42 U.S.C. § 290bb–40 — Grants for the integrated treatment of serious mental illness and co-occurring substance abuse

submitted 82 years ago by Pub. L. 106-310 to r/title-42-THE-PUBLIC-HEALTH-AND-WELFARE · 574 words · no verdicts yet

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The Secretary gives grants to states, tribes, and nonprofits for treating people who have both serious mental illness and substance abuse. Priority goes to applicants serving people leaving jail, the homeless, or those who failed past treatment. Grantees must combine both kinds of care at one site and keep evaluating results.

(a) In general: The Secretary must give grants, contracts, or cooperative agreements to states, parts of states, Indian tribes, tribal organizations, and private nonprofit groups. The money pays for building or growing programs that give integrated treatment to people who have both a serious mental illness and a substance abuse disorder at the same time. (b) Priority: When picking who gets the money, the Secretary must favor applicants who focus on serving people with serious mental illness and co-occurring substance abuse who: (1) have had run-ins with police or the courts; (2) recently got out of jail or prison; (3) tried treatment before, inpatient or outpatient, and it did not work; (4) got referred to outpatient care again and again but never went; or (5) are homeless. (c) Use of funds: Anyone who gets this grant must use the money to: (1) give fully integrated services, not separate or side-by-side ones; (2) hire staff trained in both mental illness and substance abuse; (3) offer mental health and substance abuse care in the same place; (4) make services fit the person's language and culture; (5) set up at least 10 integrated-treatment programs at sites that used to offer only one kind of care; and (6) work together with other community programs already doing this work. (d) Condition: The Secretary must make sure grant recipients keep funding their existing mental health and substance abuse programs for other people too. The grant cannot replace that funding. (e) Distribution of awards: The Secretary must spread the grants fairly across the country's regions, and between cities and rural areas. (f) Duration: A grant can last no more than 5 years. (g) Application: Anyone who wants a grant must apply the way the Secretary requires, and the application must include a plan for rigorously evaluating the program, covering both the process and the results. (h) Evaluation: Grant recipients must also submit their own evaluation plan for the funded program, covering process and outcomes, and send in a final evaluation when the project ends. (i) Authorization of appropriation: Congress authorized $40,000,000 for this program for fiscal year 2001, and whatever amount is needed for fiscal years 2002 and 2003.

the actual law source: uscode.house.gov ↗public domain

(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 organizations 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.

(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 treatment of both mental illness and substance abuse at sites that previously provided only mental health services or only substance 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, political 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 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 subsection (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.

Source credit: (July 1, 1944, ch. 373, title V, § 520I, as added Pub. L. 106–310, div. B, title XXXII, § 3212, Oct. 17, 2000, 114 Stat. 1205.)

history & why it existsrecord from the source credit

1944Enacted · Pub. L. 106-310 · 114 Stat. 1205

A history note hasn’t been published yet. The record shows enactment by Pub. L. 106-310 on 1944-07-01.

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