Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1698936160428.pdf (Micronesia, Federated States of)
STANDING COMMITTEE REPORT NO.

19-179 RE: C.R.

NO.

19-273/H&SA SUBJECT: ACCEPTING A GRANT FROM THE U.S. SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION IN THE AMOUNT OF $664,690.

OCTOBER 05, 2016 The Honorable Wesley W. Simina Speaker, Nineteenth Congress Federated States of Micronesia Fifth Regular Session, 2016 Dear Mr. Speaker: Your Committee on Health and Social Affairs to which was referred C.R.

No.
No.

19-273, entitled: “A RESOLUTION APPROVING AND ACCEPTING A GRANT IN THE AMOUNT OF $664,690 FROM THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION, TO FUND THE FSM SUBSTANCE ABUSE AND MENTAL HEALTH PROGRAM, INCLUDING ALL THE TERMS AND CONDITIONS OF THE ASSISTANCE.”, begs leave to report as follows: The intent and purpose of this resolution is expressed in its title.
Your Committee held a hearing on September 30, 2016 the witnesses present included the Department of Health and Social Affairs, including the Secretary and key staff, the Office of the President, the Department of Finance and Administration, and the Department of Justice.

SCRL 19-205/CR 19-273/H&SA Committee STANDING COMMITTEE REPORT NO.

19-179 RE: C.R.

NO.

19-273/H&SA SUBJECT: ACCEPTING A GRANT FROM THE U.S. SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION IN THE AMOUNT OF $664,690.
OCTOBER 05, 2016 The Department of Health and Social Affairs stated that the proposed funding under this resolution is the primary funding for the nation’s substance abuse and mental health program throughout the four states.

This program is well known to your Committee and has been in existence for many years.

The budget break down and progress report for this program was delivered to the Committee prior to the beginning of this session of Congress and was distributed to your Committee.
Due to its length it is not attached to this report.

Your Committee reiterates several of the concerns it has raised in the past, namely, that our challenges regarding mental health and substance abuse are many and our Nation does not appear to be moving forward in a positive way.

The Department stated that some of the problems in mental health and substance abuse is that treatment is on a voluntary basis.
If an adult individual refuses treatment there is not much that the Department can do, but attempt to work with the close family members of the individual.

Only in dire situations where a person is a threat to themselves or others does the government have the legal right to intervene.

The State Departments of Health in all the four states have outreach activities to the homes of the patients to deliver services and medication.
Another issue that was raised, and has been raised in the past, is the lack of any facilities in the Nation to house those individuals afflicted with mental illness or addiction problems.

The Department stated that the in home or residential treatment model has been adopted for our Nation.

As it is in the U.S., where this model originates, it is favored to keep patients in their homes rather than institutionalize them.

This thought best both for financial and humane reasons.
-­‐2-­‐ STANDING COMMITTEE REPORT NO.

19-179 RE: C.R.

NO.

19-273/H&SA SUBJECT: ACCEPTING A GRANT FROM THE U.S. SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION IN THE AMOUNT OF $664,690.

OCTOBER 05, 2016 The final comment by the Committee was that it wished more work was being done with our youth.

Many young people could use additional opportunities regarding technical and education training, sport and healthy activities, and in general positive mentoring.
The Committee advised the Department that it expects regular progress reports and will conduct oversight in the coming year regarding this program.

Your Committee on Health and Social Affairs believes that the work this grant supports in maternal and child health is important, and it is in accord with the intent and purpose of C.R.

No.

19-273, and recommends its adoption in the form attached hereto.

-­‐3-­‐ STANDING COMMITTEE REPORT NO.

19-179 RE: C.R.

NO.


19-273/H&SA SUBJECT: ACCEPTING A GRANT FROM THE U.S. SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION IN THE AMOUNT OF $664,690.
OCTOBER 05, 2016 Respectfully submitted, Bonsiano F. Nethon, chairman /s/ Ferny S. Perman Ferny S. Perman, vice chairman /s/ /s/ Tiwiter Aritos /s/ Tiwiter Aritos, member Florencio S. Harper, member /s/ /s/ David W. Panuelo David W. Panuelo, member Joseph J. Urusemal, member /s/ /s/ Joseph J. Urusemal /s/ /s/ Alik L. Alik Alik L. Alik, member -­‐4-­‐