I 

108TH CONGRESS 

1ST SESSION H. R. 3593

To amend the Higher Education Act of 1965 to provide funds for campus 

mental and behavioral health service centers. 

IN THE HOUSE OF REPRESENTATIVES 

NOVEMBER 21, 2003

Mr. DAVIS of Illinois (for himself and Mr. OSBORNE) introduced the following 

bill; which was referred to the Committee on Education and the Workforce 

A BILL

To amend the Higher Education Act of 1965 to provide 

funds for campus mental and behavioral health service 

centers.

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. 

4 This Act may be cited as the ‘‘Campus Care and 

5 Counseling Act’’. 

6 SEC. 2. FINDINGS. 

7 The Congress finds the following: 

8 (1) In a recent report, a startling 85 percent of 

9 college counseling centers revealed an increase in the 

10 number of students they see with psychological prob-
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1 lems. Furthermore, the American College Health As2 sociation found that 61 percent of college students 

3 reported feeling hopeless, 45 percent said they felt 

4 so depressed they could barely function, and 9 per5 cent felt suicidal. 

6 (2) There is clear evidence of an increased inci7 dence of depression among college students. Accord8 ing to a survey described in the Chronicle of Higher 

9 Education (February 1, 2002), depression among 

10 freshmen has nearly doubled (from 8.2 percent to 

11 16.3 percent). Without treatment, researchers re12 cently noted that ‘‘depressed adolescents are at risk 

13 for school failure, social isolation, promiscuity, self 

14 medication with drugs and alcohol, and suicide—now 

15 the third leading cause of death among 10–24 year 

16 olds.’’

17 (3) Researchers who conducted the study 

18 ‘‘Changes in Counseling Center Client Problems 

19 Across 13 Years’’ (1989–2001) at Kansas State 

20 University stated that ‘‘students are experiencing 

21 more stress, more anxiety, more depression than 

22 they were a decade ago.’’ (The Chronicle of Higher 

23 Education, February 14, 2003). 

24 (4) According to a 1999 UCLA study, more 

25 than 30 percent of college freshmen reported feeling 
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1 overwhelmed a great deal of the time during the be2 ginning of college and may benefit from psycho3 logical services. 

4 (5) According to the 2001 National Household 

5 Survey on Drug Abuse, the highest prevalence of 

6 both binge and heavy drinking was found in young 

7 adults ages 18 to 25 (especially on college cam8 puses). In addition, the results of a Harvard School 

9 of Public Health College Alcohol Study Survey print10 ed in the Journal of American Health show that 

11 44.4 percent of college students describe themselves 

12 as binge drinkers. 

13 (6) The National Institute of Alcohol Abuse 

14 and Alcoholism in 2002 reported that 1400 college 

15 students die each year from alcohol-related injuries. 

16 In addition, it is stated that college students who 

17 drink are more likely to assault, sexually abuse, and 

18 vandalize others. Furthermore, it is reported that 25 

19 percent of college students attribute academic prob20 lems to excessive drinking. 

21 (7) According to the 2001 National Household 

22 Survey on Drug Abuse, 20 percent of full-time un23 dergraduate college students use illicit drugs. 

24 (8) The 2001 National Household Survey on 

25 Drug Abuse also reported that 18.4 percent of 
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1 adults aged 18 to 24 are dependent on or abusing 

2 illicit drugs or alcohol. In addition, the study found 

3 that ‘‘serious mental illness is highly correlated with 

4 substance dependence or abuse. Among adults with 

5 serious mental illness in 2001, 20.3 percent were de6 pendent on or abused alcohol or illicit drugs, while 

7 the rate among adults without serious mental illness 

8 was only 6.3 percent.’’

9 (9) In 2001, there were 249,000 victims of rape 

10 in the United States, according to statistics from the 

11 Rape, Abuse and Incest National Network. 36 per12 cent of victims of rape and sexual assault are be13 tween the ages of 18 and 30. 

14 (10) The National Victim’s Center in 2001 re15 ported that 13.3 percent of college women say they 

16 have been forced to have sex in a dating situation. 

17 (11) According to the National Eating Dis18 orders Association, 5–10 million women and 1 mil19 lion men struggle with eating disorders including 

20 anorexia, bulimia, binge eating disorder, or border21 line conditions after puberty. 
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1 SEC. 3. MENTAL AND BEHAVIORAL HEALTH SERVICES ON 

2 CAMPUS. 

3 Part B of title I of the Higher Education Act of 1965 

4 is amended by inserting after section 120 (20 U.S.C. 

5 1011i) the following new section: 

6 ‘‘SEC. 120A. MENTAL AND BEHAVIORAL HEALTH SERVICES 

7 ON CAMPUS. 

8 ‘‘(a) PURPOSE.—It is the purpose of this section to 

9 increase access to, and enhance the range of, mental and 

10 behavioral health services for students at centers on cam11 pus that provide such services so as to ensure that college 

12 students have the support necessary to successfully com13 plete their studies. 

14 ‘‘(b) PROGRAM AUTHORIZED.—From the funds ap15 propriated under subsection (g), the Secretary shall award 

16 competitive grants to centers on campus that provide men17 tal and behavioral health services to students to provide 

18 such services and develop best practices for the delivery 

19 of such services. Such grants shall, subject to the avail20 ability of such appropriations, be for a period of 3 years. 

21 ‘‘(c) ELIGIBLE ENTITIES.—Any mental health serv22 ice center located on the campus of an institution of higher 

23 education that provides mental and behavioral health serv24 ices to students is eligible to apply for a grant under this 

25 section. Eligible entities may include entities such as col26 lege counseling centers; college and university psycho-
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1 logical service centers; mental health units; and psychology 

2 training clinics. 

3 ‘‘(d) APPLICATIONS.—Each eligible entity seeking to 

4 obtain a grant under this section shall submit an applica5 tion to the Secretary. Each such application shall in6 clude—

7 ‘‘(1) an outline of program objectives and an8 ticipated program outcomes; 

9 ‘‘(2) outreach strategies (including ways in 

10 which the applicant proposes to reach students, pro11 mote access to services, and address the range of 

12 needs of university students); 

13 ‘‘(3) a proposed plan for reaching those stu14 dents most in need of the center’s services; 

15 ‘‘(4) a program evaluation plan to assess pro16 gram outcomes; and 

17 ‘‘(5) such additional information as is required 

18 by the Secretary. 

19 ‘‘(e) USE OF FUNDS.—Funds provided by a grant 

20 under this section may be used for one or more of the 

21 following activities: 

22 ‘‘(1) Intervention program for developmental, 

23 transitional, and adjustment issues that affect stu24 dents as they matriculate and graduate from college. 
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1 ‘‘(2) Addressing issues related to binge and 

2 heavy alcohol consumption and the associated behav3 ioral health risks. 

4 ‘‘(3) Providing services for students with men5 tal and behavioral health problems that impede aca6 demic performance (such as test anxiety). 

7 ‘‘(4) Self-management skills (for behavioral and 

8 emotional self regulation). 

9 ‘‘(5) Management of chronic mental illness. 

10 ‘‘(6) Assessment and intervention for depressive 

11 disorders, and suicidal and self-harm behaviors. 

12 ‘‘(7) Assessment and treatment of anxiety dis13 orders. 

14 ‘‘(8) Prevention programs for depression, anx15 iety, suicide, and domestic violence. 

16 ‘‘(9) Assessment, treatment, and education for 

17 eating disorders. 

18 ‘‘(10) Treatment of sexual trauma. 

19 ‘‘(11) Psychological education for parents of 

20 college students. 

21 ‘‘(12) Hire appropriately trained staff. 

22 ‘‘(13) Strengthen and expand psychology doc23 toral internship and postdoctoral residency programs 

24 and opportunities. 
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1 ‘‘(14) Supporting the use of evidence-based and 

2 emerging best practices and evaluate outcomes in 

3 centers on campus that provide mental and behav4 ioral health services so as to provide information and 

5 training to other centers around the nation. 

6 ‘‘(f) ADDITIONAL REQUIRED ELEMENTS.—Each eli7 gible entity that receives a grant under this section shall—

8 ‘‘(1) provide annual reports to the Secretary de9 scribing the use of funds, the program’s objectives, 

10 and how the objectives were met (description of pro11 gram outcomes); 

12 ‘‘(2) perform such additional evaluation as the 

13 Secretary may require, which may include measures 

14 such as increase in range of services provided; in15 crease in the quality of services provided; increase in 

16 access to services; college continuation rates; de17 crease in college dropout rates; increase in college 

18 graduation rates; and 

19 ‘‘(3) shall coordinate its program under this 

20 section with other related efforts on campus by enti21 ties concerned with the mental, health, and behav22 ioral health needs of students. 

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

24 are authorized to be appropriated for grants under this 

25 section $10,000,000 for fiscal year 2005 and such sums 
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1 as may be necessary for each of the 4 succeeding fiscal 

2 years.’’.

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