trance. In the case of juvenile offenders in-
carcerated in secure facilities, such assess-
ment shall be conducted not later than one 
week after the date of entrance into such 
facility. Such assessments shall be com-
pleted by appropriately qualified health 
professionals, mental health professionals, 
and substance abuse professionals. 
‘‘(iii) ACUTE
MENTAL
ILLNESS.—A 
juvenile offender who at any time during 
the confinement of the juvenile offender in 
a juvenile correctional facility participating 
in the program suffers from an acute men-
tal disorder, who is suicidal, or who is in 
need of detoxification shall be placed in or 
immediately transferred to an appropriate 
medical or mental health facility. In the 
case that a juvenile offender is placed in or 
immediately transferred to a medical or 
mental health facility pursuant to this 
clause, such juvenile offender shall be re-
leased from such medical or mental health 
facility and admitted to a secure correc-
tional facility only with written medical 
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ccoleman on PROD1PC71 with BILLS
clearance from the medical or mental 
health facility. 
‘‘(iv) DISCHARGE PLAN.—Each juve-
nile offender confined to a juvenile correc-
tional facility participating in the program 
shall have a discharge plan prepared on 
the date on which the juvenile enters the 
facility in order to integrate the juvenile 
back into the family or the community of 
such juvenile offender. Such plan shall be 
updated in consultation with the family or 
guardian of such juvenile offender before 
the juvenile offender is released from the 
facility. A discharge plan shall provide for 
aftercare services for the juvenile offender. 
‘‘(B) TREATMENT.—The program has a 
treatment component that complies with the fol-
lowing: 
‘‘(i) IN
GENERAL.—If the need for 
treatment for a mental disorder, emotional 
disorder, or substance abuse is indicated 
by the assessment of a juvenile offender, 
the juvenile offender shall be referred to or 
treated by an appropriately qualified 
health professional. A juvenile offender 
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who, immediately prior to the date of en-
tering a juvenile correctional facility par-
ticipating in the program, was receiving 
treatment for a mental disorder, emotional 
disorder, or substance abuse shall have 
treatment continued at such facility. 
‘‘(ii) PERIOD.—A juvenile offender de-
scribed in clause (i) who receives treatment 
at the juvenile correctional facility involved 
shall continue to receive treatment at the 
facility until the date on which it is deter-
mined through mental health assessments 
that the juvenile offender is no longer in 
need of such treatment. Treatment plans 
shall be reevaluated at least once every 30 
days. 
‘‘(iii) MEDICATION.—Any juvenile of-
fender receiving psychotropic medications 
while in a juvenile correctional facility shall 
be under the care of a licensed psychia-
trist. Psychotropic medications shall be 
monitored regularly by trained staff for 
their efficacy and side effects. 
‘‘(iv) 
SPECIALIZED
TREATMENT.— 
During the period in which a juvenile of-
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fender is confined to a juvenile correctional 
facility, specialized treatment and services 
for a mental disorder, emotional disorder, 
or substance abuse shall be continually 
available to the juvenile offender if the ju-
venile offender— 
‘‘(I) has a history of mental 
health problems or treatment; 
‘‘(II) has a documented history 
of sexual abuse or offenses, as victim 
or as perpetrator; 
‘‘(III) has substance abuse prob-
lems, health problems, learning dis-
abilities, or histories of family abuse 
or violence; or 
‘‘(IV) has developmental disabil-
ities. 
‘‘(C) MEDICAL
AND
MENTAL
HEALTH 
EMERGENCIES.—With respect to each juvenile 
correctional facility participating in the pro-
gram— 
‘‘(i) the correctional facility has writ-
ten policies and procedures on suicide pre-
vention; 
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‘‘(ii) all staff of the correctional facil-
ity who are involved in the treatment of ju-
venile offenders are trained and certified 
annually in suicide prevention; 
‘‘(iii) the correctional facility has a 
written arrangement with a hospital or 
other facility for providing emergency med-
ical and mental health care to juveniles 
confined to the correctional facility; and 
‘‘(iv) physical and mental health serv-
ices are available at the correctional facility 
24 hours per day, 7 days per week to juve-
nile offenders who are confined to such fa-
cility. 
‘‘(D) CLASSIFICATION
OF
JUVENILES.— 
Each juvenile correctional facility participating 
in the program shall have a policy under 
which— 
‘‘(i) the correctional facility classifies 
and houses juvenile offenders in living 
units according to a plan that takes into 
consideration the age, gender, any special 
medical or mental health condition, size, 
and vulnerability to victimization of, and 
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type of offense committed by each juvenile 
offender; 
‘‘(ii) younger, smaller, weaker, and 
more vulnerable juvenile offenders (as de-
termined by mental health professionals) 
are not placed in housing units with older, 
more aggressive juvenile offenders; and 
‘‘(iii) juvenile offenders who are under 
13 years of age or who have serious med-
ical conditions or mental illnesses are not 
placed in paramilitary boot camps. 
‘‘(E) CONFIDENTIALITY
OF
RECORDS.— 
Each juvenile correctional facility participating 
in the program shall treat mental health and 
substance abuse treatment records of juvenile 
offenders as confidential and take measures, in 
consultation with the State involved, to ensure 
that such records, to the greatest extent pos-
sible, are not required to be included with any 
records that such State would otherwise require 
to be routinely released to other correctional au-
thorities and school officials. 
‘‘(F) 
MANDATORY
REPORTING.—Each 
State juvenile correctional facility participating 
in the program shall— 
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