25 U.S.C. § 1665g — Indian youth program

(a) Detoxification and rehabilitation. The Secretary, acting through the Service and consistently with section 1665a of this title, must develop and carry out a program for acute detoxification and treatment for Indian youths, including behavioral-health services. The program must include regional treatment centers for both sexes, serving youths by referral, and local programs developed and carried out by Indian tribes or tribal organizations under the Indian Self-Determination and Education Assistance Act. Regional centers must be integrated with the intake and rehabilitation programs based in the Indian community that makes the referral. (b) Alcohol and substance abuse treatment centers or facilities. (1) Establishment. (A) In general. The Secretary, acting through the Service, must construct, renovate, or, when necessary, purchase, and must properly staff and operate, at least one youth regional treatment center or treatment network in each area under an area office's jurisdiction. (B) Area office in California. For this subsection, the California area office counts as two area offices: one whose jurisdiction is considered to cover northern California, and one whose jurisdiction is considered to cover the rest of California, for implementing California treatment networks. (2) Funding. Funding to staff and operate these centers or facilities must be provided under section 13 of this title. (3) Location. A youth treatment center built or purchased under this subsection must be located within the area described in paragraph (1). The location must be agreed upon, by an appropriate tribal resolution, by a majority of the Indian tribes the center will serve. (4) Specific provision of funds. (A) In general. Despite any other provision of this subchapter, the Secretary may use amounts authorized to be appropriated to carry out this section to make funds available to the Tanana Chiefs Conference, Incorporated, to lease, construct, renovate, operate, and maintain a residential youth treatment facility in Fairbanks, Alaska. The Secretary may also make funds available to the Southeast Alaska Regional Health Corporation to staff and operate a residential youth treatment facility without regard to the proviso in section 4(l) of the Indian Self-Determination and Education Assistance Act (25 U.S.C. 450b(l)). (B) Provision of services to eligible youths. Until additional residential youth treatment facilities are established in Alaska under this section, the facilities specified in subparagraph (A) must make every effort to provide services to all eligible Indian youths who live in Alaska. (c) Intermediate adolescent behavioral health services. (1) In general. The Secretary, acting through the Service, may provide intermediate behavioral-health services to Indian children and adolescents. If feasible and appropriate, these services may include systems of care. They may include: (A) pretreatment assistance; (B) inpatient, outpatient, and aftercare services; (C) emergency care; (D) suicide prevention and crisis intervention; and (E) prevention and treatment of mental illness and dysfunctional and self-destructive behavior, including child abuse and family violence. (2) Use of funds. Funds provided under this subsection may be used: (A) to construct or renovate an existing health facility for intermediate behavioral-health services; (B) to hire behavioral-health professionals; (C) to staff, operate, and maintain an intermediate mental-health facility, group home, sober housing, transitional housing or similar facility, or youth shelter where intermediate behavioral-health services are provided; (D) to renovate facilities and hire appropriate staff to turn existing hospital beds into adolescent psychiatric units; and (E) for intensive home- and community-based services. (3) Criteria. The Secretary, acting through the Service and consulting with Indian tribes and tribal organizations, must establish criteria for reviewing and approving applications or proposals for funding under this subsection. (d) Federally owned structures. (1) In general. The Secretary, consulting with Indian tribes and tribal organizations, must: (A) identify and, when appropriate, use federally owned structures suitable for local residential or regional behavioral-health treatment for Indian youths; and (B) establish guidelines for deciding whether such a structure is suitable for that treatment. (2) Terms and conditions for use of structure. A structure described in paragraph (1) may be used under terms and conditions agreed upon by the Secretary, the agency responsible for the structure, and any Indian tribe or tribal organization operating the program. (e) Rehabilitation and aftercare services. (1) In general. The Secretary, Indian tribes, or tribal organizations, working with the Secretary of the Interior, must develop and carry out community-based rehabilitation and follow-up services within each Service unit. These services are for Indian youths who have significant behavioral-health problems and need long-term treatment, community reintegration, and monitoring to support them after they return to their home community. (2) Administration. Services under paragraph (1) must be provided by trained staff in the community. The staff must be able to help Indian youths continue developing a self-image, positive problem-solving skills, and behavior that does not abuse alcohol or other substances. Staff may include alcohol and substance-abuse counselors, mental-health professionals, and other health professionals and paraprofessionals, including community health representatives. (f) Inclusion of family in youth treatment program. When providing treatment and other services authorized by this section, the Secretary, acting through the Service, must include family members of the youths in treatment programs or other services when appropriate. At least 10 percent of the money appropriated to carry out subsection (e) must be used for outpatient care for adult family members related to an Indian youth's treatment under that subsection. (g) Multidrug abuse program. Consistently with section 1665a of this title, the Secretary, acting through the Service, must provide programs and services to prevent and treat abuse of multiple kinds of substances, including alcohol, drugs, inhalants, and tobacco, among Indian youths living in Indian communities, on or near reservations, and in urban areas. The Secretary must also provide appropriate mental-health services to address mental illness among those youths. (h) Indian youth mental health. The Secretary must collect data for the report under section 1671 of this title about: (1) the number of Indian youths receiving mental-health services through the Service and tribal health programs; (2) a description of those services and their costs; (3) the number of youths referred to the Service or tribal health programs for mental-health services; (4) the number of Indian youths receiving residential treatment for mental-health and behavioral problems through the Service and tribal health programs, reported separately for facilities on and off reservations; and (5) the costs of the services described in paragraph (4).