An Act To Obtain Substance Abuse Services for Youth in Need of Services Further amend the bill by striking out everything after the enacting clause and before the summary and inserting in its place the following: Sec. 1. 22 MRSA §4099-A, sub-§4, ~~B and C, as enacted by PL 2003, c. 451, Pt. P, §3, are amended to read: B. Is without or beyond the control of the child's parent or legal guardian; aF C. Is in imminent emotional injury or offense ... l........Q1: danger of serious physical, at risk of prosecution for mental or a juvenile Sec. 2. 22 MRS A §4099-A, sub-§4, ~D is enacted to read: D. Is abusing alcohol or drugs and is at risk of serious harm as a result. Sec. 3. 22 MRS A §4099-C sub-§3. as enacted by PL 2003, c. 451, Pt. p, §3, is amended to read: Page 1-LR1278(2) COMMITTEE AMENDMENT
Maine Legislature, Session 121, LD 0611
Committee Amendment CA_A_S400 (Senate)
Amends: 22 MRSA §4099-A, 22 MRSA §4099-C

COMMITTEE AMENDMENT ,A, to S.P. 220, L.D. 611, Bill, "An 
Act To Obtain Substance Abuse Services for Minors" 
Amend the bill by striking out the title and substituting 
the following: 
'An Act To Obtain Substance Abuse Services for Youth in Need of 
Services' 
Further amend the bill by striking out everything after the 
enacting clause and before the summary and inserting in its place 
the following: 
'Sec. 1. 22 MRSA §4099-A, sub-§4, ~~B and C, as enacted by PL 
2003, c. 451, Pt. P, §3, are amended to read: 
B. 
Is without or beyond the control of the child's parent 
or legal guardian; aF 
C. 
Is in imminent 
emotional injury or 
offense ... l........Q1: 
danger of serious physical, 
at risk of prosecution for 
mental or 
a 
juvenile 
Sec. 2. 22 MRS A §4099-A, sub-§4, ~D is enacted to read: 
D. 
Is abusing alcohol or drugs and is at risk of serious 
harm as a result. 
Sec. 3. 22 MRS A §4099-C sub-§3. as enacted by PL 2003, c. 
451, Pt. p, §3, is amended to read: 
COMMITTEE AMENDMENT 
~~~ 
COMMITTEE AMENDMENT '~ to S.P. 220, L.D. 611 
3. 
Inminent danger. 
If a youth is determined by a case 
manager to be in need of services and is in imminent danger of 
serious physical, mental or emotional injury eF~ at risk of 
prosecution for a juvenile offense or is abusing alcohol or drugs 
and is at risk of serious harm as a result, the case manager 
shall attempt 
to 
contact 
the 
family 
or 
legal 
guardian, 
if 
appropriate, to begin services to the youth and family or legal 
guardian and shall promptly file a petition to commence court 
proceedings. 
A. 
If the court finds that a youth is in need of services 
and is in imminent danger of serious physical, mental or 
emotional 
injury 
9FL 
is at risk of prosecution for 
a 
juvenile offense or is abusing 
alcohol or drugs and is at 
risk of serious harm as a result, the court shall order that 
a service provider offer appropriate services to the youth 
and the youth's family or legal guardian if appropriate. 
B. 
In a proceeding brought under this subsection, if the 
court 
orders 
a 
service 
provider 
to 
offer 
appropriate 
services to a youth or the youth's family or legal guardian, 
the court may not order secure residential placement or 
inpatient treatment or order 
a 
youth to participate in 
services or enter an order of enforcement or contempt. 
Sec. 4. 22 MRSA §4099-C, sub-§5, as enacted by PL 2003, c. 
451, Pt. P, §3, is amended to read: 
5. Reporting. 
The department shall report by October 1, 
2003 and annually thereafter to the joint standing committee of 
the 
Legislature 
having 
jurisdiction 
over 
health 
and 
human 
services 
matters 
on 
the 
number 
and 
nature 
of 
preliminary 
assessments, 
safety 
plans 
and 
court 
proceedings 
under 
this 
section. 
Beginning October 1, 
2004. 
the report must include 
summary statistics on the number and characteristics of youth who 
refuse 
services 
under 
this 
section. 
including 
demographic 
information, 
reason 
for 
referral. 
assessed needs 
and 
stated 
reason for refusal of seryices. 
The report must include safety 
plans and court proceedings under this section. 
The report must 
include recommendations for policy initiatives, 
rulemaking and 
legislative action for youth in need of services. 
Sec. 5. 22 MRSA §4099-C, sub-§6 is enacted to read: 
6. 
Data. 
The department shall collect data on the number 
and characteristics of 
youth 
who 
refuse services 
under 
this 
section, including demographic information, reason for referral, 
assessed needs and stated reason for refusal of services. 
The 
department shall share the data collected under this subsection 
COMMITTEE AMENDMENT 
I~~~. 
1\;" • 
COMMITTEE AMENDMENT ,~, to S.P. 220, L.D. 611 
with the Department of Behavioral and Developmental Services, 
Office of Substance Abuse no later than October 1, 2004 and every 
months thereafter. 
Sec. 6. Provider training. 
The Department of Behavioral and 
Developmental Services, Office of Substance Abuse shall increase 
training for providers in motivational therapy, family therapy 
and 
other 
evidence-based 
practices 
that 
are 
effective 
with 
reluctant adolescent clients. 
The Department of Human Services 
and the Office of Substance Abuse shall require joint training 
and 
communication 
between Youth in Need of Services 
Program 
providers 
and 
substance 
abuse 
services 
providers 
regarding 
methods to engage reluctant youth in treatment. 
Sec. 7. Provider incentives and information. 
The Department of 
Behavioral and Developmental Services, Office of Substance Abuse 
shall 
modify 
its 
contracts 
with 
substance 
abuse 
services 
providers 
to 
create 
incentives 
to 
increase 
recruitment 
and 
retention of adolescent clients who are reluctant to engage in 
treatment. 
The Office of Substance Abuse also shall provide 
information and support to substance abuse treatment providers to 
increase services provided to parents of adolescent clients, with 
or without the adolescents' involvement. 
Sec. 8. 
Parent outreach and education. 
The 
Department 
of 
Behavioral and Developmental Services, Office of Substance Abuse 
shall conduct outreach and education to help parents of children 
who are abusing drugs to locate and access resources to address 
substance 
abuse, 
including 
treatment, 
self-help, 
skill 
development and support groups for themselves and their children. 
Sec. 9. Report required. 
The Department of Behavioral and 
Developmental Services, Office of Substance Abuse shall report by 
October 1, 2004 to the Joint Standing Committee on Health and 
Human Services on the status of implementation of this Act.' 
SUMMARY 
This amendment replaces the bill. 
The amendment refines the 
definition 
of 
"youth 
in 
need 
of 
services" 
by 
explicitly 
specifying that a child who is abusing alcohol or drugs and is at 
risk of serious harm as a result qualifies as a youth in need of 
services. 
The 
amendment 
requires 
the 
Department 
of 
Human 
Services to include in its annual report summary information on 
the number and characteristics of youth who refuse services and 
to share the underlying data with the Department of Behavioral 
and 
Developmental 
Services, 
Office 
of 
Substance 
Abuse 
on 
a 
semiannual basis. 
The amendment requires increased training for 
substance abuse services providers and ioint training between 
COMMITTEE AMENDMENT 
,~~. 
~ 
~~ 
~ 
COMMITTEE AMENDMENT ,~ to S.P. 220, L.D. 611 
substance abuse services providers and Youth in Need of Services 
Program providers regarding methods to engage reluctant youth. 
The amendment also requires the Office of Substance Abuse to 
create 
incentives 
for 
providers 
to 
increase 
recruitment 
and 
retention 
of 
reluctant 
adolescent 
clients 
and 
to 
provide 
information and support to providers to increase services for 
parents of adolescent clients. 
The amendment requires the Office 
of Substance Abuse to conduct outreach and education to help 
parents of children who are abusing drugs to find resources for 
themselves and their children. 
Finally, 
the amendment requires the 
Abuse 
to 
report 
by 
October 
1, 
2004 
to 
Committee 
on 
Health 
and 
Human 
Services 
implementation of these requirements. 
Office of Substance 
the Joint Standing 
on 
the 
status 
of 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Fiscal Detail and Notes 
Approved: 02/12/04 ;tvac::.. 
I2lst Maine Legislature 
Office of Fiscal and Program Review 
LD6ll 
An Act To Obtain Substance Abuse Services for Minors 
LR 1278(02) 
Fiscal Note for Bill as Amended by Committee Amendment t~ 
Committee: Health and Human Services 
n 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - General Fund 
Any additional cost to the Department of Human Services and the Department of Behavioral and Developmental 
Services can be absorbed by the departments utilizing existing budgetary resources. 
LR1278(2) - Fiscal Note - Page 1 of 1