Grant HMSA Proposal

The Green Will Conservancy “ ACE-Trauma Informed and Capable Care Educational Outreach and Trauma Specialist Mental Health Linkage Program” or  “Capable Hands Program”

Executive Summary

The United Nations has urged trauma informed educational programs for health education and welfare-professionals worldwide. The status of trauma informed care mandates in the US are just starting to be recognized. The medical costs of untreated trauma are staggering.

It is well recognized that early untreated trauma leads to chronic medical conditions of a life long nature (see Kaiser 40 year ACE studies) The short term cost of overused medical care systems where unidentified trauma is present is immeasurable and is escalating.

In response to that mandate in 2012 the Green Will Conservancy began it's two-tiered program. We started our Trauma Informed and Capable Care Education Educational Outreach Program in addition to the training of professional mental health practitioners.  On the Big Island we focused on advanced short-term trauma care, specifically EMDR Psychotherapy and Complex Trauma Sequelae via Ego State Therapies.

Big Island Demonstration Project:

Since 2012 we have provided trauma informed and capable training to multiple agencies, the general public, health, education and social welfare professions on the Big Island. We presented to a larger statewide group at the IVAT conference in 2014. All presentations have been responded to favorably and are rated as highly useful

All our public presentations are available via the World Wide Web at the

In tandem with our outreach Trauma Informed and Capable Care trainings to agencies and the general public we have completed 5 level one and two level 2 EMDR and 4 Advanced Complex Trauma Trainings by either Roger Solomon PhD and/or Kathleen Martin LCSW) effectively training  60  Big Island Clinicians who have formed an informal network of trauma experts who are able to receive referrals from a central contact at Green Will Conservancy.  Green Will has performed trauma assessment and treatment at its Puna site and ongoing consultation with multiple mental health providers and Big Island organizations in Trauma Informed and Capable Care. (List agencies)

The HMSA Grant requested seeks funding to expand and formalize to continue The Green Will’s Big Island Demonstration model “From Trauma Informed to Capable Care Programming” into the “Capable Hands Program” and it is our intention to expand services to the Island of Oahu as a ongoing public education, organizational development, professional training and referral services for individuals who are identified as suffering from trauma and are in need of professional trauma trained mental health assessment and treatment services.

The Green Will Conservancy Continue to seek funding to expand and fully formalize our demonstration models into more fully integrated, sustainable statewide programs.

What are your Goals?

1.     Our goal is to make ACE- trauma informed incapable care a regular and permanent part of Hawaii's medical care and mental health delivery systems hence having long term sustainability.

a.    Healthy/communities information and referral, domestic violence and child abuse areas.
b.     Service planning and care coordination
c. Prevention of disease/ responses

How much money do you need?

$30,000 for a three-year period or $90,000 total over three years.

How long is needed for the project?

           The initial project phase will take one year, the whole project three full years.

Why is your project important? ? (Statement of need)

See the 40-year Kaiser ACE Study statistics and studies and reference Epidemiological correlations with Hawaii’s comorbid population.

What are you exactly planning to do? (Activities and outputs)
(To answer this question, Select sections from the Exe. Summary)

Tier 1. Public information...actual and electronic brochures about the portal and public presentations online and or in person about what is trauma informed and capable care and how to access it.

Tier 2.     On line information individual and or organizational portal
a. Public Portal   The Online Individual Portal will make available standardized instruments to collaborate an individual’s needs for trauma care and create options to link them with an online directory of providers to meet the identified needs. This will create an individual pre-assessment and referral process with accompanying assessment data to qualified local providers insuring HIPAA informed consent practice.

b. Organizations can enter the portal and utilize our assessment system in order To evaluate their current status in terms of ACE-Trauma informed care provisioning. They can then use our online staff training and in-service resources and/or use our individual consultation services to augment and fully develop their ACE/Trauma Informed capacities.

Outputs:  Tiers One and Two
In the first quarter year one, all portals will be online and available. Second quarter first year portals will available for Beta trials and functioning. By the third quarter adjustments from beta operations will be made by the 4 quarter will have the first phase of full public access operational units of service?

Tier 3.

Insure that 20 qualified individual Mental Health Clinicians will be trained in EMDR Level one and two or (Basic Training), and/or Trauma Based CBT or C-Bits, and the treatment of Complex trauma and Dissociation annually

What difference will you make?  (Outcomes)
We will create a centralized Trauma informed and capable care organization that is identifiable statewide that can provide both immediate resource and referral information as well as ongoing training to address the medical provisioning of trauma care in the State of Hawaii. We will invite participation from around the country and the world to train here in Hawaii. We will link w/Medical Providers and Agencies so that they are aware of our services through multiple online, Direct and inter-agency communication networks so as to help to access and coordinate care.

List Projected numbers of Populations/Agencies serviced in the first year.

How will you know that you've made a difference? "Indicators"

           We will keep on going statistics and data collection via Google Analytics as a routine part of programming. We will provide specific reporting as needed in order to identify and support the understand Hawaii trauma epidemiology to authorities and funders as well as State Health Regulators. We will use standardized instrumentation and collect population demographics and report this aggregate data ongoing via the World Wide Web.

How was your organization able to achieve this plan?  (Description of organization)

Our Big Island Demonstration Project has 4 years of statistics demonstrating our ability to achieve the training of EMDR, Basic Training  (WHO) World Health Organization identified interventions recommended for 21st century, and best practice trauma informed care. We have established the Green Will On Line Professional Institute and current have made available 30+ trauma related video public educational productions via the World Wide Web. See:

How much will it cost?

$30,000 a year, for three years.

Tier One: 90 days initial access, then quarter two, quarter three will monitor and reported via Google analytics. Number of actual physical agency and/or community live presentations projected? (1st year) # 5,  (Second year) # 8, (Third year) # 10.  

Tier Two:

Public/Individual Use of Portal (1st year) #   (Second year) #  (Third year) # .  
Organizational Use of the Portal (1st year) #   (Second year) #  (Third year) # .  

Tier Three:
         Annually 20 new qualified mental/behavioral health therapists will demonstrate the ability to treat ACE/Trauma (3 Learning Goals) with either EMDR and/or Trauma Based CBT and Complex trauma w/ EGO State Therapy via Frazier’s Table (Ego State Therapy). (3 Learning goals)

             Provide ongoing online and annual reporting on units of contact and what % of contacts on the portal’s diagnostic indicators matches the epidemiological indicators listed on The Hawai’i DOH annual reporting on the health needs of Hawaii residents.  In year two we will submit our use reporting data to targeted Stakeholders along with a survey for input to adapt the program for more effective focus towards the target population.


HMSA Grant data:


Anyone interested in applying for a grant should contact the HMSA Foundation staff at least two weeks before the due date. The staff may be able to help you refine your project and proposal.


After reviewing our requirements, you may apply for an HMSA Foundation grant by entering the link below. You may also complete an existing application by entering the link.


Because outcome-based evaluation is pervasive in the field, the HMSA Foundation believes it is important to use consistent terminology. Unfortunately, grantmaking jargon too often hinders good projects. In simple terms, the basis for any proposal is to answer the following questions:

            Why is your project important? (statement of need)

            What exactly do you plan to do? (activities and outputs)

            What difference will you make? (outcomes)

            How will we know you have made that difference? (indicators)

            Why is your organization able to achieve this plan? (description of organization)

            How much will it cost? (budget)             Our online application process is easy to follow. To help you be as efficient as possible, we recommend preparing the following information:                     1           Registration information                             Organization information

            Contact Information               2           Proposal on organization’s letterhead (no more than 8 pages). Include the following:                                        Statement of need. What is the desired long-term effect of your project and why is it so important that it have this effect? Stronger proposals cite evidence such as statistical data, published reports, recent studies or reliable anecdotal evidence.

            Activities. What would be the key actions or events during the grant period?

            Outputs.What are the products of those actions or events? Outputs are sometimes called “deliverables.” They might be numbers (1000 students, 10 classes, 4000 brochures) and/or tangible items (published report, strategic plan, training manual). Stronger proposals include a proposed timeline of work.

            Outcomes. What key changes in skills, knowledge, values, attitudes, behaviors, conditions, etc. will result from your activities? These differences might be made in individuals (students will learn life-saving skills), communities (reduction in the incidence of a disease) or organizations (clinic will be more responsive to patients). List only those outcomes that you intend to achieve within the grant period.

            Indicators. This section is sometimes called “evaluation.” Indicators are observable and measurable data that you can collect to track your success in achieving your outcomes. Strong indicators such as statistical data are not always available. Well-designed and objective surveys, interviews and analyses may also produce sufficient indicators.

            Description of your organization and its qualifications. Stronger proposals indicate that the organization has the necessary support of other organizations and people that will be involved in the project.

1.         Budget. Indicate the amount you are requesting, the proposed use of funds and other sources of funding currently being sought.                  3           Copy of your current IRS determination letter indicating 501(c)(3) tax-exempt status or letter stating status as a unit of government (if possible, include a reference to the Act that established the agency as a unit of government)

2.         List of the organization’s officers and directors and their affiliations

3.         Most recent IRS Form 990 and annual financial statements of the organization

4.         Relevant letters of support

5.         Other relevant appendices (qualifications of key staff, sample program materials, etc.)

A copy of the HMSA grant Application:

Date of Application    


             Organization Name    


             Green Will Conservancy Inc


             DBA (If applicable)          




Social Work



             Street Address  


             14-803 Seaview Rd




             Pahoa ,         HI


             Zip Code  












             E-mail Address  








             Mission Statement        





             Indicate when your organization was founded or incorporated.  




             Organizational Type  


Human Services


             Tax ID            



             Tax Registration Date              



             Organization Leader             




             <Select One>











The Honorable


             First Name              


             Middle Initial          


             Last Name              















             Contact Person             


             Same as Organization Leader        











             Is your proposal in response to the special Request for Proposals (RFP), Reducing Health Disparities for Native Hawaiians? If "no," your proposal will be submitted under the general RFP.        


             <Select One>





             Project Title            




             Project Description    




             Request Amount            




             Total Project Budget  




             Project Start Date          




             Project End Date            




             Program Area        


             <Select One>


General Social Welfare


             Subject Areas    


             <Select One>

Alternative Medicine


Community Building







Disaster Victims

Disease Specific

Disease Specific-AIDS

Disease Specific-Alzheimers/Dementia

Disease Specific-Arthritis

Disease Specific-Asthma

Disease Specific-Cancer

Disease Specific-Diabetes

Disease Specific-ESRD

Disease Specific-Heart Disease

Disease Specific-Leukemia

Disease Specific-Stroke

Domestic Violence


Long-Term Care

Mental Health

Mental Health-Depression

Mental Health-Drug Addiction

Mental Health-Mental Illness



Obesity-Curriculum Development


Obesity-Physical Activity


Prevention (previously schools & substance abuse)



              Geographical Area Served


             <Select One>


Hawai`i County

Hawai`i County-East Hawai`i

Hawai`i County-North Hawai`i

Hawai`i County-West Hawai`i

Kaua'i County

Kaua'i County-East Kaua`i

Kaua'i County-Ni`ihau

Kaua'i County-West Kaua`i

Maui County

Maui County-East Maui

Maui County-Lana`i

Maui County-Moloka`i

Maui County-West Maui

City and County of Honolulu

City and County of Honolulu-Central O`ahu

City and County of Honolulu-Honolulu

City and County of Honolulu-Leeward O`ahu

City and County of Honolulu-North Shore

City and County of Honolulu-Windward O`ahu



             Project Location Zip Code



             Target Audience            


             <Select One>

Not Ethnicity Specific


Target Audience - Age            


             <Select One>

Not Age Specific






Please attached the following documents to your application by using the drop down button and upload them before proceeding to application review.


* IRS Determination Letter (only required for 501 c3 organizations)

* Board of Directors/Officers

* Financials (Most recent IRS Form 990 or Annual Financials)

* Grant Proposal (Up to eight pages)

* Itemized Budget

* Relevant Letters of Support (if any)

* Miscellaneous (Other relevant appendices)




             The maximum size for all attachments combined is 500 MB. Please note that files with certain extensions (such as "exe", "com", "vbs", or "bat") cannot be uploaded.



Title: 1)  IRS Determination Letter (only required for 501 c 3 organizations)

2)  BOARD OF DIRECTORS/OFFICERS - List of organization's officers and directors and their affiliations

3)  FINANCIALS - Most Recent IRS Form 990 or Annual Financial Statement Balance Sheet

4)  PROPOSAL - Up to eight pages



7)  MISC - Other relevant appendices (qualifications of key staff, sample program materials, etc.) (Optional)

8)  MISC - Other relevant appendices (qualifications of key staff, sample program materials, etc.) (Optional)

9)  MISC - Other relevant appendices...

10)  MISC - Other relevant appendices...

File Name:             



You may submit your proposal at any time. However, requests will be reviewed according to the schedule indicated below:


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April 1   June

July 1        September

October 1        December