1.This Act may be cited as
the Garrett Lee Smith Memorial Act
Reauthorization of 2010
.
2.Suicide
prevention technical assistance centerSection 520C of the Public Health Service
Act (42 U.S.C. 290bb–34) is amended to read as follows:
520C.Suicide
prevention technical assistance center
(a)The Secretary, acting through the Administrator of the
Substance Abuse and Mental Health Services Administration, shall establish a
research, training, and technical assistance resource center to provide
appropriate information, training, and technical assistance to States,
political subdivisions of States, federally recognized Indian tribes, tribal
organizations, institutions of higher education, public organizations, or
private nonprofit organizations concerning the prevention of suicide among all
ages, particularly among groups that are at high risk for suicide.
(b)Responsibilities
of the centerThe center established under subsection (a)
shall—
(1)assist in the
development or continuation of statewide and tribal suicide early intervention
and prevention strategies for all ages, particularly among groups that are at
high risk for suicide;
(2)ensure the
surveillance of suicide early intervention and prevention strategies for all
ages, particularly among groups that are at high risk for suicide;
(3)study 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 identify
and understand causes and associated risk factors for suicide for all ages,
particularly among groups that are at high risk for suicide;
(5)analyze the
efficacy of new and existing suicide early intervention and prevention
techniques and technology for all ages, particularly among groups that are at
high risk for suicide;
(6)ensure the
surveillance of suicidal behaviors and nonfatal suicidal attempts;
(7)study the
effectiveness of State-sponsored statewide and tribal suicide early
intervention and prevention strategies for all ages particularly among groups
that are at high risk for suicide on the overall wellness and health promotion
strategies related to suicide attempts;
(8)promote the
sharing of data regarding suicide with Federal agencies involved with suicide
early intervention and prevention, and State-sponsored statewide and tribal
suicide early intervention and prevention strategies for the purpose of
identifying previously unknown mental health causes and associated risk factors
for suicide among all ages particularly among groups that are at high risk for
suicide;
(9)evaluate and
disseminate outcomes and best practices of mental health and substance use
disorder services at institutions of higher education; and
(10)conduct other
activities determined appropriate by the Secretary.
(c)Authorization
of appropriationsFor the purpose of carrying out this section,
there are authorized to be appropriated $5,000,000 for fiscal year 2011, and
such sums as may be necessary for each of fiscal years 2012 through
2015.
.
3.Youth suicide
intervention and prevention strategiesSection 520E of the Public Health Service
Act (42 U.S.C. 290bb–36) is amended to read as follows:
520E.Youth suicide
early intervention and prevention strategies
(a)The Secretary, acting through the Administrator of the
Substance Abuse and Mental Health Services Administration, 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, 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.
(b)
(1)In
this section, the term eligible entity means—
(A)a State;
(B)a public
organization or private nonprofit organization designated by a State to develop
or direct the State-sponsored statewide 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) or an urban Indian organization (as defined in the
Indian Health Care Improvement Act)
that is actively involved in the development and continuation of a tribal youth
suicide early intervention and prevention strategy.
(2)In
carrying out this section, the Secretary shall ensure that a State does not
receive more than one grant or cooperative agreement under this section at any
one time. For purposes of the preceding sentence, a State shall be considered
to have received a grant or cooperative agreement if the eligible entity
involved is the State or an entity designated by the State under paragraph
(1)(B). Nothing in this paragraph shall be constructed to apply to entities
described in paragraph (1)(C).
(c)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, 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, 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, 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;
and
(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.
(d)Requirement for
direct servicesNot less than 85 percent of grant funds received
under this section shall be used to provide direct services, of which not less
than 5 percent shall be used for activities authorized under subsection
(a)(3).
(e)Consultation
and policy development
(1)In carrying out this section, the Secretary shall
collaborate with relevant Federal agencies and suicide working groups
responsible for early intervention and prevention services relating to youth
suicide.
(2)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, the State Children's Health Insurance Program under title XXI
of the Social Security Act, and
programs funded by grants under title V of the Social Security Act;
(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)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
(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 accommodationNothing in this
section shall be construed to require suicide assessment, early intervention,
or treatment services for youth whose parents or legal guardians object based
on the parents' or legal guardians' religious beliefs or moral
objections.
(g)
(1)Evaluations by
eligible entitiesNot later than 18 months after receiving a
grant or cooperative agreement under this section, an eligible entity shall
submit to the Secretary the results of an evaluation to be conducted by the
entity concerning the effectiveness of the activities carried out under the
grant or agreement.
(2)Not
later than 2 years after the date of enactment of this section, 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 medicationNothing in this section shall be
construed to allow school personnel to require that a student obtain any
medication as a condition of attending school or receiving services.
(i)Funds
appropriated to carry out this section, section 527, or section 529 shall not
be used to pay for or refer for abortion.
(j)States and entities receiving funding under this section
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 provisionsNothing in this section shall be construed
to supersede section 444 of the General Education Provisions Act, including the
requirement of prior parental consent for the disclosure of any education
records. Nothing in this section shall be construed to modify or affect
parental notification requirements for programs authorized under the
Elementary and Secondary Education Act of
1965 (as amended by the No Child Left Behind Act of 2001; Public Law
107–110).
(l)In
this section:
(1)The term early intervention means a
strategy or approach that is intended to prevent an outcome or to alter the
course of an existing condition.
(2)Educational
institution; institution of higher education; schoolThe
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 101 of
the Higher Education Act of 1965;
and
(C)school
means an elementary or secondary school (as such terms are defined in section
9101 of the Elementary and Secondary Education
Act of 1965).
(3)The
term prevention means a strategy or approach that reduces the
likelihood or risk of onset, or delays the onset, of adverse health problems
that have been known to lead to suicide.
(4)The
term youth means individuals who are between 10 and 24 years of
age.
(m)Authorization
of appropriationsFor the purpose of carrying out this section,
there are authorized to be appropriated $34,000,000 for fiscal year 2011,
$38,000,000 for fiscal year 2012, and $42,000,000 for fiscal year 2013,
$46,000,000 for fiscal year 2014, and $50,000,000 for fiscal year
2015.
.
4.Mental health
and substance use disorders services and outreach on campus
(a)Mental health
and substance use disorders services on campusSection 520E–2 of the Public Health Service
Act (42 U.S.C. 290bb–36b) is amended to read as follows:
520E–2.Mental
health and substance use disorders services on campus
(a)The Secretary, acting through the Director of the Center
for Mental Health Services and in consultation with the Secretary of Education,
shall award grants on a competitive basis to institutions of higher education
to enhance services for students with mental health or substance use disorders
and to develop best practices for the delivery of such services.
(b)Amounts received under a grant under this section shall be
used for 1 or more of the following activities:
(1)The provision of
mental health and substance use disorder services to students, including
prevention, promotion of mental health, voluntary screening, early
intervention, voluntary assessment, treatment, and management of mental health
and substance abuse disorder issues.
(2)The provision of
outreach services to notify students about the existence of mental health and
substance use disorder services.
(3)Educating
students, families, faculty, staff, and communities to increase awareness of
mental health and substance use disorders.
(4)The employment of
appropriately trained staff, including administrative staff.
(5)The provision of
training to students, faculty, and staff to respond effectively to students
with mental health and substance use disorders.
(6)The creation of a
networking infrastructure to link colleges and universities with providers who
can treat mental health and substance use disorders.
(7)Developing,
supporting, evaluating, and disseminating evidence-based and emerging best
practices.
(c)Implementation
of activities using grant fundsAn institution of higher
education that receives 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;
(5)institution of
higher education supported, evidence-based, mental health and substance use
disorder programs; or
(6)any other entity
that provides mental health and substance use disorder services at an
institution of higher education.
(d)To
be eligible to receive a grant under this section, an institution of higher
education shall prepare and submit to the Secretary an application at such time
and in such manner as the Secretary may require. At a minimum, such application
shall include the following:
(1)A description 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.
(3)A description of
the outreach strategies of the institution of higher education for promoting
access to services, including a proposed plan for reaching those students most
in need of mental health services.
(4)A plan, when
applicable, to meet the specific mental health and substance use disorder needs
of veterans attending institutions of higher education.
(5)A plan to seek
input from community mental health providers, when available, community groups
and other public and private entities in carrying out the program under the
grant.
(6)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.
(7)An assurance that
the institution will submit a report to the Secretary each fiscal year
concerning the activities carried out with the grant and the results achieved
through those activities.
(e)In awarding grants under this section, the
Secretary shall give special consideration to applications that describe
programs to be carried out under the grant that—
(1)demonstrate the
greatest need for new or additional mental and substance use disorder services,
in part by providing information on current ratios of students to mental health
and substance use disorder health professionals and
(2)demonstrate the
greatest potential for replication.
(f)Requirement of
matching funds
(1)The Secretary may make a grant under this section to an
institution of higher education only if the institution agrees to make
available (directly or through donations from public or private entities)
non-Federal contributions in an amount that is not less than $1 for each $1 of
Federal funds provided under the grant, toward the costs of activities carried
out with the grant (as described in subsection (b)) and other activities by the
institution to reduce student mental health and substance use disorders.
(2)Determination
of amount contributedNon-Federal contributions required under
paragraph (1) may be in cash or in kind. Amounts provided by the Federal
Government, or services assisted or subsidized to any significant extent by the
Federal Government, may not be included in determining the amount of such
non-Federal contributions.
(3)The
Secretary may waive the application of paragraph (1) with respect to an
institution of higher education if the Secretary determines that extraordinary
need at the institution justifies the waiver.
(g)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 Congress 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 efforts to reduce the incidence
of suicide and substance use disorders.
(h)In
this section, the term institution of higher education has the
meaning given such term in section 101 of the Higher Education Act of
1965.
(i)Authorization
of appropriationsFor the purpose of carrying out this section,
there are authorized to be appropriated $10,000,000 for fiscal year 2011, and
such sums as may be necessary for each of fiscal years 2012 through
2015.
.
(b)Mental health
and substance use disorder outreach and education on college
campusesSubpart 3 of part B of title V of the Public Health
Service Act (42 U.S.C. 290bb–31 et seq.) is amended by inserting after section
520E–2 (as amended by subsection (a)) the following:
520E-3.Mental
health and substance use disorder outreach and education on college
campuses
(a)It
is the purpose of this section to increase access to, and reduce the stigma
associated with, mental health services so as to ensure that college students
have the support necessary to successfully complete their studies.
(b)National public
education campaignThe Secretary, acting through the
Administrator and in collaboration with the Director of the Centers for Disease
Control and Prevention, shall convene an interagency, public-private sector
working group to plan, establish, and begin coordinating and evaluating a
targeted public education campaign that is designed to focus on mental health
and substance use disorders on college campuses. Such campaign shall be
designed to—
(1)improve the
general understanding of mental health and mental health disorders, and
substance use disorders;
(2)encourage
help-seeking behaviors relating to the promotion of mental health, prevention
of mental health and substance use disorders, and treatment of such
disorders;
(3)make the
connection between mental health and substance use disorders and academic
success; and
(4)assist the
general public in identifying the early warning signs and reducing the stigma
of mental illness.
(c)The
working group under subsection (b) shall include—
(1)consumers of
mental health services and their family members;
(2)representatives
of colleges and universities;
(3)representatives
of national mental and behavioral health and college associations;
(4)representatives
of mental health providers, including community mental health centers;
and
(5)representatives
of private- and public-sector groups with experience in the development of
effective public health education campaigns.
(d)The
working group under subsection (b) shall develop a plan that shall—
(1)target
promotional and educational efforts to the college age population and
individuals who are employed in college and university settings, including the
use of roundtables;
(2)develop and
propose the implementation of research-based public health messages and
activities;
(3)provide support
for local efforts to reduce stigma by using the National Mental Health
Information Center as a primary point of contact for in formation,
publications, and service program referrals; and
(4)develop and
propose the implementation of a social marketing campaign that is targeted at
the college population and individuals who are employed in college and
university settings.
(e)Authorization
of appropriationsThere is authorized to be appropriated, such
sums as may be necessary to carry out this
section.
.
5.Interagency
working group on college mental health
(a)It
is the purpose of this section, pursuant to Executive Order 13263 (and the
recommendations issued under section 6(b) of such Order), to provide for the
establishment of a College Campus Task Force under the Federal Executive
Steering Committee on Mental Health, to discuss mental health and substance use
disorder concerns on college and university campuses.
(b)The
Secretary of Health and Human Services (referred to in this section as the
Secretary
) shall establish a College Campus Task Force (referred
to in this section as the Task Force
), under the Federal
Executive Steering Committee on Mental Health, to discuss mental health and
substance use disorder concerns on college and university campuses.
(c)The
Task Force shall be composed of a representative from each Federal agency (as
appointed by the head of the agency) that has jurisdiction over, or is affected
by, mental health and education policies and projects, including—
(1)the Department of
Education;
(2)the Department of
Health and Human Services;
(3)the Department of
Veterans Affairs; and
(4)such other
Federal agencies as the Administrator of the Substance Abuse and Mental Health
Services Administration and the Secretary jointly determine to be
appropriate.
(d)The
Task Force shall—
(1)serve as a
centralized mechanism to coordinate a national effort—
(A)to discuss and
evaluate evidence and knowledge on mental and behavioral health services
available to, and the prevalence of mental health illness and substance use
disorders among, the college age population of the United States;
(B)to determine the
range of effective, feasible, and comprehensive actions to improve mental
health and address substance use disorders on college and university
campuses;
(C)to examine and
better address the needs of the college age population dealing with mental
illness and substance use disorders;
(D)to survey Federal
agencies to determine which policies are effective in encouraging, and how best
to facilitate outreach without duplicating, efforts relating to mental and
behavioral health promotion;
(E)to establish
specific goals within and across Federal agencies for mental health promotion,
including determinations of accountability for reaching those goals;
(F)to develop a
strategy for allocating responsibilities and ensuring participation in mental
health and substance use disorder promotions, particularly in the case of
competing agency priorities;
(G)to coordinate
plans to communicate research results relating to mental and behavioral health
amongst the college age population to produce more useful and timely
information;
(H)to provide a
description of evidence based best practices, model programs, effective
guidelines, and other strategies for promoting mental health and substance use
disorder on college and university campuses;
(I)to make
recommendations to improve Federal efforts relating to mental and behavioral
health promotion on college campuses and to ensure Federal efforts are
consistent with available standards and evidence and other programs in
existence as of the date of enactment of this Act; and
(J)to monitor
Federal progress in meeting specific mental and behavioral health promotion
goals as they relate to college and university settings;
(2)consult with
national organizations with expertise in mental health and substance use
disorder, especially those organizations working with the college age
population; and
(3)consult with and
seek input from mental heath professionals working on college and university
campuses as appropriate.
(e)
(1)The Task Force shall meet at least 3 times each
year.
(2)The Secretary shall sponsor an annual conference on
mental and behavioral health in college and university settings to enhance
coordination, build partnerships, and share best practices in mental health and
substance use disorder promotion, data collection, analysis, and
services.
(f)Authorization
of appropriationsThere are authorized to be appropriated, such
sums as may be necessary to carry out this section.