270 
‘‘(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 
4(l) of the Indian Self-Determination and 
Education Assistance Act (25 U.S.C. 
450b(l)). 
‘‘(B) PROVISION OF SERVICES TO ELIGI-
BLE
YOUTHS.—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 
youths residing in Alaska. 
‘‘(c) INTERMEDIATE
ADOLESCENT
BEHAVIORAL 
HEALTH SERVICES.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Service, Indian Tribes, and Tribal Orga-
nizations, may provide intermediate behavioral 
health services to Indian children and adolescents, 
including— 
‘‘(A) pretreatment assistance; 
‘‘(B) inpatient, outpatient, and aftercare 
services; 
‘‘(C) emergency care; 
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‘‘(D) suicide prevention and crisis interven-
tion; and 
‘‘(E) prevention and treatment of mental 
illness and dysfunctional and self-destructive 
behavior, including child abuse and family vio-
lence. 
‘‘(2) USE OF FUNDS.—Funds provided under 
this subsection may be used— 
‘‘(A) to construct or renovate an existing 
health facility to provide intermediate behav-
ioral health services; 
‘‘(B) to hire behavioral health profes-
sionals; 
‘‘(C) to staff, operate, and maintain an in-
termediate mental health facility, group home, 
sober housing, transitional housing or similar 
facilities, or youth shelter where intermediate 
behavioral health services are being provided; 
‘‘(D) to make renovations and hire appro-
priate staff to convert existing hospital beds 
into adolescent psychiatric units; and 
‘‘(E) for intensive home- and community- 
based services, including collaborative Systems 
of Care. 
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‘‘(3) CRITERIA.—The Secretary, acting through 
the Service, shall, in consultation with Indian Tribes 
and Tribal Organizations, establish criteria for the 
review and approval of applications or proposals for 
funding made available pursuant to this subsection. 
‘‘(d) FEDERALLY OWNED STRUCTURES.— 
‘‘(1) IN GENERAL.—The Secretary, in consulta-
tion with Indian Tribes and Tribal Organizations, 
shall— 
‘‘(A) identify and use, where appropriate, 
federally owned structures suitable for local res-
idential or regional behavioral health treatment 
for Indian youths; and 
‘‘(B) establish guidelines, in consultation 
with Indian Tribes and Tribal Organizations, 
for determining the suitability of any such fed-
erally owned structure to be used for local resi-
dential or regional behavioral health treatment 
for Indian youths. 
‘‘(2) TERMS
AND
CONDITIONS
FOR
USE
OF 
STRUCTURE.—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 and any In-
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CCOLEMAN on PROD1PC71 with BILLS
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dian Tribe or Tribal Organization operating the pro-
gram. 
‘‘(e) REHABILITATION AND AFTERCARE SERVICES.— 
‘‘(1) IN
GENERAL.—The Secretary, Indian 
Tribes, or Tribal Organizations, in cooperation with 
the Secretary of the Interior, shall develop and im-
plement within each Service Unit, community-based 
rehabilitation and follow-up services for Indian 
youths who are having significant behavioral health 
problems, and require long-term treatment, commu-
nity reintegration, and monitoring to support the In-
dian youths after their return to their home commu-
nity. 
‘‘(2) ADMINISTRATION.—Services under para-
graph (1) shall be provided by trained staff within 
the community who can assist the Indian youths in 
their continuing development of self-image, positive 
problem-solving skills, and nonalcohol or substance 
abusing behaviors. Such staff may include alcohol 
and substance abuse counselors, mental health pro-
fessionals, and other health professionals and para-
professionals, including community health represent-
atives. 
‘‘(f) INCLUSION OF FAMILY IN YOUTH TREATMENT 
PROGRAM.—In providing the treatment and other services 
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CCOLEMAN on PROD1PC71 with BILLS
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to Indian youths authorized by this section, the Secretary, 
acting through the Service, Indian Tribes, and Tribal Or-
ganizations, shall provide for the inclusion of family mem-
bers of such youths 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 (e) shall be used for outpatient care of adult 
family members related to the treatment of an Indian 
youth under that subsection. 
‘‘(g) MULTIDRUG ABUSE PROGRAM.—The Secretary, 
acting through the Service, Indian Tribes, Tribal Organi-
zations, and Urban Indian Organizations, shall provide, 
consistent with section 701, programs and services to pre-
vent and treat the abuse of multiple forms of substances, 
including alcohol, drugs, inhalants, and tobacco, among 
Indian youths residing in Indian communities, on or near 
reservations, and in urban areas and provide appropriate 
mental health services to address the incidence of mental 
illness among such youths. 
‘‘(h) SYSTEMS OF CARE.— 
‘‘(1) PURPOSE AND AUTHORIZATION.—The pur-
pose of this section is to authorize the Secretary to 
carry out a grant program to expand the oppor-
tunity for Tribes, Tribal Organizations, and Urban 
Indian Organizations to plan and implement Sys-
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CCOLEMAN on PROD1PC71 with BILLS
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tems of Care programs that make Indian families 
and communities partners in the development of be-
havioral health services that address suicide preven-
tion and other behavioral health needs of Indian 
children, youth, and families. 
‘‘(2) ELIGIBILITY FOR GRANTS.—Tribes, Tribal 
Organizations, and Urban Indian Organizations that 
provide behavioral health services are eligible to re-
ceive a grant under this section. 
‘‘(3) GRANT PERIOD.—Grants awarded under 
this section shall each be for a period of three years. 
‘‘(4) TECHNICAL ASSISTANCE.—The Secretary 
may use up to 10 percent of the funds available for 
grants to provide technical assistance to grantees, 
directly or through contracts 
‘‘(5) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this section $2,500,000 for each of fiscal years 2007 
through 2010. 
‘‘(i) INDIAN YOUTH MENTAL HEALTH.—The Sec-
retary, acting through the Service, shall collect data for 
the report under section 801 with respect to— 
‘‘(1) the number of Indian youth who are being 
provided mental health services through the Service 
and Tribal Health Programs; 
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CCOLEMAN on PROD1PC71 with BILLS
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‘‘(2) a description of, and costs associated with, 
the mental health services provided for Indian youth 
through the Service and Tribal Health Programs; 
‘‘(3) the number of youth referred to the Serv-
ice or Tribal Health Programs for mental health 
services; 
‘‘(4) the number of Indian youth provided resi-
dential treatment for mental health and other behav-
ioral problems through the Service and Tribal 
Health Programs, reported separately for on- and 
off-reservation facilities; and 
‘‘(5) the costs of the services described in para-
graph (4). 
‘‘(6) For the purposes of this subsection, 
‘‘youth’’ shall include individuals under 21 years of 
age. 
‘‘SEC. 708. INDIAN YOUTH TELEMENTAL HEALTH DEM-
ONSTRATION PROJECT. 
‘‘(a) PURPOSE.—The purpose of this section is to au-
thorize the Secretary to carry out a demonstration project 
to test the use of telemental health services in suicide pre-
vention, intervention and treatment of Indian youth, in-
cluding through— 
‘‘(1) the use of psychotherapy, psychiatric as-
sessments, diagnostic interviews, therapies for men-
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CCOLEMAN on PROD1PC71 with BILLS
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tal health conditions predisposing to suicide, and al-
cohol and substance abuse treatment; 
‘‘(2) the provision of clinical expertise to, con-
sultation services with, and medical advice and train-
ing for frontline health care providers working with 
Indian youth; 
‘‘(3) training and related support for commu-
nity leaders, family members and health and edu-
cation workers who work with Indian youth; 
‘‘(4) the development of culturally-relevant edu-
cational materials on suicide; and 
‘‘(5) data collection and reporting. 
‘‘(b) DEFINITIONS.—For the purpose of this section, 
the following definitions shall apply: 
‘‘(1) DEMONSTRATION
PROJECT.—The term 
‘demonstration project’ means the Indian youth tele-
mental health demonstration project authorized 
under subsection (c). 
‘‘(2) TELEMENTAL HEALTH.—The term ‘tele-
mental health’ means the use of electronic informa-
tion and telecommunications technologies to support 
long distance mental health care, patient and profes-
sional-related education, public health, and health 
administration. 
‘‘(c) AUTHORIZATION.— 
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CCOLEMAN on PROD1PC71 with BILLS
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‘‘(1) IN GENERAL.—The Secretary is authorized 
to award grants under the demonstration project for 
the provision of telemental health services to Indian 
youth who— 
‘‘(A) have expressed suicidal ideas; 
‘‘(B) have attempted suicide; or 
‘‘(C) have mental health conditions that in-
crease or could increase the risk of suicide. 
‘‘(2) ELIGIBILITY FOR GRANTS.—Such grants 
shall be awarded to Indian Tribes, Tribal Organiza-
tions, and Urban Indian Organizations that operate 
1 or more facilities— 
‘‘(A) located in Alaska and part of the 
Alaska Federal Health Care Access Network; 
‘‘(B) reporting active clinical telehealth ca-
pabilities; or 
‘‘(C) 
offering 
school-based 
telemental 
health services relating to psychiatry to Indian 
youth. 
‘‘(3) GRANT
PERIOD.—The Secretary shall 
award grants under this section for a period of up 
to 4 years. 
‘‘(4) AWARDING OF GRANTS.—Not more than 5 
grants shall be provided under paragraph (1), with 
priority consideration given to Indian Tribes, Tribal 
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CCOLEMAN on PROD1PC71 with BILLS
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Organizations, and Urban Indian Organizations 
that— 
‘‘(A) serve a particular community or geo-
graphic area where there is a demonstrated 
need to address Indian youth suicide; 
‘‘(B) enter in to collaborative partnerships 
with Indian Health Service or other Tribal 
Health Programs or facilities to provide services 
under this demonstration project; 
‘‘(C) serve an isolated community or geo-
graphic area which has limited or no access to 
behavioral health services; or 
‘‘(D) operate a detention facility at which 
youth are detained. 
‘‘(d) USE OF FUNDS.—An Indian Tribe, Tribal Orga-
nization, or Urban Indian Organization shall use a grant 
received under subsection (c) for the following purposes: 
‘‘(1) To provide telemental health services to 
Indian youth, including the provision of— 
‘‘(A) psychotherapy; 
‘‘(B) psychiatric assessments and diag-
nostic interviews, therapies for mental health 
conditions predisposing to suicide, and treat-
ment; and 
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CCOLEMAN on PROD1PC71 with BILLS
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‘‘(C) alcohol and substance abuse treat-
ment. 
‘‘(2) To provide clinician-interactive medical ad-
vice, guidance and training, assistance in diagnosis 
and interpretation, crisis counseling and interven-
tion, and related assistance to Service, tribal, or 
urban clinicians and health services providers work-
ing with youth being served under this demonstra-
tion project. 
‘‘(3) To assist, educate and train community 
leaders, health education professionals and para-
professionals, tribal outreach workers, and family 
members who work with the youth receiving tele-
mental health services under this demonstration 
project, including with identification of suicidal ten-
dencies, crisis intervention and suicide prevention, 
emergency skill development, and building and ex-
panding networks among these individuals and with 
State and local health services providers. 
‘‘(4) To develop and distribute culturally appro-
priate community educational materials on— 
‘‘(A) suicide prevention; 
‘‘(B) suicide education; 
‘‘(C) suicide screening; 
‘‘(D) suicide intervention; and 
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CCOLEMAN on PROD1PC71 with BILLS
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‘‘(E) ways to mobilize communities with 
respect to the identification of risk factors for 
suicide. 
‘‘(5) For data collection and reporting related 
to Indian youth suicide prevention efforts. 
‘‘(e) APPLICATIONS.—To be eligible to receive a grant 
under subsection (c), an Indian Tribe, Tribal Organiza-
tion, or Urban Indian Organization shall prepare and sub-
mit to the Secretary an application, at such time, in such 
manner, and containing such information as the Secretary 
may require, including— 
‘‘(1) a description of the project that the Indian 
Tribe, Tribal Organization, or Urban Indian Organi-
zation will carry out using the funds provided under 
the grant; 
‘‘(2) a description of the manner in which the 
project funded under the grant would— 
‘‘(A) meet the telemental health care needs 
of the Indian youth population to be served by 
the project; or 
‘‘(B) improve the access of the Indian 
youth population to be served to suicide preven-
tion and treatment services; 
‘‘(3) evidence of support for the project from 
the local community to be served by the project; 
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CCOLEMAN on PROD1PC71 with BILLS
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‘‘(4) a description of how the families and lead-
ership of the communities or populations to be 
served by the project would be involved in the devel-
opment and ongoing operations of the project; 
‘‘(5) a plan to involve the tribal community of 
the youth who are provided services by the project 
in planning and evaluating the mental health care 
and suicide prevention efforts provided, in order to 
ensure the integration of community, clinical, envi-
ronmental, and cultural components of the treat-
ment; and 
‘‘(6) a plan for sustaining the project after Fed-
eral assistance for the demonstration project has ter-
minated. 
‘‘(f) TRADITIONAL HEALTH CARE PRACTICES.—The 
Secretary, acting through the Service, shall ensure that 
the demonstration project established pursuant to this sec-
tion involves the use and promotion of the traditional In-
dian health care and treatment practices of the Indian 
Tribes of the youth to be served. 
‘‘(g) COLLABORATION; REPORTING
TO NATIONAL 
CLEARINGHOUSE.— 
‘‘(1) COLLABORATION.—The Secretary, acting 
through the Service, shall encourage Indian Tribes, 
Tribal Organizations, and Urban Indian Organiza-
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CCOLEMAN on PROD1PC71 with BILLS
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tions receiving grants under this section to collabo-
rate to enable comparisons about best practices 
across projects. 
‘‘(2) REPORTING
TO
NATIONAL
CLEARING-
HOUSE.—The Secretary, acting through the Service, 
shall also encourage Indian Tribes, Tribal Organiza-
tions, and Urban Indian Organizations receiving 
grants under this section to submit relevant, declas-
sified project information to the national clearing-
house authorized under section 701(b)(2) in order to 
better facilitate program performance and improve 
suicide prevention, intervention, and treatment serv-
ices. 
‘‘(h) ANNUAL REPORT.—Each grant recipient shall 
submit to the Secretary an annual report that— 
‘‘(1) describes the number of telemental health 
services provided; and 
‘‘(2) includes any other information that the 
Secretary may require. 
‘‘(i) REPORT TO CONGRESS.—Not later than 270 
days after the termination of the demonstration project, 
the Secretary shall submit to the Committee on Indian Af-
fairs of the Senate and the Committee on Resources and 
Committee on Energy and Commerce of the House of 
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Representatives a final report, based on the annual reports 
provided by grant recipients under subsection (h), that— 
‘‘(1) describes the results of the projects funded 
by grants awarded under this section, including any 
data available which indicates the number of at-
tempted suicides; and 
‘‘(2) evaluates the impact of the telemental 
health services funded by the grants in reducing the 
number of completed suicides among Indian youth. 
‘‘(j) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section 
$1,500,000 for each of fiscal years 2006 through 2009. 
‘‘SEC. 709. INPATIENT AND COMMUNITY-BASED MENTAL 
HEALTH 
FACILITIES 
DESIGN, 
CONSTRUC-
TION, AND STAFFING. 
‘‘Not later than 1 year after the date of enactment 
of the Indian Health Care Improvement Act Amendments 
of 2006, the Secretary, acting through the Service, Indian 
Tribes, and Tribal Organizations, may provide, in each 
area of the Service, not less than 1 inpatient mental health 
care facility, or the equivalent, for Indians with behavioral 
health problems. For the purposes of this subsection, Cali-
fornia shall be considered to be 2 Area Offices, 1 office 
whose location shall be considered to encompass the north-
ern area of the State of California and 1 office whose ju-
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risdiction shall be considered to encompass the remainder 
of the State of California. The Secretary shall consider 
the possible conversion of existing, underused Service hos-
pital beds into psychiatric units to meet such need. 
‘‘SEC. 710. TRAINING AND COMMUNITY EDUCATION. 
‘‘(a) PROGRAM.—The Secretary, in cooperation with 
the Secretary of the Interior, shall develop and implement 
or provide funding for Indian Tribes and Tribal Organiza-
tions to develop and implement, within each Service Unit 
or tribal program, 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 education 
about behavioral health issues to political leaders, Tribal 
judges, law enforcement personnel, members of tribal 
health and education boards, health care providers and 
other critical members of each tribal community. Commu-
nity-based training (oriented toward local capacity devel-
opment) shall also include tribal community provider 
training (designed for adult learners from the commu-
nities receiving services for prevention, intervention, treat-
ment, and aftercare). 
‘‘(b) INSTRUCTION.—The Secretary, acting through 
the Service, shall, either directly or through Indian Tribes 
and Tribal Organizations, provide instruction in the area 
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of behavioral health issues, including instruction in crisis 
intervention and family relations in the context of alcohol 
and substance abuse, child sexual abuse, youth alcohol and 
substance abuse, and the causes and effects of fetal alco-
hol disorders to appropriate employees of the Bureau of 
Indian Affairs and the Service, and to personnel in schools 
or programs operated under any contract with the Bureau 
of Indian Affairs or the Service, including supervisors of 
emergency shelters and halfway houses described in sec-
tion 4213 of the Indian Alcohol and Substance Abuse Pre-
vention and Treatment Act of 1986 (25 U.S.C. 2433). 
‘‘(c) TRAINING MODELS.—In carrying out the edu-
cation and training programs required by this section, the 
Secretary, in consultation with Indian Tribes, Tribal Or-
ganizations, Indian behavioral health experts, and Indian 
alcohol and substance abuse prevention experts, shall de-
velop and provide community-based training models. Such 
models shall address— 
‘‘(1) the elevated risk of alcohol and behavioral 
health problems faced by children of alcoholics; 
‘‘(2) 
the 
cultural, 
spiritual, 
and 
multigenerational aspects of behavioral health prob-
lem prevention and recovery; and 
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CCOLEMAN on PROD1PC71 with BILLS
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‘‘(3) community-based and multidisciplinary 
strategies for preventing and treating behavioral 
health problems. 
‘‘SEC. 711. BEHAVIORAL HEALTH PROGRAM. 
‘‘(a) INNOVATIVE PROGRAMS.—The Secretary, acting 
through the Service, Indian Tribes, and Tribal Organiza-
tions, consistent with section 701, may plan, develop, im-
plement, and carry out programs to deliver innovative 
community-based behavioral health services to Indians. 
‘‘(b) FUNDING; CRITERIA.—The Secretary may 
award such funding for a project under subsection (a) to 
an Indian Tribe or Tribal Organization and may consider 
the following criteria: 
‘‘(1) The project will address significant unmet 
behavioral health needs among Indians. 
‘‘(2) The project will serve a significant number 
of Indians. 
‘‘(3) The project has the potential to deliver 
services in an efficient and effective manner. 
‘‘(4) The Indian Tribe or Tribal Organization 
has the administrative and financial capability to ad-
minister the project. 
‘‘(5) The project may deliver services in a man-
ner consistent with traditional Indian healing and 
treatment practices. 
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‘‘(6) The project is coordinated with, and avoids 
duplication of, existing services. 
‘‘(c) EQUITABLE TREATMENT.—For purposes of this 
subsection, the Secretary shall, in evaluating project appli-
cations or proposals, use the same criteria that the Sec-
retary uses in evaluating any other application or proposal 
for such funding. 
‘‘SEC. 712. FETAL ALCOHOL DISORDER PROGRAMS. 
‘‘(a) PROGRAMS.— 
‘‘(1) ESTABLISHMENT.—The Secretary, con-
sistent with section 701, acting through the Service, 
Indian Tribes, and Tribal Organizations, is author-
ized to establish and operate fetal alcohol disorder 
programs as provided in this section for the pur-
poses of meeting the health status objectives speci-
fied in section 3. 
‘‘(2) USE OF FUNDS.—Funding provided pursu-
ant to this section shall be used for the following: 
‘‘(A) To develop and provide for Indians 
community and in school training, education, 
and prevention programs relating to fetal alco-
hol disorders. 
‘‘(B) To identify and provide behavioral 
health treatment to high-risk Indian women 
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CCOLEMAN on PROD1PC71 with BILLS
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and high-risk women pregnant with an Indian’s 
child. 
‘‘(C) To identify and provide appropriate 
psychological services, educational and voca-
tional support, counseling, advocacy, and infor-
mation to fetal alcohol disorder affected Indians 
and their families or caretakers. 
‘‘(D) To develop and implement counseling 
and support programs in schools for fetal alco-
hol disorder affected Indian children. 
‘‘(E) To develop prevention and interven-
tion models which incorporate traditional heal-
ers, cultural and spiritual values, and commu-
nity involvement. 
‘‘(F) To develop, print, and disseminate 
education and prevention materials on fetal al-
cohol disorder. 
‘‘(G) To develop and implement, in con-
sultation with Indian Tribes, Tribal Organiza-
tions, and Urban Indian Organizations, cul-
turally sensitive assessment and diagnostic tools 
including dysmorphology clinics and multidisci-
plinary fetal alcohol disorder clinics for use in 
Indian communities and Urban Centers. 
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CCOLEMAN on PROD1PC71 with BILLS
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‘‘(H) To develop early childhood interven-
tion projects from birth on to mitigate the ef-
fects of fetal alcohol disorder among Indians. 
‘‘(I) To develop— 
‘‘(i) community-based support services 
for Indians and women pregnant with In-
dian children; and 
‘‘(ii) to the extent funding is available, 
community-based housing for adult Indians 
with fetal alcohol disorder. 
‘‘(3) CRITERIA FOR APPLICATIONS.—The Sec-
retary shall establish criteria for the review and ap-
proval of applications for funding under this section. 
‘‘(b) SERVICES.—The Secretary, acting through the 
Service and Indian Tribes, Tribal Organizations, and 
Urban Indian Organizations, shall— 
‘‘(1) develop and provide services for the pre-
vention, intervention, treatment, and aftercare for 
those affected by fetal alcohol disorder in Indian 
communities; and 
‘‘(2) provide supportive services, including serv-
ices to meet the special educational, vocational, 
school-to-work transition, and independent living 
needs of adolescent and adult Indians with fetal al-
cohol disorder. 
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CCOLEMAN on PROD1PC71 with BILLS
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‘‘(c) TASK FORCE.—The Secretary shall establish a 
task force to be known as the Fetal Alcohol Disorder Task 
Force to advise the Secretary in carrying out subsection 
(b). Such task force shall be composed of representatives 
from the following: 
‘‘(1) The National Institute on Drug Abuse. 
‘‘(2) The National Institute on Alcohol and Al-
coholism. 
‘‘(3) The Office of Substance Abuse Prevention. 
‘‘(4) The National Institute of Mental Health. 
‘‘(5) The Service. 
‘‘(6) The Office of Minority Health of the De-
partment of Health and Human Services. 
‘‘(7) The Administration for Native Americans. 
‘‘(8) The National Institute of Child Health 
and Human Development (NICHD). 
‘‘(9) The Centers for Disease Control and Pre-
vention. 
‘‘(10) The Bureau of Indian Affairs. 
‘‘(11) Indian Tribes. 
‘‘(12) Tribal Organizations. 
‘‘(13) Urban Indian Organizations. 
‘‘(14) Indian fetal alcohol disorder experts. 
‘‘(d) APPLIED
RESEARCH
PROJECTS.—The Sec-
retary, acting through the Substance Abuse and Mental 
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Health Services Administration, shall make grants to In-
dian Tribes, Tribal Organizations, and Urban Indian Or-
ganizations for applied research projects which propose to 
elevate the understanding of methods to prevent, inter-
vene, treat, or provide rehabilitation and behavioral health 
aftercare for Indians and Urban Indians affected by fetal 
alcohol disorder. 
‘‘(e) FUNDING
FOR
URBAN
INDIAN
ORGANIZA-
TIONS.—Ten percent of the funds appropriated pursuant 
to this section shall be used to make grants to Urban In-
dian Organizations funded under title V. 
‘‘SEC. 713. CHILD SEXUAL ABUSE AND PREVENTION TREAT-
MENT PROGRAMS. 
‘‘(a) 
ESTABLISHMENT.—The 
Secretary, 
acting 
through the Service, and the Secretary of the Interior, In-
dian Tribes, and Tribal Organizations, shall establish, 
consistent with section 701, in every Service Area, pro-
grams involving treatment for— 
‘‘(1) victims of sexual abuse who are Indian 
children or children in an Indian household; and 
‘‘(2) perpetrators of child sexual abuse who are 
Indian or members of an Indian household. 
‘‘(b) USE OF FUNDS.—Funding provided pursuant to 
this section shall be used for the following: 
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‘‘(1) To develop and provide community edu-
cation and prevention programs related to sexual 
abuse of Indian children or children in an Indian 
household. 
‘‘(2) To identify and provide behavioral health 
treatment to victims of sexual abuse who are Indian 
children or children in an Indian household, and to 
their family members who are affected by sexual 
abuse. 
‘‘(3) To develop prevention and intervention 
models which incorporate cultural and spiritual val-
ues and community involvement. 
‘‘(4) To develop and implement, in consultation 
with Indian Tribes, Tribal Organizations, and Urban 
Indian Organizations, culturally sensitive assessment 
and diagnostic tools for use in Indian communities 
and Urban Centers. 
‘‘(5) To identify and provide behavioral health 
treatment to Indian perpetrators and perpetrators 
who are members of an Indian household— 
‘‘(A) making efforts to begin offender and 
behavioral health treatment while the perpe-
trator is incarcerated or at the earliest possible 
date if the perpetrator is not incarcerated; and 
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CCOLEMAN on PROD1PC71 with BILLS
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‘‘(B) providing treatment after the perpe-
trator is released, until it is determined that the 
perpetrator is not a threat to children. 
‘‘SEC. 714. BEHAVIORAL HEALTH RESEARCH. 
‘‘The Secretary, in consultation with appropriate 
Federal agencies, shall make grants to, or enter into con-
tracts with, Indian Tribes, Tribal Organizations, and 
Urban Indian Organizations or enter into contracts with, 
or make grants to appropriate institutions for, the conduct 
of research on the incidence and prevalence of behavioral 
health problems among Indians served by the Service, In-
dian Tribes, or Tribal Organizations and among Indians 
in urban areas. Research priorities under this section shall 
include— 
‘‘(1) the multifactorial causes of Indian youth 
suicide, including— 
‘‘(A) protective and risk factors and sci-
entific data that identifies those factors; and 
‘‘(B) the effects of loss of cultural identity 
and the development of scientific data on those 
effects; 
‘‘(2) the interrelationship and interdependence 
of behavioral health problems with alcoholism and 
other substance abuse, suicide, homicides, other in-
juries, and the incidence of family violence; and 
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CCOLEMAN on PROD1PC71 with BILLS
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‘‘(3) the development of models of prevention 
techniques. 
The effect of the interrelationships and interdependencies 
referred to in paragraph (2) on children, and the develop-
ment of prevention techniques under paragraph (3) appli-
cable to children, shall be emphasized. 
‘‘SEC. 715. DEFINITIONS. 
‘‘For the purpose of this title, the following defini-
tions shall apply: 
‘‘(1) ASSESSMENT.—The term ‘assessment’ 
means the systematic collection, analysis, and dis-
semination of information on health status, health 
needs, and health problems. 
‘‘(2) 
ALCOHOL-RELATED 
NEURODEVELOPMENTAL DISORDERS OR ARND.—The 
term ‘alcohol-related neurodevelopmental disorders’ 
or ‘ARND’ means, with a history of maternal alco-
hol consumption during pregnancy, central nervous 
system involvement such as developmental delay, in-
tellectual deficit, or neurologic abnormalities. Behav-
iorally, there can be problems with irritability, and 
failure to thrive as infants. As children become older 
there will likely be hyperactivity, attention deficit, 
language dysfunction, and perceptual and judgment 
problems. 
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CCOLEMAN on PROD1PC71 with BILLS
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‘‘(3) BEHAVIORAL HEALTH AFTERCARE.—The 
term ‘behavioral health aftercare’ includes those ac-
tivities and resources used to support recovery fol-
lowing inpatient, residential, intensive substance 
abuse, or mental health outpatient or outpatient 
treatment. The purpose is to help prevent or deal 
with relapse by ensuring that by the time a client or 
patient is discharged from a level of care, such as 
outpatient treatment, an aftercare plan has been de-
veloped with the client. An aftercare plan may use 
such resources as a community-based therapeutic 
group, transitional living facilities, a 12-step spon-
sor, a local 12-step or other related support group, 
and other community-based providers (mental health 
professionals, community health aides, community 
health representatives, mental health technicians, 
ministers, etc.) 
‘‘(4) DUAL DIAGNOSIS.—The term ‘dual diag-
nosis’ means coexisting substance abuse and mental 
illness conditions or diagnosis. Such clients are 
sometimes referred to as mentally ill chemical abus-
ers (MICAs). 
‘‘(5) FETAL ALCOHOL DISORDERS.—The term 
‘fetal alcohol disorders’ means fetal alcohol syn-
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drome, partial fetal alcohol syndrome and alcohol re-
lated neurodevelopmental disorder (ARND). 
‘‘(6) FETAL
ALCOHOL
SYNDROME
OR
FAS.— 
The term ‘fetal alcohol syndrome’ or ‘FAS’ means a 
syndrome in which, with a history of maternal alco-
hol consumption during pregnancy, the following cri-
teria are met: 
‘‘(A) Central nervous system involvement 
such as developmental delay, intellectual deficit, 
microencephaly, or neurologic abnormalities. 
‘‘(B) Craniofacial abnormalities with at 
least 2 of the following: microophthalmia, short 
palpebral fissures, poorly developed philtrum, 
thin upper lip, flat nasal bridge, and short 
upturned nose. 
‘‘(C) Prenatal or postnatal growth delay. 
‘‘(7) PARTIAL
FAS.—The term ‘partial FAS’ 
means, with a history of maternal alcohol consump-
tion during pregnancy, having most of the criteria of 
FAS, though not meeting a minimum of at least 2 
of the following: microophthalmia, short palpebral 
fissures, poorly developed philtrum, thin upper lip, 
flat nasal bridge, and short upturned nose. 
‘‘(8) REHABILITATION.—The term ‘rehabilita-
tion’ means to restore the ability or capacity to en-
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