| Alcohol and Drug Use in the FSM | |
| MicSem Articles | social problems | |
Appendices
| 30-44 | 65+ | Total | ||||||
| FSM | ||||||||
| Population N | ||||||||
| % | ||||||||
| Sample | ||||||||
| % | ||||||||
| Pohnpei | ||||||||
| Population N | ||||||||
| % | ||||||||
| Sample N | ||||||||
| % | ||||||||
| Kosrae | ||||||||
| Population N | ||||||||
| % | ||||||||
| Sample N | ||||||||
| % | ||||||||
| Chuuk | ||||||||
| Population N | ||||||||
| % | ||||||||
| Sample N | ||||||||
| % | ||||||||
| Yap | ||||||||
| Population N | ||||||||
| % | ||||||||
| Sample N | ||||||||
| % |
| Pohnpei (Total) | |||
| Enipein | |||
| Saladak | |||
| Sokehs | |||
| Ohmine | |||
| Mesihsou | |||
| Palipowe | |||
| Mokil | |||
| Kosrae (Total) | |||
| Utwa | |||
| Malem | |||
| Lelu | |||
| Chuuk (Total) | |||
| Kuchua | |||
| Seletiw | |||
| Sapuk | |||
| Tunnuk | |||
| Sopou | |||
| Sapore | |||
| Nomwin | |||
| Nama | |||
| Foup | |||
| Yap (Total) | |||
| Maa/Thol | |||
| Ngolog | |||
| Mogmog | |||
| Falalop | |||
| Kanifay |
COMMUNITIES SURVEYED
General background
The main island of Pohnpei, roughly circular and with an area of about 100 square miles, is the largest island in FSM. Over 90 percent of the state's 33,000 people live on this single volcanic island. It is a lush and fertile island with a rugged mountainous interior that is unsettled. The main island is divided into six municipalities, all of which except for the town area of Kolonia, were once independent chiefdoms with their own political authority. Madolenihmw and Kiti, situated on the southern side of the island, are the largest and the farthest from the town of Kolonia at the northern tip of Pohnpei. Kolonia and its suburbs are home for about 10,000 people, including many outsiders-Americans, Australians, Asians and Micronesians from other places-who work at the national capital five miles out of town. Elsewhere on the island, the local population lives in scattered homesteads and support themselves on breadfruit, yams, other locally grown food, fish, and pigs used largely for ceremonial purposes. The people on Pohnpei are divided religiously; about 60 percent of the population is Catholic, about 35 percent is United Church of Christ, and the remainder are adherents of the Assembly of God, Latter Day Saints, Seventh Day Adventists, and other small sects.
In addition to the main island of Pohnpei, the state has five inhabited outer islands: Sapwuahfik (or Ngatik), Mwoakilloa (or Mokil), Pingelap, Nukuoro and Kapingamarangi. The last two of these are Polynesian outliers on which entirely distinct languages are spoken. The population of these five islands combined is a little more than 2,000 (most have more of their number living on Pohnpei than on their own island). The lifestyle in the coral outer islands is subsistence; there are no salaried jobs to speak of. Except for Ngatik, which has a sizeable Catholic community, the outer islands are predominantly Protestant.
Communities Surveyed
Enipein Pah (Kiti) Enipein Pah is a rural community on the southern side of the island, as distant as one can be from the port town and its conveniences. Nearly all the population is ethnic Pohnpeian. Most of the people are not wage earners, but live off the land. Most adults drink sakau almost daily. Many of the alcohol users seem to be primarily sakau drinkers who may have one or two cans of beer after finishing their sakau in the evening. A good number of the males up to the 40s smoke marijuana, most of which locally grown. It is a close-knit community in which everyone knows all the others in the village. The educational attainment of most adults is limited to 6th to 8th grade level. The overwhelming majority of the village population are Catholic.
Saladak (U) This is a village in U, close to the Madolenihmw border, that is well out of town. A the small sakau markets which dot the roadside adults gather for the ritual evening sakau pounding and conversation. Alcohol use among the older folks is limited to one or two cans of beer or chasers. The younger men tend to consume more alcohol. Marijuana is grown for local consumption and for sale outside the village. The village is largely Protestant and church ministers wield a considerable amount of authority. Some of these ministers expressed gratitude for the survey as they are contemplating approaches/programs to address drug and alcohol abuse among the youth.
Ohmine (Kolonia) Ohmine is a section of Kolonia, the main town in Pohnpei. It has a mxiture of different ethnic groups; Pohnpeian, Kosraean, Chuukese, Yapese, Ngatikese, with a few Americans, Japanese and Palauans added. For this reason, there is no real sense of community belonging in this sub-section of the town. Relations seemed to point outward, to the places of origin of its polyglot members. The residents of Ohmine are simply thrown together by necessity. The area has a liquor store open all night and catering to late night drinkers. This is the only all-night store on the island.
Mesihsou (Madolenihmw) This area is about 20 miles from town in a municipality that is by law "dry." The population is strongly Protestant and public conduct is guided in good measure by religious tenets. Some drinking takes place, but it usually done on the sly, not as openly as in some communities. Even a few girls drink, although not openly, and sneak out to meet their boyfriends as they would have in the old days. Sakau consumption is as common in Mesihsou as in any other section of Pohnpei.
Sokehs Pah This section, containing several small villages, is located on the western side of Sokehs Island. Nearly everyone in this section originally came from the Mortlocks in Chuuk, many of them tracing their arrival to the beginning of this century. Nonetheless, most identify themselves as Pohnpeians. All the families but one are Catholic. There is a lot of fighting that breaks out after drinking bouts, especially on weekends, but the trouble is rarely serious. The youth group is a big help in keeping youths occupied and out of trouble.
Palipowe (Nett) This area is not far from town. The area is not particularly traditional and is certainly not rural. There is a high percentage of high school educated adults in the village. For all that, however, the residents believe the their family structures are more intact than in other parts of the island. Most of the population are Catholics. The few females who use alcohol do so very discreetly since people frown on women who drink.
Mokil This is a small coral atoll 200 miles from Pohnpei. The population is overwhelmingly Protestant. The lifestyle is a blend of the traditional and modern. Most of the houses are built of concrete and nearly all have solar panels to provide electricity. Each household has one or two water catchment tanks build of cement. Yet, there are few wage-earners on the island other than the eight school teachers; most of those from Mokil who have the education required to get a fulltime job have moved to Pohnpei. Almost everyone on the island smokes cigarettes, with children beginning to smoke at the age of 9 or 10. Marijuana, alcohol and yeast are widely used but not in the open. The marijuana supply is brought in from Pohnpei. Recently girl have been seen drinking yeast with boys in the evenings-something unheard of in former times.
General Background
The state is composed of a single volcanic island with about half the area of Pohnpei Island. The island rises even more steeply than Pohnpei, so the population of some 7,300 is settled along a narrow level band that rings the island. The island is divided into four municipalities (Lelu, Malem, Tafunsak, and Utwe) reflecting the traditional political organization of Kosrae. The main population center is Lelu, actually an islet, and Tofol, adjacent to Lelu and the center of government on the island. Because of the smallness of the population, a relatively large percentage of the people of Kosrae enjoy wage employment or access to other sources of money. This is seen in the food people eat, their clothes and other externals of their way of life. Kosrae is a strongly Protestant island, with about 95 percent of the population claiming membership in the United Church of Christ.
Communities Surveyed
Lelu This is a tiny island connected to the main island of Kosrae by a causeway, but the municipality extends beyond it to the main island. Formerly it was the capital of the state, and even now is one of the main population centers. The main church is located in Lelu, which is almost entirely Protestant like the rest of the island. Most of the social life in Lelu and elsewhere in the state is centered on church activities. The oldest hotel on the island, located on Lelu, remains in operation until today. An aquaculture center is also located there, along with several medium-sized stores. The entire population of Lelu enjoys the conveniences of town life-telephone, power, etc. The people in Lelu, as in other municipalities, are outgoing and friendly.
Malem This municipality is located just beyond the government administrative center known as Tofol. It is more rural than Lelu, although it too has power and phone service. There is a small level area that is densely inhabited with the remainder of the municipality consisting of highlands and mountainous areas. There is a small hotel located in this area, as well as the now defunct hydro-power plant. The youth in Malem have a reputation as buyers of marijuana grown in Tafunsak.
Utwe This municipality lies at the end of the paved road. The lifestyle is rural and much more farming is done here than in most of the other municipalities in Kosrae, although most of the people have phones and power. Mangrove crabs, citrus fruits and fish are sold. Church life is central in this community as it is throughout the state.
General Background
Chuuk is the most populous state in the FSM and the most crowded. Its population of over 53,000 comprises a bit more than half of the entire population of the nation. Yet, its people occupy about 49 square miles of land, one-fifth of the land area of he nation. As densely settled as the state is, political authority is divided into very small units. There are about 40 municipalities in the state, each representing an inhabited island or atoll, and precolonial political boundaries were even more tightly drawn. Over 75 percent of the population live inside the Chuuk Lagoon. This lagoon, the heart of the state, is encircled by a barrier reef of more than 100 miles circumference and contains about a dozen inhabited islands. The most populated of these is Weno, the seat of the state government and the commercial center of the state. Other major islands in the Chuuk Lagoon are Toloas, Fefan, Uman, Udot, Romanum and Tol. There is a very small expatriate population in Chuuk and a limited private sector consisting mostly of retail stores. Although people wear western clothing and have taken on some of the other externals of a western lifestyle, many live a semi-subsistence mode of life and eat the breadfruit, taro and fish that they obtain. The population of the state is rather equally divided into Catholic and Protestant, with some of the latter being Evangelicals and the rest members of the United Church of Christ.
Like Pohnpei and Yap, Chuuk State has outer islands within its jurisdiction. Nearly 12,000 people live on four separate groups of atolls that surround Chuuk Lagoon: the Mortlocks to the southeast, the Westerns due west of Chuuk, the Namonwitos to the northwest, and the Hall Islands to the north. Only the Western Islands, which are closely related to nearby atolls in Yap State, have retained traditional dress.
Communities Surveyed
Seletiw (Weno) This community is almost entirely made up Mortlockese who have taken up residence on Weno, the state capital and main island of Chuuk. This village is situated close to the airport and not far from the government offices in Nantaku. Many of the Mortlockese residents of this community are wage-earners, thanks to their government jobs or employment in private stores. They remain fervently devoted to the Mortlocks, despite their move into the Chuuk Lagoon, and most are active Catholics. Most of the associations to which people belong are church-related. The people of this community are extremely friendly and tend to be very conservative in most things. The leadership of this community tends to be strong and the people cooperative.
Tunnuk (Weno) This village is at the end of the causeway leading out of town. It is the first non-urbanized village on the north side of the island. The village is the site of the Catholic cathedral, which looms high as one enters the village from the west. Next to it is a Catholic elementary school, perhaps the most highly regarded elementary school in Chuuk. The village is predominantly Catholic, although there is a sizeable minority of Protestants with a church of their own. Several wealthy Chuukese make their home in the village, and there is a rock quarry owned by two FSM congressmen. The leadership of the village has never been strong and the village is as divided today as it ever has been. They youth of Tunnuk have always been regarded as troublemakers.
Sapuk (Weno) This village is actually a conglomeration of four different named villages at the eastern tip of Weno Island. In the eye of a Chuukese, Sapuk is a rural village-the spot where the road ends, literally and figuratively. Looking down on the village from a bluff is Xavier High School, a prominent Jesuit-run educational institution that is housed in an old concrete building that was a Japanese naval communication station during World War II. On a hill at the very end of the peninsula stands a Japanese-built lighthouse that is something of a tourist attraction these days. The village is religiously divided; it is chiefly Protestant, with four different United Church of Christ congregations, but there is also a small Catholic church and a Morman church. Sapuk was always a troublespot on the island until the police established a sub-station there two years ago. People now feel comfortable walking around at night for the first time.
Nama This is an island in the northern Mortlocks, 50 miles south of Chuuk Lagoon, with a resident population of almost 900. The island is completely Protestant. Perhaps even more than the rest of the Mortlocks, Nama has had a very high emigration rate into Weno and beyond. Of those who remain on Nama, few are employed but many have regular access to cash. This may be due to remittances and gifts from relatives working abroad. Some families have small generators and most seem to have adopted rice as the staple of their diet along with other Western canned foods. The local food obtained from fishing and farming augment imported foods on the diet, but local foods have become secondary.
Nomwin This is an island in the Halls, 60 miles north of Chuuk Lagoon. The island has about 750 residents at present, nearly all of them Protestant. Like Nama, the island has few persons earning a regular salary. Most of the people live off the fruits of the land and sea, and the salted fish made on the island has a reputation throughout Chuuk for its flavor. The island has its own small boat that makes regular trips into Weno to ferry people back and forth. The island residents are very friendly.
Sapore (Fefan) Sapore is at the southern end of Fefan Island, a half-hour motorboat ride from Weno. The island has a population of about 4,600, three-quarters of them Catholics. Sapore is almost entirely Catholic. The island prides itself as being the "heartland" of Chuuk. Its social values tend to be conservative and the island, but particularly Sapore, is staunchly and openly religious. Fefan is known for its agricultural produce and the handicraft it produces. Fefan has a municipal ordinance prohibiting drinking alcohol on the island that is strongly enforced.
Kuchua (Tonoas) Kuchua, one of the larger villages on Tonoas, is separated from Weno by a three-mile wide channel. This village was once the headquarters of the United Church of Christ mission and is recognized as one of the mother churches of the Protestant conference in Chuuk. It remains strongly Protestant until today. Tonoas also has a historical claim to fame in that it was the headquarters for the Japanese navy during World War II. Many of the residents of Tonoas are employed by the government and commute to work each day by motorboat. Like Fefan, the island has an ordinance banning alcohol.
Sopou (Uman) Sopou is located at the southern end of Uman Island, 45 minutes by boat from Weno. The village is densely settled, although most of the residents have taro patches elsewhere on the island and pick breadfruit from their land. As villages in Chuuk go, this is fairly modernized. There are a number of new concrete houses and a good number of the people seem to have jobs on Weno. The ratio of high school graduates from Sopou is high, with many of its people moving off to Guam or Saipan for work after graduation. The population is almost all Catholic.
Foup (Tol) This village is situated on the island of Tol in the western part of the Chuuk Lagoon, twenty miles or an hour's motorboat ride from Weno. The village consists of a cluster of a few dozen houses in close proximity to one another as well as a number of households widely dispersed over a forested plateau. The people of Foup can accurately be called "rural;" they live off the land and are rough-hewn, as farmers throughout the world can be. About 80 percent of the population is Catholic, and the main church on the entire island complex of Faichuk is located just five minutes down the hill from the main population concentration of Foup. Many of the Foup people have emigrated to Guam for better jobs. Those who returned were said to have brought liquor, marijuana and other drugs with them when they resettled in their village.
General Background
Yap proper is a congeries of four islands of continental shelf surrounded by a barrier reef. This land mass-sometimes called Yap proper-has an area of about 40 square miles. Yapese are generally regarded as the most traditional people of Micronesia, in or out of FSM. People live in villages that remain under the authority of the old chiefs. A caste system based on the status of the village remains in force even till today. Thatched men's houses built of local materials can be seen in almost all the villages. The local diet, which is often supplemented by store-bought food today, consists mainly of taro and fish. The town area, which engirds the main port and a small bay near it, is small, even by Micronesian standards. A good road system carries employees and school children from town (Colonia) to their villages. Few Yapese live in the town area, preferring instead to commute to and from their home in the village. The residents of the town are mostly Americans, Filipinos, Palauans and outer island Yapese who have moved off their island. About 60 percent of the state population of 11,300 live on the main islands. The state population is 95 percent Catholic.
Part of the state consists of a long chain of coral atolls known as the Outer Islands of Yap. The 4,300 inhabitants of these atolls live the kind of lifestyle that has always been associated with the South Seas. The women dress in lavalavas and the men in loincloths; they sleep for the most part in simple houses built of wooden posts and thatch roofs; they subsist on the fruits of the land and the sea. Ships may visit these islands every two or three months, unloading canned food, cigarettes, and beer. The traditional island authority system is still largely intact on most islands. About 100 miles from the high islands of Yap lies Ulithi, the largest and most prestigious of the coral atolls. Woleai, Fais, Ifalik, Lamotrek and Satawal are some of the principal islands in the group. On nearly all these atolls men often gather in the late afternoon to drink tuba, the fermented sap of the coconut palm. The language chain spoken by these atoll dwellers is entirely distinct from the language spoken on the main islands of Yap; the dialects are more closely related to Chuukese. Virtually all Outer Islanders are Catholic.
Communities Surveyed
Ngolog (Rull) This village is located on the fringe of Colonia Town, the site of the government and commercial center. It is a residential area with a multiethnic population composed of Outer Islanders, Palauans, and a handful of Filipinos, Americans, and Japanese, besides Yapese. Many of those living in this village are government or business employees. An apartment building and a hotel are located in this community, as is the government radio station. Most of the residents have electrical power and telephones. The chief of Rull, one of the most important municipalities on Yap, lives there. The population is mostly Catholic, as in other parts of Yap.
Kanifay This municipality is located in the rather sparsely populated southern part of the main island of Yap. The villages here are so small that they consist of only a few households. For that reason, several villages were included in the community surveyed. The municipality can be called traditional, with most of the residents living off the land. Nonetheless, power and telephone service is available to those who want these amenities. Twenty years ago this area had earned a reputation as one of the main trouble spots on the island, for some of its youth formed motorcycle gangs and were regarded as belligerent towards others outside their area. The reputation has abated in time and now the village is known for its close cooperation on community projects. Several of the present residents are suspected to be ice users, however.
Maa/Thol (Tomil) This community, located in the eastern part of Tomil Municipality, straddles two different villages. One of them is the high caste village of Maa, while the other takes in part of the low caste village of Thol. Maa, the home of the present governor, is a thriving community with good public facilities. The village has a youth center that is used daily for basketball and volleyball games and youth meetings. The women's club runs a laundromat, and the girls present dances for tourists bussed into the village one evening a week. Most households have electric power and phone service. Thol, the low caste village, has few of these advantages that Maa enjoys. There are almost no modern buildings, very few of the villagers have electricity in their homes, and there are none of the community activities that distinguish Maa. This village seems to have many heavy drinkers and troublemakers.
Falalap (Ulithi) This small island in the Ulithi Atoll is the most cosmopolitan of the outer island communities. It is the site of Outer Islands High School, which draws for its enrollment from all the atolls in Yap State, and has a small paved airstrip used by the airline that flies into Falalap three times a week. There are other branches offices located on the island: a post office, the office of the governor's representative for the Outer Islands, and a small bank. The island is tightly linked to Yap by communications-government and private radios as well as the walkie talkies that are found everywhere on the island. The people are extremely friendly and generous to visitors. The men customarily gather in small groups in the canoe houses in the evenings to drink tuba and gossip about island events. Young girls seem to have taken to drinking in the last few years.
Mogmog (Ulithi) This islet lies about 20 miles from Falalap and is the traditional center of chiefly power in Ulithi. Except for a few people who have salaried positions in the elementary school or the dispensary, the residents live off the land. There are some concrete houses and a few generators, but the style of life is semi-subsistence for most people. Tuba and yeast drinking
are common among males here, and drinking is said to be on the rise among teenagers.
1) HOUSEHOLD SURVEY RECORD SHEET
State ________________ Village ____________________ House # ___
Total number living in household: ________
Head of household:
Name_______________________________ Sex____ Age _________
Household members:
Name_______________________________ Sex____ Age _________
Name_______________________________ Sex____ Age _________
Name_______________________________ Sex____ Age _________
Name_______________________________ Sex____ Age _________
Name_______________________________ Sex____ Age _________
Name_______________________________ Sex____ Age _________
Name_______________________________ Sex____ Age _________
Name_______________________________ Sex____ Age _________
Name_______________________________ Sex____ Age _________
Name_______________________________ Sex____ Age _________
Name_______________________________ Sex____ Age _________
2) INDIVIDUAL USER RECORD SHEET
State ________________ Village ____________________ House # ___
Name_______________________________ Sex: M F Age _________
Ethnicity: _______________________
Marital Status: Single Married Divorced Widowed
Wage Employment: No Yes If yes, where? ______________________
Education: Last grade completed in school __________
Student at present? No Yes If yes, where? ___________________
Travel abroad (6 months or more)? No Yes If yes, how long?
Drugs used: Alc Mar Coc Her Other ________________
Gas/glue Sniffing? Y N
Alcohol
Frequency in last year:
___almost daily
___3-4 days a week
___1-2 days a week
___1-3 days a month
___less than once a month
Amount consumed in last year: avg number of drinks in one day_____
More than 5 drinks in one day? Y N
Frequency during last month:
___almost daily
___3-4 days a week
___1-2 days a week
___1-3 days a month
___less than once a month
Amount consumed in last month: avg number of drinks in one day_____
Binges lasting more than one day? Y N
Neglect of his responsibilities? Y N
How many binges in the last year? ______
When did last binge occur? ____________
Problems related to drinking? Y N
___ illness or injury
___ missed work or duties
___ arrested for alcohol-related offenses
___ fighting while drunk
___ beating wife or children
___ other family problems
___ mental problems
Treatment for alcohol abuse sought? Y N
Serious drinking problem? Y N
Alcoholic? Y N
Marijuana
Smoked marijuana more than 2 times in the last year? Y N
Frequency of marijuana smoking:
___almost daily
___3-4 days a week
___1-2 days a week
___1-3 days a month
___less than once a month
Amount consumed: avg number of joints smoked in one day _____
Use of marijuana now? Y N
Problems related to use of marijuana ____________________________
Other Drugs
What drugs used? _______________________________________
Use of these drugs now? Y N
Gas/Glue Sniffing
Sniffing now? Y N
How often? _______________
3) INDIVIDUAL USER INTERVIEW INSTRUMENT
Alcohol
1) In the last year, has the person had something to drink
___ almost every day
___ 3-4 days a week
___ 1-2 days a week
___ 1-3 days a month
___ less than once a month
2) On days when he drank, about how many drinks on average would he have?
___ drinks in one day
3) Has he had more than 5 drinks in a day at any time during the last year?
4) During the last month, has he had at least one drink?
How many days did he drink?
On days when he drank, how many drinks did he take on average?
5) Has he ever gone on binges where he has kept drinking for a couple of days or more without sobering up?
Did he neglect some of his usual responsibilities at those times?
About how many times has this happened in the last year?
When was the last time this happened?
6) Has he ever had problems related to his drinking?
Has he ever been admitted to the hospital or treated in the hospital or dispensary or at home for alcohol-related illness or injury?
Has he ever missed work or neglected his other responsibilities due to his drinking?
Has he ever been arrested for alcohol-related offenses?
Has he been involved in fights with others while he was drunk?
Has he beaten his wife or children or other relatives when drunk?
Has he experienced other problems with his family--for instance, arguments with family members, his wife threatening to leave him or actually doing so because of his drinking?
Has he shown any signs of mental problems--for instance, talking to himself, hallucinations, hearing voices, avoiding other people, or unpredictable behavior?
8) Has he ever sought treatment for alcohol abuse in any kind of anti-alcohol program (AA, church programs, private counseling, etc)?
9) Does he, in your judgment, have a serious drinking problem?
10) Is he addicted to drinking?
Marijuana
1) Has he used marijuana more than 2 times in the past year?
2) How frequently did he smoke marijuana?
How many days a month?
How many joints on days that he smoked marijuana?
3) Does he still use marijuana now?
4) Has he experienced any problems in connection with his use of this drug?
Other Drugs
1) Has he ever used other, stronger drugs than alcohol and marijuana?
hallucinogens: PCP, LSD
cocaine: coke, crack
heroin or other opiates (Codeine, morphine, Demerol)
amphetamines: speed, ice, "uppers", Benzedrine
2) What kind of drugs has he used?
3) Does he still use these drugs?
Gas/Glue Sniffing
1) Has he sniffed gas, glue, or any other inhalant during the last year?
2) How frequently has he done so?
Pohnpei
Pohnpei Substance Abuse and Mental Health Program. The official state government agency for alcohol and drug treatment, the center is located in its own building, which was renovated a few years ago by US SAMHSA block grant funds. It is administered by Pohnpei State Health Services and largely funded by SAMHSA block grant funds, with Pohnpei State contributing the salaries of the coordinator and one nurse. They operate with $90,000 from the block grant and the equivalent of another $30,000 in salaries from Pohnpei State. The adminstrator is Midion Iohp. There are 12 people on the staff, five of whom are stationed in the communities (Madolenihmw, Sokehs, U, Pingelap and Ngatik). The aims of the organization are to provide counseling and medication for the mentally ill. They also do some community education such as presentations in the schools on drug awareness and talks to groups of parents, teachers and community leaders. The community workers identify potential cases, monitor and evaluate them and make referrals to the main office in Kolonia for counselling. Some of the severe cases are referred to Guam. The total number of persons served in 1995 was 74 (70 males, 4 females), over 90% of whom were alcohol and drug abusers.
PADY (Pohnpei Awareness and Drug-Free Youth). This is a task force formed by the Governor of Pohnpei and composed of the heads of six government agencies and an NGO that attempts to coordinate their work to prevent drug abuse by educating the population. The agencies are: Department of Public Safety; Division of Youth Services of the Education Department; Mental Health and Substance Abuse Program of the Department of Health Services; Head Start; Aramas Kapw, the Pohnpei branch of Micronesian Bound Inc; Probation Services of the Pohnpei State Supreme Court; and the Pohnpei Women's Council. The PADY network seems to undertake no joint activities, but it attempts to keep all informed of what each of the organizations is doing and to pass on information on funding sources for drug awareness education.
DARE (Drug Abuse Resistance Education). Although this program is FSM-wide, it is far more active in Pohnpei than in the other states. The program is modeled on a US project that had police officers going to the schools and lecturing school children on drugs. The purpose of the original US project was to create a more positive image of the police and counter the impression of police brutality. Lester Ruda, a former national police officer, is in charge of the FSM DARE Project, which is funded by Pacific Insular Region Anti-Abuse Program (PIRAAP) through the US Department of the Interior. Between 1991 and 1995, PIRAAP provided $1.2 million to FSM. The Pohnpei DARE program received $50,000 last year for the training of police officers and incidental expenses. Three police officers from Pohnpei go around to the schools talking to the kids. Frank Semens is in charge of the project at the Pohnpei level.
Aramas Kapw. This program, meaning "New People," was established in 1976 after the model of the US Outward Bound programs. Similar programs were once run in Chuuk and Palau, but Pohnpei's is the only one that survived. Aramas Kapw is under the authority of a non-profit corporation known as Micronesia Bound, Inc. The program challenges at-risk youth with tough physical challenges such as mountain climbing, rappeling down cliffs, solos in the rainforest for two or three days, swimming and canoeing, and drownproofing. It also emphasizes development of interpersonal skills, especially for young people who are impaired in these skills. A full course lasts 22 days, and the course is offered about four times in the ordinary year. The program enlists 140-160 young people in the course each year. Those who take the course are teenagers, mostly boys between the ages of 13-22, although some are young men in their late 20s. They are chosen from among those referred to Aramas Kapw by the courts, Mental Health and Substance Abuse Program, and the schools. The program follows graduates for two years, keeping a file on each person who takes the course. They try to get the young people through high school, giving priority to them in the GED exams so that they can get their high school diploma. They may also do follow-up interviews now and then during this time. The program offered lectures to all its graduates this year on alcohol and drug use, among other topics.
Morehna Rettin, the director of the program, is assisted by a staff of six and a part-time accountant. The program operates on about $80,000 a year. Funding has come from the Substance Abuse and Mental Health block grant, but there is also some supplemental funding from the Pohnpei legislature and/or the FSM Congress.
Division of Youth Services. This division is part of the Bureau of Social Affairs, Pohnpei State Government. Tesiwo Liwy heads the Bureau of Social Affairs, but there is no one appointed to head the Youth Services Division at this time. The purpose of this division seems to be to coordinate programs among the various youth groups on the island, of which there are 57 registered organizations. It registers these youth groups and arranges for competitions (eg, music contests and fishing contests) among the groups. It also oversees the local chapter of the Boy Scouts and is responsible for the Pohnpei Sports Council. The Division of Youth Services holds yearly youth conferences.
Youth Groups. There are 57 registered youth groups on Pohnpei, and presumably many others that have not received formal recognition from the government. A number of these are church-sponsored groups. Among the most prominent are the Denipei Youth Christian Association (DYCA), which is composed largely of Mokilese and is run by the UCC church in Denipei, and the Kapinle Protestant Youth (KPY), also made up of Mokilese. Although not targeted at drug or alcohol abuse prevention, these youth organizations organize activities for the young and exercise considerable social pressure over them to conform to church expectations.
Kosrae Substance Abuse and Mental Health Program. This state program is part of the Kosrae Department of Health Services and is funded by a US Substance Abuse and Mental Health block grant. Matchuko Talley, a registered nurse, heads the program. She is assisted by seven staff members-a counselor, an administrative assistant, and five community aides. The program handled 20 cases during 1995, all of them males and most related to alcohol and drug abuse. The program has worked out a referral system with the State Court to provide counseling for young offenders. Their major efforts seem to be directed toward prevention rather than treatment, however. They produced 12 radio programs on prevention in the local language, and did some work educating people in the villages through other programs such as CHIP-In (Child Health Improvement Project-Intervention).
KASAP (Kosrae Anti Substance Abuse Program). This is an NGO funded by PIRAAP and headed by Nena Tolena. There are two other staff members, a counselor and outreach agent. The program operates on $50,000 a year; its funding began in 1994 and will terminate in September 1997. The head of the program plans to seek funding elsewhere to enable the program to continue after the expiration of the PIRAAP funds. KASAP's focus was entirely on prevention activities. These consisted of youth workshops, meetings with parents in the villages, presentations to school children, lectures to government office staff, youth summer camps and poster contests.
Etawi. This is an island-wide church group for youth that tries to help young people refrain from drinking and drug use. The name comes from the Kosraean word for "imitate" or "follow." It seems to operate through the island and has been rather successful in keeping youth on the straight and narrow.
Chuuk Substance Abuse and Mental Health Program. This state program for alcohol and drug treatment is run under the auspices of the Health Department and is located in the state hospital with an office complex of its own. Virtually the entire funding, $121,000, comes from the SAMHSA block grant. The program is headed by Dr. Imauo Akitekit and staffed by 17 other persons: a program coordinator, a clerk, a boatman, and a computer operator, as well as two nurses, three counselors, two community educators, and six community workers. The program operates out a building next to the hospital, with a reception room, private offices, and a recreation area with TV for patients. The program handled a total of 26 cases in 1995, most of them drug and alcohol abuse cases, in addition to making home visits to mental patients to provide anti-psychotic medication. The staff reports going to schools and youth groups to speak about drugs, although no schedule of activities is available. It appears that the program focuses almost exclusively on treatment rather than prevention.
COCA (Chuuk Office of Community Action). This is a single-program agency that runs the Head Start program for pre-elementary school children. Funding for Head Start comes from US Department of Health and Human Services and totals $1.4 million yearly. Carmina Billy has been the director of COCA for many years. The Head Start program has 42 centers throughout Chuuk, each one staffed by three persons. Those working in these centers make home visits and speak to the parents about the dangers of drug abuse as part of their oureach program. Hence, drug prevention is a real, although minor part of the Head Start program that COCA runs.
Youth Groups. Many communities have their own youth groups, with such activities as song competitions, athletic events, picnics and regular meetings. A constant theme in their meetings is the desirability of avoiding alcohol and drugs. Most of these youth groups are church-run, either Catholic or Protestant. Such groups are a strong feature of most communities, stronger still in the more distant islands than in the towns and population centers.
Yap Substance Abuse and Mental Health Program. This state agency is under the Health Department and its office located in the state hospital. The agency's funding of $26,000 a year is derived, in equal shares, from the SAMHSA block grant for FSM and from the Yap Legislature. Yap is the only state that provides from its own resources a major share of the funding for its SA/MH government office. Julie Yoruw and Robert Yangerluo staff the office, assisted by three others (two counselors and a data entry clerk). They counsel individuals who seek treatment or are referred to them, and keep records on drug abuse and social indicators associated with drug abuse. They reported dealing with mentally ill, candidates for suicide, and battered spouses in addition to those with drug problems. In 1995 they reported handled 38 cases of substance abuse: 33 males, 5 females. In addition to this treatment for substance abusers, they conduct prevention activities such as visits to schools to give talks on drug awareness, workshops for Head Start teachers, and presentations at youth congresses. They also meet regularly with all the other agencies that do youth work and drug counseling.
YAP RAP (Youth and Parents, Rehabilitation and Prevention). Yap Rap is a program supported and administered by the Yap Judiciary; its offices are located in the state court building. The program is funded entirely by the Yap Legislature at $26,000 a year. Carmen Chigiy runs the program and is assisted by three others, all of whom are in their early 20s and do peer counseling. Yap Rap offers treatment in the form of counseling for youth troubled by almost any sort of problem, suicidal tendencies and physical abuse as well as alcohol or substance abuse. Yap Rap does virtually no prevention work, although it collaborates with other agencies on island-wide programs at times.
Touplay Ne Yefas. This program, whose Yapese title can be translated as "Mending Lives," is sponsored by the Catholic Church and headed by Sr. Marie May. A few Yapese have worked in this program on a volunteer basis, but there are no full-time employees. At-risk students or offenders are brought to a camp in a sparsely settled area of Tomil where they farm, do other work and interact with one another for three months. The program has had relatively few participants since its inception, and that number has dropped to almost zero. The sources of funds are private contributions and the funding level is unknown. The simple thatched huts that were used to house the participants in the program and hold meetings were blown down in the typhoon in December 1996.
Yap Star. This program was begun in 1995 by three American Peace Corps volunteers working at Yap High School. It aims at counseling students against drug use and intervening where necessary in cases of abuse or family problems. The clients include dropouts as well as students from the high school. No special funding is available to the program; it makes use of the resources of Yap High School. With the departure last summer of the three young Americans who founded the program, the program is fading.
Youth Services Office. This government office is responsible to the Department of Youth and Civic Affairs. Funding of $32,000 yearly comes from the Yap Legislature. The office has a staff of four, but the position of chief of the Youth Services Office is vacant at this time. The office runs a summer youth program lasting eight weeks that is aimed at offering youth the chance to gain job experience and work skills. The office also sponsors some year-long youth activities- sports tournaments, clean-up programs, and youth fairs. They engage in no drug counseling or treatment per se, but run youth activities broadly targeted at prevention.
Second Chance. Although this program is headquartered in the YapYouth Services Office, it is run as a private program. Once entirely supported by this government office, "Second Chance" has been awarded $21,000 funding from the SAMHSA block grant during the current year. Thomas Tun is the supervisor of the program; he has a staff of seven others-an assistant and six field workers. The program takes in up to six young men with troubled histories at any one time and keeps close tabs on them for a three to six month period. The youth taken into the program are assigned to one of the field workers and are expected to work closely with him. The youth shadows his field worker, playing and working with him, talking to him, and identifying with him, it is hoped. "Second Chance" tracks those who have gone through the program to follow their progress. Since its beginning in 1993, 72 young people have been engaged in the program. About half of them have found jobs or are back in school, according to the data supplied by the office.
Police Public Relations Section. The police in Yap run a program similar to the DARE Program on Pohnpei. Headed by Charles Filmeyog and staffed by two other police officers, the team goes around visiting schools to give youth an understanding of what policemen do and how the department works. During their visits, they give talks on drug abuse and crime, warning students what will happen to them if they commit crimes. While they attempt to build good relations between the police and the community, the team also pitches their talks at drug prevention. In addition, they track all juveniles (ie, under the age of 18) who have been arrested and they monitor their probation. In doing this facet of their work, they counsel these youth and provide advice to their parents. Funding for the program comes from the Department of Public Safety.