1. U.S. Code
  2. title 42
  3. chapter 6A
  4. subchapter III-A
  5. part B
  6. subpart 3
  7. § 290bb-36a

Collapse to view only § 290bb-36a. Suicide prevention for youth

§ 290bb–31. Center for Mental Health Services
(a) Establishment
(b) DutiesThe Director of the Center shall—
(1) design national goals and establish national priorities for—
(A) the prevention of mental illness; and
(B) the promotion of mental health;
(2) encourage and assist local entities and State agencies to achieve the goals and priorities described in paragraph (1);
(3) collaborate with the Director of the National Institute of Mental Health and the Chief Medical Officer, appointed under section 290aa(g) of this title, to ensure that, as appropriate, programs related to the prevention and treatment of mental illness and the promotion of mental health and recovery support are carried out in a manner that reflects the best available science and evidence-based practices, including culturally and linguistically appropriate services, as appropriate;
(4) collaborate with the Department of Education and the Department of Justice to develop programs to assist local communities in addressing violence among children and adolescents;
(5) develop and coordinate Federal prevention policies and programs and to assure increased focus on the prevention of mental illness and the promotion of mental health, including through programs that reduce risk and promote resiliency;
(6) in collaboration with the Director of the National Institute of Mental Health, develop improved methods of treating individuals with mental health problems and improved methods of assisting the families of such individuals;
(7) administer the mental health services block grant program authorized in section 300x of this title;
(8) promote policies and programs at Federal, State, and local levels and in the private sector that foster independence, increase meaningful participation of individuals with mental illness in programs and activities of the Administration, and protect the legal rights of persons with mental illness, including carrying out the provisions of the Protection and Advocacy of Mentally Ill Individuals Act 1
1 See References in Text note below.
[42 U.S.C. 10801 et seq.];
(9) carry out the programs under part C; and
(10) carry out responsibilities for the Human Resource Development programs;
(11) conduct services-related assessments, including evaluations of the organization and financing of care, self-help and consumer-run programs, mental health economics, mental health service systems, rural mental health and tele-mental health, and improve the capacity of State to conduct evaluations of publicly funded mental health programs;
(12) disseminate mental health information, including evidence-based practices, to States, political subdivisions, educational agencies and institutions, treatment and prevention service providers, and the general public, including information concerning the practical application of research supported by the National Institute of Mental Health that is applicable to improving the delivery of services;
(13) provide technical assistance to public and private entities that are providers of mental health services;
(14) monitor and enforce obligations incurred by community mental health centers pursuant to the Community Mental Health Centers Act (as in effect prior to the repeal of such Act on August 13, 1981, by section 902(e)(2)(B) of Public Law 97–35 (95 Stat. 560));
(15) conduct surveys with respect to mental health, such as the National Reporting Program;
(16) assist States in improving their mental health data collection; and
(17) ensure the consistent documentation of the application of criteria when awarding grants and the ongoing oversight of grantees after such grants are awarded.
(c) Grants and contracts
(July 1, 1944, ch. 373, title V, § 520, as added Pub. L. 102–321, title I, § 115(a), July 10, 1992, 106 Stat. 346; amended Pub. L. 106–310, div. B, title XXXI, § 3112(c), Oct. 17, 2000, 114 Stat. 1188; Pub. L. 114–255, div. B, title VI, § 6007(a), Dec. 13, 2016, 130 Stat. 1212.)

CITE AS: 42 USC 290bb-31

§ 290bb–32. Priority mental health needs of regional and national significance
(a) Projects
The Secretary shall address priority mental health needs of regional and national significance (as determined under subsection (b)) through the provision of or through assistance for—
(1) knowledge development and application projects for prevention, treatment, and rehabilitation, and the conduct or support of evaluations of such projects;
(2) training and technical assistance programs;
(3) targeted capacity response programs; and
(4) systems change grants including statewide family network grants and client-oriented and consumer run self-help activities, which may include technical assistance centers.
The Secretary may carry out the activities described in this subsection directly or through grants, contracts, or cooperative agreements with States, political subdivisions of States, Indian Tribes or Tribal organizations (as such terms are defined in section 5304 of title 25), health facilities, or programs operated by or in accordance with a contract or grant with the Indian Health Service, or,1
1 So in original. The comma probably should not appear.
other public or private nonprofit entities.
(b) Priority mental health needs
(1) Determination of needs
(2) Special consideration
(c) Requirements
(1) In general
(2) Duration of award
(3) Matching funds
(4) Maintenance of effort
(d) Evaluation
(e) Information and education
(1) In general
(2) Rural and underserved areas
(3) Geriatric mental disorders
(f) Authorization of appropriations
(July 1, 1944, ch. 373, title V, § 520A, as added Pub. L. 100–690, title II, § 2057(3), Nov. 18, 1988, 102 Stat. 4212; renumbered § 520 and amended Pub. L. 101–93, § 3(e), (g), Aug. 16, 1989, 103 Stat. 610, 611; Pub. L. 101–639, § 2, Nov. 28, 1990, 104 Stat. 4600; renumbered § 520A and amended Pub. L. 102–321, title I, § 116, July 10, 1992, 106 Stat. 348; Pub. L. 106–310, div. B, title XXXII, § 3201(a), Oct. 17, 2000, 114 Stat. 1189; Pub. L. 114–255, div. B, title VII, § 7003, title IX, § 9012, Dec. 13, 2016, 130 Stat. 1223, 1245; Pub. L. 117–328, div. FF, title I, § 1121(d), Dec. 29, 2022, 136 Stat. 5650.)

CITE AS: 42 USC 290bb-32

§ 290bb–33. Student suicide awareness and prevention training
(a) In generalIn awarding funds under section 290bb–32 of this title, the Secretary shall give priority to applications under such section from a State educational agency, local educational agency, or Tribal educational agency, submitted directly or through a State or Indian Tribe, for funding for activities in secondary schools, where such agency has implemented, or includes in such application a plan to implement, a student suicide awareness and prevention training policy, which may include applicable youth suicide early intervention and prevention strategies implemented through section 290bb–36 of this title—
(1) establishing and implementing a school-based student suicide awareness and prevention training policy in accordance with subsection (c);
(2) consulting with stakeholders (including principals, teachers, parents, local Tribal officials, and other relevant experts) and, as appropriate, utilizing information, models, and other resources made available by the Suicide Prevention Technical Assistance Center authorized under section 290bb–34 of this title in the development of the policy under paragraph (1); and
(3) collecting and reporting information in accordance with subsection (d).
(b) Consideration
(c) School-based student suicide awareness and prevention training policyA school-based student suicide awareness and prevention training policy implemented pursuant to subsection (a)(1) shall—
(1) be evidence-based;
(2) be culturally- and linguistically-appropriate;
(3) provide evidence-based training to students in grades 6 through 12, in coordination with school-based mental health resources, as applicable, regarding—
(A) suicide prevention education and awareness, including associated risk factors;
(B) methods that students can use to seek help; and
(C) student resources for suicide awareness and prevention; and
(4) provide for periodic retraining of such students.
(d) Collection of information and reportingEach State educational agency, local educational agency, and Tribal educational agency that receives priority to implement a new training policy pursuant to subsection (a)(1) shall report to the Secretary the following aggregated information, in a manner that protects personal privacy, consistent with applicable Federal and State privacy laws:
(1) The number of trainings conducted, including the number of student trainings conducted, and the training delivery method used.
(2) The number of students trained, disaggregated by age and grade level.
(3) The number of help-seeking reports made by students after implementation of such policy.
(e) Evidence-based program availabilityThe Secretary shall coordinate with the Secretary of Education and the Secretary of the Interior to—
(1) make publicly available the policies established by State educational agencies, local educational agencies, and Tribal educational agencies pursuant to this section and the training that is available to students and teams pursuant to such policies, in accordance with section 290dd–2a of this title; and
(2) provide technical assistance and disseminate best practices on student suicide awareness and prevention training policies, including through the Suicide Prevention Technical Assistance Center authorized under section 290bb–34 of this title, as applicable, to State educational agencies, local educational agencies, and Tribal agencies.
(f) Implementation
(g) DefinitionsIn this section:
(1) The term “evidence-based” has the meaning given such term in section 7801 of title 20.
(2) The term “local educational agency” has the meaning given to such term in section 7801 of title 20.
(3) The term “State educational agency” has the meaning given to such term in section 7801 of title 20.
(4) The term “Tribal educational agency” has the meaning given to the term “tribal educational agency” in section 7452 of title 20.
(July 1, 1944, ch. 373, title V, § 520B, as added Pub. L. 117–100, § 2(a), Mar. 15, 2022, 136 Stat. 44.)

CITE AS: 42 USC 290bb-33

§ 290bb–34. Suicide prevention technical assistance center
(a) Program authorized
(1) In general
(2) Collaboration
(b) Responsibilities of the Center
The center established under subsection (a) shall conduct activities for the purpose of—
(1) developing and continuing statewide or Tribal suicide early intervention and prevention strategies for all ages, particularly among groups that are at a high risk for suicide;
(2) ensuring the surveillance of suicide early intervention and prevention strategies for all ages, particularly among groups that are at a high risk for suicide;
(3) studying the costs and effectiveness of statewide and Tribal suicide early intervention and prevention strategies in order to provide information concerning relevant issues of importance to State, Tribal, and national policymakers;
(4) further identifying and understanding causes and associated risk factors for suicide;
(5) analyzing the efficacy of new and existing suicide early intervention and prevention techniques and technology;
(6) ensuring the surveillance of suicidal behaviors and nonfatal suicidal attempts;
(7) studying the effectiveness of State-sponsored statewide and Tribal suicide early intervention and prevention strategies on the overall wellness and health promotion strategies related to suicide attempts;
(8) promoting the sharing of data regarding suicide with Federal agencies involved with suicide early intervention and prevention, and State-sponsored statewide or Tribal suicide early intervention and prevention strategies for the purpose of identifying previously unknown mental health causes and associated risk factors for suicide;
(9) evaluating and disseminating outcomes and best practices of mental health and substance use disorder services at institutions of higher education; and
(10) conducting other activities determined appropriate by the Secretary.
(c) Authorization of appropriations
(d) Annual report
(July 1, 1944, ch. 373, title V, § 520C, as added Pub. L. 106–310, div. B, title XXXI, § 3104(b),

CITE AS: 42 USC 290bb-34

§ 290bb–35. Repealed. Pub. L. 114–255, div. B, title IX, § 9017, Dec. 13, 2016, 130 Stat. 1248

CITE AS: 42 USC 290bb-35

§ 290bb–36. Youth suicide early intervention and prevention strategies
(a) In general
The Secretary, acting through the Assistant Secretary for Mental Health and Substance Use, shall award grants or cooperative agreements to eligible entities to—
(1) develop and implement State-sponsored statewide or Tribal youth suicide early intervention and prevention strategies in schools, educational institutions, juvenile justice systems, substance use disorder programs, mental health programs, foster care systems, pediatric health programs, and other child and youth support organizations;
(2) support public organizations and private nonprofit organizations actively involved in State-sponsored statewide or Tribal youth suicide early intervention and prevention strategies and in the development and continuation of State-sponsored statewide youth suicide early intervention and prevention strategies;
(3) provide grants to institutions of higher education to coordinate the implementation of State-sponsored statewide or Tribal youth suicide early intervention and prevention strategies;
(4) collect and analyze data on State-sponsored statewide or Tribal youth suicide early intervention and prevention services that can be used to monitor the effectiveness of such services and for research, technical assistance, and policy development; and
(5) assist eligible entities, through State-sponsored statewide or Tribal youth suicide early intervention and prevention strategies, in achieving targets for youth suicide reductions under title V of the Social Security Act [42 U.S.C. 701 et seq.].
(b) Eligible entity
(1) Definition
In this section, the term “eligible entity” means—
(A) a State;
(B) a public organization or private nonprofit organization designated by a State or Indian Tribe (as defined in section 4 of the Indian Self-Determination and Education Assistance Act [25 U.S.C. 5304]) to develop or direct the State-sponsored statewide or Tribal youth suicide early intervention and prevention strategy; or
(C) a Federally recognized Indian Tribe or Tribal organization (as defined in the Indian Self-Determination and Education Assistance Act [25 U.S.C. 5301 et seq.]) or an urban Indian organization (as defined in the Indian Health Care Improvement Act [25 U.S.C. 1601 et seq.]) that is actively involved in the development and continuation of a Tribal youth suicide early intervention and prevention strategy.
(2) Limitation
(3) Consideration
(4) Consultation
(c) Preference
In providing assistance under a grant or cooperative agreement under this section, an eligible entity shall give preference to public organizations, private nonprofit organizations, political subdivisions, institutions of higher education, and Tribal organizations actively involved with the State-sponsored statewide or Tribal youth suicide early intervention and prevention strategy that—
(1) provide early intervention and assessment services, including screening programs, to youth who are at risk for mental or emotional disorders that may lead to a suicide attempt, and that are integrated with school systems, educational institutions, juvenile justice systems, substance use disorder programs, mental health programs, foster care systems, pediatric health programs, and other child and youth support organizations;
(2) demonstrate collaboration among early intervention and prevention services or certify that entities will engage in future collaboration;
(3) employ or include in their applications a commitment to evaluate youth suicide early intervention and prevention practices and strategies adapted to the local community;
(4) provide timely referrals for appropriate community-based mental health care and treatment of youth who are at risk for suicide in child-serving settings and agencies;
(5) provide immediate support and information resources to families of youth who are at risk for suicide;
(6) offer access to services and care to youth with diverse linguistic and cultural backgrounds;
(7) offer appropriate postsuicide intervention services, care, and information to families, friends, schools, educational institutions, juvenile justice systems, substance use disorder programs, mental health programs, foster care systems, pediatric health programs, and other child and youth support organizations of youth who recently completed suicide;
(8) offer continuous and up-to-date information and awareness campaigns that target parents, family members, child care professionals, community care providers, and the general public and highlight the risk factors associated with youth suicide and the life-saving help and care available from early intervention and prevention services;
(9) ensure that information and awareness campaigns on youth suicide risk factors, and early intervention and prevention services, use effective communication mechanisms that are targeted to and reach youth, families, schools, educational institutions, pediatric health programs, and youth organizations;
(10) provide a timely response system to ensure that child-serving professionals and providers are properly trained in youth suicide early intervention and prevention strategies and that child-serving professionals and providers involved in early intervention and prevention services are properly trained in effectively identifying youth who are at risk for suicide;
(11) provide continuous training activities for child care professionals and community care providers on the latest youth suicide early intervention and prevention services practices and strategies;
(12) conduct annual self-evaluations of outcomes and activities, including consulting with interested families and advocacy organizations;
(13) provide services in areas or regions with rates of youth suicide that exceed the national average as determined by the Centers for Disease Control and Prevention;
(14) obtain informed written consent from a parent or legal guardian of an at-risk child before involving the child in a youth suicide early intervention and prevention program; and
(15) provide to parents, legal guardians, and family members of youth, supplies to securely store means commonly used in suicide, if applicable, within the household.
(d) Requirement for suicide prevention activities
(e) Coordination and collaboration
(1) In general
(2) Consultation
In carrying out this section, the Secretary shall consult with—
(A) State and local agencies, including agencies responsible for early intervention and prevention services under title XIX of the Social Security Act [42 U.S.C. 1396 et seq.], the State Children’s Health Insurance Program under title XXI of the Social Security Act [42 U.S.C. 1397aa et seq.], and programs funded by grants under title V of the Social Security Act [42 U.S.C. 701 et seq.];
(B) local and national organizations that serve youth at risk for suicide and their families;
(C) relevant national medical and other health and education specialty organizations;
(D) youth who are at risk for suicide, who have survived suicide attempts, or who are currently receiving care from early intervention services;
(E) families and friends of youth who are at risk for suicide, who have survived suicide attempts, who are currently receiving care from early intervention and prevention services, or who have completed suicide;
(F) qualified professionals who possess the specialized knowledge, skills, experience, and relevant attributes needed to serve youth at risk for suicide and their families; and
(G) third-party payers, managed care organizations, and related commercial industries.
(3) Policy development
In carrying out this section, the Secretary shall—
(A) coordinate and collaborate on policy development at the Federal level with the relevant Department of Health and Human Services agencies and suicide working groups and the Department of Education, as appropriate; and
(B) consult on policy development at the Federal level with the private sector, including consumer, medical, suicide prevention advocacy groups, and other health and education professional-based organizations, with respect to State-sponsored statewide or Tribal youth suicide early intervention and prevention strategies.
(f) Rule of construction; religious and moral accommodation
(g) Evaluations and report
(1) Evaluations by eligible entities
(2) Report
Not later than December 31, 2025, the Secretary shall submit to the appropriate committees of Congress a report concerning the results of—
(A) the evaluations conducted under paragraph (1); and
(B) an evaluation conducted by the Secretary to analyze the effectiveness and efficacy of the activities conducted with grants, collaborations, and consultations under this section.
(h) Rule of construction; student medication
(i) Prohibition
(j) Parental consent
States and entities receiving funding under this section and section 290bb–36a of this title shall obtain prior written, informed consent from the child’s parent or legal guardian for assessment services, school-sponsored programs, and treatment involving medication related to youth suicide conducted in elementary and secondary schools. The requirement of the preceding sentence does not apply in the following cases:
(1) In an emergency, where it is necessary to protect the immediate health and safety of the student or other students.
(2) Other instances, as defined by the State, where parental consent cannot reasonably be obtained.
(k) Relation to education provisions
(l) Definitions
In this section:
(1) Early intervention
(2) Educational institution; institution of higher education; school
The term—
(A) “educational institution” means a school or institution of higher education;
(B) “institution of higher education” has the meaning given such term in section 1001 of title 20; and
(C) “school” means an elementary school or secondary school (as such terms are defined in section 8101 of the Elementary and Secondary Education Act of 1965 [20 U.S.C. 7801]).
(3) Prevention
(4) Youth
(m) Authorization of appropriations
(July 1, 1944, ch. 373, title V, § 520E, as added Pub. L. 108–355, § 3(c), Oct. 21, 2004, 118 Stat. 1409; amended Pub. L. 114–95, title IX, § 9215(kkk)(3), Dec. 10, 2015, 129 Stat. 2187; Pub. L. 114–255, div. B, title VI, § 6001(c)(1), title IX, § 9008(b), Dec. 13, 2016, 130 Stat. 1203, 1242; Pub. L. 116–260, div. BB, title III, § 315, Dec. 27, 2020, 134 Stat. 2932; Pub. L. 117–328, div. FF, title I, § 1422, Dec. 29, 2022, 136 Stat. 5702.)

CITE AS: 42 USC 290bb-36

§ 290bb–36a. Suicide prevention for youth
(a) In general
(b) Collaboration
(c) Requirements
A public organization, private nonprofit organization, political subdivision, consortium of political subdivisions, consortium of States, or federally recognized Indian tribe or tribal organization desiring a grant, contract, or cooperative agreement under this section shall demonstrate that the suicide prevention program such entity proposes will—
(1)
(A) comply with the State-sponsored statewide early intervention and prevention strategy as developed under section 290bb–36 of this title; and
(B) in the case of a consortium of States, receive the support of all States involved;
(2) provide for the timely assessment, treatment, or referral for mental health or substance abuse services of youth at risk for suicide;
(3) be based on suicide prevention practices and strategies that are adapted to the local community;
(4) integrate its suicide prevention program into the existing health care system in the community including general, mental, and behavioral health services, and substance abuse services;
(5) be integrated into other systems in the community that address the needs of youth including the school systems, educational institutions, juvenile justice system, substance abuse programs, mental health programs, foster care systems, and community child and youth support organizations;
(6) use primary prevention methods to educate and raise awareness in the local community by disseminating evidence-based information about suicide prevention;
(7) include suicide prevention, mental health, and related information and services for the families and friends of those who completed suicide, as needed;
(8) offer access to services and care to youth with diverse linguistic and cultural backgrounds;
(9) conduct annual self-evaluations of outcomes and activities, including consulting with interested families and advocacy organizations; 1
1 So in original. Probably should be followed by “and”.
(10) ensure that staff used in the program are trained in suicide prevention and that professionals involved in the system of care have received training in identifying persons at risk of suicide.
(d) Use of funds
(e) Condition
(f) Special populations
(g) Application
(h) Distribution of awards
(i) Evaluation
(j) Dissemination and education
(k) Duration of projects
(l) Study
Within 1 year after October 17, 2000, the Secretary shall, directly or by grant or contract, initiate a study to assemble and analyze data to identify—
(1) unique profiles of children under 13 who attempt or complete suicide;
(2) unique profiles of youths between ages 13 and 24 who attempt or complete suicide; and
(3) a profile of services available to these groups and the use of these services by children and youths from paragraphs (1) and (2).
(m) Definitions
(n) Authorization of appropriation
(July 1, 1944, ch. 373, title V, § 520E–1, formerly § 520E, as added Pub. L. 106–310, div. B, title XXXI, § 3111, Oct. 17, 2000, 114 Stat. 1186; renumbered § 520E–1 and amended Pub. L. 108–355, § 3(b), Oct. 21, 2004, 118 Stat. 1407.)

CITE AS: 42 USC 290bb-36a

§ 290bb–36b. Mental health and substance use disorder services for students in higher education
(a) In general
(b) Use of funds
The Secretary may not make a grant to an institution of higher education under this section unless the institution agrees to use the grant only for one or more of the following:
(1) Educating students, families, faculty, and staff to increase awareness of mental health and substance use disorders and promote resiliency.
(2) The operation of hotlines.
(3) Preparing informational material.
(4) Providing outreach services to notify students about available mental health and substance use disorder resources and services.
(5) Administering voluntary mental health and substance use disorder screenings and assessments.
(6) Supporting the training of students, faculty, and staff to recognize and respond effectively and appropriately to students experiencing mental health and substance use disorders.
(7) Creating a network infrastructure to link institutions of higher education with health care providers who treat mental health and substance use disorders.
(8) Providing mental health and substance use. 1
1 So in original.
disorders prevention and treatment services to students, which may include recovery support services and programming and early intervention, treatment, and management, including through the use of telehealth services.
(9) Conducting research through a counseling or health center at the institution of higher education involved to improve the behavioral health of students through clinical services, outreach, prevention, promotion of mental health, or academic success, in a manner that is in compliance with all applicable personal privacy laws.
(10) Supporting student groups on campus, including athletic teams, that engage in activities to educate students, including activities to reduce stigma surrounding mental and behavioral health disorders, and promote mental health.
(11) Employing appropriately trained staff.
(12) Developing and supporting evidence-based and emerging best practices, including a focus on culturally and linguistically appropriate best practices, and trauma-informed practices.
(c) Eligible grant recipients
Any institution of higher education receiving a grant under this section may carry out activities under the grant through—
(1) college counseling centers;
(2) college and university psychological service centers;
(3) mental health centers;
(4) psychology training clinics; or
(5) institution of higher education supported, evidence-based, mental health and substance use disorder programs.
(d) Application
To be eligible to receive a grant under this section, an institution of higher education shall prepare and submit an application to the Secretary at such time and in such manner as the Secretary may require. At a minimum, the application shall include the following:
(1) A description of the population to be targeted by the program carried out under the grant, including veterans whenever possible and appropriate, and of identified mental health and substance use disorder needs of students at the institution of higher education.
(2) A description of Federal, State, local, private, and institutional resources currently available to address the needs described in paragraph (1) at the institution of higher education, which may include, as appropriate and in accordance with subsection (b)(7), a plan to seek input from relevant stakeholders in the community, including appropriate public and private entities, in order to carry out the program under the grant.
(3) A description of the outreach strategies of the institution of higher education for promoting mental health and access to services, including a proposed plan for reaching those students most in need of mental health services.
(4) A plan to evaluate program outcomes, including a description of the proposed use of funds, the program objectives, and how the objectives will be met.
(5) An assurance that the institution will submit a report to the Secretary each fiscal year on the activities carried out with the grant and the results achieved through those activities.
(6) An outline of the objectives of the program carried out under the grant.
(7) For an institution of higher education proposing to use the grant for an activity described in paragraph (8) or (9) of subsection (b), a description of the policies and procedures of the institution of higher education that are related to applicable laws regarding access to, and sharing of, treatment records of students at any campus-based mental health center or partner organization, including the policies and State laws governing when such records can be accessed and shared for non-treatment purposes and a description of the process used by the institution of higher education to notify students of these policies and procedures, including the extent to which written consent is required.
(8) An assurance that grant funds will be used to supplement and not supplant any other Federal, State, or local funds available to carry out activities of the type carried out under the grant.
(e) Requirement of matching funds
(1) In general
(2) Determination of amount contributed
(3) Waiver
(f) Reports
For each fiscal year that grants are awarded under this section, the Secretary shall conduct a study on the results of the grants and submit to the Committee on Energy and Commerce of the House of Representatives and the Committee on Health, Education, Labor, and Pensions of the Senate a report on such results that includes the following:
(1) An evaluation of the grant program outcomes, including a summary of activities carried out with the grant and the results achieved through those activities.
(2) Recommendations on how to improve access to mental health and substance use disorder services at institutions of higher education, including through prevention, early detection, early intervention, and efforts to reduce the incidence of suicide and substance use disorders.
(3) An assessment of the mental health and substance use disorder needs of the populations served by recipients of grants under this section.
(g) Definition
(h) Technical assistance
(i) Authorization of appropriations
(July 1, 1944, ch. 373, title V, § 520E–2, as added Pub. L. 108–355, § 3(d), Oct. 21, 2004, 118 Stat. 1413; amended Pub. L. 114–255, div. B, title IX, § 9031, Dec. 13, 2016, 130 Stat. 1257; Pub. L. 117–328, div. FF, title I, § 1423, Dec. 29, 2022, 136 Stat. 5703.)

CITE AS: 42 USC 290bb-36b

§ 290bb–36c. National Suicide Prevention Lifeline program
(a) In general
(b) ActivitiesIn maintaining the program, the activities of the Secretary shall include—
(1) supporting and coordinating a network of crisis centers across the United States for providing suicide prevention and mental health crisis intervention services, including appropriate follow-up services, to individuals seeking help at any time, day or night;
(2) maintaining a suicide prevention hotline to link callers to local emergency, mental health, and social services resources;
(3) consulting with the Secretary of Veterans Affairs to ensure that veterans calling the suicide prevention hotline have access to a specialized veterans’ suicide prevention hotline;
(4) improving awareness of the program for suicide prevention and mental health crisis intervention services, including by conducting an awareness initiative and ongoing outreach to the public; and
(5) improving the collection and analysis of demographic information, in a manner that protects personal privacy, consistent with applicable Federal and State privacy laws, in order to understand disparities in access to the program among individuals who are seeking help.
(c) Plan
(1) In general
(2) ContentsThe plan required by paragraph (1) shall include the following:
(A) Program evaluation, including performance measures to assess progress toward the goals and objectives of the program and to improve the responsiveness and performance of the hotline, including at all backup call centers.
(B) Requirements that crisis centers and backup centers must meet—
(i) to participate in the network under subsection (b)(1); and
(ii) to ensure that each telephone call and applicable other communication received by the hotline, including at backup call centers, is answered in a timely manner, consistent with evidence-based guidance or other guidance or best practices, as appropriate.
(C) Specific recommendations and strategies for implementing evidence-based practices, including with respect to followup and communicating the availability of resources in the community for individuals in need.
(D) Criteria for carrying out periodic testing of the hotline during each fiscal year, including at crisis centers and backup centers, to identify and address any problems in a timely manner.
(3) Consultation
(4) Initial plan; updatesThe Secretary shall—
(A) not later than 1 year after December 29, 2022, complete development of the initial plan under paragraph (1) and make such plan publicly available; and
(B) periodically thereafter, update such plan and make the updated plan publicly available.
(d) Improving epidemiological data
(e) Data to assist State and local suicide prevention activities
(f) Authorization of appropriations
(July 1, 1944, ch. 373, title V, § 520E–3, as added Pub. L. 114–255, div. B, title IX, § 9005, Dec. 13, 2016, 130 Stat. 1239; amended Pub. L. 117–328, div. FF, title I, § 1103(a), Dec. 29, 2022, 136 Stat. 5637.)

CITE AS: 42 USC 290bb-36c

§ 290bb–36d. Treatment Referral Routing Service
(a) In general
(b) Activities of the Secretary
To maintain the Routing Service, the activities of the Assistant Secretary shall include administering—
(1) a nationwide, telephone number providing year-round access to information that is updated on a regular basis regarding local behavioral health providers and community-based organizations in a manner that is confidential, without requiring individuals to identify themselves, is in languages that include at least English and Spanish, and is at no cost to the individual using the Routing Service; and
(2) an Internet website to provide a searchable, online treatment services locator of behavioral health treatment providers and community-based organizations, which shall include information on the name, location, contact information, and basic services provided by such providers and organizations.
(c) Removing practitioner contact information
In the event that the Internet website described in subsection (b)(2) contains information on any practitioner who prescribes narcotic drugs in schedule III, IV, or V of section 812 of title 21 for the purpose of maintenance or detoxification treatment, the Assistant Secretary—
(1) shall provide an opportunity to such practitioner to have the contact information of the practitioner removed from the website at the request of the practitioner; and
(2) may evaluate other methods to periodically update the information displayed on such website.
(d) Rule of construction
(July 1, 1944, ch. 373, title V, § 520E–4, as added Pub. L. 114–255, div. B, title IX, § 9006, Dec. 13, 2016, 130 Stat. 1239; amended Pub. L. 117–215, title I, § 103(b)(3)(A), Dec. 2, 2022, 136 Stat. 2263; Pub. L. 117–328, div. FF, title I, § 1262(b)(3), Dec. 29, 2022, 136 Stat. 5682.)

CITE AS: 42 USC 290bb-36d

§ 290bb–37. Mental health crisis response partnership pilot program
(a) In general
(b) Mobile crisis teams described
A mobile crisis team, for purposes of this section, is a team of individuals—
(1) that is available to respond to individuals in mental health and substance use disorder crises and provide immediate stabilization, referrals to community-based mental health and substance use disorder services and supports, and triage to a higher level of care if medically necessary;
(2) which may include licensed counselors, clinical social workers, physicians, paramedics, crisis workers, peer support specialists, or other qualified individuals; and
(3) which may provide support to divert mental health and substance use disorder crisis calls from the 9–1–1 system to the 9–8–8 system.
(c) Priority
(d) Report
(1) Initial report
(2) Progress reports
Not later than one year after the date on which the first grant is awarded to carry out this section, and for each year thereafter, the Secretary shall submit to Congress a report on the grants made during the year covered by the report, which shall include—
(A) impact data on the teams and people served by such programs, including demographic information of individuals served, volume, and types of service utilization;
(B) outcomes of the number of linkages made to community-based resources or short-term crisis receiving and stabilization facilities, as applicable, and diversion from law enforcement or hospital emergency department settings;
(C) data consistent with the State block grant requirements for continuous evaluation and quality improvement, and other relevant data as determined by the Secretary;
(D) identification and, where appropriate, recommendations of best practices from States and localities providing mobile crisis response and stabilization services for youth and adults; and
(E) identification of any opportunities for improvements to the program established under this section.
(e) Authorization of appropriations
(July 1, 1944, ch. 373, title V, § 520F, as added Pub. L. 106–310, div. B, title XXXII, § 3209, Oct. 17, 2000, 114 Stat. 1200; amended Pub. L. 114–255, div. B, title IX, § 9007, Dec. 13, 2016, 130 Stat. 1240; Pub. L. 117–328, div. FF, title I, § 1122(a), Dec. 29, 2022, 136 Stat. 5650.)

CITE AS: 42 USC 290bb-37

§ 290bb–38. Grants for jail diversion programs
(a) Program authorized
(b) Administration
(1) Consultation
(2) Regulatory authority
(c) Applications
(1) In general
(2) ContentSuch application shall—
(A) contain an assurance that—
(i) community-based mental health services will be available for the individuals who are diverted from the criminal justice system, and that such services are based on evidence-based practices, reflect current research findings, include case management, assertive community treatment, medication management and access, integrated mental health and co-occurring substance use disorder treatment, peer recovery support services, and psychiatric rehabilitation, and will be coordinated with social services, including life skills training, housing placement, vocational training, education job placement, and health care;
(ii) there has been relevant interagency collaboration between the appropriate criminal justice, mental health, and substance use disorder systems; and
(iii) the Federal support provided will be used to supplement, and not supplant, State, local, Indian Tribe, or Tribal organization sources of funding that would otherwise be available;
(B) demonstrate that the diversion program will be integrated with an existing system of care for those with mental illness;
(C) explain the applicant’s inability to fund the program adequately without Federal assistance;
(D) specify plans for obtaining necessary support and continuing the proposed program following the conclusion of Federal support; and
(E) describe methodology and outcome measures that will be used in evaluating the program.
(d) Special consideration regarding veterans
(e) Use of fundsA State, political subdivision of a State, Indian Tribe, or Tribal organization that receives a grant under subsection (a) may use funds received under such grant to—
(1) integrate the diversion program into the existing system of care;
(2) create or expand community-based mental health and co-occurring mental illness and substance use disorder services to accommodate the diversion program;
(3) train professionals and paraprofessionals involved in the system of care, and law enforcement officers, attorneys, and judges;
(4) provide community outreach and crisis intervention; and
(5) develop programs to divert individuals prior to booking, arrest, or release.
(f) Federal share
(1) In general
(2) Federal share
(3) Non-Federal share
(g) Geographic distribution
(h) Training and technical assistance
(i) Evaluations
(j) Authorization of appropriations
(July 1, 1944, ch. 373, title V, § 520G, as added Pub. L. 106–310, div. B, title XXXII, § 3210, Oct. 17, 2000, 114 Stat. 1201; amended Pub. L. 114–255, div. B, title IX, § 9002, Dec. 13, 2016, 130 Stat. 1234; Pub. L. 117–328, div. FF, title I, § 1216, Dec. 29, 2022, 136 Stat. 5669.)

CITE AS: 42 USC 290bb-38

§ 290bb–39. Peer-supported mental health services
(a) Grants authorized
(b) Use of fundsGrants awarded under subsection (a) shall be used to develop, expand, and enhance national, statewide, or community-focused programs, including virtual peer-support services and technology-related capabilities, including by—
(1) carrying out workforce development, recruitment, and retention activities, to train, recruit, and retain peer-support providers;
(2) building connections between mental health treatment programs, including between community organizations and peer-support networks, including virtual peer-support networks, and with other mental health support services;
(3) reducing stigma associated with mental health disorders;
(4) expanding and improving virtual peer mental health support services, including through the adoption of technologies and capabilities to expand access to virtual peer mental health support services, such as by acquiring equipment and software necessary to efficiently run virtual peer-support services; and
(5) conducting research on issues relating to mental illness and the impact peer-support has on resiliency, including identifying—
(A) the signs of mental illness;
(B) the resources available to individuals with mental illness and to their families; and
(C) the resources available to help support individuals living with mental illness.
(c) Special consideration
(d) DefinitionIn this section, the term “eligible entity” means—
(1) a consumer-run nonprofit organization that—
(A) is principally governed by people living with a mental health condition; and
(B) mobilizes resources within and outside of the mental health community, which may include through peer-support networks, to increase the prevalence and quality of long-term wellness of individuals living with a mental health condition, including those with a co-occurring substance use disorder; or
(2) an Indian Tribe, Tribal organization, Urban Indian organization, or consortium of Tribes or Tribal organizations.
(e) Authorization of appropriations
(July 1, 1944, ch. 373, title V, § 520H, as added Pub. L. 117–328, div. FF, title I, § 1151, Dec. 29, 2022, 136 Stat. 5658.)

CITE AS: 42 USC 290bb-39

§ 290bb–39a. Best practices for behavioral and mental health intervention teams
(a) In general
(b) ElementsThe report under subsection (a) shall assess evidence supporting such best practices and, as appropriate, include consideration of the following:
(1) How behavioral and mental health intervention teams might operate effectively from an evidence-based, objective perspective while protecting the constitutional and civil rights and privacy of individuals.
(2) The use of behavioral and mental health intervention teams—
(A) to identify and support students exhibiting behaviors interfering with learning or posing a risk of harm to self or others; and
(B) to implement evidence-based interventions to meet the behavioral and mental health needs of such students.
(3) How behavioral and mental health intervention teams can—
(A) access evidence-based professional development to support students described in paragraph (2)(A); and
(B) ensure that such teams—
(i) are composed of trained, diverse stakeholders with expertise in child and youth development, behavioral and mental health, and disability; and
(ii) use cross validation by a wide-range of individual perspectives on the team.
(4) How behavioral and mental health intervention teams can help mitigate inappropriate referral to mental health services or law enforcement by implementing evidence-based interventions that meet student needs.
(c) ConsultationIn carrying out subsection (a), the Secretary shall consult with—
(1) the Secretary of Education;
(2) the Director of the National Threat Assessment Center of the United States Secret Service;
(3) the Attorney General;
(4) teachers (which shall include special education teachers), principals and other school leaders, school board members, behavioral and mental health professionals (including school-based mental health professionals), and parents of students;
(5) local law enforcement agencies and campus law enforcement administrators;
(6) privacy, disability, and civil rights experts; and
(7) other education and mental health professionals as the Secretary deems appropriate.
(d) Publication
(e) DefinitionsIn this section:
(1) The term “behavioral and mental health intervention team” means a multidisciplinary team of trained individuals who—
(A) are trained to identify and assess the behavioral health needs of children and youth and who are responsible for identifying, supporting, and connecting students exhibiting behaviors interfering with learning at school, or who are at risk of harm to self or others, with appropriate behavioral health services; and
(B) develop and facilitate implementation of evidence-based interventions to—
(i) mitigate the threat of harm to self or others posed by a student described in subparagraph (A);
(ii) meet the mental and behavioral health needs of such students; and
(iii) support positive, safe, and supportive learning environments.
(2) The terms “elementary school”, “parent”, and “secondary school” have the meanings given to such terms in section 7801 of title 20.
(3) The term “institution of higher education” has the meaning given to such term in section 1002 of title 20.
(July 1, 1944, ch. 373, title V, § 520H–1, as added Pub. L. 117–328, div. FF, title I, § 1404, Dec. 29, 2022, 136 Stat. 5700.)

CITE AS: 42 USC 290bb-39a

§ 290bb–40. Grants for the integrated treatment of serious mental illness and co-occurring substance abuse
(a) In general
(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.
(c) Use of funds
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) shall use funds received under such grant—
(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
(e) Distribution of awards
(f) Duration
(g) Application
(h) Evaluation
(i) Authorization of appropriation
(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.)

CITE AS: 42 USC 290bb-40

§ 290bb–41. Mental health awareness training grants
(a) In general
(b) Mental health awareness training grants
(1) In general
(2) Emergency services personnel
(3) Distribution of awards
(4) Application
(5) Use of funds
A State, political subdivision of a State, Indian Tribe, Tribal organization, or nonprofit private entity receiving a grant under this subsection shall use funds from such grant for evidence-based programs that provide training and education in accordance with paragraph (1) on matters including—
(A) recognizing the signs and symptoms of mental illness;
(B)
(i) resources available in the community for individuals with a mental illness and other relevant resources; or
(ii) safely de-escalating crisis situations involving individuals with a mental illness; and
(C) suicide intervention and prevention.
(6) Evaluation
(7) Technical assistance
The Secretary may provide technical assistance to grantees in carrying out this section, which may include assistance with—
(A) program evaluation and related activities, including related data collection and reporting;
(B) implementing and disseminating evidence-based practices and programs; and
(C) facilitating collaboration among grantees.
(8) Authorization of appropriations
(July 1, 1944, ch. 373, title V, § 520J, as added Pub. L. 106–310, div. B, title XXXII, § 3213, Oct. 17, 2000, 114 Stat. 1206; amended Pub. L. 114–255, div. B, title IX, § 9010, Dec. 13, 2016, 130 Stat. 1244; Pub. L. 117–328, div. FF, title I, § 1122(b), Dec. 29, 2022, 136 Stat. 5651.)

CITE AS: 42 USC 290bb-41

§ 290bb–42. Improving uptake and patient access to integrated care services
(a) DefinitionsIn this section:
(1) Eligible entityThe term “eligible entity” means a State, or an appropriate State agency, in collaboration with—
(A) 1 or more qualified community programs as described in section 300x–2(b)(1) of this title; or
(B) 1 or more health centers (as defined in section 254b(a) of this title), rural health clinics (as defined in section 1395x(aa) of this title), or Federally qualified health centers (as defined in such section), or primary care practices serving adult or pediatric patients or both.
(2) Integrated care; bidirectional integrated care
(A) The term “integrated care” means collaborative models, including the psychiatric collaborative care model and other evidence-based or evidence-informed models, or practices for coordinating and jointly delivering behavioral and physical health services, which may include practices that share the same space in the same facility.
(B) The term “bidirectional integrated care” means the integration of behavioral health care and specialty physical health care, and the integration of primary and physical health care within specialty behavioral health settings, including within primary health care settings.
(3) Psychiatric collaborative care modelThe term “psychiatric collaborative care model” means the evidence-based, integrated behavioral health service delivery method that includes—
(A) care directed by the primary care team;
(B) structured care management;
(C) regular assessments of clinical status using developmentally appropriate, validated tools; and
(D) modification of treatment as appropriate.
(4) Special populationThe term “special population” means—
(A) adults with a serious mental illness or adults who have co-occurring mental illness and physical health conditions or chronic disease;
(B) children and adolescents with a serious emotional disturbance who have a co-occurring physical health condition or chronic disease;
(C) individuals with a substance use disorder; or
(D) individuals with a mental illness who have a co-occurring substance use disorder.
(b) Grants and cooperative agreements
(1) In general
(2) Use of fundsA grant or cooperative agreement awarded under this section shall be used—
(A) to promote full integration and collaboration in clinical practices between physical and behavioral health care, including for special populations;
(B) to support the improvement of integrated care models for physical and behavioral health care to improve overall wellness and physical health status, including for special populations;
(C) to promote the implementation and improvement of bidirectional integrated care services provided at entities described in subsection (a)(1), including evidence-based or evidence-informed screening, assessment, diagnosis, prevention, treatment, and recovery services for mental and substance use disorders, and co-occurring physical health conditions and chronic diseases; and
(D) in the case of an eligible entity that is collaborating with a primary care practice, to support the implementation of evidence-based or evidence-informed integrated care models, including the psychiatric collaborative care model, including—
(i) by hiring staff;
(ii) by identifying and formalizing contractual relationships with other health care providers or other relevant entities offering care management and behavioral health consultation to facilitate the adoption of integrated care, including, as applicable, providers who will function as psychiatric consultants and behavioral health care managers in providing behavioral health integration services through the collaborative care model;
(iii) by purchasing or upgrading software and other resources, as applicable, needed to appropriately provide behavioral health integration, including resources needed to establish a patient registry and implement measurement-based care; and
(iv) for such other purposes as the Secretary determines to be applicable and appropriate.
(c) Applications
(1) In general
(2) Contents for awardsAny such application of an eligible entity seeking a grant or cooperative agreement under this section shall include, as applicable—
(A) a description of a plan to achieve fully collaborative agreements to provide bidirectional integrated care to special populations;
(B) a summary of the policies, if any, that are barriers to the provision of integrated care, and the specific steps, if applicable, that will be taken to address such barriers;
(C) a description of partnerships or other arrangements with local health care providers to provide services to special populations and, as applicable, in areas with demonstrated need, such as Tribal, rural, or other medically underserved communities, such as those with a workforce shortage of mental health and substance use disorder, pediatric mental health, or other related professionals;
(D) an agreement and plan to report to the Secretary performance measures necessary to evaluate patient outcomes and facilitate evaluations across participating projects; and
(E) a description of the plan or progress in implementing the psychiatric collaborative care model, as applicable and appropriate;
(F) a description of the plan or progress of evidence-based or evidence-informed integrated care models other than the psychiatric collaborative care model implemented by primary care practices, as applicable and appropriate; and
(G) a plan for sustainability beyond the grant or cooperative agreement period under subsection (e).
(d) Grant and cooperative agreement amounts
(1) Target amount
(2) Adjustment permitted
(3) LimitationAn eligible entity that is receiving funding under subsection (b)—
(A) may not allocate more than 10 percent of the funds awarded to such eligible entity under this section to administrative functions; and
(B) shall allocate the remainder of such funding to health facilities that provide integrated care.
(e) Duration
(f) Report on program outcomesAn eligible entity receiving a grant or cooperative agreement under this section shall submit an annual report to the Secretary. Such annual report shall include—
(1) the progress made to reduce barriers to integrated care as described in the entity’s application under subsection (c);
(2) a description of outcomes with respect to each special population listed in subsection (a)(4), including outcomes related to education, employment, and housing, or, as applicable and appropriate, outcomes for such populations receiving behavioral health care through the psychiatric collaborative care model in primary care practices; and
(3) progress in meeting performance metrics and other relevant benchmarks; and
(4) such other information that the Secretary may require.
(g) Technical assistance for primary-behavioral health care integration
(1) Certain recipientsThe Secretary may provide appropriate information, training, and technical assistance to eligible entities that receive a grant or cooperative agreement under subsection (b)(2), in order to help such entities meet the requirements of this section, including assistance with—
(A) development and selection of integrated care models;
(B) dissemination of evidence-based interventions in integrated care;
(C) establishment of organizational practices to support operational and administrative success; and
(D) as appropriate, appropriate information, training, and technical assistance in implementing the psychiatric collaborative care model when an eligible entity is collaborating with 1 or more primary care practices for the purposes of implementing the psychiatric collaborative care model.
(2) Additional dissemination of technical information
(h) Report to Congress
(i) Funding
(1) Authorization of appropriations
(2) Increasing uptake of the psychiatric collaborative care model by primary care practices
(3) Funding contingency
(July 1, 1944, ch.373, title V, § 520K, as added Pub. L. 111–148, title V, § 5604, Mar. 23, 2010, 124 Stat. 679; amended Pub. L. 114–255, div. B, title IX, § 9003, Dec. 13, 2016, 130 Stat. 1235; Pub. L. 117–328, div. FF, title I, § 1301, Dec. 29, 2022, 136 Stat. 5692.)

CITE AS: 42 USC 290bb-42

§ 290bb–43. Adult suicide prevention
(a) Grants
(1) In general
(2) Eligible entities
(3) Use of funds
The grants awarded under paragraph (1) shall be used to implement programs, in accordance with such paragraph, that include one or more of the following components:
(A) Screening for suicide risk, suicide intervention services, and services for referral for treatment for individuals at risk for suicide.
(B) Implementing evidence-based practices to provide treatment for individuals at risk for suicide, including appropriate followup services.
(C) Raising awareness of suicide prevention resources and promoting help seeking among those at risk for suicide.
(b) Evaluations and technical assistance
The Assistant Secretary shall—
(1) evaluate the activities supported by grants awarded under subsection (a), and disseminate, as appropriate, the findings from the evaluation;
(2) provide appropriate information, training, and technical assistance, as appropriate, to eligible entities that receive a grant under this section, in order to help such entities to meet the requirements of this section, including assistance with selection and implementation of evidence-based interventions and frameworks to prevent suicide; and
(3) identify best practices, as applicable, to improve the identification, assessment, treatment, and timely transition, as appropriate, to additional or follow-up care for individuals in emergency departments who are at risk for suicide and enhance the coordination of care for such individuals during and after discharge, in support of activities under subsection (a).
(c) Duration
(d) Authorization of appropriations
(July 1, 1944, ch. 373, title V, § 520L, as added Pub. L. 114–255, div. B, title IX, § 9009, Dec. 13, 2016, 130 Stat. 1243; amended Pub. L. 117–328, div. FF, title I, § 1122(c), Dec. 29, 2022, 136 Stat. 5652.)

CITE AS: 42 USC 290bb-43

§ 290bb–44. Assertive community treatment grant program
(a) In generalThe Assistant Secretary shall award grants to eligible entities—
(1) to establish assertive community treatment programs for adults with a serious mental illness; or
(2) to maintain or expand such programs.
(b) Eligible entities
(c) Special consideration
(d) Additional activitiesThe Assistant Secretary shall—
(1) not later than the end of fiscal year 2026, submit a report to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives on the grant program under this section, including an evaluation of—
(A) any cost savings and public health outcomes such as mortality, suicide, substance use disorders, hospitalization, and use of services;
(B) rates of involvement with the criminal justice system of patients;
(C) rates of homelessness among patients; and
(D) patient and family satisfaction with program participation; and
(2) provide appropriate information, training, and technical assistance to grant recipients under this section to help such recipients to establish, maintain, or expand their assertive community treatment programs.
(e) Authorization of appropriations
(1) In general
(2) Use of certain funds
(July 1, 1944, ch. 373, title V, § 520M, as added Pub. L. 114–255, div. B, title IX, § 9015, Dec. 13, 2016, 130 Stat. 1245; amended Pub. L. 117–328, div. FF, title I, § 1123(a), Dec. 29, 2022, 136 Stat. 5653.)

CITE AS: 42 USC 290bb-44

§ 290bb–45. Center of Excellence for Eating Disorders for education and training on eating disorders
(a) In general
(b) Subgrants and subcontractsThe Center shall coordinate and implement the activities under subsection (c), in whole or in part, which may include by awarding competitive subgrants or subcontracts—
(1) across geographical regions; and
(2) in a manner that is not duplicative.
(c) ActivitiesThe Center—
(1) shall—
(A) provide training and technical assistance, including for—
(i) primary care and mental health providers to carry out screening, brief intervention, and referral to treatment for individuals experiencing, or at risk for, eating disorders; and
(ii) other paraprofessionals and relevant individuals providing nonclinical community services to identify and support individuals with, or at disproportionate risk for, eating disorders;
(B) facilitate the development of, and provide training materials to, health care providers (including primary care and mental health professionals) regarding the effective treatment and ongoing support of individuals with eating disorders, including children and marginalized populations at disproportionate risk for eating disorders;
(C) collaborate and coordinate, as appropriate, with other centers of excellence, technical assistance centers, and psychiatric consultation lines of the Substance Abuse and Mental Health Services Administration and the Health Resources and Services Administration regarding eating disorders;
(D) coordinate with the Director of the Centers for Disease Control and Prevention and the Administrator of the Health Resources and Services Administration, and other Federal agencies, as appropriate, to disseminate training to primary care and mental health care providers; and
(E) support other activities, as determined appropriate by the Secretary; and
(2) may—
(A) support the integration of protocols pertaining to screening, brief intervention, and referral to treatment for individuals experiencing, or at risk for, eating disorders, with health information technology systems;
(B) develop and provide training materials to health care providers, including primary care and mental health providers, to provide screening, brief intervention, and referral to treatment for members of the military and veterans experiencing, or at risk for, eating disorders; and
(C) consult, as appropriate, with the Secretary of Defense and the Secretary of Veterans Affairs on prevention, identification, intervention for, and treatment of eating disorders.
(d) Authorization of appropriations
(July 1, 1944, ch. 373, title V, § 520N, as added Pub. L. 117–328, div. FF, title I, § 1131, Dec. 29, 2022, 136 Stat. 5655.)

CITE AS: 42 USC 290bb-45

§§ 290cc to 290cc–12. Repealed. Pub. L. 102–321, title I, §§ 117, 120(b)(3), 123(c), July 10, 1992, 106 Stat. 348, 358, 363

CITE AS: 42 USC 290cc to 290cc-12

§ 290cc–13. Transferred

CITE AS: 42 USC 290cc-13