§ 1665c TITLE 25—INDIANS Page 478

SECTION REFERRED TO IN OTHER SECTIONS

This section is referred to in section 1665m of this

title.

§ 1665c. Indian Health Service youth program

(a) Detoxification and rehabilitation

The Secretary shall develop and implement a

program for acute detoxification and treatment

for Indian youth who are alcohol and substance

abusers. The program shall include regional

treatment centers designed to include detoxification and rehabilitation for both sexes on a

referral basis. These regional centers shall be integrated with the intake and rehabilitation programs based in the referring Indian community.

(b) Treatment centers or facilities

(1) The Secretary shall construct, renovate,

or, as necessary, purchase, and appropriately

staff and operate, a youth regional treatment

center in each area under the jurisdiction of an

area office. For the purposes of this subsection,

the area offices of the Service in Tucson and

Phoenix, Arizona, shall be considered one area

office and the area office in California shall be

considered to be two area offices, one office

whose jurisdiction shall be considered to encompass the northern area of the State of California, and one office whose jurisdiction shall be

considered to encompass the remainder of the

State of California.

(2) For the purpose of staffing and operating

such centers or facilities, funding shall be pursuant to section 13 of this title.

(3) A youth treatment center constructed or

purchased under this subsection shall be constructed or purchased at a location within the

area described in paragraph (1) agreed upon (by

appropriate tribal resolution) by a majority of

the tribes to be served by such center.

(4)(A) Notwithstanding any other provision of

this subchapter, the Secretary may, from

amounts authorized to be appropriated for the

purposes of carrying out this section, make

funds available to—

(i) the Tanana Chiefs Conference, Incorporated, for the purpose of leasing, constructing, renovating, operating and maintaining a

residential youth treatment facility in Fairbanks, Alaska; and

(ii) the Southeast Alaska Regional Health

Corporation to staff and operate a residential

youth treatment facility without regard to the

proviso set forth in section 450b(l) of this title.

(B) Until additional residential youth treatment facilities are established in Alaska pursuant to this section, the facilities specified in

subparagraph (A) shall make every effort to provide services to all eligible Indian youth residing in such State.

(c) Federally owned structures

(1) The Secretary, acting through the Service,

shall, in consultation with Indian tribes—

(A) identify and use, where appropriate, federally owned structures suitable as local residential or regional alcohol and substance

abuse treatment centers for Indian youth; and

(B) establish guidelines for determining the

suitability of any such federally owned structure to be used as a local residential or regional alcohol and substance abuse treatment

center for Indian youth.

(2) Any structure described in paragraph (1)

may be used under such terms and conditions as

may be agreed upon by the Secretary and the

agency having responsibility for the structure.

(d) Rehabilitation and aftercare services

(1) The Secretary, in cooperation with the Secretary of the Interior, shall develop and implement within each Service service unit community-based rehabilitation and follow-up services

for Indian youth who are alcohol or substance

abusers which are designed to integrate longterm treatment and to monitor and support the

Indian youth after their return to their home

community.

(2) Services under paragraph (1) shall be administered within each service unit by trained

staff within the community who can assist the

Indian youth in continuing development of selfimage, positive problem-solving skills, and nonalcohol or substance abusing behaviors. Such

staff shall include alcohol and substance abuse

counselors, mental health professionals, and

other health professionals and paraprofessionals, including community health representatives.

(e) Inclusion of family in youth treatment program

In providing the treatment and other services

to Indian youth authorized by this section, the

Secretary shall provide for the inclusion of family members of such youth in the treatment programs or other services as may be appropriate.

Not less than 10 percent of the funds appropriated for the purposes of carrying out subsection (d) of this section shall be used for outpatient care of adult family members related to

the treatment of an Indian youth under that

subsection.

(f) Multidrug abuse study

(1) The Secretary shall conduct a study to determine the incidence and prevalence of the

abuse of multiple forms of drugs, including alcohol, among Indian youth residing on Indian reservations and in urban areas and the interrelationship of such abuse with the incidence of

mental illness among such youth.

(2) The Secretary shall submit a report detailing the findings of such study, together with

recommendations based on such findings, to the

Congress no later than two years after October

29, 1992.

(Pub. L. 94–437, title VII, §704, as added Pub. L.

102–573, title VII, §702(a), Oct. 29, 1992, 106 Stat.

4574.)

§ 1665d. Training and community education

(a) Community education

The Secretary, in cooperation with the Secretary of the Interior, shall develop and implement within each service unit a program of community education and involvement which shall

be designed to provide concise and timely information to the community leadership of each

tribal community. Such program shall include