I 
108TH CONGRESS 
1ST SESSION H. R. 3593
To amend the Higher Education Act of 1965 to provide funds for campus 
mental and behavioral health service centers. 
IN THE HOUSE OF REPRESENTATIVES 
NOVEMBER 21, 2003
Mr. DAVIS of Illinois (for himself and Mr. OSBORNE) introduced the following 
bill; which was referred to the Committee on Education and the Workforce 
A BILL 
To amend the Higher Education Act of 1965 to provide 
funds for campus mental and behavioral health service 
centers.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Campus Care and 
Counseling Act’’. 
SEC. 2. FINDINGS. 
The Congress finds the following: 
(1) In a recent report, a startling 85 percent of 
college counseling centers revealed an increase in the 
number of students they see with psychological prob-
lems. Furthermore, the American College Health As-
sociation found that 61 percent of college students 
reported feeling hopeless, 45 percent said they felt 
so depressed they could barely function, and 9 per-
cent felt suicidal. 
(2) There is clear evidence of an increased inci-
dence of depression among college students. Accord-
ing to a survey described in the Chronicle of Higher 
Education (February 1, 2002), depression among 
freshmen has nearly doubled (from 8.2 percent to 
16.3 percent). Without treatment, researchers re-
cently noted that ‘‘depressed adolescents are at risk 
for school failure, social isolation, promiscuity, self 
medication with drugs and alcohol, and suicide—now 
the third leading cause of death among 10–24 year 
olds.’’
(3) Researchers who conducted the study 
‘‘Changes in Counseling Center Client Problems 
Across 13 Years’’ (1989–2001) at Kansas State 
University stated that ‘‘students are experiencing 
more stress, more anxiety, more depression than 
they were a decade ago.’’ (The Chronicle of Higher 
Education, February 14, 2003). 
(4) According to a 1999 UCLA study, more 
than 30 percent of college freshmen reported feeling
overwhelmed a great deal of the time during the be-
ginning of college and may benefit from psycho-
logical services. 
(5) According to the 2001 National Household 
Survey on Drug Abuse, the highest prevalence of 
both binge and heavy drinking was found in young 
adults ages 18 to 25 (especially on college cam-
puses). In addition, the results of a Harvard School 
of Public Health College Alcohol Study Survey print-
ed in the Journal of American Health show that 
44.4 percent of college students describe themselves 
as binge drinkers. 
(6) The National Institute of Alcohol Abuse 
and Alcoholism in 2002 reported that 1400 college 
students die each year from alcohol-related injuries. 
In addition, it is stated that college students who 
drink are more likely to assault, sexually abuse, and 
vandalize others. Furthermore, it is reported that 25 
percent of college students attribute academic prob-
lems to excessive drinking. 
(7) According to the 2001 National Household 
Survey on Drug Abuse, 20 percent of full-time un-
dergraduate college students use illicit drugs. 
(8) The 2001 National Household Survey on 
Drug Abuse also reported that 18.4 percent of
adults aged 18 to 24 are dependent on or abusing 
illicit drugs or alcohol. In addition, the study found 
that ‘‘serious mental illness is highly correlated with 
substance dependence or abuse. Among adults with 
serious mental illness in 2001, 20.3 percent were de-
pendent on or abused alcohol or illicit drugs, while 
the rate among adults without serious mental illness 
was only 6.3 percent.’’
(9) In 2001, there were 249,000 victims of rape 
in the United States, according to statistics from the 
Rape, Abuse and Incest National Network. 36 per-
cent of victims of rape and sexual assault are be-
tween the ages of 18 and 30. 
(10) The National Victim’s Center in 2001 re-
ported that 13.3 percent of college women say they 
have been forced to have sex in a dating situation. 
(11) According to the National Eating Dis-
orders Association, 5–10 million women and 1 mil-
lion men struggle with eating disorders including 
anorexia, bulimia, binge eating disorder, or border-
line conditions after puberty.
logical service centers; mental health units; and psychology 
training clinics. 
‘‘(d) APPLICATIONS.—Each eligible entity seeking to 
obtain a grant under this section shall submit an applica-
tion to the Secretary. Each such application shall in-
clude—
‘‘(1) an outline of program objectives and an-
ticipated program outcomes; 
‘‘(2) outreach strategies (including ways in 
which the applicant proposes to reach students, pro-
mote access to services, and address the range of 
needs of university students); 
‘‘(3) a proposed plan for reaching those stu-
dents most in need of the center’s services; 
‘‘(4) a program evaluation plan to assess pro-
gram outcomes; and 
‘‘(5) such additional information as is required 
by the Secretary. 
‘‘(e) USE OF FUNDS.—Funds provided by a grant 
under this section may be used for one or more of the 
following activities: 
‘‘(1) Intervention program for developmental, 
transitional, and adjustment issues that affect stu-
dents as they matriculate and graduate from college.
‘‘(2) Addressing issues related to binge and 
heavy alcohol consumption and the associated behav-
ioral health risks. 
‘‘(3) Providing services for students with men-
tal and behavioral health problems that impede aca-
demic performance (such as test anxiety). 
‘‘(4) Self-management skills (for behavioral and 
emotional self regulation). 
‘‘(5) Management of chronic mental illness. 
‘‘(6) Assessment and intervention for depressive 
disorders, and suicidal and self-harm behaviors. 
‘‘(7) Assessment and treatment of anxiety dis-
orders. 
‘‘(8) Prevention programs for depression, anx-
iety, suicide, and domestic violence. 
‘‘(9) Assessment, treatment, and education for 
eating disorders. 
‘‘(10) Treatment of sexual trauma. 
‘‘(11) Psychological education for parents of 
college students. 
‘‘(12) Hire appropriately trained staff. 
‘‘(13) Strengthen and expand psychology doc-
toral internship and postdoctoral residency programs 
and opportunities.
‘‘(14) Supporting the use of evidence-based and 
emerging best practices and evaluate outcomes in 
centers on campus that provide mental and behav-
ioral health services so as to provide information and 
training to other centers around the nation. 
‘‘(f) ADDITIONAL REQUIRED ELEMENTS.—Each eli-
gible entity that receives a grant under this section shall—
‘‘(1) provide annual reports to the Secretary de-
scribing the use of funds, the program’s objectives, 
and how the objectives were met (description of pro-
gram outcomes); 
‘‘(2) perform such additional evaluation as the 
Secretary may require, which may include measures 
such as increase in range of services provided; in-
crease in the quality of services provided; increase in 
access to services; college continuation rates; de-
crease in college dropout rates; increase in college 
graduation rates; and 
‘‘(3) shall coordinate its program under this 
section with other related efforts on campus by enti-
ties concerned with the mental, health, and behav-
ioral health needs of students. 
‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated for grants under this 
section $10,000,000 for fiscal year 2005 and such sums
as may be necessary for each of the 4 succeeding fiscal 
years.’’.
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