Heather Lusk, Executive Director
Heather Lusk, MSW, is the Executive Director of the Hawai'i Health & Harm Reduction Center. Heather has over thirty years of experience dedicated to reducing health disparities and stigma as it relates to HIV, viral hepatitis and other chronic conditions linked to substance use. As the Chair of Partners in Care, Board Member in Oahu’s Homeless Coalition, and Co-Director of Hep Free Hawaii, Heather works to support systems integration and the intersection of mental health, substance use, homelessness, chronic health conditions and the criminal legal system.
Nandi Ishikawa, Deputy Director of Clinical Services
Nandi has more than 17 years of management and supervisory experience in the human services field, and more than 8 years providing direct services to children, adults, and families in crisis. Nandi has a Masters and Bachelors degree in social work. At HHHRC, she ensures that people living with HIV on O'ahu have access to HIV medication, and competent, quality health care needed to suppress the HIV virus and live their best lives.
Kavika Puahi, Deputy Director of Operations
Kavika has more than 15 years of non-profit experience working primarily with The CHOW Project, Hawai'i’s statewide syringe exchange program. He has managed various aspects of administration and programmatic functions during his non-profit career. At HHHRC, Kavika will continue to oversee the administrative components of the organization as well as non-clinical programs.
Trisha Kajimura, Deputy Director - Community
Trisha Kajimura, MA, MPH, recently served as the Executive Director of Mental Health America of Hawai'i. From 2009-2012, she was HIV Care Services Director of Life Foundation. Trisha took her experiences at Life Foundation to inform her work in advocating for underserved communities. Trisha is passionate about prioritizing the dignity and humanity of each person through the challenges of their individual journey. She brings her years of advocacy and leadership experience to further develop and extend HHHRC’s mission and values to the community.
Celia Remillard, HR Director
Celia Remillard, SHRM-CP has more than 20 years of experience managing Human Resources (HR) activities and operations; policy development and implementation; employee relations; workplace investigations; and employee training and development, and providing oversight of statutory compliance for EEO, ADA, FLSA and HR-related functions. Celia has an Associates degree in Liberal Arts and a Bachelor’s degree in English/Communications. At HHHRC, Celia brings her HR and EEO expertise to evaluate and enhance employee programs, recommend improvements to employee relations, and to ensure that all employee-related policies align with our agency’s values as well as local, state, and federal regulations.
Mary Ann Aceret, Finance Manager
20 years of accounting experience (almost 8 years under non-profit) holding a degree of Bachelor of Science in Accountancy. Started as Full Charge Bookkeeper with Life Foundation in 2016 and then as a Staff Accountant during the merger of Life & The Chow Project in 2018. I’m making it sure that the organization’s financials are recorded and presented in timely and accurate manner. Mostly enjoys spare time with family and friends and at least travel out of the state once a year.
Nikos Leverenz, Grants & Advancement Manager
Nikos serves as HHHRC’s Grants & Advancement Manager. He returned to Honolulu after 25 years in California, where he worked in Sacramento as a legislative advocate, senior legislative staffer, and policy consultant, developing proficiency around strategic communications and policies related to harm reduction, public health, civil rights, and the criminal legal system. Advancing direct services, partnerships, and policy changes that improve the health and well-being of persons from under resourced and over criminalized communities continues to animate his work. He is a graduate of Maryknoll High School, Occidental College, and University of the Pacific (McGeorge School of Law) and remains an avid reader and wellness practitioner.
Andrew Ogata, Community Relations Manager
Andrew is a well known leader within Hawaii's LGTBQI Community. Andrew was a volunteer for over a decade with Life Foundation and The CHOW Project before joining the team as the Community Relations Manager. Andrew oversees all of HHHRC's community events and programs, marketing, social media, and communications.
Kunane Dreier, Health Equity Manager
Kunane is a leader within the LGTBQI Community providing ongoing cultural competency trainings to service providers. He is experienced as a RESPECT, counseling, testing and referral, and rapid testing trainer. Kunane served as the Director of Prevention Services at Life Foundation since 2006, and has experience working with prevention intervention strategies, linkage to care, and prevention for positives. He has completed the Institute for HIV Prevention Leadership Program, and serves as the Hawai'i Community Planning Group Co-Chair.
David Shaku, Public Health Engagement Manager
David manages the LEAD, Housing First, Cell-Connect Re-Entry Project, Alcohol & Drug Abuse Division pre-treatment programs, and supervises the LEAD & Hepatitis C program staff at HHHRC. He transitioned from an MSW intern working with the Community Health Outreach Work (CHOW) Project into a Case Manager with the LEAD program at HHHRC. He currently provides administrative support for staff working the frontline in the intersections of Public Health & Public Safety, brining harm reduction practices to traditionally underserved populations. David received his Bachelor & Master of Social Work degree from Hawaiʻi Pacific University. David also serves in the Behavioral Health field with the United States Army Reserve.
Anika Martin, Ryan White Program Manager
Anika Marin, MPH has always been in interested in serving the community. Throughout her time as a student, Anika was involved in an organization that addressed the health of Native American populations in the Flagstaff community by serving as a research assistant for a project to increase colorectal cancer screening among Hopi elders, and hosting educational workshops about cancer preventative methods among Navajo children. She also worked for NAU’s Office of Inclusion where she helped to promote inclusivity of minority populations on NAU’s campus by coordinating events to promote multicultural and gender diversity and preparing inclusion trainings for campus staff and students to attend. Anika has a tremendous passion for allowing underrepresented communities voice their needs, so much so that she dedicated her entire master’s thesis on identifying the perceptions of gender inclusivity in comprehensive sexual education curricula among sexual and gender minority students. After moving back home to Hawai’i, Anika now works for HHHRC as the Ryan White Administrative Manager and helps with the overall administration of Hawai’i’s Ryan White Part B program, a federal program that provides HIV/AIDS treatment and related services to low-income people living with HIV. A few of her job duties include, providing oversight of agencies funded by the Ryan White Part B grant, maintain monitoring standards of subcontractors outlined by the Health Resources Services Administration, provide consultation for agencies that provide HIV care, and ensure the program: measures client outcomes, documents clinical improvements, and uses data to inform quality improvement projects across the HIV care continuum.
Keli‘i Abordo, HIV Program Manager
Keli'i has been in the HIV services field since 2005, starting in the community doing outreach, education, and testing in our remote neighborhoods on Oahu and our Native Hawaiian pockets in Papakolea and Waimanalo. Keli'i transitioned into care services by securing the Native Hawaiian HIV case management position. While in case management, Keli'i was involved in the implementation and management of HHHRC’s 340B HIV program and assisted with the establishment of HHHRC’s STD 340B program. Now as a manager, Keli'i can provide support for his frontline team of Medical Case Managers and Patient Navigators.
Laarni Flores, HIV Program Manager
Laarni Flores has worked with people living with HIV since 2005. She began as a practicum student with Life Foundation and subsequently served as a Medical Case Manager. She fell in love with helping clients gain access to needed care so that they are able to pursue healthy and independent lives. Her longevity in the field is a result of a deep commitment to helping those in need become their own best advocates. Laarni also is grateful to her clients for teaching her how to live a life of meaning and humility.
Echo Wyche, Syringe Exchange Program Manager
Echo has more than 20 years of experience working with underserved and stigmatized populations between Alaska and Hawaii, 8 years working with those re-entering citizens and incarcerated individuals, 15 years with individuals experiencing behavioral health challenges concurrently with substance use challenges, and over 20 years with individuals experiencing substance use and misuse. Echo has a Bachelor of Science in nursing and certifications in behavioral health and addiction medicine. At HHHRC, she ensures that people who use substances have access to harm reduction supplies and access to HIV/HCV testing and resources for continued support.
Jennifer Tehotu, Homeless Outreach Program Manager
Jennifer oversees HHHRC’s State Homeless Outreach Program and Housing First IV program. She brings over two decades of experience in homelessness outreach, community-based case management, and health education. Her prior positions with Ke Ola Mamo, Kalihi-Palama Health Center, and ῾Ohana Health Plan were focused on those from under resourced communities on the Leeward Coast and urban Honolulu. She remains committed to linking those experiencing unsheltered homelessness with quality care and services with compassion and integrity.
Maddalynn Sesepasara, Kua'ana Project Manager
Maddalynn began her professional career in 1998 with UTOPIA (United Territories of Pacific Islander Alliance) Hawaii. In 2001, Maddie started working at Kulia Na Mamo as a program coordinator overseeing its transgender program called the HAPI DIVAS Hepatitis Prevention Program. She then transitioned to working at the Life Foundation (now, Hawaii Health & Harm Reduction Center) in 2005 as an HIV counselor and HIV prevention educator. Maddie also provides case management services and a former smoking cession specialist for clients under the Kua’ana Project, HHHRC’s transgender service program. Maddie has now stepped into a management position as Kua'ana Project Manager, overseeing HHHRC transgender program, where she continues to build her leadership role and continue to work and serve a community that she is very passionate about.
Jeffrey Manibusan, Behavioral Health Site Manager
As Stabilization Program Manager, Jeff oversees HHHRC’s Waikiki Beachside Stabilization facility. With over 10 years of community-based, people-focused advocacy work, Jeff continues to work with vulnerable populations, supporting self-directed participant behavioral health and (stigma-free) substance use goals, proactively resolving participant crises/conflicts, supporting, and managing diverse personalities. Jeff builds professional and therapeutic relationships developed on trust, self-directed goals (capability based), and mindful trauma-informed interventions. Jeff previously held positions in the behavioral health field included Lead Field Case Manager, Intensive Case Manager (Forensics ICM+), and Crisis Case Manager. Jeff also has a background in public policy where he served as Chief Policy Analyst for the 31st Guam Legislature, Legislative Analyst for the 27th Hawaii House Minority Research Office, and in the 29th Hawaii State Senate as a Legislative Assistant. Jeff is a graduate of the University of Guam in Political Science and is currently pursuing a Master of Social Work from Hawaii Pacific University.