TABLE OF CONTENTS

Film Summary and Directors Statement (2)

Key Issues (3)
Background Information on Hawaii (3)
Information on Mental Health Issues (5)
Discussion Questions on Culturally Minded Mental Health Care (7)
Discussion Questions on Hawaiian Culture (8)
CREDITS
Writer
Christen Hepuakoa Marquez
Discussion Guide Consultants
Jacqueline Tran
Community Resource Advocate and Consultant
Orange County Asian and Pacic Islander Community Alliance
Dr. Paula Healani Palmer
Associate Professor
Director of Global Health Programs, Claremont Graduate University

SPECIAL THANKS
Aukahi Austin
Kamanaopono Crabbe
Rebecca Jacobs
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FILM SUMMARY
A young multi-racial Kanaka Maoli (Native Hawaiian) woman, lmmaker Christen Hepuakoa
Marquez, sets out to discover the meaning of her incredibly lengthy Hawaiian name from her
estranged mother whose diagnosis of schizophrenia in the 1980s caused their family separation.
Christen discovers not only herself within the name, but gains a whole new perspective on the
idea of sanity and how cultural differences can sometimes muddle its denition.
DIRECTOR STATEMENT
E Haku Inoa: To Weave A Name is a personal documentary. It is my best effort to honor the past,
so that ancient knowledge can continue to thrive and inspire the future. The completion of this
project is an incredible blessing, and I am grateful for everyone who has been a part of bringing it
to life. This lm is made of commitment, ferocity, honesty, and vulnerability. It is everything that I
believe the word aloha is meant to portray.
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KEY ISSUES
Mental Health Care
Culturally Minded and Culturally Appropriate Care
Cross Cultural Communication
Native Hawaiian Identity
Native Hawaiian Culture
Multi-racial Identity
Mixed Race Issues
Indigenous Rights
Diverse Representation in the Media
Cultural Trauma
Genealogy
Names and Naming Practices
BACKGROUND INFORMATION ON HAWAII
DEFINITION OF THE NATIVE HAWAIIAN
In the lm E Haku Inoa: To Weave A Name and the discussion guide, the terms Native Hawaiian,
Hawaiian, and Kanaka Maoli all refer to individuals who are descendants of the Polynesian people
who inhabited the Hawaiian Islands prior to 1778. A Native Hawaiian person may not have been
born on the islands and many not reside on the islands.
The terms local, kamaaina, or resident refer to individuals who are born or are living in
the Hawaiian archipelago. These terms do not necessarily denote someone of Native Hawaiian
ancestry, rather they refer to a person who has was born, raised on, or spent a signicant amount
of time living in the Hawaiian islands.
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A BRIEF HISTORY OF THE
HAWAIIAN ISLANDS AND KINGDOM
It is commonly believed that the Hawaiian
Islands were settled by Polynesian voyagers
sometime before 1000 C.E. The rst recorded
European contact was in 1778 by the British
explorer Captain James Cook. At that time the
islands were divided and ruled by separate
chiefs.
It was not until 1810 that the nine major islands
were united under one common rule by the rst
king of all the Hawaiian Islands, King Kame-
hameha I. The sovereign nation Kamehameha.
I established remained until 1893 when the
The Kingdom of Hawaii, then ruled by Queen
Liliuokalani, was illegally overthrown by a small
group of business men. This group known as
The Provisional Government of Hawai`i was led
by men from the United States of America in-
cluding Sanford B. Dole. Dole, who later served
as the President of the Republic of Hawaii
enacted measures that served to suppress the
Hawaiian language and people. The overthrow
was a major event that contributed to the even-
tual admission of Hawaii as the 50th State of
the U.S.
The Hawaiian Cultural Renaissance is a short-
hand phrase that often refers to what was
actually the second renaissance of Hawaiian
culture that took place in the 1970s. It was a
time when a great collective movement was
made by Native Hawaiian people to revive and
reclaim traditional practices in diverse areas of
Hawaiian culture including canoe voyaging, land
restoration, taro farming, and hula.

MULTI-ETHNICITY AND NATIVE
HAWAIIANS TODAY
Since the early days of the Kingdom of Hawaii
many different races and ethnicities have called
the islands home. This inux of foreigners has
had a great impact on local culture in Hawaii
but also on the diversity of the Islands popu-
lation. There are still a large number of pure
or mono-ethnic Native Hawaiians living in the
islands and abroad, but there is a much larger
number of Native Hawaiians who have rich
mixed race identities.
BACKGROUND INFORMATION ON HAWAII
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According to the World Health Organization
mental health is dened as a state of well-be-
ing in which every individual realizes his or her
own potential, can cope with the normal stress-
es of life, can work productively and fruitfully,
and is able to make a contribution to her or his
community. People with mental illness may
experience difculties maintaining personal and
social relationships, holding down a job, and
attaining personal goals.
Additionally, individuals with impaired mental
health are sometimes the victims of stigma,
which is dened by the U.S. CDC as the preju-
dice, avoidance, rejection and discrimination
directed at people believed to have an illness,
disorder or other trait perceived to be unde-
sirable. Stigma can impact the lives of those
dealing with mental illness and the lives of their
families in many ways.
Some of the most common are:
Shane
solalion
Fefusal of lrealnenl and services
nabilily lo fnd enploynenl or oblain nedical
insurance
Reducing stigma associated with mental
illness is a public health priority. It is important
for individuals to become more aware of how
stigma affects people challenged by mental
health problem in order to diminish the negative
impacts of stigma.
Culturally Appropriate and Culturally
Minded Care
The difference between culturally
appropriate and culturally minded care is subtle
but important. The term culturally appropriate
refers to the Department of Health and Human
Services, National Cultural and Linguistically
Appropriate Standard (CLAS). The CLAS
was developed to help eliminate health care
disparities in diverse communities. According
to CLAS standards , health providers and
organizations should provide effective, equita-
ble, understandable and respectful quality care
and services that are responsive to diverse
cultural health beliefs and practices, preferred
languages, health literacy and other communica-
tion needs.
Culturally minded care is an approach to be-
havioral health that was developed by Aukahi
Austin. Culturally minded care stresses the
need to consider all aspects of health and
mental health care within the context not only
of culture but also a persons world view. This
encourages mental health care providers to
INFORMATION ON MENTAL HEALTH ISSUES
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keep an open mind and utilize a whole person approach to the various cultural factors and life cir-
cumstances that may be impacting an individual case.
A culturally minded approach should also include sensitivity for an individuals belief system, age, and
background. It is not a one-size-ts-all approach, and requires a caregiver to evaluate and treat the
totality of an individual.
For example, Native Hawaiians have a wide variety of religious beliefs and practices ranging from
Christianity and Mormonism to ancient Hawaiian spiritualism. It is not uncommon for Native
Hawaiians to integrate various religious and spiritual beliefs to form their own personal belief system.


Functional Interference is a measure of how much a specic symptom is interfering with the quality
of life of an individual. An example of this may be an individual who speaks to relatives or ancestors
who are no longer living. This is a practice that is common and acceptable in some cultures, but may
be perceived as odd and unhealthy behavior in other cultures. It is important for caregivers and loved
ones dealing with mental health issues to keep cultural factors and biases in mind when evaluating the
health of a loved one or client. Noting whether a behavior is posing a negative or even positive impact
on an individuals well-being can inform the course of action for care.
INFORMATION ON MENTAL HEALTH ISSUES
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Culturally Minded Care in Mental Health
Discussion Questions
WhaI is your uhdersIahdihg/deIhiIioh oI mehIal healIh? How do we as a socieIy/
commuhiIy address mehIal healIh?
WhaI are Ihe quesIiohs raised ih Ihe Ilm abouI Eleha's diaghosis?
Do you have ahy eamples Irom your liIe where havihg access Io culIurally mihded
clihical care would have beeh beheIcial?
Why do you Ihihk access Io culIurally appropriaIe ahd culIurally mihded care could
be imporIahI?
As supplemental material for discussion of culturally minded care please watch the
accompanying short video titled Aukahis Classroom.
You can view the video at: www.hakuinoa.com/guide or
https://vimeo.com/49706524
How is Ihe Iraihihg IhaI 'Aukahi's sIudehIs are receivihg preparihg Ihem Io deal wiIh
cliehIs oI diverse backgrouhds?
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Native Hawaiian Culture Discussion Questions
WhaI was your cohcepI oI hula? Did you learh ahyIhihg hew abouI Ihe culIural prac-
Iice oI hula Irom Ihis Ilm?
How do you Ihihk Ihe IiIle oI Ihe Ilm "E Haku hoa: To Weave A Name" was repre-
sehIed oh screeh IhemaIically ahd visually?
The IacI IhaI piheapples are hoI Irom Hawai'i is ohe commoh miscohcepIioh oI
Hawaii that was brought up in the lm. Are there any other misconceptions about
Hawai'i IhaI you cah Ihihk oI? Are Ihere ahy ideas abouI Hawai'i or Hawaiiahs IhaI
you suspecI may be sIereoIypical? I so, whaI are Ihey?
WhaI did Ihe Ilm Ieach you abouI Ihe Hawaiiah cohcepI oI kuleaha? How did you
see characIers ih Ihe Ilm IulIll Iheir kuleaha ih Ihe Ilm?
WhaI did Ihe Ilm Ieach you abouI Ihe Hawaiiah cohcepIioh oI Ihe relaIioh beIweeh
Ihe pasI, presehI, ahd IuIure? How is Ihis diIIerehI or similar Io your cohcepI oI Iime?
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Discussion Questions for
Contemporary Native Hawaiian and indigenous Identity
Did you have ah image oI whaI a NaIive Hawaiiah persoh looks like ih your mihd be-
Iore Ihis Ilm? How has IhaI percepIioh chahged aIIer viewihg E Haku hoa: To Weave
A Name?
Give some eamples oI PaciIc slahders ih Ihe media. How do Ihe people ih E Haku
hoa: To Weave A Name diIIer or cohIorm Io oIher porIrayals oI PaciIc slahders IhaI
you have seeh?
s iI possible IhaI a NaIive Hawaiiah persoh cah be borh away Irom Ihe islahds or
live away Irom Ihe Hawaiiah islahds ahd sIill maihIaih Iheir culIure?
WhaI are Ihe challehges IhaI ChrisIeh Iaces ih cohsIrucIihg her idehIiIy as a mied
race NaIive Hawaiiah livihg away Irom Ihe islahds?
How do you relaIe Io Ihe idehIiIy issues presehIed ih Ihe Ilm?
WhaI are some oIher eamples oI mied race idehIiIy IhaI you have seeh laIely ih
popular culIure?
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How to Set Up a Local Screening
Organizing a screening of E Haku Inoa: To Weave A Name is easy. Just visit the lms
Tugg page at: www.tugg.com
Review the lm and this discussion guide to get an idea for how to lead a Q&A ses-
sion after the lm.
Invite everyone you know and work with partnership organizations to make the
screening a success.
If you have any other questions you can contact the lmmaker Christen Marquez
directly at christen.marquez@gmail.com.
Ideas for Potential Event Partners
NationaI Asian American Pacihc IsIander MentaI HeaIth Association (NAAPIMHA)
NationaI AIIiance on MentaI IIIness (NAMI)
Local Halau Hula
Hawaiiah Civic Clubs
MAVIN - a national organization that provides educational resources about Mixed
Heritage experiences.
Local mehIal healIh service providers
Local PaciIc slahder ahd NaIive Americah groups such as cahoe clubs or dahce
groups
Asiah Americah ahd PaciIc slahder sIudy courses aI local uhiversiIies
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Additional Resources
Locating Mental Health Resources Near You:
For information about mental health, how to nd help near you go to:
www.mentaIheaIth.gov
NationaI AIIiance on MentaI IIIness (NAMI) www.nami.org
For more information on behavioral health in Hawaii visit:
I OIa Lahui www.ioIaIahui.org
Further reading and viewing on Hawaiian Arts and Culture:
Visit The Pa'i Foundation at www.paifoundation.org
For additional information about how hula has been used as a method of cultural
perpetuation and political resistance watch the short video Hula As A Form of
Resistance with Kumu Hula Vicky Holt-Takamine icky Holt-Takamine at www.
hakuinoa.com/guide.
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This lm was made possible by the support of the
following organizations.
And the donations and support of many generous individuals.
The lm was Produced by
To order copies of the lm for educational or home on DVD and download please
visit: www.hakuinoa.com/shop
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