H. R. 4365—104
Secretary at such time, in such manner, and accompanied
by such information as the Secretary may reasonably require.
‘‘(2) CONTENT.—An application submitted under paragraph
(1) shall—
‘‘(A) describe the program to be funded under the grant,
contract or cooperative agreement;
‘‘(B) explain how such program reflects best practices
in the provision of child welfare and mental health services;
and
‘‘(C) provide assurances that—
‘‘(i) persons providing services under the grant,
contract or cooperative agreement are adequately
trained to provide such services; and
‘‘(ii) the services will be provided in accordance
with subsection (d).
‘‘(d) USE OF FUNDS.—A State, political subdivision of a State,
Indian tribe, or tribal organization that receives a grant, contract,
or cooperative agreement under subsection (a) shall use amounts
made available through such grant, contract or cooperative agree-
ment to—
‘‘(1) provide family-centered, comprehensive, and coordi-
nated child welfare and mental health services, including
prevention, early intervention and treatment services for chil-
dren and adolescents, and for their parents or caregivers;
‘‘(2) ensure a single point of access for such coordinated
services;
‘‘(3) provide integrated mental health and substance abuse
treatment for children, adolescents, and parents or caregivers
with a mental illness and a co-occurring substance abuse dis-
order;
‘‘(4) provide training for the child welfare, mental health
and substance abuse professionals who will participate in the
program carried out under this section;
‘‘(5) provide technical assistance to child welfare and mental
health agencies;
‘‘(6) develop cooperative efforts with other service entities
in the community, including education, social services, juvenile
justice, and primary health care agencies;
‘‘(7) coordinate services with services provided under the
Medicaid program and the State Children’s Health Insurance
Program under titles XIX and XXI of the Social Security Act;
‘‘(8) provide linguistically appropriate and culturally com-
petent services; and
‘‘(9) evaluate the effectiveness and cost-efficiency of the
integrated services that measure the level of coordination, out-
come measures for parents or caregivers with a mental illness
or a mental illness and a co-occurring substance abuse disorder,
and outcome measures for children.
‘‘(e) DISTRIBUTION OF AWARDS.—The Secretary shall ensure that
grants, contracts, and cooperative agreements awarded under sub-
section (a) are equitably distributed among the geographical regions
of the United States and between urban and rural populations.
‘‘(f ) EVALUATION.—The Secretary shall evaluate each program
carried out by a State, political subdivision of a State, Indian
tribe, or tribal organization under subsection (a) and shall dissemi-
nate the findings with respect to each such evaluation to appropriate
public and private entities.
H. R. 4365—105
‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There is authorized
to be appropriated to carry out this section, $10,000,000 for fiscal
year 2001, and such sums as may be necessary for each of fiscal
years 2002 and 2003.’’.
SEC. 3212. GRANTS FOR THE INTEGRATED TREATMENT OF SERIOUS
MENTAL 
ILLNESS 
AND 
CO-OCCURRING 
SUBSTANCE
ABUSE.
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 3211,
is further amended by adding at the end the following:
‘‘SEC. 520I. GRANTS FOR THE INTEGRATED TREATMENT OF SERIOUS
MENTAL 
ILLNESS 
AND 
CO-OCCURRING 
SUBSTANCE
ABUSE.
‘‘(a) IN GENERAL.—The Secretary shall award grants, contracts,
or cooperative agreements to States, political subdivisions of States,
Indian tribes, tribal organizations, and private nonprofit organiza-
tions for the development or expansion of programs to provide
integrated treatment services for individuals with a serious mental
illness and a co-occurring substance abuse disorder.
‘‘(b) PRIORITY.—In awarding grants, contracts, and cooperative
agreements under subsection (a), the Secretary shall give priority
to applicants that emphasize the provision of services for individuals
with a serious mental illness and a co-occurring substance abuse
disorder who—
‘‘(1) have a history of interactions with law enforcement
or the criminal justice system;
‘‘(2) have recently been released from incarceration;
‘‘(3) have a history of unsuccessful treatment in either
an inpatient or outpatient setting;
‘‘(4) have never followed through with outpatient services
despite repeated referrals; or
‘‘(5) are homeless.
‘‘(c) USE OF FUNDS.—A State, political subdivision of a State,
Indian tribe, tribal organization, or private nonprofit organization
that receives a grant, contract, or cooperative agreement under
subsection (a) shall use funds received under such grant—
‘‘(1) to provide fully integrated services rather than serial
or parallel services;
‘‘(2) to employ staff that are cross-trained in the diagnosis
and treatment of both serious mental illness and substance
abuse;
‘‘(3) to provide integrated mental health and substance
abuse services at the same location;
‘‘(4) to provide services that are linguistically appropriate
and culturally competent;
‘‘(5) to provide at least 10 programs for integrated treat-
ment of both mental illness and substance abuse at sites that
previously provided only mental health services or only sub-
stance abuse services; and
‘‘(6) to provide services in coordination with other existing
public and private community programs.
‘‘(d) CONDITION.—The Secretary shall ensure that a State, polit-
ical subdivision of a State, Indian tribe, tribal organization, or
private nonprofit organization that receives a grant, contract, or
cooperative agreement under subsection (a) maintains the level
of effort necessary to sustain existing mental health and substance
H. R. 4365—106
abuse programs for other populations served by mental health
systems in the community.
‘‘(e) DISTRIBUTION OF AWARDS.—The Secretary shall ensure that
grants, contracts, or cooperative agreements awarded under sub-
section (a) are equitably distributed among the geographical regions
of the United States and between urban and rural populations.
‘‘(f ) DURATION.—The Secretary shall award grants, contract,
or cooperative agreements under this subsection for a period of
not more than 5 years.
‘‘(g) APPLICATION.—A State, political subdivision of a State,
Indian tribe, tribal organization, or private nonprofit organization
that desires a grant, contract, or cooperative agreement under this
subsection shall prepare and submit an application to the Secretary
at such time, in such manner, and containing such information
as the Secretary may require. Such application shall include a
plan for the rigorous evaluation of activities funded with an award
under such subsection, including a process and outcomes evaluation.
‘‘(h) EVALUATION.—A State, political subdivision of a State,
Indian tribe, tribal organization, or private nonprofit organization
that receives a grant, contract, or cooperative agreement under
this subsection shall prepare and submit a plan for the rigorous
evaluation of the program funded under such grant, contract, or
agreement, including both process and outcomes evaluation, and
the submission of an evaluation at the end of the project period.
‘‘(i) AUTHORIZATION OF APPROPRIATION.—There is authorized
to be appropriated to carry out this subsection $40,000,000 for
fiscal year 2001, and such sums as may be necessary for fiscal
years 2002 through 2003.’’.
SEC. 3213. TRAINING GRANTS.
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 3212,
is further amended by adding at the end the following:
‘‘SEC. 520J. TRAINING GRANTS.
‘‘(a) IN GENERAL.—The Secretary shall award grants in accord-
ance with the provisions of this section.
‘‘(b) MENTAL ILLNESS AWARENESS TRAINING GRANTS.—
‘‘(1) IN
GENERAL.—The Secretary shall award grants to
States, political subdivisions of States, Indian tribes, tribal
organizations, and nonprofit private entities to train teachers
and other relevant school personnel to recognize symptoms
of childhood and adolescent mental disorders, to refer family
members to the appropriate mental health services if necessary,
to train emergency services personnel to identify and appro-
priately respond to persons with a mental illness, and to provide
education to such teachers and personnel regarding resources
that are available in the community for individuals with a
mental illness.
‘‘(2) EMERGENCY SERVICES PERSONNEL.—In this subsection,
the term ‘emergency services personnel’ includes paramedics,
firefighters, and emergency medical technicians.
‘‘(3) DISTRIBUTION OF AWARDS.—The Secretary shall ensure
that such grants awarded under this subsection are equitably
distributed among the geographical regions of the United States
and between urban and rural populations.
‘‘(4) APPLICATION.—A State, political subdivision of a State,
Indian tribe, tribal organization, or nonprofit private entity
H. R. 4365—107
that desires a grant under this subsection shall submit an
application to the Secretary at such time, in such manner,
and containing such information as the Secretary may require,
including a plan for the rigorous evaluation of activities that
are carried out with funds received under a grant under this
subsection.
‘‘(5) USE OF FUNDS.—A State, political subdivision of a
State, Indian tribe, tribal organization, or nonprofit private
entity receiving a grant under this subsection shall use funds
from such grant to—
‘‘(A) train teachers and other relevant school personnel
to recognize symptoms of childhood and adolescent mental
disorders and appropriately respond;
‘‘(B) train emergency services personnel to identify and
appropriately respond to persons with a mental illness;
and
‘‘(C) provide education to such teachers and personnel
regarding resources that are available in the community
for individuals with a mental illness.
‘‘(6) EVALUATION.—A State, political subdivision of a State,
Indian tribe, tribal organization, or nonprofit private entity
that receives a grant under this subsection shall prepare and
submit an evaluation to the Secretary at such time, in such
manner, and containing such information as the Secretary may
reasonably require, including an evaluation of activities carried
out with funds received under the grant under this subsection
and a process and outcome evaluation.
‘‘(7) AUTHORIZATION OF APPROPRIATIONS.—There is author-
ized to be appropriated to carry out this subsection, $25,000,000
for fiscal year 2001 and such sums as may be necessary for
each of fiscal years 2002 through 2003.’’.
TITLE XXXIII—PROVISIONS RELATING
TO SUBSTANCE ABUSE
SEC. 3301. PRIORITY SUBSTANCE ABUSE TREATMENT NEEDS OF
REGIONAL AND NATIONAL SIGNIFICANCE.
(a) RESIDENTIAL TREATMENT PROGRAMS
FOR PREGNANT
AND
POSTPARTUM WOMEN.—Section 508(r) of the Public Health Service
Act (42 U.S.C. 290bb–1(r)) is amended to read as follows:
‘‘(r) AUTHORIZATION OF APPROPRIATIONS.—For the purpose of
carrying out this section, there are authorized to be appropriated
such sums as may be necessary to fiscal years 2001 through 2003.’’.
(b) PRIORITY SUBSTANCE ABUSE TREATMENT.—Section 509 of
the Public Health Service Act (42 U.S.C. 290bb–1) is amended
to read as follows:
‘‘SEC. 509. PRIORITY SUBSTANCE ABUSE TREATMENT NEEDS OF
REGIONAL AND NATIONAL SIGNIFICANCE.
‘‘(a) PROJECTS.—The Secretary shall address priority substance
abuse treatment needs of regional and national significance (as
determined under subsection (b)) through the provision of or
through assistance for—
‘‘(1) knowledge development and application projects for
treatment and rehabilitation and the conduct or support of
evaluations of such projects;