a time (unintelligible)

[Shona] Yes

Long time ago.

I've never heard him talk normal words.

[Shona] Yes. Oh, my God, we were conversing

Oh, talking about growing up in Kaneohe.

Ya

His travel agent is going to take him back to Kaneohe.

Oh perfect, take him!

(Shona laughs)

[Shona] No!

Hey, have you guys interacted with Ainoa lately?

He's medicated.

The one with the scraggly old hair.

He always used to stay at the church and yell.

You just identified about 20...

(laughing)

He stays at the church, and he used to yell.

But we've medicated him, and he's like, talking sentences to us.

The one who was just here.

Oh, ya

Yes, he's medicated, two shots in now!

I saw him this morning getting coffee from McDonald's

and he actually talked and made sense.

Yes he did.

He's two shots in!

[Security] I was like wow!

[Security] Then I saw him walking with you guys and I was like, wow!

- Ay, good for him man. - Yay!

I know. Ya

It's amazing too that

after last

hospital visit, he

was calm around the officer.

I'm happy that everybody else is seeing a difference too.

That it's not just us.

That makes me happy. Ainoa what makes me happy.

Oh my God, he's amazing.

So proud of him.

And two shots, you see.

Like, if they don't use meth, the turnaround is so good

and it happens so much faster.

[Cush] Actually, I've known (Ainoa) Heen for like 25 years.

Really?

I went to jail before and he was my roommate.

Really?

Nobody wanted to be his roommate. So I tell him we can be roommates.

I see him over there by the church and he try to call the police on him.

I talked to the pastor guy.

I said, “Man, you got to understand who you're dealing with.”

I told (Ainoa) Heen, “Just walk off the property.”

And just let him go because the cop came over and said,

“I'll bust you up!”

He was getting real violent with the guy

that's not how you deal with a guy like him.

Because he don't understand that.

You don't bring violence with violence.

That's not going to help him.

Ainoa I was in jail for almost 20 years.

Ya, from like the 80's to the 2000's.

Yep, he went away for a long time.

I was formerly incarcerated in the 90's,

and I met (Ainoa) Heen in the 90's, about '95 or '96 ish.

And he was still exactly the way he is today,

but me being his roommate for six months to a year.

I learned to understand him

and know what his triggers are or what's bothering him

or what type of...

I'm not a doctor or anything like that,

but it doesn't take a rocket scientist to know that something's wrong with him

and he needs help.

You know what I mean, it's not real hard to figure it out.

If a guy is shitting on himself and you walk right past him

and you see that he can't get up and stand up by himself,

and you don't even bother to call 911,

that's everybody's problem.

It's not just this person's problem.

(Ainoa) Heen used to sit and talk to himself a lot,

which means to me he's schizophrenic.

He's hearing voices because he's answering them.

He's not in a drug psychosis because he don't get high.

I know him.

He's not running around here trying to say,

“Here, can I get a hit?”

He might be hooked on smoking cigarettes.

That's about it.

They supposed to have places for these people to go.

Or you got somebody should be able to take them

who understands.

Because they're not like crooks.

Crooks are the kind of people that, you call the cops.

This guy is sitting in front of my building.

But the guy sitting in front of your building

has mental health issues, and he don't understand.

He don't know what it means to be prohibited or no trespassing.

He don't understand what he's doing.

He's standing in the courtroom like this,

he's moving his feet like this.

You don't tell me that there's nothing wrong with him.

You're telling me he's okay.

He wants something, he wants medication,

or he needs some help.

You know what I mean?

But guess what? They treat him like a crook.

They pick him up, and if he resists, they do what they do.

You know what I mean?

I watched it with my own eyes, and I watched the pastor of a church,

this is the pastor now,

this is the guy who leads you to help these people and whatever.

This is the guy telling the police officer,

"This guy, he pissed on the side of our building,

get him off of my property.”

Okay? This is the real guy coming out.

And when the guy when the cop puts hands on this guy,

cop knows who this guy is, he knows he's a mental health issue guy.

But these people should not be looked at as criminals.

And once you do that,

you criminalizing

people who are mental, mentally ill.

You got to have the patience to take these baby steps

with guys like (Ainoa) Heen. You know what I mean?

And if you can't find people to do it, then you just gotta keep looking

because it's a part of us, you know what I mean?

(Ainoa) Heen is a part of us.

And if I walk through here, I'll go up River St. and shit like that.

This is our problem.

This ain't just their problem.

Because you see the person sitting here.

We gotta live with this shit. We gotta drive down this place.

You know, I deal with tourists a lot.

And it's really a heart sore when I drive past the tourists

and they say, what is that? Why are they like this?

I have no answer for them.

He's sitting in shit, piss, spit and all that kind of stuff.

The bottom of the barrel.

He's been treated worse than a slave was being treated in the 1800's.

Just think about that, at least they can eat.

They guarantee going to get something to eat, even if it's leftovers.

I don't give a shit. At least they going to eat.

At least they got a roof over their head.

But they got to bust their ass all day for this guy or whatever.

But you know what?

It's not as bad as being alone.

He's alone.

[Airplane Intercom] However, Bluetooth and Wi-Fi usage are allowed.

This is a nonsmoking flight.

It feels so good to fly man.

[Clint laughing]

Oh, it was crazy.

The feeling, it was like vrrrr.

I was like “Holy shit.”

It was like a ride or something.

First time in five years you've travelled huh?

It's been over

Five years.

So I got, involved

with CIT, Crisis Intervention Training through NAMI.

The police department is like the de facto response team

that goes to like mental illness incidences.

To have police officers

that can, like, approach the situation in, like, an empathetic way,

or to realize that this is like a mental illness.

And this isn't someone, like, acting out.

It's like a symptom of an actual illness.

I think it's really important

they hear stories from family, and friends, and affected people.

[telephone ringing]

[indistinct chatter]

but what you put on that report.

Right?

So CIT stands for Crisis Intervention Training

and it's a partnership between law enforcement

and the mental health care world

the resources, the clinicians, and those out there that can provide,

the proper resources to people undergoing a mental health crisis.

The skills that we teach them will help

help them slow down, assess the situation that's at hand

and just have a better understanding of what they're looking at.

And how to properly, deal with that, that situation at hand.

Those of us playing the scenarios are going to stay in character the whole time.

So we ask you not to laugh or intervene or, you know, make any comments or jokes

or anything like that because we really are meant to just keep

this is as real as possible.

No

Knock knock

Hawaii Police.

No, no

Hey!

Go away. Go away!

Go away!

Howzit?

- Howzit sister? - Hey!

Sis?

How you doing?

What? What?

Hi

I'm officer Pukahi.

No, no.

They don't want you in here, no.

Loretta, you look upset. Why are you upset?

Because they won't leave me alone.

Can't you hear them? Can you hear them?

You want me to talk to them?

I can try to talk to them and get them out of here.

Yes

Okay right now, because we are here,

you don't have to do anything that they're telling you, okay?

They're saying jump out the window. And that's the only way I can be okay.

I can jump out the window and be okay.

Do you feel like you'll be okay if you jump out the window?

No, I don't.

You don't have to jump out the window. Okay?

But they keep telling me to jump out the window!

I understand and

that must be very confusing and frustrating,

but believe me, because we are here,

you don't have to do anything you don't want to do.

You're actually, listening to her, so that was good, but

the general recommendation is,

I call it, "Don't jump on the unicorn with them." Ya?

So they're somewhere else, we need to stay in reality.

So just say “It must be very scary that someone is telling you to do that.”

“I can't hear them.”

Now, I would kind of go down the route where they say,

“Do you think if I ask them to leave, they'll listen? Because I can't see them”

They may say, “If you tell them to leave, they'll leave.”

“Okay, well, I want you to leave.”

“Did they listen to me?”

Right, because I can't hear them.

So in other words, stay, stay.

Don't jump on the unicorn.

And then, you know

I got three people that are all seeing the same thing.

The only problem is that...

(laughter)

Overall, I like the empathy and then let's just,

we just got to try to make sure that we stay grounded.

Validate, but then stay grounded.

Ya, I think it's so important that, the police officers are trained to respond

to, situations that are actually mental health crisis situations.

It's not a crime.

It's not a crime scene.

And so it's an opportunity for officers to learn skills

to help them to be more comfortable, to respond to those situations

that are really about helping to keep people safe and to get them

connected with the resources that are available in the community.

When a family member has, somebody in crisis or when somebody,

from the public knows what C.I.T. is

they can call dispatch and say, “Hey, this is what's happening,

do you have a C.I.T. officer available?”

And our dispatchers can look up our CIT officers, who's working today?

Can I get somebody that is CIT trained out there to that call

and let them, have a go at coming up with a better outcome for the situation.

[indistinct background chatter]

There's no like, one right thing to say.

So I'm like

What I want to do is

I don't know, like

like a suggestion would be to, to be open.

And it's the only thing I want to say,

but I want to tell them the

the

the story where I fall down, you know the

the details about

having an episode.

But then

the only suggestion is to stay open.

Again, thank you for being here and being here with an open heart.

And we appreciate each and every one of you.

If you have any questions on the way, please write them down.

Here you go.

Hi everyone.

My name is Clint and I live with

schizoaffective disorder.

And when I was diagnosed,

I just was

crying

because

wait hold on for a second.

- [Anisa] Take a breath if you need it. - Ya

(Clint takes a deep breath)

I just I just wanted to be healed

more than anything

and I'm

I'm stuck with this illness for the rest of my life.

Permanent disability.

I'm sorry, I can't say more.

[Anisa] Let's give you a second. Let's pass it over to Diana.

We'll come back to you Clint, no worries.

Thank you Clint.

Hi, I'm Diana Sanchez, and I live in Hilo, Hawaii

with my husband and one of our three sons.

And

some of you may have met mothers like me

when you responded to a 911 call for help.

Before I move over to questions, I want to check back in with Clint.

Clint, do you feel like sharing?

No, is it okay if I just don't share?

- Totally fine. - Okay

Just wanted to check in, no problem.

When you see the families in crisis, tell them about us.

Tell them about NAMI.

We have support groups for them. We have classes for them to take.

Send them to us. We'll take care of them.

We'll open them up to a community and give them the support that they need,

so that they can support their loved one as well.

Ya

(clapping in applause)

(waves crashing)

Oh, it didn't go well.

I got very nervous and I,

I forgot what I was going to say,

and I kind of just broke down because it was like, emotional,

just thinking about my diagnosis.

But, I mean,

maybe next time I'll be able to say more.

[Director] Ya

[Director] Even though you didn't say much, what you did say was powerful.

[Director] Do you feel that way?

I don't know, I was just

I don't know, I was just saying whatever I was feeling.

Sometimes it's overwhelming and

I don't know.

[Ainoa] I didn't have a real life, I had a...

I had a misfortunate life.

[Dave] I know.

You know like boxing, when you can tell

the other person, the intensity of the other person.

I didn't have a real life.

[Dave] We'll go get you some more books.

No, I'm alright.

[Dave] You sure?

I was with a diploma.

People might get a problem with this.

[Dave] You need take your medicine okay?

Okay, okay

[Dave] You need a shot real quick.

No thanks.

[Dave] Real quick, because the police. We don't want the police to come.

- My only medicine was a... - [Dave] Remember the shot?

[Dave] We did it in the hospital?

Of a sweet potato.

- [Dave] Let's take your shot real quick. - No, I don't want a shot.

- [Shona] Do you remember the last time... - The police gonna to have to come.

We don't want the police to come and get you.

Wait, wait, what police? I'm only homeless.

- See my personal property? - [Dave] You're good.

Wait, wait!

Okay now

Okay evidence now, police now, how?

I'm not with a gun.

[Dave] No...

Wait, that's murder.

[Dave] You just need your shot Ainoa.

Ainoa

[Shona] Ya, his shot, his medication is wearing off.

[Dave] Ya

[Shona] Ya

He's so much better though.

[Shona] What if we lose him?

He's a lot better.

Four months ago, he wouldn't even tolerate a conversation with us.

He would just run away and yell at us.

He's not overdue, ya?

[Shona] I don't think he's overdue.

Just...

He's not worse. He just...

lacks insight.

He's pleasant.

[Dr. K] That's what they call 'loose associations.'

You can kind of pick out a couple of words here and there.

Mount Fuji and Tim Tindall and...

What else was he talking about?

[Trainee] What shot was he supposed to get?

We're switching him to the three month shot as of today.

He was on the one month shot previously.

I was really hoping he'd take it.

Kind of bummed.

You see, when we brought up HPD, how he kind of freaked out too.

Like “I don't have a gun. I didn't kill anybody.”

Oh no

I don't want to work him up, but

I want him to make the connection.

Ya

No, he is right around the corner.

[Officer] You're fine uncle, you're good.

[Ainoa] Medical?

[Officer] We just need you to take your shot.

[Shona] Dr. K is right here.

And then you just take one shot and that's it.

[Ainoa] That's not poison? Sister, sister, it's not poison?

- [Dave] No, I promise. - [Shona] It's not poison.

[Officer] Relax, relax Ainoa.

(Ainoa moans)

[Officer] Good job!

- [Officer] Good job, good job Ainoa! - (Ainoa laughs)

[Shona] Good job Ainoa, thank you!

- [Dave] Awesome! - [Ainoa] How did it go?

[Dave] You are good!

(Ainoa and Shona laugh)

[Officer] Bye uncle, you have a good day, okay uncle?

[Ainoa] It's been a while!

[Officer] You guys, that's it, for sure?

[Shona] Thank you!

[Shona] Thank you!

- (Ainoa laughs) - [Shona] Ainoa, you did great!

[Shona] You did good!

[Dave] Good job.

[Ainoa and Shona laughing]

-[Dave] Bye buddy -[Shona] Bye, have a good day.

[Shona] Good job!

[Shona] Bye Ainoa, yes!

[Shona] Aw!

That was huge. So we...

So this morning, we

we weren't sure that he was going to take it voluntarily.

So usually by now, the

patients are after they enforce the ACT Order once or twice,

usually they kind of get it that they they gotta take the medication.

Or otherwise they end up getting taken

by the police to the emergency room, which is more headache for the

for the patient.

It's like a huge turning point for his treatment is

I anticipate that

from now on, he's going to

comply with the

medication without having us

call the police or anything like that.

Huge, huge day.

We're all ecstatic, we're like

our hearts are bursting with joy.

- That was so great. - That just made my day.

I have pictures of him smiling and laughing now.

Like real laughing and real smiling.

Oh my God.

Oh man, I was bummed out this morning.

That was so much better, oh my goodness.

Alright

That was the

the win of the new year.

These kind of moments make all the other headaches and

and underpay,

all worthwhile.

[Shona] Ainoa, he was so good, ya?

[Shona laughing]

-[Dr. K] Alright -[Shona] Yay

Have a good weekend Dr. K.

Oh, I'm so proud of him.

He's coming along, look at that.

[vacuuming]

[Shona] How you doing? We just medicated him again.

- [Cush] Oh ya? - [Shona] Ya

[Cush] Oh so he going to be talking again.

-[Shona] Ya -[Dave] Ya

He freaked out the other day.

[Shona] It was starting to wear off I think. You know what I mean?

He was starting...

If y'all giving him medication that last a few days. He needs to stay on that.

[Dave] This one will be for 3 months, so.

- Oh really? - Ya

Oh. That's good.

Because you know what?

He was talking exactly how you're talking now.

Ya, ya

He walked right up to me and he said,

“Um, do you think I can get a cigarette?”

I said, “Okay (Ainoa) Heen.”

He said, “Can I get a dollar?”

But he calls me too loud

I had to put him on the side and say,

“You're calling me too loud”

He said, “I'm sorry.”

But you know what, that's okay.

As long as he understand and he happy,

he can enjoy.

He was even saying, this morning, that he had a poor upbringing.

Ya, he had a bad upbringing.

[Cush] Yea, that's hard to get that part out of him.

So it's working.

So he's having flashbacks now.

[Cush] Right, I'm hoping that y'all can get him some kind of place.

And I can help him out.

[Shona] We're going to work on financials first.

In case you do end up getting to... In case you do need a roommate.

Yes, that's what I'm saying, I'm looking for a roommate now.

I'll see him after work, and probably give him something to drink and eat.

- [Shona] Thank you Cush. - Y'all be good.

[Shona] Have a great weekend okay.

He's gonna do good. He's gonna to be great.

We really wanted to thank you

for last week with Ainoa Heen, but did you go?

Did you help us with Ainoa?

[Officer] Oh ya

[Dave] You were so great. You were excellent.

[Shona] A lot of police wouldn't have handled him like that, but...

- [Officer] Oh ya? - [Shona] Thank you so much.

- [Officer] Oh really? - [Shona] But you were just amazing.

[Shona] Thank you so much, like for really, thank you so much.

[Dave] Be safe out there.

[Officer] Are you guys looking for him now?

[Shona] We'll find him again.

[Officer] I see him, I saw him earlier, but I...

Even other guys, we were talking about it...

Like, we saw him the other day but, like he is getting better.

[Shona] He is. You can understand him when he talks now, and he's not angry.

[Officer] He isn't all psychotic.

[Dave] Talking to himself, ya.

[Officer] He still talk a little bit, but he's just not as, not as quite often.

[Dave] And as time goes on we're expecting improvement, you know.

[Shona] And hopefully get him in a shelter.

- [Dave] Oh ya! - [Shona] Hi Ainoa!

- [Ainoa] Hey! - [Shona] Hey!

[Shona] Hi, how you doing?

[Ainoa] Okay

I found a dollar, it was all quarters.

Someone's property on the sidewalk.

So I just went to the store.

[Shona] Oh good, you got a swisher?

[Ainoa] It was a dollar. I was on Fort St. Mall.

The ice block it, ice water, H2O.

Dasani.

This side, this side. Aloha!

The Zippy's huh?

The fry cook.

Hey, good luck at the 7-Eleven.

Bye!

- Thank you! - Good morning.

Hey

- [Dave] How you been? - [Ainoa] You know Barack Obama?

He was in the paper.

[Dave] Oh, really?

And in the year 2-0-0-7, he came on the paper

in the communities of New York.

He declared war against, I don't know what happened.

I'm from

I'm from (unintelligible) a small.

[Dave] Ya

Ya

I'm naive, honest.

[Ainoa] I was always...

[Dave] You are so good.

[Shona] Look at you.

Ay, praise ya, ya?

- [Dave] You stay safe. - [Shona] Okay

[Shona] Ainoa, high five, Ainoa.

High five!

Praise glory!

[Shona] Praise glory, praise God.

[Ainoa] Thank you so much!

[Shona] That's my favorite guy right there. Yes, he is medicated now.

His father and grandfather were judges.

[Trainee] Oh whoa

He comes from a really well-to-do family.

-[Dave] Supreme court judges.

-[Trainee] Wow -[Dave] Ya

- He's just... - What is he on?

Going to be his fourth shot?

[Dave] That's his third right now.

Ya, he's going to be on his fourth shot.

But before he...

[Dave] He would literally jump up, scream, especially me, I would trigger

she could kind of talk to him, but she...

I would trigger the crap out of him every time.

Oh my God, I love Ainoa!

And I like that officer.

He talks to him so good.

Before he didn't like officers.

I mean, no, he

even when the police would come for him, he was always polite, though.

He was always like, “No, officer, I didn't do nothing, officer.”

He was always been very polite.

Ainoa has always been great, actually, with the cops.

Just that they always tend to arrest him.

Before he wouldn't even talk.

But now it's like all these new memories are coming back.

Ya

And that's why a lot of his stuff,

he talks about school, like...

before, we didn't even know where he went to school.

He, he is so interesting.

Like he's come so far.

[Dave] I mean, he still has work to do, but you know.

-[Trainee] Ya -[Shona] This is a big step.

[Dave] Huge.

[Shona] Leave your window down, roll your window down.

- [Dave] Bye Ainoa! - [Shona] Bye Ainoa!

- [Ainoa] Bye! - [Shona] Bye!

(Shona chuckles)

[Shona] Love that guy.

[Clint] After

I went off my meds and I was off meds for two years living on my own,

and I had the incident with the knife and the E.R.

or the ward.

My doctor put me on, like, a high dosage of pills

to, like, just get me back on the meds.

And as soon as I went on that medication, I had the worst side effects.

And I had to go to the E.R.

And I had this, like, uncontrollable,

like, itch or like uneasy feeling.

Like my skin was going to, like, peel off.

And I went to the E.R.

I remember my dad was driving me and he's like, “Ho dude are you okay?”

And then I went to the E.R. and they're like,

“Oh, nothing's wrong with you.”

And then with the shot, it's like, I don't have any of that.

The shot is like,

I don't know. It changed my life.

[Director] How many different

drugs did you go through until you found the one that worked best for you?

I think I tried three

or four

maybe five

I think the side effects is what makes it

the most difficult for me and other people.

Like, gaining weight,

sexual side effects, fatigue.

I think those are some of the main ones,

but that can really, like, prevent someone from taking medications.

And something that I wanted to say to other people who have schizophrenia

is that communication is important too.

Because I went

I had this one medication

and it prevented me from having any sexual activity.

So I would have no sexual activity.

And I didn't tell my doctor.

I was just kind of like, ashamed, you know,

or I just didn't want to bring it up.

And so for the longest time, I was going and suffering.

But talking about your sexuality, your sexual activity,

how you're feeling mentally

like the doctor

has so many patients

that they're not going to be like, “Okay, like, is this happening? Is that... ”

You have to like, communicate because there's so many different side effects.

And the medicine is different for everybody.

Look at my trunk!

[Shona] Oh, that's a lower, lower, lower super low dose.

7-8, I got a couple on 78.

[Dr. K] She's almost always just kind of hostile.

Oh no, she's going to take a shit.

- [Shona] Oh my goodness. - [Dave] Oh boy.

[Dr. K] Hey, Carolyn.

[Carolyn] Leave me alone, you're crazy!

[Dr. K] Oh

- You're fucking crazy! - [Dr. K] I just wanted...

[Carolyn] Get away from me!

- [Dr. K] Just wanted to say hello. - I don't want, I don't like you!

Slant eye, get away from me!

[Dr. K] Oh, shucks

[Carolyn] Get away slant eye!

[Dr. K] Okay

Fucking kill you white people!

Get away for me white man!

I'm the enemy!

- You don't belong here! - [Dave] Have a good day.

[Carolyn] Captain Cook, get the fuck out of here!

Captain Cook!

[Connie] I think a lot of people that may have misgivings

about court ordered treatment.

I understand where they're coming from, because I think our

our minds and our ability to choose is so sacred.

That's what makes us human, right? You know, we choose.

And I think when people feel like that choice is being taken away,

that we're really violating at the core who the person is.

But I believe that if the person

has been so impacted by their illness that they're no longer able

to make decisions that are really in their best interest,

we as a society need to think about

how we can help that person toward, you know, a time

and a place where they can, you know, become able to do that again.

I really believe that we were created to be connected to other people.

That, to me, makes us human also.

And I think when people suffer from schizophrenia

or other serious mental illnesses that just push people away,

you know, their humanity is just decimated,

you know, and so you see the result of it,

on the street where people aren't able to take care of themselves.

I think that's the saddest thing to me, is that

I know that that person's alone and they're not connected.

They're not experiencing the joy of having a relationship.

You know, with somebody else.

The ability to experience joy is very,

very much a part of our humanity I think, you know

and for me, it's so sad when people aren't

able to do that anymore.

Slowly and slowly they become less resistant.

Like Ainoa, he recently didn't have to have the HPD assist him with a shot.

He was good. He took it willingly on his own.

That's awesome.

Well right now, we just, Jordan applied him for food stamps

even though he didn't want it.

Just so he could have it, in case, you know, on the days we do visit him,

he wants more than coffee or more than ice cream.

We can buy him food with that.

He's still, declining shelter.

Any kind of shelter.

To get them housed,

they still have to meet us halfway.

They still have to be willing and participating.

[Chez] Hi!

[Ainoa] Good morning!

[Chez] What are you doing?

I'm waiting on the sidewalk, waiting for somebody to buy me coffee.

- [Chez] Okay, let's go then. - Okay

We came to see you.

-Okay -[Chez] How ya been?

Alright

[Chez] I see you in new clothes. Who gave you new clothes?

One guy came on the sidewalk gave me.

-[Chez] Oh, ya -All this clothes.

[Chez] So where's your hat and your jacket? The other one?

- I threw them away. - [Chez] Okay

- It was dirty. - [Chez] It was dirty?

Ya

[Chez] Do you need more?

- Bacitracin? - Yes, please.

Okay, have you been putting it on?

-Ya -Okay

[Chez] Are you hungry?

- Why? Can you buy me something for eat? - Ya!

Please

[Chez] Ya. What? What you want?

Sandwich

What kine of sandwich?

[Chez] You know 7-Eleven have all kine.

- Peanut butter and jelly sandwich. - Okay

[Chez] Do you feel good on the medication?

-Ya -[Chez] Ya?

[Director] Are you sleeping better, thinking...

I sleep ordinary

[Chez] So do you know how long you cannot come back over here?

Ya, what happen?

- Do you know? - No

The security said you cannot come back for one year.

-Okay -Inside

-Okay -Okay

-Okay -Okay

Thank you.

Ya

How come? What happened the last time?

What were you trying to grab from 7-Eleven?

I don't have enough money for one coffee every time. I only get like quarters...

-Ya -Or pennies.

[Chez] Are you gonna just go sit down and hang out over here now?

[Ainoa] Ya

Where are you heading?

Well, I really have to pee.

-Oh, ya? Aww -(Chez laughs)

- Do you know any bathrooms over here? - No

- I was going to go to the courthouse. - Okay

You want to walk with us over there?

You're going to go over there?

Okay maybe we'll see you on our way back then.

- Thank you. - [Chez] You're welcome.

[Director] Last time Ainoa was due for his injection, how'd that go?

- Oh, it went well. - [Director] Ya?

It went well

[Director] He received it without any...

Oh, he was having a grand ol' time.

[Director] Really?

Thankful

He's great

With a smile on his face he said,

“Dr. K, thank you for the Invega!”

I love that.

So I said,

“Ainoa, I've been waiting my whole life to hear you say those words.”

How you doing? How y'all been? How y'all been?

I always tell (Ainoa) Heen, I say, “Heen, you doing pretty good, huh?”

The first thing he says, “Can I get a cigarette?

(Dave laughs)

I said, “Jesus Christ, good Lord, I'm trying to,

I'm taking you,

you need Jesus.”

And it's the first time he laughed and walked away.

So that's great.

The progress is great.

I hope you hooking this up.

The progress is great with our friend

and a little bit more step by step

we taking baby steps with (Ainoa) Heen

because Heen is not the type of guy

you just jump over the river,

you got to let him put his toes and shit in there first.

(Dave laughs)

[Dr. K] Ainoa

Trivia question.

-Ok -[Dr. K] What medication are you on?

I don't take.

I'm without a bath.

The Hotel St., Bishop St.

For like 30 days without a bath, I was dirty.

My face breaking out with

dirt.

So I did soap and water.

(unintelligible)

I'm waiting for a ride to Kaneohe.

[Dave] What about your shot?

Shot, why you guys get them?

[Dave] Which shot do you take?

That's the one I was over here? Last time?

-[Dave] Ya -Ya

[Dave] Do you remember the name of it?

No

In...

Invega! Invega!

Hey, thanks!

Do you need anything?

No, right here!

- [Dave] Your cigarettes? - Ya

Okay

I can light one?

Ya, go ahead.

All you

- [Dave] You look good, buddy. - Hey, thanks!

- [Dave] Alright, you have a great day. - Ya

Ok, we'll check up on you.

- Thanks for the cigarettes. - Of course.

Bye Ainoa.

Bye

-[Dr. K] Ainoa -Okay

[Dr. K] Alright

[Director] See you later Ainoa.

- [Dave] We'll see you later. - Okay

[Clint] A couple months back, I did a peer specialist training,

Learning how to use your story to relate with other people going through crisis.

And I saw my classmate, and he mentioned that they're looking for,

a peer specialists at his workplace.

So I applied, and I got it.

So it's like a shelter for people who are in crisis.

And then at that shelter, they receive, services

like case managers provide them connections to different services.

But the full circle is employing some of the people that were in crisis.

The job is actually doing me a favor because it gives me purpose.

It gives me something to do, gives me coworkers.

And, I just feel

I guess, more like integrated with society.

Really brought my spirits up because just being isolated

and kind of being, like, outside of society,

I mean, there's a lot of freedom to just doing nothing

when you're outside of society,

but it's also kind of nice to be plugged in and,

or have human connections and,

and like

when you have a job and you're doing something

and it feels good to like, be needed

or

It feels like you're

like human connection that you're helping somebody, but they're helping you too.

So ya, just having that connection,

is, I think, a step in my recovery.

(contemplative piano music)