II 

108TH CONGRESS 

2D SESSION S. 2634 

To amend the Public Health Service Act to support the planning, implementation, and evaluation of organized activities involving statewide youth 

suicide early intervention and prevention strategies, to provide funds 

for campus mental and behavioral health service centers, and for other 

purposes. 

IN THE SENATE OF THE UNITED STATES 

JULY 8, 2004 

Mr. DODD (for himself, Mr. DEWINE, Mr. REED, Mr. SMITH, Mr. REID, Mr. 

DASCHLE, Mr. FRIST, Mr. KENNEDY, Mrs. CLINTON, Mr. LAUTENBERG, 

Mr. LEVIN, Mr. KOHL, Ms. STABENOW, Mr. PRYOR, Mrs. HUTCHISON, 

Mr. DOMENICI, Mr. WARNER, Mr. MCCONNELL, Mr. GRAHAM of South 

Carolina, Mr. AKAKA, Mr. ROBERTS, Mr. LEAHY, Ms. MURKOWSKI, Mr. 

HARKIN, Mr. JOHNSON, Mr. BINGAMAN, Mr. JEFFORDS, Mr. 

LIEBERMAN, Mrs. MURRAY, Mr. DORGAN, Ms. SNOWE, Mr. NICKLES, 

Mr. CORZINE, Mr. HATCH, Mr. WYDEN, and Mr. DURBIN) introduced the 

following bill; which was read twice, considered, read the third time, and 

passed 

A BILL 

To amend the Public Health Service Act to support the 

planning, implementation, and evaluation of organized 

activities involving statewide youth suicide early intervention and prevention strategies, to provide funds for campus mental and behavioral health service centers, and 

for other purposes. 

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

2 This Act may be cited as the ‘‘Garrett Lee Smith Me3 morial Act’’. 

4 SEC. 2. FINDINGS. 

5 Congress makes the following findings: 

6 (1) More children and young adults die from 

7 suicide each year than from cancer, heart disease, 

8 AIDS, birth defects, stroke, and chronic lung disease 

9 combined. 

10 (2) Over 4,000 children and young adults trag11 ically take their lives every year, making suicide the 

12 third overall cause of death between the ages of 10 

13 and 24. According to the Centers for Disease Con14 trol and Prevention suicide is the third overall cause 

15 of death among college-age students. 

16 (3) According to the National Center for Injury 

17 Prevention and Control of the Centers for Disease 

18 Control and Prevention, children and young adults 

19 accounted for 15 percent of all suicides completed in 

20 2000. 

21 (4) From 1952 to 1995, the rate of suicide in 

22 children and young adults has tripled. 

23 (5) From 1980 to 1997, the rate of suicide 

24 among young adults ages 15 to 19 increased 11 per25 cent. 
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1 (6) From 1980 to 1997, the rate of suicide 

2 among children ages 10 to 14 increased 109 percent. 

3 (7) According to the National Center of Health 

4 Statistics, suicide rates among Native Americans 

5 range from 1.5 to 3 times the national average for 

6 other groups, with young people ages 15 to 34 mak7 ing up 64 percent of all suicides. 

8 (8) Congress has recognized that youth suicide 

9 is a public health tragedy linked to underlying men10 tal health problems and that youth suicide early 

11 intervention and prevention activities are national 

12 priorities. 

13 (9) Youth suicide early intervention and preven14 tion have been listed as urgent public health prior15 ities by the President’s New Freedom Commission in 

16 Mental Health (2002), the Institute of Medicine’s 

17 Reducing Suicide: A National Imperative (2002), the 

18 National Strategy for Suicide Prevention: Goals and 

19 Objectives for Action (2001), and the Surgeon Gen20 eral’s Call to Action To Prevent Suicide (1999). 

21 (10) Many States have already developed com22 prehensive Statewide youth suicide early intervention 

23 and prevention strategies that seek to provide effec24 tive early intervention and prevention services. 
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1 (11) In a recent report, a startling 85 percent 

2 of college counseling centers revealed an increase in 

3 the number of students they see with psychological 

4 problems. Furthermore, the American College 

5 Health Association found that 61 percent of college 

6 students reported feeling hopeless, 45 percent said 

7 they felt so depressed they could barely function, 

8 and 9 percent felt suicidal. 

9 (12) There is clear evidence of an increased in10 cidence of depression among college students. Ac11 cording to a survey described in the Chronicle of 

12 Higher Education (February 1, 2002), depression 

13 among freshmen has nearly doubled (from 8.2 per14 cent to 16.3 percent). Without treatment, research15 ers recently noted that ‘‘depressed adolescents are at 

16 risk for school failure, social isolation, promiscuity, 

17 self medication with drugs and alcohol, and sui18 cide—now the third leading cause of death among 

19 10–24 year olds.’’. 

20 (13) Researchers who conducted the study 

21 ‘‘Changes in Counseling Center Client Problems 

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

23 University stated that ‘‘students are experiencing 

24 more stress, more anxiety, more depression than 
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1 they were a decade ago.’’ (The Chronicle of Higher 

2 Education, February 14, 2003). 

3 (14) According to the 2001 National Household 

4 Survey on Drug Abuse, 20 percent of full-time un5 dergraduate college students use illicit drugs. 

6 (15) The 2001 National Household Survey on 

7 Drug Abuse also reported that 18.4 percent of 

8 adults aged 18 to 24 are dependent on or abusing 

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

10 that ‘‘serious mental illness is highly correlated with 

11 substance dependence or abuse. Among adults with 

12 serious mental illness in 2001, 20.3 percent were de13 pendent on or abused alcohol or illicit drugs, while 

14 the rate among adults without serious mental illness 

15 was only 6.3 percent.’’. 

16 (16) A 2003 Gallagher’s Survey of Counseling 

17 Center Directors found that 81 percent were con18 cerned about the increasing number of students with 

19 more serious psychological problems, 67 percent re20 ported a need for more psychiatric services, and 63 

21 percent reported problems with growing demand for 

22 services without an appropriate increase in re23 sources. 

24 (17) The International Association of Coun25 seling Services accreditation standards recommend 1 
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1 counselor per 1,000 to 1,500 students. According to 

2 the 2003 Gallagher’s Survey of Counseling Center 

3 Directors, the ratio of counselors to students is as 

4 high as 1 counselor per 2,400 students at institu5 tions of higher education with more than 15,000 

6 students. 

7 SEC. 3. AMENDMENT TO THE PUBLIC HEALTH SERVICES 

8 ACT. 

9 Title V of the Public Health Service Act (42 U.S.C. 

10 290aa et seq) is amended— 

11 (1) in section 520E (42 U.S.C. 290bb–36)— 

12 (A) in the section heading by striking 

13 ‘‘CHILDREN AND ADOLESCENTS’’ and in14 serting ‘‘YOUTH’’; 

15 (B) by striking subsection (a) and insert16 ing the following: 

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

18 grants or cooperative agreements to public organizations, 

19 private nonprofit organizations, political subdivisions, and 

20 Federally recognized Indian tribes or tribal organizations 

21 to implement the State-sponsored statewide or tribal youth 

22 suicide early intervention and prevention strategy as devel23 oped under section 596A.’’; 

24 (C) in subsection (b), by striking all after 

25 ‘‘coordinated’’ and inserting ‘‘with the Strategy 
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1 for Suicide Prevention Federal Steering Group 

2 and the suicide prevention resource center pro3 vided for under section 596B.’’; 

4 (D) in subsection (c)— 

5 (i) in the matter preceding paragraph 

6 (1), by striking ‘‘A State’’ and all that fol7 lows through ‘‘desiring’’ and inserting ‘‘A 

8 public organization, private nonprofit orga9 nization, political subdivision, and Feder10 ally recognized Indian tribes or tribal orga11 nization desiring’’; 

12 (ii) by redesignating paragraphs (1) 

13 through (9) as paragraphs (2) through 

14 (10), respectively; 

15 (iii) by inserting before paragraph (2) 

16 (as so redesignated), the following: 

17 ‘‘(1) comply with the State-sponsored statewide 

18 early intervention and prevention strategy as devel19 oped under section 596A;’’; 

20 (iv) in paragraph (2) (as so redesig21 nated), by striking ‘‘children and adoles22 cents’’ and inserting ‘‘youth’’; 

23 (v) in paragraph (3) (as so redesig24 nated), by striking ‘‘best evidence-based,’’; 
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1 (vi) in paragraph (4) (as so redesig2 nated), by striking ‘‘primary’’ and all that 

3 follows and inserting ‘‘general, mental, and 

4 behavioral health services, and substance 

5 abuse services;’’; 

6 (vii) in paragraph (5) (as so redesig7 nated), by striking ‘‘children and’’ and all 

8 that follows and inserting ‘‘youth including 

9 the school systems, educational institu10 tions, juvenile justice system, substance 

11 abuse programs, mental health programs, 

12 foster care systems, and community child 

13 and youth support organizations;’’; 

14 (viii) by striking paragraph (8) (as so 

15 redesignated), and inserting the following: 

16 ‘‘(8) offer access to services and care to youth 

17 with diverse linguistic and cultural backgrounds;’’; 

18 and 

19 (ix) by striking paragraph (9) (as so 

20 redesignated), and inserting the following: 

21 ‘‘(9) conduct annual self-evaluations of out22 comes and activities, including consulting with inter23 ested families and advocacy organizations;’’; 

24 (E) by striking subsection (d) and insert25 ing the following: 
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1 ‘‘(d) USE OF FUNDS.—Amounts provided under a 

2 grant or cooperative agreement under this section shall be 

3 used to supplement, and not supplant, Federal and non4 Federal funds available for carrying out the activities de5 scribed in this section. Applicants shall provide financial 

6 information to demonstrate compliance with this section.’’; 

7 (F) in subsection (e)— 

8 (i) by striking ‘‘contract,’’; and 

9 (ii) by inserting after ‘‘Secretary that 

10 the’’ the following: ‘‘application complies 

11 with the State-sponsored statewide early 

12 intervention and prevention strategy as de13 veloped under section 596A and’’; 

14 (G) in subsection (f), by striking ‘‘con15 tracts,’’; 

16 (H) in subsection (g)— 

17 (i) by striking ‘‘A State’’ and all that 

18 follows through ‘‘organization receiving’’ 

19 and inserting ‘‘A public organization, pri20 vate nonprofit organization, political sub21 division, and Federally recognized Indian 

22 tribes or tribal organization receiving’’; 

23 and 

24 (ii) by striking ‘‘contract,’’ each place 

25 that such appears; 
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1 (I) in subsection (h), by striking ‘‘con2 tracts,’’; 

3 (J) in subsection (i)— 

4 (i) by striking ‘‘A State’’ and all that 

5 follows through ‘‘organization receiving’’ 

6 and inserting ‘‘A public organization, pri7 vate nonprofit organization, political sub8 division, and Federally recognized Indian 

9 tribes or tribal organization receiving’’; 

10 and 

11 (ii) by striking ‘‘contract,’’; 

12 (K) in subsection (k), by striking ‘‘5 

13 years’’ and inserting ‘‘3 years’’; 

14 (L) in subsection (l)(2), by striking ‘‘21’’ 

15 and inserting ‘‘24’’; and 

16 (M) in subsection (m)— 

17 (i) by striking ‘‘APPROPRIATION.—’’ 

18 and all that follows through ‘‘For’’ in 

19 paragraph (1) and inserting ‘‘APPROPRIA20 TION.—For’’; and 

21 (ii) by striking paragraph (2); 

22 (2) by inserting after part I (42 U.S.C. 290jj 

23 et seq), the following: 
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1 ‘‘PART J—SUICIDE EARLY INTERVENTION AND 

2 PREVENTION’’; 

3 (3) by redesignating section 520E (42 U.S.C. 

4 290bb–36), as amended by paragraph (1), as section 

5 596 and transferring such section to part J (as 

6 added by paragraph (2)); and 

7 (4) by adding at the end of part J (as added 

8 by paragraph (2) and amended by paragraph (3)), 

9 the following: 

10 ‘‘SEC. 596A. YOUTH SUICIDE EARLY INTERVENTION AND 

11 PREVENTION STRATEGIES, TRAINING, AND 

12 TECHNICAL ASSISTANCE. 

13 ‘‘(a) YOUTH SUICIDE EARLY INTERVENTION AND

14 PREVENTION STRATEGIES.— 

15 ‘‘(1) IN GENERAL.—The Secretary acting 

16 through the Administrator of the Substance Abuse 

17 and Mental Health Services Administration, shall 

18 award grants or cooperative agreements to eligible 

19 entities to— 

20 ‘‘(A) develop and implement State-spon21 sored statewide or tribal youth suicide early 

22 intervention and prevention strategies in 

23 schools, educational institutions, juvenile justice 

24 systems, substance abuse programs, mental 

25 health programs, foster care systems, and other 

26 child and youth support organizations; 
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1 ‘‘(B) support public organizations and pri2 vate nonprofit organizations actively involved in 

3 State-sponsored statewide or tribal youth sui4 cide early intervention and prevention strategies 

5 and in the development and continuation of 

6 State-sponsored statewide youth suicide early 

7 intervention and prevention strategies; 

8 ‘‘(C) collect and analyze data on State9 sponsored statewide or tribal youth suicide early 

10 intervention and prevention services that can be 

11 used to monitor the effectiveness of such serv12 ices and for research, technical assistance, and 

13 policy development; and 

14 ‘‘(D) assist eligible entities, through State15 sponsored statewide or tribal youth suicide early 

16 intervention and prevention strategies, in 

17 achieving targets for youth suicide reductions 

18 under title V of the Social Security Act (42 

19 U.S.C. 701 et seq.). 

20 ‘‘(2) ELIGIBLE ENTITY.— 

21 ‘‘(A) DEFINITION.—In this subsection, the 

22 term ‘eligible entity’ means— 

23 ‘‘(i) a State; 

24 ‘‘(ii) a public organization or private 

25 nonprofit organization designated by a 
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1 State to develop or direct the State-spon2 sored statewide youth suicide early inter3 vention and prevention strategy; and 

4 ‘‘(iii) a Federally-recognized Indian 

5 tribe or tribal organization (as defined in 

6 the Indian Self-Determination and Edu7 cation Assistance Act) or an urban Indian 

8 organization (as defined in the Indian 

9 Health Care Improvement Act) that is ac10 tively involved in the development and con11 tinuation of a tribal youth suicide early 

12 intervention and prevention strategy. 

13 ‘‘(B) PREFERENCE.—In awarding grants 

14 and cooperative agreements under this section, 

15 the Secretary shall give preference to States 

16 that have rates of youth suicide that signifi17 cantly exceed the national average as deter18 mined by the Centers for Disease Control and 

19 Prevention. 

20 ‘‘(C) LIMITATION.—In carrying out this 

21 section, the Secretary shall ensure that each 

22 State is awarded only one grant or cooperative 

23 agreement under this section. For purposes of 

24 the preceding sentence, a State shall be consid25 ered to have been awarded a grant or coopera-
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1 tive agreement if the eligible entity involved is 

2 the State or an entity designated by the State 

3 under subparagraph (A)(ii). Nothing in this 

4 subparagraph shall be construed to apply to en5 tities described in subparagraph (A)(iii). 

6 ‘‘(3) PREFERENCE.—In providing assistance 

7 under a grant or cooperative agreement under this 

8 subsection, an eligible entity shall give preference to 

9 public organizations, private nonprofit organizations, 

10 political subdivisions, and tribal organizations ac11 tively involved with the State-sponsored statewide or 

12 tribal youth suicide early intervention and prevention 

13 strategy that— 

14 ‘‘(A) provide early intervention and assess15 ment services, including screening programs, to 

16 youth who are at risk for mental or emotional 

17 disorders that may lead to a suicide attempt, 

18 and that are integrated with, school systems, 

19 educational institutions, juvenile justice sys20 tems, substance abuse programs, mental health 

21 programs, foster care systems, and other child 

22 and youth support organizations; 

23 ‘‘(B) demonstrate collaboration among 

24 early intervention and prevention services or 
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1 certify that entities will engage in future col2 laboration; 

3 ‘‘(C) employ or include in their applica4 tions a commitment to evaluate youth suicide 

5 early intervention and prevention practices and 

6 strategies adapted to the local community; 

7 ‘‘(D) provide timely referrals for appro8 priate community-based mental health care and 

9 treatment of youth who are at risk for suicide 

10 in child-serving settings and agencies; 

11 ‘‘(E) provide immediate support and infor12 mation resources to families of youth who are 

13 at risk for suicide; 

14 ‘‘(F) offer access to services and care to 

15 youth with diverse linguistic and cultural back16 grounds; 

17 ‘‘(G) offer appropriate post-suicide inter18 vention services, care, and information to fami19 lies, friends, schools, educational institutions, 

20 juvenile justice systems, substance abuse pro21 grams, mental health programs, foster care sys22 tems, and other child and youth support organi23 zations of youth who recently completed suicide; 

24 ‘‘(H) offer continuous and up-to-date in25 formation and awareness campaigns that target 
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1 parents, family members, child care profes2 sionals, community care providers, and the gen3 eral public and highlight the risk factors associ4 ated with youth suicide and the life-saving help 

5 and care available from early intervention and 

6 prevention services; 

7 ‘‘(I) ensure that information and aware8 ness campaigns on youth suicide risk factors, 

9 and early intervention and prevention services, 

10 use effective communication mechanisms that 

11 are targeted to and reach youth, families, 

12 schools, educational institutions, and youth or13 ganizations; 

14 ‘‘(J) provide a timely response system to 

15 ensure that child-serving professionals and pro16 viders are properly trained in youth suicide 

17 early intervention and prevention strategies and 

18 that child-serving professionals and providers 

19 involved in early intervention and prevention 

20 services are properly trained in effectively iden21 tifying youth who are at risk for suicide; 

22 ‘‘(K) provide continuous training activities 

23 for child care professionals and community care 

24 providers on the latest youth suicide early inter-
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1 vention and prevention services practices and 

2 strategies; 

3 ‘‘(L) conduct annual self-evaluations of 

4 outcomes and activities, including consulting 

5 with interested families and advocacy organiza6 tions; and 

7 ‘‘(M) provide services in areas or regions 

8 with rates of youth suicide that exceed the na9 tional average as determined by the Centers for 

10 Disease Control and Prevention. 

11 ‘‘(4) REQUIREMENT FOR DIRECT SERVICES.— 

12 Not less than 85 percent of grant funds received 

13 under this subsection shall be used to provide direct 

14 services. 

15 ‘‘(b) SUICIDE PREVENTION RESOURCE CENTER; 

16 TRAINING AND TECHNICAL ASSISTANCE.— 

17 ‘‘(1) OPERATION OF CENTER.—The Secretary, 

18 acting through the Administrator of the Substance 

19 Abuse and Mental Health Services Administration 

20 and in consultation with the National Strategy for 

21 Suicide Prevention Federal Steering Group, shall 

22 award a competitive grant or contract to a public or 

23 private nonprofit entity for the establishment of a 

24 Suicide Prevention Resource Center to carry out the 

25 activities described in paragraph (3). 
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1 ‘‘(2) APPLICATION.—To be eligible for a grant 

2 or contract under paragraph (1), an entity shall pre3 pare and submit to the Secretary an application at 

4 such time, in such manner, and containing such in5 formation as the Secretary may require. 

6 ‘‘(3) AUTHORIZED ACTIVITIES.—The Suicide 

7 Prevention Resource Center shall provide appro8 priate information, training, and technical assistance 

9 to States, political subdivisions of a State, Federally 

10 recognized Indian tribes, tribal organizations, public 

11 organizations, or private nonprofit organizations 

12 for— 

13 ‘‘(A) the development or continuation of 

14 statewide or tribal youth suicide early interven15 tion and prevention strategies; 

16 ‘‘(B) ensuring the surveillance of youth 

17 suicide early intervention and prevention strate18 gies; 

19 ‘‘(C) studying the costs and effectiveness 

20 of statewide youth suicide early intervention 

21 and prevention strategies in order to provide in22 formation concerning relevant issues of impor23 tance to State, tribal, and national policy24 makers; 
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1 ‘‘(D) further identifying and understanding 

2 causes and associated risk factors for youth sui3 cide; 

4 ‘‘(E) analyzing the efficacy of new and ex5 isting youth suicide early intervention tech6 niques and technology; 

7 ‘‘(F) ensuring the surveillance of suicidal 

8 behaviors and nonfatal suicidal attempts; 

9 ‘‘(G) studying the effectiveness of State10 sponsored statewide and tribal youth suicide 

11 early intervention and prevention strategies on 

12 the overall wellness and health promotion strat13 egies related to suicide attempts; 

14 ‘‘(H) promoting the sharing of data re15 garding youth suicide with Federal agencies in16 volved with youth suicide early intervention and 

17 prevention, and State-sponsored statewide or 

18 tribal youth suicide early intervention and pre19 vention strategies for the purpose of identifying 

20 previously unknown mental health causes and 

21 associated risk-factors for suicide in youth; and 

22 ‘‘(I) other activities determined appropriate 

23 by the Secretary. 

24 ‘‘(4) AUTHORIZATION OF APPROPRIATIONS.— 

25 There is authorized to be appropriated to carry out 
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1 this subsection, $3,000,000 for fiscal year 2005, 

2 $4,000,000 for fiscal year 2006, and $5,000,000 for 

3 fiscal year 2007. 

4 ‘‘(c) COORDINATION AND COLLABORATION.— 

5 ‘‘(1) IN GENERAL.—In carrying out this sec6 tion, the Secretary shall collaborate with the Na7 tional Strategy for Suicide Prevention Federal Steer8 ing Group and other Federal agencies responsible 

9 for early intervention and prevention services relat10 ing to youth suicide. 

11 ‘‘(2) CONSULTATION.—In carrying out this sec12 tion, the Secretary shall consult with— 

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

14 agencies responsible for early intervention and 

15 prevention services under title XIX of the So16 cial Security Act (42 U.S.C. 1396 et seq.), the 

17 State Children’s Health Insurance Program 

18 under title XXI of the Social Security Act (42 

19 U.S.C. 1397aa et seq.), programs funded by 

20 grants under title V of the Social Security Act 

21 (42 U.S.C. 701 et seq.), and programs under 

22 part C of the Individuals with Disabilities Edu23 cation Act (20 U.S.C. 1431 et seq.); 
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1 ‘‘(B) local and national organizations that 

2 serve youth at risk for suicide and their fami3 lies; 

4 ‘‘(C) relevant national medical and other 

5 health and education specialty organizations; 

6 ‘‘(D) youth who are at risk for suicide, 

7 who have survived suicide attempts, or who are 

8 currently receiving care from early intervention 

9 services; 

10 ‘‘(E) families and friends of youth who are 

11 at risk for suicide, who have survived suicide at12 tempts, who are currently receiving care from 

13 early intervention and prevention services, or 

14 who have completed suicide; 

15 ‘‘(F) qualified professionals who possess 

16 the specialized knowledge, skills, experience, 

17 and relevant attributes needed to serve youth at 

18 risk for suicide and their families; and 

19 ‘‘(G) third-party payers, managed care or20 ganizations, and related commercial industries. 

21 ‘‘(3) POLICY DEVELOPMENT.—The Secretary 

22 shall— 

23 ‘‘(A) coordinate and collaborate on policy 

24 development at the Federal level with the Na-
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1 tional Strategy for Suicide Prevention Federal 

2 Steering Group; and 

3 ‘‘(B) consult on policy development at the 

4 Federal level with the private sector, including 

5 consumer, medical, suicide prevention advocacy 

6 groups, and other health and education profes7 sional-based organizations, with respect to 

8 State-sponsored statewide or tribal youth sui9 cide early intervention and prevention strate10 gies. 

11 ‘‘(d) RULE OF CONSTRUCTION; RELIGIOUS ACCOM12 MODATION.—Nothing in this section shall be construed to 

13 preempt any State law, including any State law that does 

14 not require the suicide early intervention for youth whose 

15 parents or legal guardians object to such early interven16 tion based on the parents’ or legal guardians’ religious be17 liefs. 

18 ‘‘(e) EVALUATIONS AND REPORT.— 

19 ‘‘(1) EVALUATIONS BY ELIGIBLE ENTITIES.— 

20 Not later than 18 months after receiving a grant or 

21 cooperative agreement under subsection (a), an eligi22 ble entity shall submit to the Secretary the results 

23 of an evaluation to be conducted by the entity con24 cerning the effectiveness of the activities carried out 

25 under the grant or agreement. 
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1 ‘‘(2) REPORT.—Not later than 2 years after the 

2 date of enactment of this section, the Secretary shall 

3 submit to the appropriate committees of Congress a 

4 report concerning the results of— 

5 ‘‘(A) the evaluations conducted under 

6 paragraph (1); and 

7 ‘‘(B) an evaluation conducted by the Sec8 retary to analyze the effectiveness and efficacy 

9 of the activities conducted with grants, collabo10 rations, and consultations under this section. 

11 ‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—For the 

12 purpose of carrying out subsection (a), there are author13 ized to be appropriated $7,000,000 for fiscal year 2005, 

14 $16,000,000 for fiscal year 2006, $25,000,000 for fiscal 

15 year 2007, and such sums as may be necessary for each 

16 of fiscal years 2008 and 2009. 

17 ‘‘SEC. 596B. MENTAL AND BEHAVIORAL HEALTH SERVICES 

18 ON CAMPUS. 

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

20 increase access to, and enhance the range of, services for 

21 students with mental and behavioral health problems that 

22 can lead to school failure, such as depression, substance 

23 abuse, and suicide attempts, so as to ensure that college 

24 students have the support necessary to successfully com25 plete their studies. 
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1 ‘‘(b) PROGRAM AUTHORIZED.—From funds appro2 priated under subsection (j), the Secretary shall award 

3 competitive grants to institutions of higher education to 

4 create or expand mental and behavioral health services to 

5 students at such institutions, to provide such services, and 

6 to develop best practices for the delivery of such services. 

7 Such grants shall, subject to the availability of such appro8 priations, be for a period of 3 years. 

9 ‘‘(c) ELIGIBLE GRANT RECIPIENTS.—Any institution 

10 of higher education that seeks to provide, or provides, 

11 mental and behavioral health services to students is eligi12 ble to apply for a grant under this section. Services may 

13 be provided at— 

14 ‘‘(1) college counseling centers; 

15 ‘‘(2) college and university psychological service 

16 centers; 

17 ‘‘(3) mental health centers; 

18 ‘‘(4) psychology training clinics; and 

19 ‘‘(5) institution of higher education supported, 

20 evidence-based, mental health and substance abuse 

21 screening programs. 

22 ‘‘(d) APPLICATIONS.—Each institution of higher edu23 cation seeking to obtain a grant under this section shall 

24 submit an application to the Secretary. Each such applica25 tion shall include— 
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1 ‘‘(1) a description of identified mental and be2 havioral health needs of students at the institution 

3 of higher education; 

4 ‘‘(2) a description of currently available Fed5 eral, State, local, private, and institutional resources 

6 to address the needs described in paragraph (1) at 

7 the institution of higher education; 

8 ‘‘(3) an outline of program objectives and an9 ticipated program outcomes, including an expla10 nation of how the treatment provider at the institu11 tion of higher education will coordinate activities 

12 under this section with existing programs and serv13 ices; 

14 ‘‘(4) the anticipated impact of funds provided 

15 under this section in improving the mental and be16 havioral health of students attending the institution 

17 of higher education; 

18 ‘‘(5) outreach strategies, including ways in 

19 which the treatment provider at the institution of 

20 higher education proposes to reach students, pro21 mote access to services, and address the range of 

22 needs of students; 

23 ‘‘(6) a proposed plan for reaching those stu24 dents most in need of services; 
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1 ‘‘(7) a plan to evaluate program outcomes and 

2 assess the services provided with funds under this 

3 section; 

4 ‘‘(8) financial information concerning the appli5 cant to demonstrate compliance with subsection (h); 

6 and 

7 ‘‘(9) such additional information as is required 

8 by the Secretary. 

9 ‘‘(e) PEER REVIEW OF APPLICATIONS.—The Sec10 retary, in consultation with the Secretary of Education, 

11 shall provide the applications submitted under this section 

12 to a peer review panel for evaluation. With respect to each 

13 application, the peer review panel shall recommend the ap14 plication for funding or for disapproval. 

15 ‘‘(f) USE OF FUNDS.—Funds provided by a grant 

16 under this section may be used for 1 or more of the fol17 lowing activities: 

18 ‘‘(1) Prevention, screening, early intervention, 

19 assessment, treatment, management, and education 

20 of mental and behavioral health problems that can 

21 lead to school failure, such as depression, substance 

22 abuse, and suicide attempts by students enrolled at 

23 the institution of higher education. 

24 ‘‘(2) Education of families to increase aware25 ness of potential mental and behavioral health issues 
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1 of students enrolled at the institution of higher edu2 cation. 

3 ‘‘(3) Hiring staff trained to identify and treat 

4 mental and behavioral health problems, including 

5 residents and interns such as those in psychological 

6 doctoral and post doctoral programs. 

7 ‘‘(4) Evaluating and disseminating outcomes 

8 and best practices of mental and behavioral health 

9 services. 

10 ‘‘(g) ADDITIONAL REQUIRED ELEMENTS.—Each in11 stitution of higher education that receives a grant under 

12 this section shall— 

13 ‘‘(1) provide annual reports to the Secretary de14 scribing the use of funds, the program’s objectives, 

15 and how the objectives were met, including a descrip16 tion of program outcomes; 

17 ‘‘(2) perform such additional evaluations as the 

18 Secretary may require, which may include— 

19 ‘‘(A) increases in range of services pro20 vided; 

21 ‘‘(B) increases in the quality of services 

22 provided; 

23 ‘‘(C) increases in access to services; 

24 ‘‘(D) college continuation rates; 

25 ‘‘(E) decreases in college dropout rates; 
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•S 2634 CPS 

1 ‘‘(F) increases in college graduation rates; 

2 and 

3 ‘‘(G) accepted and valid measurements and 

4 assessments of improved mental health 

5 functionality; and 

6 ‘‘(3) coordinate such institution’s program 

7 under this section with other related efforts on cam8 pus by entities concerned with the general mental 

9 and behavioral health needs of students. 

10 ‘‘(h) SUPPLEMENT NOT SUPPLANT.—Grant funds 

11 provided under this section shall be used to supplement, 

12 and not supplant, Federal and non-Federal funds available 

13 for carrying out the activities described in this section. 

14 Grantees shall provide financial information to dem15 onstrate compliance with this subsection. 

16 ‘‘(i) REQUIREMENT FOR DIRECT SERVICES AND LIM17 ITATIONS.— 

18 ‘‘(1) DIRECT SERVICES.—Not less than 75 per19 cent of grant funds received under this section shall 

20 be used to provide direct services. 

21 ‘‘(2) ADMINISTRATIVE COSTS.—Not more than 

22 5 percent of grant funds received under this section 

23 shall be used for administrative costs. 

24 ‘‘(3) PROHIBITION ON USE FOR CONSTRUCTION

25 OR RENOVATION.—Grant funds received under this 
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•S 2634 CPS 

1 section shall not be used for construction or renova2 tion of facilities or buildings. 

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

4 are authorized to be appropriated for grants under this 

5 section, $5,000,000 for fiscal year 2005, $7,000,000 for 

6 fiscal year 2006, $10,000,000 for fiscal year 2007, and 

7 such sums as may be necessary for each fiscal years 2008 

8 and 2009. 

9 ‘‘SEC. 596C. DEFINITIONS. 

10 ‘‘In this part: 

11 ‘‘(1) EARLY INTERVENTION.—The term ‘early 

12 intervention’ means a strategy or approach that is 

13 intended to prevent an outcome or to alter the 

14 course of an existing condition. 

15 ‘‘(2) EDUCATIONAL INSTITUTION; INSTITUTION

16 OF HIGHER EDUCATION; SCHOOL.—The term— 

17 ‘‘(A) ‘educational institution’ means a 

18 school or institution of higher education; 

19 ‘‘(B) ‘institution of higher education’ has 

20 the meaning given such term in section 101 of 

21 the Higher Education Act of 1965; and 

22 ‘‘(C) ‘school’ means an elementary or sec23 ondary school (as such terms are defined in sec24 tion 901 of the Elementary and Secondary 

25 Education Act of 1965). 
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•S 2634 CPS 

1 ‘‘(3) PREVENTION.—The term ‘prevention’ 

2 means a strategy or approach that reduces the likeli3 hood or risk of onset, or delays the onset, of adverse 

4 health problems. 

5 ‘‘(4) YOUTH.—The term ‘youth’ means individ6 uals who are between 6 and 24 years of age.’’. 

Æ