H. R. 4365—100
promulgation of the regulations referred to in the matter pre-
ceding paragraph (1); and
‘‘(3) support the development of national guidelines and
standards on the quality, quantity, orientation and training,
required under this part, as well as the certification or licensure
of those staff responsible for the implementation of behavioral
intervention concepts and techniques.
‘‘(b) REQUIREMENTS.—The regulations promulgated under sub-
section (a) shall require—
‘‘(1) that facilities described in subsection (a) ensure that
there is an adequate number of qualified professional and sup-
portive staff to evaluate residents, formulate written individual-
ized, comprehensive treatment plans, and to provide active
treatment measures;
‘‘(2) the provision of appropriate training and certification
of the staff of such facilities in the prevention and use of
physical restraint and seclusion, including the needs and behav-
iors of the population served, relationship building, alternatives
to restraint, de-escalation methods, avoiding power struggles,
thresholds for restraints, the physiological impact of restraint
and seclusion, monitoring physical signs of distress and
obtaining medical assistance, legal issues, position asphyxia,
escape and evasion techniques, time limits for the use of
restraint and seclusion, the process for obtaining approval for
continued restraints and seclusion, procedures to address
problematic restraints, documentation, processing with chil-
dren, and follow-up with staff, and investigation of injuries
and complaints; and
‘‘(3) that such facilities provide complete and accurate
notification of deaths, as required under section 595A(1).
‘‘(c) ENFORCEMENT.—A State to which this part applies that
fails to comply with any requirement of this part, including a
failure to provide appropriate training and certification, shall not
be eligible for participation in any program supported in whole
or in part by funds appropriated under this Act.’’.
SEC. 3209. EMERGENCY MENTAL HEALTH CENTERS.
Subpart 3 of part B of title V of the Public Health Service
Act (42 U.S.C. 290bb–31 et seq.), as amended by section 3111,
is further amended by adding at the end the following:
‘‘SEC. 520F. GRANTS FOR EMERGENCY MENTAL HEALTH CENTERS.
‘‘(a) PROGRAM AUTHORIZED.—The Secretary shall award grants
to States, political subdivisions of States, Indian tribes, and tribal
organizations to support the designation of hospitals and health
centers as Emergency Mental Health Centers.
‘‘(b) HEALTH CENTER.—In this section, the term ‘health center’
has the meaning given such term in section 330, and includes
community health centers and community mental health centers.
‘‘(c) DISTRIBUTION OF AWARDS.—The Secretary shall ensure that
such grants awarded under subsection (a) are equitably distributed
among the geographical regions of the United States, between urban
and rural populations, and between different settings of care
including health centers, mental health centers, hospitals, and other
psychiatric units or facilities.
‘‘(d) APPLICATION.—A State, political subdivision of a State,
Indian tribe, or tribal organization that desires a grant under
subsection (a) shall submit an application to the Secretary at such
H. R. 4365—101
time, in such manner, and containing such information as the
Secretary may require, including a plan for the rigorous evaluation
of activities carried out with funds received under this section.
‘‘(e) USE OF FUNDS.—
‘‘(1) IN GENERAL.—A State, political subdivision of a State,
Indian tribe, or tribal organization receiving a grant under
subsection (a) shall use funds from such grant to establish
or designate hospitals and health centers as Emergency Mental
Health Centers.
‘‘(2) EMERGENCY MENTAL HEALTH CENTERS.—Such Emer-
gency Mental Health Centers described in paragraph (1)—
‘‘(A) shall—
‘‘(i) serve as a central receiving point in the
community for individuals who may be in need of emer-
gency mental health services;
‘‘(ii) purchase, if needed, any equipment necessary
to evaluate, diagnose and stabilize an individual with
a mental illness;
‘‘(iii) provide training, if needed, to the medical
personnel staffing the Emergency Mental Health
Center to evaluate, diagnose, stabilize, and treat an
individual with a mental illness; and
‘‘(iv) provide any treatment that is necessary for
an individual with a mental illness or a referral for
such individual to another facility where such treat-
ment may be received; and
‘‘(B) may establish and train a mobile crisis interven-
tion team to respond to mental health emergencies within
the community.
‘‘(f ) EVALUATION.—A State, political subdivision of a State,
Indian tribe, or tribal organization that receives a grant under
subsection (a) shall prepare and submit an evaluation to the Sec-
retary at such time, in such manner, and containing such informa-
tion as the Secretary may reasonably require, including an evalua-
tion of activities carried out with funds received under this section
and a process and outcomes evaluation.
‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There is authorized
to be appropriated to carry out this section, $25,000,000 for fiscal
year 2001 and such sums as may be necessary for each of the
fiscal years 2002 through 2003.’’.
SEC. 3210. GRANTS FOR JAIL DIVERSION PROGRAMS.
Subpart 3 of part B of title V of the Public Health Service
Act (42 U.S.C. 290bb–31 et seq.), as amended by section 3209,
is further amended by adding at the end the following:
‘‘SEC. 520G. GRANTS FOR JAIL DIVERSION PROGRAMS.
‘‘(a) PROGRAM AUTHORIZED.—The Secretary shall make up to
125 grants to States, political subdivisions of States, Indian tribes,
and tribal organizations, acting directly or through agreements
with other public or nonprofit entities, to develop and implement
programs to divert individuals with a mental illness from the
criminal justice system to community-based services.
‘‘(b) ADMINISTRATION.—
‘‘(1) CONSULTATION.—The Secretary shall consult with the
Attorney General and any other appropriate officials in carrying
out this section.
H. R. 4365—102
‘‘(2) REGULATORY AUTHORITY.—The Secretary shall issue
regulations and guidelines necessary to carry out this section,
including methodologies and outcome measures for evaluating
programs carried out by States, political subdivisions of States,
Indian tribes, and tribal organizations receiving grants under
subsection (a).
‘‘(c) APPLICATIONS.—
‘‘(1) IN GENERAL.—To receive a grant under subsection (a),
the chief executive of a State, chief executive of a subdivision
of a State, Indian tribe or tribal organization shall prepare
and submit an application to the Secretary at such time, in
such manner, and containing such information as the Secretary
shall reasonably require.
‘‘(2) CONTENT.—Such application shall—
‘‘(A) contain an assurance that—
‘‘(i) community-based mental health services will
be available for the individuals who are diverted from
the criminal justice system, and that such services
are based on the best known practices, reflect current
research findings, include case management, assertive
community treatment, medication management and
access, integrated mental health and co-occurring sub-
stance abuse treatment, and psychiatric rehabilitation,
and will be coordinated with social services, including
life skills training, housing placement, vocational
training, education job placement, and health care;
‘‘(ii) there has been relevant interagency collabora-
tion between the appropriate criminal justice, mental
health, and substance abuse systems; and
‘‘(iii) the Federal support provided will be used
to supplement, and not supplant, State, local, Indian
tribe, or tribal organization sources of funding that
would otherwise be available;
‘‘(B) demonstrate that the diversion program will be
integrated with an existing system of care for those with
mental illness;
‘‘(C) explain the applicant’s inability to fund the pro-
gram adequately without Federal assistance;
‘‘(D) specify plans for obtaining necessary support and
continuing the proposed program following the conclusion
of Federal support; and
‘‘(E) describe methodology and outcome measures that
will be used in evaluating the program.
‘‘(d) USE OF FUNDS.—A State, political subdivision of a State,
Indian tribe, or tribal organization that receives a grant under
subsection (a) may use funds received under such grant to—
‘‘(1) integrate the diversion program into the existing
system of care;
‘‘(2) create or expand community-based mental health and
co-occurring mental illness and substance abuse services to
accommodate the diversion program;
‘‘(3) train professionals involved in the system of care,
and law enforcement officers, attorneys, and judges; and
‘‘(4) provide community outreach and crisis intervention.
‘‘(e) FEDERAL SHARE.—
‘‘(1) IN GENERAL.—The Secretary shall pay to a State, polit-
ical subdivision of a State, Indian tribe, or tribal organization
H. R. 4365—103
receiving a grant under subsection (a) the Federal share of
the cost of activities described in the application.
‘‘(2) FEDERAL SHARE.—The Federal share of a grant made
under this section shall not exceed 75 percent of the total
cost of the program carried out by the State, political subdivi-
sion of a State, Indian tribe, or tribal organization. Such share
shall be used for new expenses of the program carried out
by such State, political subdivision of a State, Indian tribe,
or tribal organization.
‘‘(3) NON-FEDERAL SHARE.—The non-Federal share of pay-
ments made under this section may be made in cash or in
kind fairly evaluated, including planned equipment or services.
The Secretary may waive the requirement of matching contribu-
tions.
‘‘(f ) GEOGRAPHIC DISTRIBUTION.—The Secretary shall ensure
that such grants awarded under subsection (a) are equitably distrib-
uted among the geographical regions of the United States and
between urban and rural populations.
‘‘(g) TRAINING AND TECHNICAL ASSISTANCE.—Training and tech-
nical assistance may be provided by the Secretary to assist a State,
political subdivision of a State, Indian tribe, or tribal organization
receiving a grant under subsection (a) in establishing and operating
a diversion program.
‘‘(h) EVALUATIONS.—The programs described in subsection (a)
shall be evaluated not less than one time in every 12-month period
using the methodology and outcome measures identified in the
grant application.
‘‘(i) AUTHORIZATION OF APPROPRIATIONS.—There are authorized
to be appropriated to carry out this section $10,000,000 for fiscal
year 2001, and such sums as may be necessary for fiscal years
2002 through 2003.’’.
SEC. 3211. IMPROVING OUTCOMES FOR CHILDREN AND ADOLESCENTS
THROUGH SERVICES INTEGRATION BETWEEN CHILD
WELFARE AND MENTAL HEALTH SERVICES.
Subpart 3 of part B of title V of the Public Health Service
Act (42 U.S.C. 290bb–31 et seq.), as amended by section 3210,
is further amended by adding at the end the following:
‘‘SEC. 520H. IMPROVING OUTCOMES FOR CHILDREN AND ADOLES-
CENTS THROUGH SERVICES INTEGRATION BETWEEN
CHILD WELFARE AND MENTAL HEALTH SERVICES.
‘‘(a) IN GENERAL.—The Secretary shall award grants, contracts
or cooperative agreements to States, political subdivisions of States,
Indian tribes, and tribal organizations to provide integrated child
welfare and mental health services for children and adolescents
under 19 years of age in the child welfare system or at risk for
becoming part of the system, and parents or caregivers with a
mental illness or a mental illness and a co-occurring substance
abuse disorder.
‘‘(b) DURATION.—With respect to a grant, contract or cooperative
agreement awarded under this section, the period during which
payments under such award are made to the recipient may not
exceed 5 years.
‘‘(c) APPLICATION.—
‘‘(1) IN GENERAL.—To be eligible to receive an award under
subsection (a), a State, political subdivision of a State, Indian
tribe, or tribal organization shall submit an application to the