II 

109TH CONGRESS 

2D SESSION S. 3449 

To amend the Public Health Service Act to improve the quality and 

availability of mental health services for children and adolescents. 

IN THE SENATE OF THE UNITED STATES 

JUNE 6, 2006 

Mr. DODD introduced the following bill; which was read twice and referred to 

the Committee on Health, Education, Labor, and Pensions 

A BILL 

To amend the Public Health Service Act to improve the 

quality and availability of mental health services for children and adolescents. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 

4 (a) SHORT TITLE.—This Act may be cited as the 

5 ‘‘Child and Adolescent Mental Health Resiliency Act of 

6 2006’’. 

7 (b) TABLE OF CONTENTS.—The table of contents of 

8 this Act is as follows: 

Sec. 1. Short title; table of contents. 

Sec. 2. Findings. 


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TITLE I—STATE AND COMMUNITY ACTIVITIES CONCERNING THE 

MENTAL HEALTH OF CHILDREN AND ADOLESCENTS 

Sec. 101. Grants concerning comprehensive state mental health plans. 

Sec. 102. Grants concerning early intervention and prevention. 

Sec. 103. Activities concerning mental health services in schools. 

Sec. 104. Activities concerning mental health services under the early and periodic screening, diagnostic, and treatment services program. 

Sec. 105. Activities concerning mental health services for at-risk mothers and 

their children. 

Sec. 106. Activities concerning interagency case management. 

Sec. 107. Grants concerning consumer and family participation. 

Sec. 108. Grants concerning information on child and adolescent mental health 

services. 

Sec. 109. Activities concerning public education of child and adolescent mental 

health disorders and services. 

Sec. 110. Technical assistance center concerning training and seclusion and restraints. 

Sec. 111. Technical assistance centers concerning consumer and family participation. 

Sec. 112. Comprehensive community mental health services for children and 

adolescents with serious emotional disturbances. 

Sec. 113. Community mental health services performance partnership block 

grant. 

Sec. 114. Community mental health services block grant program. 

Sec. 115. Grants for jail diversion programs. 

TITLE II—FEDERAL INTERAGENCY COLLABORATION AND 

RELATED ACTIVITIES 

Sec. 201. Interagency coordinating committee concerning the mental health of 

children and adolescents. 

TITLE III—RESEARCH ACTIVITIES CONCERNING THE MENTAL 

HEALTH OF CHILDREN AND ADOLESCENTS 

Sec. 301. Activities concerning evidence-based or promising best practices. 

Sec. 302. Federal research concerning adolescent mental health. 

1 SEC. 2. FINDINGS. 

2 Congress makes the following findings: 

3 (1) According to the Surgeon General’s Con4 ference on Children’s Mental Health: A National Ac5 tion Agenda, mental health is a critical component 

6 of children’s learning and general health. 

7 (2) According to the Surgeon General’s Con8 ference on Children’s Mental Health: A National AcVerDate Aug 31 2005 23:56 Jun 07, 2006 Jkt 049200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\S3449.IS S3449

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1 tion Agenda, one in 10 children and adolescents suf2 fer from mental illness severe enough to cause some 

3 level of impairment. 

4 (3) According to the Surgeon General’s Con5 ference on Children’s Mental Health: A National Ac6 tion Agenda, only one in five children and adoles7 cents who suffer from severe mental illness receive 

8 the specialty mental health services they require. 

9 (4) According to the World Health Organiza10 tion, childhood neuropsychiatric disorders will rise 

11 by over 50 percent by 2020, internationally, to be12 come one of the five most common causes of mor13 bidity, mortality, and disability among children. 

14 (5) According to the Surgeon General’s Con15 ference on Children’s Mental Health: A National Ac16 tion Agenda, the burden of suffering experienced by 

17 children with mental illness and their families has 

18 created a health crisis in this country. 

19 (6) According to the Surgeon General’s Con20 ference on Children’s Mental Health: A National Ac21 tion Agenda, there is broad evidence that the nation 

22 lacks a unified infrastructure to help children suf23 fering from mental illness; 

24 (7) According to the President’s New Freedom 

25 Commission on Mental Health, President George 


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1 Bush identified three obstacles preventing Americans 

2 with mental illness from getting the care they re3 quire: stigma that surrounds mental illness; unfair 

4 treatment limitations and financial requirements 

5 placed on mental health benefits in private health in6 surance, and; the fragmented mental health service 

7 delivery system. 

8 (8) According to the Surgeon General’s Con9 ference on Children’s Mental Health: A National Ac10 tion Agenda, one way to ensure that the country’s 

11 health system meets the mental health needs of chil12 dren is to move towards a community-based mental 

13 health delivery system that balances health pro14 motion, disease prevention, early detection, and uni15 versal access to care. 

16 (9) According to the President’s New Freedom 

17 Commission on Mental Health, transforming the 

18 country’s mental health delivery system rests on two 

19 principles: services and treatments must be con20 sumer and family-centered, and; care must focus on 

21 increasing a person’s ability to successfully cope with 

22 life’s challenges, on facilitating recovery, and build23 ing resiliency. 

24 (10) According to the Surgeon General’s Con25 ference on Children’s Mental Health: A National AcVerDate Aug 31 2005 23:56 Jun 07, 2006 Jkt 049200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\S3449.IS S3449

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1 tion Agenda, the mental health and resiliency of 

2 children can be ensured by methods that: promote 

3 public awareness of children’s mental health issues 

4 and reduce stigma associated with mental illness; 

5 continue to develop, disseminate, and implement sci6 entifically-proven prevention and treatment services 

7 in the field of children’s mental health; improve the 

8 assessment of and recognition of mental health 

9 needs in children; eliminate racial, ethnic and socio10 economic disparities in access to mental healthcare 

11 services; improve the infrastructure for children’s 

12 mental health services, including support for sci13 entifically-proven interventions across professions; 

14 increase access to and coordination of quality mental 

15 healthcare services; train frontline providers to rec16 ognize and manage mental health issues, and edu17 cate mental healthcare providers about scientifically18 proven prevention and treatment services, and; mon19 itor the access to and coordination of quality mental 

20 healthcare services. 

21 (11) According to the President’s New Freedom 

22 Commission on Mental Health, the country’s mental 

23 health delivery system can be successfully trans24 formed by methods that: ensure Americans under25 stand that mental health is essential to overall 


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1 health; ensure mental health care is consumer and 

2 family-driven; eliminate disparities in mental 

3 healthcare services; ensure early mental health 

4 screening, assessment, and referral services are com5 mon practices; ensure that excellent mental health 

6 care is delivered and research is accelerated, and; 

7 technology is used to access mental health care and 

8 information. 

9 TITLE I—STATE AND COMMU10 NITY ACTIVITIES CON11 CERNING THE MENTAL 

12 HEALTH OF CHILDREN AND 

13 ADOLESCENTS 

14 SEC. 101. GRANTS CONCERNING COMPREHENSIVE STATE 

15 MENTAL HEALTH PLANS. 

16 Subpart 3 of part B of title V of the Public Health 

17 Service Act (42 U.S.C. 290bb–31 et seq.) is amended by 

18 inserting after section 520A, the following: 

19 ‘‘SEC. 520B. COMPREHENSIVE STATE MENTAL HEALTH 

20 PLANS. 

21 ‘‘(a) GRANTS.—The Secretary, acting through the 

22 Center for Mental Health Services, shall award a 1-year, 

23 non-renewable grant to, or enter into a 1-year cooperative 

24 agreement with, a State for the development and imple25 mentation by the State of a comprehensive State mental 


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1 health plan that exclusively meets the mental health needs 

2 of children and adolescents, including providing for early 

3 intervention, prevention, and recovery oriented services 

4 and supports for children and adolescents, such as mental 

5 and primary health care, education, transportation, and 

6 housing. 

7 ‘‘(b) APPLICATION.—To be eligible to receive a grant 

8 or cooperative agreement under this section a State shall 

9 submit to the Secretary an application at such time, in 

10 such manner, and containing such information as the Sec11 retary may require, including— 

12 ‘‘(1) a certification by the governor of the State 

13 that the governor will be responsible for overseeing 

14 the development and implementation of the com15 prehensive State mental health plan; and 

16 ‘‘(2) the signature of the governor of the State. 

17 ‘‘(c) REQUIREMENTS.—The Comprehensive State 

18 Plan shall include the following: 

19 ‘‘(1) An evaluation of all the components of the 

20 current mental health system in the State, including 

21 the estimated number of children and adolescents re22 quiring and receiving mental health services, as well 

23 as support services such as primary health care, 

24 education, and housing. 


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1 ‘‘(2) A description of the long-term objectives of 

2 the State for policies concerning children and adoles3 cents with mental disorders. Such objectives shall in4 clude— 

5 ‘‘(A) the provision of early intervention 

6 and prevention services to children and adoles7 cents with, or who are at risk for, mental health 

8 disorders that are integrated with school sys9 tems, educational institutions, juvenile justice 

10 systems, substance abuse programs, mental 

11 health programs, primary care programs, foster 

12 care systems, and other child and adolescent 

13 support organizations; 

14 ‘‘(B) a demonstrated collaboration among 

15 agencies that provide early intervention and 

16 prevention services or a certification that enti17 ties will engage in such future collaboration; 

18 ‘‘(C) implementing or providing for the 

19 evaluation of children and adolescents mental 

20 health services that are adapted to the local 

21 community; 

22 ‘‘(D) implementing collaborative activities 

23 concerning child and adolescent mental health 

24 early intervention and prevention services; 


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1 ‘‘(E) the provision of timely appropriate 

2 community-based mental health care and treat3 ment of children and adolescents in child and 

4 adolescent-serving settings and agencies; 

5 ‘‘(F) the provision of adequate support and 

6 information resources to families of children 

7 and adolescents with, or who are at risk for, 

8 mental health disorders; 

9 ‘‘(G) the provision of adequate support and 

10 information resources to advocacy organizations 

11 that serve children and adolescents with, or who 

12 are at risk for, mental health disorders, and 

13 their families; 

14 ‘‘(H) identifying and offering access to 

15 services and care to children and adolescents 

16 and their families with diverse linguistic and 

17 cultural backgrounds; 

18 ‘‘(I) identifying and offering equal access 

19 to services in all geographic regions of the 

20 State; 

21 ‘‘(J) identifying and offering appropriate 

22 access to services in geographical regions of the 

23 State with above-average occurrences of child 

24 and adolescent mental health disorders; 


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1 ‘‘(K) identifying and offering appropriate 

2 access to services in geographical regions of the 

3 State with above-average rates of children and 

4 adolescents with co-occurring mental health and 

5 substance abuse disorders; 

6 ‘‘(L) offering continuous and up-to-date in7 formation to, and carrying out awareness cam8 paigns that target children and adolescents, 

9 parents, legal guardians, family members, pri10 mary care professionals, mental health profes11 sionals, child care professionals, health care 

12 providers, and the general public and that high13 light the risk factors associated with mental 

14 health disorders and the life-saving help and 

15 care available from early intervention and pre16 vention services; 

17 ‘‘(M) ensuring that information and aware18 ness campaigns on mental health disorder risk 

19 factors, and early intervention and prevention 

20 services, use effective and culturally-appropriate 

21 communication mechanisms that are targeted to 

22 and reach adolescents, families, schools, edu23 cational institutions, juvenile justice systems, 

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1 tems, and other child and adolescent support 

2 organizations; 

3 ‘‘(N) implementing a system to ensure that 

4 primary care professionals, mental health pro5 fessionals, and school and child care profes6 sionals are properly trained in evidence-based 

7 best practices in child and adolescent mental 

8 health early intervention and prevention, treat9 ment and rehabilitation services and that those 

10 professionals involved with providing early 

11 intervention and prevention services are prop12 erly trained in effectively identifying children 

13 and adolescents with or who are at risk for 

14 mental health disorders; 

15 ‘‘(O) the provision of continuous training 

16 activities for primary care professionals, mental 

17 health professionals, and school and child care 

18 professionals on evidence-based or promising 

19 best practices; 

20 ‘‘(P) the provision of continuous training 

21 activities for primary care professionals, mental 

22 health professionals, and school and child care 

23 professionals on family and consumer involve24 ment and participation; 


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1 ‘‘(Q) conducting annual self-evaluations of 

2 all outcomes and activities, including consulting 

3 with interested families and advocacy organiza4 tions for children and adolescents. 

5 ‘‘(3) A cost-assessment relating to the develop6 ment and implementation of the State plan and a 

7 description of how the State will measure perform8 ance and outcomes across relevant agencies and 

9 service systems. 

10 ‘‘(4) A timeline for achieving the objectives de11 scribed in paragraph (2). 

12 ‘‘(5) An outline for achieving the sustainability 

13 of the objectives described in paragraph (2). 

14 ‘‘(d) APPLICATION OF OTHER REQUIREMENTS.—The 

15 authorities and duties of State mental health planning 

16 councils provided for under sections 1914 and 1915 with 

17 respect to State mental health block grant planning shall 

18 apply to the development and the implementation of the 

19 comprehensive State mental health plan. 

20 ‘‘(e) PARTICIPATION AND IMPLEMENTATION.— 

21 ‘‘(1) PARTICIPATION.—In developing and imple22 menting the comprehensive State mental health plan 

23 under a grant or cooperative agreement under this 

24 section, the State shall ensure the participation of 

25 the State agency heads responsible for child and adVerDate Aug 31 2005 23:56 Jun 07, 2006 Jkt 049200 PO 00000 Frm 00012 Fmt 6652 Sfmt 6201 E:\BILLS\S3449.IS S3449

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1 olescent mental health, substance abuse, child wel2 fare, medicaid, public health, developmental disabil3 ities, social services, juvenile justice, housing, and 

4 education. 

5 ‘‘(2) CONSULTATION.—In developing and imple6 menting the comprehensive State mental health plan 

7 under a grant or cooperative agreement under this 

8 section, the State shall consult with— 

9 ‘‘(A) the Federal interagency coordinating 

10 committee established under section 401 of the 

11 Child and Adolescent Mental Health Resiliency 

12 Act of 2006; 

13 ‘‘(B) State and local agencies, including 

14 agencies responsible for child and adolescent 

15 mental health care, early intervention and pre16 vention services under titles IV, V, and XIX of 

17 the Social Security Act, and the State’s Chil18 dren’s Health Insurance Program under title 

19 XXI of the Social Security Act; 

20 ‘‘(C) State mental health planning councils 

21 (described in section 1914); 

22 ‘‘(D) local, State, and national advocacy 

23 organizations that serve children and adoles24 cents with or who are at risk for mental health 

25 disorders and their families; 


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1 ‘‘(E) relevant national medical and other 

2 health professional and education specialty or3 ganizations; 

4 ‘‘(F) children and adolescents with mental 

5 health disorders and children and adolescents 

6 who are currently receiving early intervention or 

7 prevention services; 

8 ‘‘(G) families and friends of children and 

9 adolescents with mental health disorders and 

10 children and adolescents who are currently re11 ceiving early intervention or prevention services; 

12 ‘‘(H) families and friends of children and 

13 adolescents who have attempted or completed 

14 suicide; 

15 ‘‘(I) qualified professionals who possess the 

16 specialized knowledge, skills, experience, train17 ing, or relevant attributes needed to serve chil18 dren and adolescents with or who are at risk for 

19 mental health disorders and their families; and 

20 ‘‘(J) third-party payers, managed care or21 ganizations, and related employer and commer22 cial industries. 

23 ‘‘(3) SIGNATURE.—The Governor of the State 

24 shall sign the comprehensive State mental health 


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1 plan application and be responsible for overseeing 

2 the development and implementation of the plan. 

3 ‘‘(f) SATISFACTION OF OTHER FEDERAL REQUIRE4 MENTS.—A State may utilize the comprehensive State 

5 mental health plan that meets the requirements of this 

6 section to satisfy the planning requirements of other Fed7 eral mental health programs administered by the Sec8 retary, including as the Community Mental Health Serv9 ices Block Grant and the Children’s Mental Health Serv10 ices Program, so long as the requirements of such pro11 grams are satisfied through the plan. 

12 ‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There 

13 is authorized to be appropriated to carry out this section 

14 $50,000,000 for fiscal year 2007, and such sums as may 

15 be necessary for each of fiscal years 2008 through 2011.’’. 

16 SEC. 102. GRANTS CONCERNING EARLY INTERVENTION 

17 AND PREVENTION. 

18 Title V of the Public Health Services Act (42 U.S.C. 

19 290aa et seq.) is amended by adding at the end the fol20 lowing: 


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1 ‘‘PART K—MISCELLANEOUS MENTAL HEALTH 

2 PROVISIONS 

3 ‘‘SEC. 597. GRANTS FOR MENTAL HEALTH ASSESSMENT 

4 SERVICES. 

5 ‘‘(a) IN GENERAL.—The Secretary shall award 5- 

6 year matching grants to, or enter into cooperative agree7 ments with, community health centers that receive assist8 ance under section 330 to enable such centers to provide 

9 child and adolescent mental health early intervention and 

10 prevention services to eligible children and adolescents, 

11 and to provide referral services to, or early intervention 

12 and prevention services in coordination with, community 

13 mental health centers and other appropriately trained pro14 viders of care. 

15 ‘‘(b) APPLICATION.—To be eligible to receive a grant 

16 or cooperative agreement under subsection (a) an entity 

17 shall— 

18 ‘‘(1) be a community health center that receives 

19 assistance under section 330; 

20 ‘‘(2) prepare and submit to the Secretary an 

21 application at such time, in such manner, and con22 taining such information as the Secretary may re23 quire; 

24 ‘‘(3) provide assurances that the entity will 

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1 sional staff to ensure prompt treatment or triage for 

2 referral to a speciality agency or provider; and 

3 ‘‘(4) provide assurances that the entity will en4 courage formal coordination with community mental 

5 health centers and other appropriate providers to en6 sure continuity of care. 

7 ‘‘(c) IDENTIFICATION.—In providing services with 

8 amounts received under a grant or cooperative agreement 

9 under this section, an entity shall ensure that appropriate 

10 screening tools are used to identify at-risk children and 

11 adolescents who are eligible to receive care from a commu12 nity health centers. 

13 ‘‘(d) MATCHING REQUIREMENT.—With respect to 

14 the costs of the activities to be carried out by an entity 

15 under a grant or cooperative agreement under this section, 

16 an entity shall provide assurances that the entity will 

17 make available (directly or through donations from public 

18 or private entities) non-Federal contributions towards 

19 such costs in an amount that is not less than $1 for each 

20 $1 of Federal funds provided under the grant or coopera21 tive agreement. 


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1 ‘‘SEC. 597A. GRANTS FOR PRIMARY CARE AND MENTAL 

2 HEALTH EARLY INTERVENTION AND PREVEN3 TION SERVICES. 

4 ‘‘(a) IN GENERAL.—The Secretary shall award 5- 

5 year matching grants to, or enter into cooperative agree6 ments with, States, political subdivisions of States, consor7 tium of political subdivisions, tribal organizations, public 

8 organizations, or private nonprofit organizations to enable 

9 such entities to provide assistance to mental health pro10 grams for early intervention and prevention services to 

11 children and adolescents with, or who are at-risk of, men12 tal health disorders and that are in primary care settings. 

13 ‘‘(b) APPLICATION.—To be eligible to receive a grant 

14 or cooperative agreement under subsection (a) an entity 

15 shall— 

16 ‘‘(1) be a State, a political subdivision of a 

17 State, a consortia of political subdivisions, a tribal 

18 organization, a public organization, or private non19 profit organization; and 

20 ‘‘(2) prepare and submit to the Secretary an 

21 application at such time, in such manner, and con22 taining such information as the Secretary may re23 quire. 

24 ‘‘(c) USE OF FUNDS.—An entity shall use amounts 

25 received under a grant or cooperative agreement under 

26 this section to— 


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1 ‘‘(1) provide appropriate child and adolescent 

2 mental health early intervention and prevention as3 sessment services; 

4 ‘‘(2) provide appropriate child and adolescent 

5 mental health treatment services; 

6 ‘‘(3) provide monitoring and referral for spe7 cialty treatment of medical or surgical conditions for 

8 children and adolescents ; and 

9 ‘‘(4) facilitate networking between primary care 

10 professionals, mental health professionals, and child 

11 care professionals for— 

12 ‘‘(A) case management development; 

13 ‘‘(B) professional mentoring; and 

14 ‘‘(C) enhancing the provision of mental 

15 health services in schools. 

16 ‘‘(d) MATCHING REQUIREMENTS.—With respect to 

17 the costs of the activities to be carried out by an entity 

18 under a grant or cooperative agreement under this section, 

19 an entity shall provide assurances that the entity will 

20 make available (directly or through donations from public 

21 or private entities) non-Federal contributions towards 

22 such costs in an amount that is not less than $1 for each 

23 $1 of Federal funds provided under the grant or coopera24 tive agreement. 


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1 ‘‘SEC. 597B. GRANTS FOR MENTAL HEALTH AND PRIMARY 

2 CARE EARLY INTERVENTION AND PREVEN3 TION SERVICES. 

4 ‘‘(a) IN GENERAL.—The Secretary shall award 5- 

5 year matching grants to, or enter into cooperative agree6 ments with, States, political subdivisions of States, consor7 tium of political subdivisions, tribal organizations, public 

8 organizations, or private nonprofit organizations to enable 

9 such entities to provide assistance to primary care pro10 grams for children and adolescents with, or who are at11 risk of, mental health disorders who are in mental health 

12 settings. 

13 ‘‘(b) APPLICATION.—To be eligible to receive a grant 

14 or cooperative agreement under subsection (a) an entity 

15 shall— 

16 ‘‘(1) be a State, a political subdivision of a 

17 State, a consortia of political subdivisions, a tribal 

18 organization, or a private nonprofit organization; 

19 and 

20 ‘‘(2) prepare and submit to the Secretary an 

21 application at such time, in such manner, and con22 taining such information as the Secretary may re23 quire. 

24 ‘‘(c) USE OF FUNDS.—An entity shall use amounts 

25 received under a grant or cooperative agreement under 

26 this section to— 


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1 ‘‘(1) provide appropriate primary health care 

2 services, including screening, routine treatment, 

3 monitoring, and referral for specialty treatment of 

4 medical or surgical conditions; 

5 ‘‘(2) provide appropriate monitoring of medical 

6 conditions of children and adolescents receiving men7 tal health services from the applicant and refer 

8 them, as needed, for specialty treatment of medical 

9 or surgical conditions; and 

10 ‘‘(3) facilitate networking between primary care 

11 professionals, mental health professionals and child 

12 care professionals for— 

13 ‘‘(A) case management development; and 

14 ‘‘(B) professional mentoring. 

15 ‘‘(d) MATCHING FUNDS.—With respect to the costs 

16 of the activities to be carried out by an entity under a 

17 grant or cooperative agreement under this section, an enti18 ty shall provide assurances that the entity will make avail19 able (directly or through donations from public or private 

20 entities) non-Federal contributions towards such costs in 

21 an amount that is not less than $1 for each $1 of Federal 

22 funds provided under the grant or cooperative agreement. 

23 ‘‘SEC. 597C. AUTHORIZATION OF APPROPRIATIONS. 

24 ‘‘There is authorized to be appropriated to carry out 

25 this part $22,500,000 for fiscal year 2007, and such sums 


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1 as may be necessary for each of fiscal years 2008 through 

2 2011.’’. 

3 SEC. 103. ACTIVITIES CONCERNING MENTAL HEALTH SERV4 ICES IN SCHOOLS. 

5 (a) EFFORTS OF SECRETARY TO IMPROVE THE MEN6 TAL HEALTH OF STUDENTS.—The Secretary of Edu7 cation, in collaboration with the Secretary of Health and 

8 Human Services, shall— 

9 (1) encourage elementary and secondary schools 

10 and educational institutions to address mental 

11 health issues facing children and adolescents by— 

12 (A) identifying children and adolescents 

13 with, or who are at-risk for, mental health dis14 orders; 

15 (B) providing or linking children and ado16 lescents to appropriate mental health services 

17 and supports; and 

18 (C) assisting families, including providing 

19 families with resources on mental health serv20 ices for children and adolescents and a link to 

21 relevant local and national advocacy and sup22 port organizations; 

23 (2) collaborate on expanding and fostering a 

24 mental health promotion and early intervention 

25 strategy with respect to children and adolescents 


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1 that focuses on emotional well being and resiliency 

2 and fosters academic achievement; 

3 (3) encourage elementary and secondary schools 

4 and educational institutions to use positive behav5 ioral support procedures and functional behavioral 

6 assessments on a school-wide basis as an alternative 

7 to suspending or expelling children and adolescents 

8 with or who are at risk for mental health needs; and 

9 (4) provide technical assistance to elementary 

10 and secondary schools and educational institutions 

11 to implement the provisions of paragraphs (1) 

12 through (3). 

13 (b) GRANTS.— 

14 (1) IN GENERAL.—The Secretary of Education, 

15 in collaboration with the Secretary of Health and 

16 Human Services, shall award grants to, or enter into 

17 cooperative agreements with, States, political sub18 divisions of States, consortium of political subdivi19 sions, tribal organizations, public organizations, pri20 vate nonprofit organizations, elementary and sec21 ondary schools, and other educational institutions to 

22 provide directly or provide access to mental health 

23 services and case management of services in elemen24 tary and secondary schools and other educational 

25 settings. 


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1 (2) APPLICATION.—To be eligible to receive a 

2 grant or cooperative agreement under paragraph (1) 

3 an entity shall— 

4 (A) be a State, a political subdivision of a 

5 State, a consortia of political subdivisions, a 

6 tribal organization, a public organization, a pri7 vate nonprofit organization, an elementary or 

8 secondary school, or an educational institution; 

9 and 

10 (B) prepare and submit to the Secretary 

11 an application at such time, in such manner, 

12 and containing such information as the Sec13 retary may require, including an assurance that 

14 the entity will— 

15 (i) provide directly or provide access 

16 to early intervention and prevention serv17 ices in settings with an above average rate 

18 of children and adolescents with mental 

19 health disorders; 

20 (ii) provide directly or provide access 

21 to early intervention and prevention serv22 ices in settings with an above average rate 

23 of children and adolescents with co-occur24 ring mental health and substance abuse 

25 disorders; and 


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1 (iii) demonstrate a broad collaboration 

2 of parents, primary care professionals, 

3 school and mental health professionals, 

4 child care processionals including those in 

5 educational settings, legal guardians, and 

6 all relevant local agencies and organiza7 tions in the application for, and adminis8 tration of, the grant or cooperative agree9 ment. 

10 (3) USE OF FUNDS.—An entity shall use 

11 amounts received under a grant or cooperative 

12 agreement under this subsection to provide— 

13 (A) mental health identification services; 

14 (B) early intervention and prevention serv15 ices to children and adolescents with or who are 

16 at-risk of mental health disorders; and 

17 (C) mental health-related training to pri18 mary care professionals, school and mental 

19 health professionals, and child care profes20 sionals, including those in educational settings. 

21 (c) COUNSELING AND BEHAVIORAL SUPPORT GUIDE22 LINES.—The Secretary of Education, in collaboration with 

23 the Secretary of Health and Human Services, shall de24 velop and issue guidelines to elementary and secondary 

25 schools and educational institutions that encourage such 


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1 schools and institutions to provide counseling and positive 

2 behavioral supports, including referrals for needed early 

3 intervention and prevention services, treatment, and reha4 bilitation to children and adolescents who are disruptive 

5 or who use drugs and show signs or symptoms of mental 

6 health disorders. Such schools and institutions shall be en7 couraged to provide such services to children and adoles8 cents in lieu of suspension, expulsion, or transfer to a juve9 nile justice system without any support referral services 

10 or system of care. 

11 (d) STUDY.— 

12 (1) IN GENERAL.—The Government Account13 ability Office shall conduct a study to assess the sci14 entific validity of the Federal definition of a child or 

15 adolescent with an ‘‘emotional disturbance’’ as pro16 vided for in the regulations of the Department of 

17 Education under the Individuals with Disabilities 

18 Education Act (20 U.S.C. 1400 et seq.), and wheth19 er, as written, such definition now excludes children 

20 and adolescents inappropriately through a deter21 mination that those children and adolescents are 

22 ‘‘socially maladjusted’’. 

23 (2) REPORT.—Not later than 1 year after the 

24 date of enactment of this Act, the Government Ac25 countability Office shall submit to the appropriated 


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1 committees of Congress a report concerning the re2 sults of the study conducted under paragraph (1). 

3 (e) RULE OF CONSTRUCTION.—Nothing in this sec4 tion shall be construed— 

5 (1) to supercede the provisions of section 444 

6 of the General Education Provisions Act (20 U.S.C. 

7 1232g), including the requirement of prior parental 

8 consent for the disclosure of any education records; 

9 and 

10 (2) to modify or affect the parental notification 

11 requirements for programs authorized under the El12 ementary and Secondary Education Act of 1965 (20 

13 U.S.C. 6301 et seq.). 

14 (f) AUTHORIZATION OF APPROPRIATIONS.—There is 

15 authorized to be appropriated to carry out this section 

16 $22,500,000 for fiscal year 2007, and such sums as may 

17 be necessary for each of fiscal years 2008 through 2011. 

18 SEC. 104. ACTIVITIES CONCERNING MENTAL HEALTH SERV19 ICES UNDER THE EARLY AND PERIODIC 

20 SCREENING, DIAGNOSTIC, AND TREATMENT 

21 SERVICES PROGRAM. 

22 (a) NOTIFICATION.—The Secretary of Health and 

23 Human Services, acting through the Director of the Cen24 ters for Medicare and Medicaid Services, shall notify State 

25 Medicaid agencies of— 


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1 (1) obligations under section 1905(r) of the So2 cial Security Act with respect to the identification of 

3 children and adolescents with mental health dis4 orders and of the availability of validated mecha5 nisms that aid pediatricians and other primary care 

6 professionals to incorporate such activities; and 

7 (2) information on financing mechanisms that 

8 such agencies may use to reimburse primary care 

9 professionals, mental health professionals, and child 

10 care professionals who provide mental health services 

11 as authorized under such definition of early and pe12 riod screening, diagnostic, and treatment services. 

13 (b) REQUIREMENTS.—State Medicaid agencies who 

14 receive funds for early and period screening, diagnostic, 

15 and treatment services funding shall provide an annual re16 port to the Secretary of Health and Human Services 

17 that— 

18 (1) analyzes the rates of eligible children and 

19 adolescents who receive mental health identification 

20 services of the type described in subsection (a)(1) 

21 under the medicaid program in the State; 

22 (2) analyzes the ways in which such agency has 

23 used financing mechanisms to reimburse primary 

24 care professionals, mental health professionals, and 


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•S 3449 IS

1 child care professionals who provide such mental 

2 health services; 

3 (3) identifies State program rules and funding 

4 policies that may impede such agency from meeting 

5 fully the Federal requirements with respect to such 

6 services under the medicaid program; and 

7 (4) makes recommendations on how to over8 come the impediments identified under paragraph 

9 (3). 

10 SEC. 105. ACTIVITIES CONCERNING MENTAL HEALTH SERV11 ICES FOR AT-RISK MOTHERS AND THEIR 

12 CHILDREN. 

13 Title V of the Social Security Act (42 U.S.C. 701 

14 et seq.) is amended by adding at the end the following: 

15 ‘‘SEC. 511. ENHANCING MENTAL HEALTH SERVICES FOR AT16 RISK MOTHERS AND THEIR CHILDREN. 

17 ‘‘(a) GRANTS.—The Secretary shall award grants to, 

18 or enter into cooperative agreements with, States, political 

19 subdivisions of States, consortium of political subdivisions, 

20 tribal organizations, public organizations, and private non21 profit organizations to provide appropriate mental health 

22 promotion and mental health services to at-risk mothers, 

23 grandmothers who are legal guardians, and their children. 


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1 ‘‘(b) APPLICATION.—To be eligible to receive a grant 

2 or cooperative agreement under subsection (a) an entity 

3 shall— 

4 ‘‘(1) be a State, a political subdivision of a 

5 State, a consortia of political subdivisions, a tribal 

6 organization, a public organization, or a private non7 profit organization; and 

8 ‘‘(2) prepare and submit to the Secretary an 

9 application at such time, in such manner, and con10 taining such information as the Secretary may re11 quire. 

12 ‘‘(c) USE OF FUNDS.—Amounts received under a 

13 grant or cooperative agreement under this section shall be 

14 used to— 

15 ‘‘(1) provide mental health early intervention, 

16 prevention, and case management services; 

17 ‘‘(2) provide mental health treatment services; 

18 and 

19 ‘‘(3) provide monitoring and referral for spe20 cialty treatment of medical or surgical conditions. 

21 ‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 

22 is authorized to be appropriated to carry out this section, 

23 $20,000,000 for fiscal year 2007, and such sums as may 

24 be necessary for each of fiscal years 2008 through 2011.’’. 


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1 SEC. 106. ACTIVITIES CONCERNING INTERAGENCY CASE 

2 MANAGEMENT. 

3 Part L of title V of the Public Health Service Act, 

4 as added by section 102, is amended by adding at the end 

5 the following: 

6 ‘‘SEC. 597C. INTERAGENCY CASE MANAGEMENT. 

7 ‘‘(a) IN GENERAL.—The Secretary shall establish a 

8 program to foster the ability of local case managers to 

9 work across the mental health, substance abuse, child wel10 fare, education, and juvenile justice systems in a State. 

11 As part of such program, the Secretary shall develop a 

12 model system that— 

13 ‘‘(1) establishes a training curriculum for pri14 mary care professionals, mental health professionals, 

15 school and child care professionals, and social work16 ers who work as case managers; 

17 ‘‘(2) establishes uniform standards for working 

18 in multiple service systems; and 

19 ‘‘(3) establishes a cross-system case manager 

20 certification process. 

21 ‘‘(b) AUTHORIZATION OF APPROPRIATIONS.—There 

22 is authorized to be appropriated to carry out this section 

23 $10,000,000 for fiscal year 2007, and such sums as may 

24 be necessary for each of fiscal years 2008 through 2011.’’. 


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1 SEC. 107. GRANTS CONCERNING CONSUMER AND FAMILY 

2 PARTICIPATION. 

3 Part K of title V of the Public Health Service Act, 

4 as added by section 102 and amended by section 106, is 

5 further amended by adding at the end the following: 

6 ‘‘SEC. 597D. CONSUMER AND FAMILY CONTROL IN CHILD 

7 AND ADOLESCENT MENTAL HEALTH SERVICE 

8 DECISIONS. 

9 ‘‘(a) GRANTS.—The Secretary shall award grants to, 

10 or enter into cooperative agreements with, States, political 

11 subdivisions of States, consortium of political subdivisions, 

12 and tribal organizations for the development of policies 

13 and mechanisms that enable consumers and families to 

14 have increased control and choice over child and adoles15 cent mental health services received through a publicly16 funded mental health system. 

17 ‘‘(b) APPLICATION.—To be eligible to receive a grant 

18 or cooperative agreement under subsection (a) an entity 

19 shall— 

20 ‘‘(1) be a State, a political subdivision of a 

21 State, a consortia of political subdivisions, or a tribal 

22 organization; and 

23 ‘‘(2) prepare and submit to the Secretary an 

24 application at such time, in such manner, and con25 taining such information as the Secretary may re26 quire. 


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1 ‘‘(c) USE OF FUNDS.—An entity shall use amounts 

2 received under a grant or cooperative agreement under 

3 this section to carry out the activities described in sub4 section (a). Such activities may include— 

5 ‘‘(1) the facilitation of mental health service 

6 planning meetings by consumer and family advo7 cates, particularly peer advocates; 

8 ‘‘(2) the development of consumer and family 

9 cooperatives; and 

10 ‘‘(3) the facilitation of national networking be11 tween State political subdivisions and tribal organi12 zations engaged in promoting increased consumer 

13 and family participation in decisions regarding men14 tal health services for children and adolescents. 

15 ‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 

16 is authorized to be appropriated to carry out this section, 

17 $10,000,000 for fiscal year 2007, and such sums as may 

18 be necessary for each of fiscal years 2008 through 2011.’’. 

19 SEC. 108. GRANTS CONCERNING INFORMATION ON CHILD 

20 AND ADOLESCENT MENTAL HEALTH SERV21 ICES. 

22 Part K of title V of the Public Health Service Act, 

23 as added by section 102 and amended by section 107, is 

24 further amended by adding at the end the following: 


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1 ‘‘SEC. 597E. INCREASED INFORMATION ON CHILD AND ADO2 LESCENT MENTAL HEALTH SERVICES. 

3 ‘‘(a) GRANTS.—The Secretary shall award grants to, 

4 or enter into cooperative agreements with, private non5 profit organizations to enable such organizations to pro6 vide information on child and adolescent mental health 

7 and services, consumer or parent-to-parent support serv8 ices, respite care, and other relevant support services to— 

9 ‘‘(1) parents and legal guardians of children or 

10 adolescents with or who are at risk for mental health 

11 disorders; and 

12 ‘‘(2) families of adolescents with or who are at 

13 risk for mental health disorders. 

14 ‘‘(b) APPLICATION.—To be eligible to receive a grant 

15 or cooperative agreement under subsection (a) an entity 

16 shall— 

17 ‘‘(1) be a private, nonprofit organization; and 

18 ‘‘(2) prepare and submit to the Secretary an 

19 application at such time, in such manner, and con20 taining such information as the Secretary may re21 quire. 

22 ‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There 

23 is authorized to be appropriated to carry out this section, 

24 $10,000,000 for fiscal year 2007, and such sums as may 

25 be necessary for each of fiscal years 2008 through 2011.’’. 


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1 SEC. 109. ACTIVITIES CONCERNING PUBLIC EDUCATION OF 

2 CHILD AND ADOLESCENT MENTAL HEALTH 

3 DISORDERS AND SERVICES. 

4 Part K of title V of the Public Health Service Act, 

5 as added by section 102 and amended by section 108, is 

6 further amended by adding at the end the following: 

7 ‘‘SEC. 597F. ACTIVITIES CONCERNING PUBLIC EDUCATION 

8 OF CHILD AND ADOLESCENT MENTAL 

9 HEALTH DISORDERS AND SERVICES. 

10 ‘‘(a) EDUCATIONAL CAMPAIGN.—The Secretary shall 

11 develop, coordinate, and implement an educational cam12 paign to increase public understanding of mental health 

13 promotion, child and adolescent emotional well-being and 

14 resiliency, and risk factors associated with mental health 

15 disorders in children and adolescents. 

16 ‘‘(b) GRANTS.— 

17 ‘‘(1) IN GENERAL.—The Secretary shall award 

18 grants to, or enter into cooperative agreements with, 

19 public and private nonprofit organizations with 

20 qualified experience in public education to build 

21 community coalitions and increase public awareness 

22 of mental health promotion, child and adolescent 

23 emotional well-being and resiliency, and risk factors 

24 associated with mental health disorders in children 

25 and adolescents. 


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1 ‘‘(2) APPLICATION.—To be eligible to receive a 

2 grant or cooperative agreement under paragraph (1), 

3 an entity shall— 

4 ‘‘(A) be a public or private nonprofit orga5 nization; and 

6 ‘‘(B) prepare and submit to the Secretary 

7 an application at such time, in such manner, 

8 and containing such information as the Sec9 retary may require. 

10 ‘‘(3) USE OF FUNDS.—Amounts received under 

11 a grant or contract under this subsection shall be 

12 used to— 

13 ‘‘(A) develop community coalitions to sup14 port the purposes of paragraph (1); and 

15 ‘‘(B) develop and implement public edu16 cation activities that compliment the activities 

17 described in subsection (a) and support the pur18 poses of paragraph (1). 

19 ‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There 

20 is authorized to be appropriated to carry out this section, 

21 $10,000,000 for fiscal year 2007, and such sums as may 

22 be necessary for each of fiscal years 2008 through 2011.’’. 


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1 SEC. 110. TECHNICAL ASSISTANCE CENTER CONCERNING 

2 TRAINING AND SECLUSION AND RESTRAINTS. 

3 Part K of title V of the Public Health Service Act, 

4 as added by section 102 and amended by section 109, is 

5 further amended by adding at the end the following: 

6 ‘‘SEC. 597G. TECHNICAL ASSISTANCE CENTER CONCERNING 

7 SECLUSION AND RESTRAINTS. 

8 ‘‘(a) SECLUSION AND RESTRAINTS.—Acting through 

9 the technical assistance center established under sub10 section (b), the Secretary shall— 

11 ‘‘(1) develop and disseminate educational mate12 rials that encourage ending the use of seclusion and 

13 restraints in all facilities or programs in which a 

14 child or adolescent resides or receives care or serv15 ices; 

16 ‘‘(2) gather, analyze, and disseminate informa17 tion on best or promising best practices that can 

18 minimize conflicts between parents, legal guardians, 

19 primary care professionals, mental health profes20 sionals, school and child care professionals to create 

21 a safe environment for children and adolescents with 

22 mental health disorders; and 

23 ‘‘(3) provide training for primary professionals, 

24 mental health professionals, and school and child 

25 care professionals on effective techniques or prac26 tices that serve as alternatives to coercive control 


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1 interventions, including techniques to reduce chal2 lenging, aggressive, and resistant behaviors, that re3 quire seclusion and restraints. 

4 ‘‘(b) CONSULTATION.—In carrying out this section, 

5 the Secretary shall consult with— 

6 ‘‘(1) local and national advocacy organizations 

7 that serve children and adolescents who may require 

8 the use of seclusion and restraints, and their fami9 lies; 

10 ‘‘(2) relevant national medical and other health 

11 and education specialty organizations; and 

12 ‘‘(3) qualified professionals who possess the 

13 specialized knowledge, skills, experience, and rel14 evant attributes needed to serve children and adoles15 cents who may require the use of seclusion and re16 straints, and their families. 

17 ‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There 

18 is authorized to be appropriated to carry out this section, 

19 $5,000,000 for fiscal year 2007, and such sums as may 

20 be necessary for each of fiscal years 2008 through 2011.’’. 

21 SEC. 111. TECHNICAL ASSISTANCE CENTERS CONCERNING 

22 CONSUMER AND FAMILY PARTICIPATION. 

23 Part K of title V of the Public Health Service Act, 

24 as added by section 102 and amended by section 110, is 

25 further amended by adding at the end the following: 


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•S 3449 IS

1 ‘‘SEC. 597H. TECHNICAL ASSISTANCE CENTERS CON2 CERNING CONSUMER AND FAMILY PARTICI3 PATION. 

4 ‘‘(a) GRANTS.—The Secretary shall award 5-year 

5 grants to, or enter into cooperative agreements with, pri6 vate nonprofit organizations for the development and im7 plementation of three technical assistance centers to sup8 port full consumer and family participation in decision9 making about mental health services for children and ado10 lescents. 

11 ‘‘(b) APPLICATION.—To be eligible to receive a grant 

12 or cooperative agreement under subsection (a) an entity 

13 shall— 

14 ‘‘(1) be a private, nonprofit organization that 

15 demonstrates the ability to establish and maintain a 

16 technical assistance center described in this section; 

17 and 

18 ‘‘(2) prepare and submit to the Secretary an 

19 application at such time, in such manner, and con20 taining such information as the Secretary may re21 quire. 

22 ‘‘(c) USE OF FUNDS.—An entity shall use amounts 

23 received under a grant or cooperative agreement under 

24 this section to establish a technical assistance center of 

25 the type referred to in subsection (a). Through such cen26 ter, the entity shall— 


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•S 3449 IS

1 ‘‘(1) collect and disseminate information on 

2 mental health disorders and risk factors for mental 

3 health disorders in children and adolescents; 

4 ‘‘(2) collect and disseminate information on 

5 available resources for specific mental health dis6 orders, including co-occurring mental health and 

7 substance abuse disorders; 

8 ‘‘(3) disseminate information to help consumers 

9 and families engage in illness self management ac10 tivities and access services and resources on mental 

11 health disorder self-management; 

12 ‘‘(4) support the activities of self-help organiza13 tions; 

14 ‘‘(5) support the training of peer specialists, 

15 family specialists, primary care professionals, mental 

16 health professionals, and child care professionals; 

17 ‘‘(6) provide assistance to consumer and family18 delivered service programs and resources in meeting 

19 their operational and programmatic needs; and 

20 ‘‘(7) provide assistance to consumers and fami21 lies that participate in mental health system advi22 sory bodies, including state mental health planning 

23 councils. 

24 ‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 

25 is authorized to be appropriated to carry out this section, 


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•S 3449 IS

1 $5,000,000 for fiscal year 2007, and such sums as may 

2 be necessary for each of fiscal years 2008 through 2011.’’. 

3 SEC. 112. COMPREHENSIVE COMMUNITY MENTAL HEALTH 

4 SERVICES FOR CHILDREN AND ADOLES5 CENTS WITH SERIOUS EMOTIONAL DISTURB6 ANCES. 

7 Section 561 of the Public Health Service Act (42 

8 U.S.C. 290ff) is amended— 

9 (1) in subsection (b)(1)(A), by inserting before 

10 the semicolon the following: ‘‘and provides assur11 ances that the State will use grant funds in accord12 ance with the comprehensive State mental health 

13 plan submitted under section 520B’’; and 

14 (2) in subsection (b), by adding at the end the 

15 following: 

16 ‘‘(4) REVIEW OF POSSIBLE IMPEDIMENTS.—A 

17 State may use amounts received under a grant 

18 under this section to conduct an interagency review 

19 of State mental health program rules and funding 

20 policies that may impede the development of the 

21 comprehensive State mental health plan submitted 

22 under section 520B.’’. 


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1 SEC. 113. COMMUNITY MENTAL HEALTH SERVICES PER2 FORMANCE PARTNERSHIP BLOCK GRANT. 

3 Section 1912(b) of the Public Health Service Act (42 

4 U.S.C. 300x–2(b)) is amended by adding at the end the 

5 following: 

6 ‘‘(6) PERFORMANCE MEASURES.—The plan re7 quires that performance measures be reported for 

8 adults and children separately. 

9 ‘‘(7) OTHER MENTAL HEALTH SERVICES.—In 

10 addition to reporting on mental health services fund11 ed under a community mental health services per12 formance partnership block grant, States are encour13 aged to report on all mental health services provided 

14 by the State mental health agency.’’. 

15 SEC. 114. COMMUNITY MENTAL HEALTH SERVICES BLOCK 

16 GRANT PROGRAM. 

17 (a) IN GENERAL.—Section 1912(b) of the Public 

18 Health Service Act (42 U.S.C. 300x–2(b)) is amended by 

19 adding at the end the following: 

20 ‘‘(8) CO-OCCURRING TREATMENT SERVICES.— 

21 The plan provides for a system of support for the 

22 provision of co-occurring treatment services, includ23 ing early intervention and prevention, and integrated 

24 mental health and substance abuse and services, for 

25 adolescents with co-occurring mental health and sub26 stance abuse disorders. Services shall be provided 


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•S 3449 IS

1 through the system under this paragraph in accord2 ance with the Substance Abuse Prevention Treat3 ment Block Grant program under subpart II.’’. 

4 (b) GUIDELINES FOR INTEGRATED TREATMENT

5 SERVICES.—Section 1915 of the Public Health Service 

6 Act (42 U.S.C. 300x–4) is amended by adding at the end 

7 the following: 

8 ‘‘(c) GUIDELINES FOR INTEGRATED TREATMENT

9 SERVICES.—The Secretary shall issue written policy 

10 guidelines for use by States that describe how amounts 

11 received under a grant under this subpart may be used 

12 to fund integrated treatment services for children and ado13 lescents with mental health disorders and with co-occur14 ring mental health and substance abuse disorders. 

15 ‘‘(d) MODEL SERVICE SYSTEMS FORUM.—The Sec16 retary, in consultation with the Attorney General, shall pe17 riodically convene forums to develop model service systems 

18 and promote awareness of the needs of children and ado19 lescents with co-occurring mental health disorders and to 

20 facilitate the development of policies to meet those 

21 needs.’’. 

22 (c) SUBSTANCE ABUSE GRANTS.—Section 1928 of 

23 the Public Health Service Act (42 U.S.C. 300x–28) is 

24 amended by adding at the end the following: 


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•S 3449 IS

1 ‘‘(e) CO-OCCURRING TREATMENT SERVICES.—A 

2 State may use amounts received under a grant under this 

3 subpart to provide a system of support for the provision 

4 of co-occurring treatment services, including early inter5 vention and prevention, and integrated mental health and 

6 substance abuse services, for children and adolescents with 

7 co-occurring mental health and substance abuse disorders. 

8 Services shall be provided through the system under this 

9 paragraph in accordance with the Community Mental 

10 Health Services Block Grant program under subpart I. 

11 ‘‘(f) GUIDELINES FOR INTEGRATED TREATMENT

12 SERVICES.—The Secretary shall issue written policy 

13 guidelines, for use by States, that describe how amounts 

14 received under a grant under this section may be used to 

15 fund integrated treatment for children and adolescents 

16 with co-occurring substance abuse and mental health dis17 orders.’’. 

18 SEC. 115. GRANTS FOR JAIL DIVERSION PROGRAMS. 

19 Section 520G of the Public Health Service Act (42 

20 U.S.C. 290bb–38)— 

21 (1) in subsection (a), by striking ‘‘up to 125’’; 

22 (2) in subsection (d)— 

23 (A) in paragraph (3), by striking ‘‘and’’ at 

24 the end; 


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•S 3449 IS

1 (B) in paragraph (4), by striking the pe2 riod and inserting a semicolon; and 

3 (C) by adding at the end the following: 

4 ‘‘(5) provide appropriate community-based men5 tal health and co-occurring mental illness and sub6 stance abuse services to children and adolescents de7 termined to be at risk of contact with the law; and 

8 ‘‘(6) provide for the inclusion of emergency 

9 mental health centers as part of jail diversion pro10 grams.’’; and 

11 (3) in subsection (h), by adding at the end the 

12 following: ‘‘As part of such evaluations, the grantee 

13 shall evaluate the effectiveness of activities carried 

14 out under the grant and submit reports on such 

15 evaluations to the Secretary.’’. 

16 SEC. 116. ACTIVITIES CONCERNING MENTAL HEALTH SERV17 ICES FOR JUVENILE JUSTICE POPULATIONS. 

18 (a) GRANTS.—The Secretary shall award grants to, 

19 or enter into cooperative agreements with, States, tribal 

20 organizations, political subdivisions of States, consortia of 

21 political subdivisions, public organizations, and private 

22 nonprofit organizations to provide mental health pro23 motions and mental health services to children and adoles24 cents in juvenile justice systems. 


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1 (b) APPLICATION.—To be eligible to receive a grant 

2 or cooperative agreement under subsection (a), an entity 

3 shall— 

4 (1) be a State, a tribal organization, a political 

5 subdivision of a State, a consortia of political sub6 divisions, a public organization, or a private non7 profit organization; and 

8 (2) prepare and submit to the Secretary an ap9 plication at such time, in such manner, and con10 taining such information as the Secretary may re11 quire. 

12 (c) USE OF FUNDS.—Amounts received under a 

13 grant or cooperative agreement under this section shall be 

14 used to— 

15 (1) provide mental health early intervention, 

16 prevention, and case management services; 

17 (2) provide mental health treatment services; 

18 and 

19 (3) provide monitoring and referral for specialty 

20 treatment of medical or surgical conditions. 

21 (d) AUTHORIZATION OF APPROPRIATIONS.—There is 

22 authorized to be appropriated to carry out this section, 

23 $10,000,000 for fiscal year 2007, and such sums as may 

24 be necessary for each of fiscal years 2008 through 2011. 


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1 TITLE II—FEDERAL INTER2 AGENCY COLLABORATION 

3 AND RELATED ACTIVITIES 

4 SEC. 201. INTERAGENCY COORDINATING COMMITTEE CON5 CERNING THE MENTAL HEALTH OF CHIL6 DREN AND ADOLESCENTS. 

7 (a) IN GENERAL.—The Secretary of Health and 

8 Human Services (in this section referred to as the ‘‘Sec9 retary’’), in collaboration with the Federal officials de10 scribed in subsection (b), shall establish an interagency 

11 coordinating committee (referred to in this section as the 

12 ‘‘Committee’’) to carry out the activities described in this 

13 section relating to the mental health of children and ado14 lescents. 

15 (b) FEDERAL OFFICIALS.—The Federal officials de16 scribed in this subsection are the following: 

17 (1) The Secretary of Education. 

18 (2) The Attorney General. 

19 (3) The Surgeon General. 

20 (4) The Secretary of the Department of De21 fense. 

22 (5) The Secretary of the Interior. 

23 (6) The Commissioner of Social Security. 

24 (7) Such other Federal officials as the Sec25 retary determines to be appropriate. 


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1 (c) CHAIRPERSON.—The Secretary shall serve as the 

2 chairperson of the Committee. 

3 (d) DUTIES.—The Committee shall be responsible for 

4 policy development across the Federal Government with 

5 respect to child and adolescent mental health. 

6 (e) COLLABORATION AND CONSULTATION.—In car7 rying out the activities described in this Act, and the 

8 amendments made by this Act, the Secretary shall collabo9 rate with the Committee (and the Committee shall collabo10 rate with relevant Federal agencies and mental health 

11 working groups responsible for child and adolescent men12 tal health). 

13 (f) CONSULTATION.—In carrying out the activities 

14 described in this Act, and the amendments made by this 

15 Act, the Secretary and the Committee shall consult with— 

16 (1) State and local agencies, including agencies 

17 responsible for child and adolescent mental health 

18 care, early intervention and prevention services 

19 under titles V and XIX of the Social Security Act, 

20 and the State Children’s Health Insurance Program 

21 under title XXI of the Social Security Act; 

22 (2) State mental health planning councils (as 

23 described in section 1914); 


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•S 3449 IS

1 (3) local and national organizations that serve 

2 children and adolescents with or who are at risk for 

3 mental health disorders and their families; 

4 (4) relevant national medical and other health 

5 professional and education specialty organizations; 

6 (5) children and adolescents with mental health 

7 disorders and children and adolescents who are cur8 rently receiving early intervention or prevention serv9 ices; 

10 (6) families and friends of children and adoles11 cents with mental health disorders and children and 

12 adolescents who are currently receiving early inter13 vention or prevention services; 

14 (7) families and friends of children and adoles15 cents who have attempted or completed suicide; 

16 (8) qualified professionals who possess the spe17 cialized knowledge, skills, experience, training, or 

18 relevant attributes needed to serve children and ado19 lescents with or who are at risk for mental health 

20 disorders and their families; and 

21 (9) third-party payers, managed care organiza22 tions, and related employer and commercial indus23 tries. 


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1 (g) POLICY DEVELOPMENT.—In carrying out the ac2 tivities described in this Act, and the amendments made 

3 by this Act, the Secretary shall— 

4 (1) coordinate and collaborate on policy devel5 opment at the Federal level with the Committee, rel6 evant Department of Health and Human Services, 

7 Department of Education, and Department of Jus8 tice agencies, and child and adolescent mental health 

9 working groups; and 

10 (2) consult on policy development at the Fed11 eral level with the private sector, including con12 sumer, medical, mental health advocacy groups, and 

13 other health and education professional-based orga14 nizations, with respect to child and adolescent men15 tal health early intervention and prevention services. 

16 (h) REPORTS.— 

17 (1) INITIAL REPORT.—Not later than 2 years 

18 after the date of enactment of this Act, the Com19 mittee shall submit to the appropriate committees of 

20 Congress a report that includes— 

21 (A) the results of an evaluation to be con22 ducted by the Committee to analyze the effec23 tiveness and efficacy of current activities con24 cerning the mental health of children and ado25 lescents; 


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1 (B) the results of an evaluation to be con2 ducted by the Committee to analyze the effec3 tiveness and efficacy of the activities carried out 

4 under grants, cooperative agreements, collabo5 rations, and consultations under this Act, the 

6 amendments made by this Act, and carried out 

7 by existing Federal agencies; 

8 (C) the results of an evaluation to be con9 ducted by the Committee to analyze identified 

10 problems and challenges, including— 

11 (i) fragmented mental health service 

12 delivery systems for children and adoles13 cents; 

14 (ii) disparities between Federal agen15 cies in mental health service eligibility re16 quirements for children and adolescents; 

17 (iii) disparities in regulatory policies 

18 of Federal agencies concerning child and 

19 adolescent mental health; 

20 (iv) inflexibility of Federal finance 

21 systems to support evidence-based child 

22 and adolescent mental health; 

23 (v) insufficient training of primary 

24 care professionals, mental health profes25 sionals, and child care professionals; 


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1 (vi) disparities and fragmentation of 

2 collection and dissemination of information 

3 concerning child and adolescent mental 

4 health services; 

5 (vii) inability of State Medicaid agen6 cies to meet Federal requirements con7 cerning child and adolescent mental health 

8 under the early and period screening, 

9 diagnostics and treatment services require10 ments under the medicaid program under 

11 title XIX of the Social Security Act; and 

12 (viii) fractured Federal interagency 

13 collaboration and consultation concerning 

14 child and adolescent mental health; 

15 (D) the recommendations of the Secretary 

16 on models and methods with which to overcome 

17 the problems and challenges described in sub18 paragraph (B) for the purposes of improving 

19 Federal interagency coordination and the devel20 opment of Federal mental health policy. 

21 (2) ANNUAL REPORT.—Not later than 1 year 

22 after the date on which the initial report is sub23 mitted under paragraph (1), an annually thereafter, 

24 the Committee shall submit to the appropriate com25 mittees of Congress a report concerning the results 


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1 of updated evaluations and recommendations de2 scribed in paragraph (1). 

3 (i) PERSONNEL MATTERS.— 

4 (1) STAFF AND COMPENSATION.—Except as 

5 provided in paragraph (2), the Secretary may em6 ploy, and fix the compensation of an executive direc7 tor and other personnel of the Committee without 

8 regard to the provisions of chapter 51 and sub9 chapter III of chapter 53 of title 5, United States 

10 Code, relating to classification of positions and Gen11 eral Schedule pay rates. 

12 (2) MAXIMUM RATE OF PAY.—The maximum 

13 rate of pay for the executive director and other per14 sonnel employed under paragraph (1) shall not ex15 ceed the rate payable for level IV of the Executive 

16 Schedule under section 5316 of title 5, United 

17 States Code. 

18 (j) AUTHORIZATION OF APPROPRIATIONS.—There is 

19 authorized to be appropriated to carry out this section, 

20 $10,000,000 for fiscal year 2007, and such sums as may 

21 be necessary for each of fiscal years 2008 through 2011. 


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1 TITLE III—RESEARCH ACTIVI2 TIES CONCERNING THE MEN3 TAL HEALTH OF CHILDREN 

4 AND ADOLESCENTS 

5 SEC. 301. ACTIVITIES CONCERNING EVIDENCE-BASED OR 

6 PROMISING BEST PRACTICES. 

7 Part K of title V of the Public Health Service Act, 

8 as added by section 102 and amended by section 111, is 

9 further amended by adding at the end the following: 

10 ‘‘SEC. 597I. ACTIVITIES CONCERNING EVIDENCE-BASED OR 

11 PROMISING BEST PRACTICES. 

12 ‘‘(a) GRANTS.— 

13 ‘‘(1) IN GENERAL.—The Secretary shall award 

14 grants to, and enter into cooperative agreements 

15 with, States, political subdivisions of States, con16 sortia of political subdivisions, tribal organizations, 

17 institutions of higher education, or private nonprofit 

18 organizations for the development of child and ado19 lescent mental health services and support systems 

20 that address widespread and critical gaps in a need21 ed continuum of mental health service-delivery with 

22 a specific focus on encouraging the implementation 

23 of evidence-based or promising best practices. 


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1 ‘‘(2) APPLICATION.—To be eligible to receive a 

2 grant or cooperative agreement under paragraph (1) 

3 an entity shall— 

4 ‘‘(A) be a State, a political subdivision of 

5 a State, a consortia of political subdivisions, a 

6 tribal organization, an institution of higher edu7 cation, or a private nonprofit organization; and 

8 ‘‘(B) prepare and submit to the Secretary 

9 an application at such time, in such manner, 

10 and containing such information as the Sec11 retary may require. 

12 ‘‘(3) USE OF FUNDS.—Amounts received under 

13 a grant or cooperative agreement under this sub14 section shall be used to provide for the development 

15 and dissemination of mental health supports and 

16 services described in paragraph (1), including— 

17 ‘‘(A) early intervention and prevention 

18 services, treatment and rehabilitation particu19 larly for children and adolescents with co-occur20 ring mental health and substance abuse dis21 orders; 

22 ‘‘(B) referral services; 

23 ‘‘(C) integrated treatment services, includ24 ing family therapy, particularly for children and 


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1 adolescents with co-occurring mental health and 

2 substance abuse disorders; 

3 ‘‘(D) colocating primary care and mental 

4 health services in rural and urban areas; 

5 ‘‘(E) mentoring and other support services; 

6 ‘‘(F) transition services; 

7 ‘‘(G) respite care for parents, legal guard8 ians, and families; and 

9 ‘‘(H) home-based care. 

10 ‘‘(b) TECHNICAL ASSISTANCE CENTER.—The Sec11 retary shall establish a technical assistance center to assist 

12 entities that receive a grant or cooperative agreement 

13 under subsection (a) in— 

14 ‘‘(1) identifying widespread and critical gaps in 

15 a needed continuum of child and adolescent mental 

16 health service-delivery; 

17 ‘‘(2) identifying and evaluating existing evi18 dence-based or promising best practices with respect 

19 to child and adolescent mental health services and 

20 supports; 

21 ‘‘(3) improving the child and adolescent mental 

22 health service-delivery system by implementing evi23 dence-based or promising best practices; 


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1 ‘‘(4) training primary care professionals, mental 

2 health professionals, and child care professionals on 

3 evidence-based or promising best practices; 

4 ‘‘(5) informing children and adolescents, par5 ents, legal guardians, families, advocacy organiza6 tions, and other interested consumer organizations 

7 on such evidence-based or promising best practices; 

8 and 

9 ‘‘(6) identifying financing structures to support 

10 the implementation of evidence-based or promising 

11 best practices and providing assistance on how to 

12 build appropriate financing structures to support 

13 those services. 

14 ‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There 

15 is authorized to be appropriated to carry out this section, 

16 $12,500,000 for fiscal year 2007, and such sums as may 

17 be necessary for each of fiscal years 2008 through 2011.’’. 

18 SEC. 302. FEDERAL RESEARCH CONCERNING ADOLESCENT 

19 MENTAL HEALTH. 

20 Part K of title V of the Public Health Service Act, 

21 as added by section 201 and amended by section 301, is 

22 further amended by adding at the end the following: 


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1 ‘‘SEC. 597J. FEDERAL RESEARCH CONCERNING ADOLES2 CENT MENTAL HEALTH. 

3 ‘‘(a) BEST PRACTICES.—The Secretary shall provide 

4 for the conduct of research leading to the identification 

5 and evaluation of evidence-based or promising best prac6 tices, including— 

7 ‘‘(1) early intervention and prevention mental 

8 health services and systems, particularly for children 

9 and adolescents with co-occurring mental health and 

10 substance abuse disorders; 

11 ‘‘(2) mental health referral services; 

12 ‘‘(3) integrated mental health treatment serv13 ices, particularly for children and adolescents with 

14 co-occurring mental health and substance abuse dis15 orders; 

16 ‘‘(4) mentoring and other support services; 

17 ‘‘(5) transition services; and 

18 ‘‘(6) respite care for parents, legal guardians, 

19 and families of children and adolescents. 

20 ‘‘(b) IDENTIFICATION OF EXISTING DISPARITIES.— 

21 The Secretary shall provide for the conduct of research 

22 leading to the identification of factors contributing to the 

23 existing disparities in children and adolescents mental 

24 health care in areas including— 


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1 ‘‘(1) evidence-based early intervention and pre2 vention, diagnosis, referral, treatment, and moni3 toring services; 

4 ‘‘(2) psychiatric and psychological epidemiology 

5 in racial and ethnic minority populations; 

6 ‘‘(3) therapeutic interventions in racial and eth7 nic minority populations; 

8 ‘‘(4) psychopharmacology; 

9 ‘‘(5) mental health promotion and child and ad10 olescent emotional well-being and resiliency; 

11 ‘‘(6) lack of adequate service delivery systems 

12 in urban and rural regions; and 

13 ‘‘(7) lack of adequate reimbursement rates for 

14 evidence-based early intervention and prevention, di15 agnosis, referral, treatment, and monitoring services. 

16 ‘‘(c) PSYCHOTROPIC MEDICATIONS.—The Secretary 

17 shall provide for the conduct of research leading to the 

18 identification of the long-term effects of psychotropic 

19 medications and SSRIs and other pyschotropic medica20 tions for children and adolescents. 

21 ‘‘(d) TRAUMA.—The Secretary shall provide for the 

22 conduct of research leading to the identification of the 

23 long-term effects of trauma on the mental health of chil24 dren and adolescents, including the effects of— 

25 ‘‘(1) violent crime, particularly sexual abuse; 


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1 ‘‘(2) physical or medical trauma; 

2 ‘‘(3) post-traumatic stress disorders; and 

3 ‘‘(4) terrorism and natural disasters. 

4 ‘‘(e) ACUTE CARE.—The Secretary shall provide for 

5 the conduct of research leading to the identification of fac6 tors contributing to problems in acute care. Such research 

7 shall address— 

8 ‘‘(1) synthesizing the acute care knowledge data 

9 base; 

10 ‘‘(2) assessing existing capacities and shortages 

11 in acute care; 

12 ‘‘(3) reviewing existing model programs that 

13 exist to ensure appropriate and effective acute care; 

14 ‘‘(4) developing new models when appropriate; 

15 and 

16 ‘‘(5) proposing workable solutions to enhance 

17 the delivery of acute care and crisis intervention 

18 services. 

19 ‘‘(f) RECOVERY AND REHABILITATION.—The Sec20 retary shall provide for the conduct of research leading 

21 to the identification of methods and models to enhance 

22 the recovery and rehabilitation of children and adolescents 

23 with mental health disorders. 

24 ‘‘(g) CO-OCCURRING DISORDERS.—The Secretary 

25 shall provide for the conduct of research leading to the 


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1 identification of methods and models to enhance services 

2 and supports for children and adolescents with co-occur3 ring mental health and substance abuse and disorders. 

4 ‘‘(h) RESEARCH COLLABORATION.—The Secretary 

5 shall provide for the conduct of research that reviews ex6 isting scientific literature on the relationship between 

7 mental and physical health, particularly identifying new 

8 methods and models to enhance the balance between men9 tal and physical health in children and adolescents. 

10 ‘‘(i) COLLABORATION.—In carrying out the activities 

11 under this section, the Secretary shall collaborate with the 

12 Federal interagency coordinating committee established 

13 under section 401 of the Child and Youth Equitable 

14 Health Act of 2005, and relevant Federal agencies and 

15 mental health working groups responsible for child and ad16 olescent mental health. 

17 ‘‘(j) AUTHORIZATION OF APPROPRIATIONS.—There 

18 is authorized to be appropriated to carry out this section, 

19 $12,500,000 for fiscal year 2007, and such sums as may 

20 be necessary for each of fiscal years 2008 through 2011.’’. 

Æ 


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