1893 
update any existing memoranda of agreement, as required 
by section 4205 of the Indian Alcohol and Substance 
Abuse Prevention and Treatment Act of 1986 (25 U.S.C. 
2411) under which the Secretaries address the following: 
‘‘(1) The scope and nature of mental illness and 
dysfunctional and self-destructive behavior, including 
child abuse and family violence, among Indians. 
‘‘(2) The existing Federal, tribal, State, local, 
and private services, resources, and programs avail-
able to provide behavioral health services for Indi-
ans. 
‘‘(3) The unmet need for additional services, re-
sources, and programs necessary to meet the needs 
identified pursuant to paragraph (1). 
‘‘(4)(A) The right of Indians, as citizens of the 
United States and of the States in which they re-
side, to have access to behavioral health services to 
which all citizens have access. 
‘‘(B) The right of Indians to participate in, and 
receive the benefit of, such services. 
‘‘(C) The actions necessary to protect the exer-
cise of such right. 
‘‘(5) The responsibilities of the Bureau of In-
dian Affairs and the Service, including mental illness 
identification, prevention, education, referral, and 
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01893
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1894 
treatment services (including services through multi-
disciplinary resource teams), at the central, area, 
and agency and Service Unit, Service Area, and 
headquarters levels to address the problems identi-
fied in paragraph (1). 
‘‘(6) A strategy for the comprehensive coordina-
tion of the behavioral health services provided by the 
Bureau of Indian Affairs and the Service to meet 
the problems identified pursuant to paragraph (1), 
including— 
‘‘(A) the coordination of alcohol and sub-
stance abuse programs of the Service, the Bu-
reau of Indian Affairs, and Indian Tribes and 
Tribal Organizations (developed under the In-
dian Alcohol and Substance Abuse Prevention 
and Treatment Act of 1986 (25 U.S.C. 2401 et 
seq.)) with behavioral health initiatives pursu-
ant to this Act, particularly with respect to the 
referral and treatment of dually diagnosed indi-
viduals requiring behavioral health and sub-
stance abuse treatment; and 
‘‘(B) ensuring that the Bureau of Indian 
Affairs and Service programs and services (in-
cluding multidisciplinary resource teams) ad-
dressing child abuse and family violence are co-
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01894
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1895 
ordinated with such non-Federal programs and 
services. 
‘‘(7) Directing appropriate officials of the Bu-
reau of Indian Affairs and the Service, particularly 
at the agency and Service Unit levels, to cooperate 
fully with tribal requests made pursuant to commu-
nity behavioral health plans adopted under section 
701(c) and section 4206 of the Indian Alcohol and 
Substance Abuse Prevention and Treatment Act of 
1986 (25 U.S.C. 2412). 
‘‘(8) Providing for an annual review of such 
agreement by the Secretaries which shall be provided 
to Congress and Indian Tribes and Tribal Organiza-
tions. 
‘‘(b) SPECIFIC PROVISIONS REQUIRED.—The memo-
randa of agreement updated or entered into pursuant to 
subsection (a) shall include specific provisions pursuant to 
which the Service shall assume responsibility for— 
‘‘(1) the determination of the scope of the prob-
lem of alcohol and substance abuse among Indians, 
including the number of Indians within the jurisdic-
tion of the Service who are directly or indirectly af-
fected by alcohol and substance abuse and the finan-
cial and human cost; 
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01895
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1896 
‘‘(2) an assessment of the existing and needed 
resources necessary for the prevention of alcohol and 
substance abuse and the treatment of Indians af-
fected by alcohol and substance abuse; and 
‘‘(3) an estimate of the funding necessary to 
adequately support a program of prevention of alco-
hol and substance abuse and treatment of Indians 
affected by alcohol and substance abuse. 
‘‘(c) PUBLICATION.—Each memorandum of agree-
ment entered into or renewed (and amendments or modi-
fications thereto) under subsection (a) shall be published 
in the Federal Register. At the same time as publication 
in the Federal Register, the Secretary shall provide a copy 
of such memoranda, amendment, or modification to each 
Indian Tribe, Tribal Organization, and urban Indian orga-
nization. 
‘‘SEC. 703. COMPREHENSIVE BEHAVIORAL HEALTH PRE-
VENTION AND TREATMENT PROGRAM. 
‘‘(a) ESTABLISHMENT.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Service, shall provide a program of com-
prehensive behavioral health, prevention, treatment, 
and aftercare, including Systems of Care, which 
shall include— 
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01896
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1897 
‘‘(A) prevention, through educational inter-
vention, in Indian communities; 
‘‘(B) acute detoxification, psychiatric hos-
pitalization, residential, and intensive outpatient 
treatment; 
‘‘(C) community-based rehabilitation and 
aftercare; 
‘‘(D) community education and involve-
ment, including extensive training of health 
care, educational, and community-based per-
sonnel; 
‘‘(E) specialized residential treatment pro-
grams for high-risk populations, including preg-
nant and postpartum women and their children; 
and 
‘‘(F) diagnostic services. 
‘‘(2) TARGET POPULATIONS.—The target popu-
lation of such programs shall be members of Indian 
Tribes. Efforts to train and educate key members of 
the Indian community shall also target employees of 
health, education, judicial, law enforcement, legal, 
and social service programs. 
‘‘(b) CONTRACT HEALTH SERVICES.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Service, may enter into contracts with 
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01897
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1898 
public or private providers of behavioral health treat-
ment services for the purpose of carrying out the 
program required under subsection (a). 
‘‘(2) PROVISION OF ASSISTANCE.—In carrying 
out this subsection, the Secretary shall provide as-
sistance to Indian Tribes and Tribal Organizations 
to develop criteria for the certification of behavioral 
health service providers and accreditation of service 
facilities which meet minimum standards for such 
services and facilities. 
‘‘SEC. 704. MENTAL HEALTH TECHNICIAN PROGRAM. 
‘‘(a) IN GENERAL.—Under the authority of the Act 
of November 2, 1921 (25 U.S.C. 13) (commonly known 
as the ‘Snyder Act’), the Secretary shall establish and 
maintain a mental health technician program within the 
Service which— 
‘‘(1) provides for the training of Indians as 
mental health technicians; and 
‘‘(2) employs such technicians in the provision 
of community-based mental health care that includes 
identification, prevention, education, referral, and 
treatment services. 
‘‘(b) PARAPROFESSIONAL TRAINING.—In carrying 
out subsection (a), the Secretary, acting through the Serv-
ice, shall provide high-standard paraprofessional training 
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01898
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1899 
in mental health care necessary to provide quality care to 
the Indian communities to be served. Such training shall 
be based upon a curriculum developed or approved by the 
Secretary which combines education in the theory of men-
tal health care with supervised practical experience in the 
provision of such care. 
‘‘(c) SUPERVISION AND EVALUATION OF TECHNI-
CIANS.—The Secretary, acting through the Service, shall 
supervise and evaluate the mental health technicians in 
the training program. 
‘‘(d) TRADITIONAL HEALTH CARE PRACTICES.—The 
Secretary, acting through the Service, shall ensure that 
the program established pursuant to this subsection in-
volves the use and promotion of the traditional health care 
practices of the Indian Tribes to be served. 
‘‘SEC. 
705. 
LICENSING 
REQUIREMENT 
FOR 
MENTAL 
HEALTH CARE WORKERS. 
‘‘(a) IN GENERAL.—Subject to the provisions of sec-
tion 221, and except as provided in subsection (b), any 
individual employed as a psychologist, social worker, or 
marriage and family therapist for the purpose of providing 
mental health care services to Indians in a clinical setting 
under this Act is required to be licensed as a psychologist, 
social worker, or marriage and family therapist, respec-
tively. 
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01899
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1900 
‘‘(b) TRAINEES.—An individual may be employed as 
a trainee in psychology, social work, or marriage and fam-
ily therapy to provide mental health care services de-
scribed in subsection (a) if such individual— 
‘‘(1) works under the direct supervision of a li-
censed psychologist, social worker, or marriage and 
family therapist, respectively; 
‘‘(2) is enrolled in or has completed at least 2 
years of course work at a post-secondary, accredited 
education program for psychology, social work, mar-
riage and family therapy, or counseling; and 
‘‘(3) meets such other training, supervision, and 
quality review requirements as the Secretary may es-
tablish. 
‘‘SEC. 706. INDIAN WOMEN TREATMENT PROGRAMS. 
‘‘(a) GRANTS.—The Secretary, consistent with sec-
tion 701, may make grants to Indian Tribes, Tribal Orga-
nizations, and urban Indian organizations to develop and 
implement a comprehensive behavioral health program of 
prevention, intervention, treatment, and relapse preven-
tion services that specifically addresses the cultural, his-
torical, social, and child care needs of Indian women, re-
gardless of age. 
‘‘(b) USE OF GRANT FUNDS.—A grant made pursu-
ant to this section may be used to— 
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01900
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1901 
‘‘(1) develop and provide community training, 
education, and prevention programs for Indian 
women relating to behavioral health issues, including 
fetal alcohol disorders; 
‘‘(2) identify and provide psychological services, 
counseling, advocacy, support, and relapse preven-
tion to Indian women and their families; and 
‘‘(3) develop prevention and intervention models 
for Indian women which incorporate traditional 
health care practices, cultural values, and commu-
nity and family involvement. 
‘‘(c) CRITERIA.—The Secretary, in consultation with 
Indian Tribes and Tribal Organizations, shall establish 
criteria for the review and approval of applications and 
proposals for funding under this section. 
‘‘(d) ALLOCATION OF FUNDS FOR URBAN INDIAN 
ORGANIZATIONS.—Twenty percent of the funds appro-
priated pursuant to this section shall be used to make 
grants to urban Indian organizations. 
‘‘SEC. 707. INDIAN YOUTH PROGRAM. 
‘‘(a) DETOXIFICATION AND REHABILITATION.—The 
Secretary, acting through the Service, consistent with sec-
tion 701, shall develop and implement a program for acute 
detoxification and treatment for Indian youths, including 
behavioral health services. The program shall include re-
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01901
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1902 
gional treatment centers designed to include detoxification 
and rehabilitation for both sexes on a referral basis and 
programs developed and implemented by Indian Tribes or 
Tribal Organizations at the local level under the Indian 
Self-Determination and Education Assistance Act (25 
U.S.C. 450 et seq.). Regional centers shall be integrated 
with the intake and rehabilitation programs based in the 
referring Indian community. 
‘‘(b) ALCOHOL AND SUBSTANCE ABUSE TREATMENT 
CENTERS OR FACILITIES.— 
‘‘(1) ESTABLISHMENT.— 
‘‘(A) IN GENERAL.—The Secretary, acting 
through the Service, shall construct, renovate, 
or, as necessary, purchase, and appropriately 
staff and operate, at least 1 youth regional 
treatment center or treatment network in each 
area under the jurisdiction of an Area Office. 
‘‘(B) AREA OFFICE IN CALIFORNIA.—For 
the purposes of this subsection, the Area Office 
in California shall be considered to be 2 Area 
Offices, 1 office whose jurisdiction shall be con-
sidered to encompass the northern area of the 
State of California, and 1 office whose jurisdic-
tion shall be considered to encompass the re-
mainder of the State of California for the pur-
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01902
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1903 
pose of implementing California treatment net-
works. 
‘‘(2) FUNDING.—For the purpose of staffing 
and operating such centers or facilities, funding 
shall be pursuant to the Act of November 2, 1921 
(25 U.S.C. 13). 
‘‘(3) LOCATION.—A youth treatment center 
constructed or purchased under this subsection shall 
be constructed or purchased at a location within the 
area described in paragraph (1) agreed upon (by ap-
propriate tribal resolution) by a majority of the In-
dian Tribes to be served by such center. 
‘‘(4) SPECIFIC PROVISION OF FUNDS.— 
‘‘(A) IN GENERAL.—Notwithstanding any 
other provision of this title, the Secretary may, 
from amounts authorized to be appropriated for 
the purposes of carrying out this section, make 
funds available to— 
‘‘(i) the Tanana Chiefs Conference, 
Incorporated, for the purpose of leasing, 
constructing, renovating, operating, and 
maintaining a residential youth treatment 
facility in Fairbanks, Alaska; and 
‘‘(ii) the Southeast Alaska Regional 
Health Corporation to staff and operate a 
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01903
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1904 
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, may provide intermediate be-
havioral health services, which may incorporate Sys-
tems of Care, to Indian children and adolescents, in-
cluding— 
‘‘(A) pretreatment assistance; 
‘‘(B) inpatient, outpatient, and aftercare 
services; 
‘‘(C) emergency care; 
‘‘(D) suicide prevention and crisis interven-
tion; and 
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01904
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1905 
‘‘(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. 
‘‘(3) CRITERIA.—The Secretary, acting through 
the Service, shall, in consultation with Indian Tribes 
and Tribal Organizations, establish criteria for the 
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01905
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1906 
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 for determining 
the suitability of any such federally owned 
structure to be used for local residential or re-
gional 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-
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 
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01906
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1907 
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 
to Indian youths authorized by this section, the Secretary, 
acting through the Service, shall provide for the inclusion 
of family members of such youths in the treatment pro-
grams or other services as may be appropriate. Not less 
than 10 percent of the funds appropriated for the pur-
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01907
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1908 
poses of carrying out subsection (e) shall be used for out-
patient care of adult family members related to the treat-
ment of an Indian youth under that subsection. 
‘‘(g) MULTIDRUG ABUSE PROGRAM.—The Secretary, 
acting through the Service, shall provide, consistent with 
section 701, programs and services to prevent and treat 
the abuse of multiple forms of substances, including alco-
hol, 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) 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; 
‘‘(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; 
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01908
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1909 
‘‘(4) the number of Indian youth provided resi-
dential treatment for mental health and behavioral 
problems through the Service and Tribal Health 
Programs, reported separately for on- and off-res-
ervation facilities; and 
‘‘(5) the costs of the services described in para-
graph (4). 
‘‘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-
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; 
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01909
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1910 
‘‘(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.— 
‘‘(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. 
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01910
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1911 
‘‘(2) ELIGIBILITY FOR GRANTS.—Such grants 
shall be awarded to Indian Tribes and Tribal Orga-
nizations 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 and 
Tribal 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 Tribal Health 
Programs or facilities to provide services under 
this demonstration project; 
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01911
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1912 
‘‘(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 
Indian youth are detained. 
‘‘(d) USE OF FUNDS.— 
‘‘(1) IN GENERAL.—An Indian Tribe or Tribal 
Organization shall use a grant received under sub-
section (c) for the following purposes: 
‘‘(A) To provide telemental health services 
to Indian youth, including the provision of— 
‘‘(i) psychotherapy; 
‘‘(ii) psychiatric assessments and di-
agnostic interviews, therapies for mental 
health conditions predisposing to suicide, 
and treatment; and 
‘‘(iii) alcohol and substance abuse 
treatment. 
‘‘(B) To provide clinician-interactive med-
ical advice, guidance and training, assistance in 
diagnosis and interpretation, crisis counseling 
and intervention, and related assistance to 
Service, tribal, or urban clinicians and health 
services providers working with youth being 
served under this demonstration project. 
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01912
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1913 
‘‘(C) To assist, educate and train commu-
nity leaders, health education professionals and 
paraprofessionals, tribal outreach workers, and 
family members who work with the youth re-
ceiving telemental health services under this 
demonstration project, including with identifica-
tion of suicidal tendencies, crisis intervention 
and suicide prevention, emergency skill develop-
ment, and building and expanding networks 
among these individuals and with State and 
local health services providers. 
‘‘(D) To develop and distribute culturally 
appropriate community educational materials 
on— 
‘‘(i) suicide prevention; 
‘‘(ii) suicide education; 
‘‘(iii) suicide screening; 
‘‘(iv) suicide intervention; and 
‘‘(v) ways to mobilize communities 
with respect to the identification of risk 
factors for suicide. 
‘‘(E) For data collection and reporting re-
lated to Indian youth suicide prevention efforts. 
‘‘(2) 
TRADITIONAL
HEALTH
CARE
PRAC-
TICES.—In carrying out the purposes described in 
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01913
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1914 
paragraph (1), an Indian Tribe or Tribal Organiza-
tion may use and promote the traditional health care 
practices of the Indian Tribes of the youth to be 
served. 
‘‘(e) APPLICATIONS.—To be eligible to receive a grant 
under subsection (c), an Indian Tribe or Tribal Organiza-
tion shall prepare and submit to the Secretary an applica-
tion, 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 or Tribal Organization 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; 
‘‘(4) a description of how the families and lead-
ership of the communities or populations to be 
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01914
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1915 
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) COLLABORATION; REPORTING
TO NATIONAL 
CLEARINGHOUSE.— 
‘‘(1) COLLABORATION.—The Secretary, acting 
through the Service, shall encourage Indian Tribes 
and Tribal Organizations receiving grants under this 
section to collaborate 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 and Tribal Orga-
nizations receiving grants under this section to sub-
mit relevant, declassified project information to the 
national clearinghouse authorized under section 
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01915
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1916 
701(b)(2) in order to better facilitate program per-
formance and improve suicide prevention, interven-
tion, and treatment services. 
‘‘(g) 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. 
‘‘(h) 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 Natural Re-
sources and Committee on Energy and Commerce of the 
House of Representatives a final report, based on the an-
nual 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; 
‘‘(2) evaluates the impact of the telemental 
health services funded by the grants in reducing the 
number of completed suicides among Indian youth; 
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01916
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1917 
‘‘(3) evaluates whether the demonstration 
project should be— 
‘‘(A) expanded to provide more than 5 
grants; and 
‘‘(B) designated a permanent program; 
and 
‘‘(4) evaluates the benefits of expanding the 
demonstration project to include urban Indian orga-
nizations. 
‘‘(i) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated such sums as may be nec-
essary to carry out this section. 
‘‘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 2009, the Secretary, acting through the Service, may 
provide, in each area of the Service, not less than 1 inpa-
tient mental health care facility, or the equivalent, for In-
dians with behavioral health problems. For the purposes 
of this subsection, California shall be considered to be 2 
Area Offices, 1 office whose location shall be considered 
to encompass the northern area of the State of California 
and 1 office whose jurisdiction shall be considered to en-
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01917
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1918 
compass the remainder of the State of California. The Sec-
retary shall consider the possible conversion of existing, 
underused Service hospital 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 assist Indian Tribes and Tribal Organizations to de-
velop and implement, within each Service Unit or tribal 
program, a program of community education and involve-
ment 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 including tradi-
tional practitioners, and other critical members of each 
tribal community. Such program may also include commu-
nity-based training to develop local capacity and tribal 
community provider training for prevention, intervention, 
treatment, and aftercare. 
‘‘(b) INSTRUCTION.—The Secretary, acting through 
the Service, shall provide instruction in the area of behav-
ioral health issues, including instruction in crisis interven-
tion and family relations in the context of alcohol and sub-
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01918
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1919 
stance abuse, child sexual abuse, youth alcohol and sub-
stance abuse, and the causes and effects of fetal alcohol 
disorders to appropriate employees of the Bureau of In-
dian 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 
‘‘(3) community-based and multidisciplinary 
strategies, including Systems of Care, for preventing 
and treating behavioral health problems. 
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01919
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1920 
‘‘SEC. 711. BEHAVIORAL HEALTH PROGRAM. 
‘‘(a) INNOVATIVE PROGRAMS.—The Secretary, acting 
through the Service, consistent with section 701, may 
plan, develop, implement, and carry out programs to de-
liver innovative community-based behavioral health serv-
ices to Indians. 
‘‘(b) AWARDS; CRITERIA.—The Secretary may award 
a grant for a project under subsection (a) to an Indian 
Tribe or Tribal Organization and may consider the fol-
lowing 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 health care practices. 
‘‘(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-
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01920
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1921 
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 and acting through the 
Service, is authorized to establish and operate fetal 
alcohol disorder programs as provided in this section 
for the purposes of meeting the health status objec-
tives specified in section 3. 
‘‘(2) USE OF FUNDS.— 
‘‘(A) IN
GENERAL.—Funding provided 
pursuant to this section shall be used for the 
following: 
‘‘(i) To develop and provide for Indi-
ans community and in-school training, edu-
cation, and prevention programs relating 
to fetal alcohol disorders. 
‘‘(ii) To identify and provide behav-
ioral health treatment to high-risk Indian 
women and high-risk women pregnant with 
an Indian’s child. 
‘‘(iii) To identify and provide appro-
priate psychological services, educational 
and vocational support, counseling, advo-
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01921
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1922 
cacy, and information to fetal alcohol dis-
order affected Indians and their families or 
caretakers. 
‘‘(iv) To develop and implement coun-
seling and support programs in schools for 
fetal alcohol disorder affected Indian chil-
dren. 
‘‘(v) To develop prevention and inter-
vention models which incorporate practi-
tioners of traditional health care practices, 
cultural values, and community involve-
ment. 
‘‘(vi) To develop, print, and dissemi-
nate education and prevention materials on 
fetal alcohol disorder. 
‘‘(vii) To develop and implement, in 
consultation with Indian Tribes, Tribal Or-
ganizations, and urban Indian organiza-
tions, culturally sensitive assessment and 
diagnostic tools including dysmorphology 
clinics and multidisciplinary fetal alcohol 
disorder clinics for use in Indian commu-
nities and Urban Centers. 
‘‘(B) ADDITIONAL USES.—In addition to 
any purpose under subparagraph (A), funding 
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01922
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1923 
provided pursuant to this section may be used 
for 1 or more of the following: 
‘‘(i) 
Early 
childhood 
intervention 
projects from birth on to mitigate the ef-
fects of fetal alcohol disorder among Indi-
ans. 
‘‘(ii) Community-based support serv-
ices for Indians and women pregnant with 
Indian children. 
‘‘(iii) 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, 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. 
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01923
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1924 
‘‘(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 spectrum disorders 
experts. 
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01924
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1925 
‘‘(d) APPLIED
RESEARCH
PROJECTS.—The Sec-
retary, acting through the Substance Abuse and Mental 
Health Services Administration, shall make grants to In-
dian Tribes, Tribal Organizations, and urban Indian orga-
nizations 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 spectrum disorders. 
‘‘(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, shall establish, consistent with section 
701, in every Service Area, programs 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: 
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01925
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1926 
‘‘(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 traditional health care 
practices, cultural values, and community involve-
ment. 
‘‘(4) To develop and implement culturally sen-
sitive assessment and diagnostic tools for use in In-
dian 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 
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01926
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1927 
‘‘(B) providing treatment after the perpe-
trator is released, until it is determined that the 
perpetrator is not a threat to children. 
‘‘(c) COORDINATION.—The programs established 
under subsection (a) shall be carried out in coordination 
with programs and services authorized under the Indian 
Child Protection and Family Violence Prevention Act (25 
U.S.C. 3201 et seq.). 
‘‘SEC. 714. DOMESTIC AND SEXUAL VIOLENCE PREVENTION 
AND TREATMENT. 
‘‘(a) IN GENERAL.—The Secretary, in accordance 
with section 701, is authorized to establish in each Service 
Area programs involving the prevention and treatment 
of— 
‘‘(1) Indian victims of domestic violence or sex-
ual abuse; and 
‘‘(2) perpetrators of domestic violence or sexual 
abuse who are Indian or members of an Indian 
household. 
‘‘(b) USE OF FUNDS.—Funds made available to carry 
out this section shall be used— 
‘‘(1) to develop and implement prevention pro-
grams and community education programs relating 
to domestic violence and sexual abuse; 
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01927
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1928 
‘‘(2) to provide behavioral health services, in-
cluding victim support services, and medical treat-
ment (including examinations performed by sexual 
assault nurse examiners) to Indian victims of domes-
tic violence or sexual abuse; 
‘‘(3) to purchase rape kits; 
‘‘(4) to develop prevention and intervention 
models, which may incorporate traditional health 
care practices; and 
‘‘(5) to identify and provide behavioral health 
treatment to perpetrators who are Indian or mem-
bers of an Indian household. 
‘‘(c) TRAINING AND CERTIFICATION.— 
‘‘(1) IN GENERAL.—Not later than 1 year after 
the date of enactment of the Indian Health Care Im-
provement Act Amendments of 2009, the Secretary 
shall establish appropriate protocols, policies, proce-
dures, standards of practice, and, if not available 
elsewhere, training curricula and training and cer-
tification requirements for services for victims of do-
mestic violence and sexual abuse. 
‘‘(2) REPORT.—Not later than 18 months after 
the date of enactment of the Indian Health Care Im-
provement Act Amendments of 2008, the Secretary 
shall submit to the Committee on Indian Affairs of 
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01928
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1929 
the Senate and the Committee on Natural Resources 
of the House of Representatives a report that de-
scribes the means and extent to which the Secretary 
has carried out paragraph (1). 
‘‘(d) COORDINATION.— 
‘‘(1) IN GENERAL.—The Secretary, in coordina-
tion with the Attorney General, Federal and tribal 
law enforcement agencies, Indian Health Programs, 
and domestic violence or sexual assault victim orga-
nizations, shall develop appropriate victim services 
and victim advocate training programs— 
‘‘(A) to improve domestic violence or sex-
ual abuse responses; 
‘‘(B) to improve forensic examinations and 
collection; 
‘‘(C) to identify problems or obstacles in 
the prosecution of domestic violence or sexual 
abuse; and 
‘‘(D) to meet other needs or carry out 
other activities required to prevent, treat, and 
improve prosecutions of domestic violence and 
sexual abuse. 
‘‘(2) REPORT.—Not later than 2 years after the 
date of enactment of the Indian Health Care Im-
provement Act Amendments of 2008, the Secretary 
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01929
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1930 
shall submit to the Committee on Indian Affairs of 
the Senate and the Committee on Natural Resources 
of the House of Representatives a report that de-
scribes, with respect to the matters described in 
paragraph (1), the improvements made and needed, 
problems or obstacles identified, and costs necessary 
to address the problems or obstacles, and any other 
recommendations that the Secretary determines to 
be appropriate. 
‘‘SEC. 715. 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 
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01930
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS
1931 
‘‘(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 
‘‘(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. 716. 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 
VerDate Nov 24 2008 
12:56 Oct 30, 2009
Jkt 089200
PO 00000
Frm 01931
Fmt 6652
Sfmt 6201
E:\BILLS\H3962.IH
H3962
rmajette on DSK29S0YB1PROD with BILLS