[Congressional Bills 110th Congress]
[From the U.S. Government Publishing Office]
[S. 1560 Introduced in Senate (IS)]







110th CONGRESS
  1st Session
                                S. 1560

   To amend the Public Health Service Act to improve the quality and 
  availability of mental health services for children and adolescents.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                              June 6, 2007

 Mr. Dodd (for himself, Mr. Domenici, and Mr. Kennedy) introduced the 
 following bill; which was read twice and referred to the Committee on 
                 Health, Education, Labor, and Pensions

_______________________________________________________________________

                                 A BILL


 
   To amend the Public Health Service Act to improve the quality and 
  availability of mental health services for children and adolescents.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``Child and 
Adolescent Mental Health Resiliency Act of 2007''.
    (b) Table of Contents.--The table of contents of this Act is as 
follows:

Sec. 1. Short title; table of contents.
Sec. 2. Findings.
TITLE I--STATE AND COMMUNITY ACTIVITIES CONCERNING THE MENTAL HEALTH OF 
                        CHILDREN AND ADOLESCENTS

Sec. 101. Grants concerning comprehensive state mental health plans.
Sec. 102. Grants concerning early intervention and prevention.
Sec. 103. Activities concerning mental health services in schools.
Sec. 104. Activities concerning mental health services under the early 
                            and periodic screening, diagnostic, and 
                            treatment services program.
Sec. 105. Activities concerning mental health services for at-risk 
                            mothers and their children.
Sec. 106. Activities concerning interagency case management.
Sec. 107. Grants concerning consumer and family participation.
Sec. 108. Grants concerning information on child and adolescent mental 
                            health services.
Sec. 109. Activities concerning public education of child and 
                            adolescent mental health disorders and 
                            services.
Sec. 110. Technical assistance center concerning training and seclusion 
                            and restraints.
Sec. 111. Technical assistance centers concerning consumer and family 
                            participation.
Sec. 112. Comprehensive community mental health services for children 
                            and adolescents with serious emotional 
                            disturbances.
Sec. 113. Community mental health services performance partnership 
                            block grant.
Sec. 114. Community mental health services block grant program.
Sec. 115. Grants for jail diversion programs.
Sec. 116. Activities concerning mental health services for juvenile 
                            justice populations.
   TITLE II--FEDERAL INTERAGENCY COLLABORATION AND RELATED ACTIVITIES

Sec. 201. Interagency coordinating committee concerning the mental 
                            health of children and adolescents.
TITLE III--RESEARCH ACTIVITIES CONCERNING THE MENTAL HEALTH OF CHILDREN 
                            AND ADOLESCENTS

Sec. 301. Activities concerning evidence-based or promising best 
                            practices.
Sec. 302. Federal research concerning adolescent mental health.

SEC. 2. FINDINGS.

    Congress makes the following findings:
            (1) According to the Surgeon General's Conference on 
        Children's Mental Health: A National Action Agenda, mental 
        health is a critical component of children's learning and 
        general health.
            (2) According to the Surgeon General's Conference on 
        Children's Mental Health: A National Action Agenda, 1 in 10 
        children and adolescents suffer from mental illness severe 
        enough to cause some level of impairment.
            (3) According to the Surgeon General's Conference on 
        Children's Mental Health: A National Action Agenda, only 1 in 5 
        children and adolescents who suffer from severe mental illness 
        receive the specialty mental health services they require.
            (4) According to the World Health Organization, childhood 
        neuropsychiatric disorders will rise by more than 50 percent by 
        2020, internationally, to become 1 of the 5 most common causes 
        of morbidity, mortality, and disability among children.
            (5) According to the Surgeon General's Conference on 
        Children's Mental Health: A National Action Agenda, the burden 
        of suffering experienced by children with mental illness and 
        their families has created a health crisis in this country.
            (6) According to the Surgeon General's Conference on 
        Children's Mental Health: A National Action Agenda, there is 
        broad evidence that the nation lacks a unified infrastructure 
        to help children suffering from mental illness.
            (7) According to the President's New Freedom Commission on 
        Mental Health, President George Bush identified 3 obstacles 
        preventing Americans with mental illness from getting the care 
        they require: stigma that surrounds mental illness, unfair 
        treatment limitations and financial requirements placed on 
        mental health benefits in private health insurance, and the 
        fragmented mental health service delivery system.
            (8) According to the Surgeon General's Conference on 
        Children's Mental Health: A National Action Agenda, 1 way to 
        ensure that the country's health system meets the mental health 
        needs of children is to move towards a community-based mental 
        health delivery system that balances health promotion, disease 
        prevention, early detection, and universal access to care.
            (9) According to the President's New Freedom Commission on 
        Mental Health, transforming the country's mental health 
        delivery system rests on 2 principles: services and treatments 
        must be consumer and family-centered, and care must focus on 
        increasing a person's ability to successfully cope with life's 
        challenges, on facilitating recovery, and building resiliency.
            (10) According to the Surgeon General's Conference on 
        Children's Mental Health: A National Action Agenda, the mental 
        health and resiliency of children can be ensured by methods 
        that promote public awareness of children's mental health 
        issues and reduce stigma associated with mental illness, 
        continue to develop, disseminate, and implement evidence-based 
        and promising prevention and treatment services in the field of 
        children's mental health, improve the assessment of and 
        recognition of mental health needs in children, eliminate 
        racial, ethnic, and socioeconomic disparities in access to 
        mental healthcare services, improve the infrastructure for 
        children's mental health services, including support for 
        evidence-based and promising interventions across professions, 
        increase access to and coordination of quality mental 
        healthcare services, train frontline providers to recognize and 
        manage mental health issues and educate mental healthcare 
        providers about evidence-based and promising prevention and 
        treatment services, and monitor the access to and coordination 
        of quality mental healthcare services.
            (11) According to the President's New Freedom Commission on 
        Mental Health, the country's mental health delivery system can 
        be successfully transformed by methods that ensure Americans 
        understand that mental health is essential to overall health, 
        ensure mental health care is consumer and family-driven, 
        eliminate disparities in mental healthcare services, ensure 
        early mental health screening, assessment, and referral 
        services are common practices, ensure that excellent mental 
        health care is delivered and research is accelerated, and 
        ensure that technology is used to access mental health care and 
        information.

TITLE I--STATE AND COMMUNITY ACTIVITIES CONCERNING THE MENTAL HEALTH OF 
                        CHILDREN AND ADOLESCENTS

SEC. 101. GRANTS CONCERNING COMPREHENSIVE STATE MENTAL HEALTH PLANS.

    Subpart 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 520A, 
the following:

``SEC. 520B. COMPREHENSIVE STATE MENTAL HEALTH PLANS.

    ``(a) Grants.--The Secretary, acting through the Center for Mental 
Health Services, shall award a 1-year, non-renewable grant to, or enter 
into a 1-year cooperative agreement with, a State for the development 
and implementation by the State of a comprehensive State mental health 
plan that exclusively meets the mental health needs of children and 
adolescents, including providing for early intervention, prevention, 
and recovery oriented services and supports for children and 
adolescents, such as mental and primary health care, education, 
transportation, and housing.
    ``(b) Application.--To be eligible to receive a grant or 
cooperative agreement under this section a State shall submit to the 
Secretary an application at such time, in such manner, and containing 
such information as the Secretary may require, including--
            ``(1) a certification by the governor of the State that the 
        governor will be responsible for overseeing the development and 
        implementation of the comprehensive State mental health plan; 
        and
            ``(2) the signature of the governor of the State.
    ``(c) Requirements.--The Comprehensive State Plan shall include the 
following:
            ``(1) An evaluation of all the components of the current 
        mental health system in the State, including the estimated 
        number of children and adolescents requiring and receiving 
        mental health services, as well as support services such as 
        primary health care, education, and housing.
            ``(2) A description of the long-term objectives of the 
        State for policies concerning children and adolescents with 
        mental disorders. Such objectives shall include--
                    ``(A) the provision of early intervention and 
                prevention services to children and adolescents with, 
                or who are at risk for, mental health disorders that 
                are integrated with school systems, educational 
                institutions, juvenile justice systems, substance abuse 
                programs, mental health programs, primary care 
                programs, foster care systems, child welfare systems, 
                and other child and adolescent support organizations;
                    ``(B) a demonstrated collaboration among agencies 
                that provide early intervention and prevention services 
                or a certification that entities will engage in such 
                future collaboration;
                    ``(C) implementing or providing for the evaluation 
                of children and adolescents mental health services that 
                are adapted to the local community;
                    ``(D) implementing collaborative activities 
                concerning child and adolescent mental health early 
                intervention and prevention services;
                    ``(E) the provision of timely appropriate 
                community-based mental health care and treatment of 
                children and adolescents in child and adolescent-
                serving settings and agencies;
                    ``(F) the provision of adequate support and 
                information resources to families of children and 
                adolescents with, or who are at risk for, mental health 
                disorders;
                    ``(G) the provision of adequate support and 
                information resources to advocacy organizations that 
                serve children and adolescents with, or who are at risk 
                for, mental health disorders, and their families;
                    ``(H) identifying and offering access to services 
                and care to children and adolescents and their families 
                with diverse linguistic and cultural backgrounds;
                    ``(I) identifying and offering equal access to 
                services in all geographic regions of the State;
                    ``(J) identifying and offering appropriate access 
                to services in geographical regions of the State with 
                above-average occurrences of child and adolescent 
                mental health disorders;
                    ``(K) identifying and offering appropriate access 
                to services in geographical regions of the State with 
                above-average rates of children and adolescents with 
                co-occurring mental health and substance abuse 
                disorders;
                    ``(L) offering continuous and up-to-date 
                information to, and carrying out awareness campaigns 
                that target children and adolescents, parents, legal 
                guardians, family members, primary care professionals, 
                mental health professionals, child care professionals, 
                health care providers, and the general public and that 
                highlight the risk factors associated with mental 
                health disorders and the life-saving help and care 
                available from early intervention and prevention 
                services;
                    ``(M) ensuring that information and awareness 
                campaigns on mental health disorder risk factors, and 
                early intervention and prevention services, use 
                effective and culturally-appropriate communication 
                mechanisms that are targeted to and reach children and 
                adolescents, families, schools, educational 
                institutions, juvenile justice systems, substance abuse 
                programs, mental health programs, primary care 
                programs, foster care systems, child welfare systems, 
                and other child and adolescent support organizations;
                    ``(N) implementing a system to ensure that primary 
                care professionals, mental health professionals, and 
                school and child care professionals are properly 
                trained in evidence-based best practices in child and 
                adolescent mental health early intervention and 
                prevention, treatment and rehabilitation services and 
                that those professionals involved with providing early 
                intervention and prevention services are properly 
                trained in effectively identifying children and 
                adolescents with or who are at risk for mental health 
                disorders;
                    ``(O) the provision of continuous training 
                activities for primary care professionals, mental 
                health professionals, and school and child care 
                professionals on evidence-based or promising best 
                practices;
                    ``(P) the provision of continuous training 
                activities for primary care professionals, mental 
                health professionals, and school and child care 
                professionals on family and consumer involvement and 
                participation;
                    ``(Q) conducting annual self-evaluations of all 
                outcomes and activities, including consulting with 
                interested families and advocacy organizations for 
                children and adolescents.
            ``(3) A cost-assessment relating to the development and 
        implementation of the State plan and a description of how the 
        State will measure performance and outcomes across relevant 
        agencies and service systems.
            ``(4) A timeline for achieving the objectives described in 
        paragraph (2).
            ``(5) An outline for achieving the sustainability of the 
        objectives described in paragraph (2).
    ``(d) Application of Other Requirements.--The authorities and 
duties of State mental health planning councils provided for under 
sections 1914 and 1915 with respect to State mental health block grant 
planning shall apply to the development and the implementation of the 
comprehensive State mental health plan.
    ``(e) Participation and Implementation.--
            ``(1) Participation.--In developing and implementing the 
        comprehensive State mental health plan under a grant or 
        cooperative agreement under this section, the State shall 
        ensure the participation of the State agency heads responsible 
        for child and adolescent mental health, substance abuse, child 
        welfare, medicaid, public health, developmental disabilities, 
        social services, juvenile justice, housing, and education.
            ``(2) Consultation.--In developing and implementing the 
        comprehensive State mental health plan under a grant or 
        cooperative agreement under this section, the State shall 
        consult with--
                    ``(A) the Federal interagency coordinating 
                committee established under section 401 of the Child 
                and Adolescent Mental Health Resiliency Act of 2007;
                    ``(B) State and local agencies, including agencies 
                responsible for child and adolescent mental health 
                care, early intervention and prevention services under 
                titles IV, V, and XIX of the Social Security Act, and 
                the State's Children's Health Insurance Program under 
                title XXI of the Social Security Act;
                    ``(C) State mental health planning councils 
                (described in section 1914);
                    ``(D) national, State, and local advocacy 
                organizations that serve children and adolescents with 
                or who are at risk for mental health disorders and 
                their families;
                    ``(E) relevant national medical and other health 
                professional and education specialty organizations;
                    ``(F) children and adolescents with mental health 
                disorders and children and adolescents who are 
                currently receiving early intervention or prevention 
                services;
                    ``(G) families and friends of children and 
                adolescents with mental health disorders and children 
                and adolescents who are currently receiving early 
                intervention or prevention services;
                    ``(H) families and friends of children and 
                adolescents who have attempted or completed suicide;
                    ``(I) qualified professionals who possess the 
                specialized knowledge, skills, experience, training, or 
                relevant attributes needed to serve children and 
                adolescents with or who are at risk for mental health 
                disorders and their families; and
                    ``(J) third-party payers, managed care 
                organizations, and related employer and commercial 
                industries.
            ``(3) Signature.--The Governor of the State shall sign the 
        comprehensive State mental health plan application and be 
        responsible for overseeing the development and implementation 
        of the plan.
    ``(f) Satisfaction of Other Federal Requirements.--A State may 
utilize the comprehensive State mental health plan that meets the 
requirements of this section to satisfy the planning requirements of 
other Federal mental health programs administered by the Secretary, 
including as the Community Mental Health Services Block Grant and the 
Children's Mental Health Services Program, so long as the requirements 
of such programs are satisfied through the plan.
    ``(g) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $50,000,000 for fiscal year 
2008, and such sums as may be necessary for each of fiscal years 2009 
through 2012.''.

SEC. 102. GRANTS CONCERNING EARLY INTERVENTION AND PREVENTION.

    Title V of the Public Health Services Act (42 U.S.C. 290aa et seq.) 
is amended by adding at the end the following:

            ``PART K--MISCELLANEOUS MENTAL HEALTH PROVISIONS

``SEC. 597. GRANTS FOR MENTAL HEALTH ASSESSMENT SERVICES.

    ``(a) In General.--The Secretary shall award 5-year matching grants 
to, or enter into cooperative agreements with, community health centers 
that receive assistance under section 330 to enable such centers to 
provide child and adolescent mental health early intervention and 
prevention services to eligible children and adolescents, and to 
provide referral services to, or early intervention and prevention 
services in coordination with, community mental health centers and 
other appropriately trained providers of care.
    ``(b) Application.--To be eligible to receive a grant or 
cooperative agreement under subsection (a) an entity shall--
            ``(1) be a community health center that receives assistance 
        under section 330;
            ``(2) prepare and submit to the Secretary an application at 
        such time, in such manner, and containing such information as 
        the Secretary may require;
            ``(3) provide assurances that the entity will have 
        appropriately qualified behavioral health professional staff to 
        ensure prompt treatment or triage for referral to a speciality 
        agency or provider; and
            ``(4) provide assurances that the entity will encourage 
        formal coordination with community mental health centers and 
        other appropriate providers to ensure continuity of care.
    ``(c) Identification.--In providing services with amounts received 
under a grant or cooperative agreement under this section, an entity 
shall ensure that appropriate screening tools are used to identify at-
risk children and adolescents who are eligible to receive care from a 
community health centers.
    ``(d) Matching Requirement.--With respect to the costs of the 
activities to be carried out by an entity under a grant or cooperative 
agreement under this section, an entity shall provide assurances that 
the entity will make available (directly or through donations from 
public or private entities) non-Federal contributions towards such 
costs in an amount that is not less than $1 for each $1 of Federal 
funds provided under the grant or cooperative agreement.

``SEC. 597A. GRANTS FOR PRIMARY CARE AND MENTAL HEALTH EARLY 
              INTERVENTION AND PREVENTION SERVICES.

    ``(a) In General.--The Secretary shall award 5-year matching grants 
to, or enter into cooperative agreements with, States, political 
subdivisions of States, consortium of political subdivisions, tribal 
organizations, public organizations, or private nonprofit organizations 
to enable such entities to provide assistance to mental health programs 
for early intervention and prevention services to children and 
adolescents with, or who are at-risk of, mental health disorders and 
that are in primary care settings.
    ``(b) Application.--To be eligible to receive a grant or 
cooperative agreement under subsection (a) an entity shall--
            ``(1) be a State, a political subdivision of a State, a 
        consortia of political subdivisions, a tribal organization, a 
        public organization, or private nonprofit organization; and
            ``(2) prepare and submit to the Secretary an application at 
        such time, in such manner, and containing such information as 
        the Secretary may require.
    ``(c) Use of Funds.--An entity shall use amounts received under a 
grant or cooperative agreement under this section to--
            ``(1) provide appropriate child and adolescent mental 
        health early intervention and prevention assessment services;
            ``(2) provide appropriate child and adolescent mental 
        health treatment services;
            ``(3) provide monitoring and referral for specialty 
        treatment of medical or surgical conditions for children and 
        adolescents ; and
            ``(4) facilitate networking between primary care 
        professionals, mental health professionals, and child care 
        professionals for--
                    ``(A) case management development;
                    ``(B) professional mentoring; and
                    ``(C) enhancing the provision of mental health 
                services in schools.
    ``(d) Matching Requirements.--With respect to the costs of the 
activities to be carried out by an entity under a grant or cooperative 
agreement under this section, an entity shall provide assurances that 
the entity will make available (directly or through donations from 
public or private entities) non-Federal contributions towards such 
costs in an amount that is not less than $1 for each $1 of Federal 
funds provided under the grant or cooperative agreement.

``SEC. 597B. GRANTS FOR MENTAL HEALTH AND PRIMARY CARE EARLY 
              INTERVENTION AND PREVENTION SERVICES.

    ``(a) In General.--The Secretary shall award 5-year matching grants 
to, or enter into cooperative agreements with, States, political 
subdivisions of States, consortium of political subdivisions, tribal 
organizations, public organizations, or private nonprofit organizations 
to enable such entities to provide assistance to primary care programs 
for children and adolescents with, or who are at-risk of, mental health 
disorders who are in mental health settings.
    ``(b) Application.--To be eligible to receive a grant or 
cooperative agreement under subsection (a) an entity shall--
            ``(1) be a State, a political subdivision of a State, a 
        consortia of political subdivisions, a tribal organization, or 
        a private nonprofit organization; and
            ``(2) prepare and submit to the Secretary an application at 
        such time, in such manner, and containing such information as 
        the Secretary may require.
    ``(c) Use of Funds.--An entity shall use amounts received under a 
grant or cooperative agreement under this section to--
            ``(1) provide appropriate primary health care services, 
        including screening, routine treatment, monitoring, and 
        referral for specialty treatment of medical or surgical 
        conditions;
            ``(2) provide appropriate monitoring of medical conditions 
        of children and adolescents receiving mental health services 
        from the applicant and refer them, as needed, for specialty 
        treatment of medical or surgical conditions; and
            ``(3) facilitate networking between primary care 
        professionals, mental health professionals and child care 
        professionals for--
                    ``(A) case management development; and
                    ``(B) professional mentoring.
    ``(d) Matching Funds.--With respect to the costs of the activities 
to be carried out by an entity under a grant or cooperative agreement 
under this section, an entity shall provide assurances that the entity 
will make available (directly or through donations from public or 
private entities) non-Federal contributions towards such costs in an 
amount that is not less than $1 for each $1 of Federal funds provided 
under the grant or cooperative agreement.

``SEC. 597C. AUTHORIZATION OF APPROPRIATIONS.

    ``There is authorized to be appropriated to carry out sections 597, 
597A, and 597B, $45,000,000 for fiscal year 2008 and such sums as may 
be necessary for each of fiscal years 2009 through 2012.''.

SEC. 103. ACTIVITIES CONCERNING MENTAL HEALTH SERVICES IN SCHOOLS.

    (a) Efforts of Secretary to Improve the Mental Health of 
Students.--The Secretary of Education, in collaboration with the 
Secretary of Health and Human Services, shall--
            (1) encourage elementary and secondary schools and 
        educational institutions to address mental health issues facing 
        children and adolescents by--
                    (A) identifying children and adolescents with, or 
                who are at-risk for, mental health disorders;
                    (B) providing or linking children and adolescents 
                to appropriate mental health services and supports; and
                    (C) assisting families, including providing 
                families with resources on mental health services for 
                children and adolescents and a link to relevant local 
                and national advocacy and support organizations;
            (2) collaborate on expanding and fostering a mental health 
        promotion and early intervention strategy with respect to 
        children and adolescents that focuses on emotional well being 
        and resiliency and fosters academic achievement;
            (3) encourage elementary and secondary schools and 
        educational institutions to use positive behavioral support 
        procedures and functional behavioral assessments on a school-
        wide basis as an alternative to suspending or expelling 
        children and adolescents with or who are at risk for mental 
        health needs; and
            (4) provide technical assistance to elementary and 
        secondary schools and educational institutions to implement the 
        provisions of paragraphs (1) through (3).
    (b) Grants.--
            (1) In general.--The Secretary of Education, in 
        collaboration with the Secretary of Health and Human Services, 
        shall award grants to, or enter into cooperative agreements 
        with, States, political subdivisions of States, consortium of 
        political subdivisions, tribal organizations, public 
        organizations, private nonprofit organizations, elementary and 
        secondary schools, and other educational institutions to 
        provide directly or provide access to mental health services 
        and case management of services in elementary and secondary 
        schools and other educational settings.
            (2) Application.--To be eligible to receive a grant or 
        cooperative agreement under paragraph (1) an entity shall--
                    (A) be a State, a political subdivision of a State, 
                a consortia of political subdivisions, a tribal 
                organization, a public organization, a private 
                nonprofit organization, an elementary or secondary 
                school, or an educational institution; and
                    (B) prepare and submit to the Secretary an 
                application at such time, in such manner, and 
                containing such information as the Secretary may 
                require, including an assurance that the entity will--
                            (i) provide directly or provide access to 
                        early intervention and prevention services in 
                        settings with an above average rate of children 
                        and adolescents with mental health disorders;
                            (ii) provide directly or provide access to 
                        early intervention and prevention services in 
                        settings with an above average rate of children 
                        and adolescents with co-occurring mental health 
                        and substance abuse disorders; and
                            (iii) demonstrate a broad collaboration of 
                        parents, primary care professionals, school and 
                        mental health professionals, child care 
                        processionals including those in educational 
                        settings, legal guardians, and all relevant 
                        local agencies and organizations in the 
                        application for, and administration of, the 
                        grant or cooperative agreement.
            (3) Use of funds.--An entity shall use amounts received 
        under a grant or cooperative agreement under this subsection to 
        provide--
                    (A) mental health identification services;
                    (B) early intervention and prevention services to 
                children and adolescents with or who are at-risk of 
                mental health disorders; and
                    (C) mental health-related training to primary care 
                professionals, school and mental health professionals, 
                and child care professionals, including those in 
                educational settings.
    (c) Counseling and Behavioral Support Guidelines.--The Secretary of 
Education, in collaboration with the Secretary of Health and Human 
Services, shall develop and issue guidelines to elementary and 
secondary schools and educational institutions that encourage such 
schools and institutions to provide counseling and positive behavioral 
supports, including referrals for needed early intervention and 
prevention services, treatment, and rehabilitation to children and 
adolescents who are disruptive or who use drugs and show signs or 
symptoms of mental health disorders. Such schools and institutions 
shall be encouraged to provide such services to children and 
adolescents in lieu of suspension, expulsion, or transfer to a juvenile 
justice system without any support referral services or system of care.
    (d) Study.--
            (1) In general.--The Government Accountability Office shall 
        conduct a study to assess the scientific validity of the 
        Federal definition of a child or adolescent with an ``emotional 
        disturbance'' as provided for in the regulations of the 
        Department of Education under the Individuals with Disabilities 
        Education Act (20 U.S.C. 1400 et seq.), and whether, as 
        written, such definition now excludes children and adolescents 
        inappropriately through a determination that those children and 
        adolescents are ``socially maladjusted''.
            (2) Report.--Not later than 1 year after the date of 
        enactment of this Act, the Government Accountability Office 
        shall submit to the appropriated committees of Congress a 
        report concerning the results of the study conducted under 
        paragraph (1).
    (e) Rule of Construction.--Nothing in this section shall be 
construed--
            (1) to supercede the provisions of section 444 of the 
        General Education Provisions Act (20 U.S.C. 1232g), including 
        the requirement of prior parental consent for the disclosure of 
        any education records; and
            (2) to modify or affect the parental notification 
        requirements for programs authorized under the Elementary and 
        Secondary Education Act of 1965 (20 U.S.C. 6301 et seq.).
    (f) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $22,500,000 for fiscal year 
2008, and such sums as may be necessary for each of fiscal years 2009 
through 2012.

SEC. 104. ACTIVITIES CONCERNING MENTAL HEALTH SERVICES UNDER THE EARLY 
              AND PERIODIC SCREENING, DIAGNOSTIC, AND TREATMENT 
              SERVICES PROGRAM.

    (a) Notification.--The Secretary of Health and Human Services, 
acting through the Director of the Centers for Medicare and Medicaid 
Services, shall notify State Medicaid agencies of--
            (1) obligations under section 1905(r) of the Social 
        Security Act with respect to the identification of children and 
        adolescents with mental health disorders and of the 
        availability of validated mechanisms that aid pediatricians and 
        other primary care professionals to incorporate such 
        activities; and
            (2) information on financing mechanisms that such agencies 
        may use to reimburse primary care professionals, mental health 
        professionals, and child care professionals who provide mental 
        health services as authorized under such definition of early 
        and period screening, diagnostic, and treatment services.
    (b) Requirements.--State Medicaid agencies who receive funds for 
early and period screening, diagnostic, and treatment services funding 
shall provide an annual report to the Secretary of Health and Human 
Services that--
            (1) analyzes the rates of eligible children and adolescents 
        who receive mental health identification services of the type 
        described in subsection (a)(1) under the medicaid program in 
        the State;
            (2) analyzes the ways in which such agency has used 
        financing mechanisms to reimburse primary care professionals, 
        mental health professionals, and child care professionals who 
        provide such mental health services;
            (3) identifies State program rules and funding policies 
        that may impede such agency from meeting fully the Federal 
        requirements with respect to such services under the medicaid 
        program; and
            (4) makes recommendations on how to overcome the 
        impediments identified under paragraph (3).

SEC. 105. ACTIVITIES CONCERNING MENTAL HEALTH SERVICES FOR AT-RISK 
              MOTHERS AND THEIR CHILDREN.

    Title V of the Social Security Act (42 U.S.C. 701 et seq.) is 
amended by adding at the end the following:

``SEC. 511. ENHANCING MENTAL HEALTH SERVICES FOR AT-RISK MOTHERS AND 
              THEIR CHILDREN.

    ``(a) Grants.--The Secretary shall award grants to, or enter into 
cooperative agreements with, States, political subdivisions of States, 
consortium of political subdivisions, tribal organizations, public 
organizations, and private nonprofit organizations to provide 
appropriate mental health promotion and mental health services to at-
risk mothers, grandmothers who are legal guardians, and their children.
    ``(b) Application.--To be eligible to receive a grant or 
cooperative agreement under subsection (a) an entity shall--
            ``(1) be a State, a political subdivision of a State, a 
        consortia of political subdivisions, a tribal organization, a 
        public organization, or a private nonprofit organization; and
            ``(2) prepare and submit to the Secretary an application at 
        such time, in such manner, and containing such information as 
        the Secretary may require.
    ``(c) Use of Funds.--Amounts received under a grant or cooperative 
agreement under this section shall be used to--
            ``(1) provide mental health early intervention, prevention, 
        and case management services;
            ``(2) provide mental health treatment services; and
            ``(3) provide monitoring and referral for specialty 
        treatment of medical or surgical conditions.
    ``(d) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $20,000,000 for fiscal year 
2008, and such sums as may be necessary for each of fiscal years 2009 
through 2012.''.

SEC. 106. ACTIVITIES CONCERNING INTERAGENCY CASE MANAGEMENT.

    Part L of title V of the Public Health Service Act, as added by 
section 102, is amended by adding at the end the following:

``SEC. 597D. INTERAGENCY CASE MANAGEMENT.

    ``(a) In General.--The Secretary shall establish a program to 
foster the ability of local case managers to work across the mental 
health, substance abuse, child welfare, education, and juvenile justice 
systems in a State. As part of such program, the Secretary shall 
develop a model system that--
            ``(1) establishes a training curriculum for primary care 
        professionals, mental health professionals, school and child 
        care professionals, and social workers who work as case 
        managers;
            ``(2) establishes uniform standards for working in multiple 
        service systems; and
            ``(3) establishes a cross-system case manager certification 
        process.
    ``(b) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $10,000,000 for fiscal year 
2008, and such sums as may be necessary for each of fiscal years 2009 
through 2012.''.

SEC. 107. GRANTS CONCERNING CONSUMER AND FAMILY PARTICIPATION.

    Part K of title V of the Public Health Service Act, as added by 
section 102 and amended by section 106, is further amended by adding at 
the end the following:

``SEC. 597E. CONSUMER AND FAMILY CONTROL IN CHILD AND ADOLESCENT MENTAL 
              HEALTH SERVICE DECISIONS.

    ``(a) Grants.--The Secretary shall award grants to, or enter into 
cooperative agreements with, States, political subdivisions of States, 
consortium of political subdivisions, and tribal organizations for the 
development of policies and mechanisms that enable consumers and 
families to have increased control and choice over child and adolescent 
mental health services received through a publicly-funded mental health 
system.
    ``(b) Application.--To be eligible to receive a grant or 
cooperative agreement under subsection (a) an entity shall--
            ``(1) be a State, a political subdivision of a State, a 
        consortia of political subdivisions, or a tribal organization; 
        and
            ``(2) prepare and submit to the Secretary an application at 
        such time, in such manner, and containing such information as 
        the Secretary may require.
    ``(c) Use of Funds.--An entity shall use amounts received under a 
grant or cooperative agreement under this section to carry out the 
activities described in subsection (a). Such activities may include--
            ``(1) the facilitation of mental health service planning 
        meetings by consumer and family advocates, particularly peer 
        advocates;
            ``(2) the development of consumer and family cooperatives; 
        and
            ``(3) the facilitation of national networking between State 
        political subdivisions and tribal organizations engaged in 
        promoting increased consumer and family participation in 
        decisions regarding mental health services for children and 
        adolescents.
    ``(d) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $10,000,000 for fiscal year 
2008, and such sums as may be necessary for each of fiscal years 2009 
through 2012.''.

SEC. 108. GRANTS CONCERNING INFORMATION ON CHILD AND ADOLESCENT MENTAL 
              HEALTH SERVICES.

    Part K of title V of the Public Health Service Act, as added by 
section 102 and amended by section 107, is further amended by adding at 
the end the following:

``SEC. 597F. INCREASED INFORMATION ON CHILD AND ADOLESCENT MENTAL 
              HEALTH SERVICES.

    ``(a) Grants.--The Secretary shall award grants to, or enter into 
cooperative agreements with, private nonprofit organizations to enable 
such organizations to provide information on child and adolescent 
mental health and services, consumer or parent-to-parent support 
services, respite care, and other relevant support services to--
            ``(1) parents and legal guardians of children or 
        adolescents with or who are at risk for mental health 
        disorders; and
            ``(2) families of adolescents with or who are at risk for 
        mental health disorders.
    ``(b) Application.--To be eligible to receive a grant or 
cooperative agreement under subsection (a) an entity shall--
            ``(1) be a private, nonprofit organization; and
            ``(2) prepare and submit to the Secretary an application at 
        such time, in such manner, and containing such information as 
        the Secretary may require.
    ``(c) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $10,000,000 for fiscal year 
2008, and such sums as may be necessary for each of fiscal years 2009 
through 2012.''.

SEC. 109. ACTIVITIES CONCERNING PUBLIC EDUCATION OF CHILD AND 
              ADOLESCENT MENTAL HEALTH DISORDERS AND SERVICES.

    Part K of title V of the Public Health Service Act, as added by 
section 102 and amended by section 108, is further amended by adding at 
the end the following:

``SEC. 597G. ACTIVITIES CONCERNING PUBLIC EDUCATION OF CHILD AND 
              ADOLESCENT MENTAL HEALTH DISORDERS AND SERVICES.

    ``(a) Educational Campaign.--The Secretary shall develop, 
coordinate, and implement an educational campaign to increase public 
understanding of mental health promotion, child and adolescent 
emotional well-being and resiliency, and risk factors associated with 
mental health disorders in children and adolescents.
    ``(b) Grants.--
            ``(1) In general.--The Secretary shall award grants to, or 
        enter into cooperative agreements with, public and private 
        nonprofit organizations with qualified experience in public 
        education to build community coalitions and increase public 
        awareness of mental health promotion, child and adolescent 
        emotional well-being and resiliency, and risk factors 
        associated with mental health disorders in children and 
        adolescents.
            ``(2) Application.--To be eligible to receive a grant or 
        cooperative agreement under paragraph (1), an entity shall--
                    ``(A) be a public or private nonprofit 
                organization; and
                    ``(B) prepare and submit to the Secretary an 
                application at such time, in such manner, and 
                containing such information as the Secretary may 
                require.
            ``(3) Use of funds.--Amounts received under a grant or 
        contract under this subsection shall be used to--
                    ``(A) develop community coalitions to support the 
                purposes of paragraph (1); and
                    ``(B) develop and implement public education 
                activities that compliment the activities described in 
                subsection (a) and support the purposes of paragraph 
                (1).
    ``(c) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $10,000,000 for fiscal year 
2008, and such sums as may be necessary for each of fiscal years 2009 
through 2012.''.

SEC. 110. TECHNICAL ASSISTANCE CENTER CONCERNING TRAINING AND SECLUSION 
              AND RESTRAINTS.

    Part K of title V of the Public Health Service Act, as added by 
section 102 and amended by section 109, is further amended by adding at 
the end the following:

``SEC. 597H. TECHNICAL ASSISTANCE CENTER CONCERNING SECLUSION AND 
              RESTRAINTS.

    ``(a) Seclusion and Restraints.--Acting through the technical 
assistance center established under subsection (b), the Secretary 
shall--
            ``(1) develop and disseminate educational materials that 
        encourage ending the use of seclusion and restraints in all 
        facilities or programs in which a child or adolescent resides 
        or receives care or services;
            ``(2) gather, analyze, and disseminate information on best 
        or promising best practices that can minimize conflicts between 
        parents, legal guardians, primary care professionals, mental 
        health professionals, school and child care professionals to 
        create a safe environment for children and adolescents with 
        mental health disorders; and
            ``(3) provide training for primary professionals, mental 
        health professionals, and school and child care professionals 
        on effective techniques or practices that serve as alternatives 
        to coercive control interventions, including techniques to 
        reduce challenging, aggressive, and resistant behaviors, that 
        require seclusion and restraints.
    ``(b) Consultation.--In carrying out this section, the Secretary 
shall consult with--
            ``(1) local and national advocacy organizations that serve 
        children and adolescents who may require the use of seclusion 
        and restraints, and their families;
            ``(2) relevant national medical and other health and 
        education specialty organizations; and
            ``(3) qualified professionals who possess the specialized 
        knowledge, skills, experience, and relevant attributes needed 
        to serve children and adolescents who may require the use of 
        seclusion and restraints, and their families.
    ``(c) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $5,000,000 for fiscal year 
2008, and such sums as may be necessary for each of fiscal years 2009 
through 2012.''.

SEC. 111. TECHNICAL ASSISTANCE CENTERS CONCERNING CONSUMER AND FAMILY 
              PARTICIPATION.

    Part K of title V of the Public Health Service Act, as added by 
section 102 and amended by section 110, is further amended by adding at 
the end the following:

``SEC. 597I. TECHNICAL ASSISTANCE CENTERS CONCERNING CONSUMER AND 
              FAMILY PARTICIPATION.

    ``(a) Grants.--The Secretary shall award 5-year grants to, or enter 
into cooperative agreements with, private nonprofit organizations for 
the development and implementation of three technical assistance 
centers to support full consumer and family participation in decision-
making about mental health services for children and adolescents.
    ``(b) Application.--To be eligible to receive a grant or 
cooperative agreement under subsection (a) an entity shall--
            ``(1) be a private, nonprofit organization that 
        demonstrates the ability to establish and maintain a technical 
        assistance center described in this section; and
            ``(2) prepare and submit to the Secretary an application at 
        such time, in such manner, and containing such information as 
        the Secretary may require.
    ``(c) Use of Funds.--An entity shall use amounts received under a 
grant or cooperative agreement under this section to establish a 
technical assistance center of the type referred to in subsection (a). 
Through such center, the entity shall--
            ``(1) collect and disseminate information on mental health 
        disorders and risk factors for mental health disorders in 
        children and adolescents;
            ``(2) collect and disseminate information on available 
        resources for specific mental health disorders, including co-
        occurring mental health and substance abuse disorders;
            ``(3) disseminate information to help consumers and 
        families engage in illness self management activities and 
        access services and resources on mental health disorder self-
        management;
            ``(4) support the activities of self-help organizations;
            ``(5) support the training of peer specialists, family 
        specialists, primary care professionals, mental health 
        professionals, and child care professionals;
            ``(6) provide assistance to consumer and family-delivered 
        service programs and resources in meeting their operational and 
        programmatic needs; and
            ``(7) provide assistance to consumers and families that 
        participate in mental health system advisory bodies, including 
        state mental health planning councils.
    ``(d) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $5,000,000 for fiscal year 
2008, and such sums as may be necessary for each of fiscal years 2009 
through 2012.''.

SEC. 112. COMPREHENSIVE COMMUNITY MENTAL HEALTH SERVICES FOR CHILDREN 
              AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCES.

    Section 561 of the Public Health Service Act (42 U.S.C. 290ff) is 
amended--
            (1) in subsection (b)(1)(A), by inserting before the 
        semicolon the following: ``and provides assurances that the 
        State will use grant funds in accordance with the comprehensive 
        State mental health plan submitted under section 520B''; and
            (2) in subsection (b), by adding at the end the following:
            ``(4) Review of possible impediments.--A State may use 
        amounts received under a grant under this section to conduct an 
        interagency review of State mental health program rules and 
        funding policies that may impede the development of the 
        comprehensive State mental health plan submitted under section 
        520B.''.

SEC. 113. COMMUNITY MENTAL HEALTH SERVICES PERFORMANCE PARTNERSHIP 
              BLOCK GRANT.

    Section 1912(b) of the Public Health Service Act (42 U.S.C. 300x-
2(b)) is amended by adding at the end the following:
            ``(6) Performance measures.--The plan requires that 
        performance measures be reported for adults and children 
        separately.
            ``(7) Other mental health services.--In addition to 
        reporting on mental health services funded under a community 
        mental health services performance partnership block grant, 
        States are encouraged to report on all mental health services 
        provided by the State mental health agency.''.

SEC. 114. COMMUNITY MENTAL HEALTH SERVICES BLOCK GRANT PROGRAM.

    (a) In General.--Section 1912(b) of the Public Health Service Act 
(42 U.S.C. 300x-2(b)) is amended by adding at the end the following:
            ``(8) Co-occurring treatment services.--The plan provides 
        for a system of support for the provision of co-occurring 
        treatment services, including early intervention and 
        prevention, and integrated mental health and substance abuse 
        and services, for children and adolescents with co-occurring 
        mental health and substance abuse disorders. Services shall be 
        provided through the system under this paragraph in accordance 
        with the Substance Abuse Prevention Treatment Block Grant 
        program under subpart II.''.
    (b) Guidelines for Integrated Treatment Services.--Section 1915 of 
the Public Health Service Act (42 U.S.C. 300x-4) is amended by adding 
at the end the following:
    ``(c) Guidelines for Integrated Treatment Services.--The Secretary 
shall issue written policy guidelines for use by States that describe 
how amounts received under a grant under this subpart may be used to 
fund integrated treatment services for children and adolescents with 
mental health disorders and with co-occurring mental health and 
substance abuse disorders.
    ``(d) Model Service Systems Forum.--The Secretary, in consultation 
with the Attorney General, shall periodically convene forums to develop 
model service systems and promote awareness of the needs of children 
and adolescents with co-occurring mental health disorders and to 
facilitate the development of policies to meet those needs.''.
    (c) Substance Abuse Grants.--Section 1928 of the Public Health 
Service Act (42 U.S.C. 300x-28) is amended by adding at the end the 
following:
    ``(e) Co-Occurring Treatment Services.--A State may use amounts 
received under a grant under this subpart to provide a system of 
support for the provision of co-occurring treatment services, including 
early intervention and prevention, and integrated mental health and 
substance abuse services, for children and adolescents with co-
occurring mental health and substance abuse disorders. Services shall 
be provided through the system under this paragraph in accordance with 
the Community Mental Health Services Block Grant program under subpart 
I.
    ``(f) Guidelines for Integrated Treatment Services.--The Secretary 
shall issue written policy guidelines, for use by States, that describe 
how amounts received under a grant under this section may be used to 
fund integrated treatment for children and adolescents with co-
occurring substance abuse and mental health disorders, including the 
transitioning to adulthood.''.

SEC. 115. GRANTS FOR JAIL DIVERSION PROGRAMS.

    Section 520G of the Public Health Service Act (42 U.S.C. 290bb-
38)--
            (1) in subsection (a), by striking ``up to 125'';
            (2) in subsection (d)--
                    (A) in paragraph (3), by striking ``and'' at the 
                end;
                    (B) in paragraph (4), by striking the period and 
                inserting a semicolon; and
                    (C) by adding at the end the following:
            ``(5) provide appropriate community-based mental health and 
        co-occurring mental illness and substance abuse services to 
        children and adolescents determined to be at risk of contact 
        with the law; and
            ``(6) provide for the inclusion of emergency mental health 
        centers as part of jail diversion programs.''; and
            (3) in subsection (h), by adding at the end the following: 
        ``As part of such evaluations, the grantee shall evaluate the 
        effectiveness of activities carried out under the grant and 
        submit reports on such evaluations to the Secretary.''.

SEC. 116. ACTIVITIES CONCERNING MENTAL HEALTH SERVICES FOR JUVENILE 
              JUSTICE POPULATIONS.

    (a) Grants.--The Secretary shall award grants to, or enter into 
cooperative agreements with, States, tribal organizations, political 
subdivisions of States, consortia of political subdivisions, public 
organizations, and private nonprofit organizations to provide mental 
health promotions and mental health services to children and 
adolescents in juvenile justice systems.
    (b) Application.--To be eligible to receive a grant or cooperative 
agreement under subsection (a), an entity shall--
            (1) be a State, a tribal organization, a political 
        subdivision of a State, a consortia of political subdivisions, 
        a public organization, or a private nonprofit organization; and
            (2) prepare and submit to the Secretary an application at 
        such time, in such manner, and containing such information as 
        the Secretary may require.
    (c) Use of Funds.--Amounts received under a grant or cooperative 
agreement under this section shall be used to--
            (1) provide mental health early intervention, prevention, 
        and case management services;
            (2) provide mental health treatment services; and
            (3) provide monitoring and referral for specialty treatment 
        of medical or surgical conditions.
    (d) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $10,000,000 for fiscal year 
2008, and such sums as may be necessary for each of fiscal years 2009 
through 2012.

   TITLE II--FEDERAL INTERAGENCY COLLABORATION AND RELATED ACTIVITIES

SEC. 201. INTERAGENCY COORDINATING COMMITTEE CONCERNING THE MENTAL 
              HEALTH OF CHILDREN AND ADOLESCENTS.

    (a) In General.--The Secretary of Health and Human Services 
(referred to in this section as the ``Secretary''), in collaboration 
with the Federal officials described in subsection (b), shall establish 
an interagency coordinating committee (referred to in this section as 
the ``Committee'') to carry out the activities described in this 
section relating to the mental health of children and adolescents.
    (b) Federal Officials.--The Federal officials described in this 
subsection are the following:
            (1) The Secretary of Education.
            (2) The Attorney General.
            (3) The Surgeon General.
            (4) The Secretary of the Department of Defense.
            (5) The Secretary of the Interior.
            (6) The Commissioner of Social Security.
            (7) Such other Federal officials as the Secretary 
        determines to be appropriate.
    (c) Chairperson.--The Secretary shall serve as the chairperson of 
the Committee.
    (d) Duties.--The Committee shall be responsible for policy 
development across the Federal Government with respect to child and 
adolescent mental health.
    (e) Collaboration and Consultation.--In carrying out the activities 
described in this Act, and the amendments made by this Act, the 
Secretary shall collaborate with the Committee (and the Committee shall 
collaborate with relevant Federal agencies and mental health working 
groups responsible for child and adolescent mental health).
    (f) Consultation.--In carrying out the activities described in this 
Act, and the amendments made by this Act, the Secretary and the 
Committee shall consult with--
            (1) State and local agencies, including agencies 
        responsible for child and adolescent mental health care, early 
        intervention and prevention services under titles V and XIX of 
        the Social Security Act, and the State Children's Health 
        Insurance Program under title XXI of the Social Security Act;
            (2) State mental health planning councils (as described in 
        section 1914);
            (3) local and national organizations that serve children 
        and adolescents with or who are at risk for mental health 
        disorders and their families;
            (4) relevant national medical and other health professional 
        and education specialty organizations;
            (5) children and adolescents with mental health disorders 
        and children and adolescents who are currently receiving early 
        intervention or prevention services;
            (6) families and friends of children and adolescents with 
        mental health disorders and children and adolescents who are 
        currently receiving early intervention or prevention services;
            (7) families and friends of children and adolescents who 
        have attempted or completed suicide;
            (8) qualified professionals who possess the specialized 
        knowledge, skills, experience, training, or relevant attributes 
        needed to serve children and adolescents with or who are at 
        risk for mental health disorders and their families; and
            (9) third-party payers, managed care organizations, and 
        related employer and commercial industries.
    (g) Policy Development.--In carrying out the activities described 
in this Act, and the amendments made by this Act, the Secretary shall--
            (1) coordinate and collaborate on policy development at the 
        Federal level with the Committee, relevant Department of Health 
        and Human Services, Department of Education, and Department of 
        Justice agencies, and child and adolescent mental health 
        working groups; and
            (2) consult on policy development at the Federal level with 
        the private sector, including consumer, medical, mental health 
        advocacy groups, and other health and education professional-
        based organizations, with respect to child and adolescent 
        mental health early intervention and prevention services.
    (h) Reports.--
            (1) Initial report.--Not later than 2 years after the date 
        of enactment of this Act, the Committee shall submit to the 
        appropriate committees of Congress a report that includes--
                    (A) the results of an evaluation to be conducted by 
                the Committee to analyze the effectiveness and efficacy 
                of current activities concerning the mental health of 
                children and adolescents;
                    (B) the results of an evaluation to be conducted by 
                the Committee to analyze the effectiveness and efficacy 
                of the activities carried out under grants, cooperative 
                agreements, collaborations, and consultations under 
                this Act, the amendments made by this Act, and carried 
                out by existing Federal agencies;
                    (C) the results of an evaluation to be conducted by 
                the Committee to analyze identified problems and 
                challenges, including--
                            (i) fragmented mental health service 
                        delivery systems for children and adolescents;
                            (ii) disparities between Federal agencies 
                        in mental health service eligibility 
                        requirements for children and adolescents;
                            (iii) disparities in regulatory policies of 
                        Federal agencies concerning child and 
                        adolescent mental health;
                            (iv) inflexibility of Federal finance 
                        systems to support evidence-based child and 
                        adolescent mental health;
                            (v) insufficient training of primary care 
                        professionals, mental health professionals, and 
                        child care professionals;
                            (vi) disparities and fragmentation of 
                        collection and dissemination of information 
                        concerning child and adolescent mental health 
                        services;
                            (vii) inability of State Medicaid agencies 
                        to meet Federal requirements concerning child 
                        and adolescent mental health under the early 
                        and period screening, diagnostics and treatment 
                        services requirements under the medicaid 
                        program under title XIX of the Social Security 
                        Act; and
                            (viii) fractured Federal interagency 
                        collaboration and consultation concerning child 
                        and adolescent mental health;
                    (D) the recommendations of the Secretary on models 
                and methods with which to overcome the problems and 
                challenges described in subparagraph (B).
            (2) Annual report.--Not later than 1 year after the date on 
        which the initial report is submitted under paragraph (1), an 
        annually thereafter, the Committee shall submit to the 
        appropriate committees of Congress a report concerning the 
        results of updated evaluations and recommendations described in 
        paragraph (1).
    (i) Flexible Joint-Funding Programs.--
            (1) In general.--In carrying out the activities described 
        in subsection (h), Federal officials participating in the 
        Committee may, notwithstanding any other law, enter into 
        interagency agreements for the purposes of establishing 
        flexible joint-funding programs, and each official may allocate 
        discretionary funds appropriated to that agency to such 
        flexible joint-funding programs.
            (2) Program purposes.--Flexible joint funding programs as 
        described in paragraph (1) may include demonstration projects 
        that address and eliminate the--
                    (A) fragmented mental health service delivery 
                systems for children and adolescents;
                    (B) disparities between Federal agencies in mental 
                health service eligibility requirements for children 
                and adolescents;
                    (C) disparities in regulatory policies of Federal 
                agencies concerning child and adolescent mental health;
                    (D) inflexibility of Federal finance systems to 
                support evidence-based child and adolescent mental 
                health;
                    (E) insufficient training of primary care 
                professionals, mental health professionals, and child 
                care professionals;
                    (F) disparities and fragmentation of collection and 
                dissemination of information concerning child and 
                adolescent mental health services; and
                    (G) inability of State Medicaid agencies to meet 
                Federal requirements concerning child and adolescent 
                mental health under the early and period screening, 
                diagnostics, and treatment services requirements under 
                the Medicaid program under title XIX of the Social 
                Security Act.
    (j) Personnel Matters.--
            (1) Staff and compensation.--Except as provided in 
        paragraph (2), the Secretary may employ, and fix the 
        compensation of an executive director and other personnel of 
        the Committee without regard to the provisions of chapter 51 
        and subchapter III of chapter 53 of title 5, United States 
        Code, relating to classification of positions and General 
        Schedule pay rates.
            (2) Maximum rate of pay.--The maximum rate of pay for the 
        executive director and other personnel employed under paragraph 
        (1) shall not exceed the rate payable for level IV of the 
        Executive Schedule under section 5316 of title 5, United States 
        Code.
    (k) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $10,000,000 for fiscal year 
2008, and such sums as may be necessary for each of fiscal years 2009 
through 2012.

TITLE III--RESEARCH ACTIVITIES CONCERNING THE MENTAL HEALTH OF CHILDREN 
                            AND ADOLESCENTS

SEC. 301. ACTIVITIES CONCERNING EVIDENCE-BASED OR PROMISING BEST 
              PRACTICES.

    Part K of title V of the Public Health Service Act, as added by 
section 102 and amended by section 111, is further amended by adding at 
the end the following:

``SEC. 597J. ACTIVITIES CONCERNING EVIDENCE-BASED OR PROMISING BEST 
              PRACTICES.

    ``(a) Grants.--
            ``(1) In general.--The Secretary shall award grants to, and 
        enter into cooperative agreements with, States, political 
        subdivisions of States, consortia of political subdivisions, 
        tribal organizations, institutions of higher education, or 
        private nonprofit organizations for the development of child 
        and adolescent mental health services and support systems that 
        address widespread and critical gaps in a needed continuum of 
        mental health service-delivery with a specific focus on 
        encouraging the implementation of evidence-based or promising 
        best practices.
            ``(2) Application.--To be eligible to receive a grant or 
        cooperative agreement under paragraph (1) an entity shall--
                    ``(A) be a State, a political subdivision of a 
                State, a consortia of political subdivisions, a tribal 
                organization, an institution of higher education, or a 
                private nonprofit organization; and
                    ``(B) prepare and submit to the Secretary an 
                application at such time, in such manner, and 
                containing such information as the Secretary may 
                require.
            ``(3) Use of funds.--Amounts received under a grant or 
        cooperative agreement under this subsection shall be used to 
        provide for the development and dissemination of mental health 
        supports and services described in paragraph (1), including--
                    ``(A) early intervention and prevention services, 
                treatment and rehabilitation particularly for children 
                and adolescents with co-occurring mental health and 
                substance abuse disorders;
                    ``(B) referral services;
                    ``(C) integrated treatment services, including 
                family therapy, particularly for children and 
                adolescents with co-occurring mental health and 
                substance abuse disorders;
                    ``(D) colocating primary care and mental health 
                services in rural and urban areas;
                    ``(E) mentoring and other support services;
                    ``(F) transition services;
                    ``(G) respite care for parents, legal guardians, 
                and families; and
                    ``(H) home-based care.
    ``(b) Technical Assistance Center.--The Secretary shall establish a 
technical assistance center to assist entities that receive a grant or 
cooperative agreement under subsection (a) in--
            ``(1) identifying widespread and critical gaps in a needed 
        continuum of child and adolescent mental health service-
        delivery;
            ``(2) identifying and evaluating existing evidence-based or 
        promising best practices with respect to child and adolescent 
        mental health services and supports;
            ``(3) improving the child and adolescent mental health 
        service-delivery system by implementing evidence-based or 
        promising best practices;
            ``(4) training primary care professionals, mental health 
        professionals, and child care professionals on evidence-based 
        or promising best practices;
            ``(5) informing children and adolescents, parents, legal 
        guardians, families, advocacy organizations, and other 
        interested consumer organizations on such evidence-based or 
        promising best practices; and
            ``(6) identifying financing structures to support the 
        implementation of evidence-based or promising best practices 
        and providing assistance on how to build appropriate financing 
        structures to support those services.
    ``(c) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $12,500,000 for fiscal year 
2008, and such sums as may be necessary for each of fiscal years 2009 
through 2012.''.

SEC. 302. FEDERAL RESEARCH CONCERNING ADOLESCENT MENTAL HEALTH.

    Part K of title V of the Public Health Service Act, as added by 
section 201 and amended by section 301, is further amended by adding at 
the end the following:

``SEC. 597K. FEDERAL RESEARCH CONCERNING ADOLESCENT MENTAL HEALTH.

    ``(a) Best Practices.--The Secretary shall provide for the conduct 
of research leading to the identification and evaluation of evidence-
based or promising best practices, including--
            ``(1) early intervention and prevention mental health 
        services and systems, particularly for children and adolescents 
        with co-occurring mental health and substance abuse disorders;
            ``(2) mental health referral services;
            ``(3) integrated mental health treatment services, 
        particularly for children and adolescents with co-occurring 
        mental health and substance abuse disorders;
            ``(4) mentoring and other support services;
            ``(5) transition services; and
            ``(6) respite care for parents, legal guardians, and 
        families of children and adolescents.
    ``(b) Identification of Existing Disparities.--The Secretary shall 
provide for the conduct of research leading to the identification of 
factors contributing to the existing disparities in children and 
adolescents mental health care in areas including--
            ``(1) evidence-based early intervention and prevention, 
        diagnosis, referral, treatment, and monitoring services;
            ``(2) psychiatric and psychological epidemiology in racial 
        and ethnic minority populations;
            ``(3) therapeutic interventions in racial and ethnic 
        minority populations;
            ``(4) psychopharmacology;
            ``(5) mental health promotion and child and adolescent 
        emotional well-being and resiliency;
            ``(6) lack of adequate service delivery systems in urban 
        and rural regions; and
            ``(7) lack of adequate reimbursement rates for evidence-
        based early intervention and prevention, diagnosis, referral, 
        treatment, and monitoring services.
    ``(c) Psychotropic Medications.--The Secretary shall provide for 
the conduct of research leading to the identification of the long-term 
effects of psychotropic medications and SSRIs and other pyschotropic 
medications for children and adolescents.
    ``(d) Trauma.--The Secretary shall provide for the conduct of 
research leading to the identification of the long-term effects of 
trauma on the mental health of children and adolescents, including the 
effects of--
            ``(1) violent crime, particularly sexual abuse;
            ``(2) physical or medical trauma;
            ``(3) post-traumatic stress disorders; and
            ``(4) terrorism and natural disasters.
    ``(e) Acute Care.--The Secretary shall provide for the conduct of 
research leading to the identification of factors contributing to 
problems in acute care. Such research shall address--
            ``(1) synthesizing the acute care knowledge data base;
            ``(2) assessing existing capacities and shortages in acute 
        care;
            ``(3) reviewing existing model programs that exist to 
        ensure appropriate and effective acute care;
            ``(4) developing new models when appropriate; and
            ``(5) proposing workable solutions to enhance the delivery 
        of acute care and crisis intervention services.
    ``(f) Recovery and Rehabilitation.--The Secretary shall provide for 
the conduct of research leading to the identification of methods and 
models to enhance the recovery and rehabilitation of children and 
adolescents with mental health disorders.
    ``(g) Co-Occurring Disorders.--The Secretary shall provide for the 
conduct of research leading to the identification of methods and models 
to enhance services and supports for children and adolescents with co-
occurring mental health and substance abuse and disorders.
    ``(h) Cost of Untreated Mental Health Disorders.--The Secretary 
shall provide for the conduct of research assessing long-term financial 
costs of mental health disorders left untreated in children and 
adolescents.
    ``(i) Research Collaboration.--The Secretary shall provide for the 
conduct of research that reviews existing scientific literature on the 
relationship between mental and physical health, particularly 
identifying new methods and models to enhance the balance between 
mental and physical health in children and adolescents.
    ``(j) Collaboration.--In carrying out the activities under this 
section, the Secretary shall collaborate with the Federal interagency 
coordinating committee established under section 201 of the Child and 
Adolescent Mental Health Resiliency Act of 2007, and relevant Federal 
agencies and mental health working groups responsible for child and 
adolescent mental health.
    ``(k) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $12,500,000 for fiscal year 
2008, and such sums as may be necessary for each of fiscal years 2009 
through 2012.''.
                                 <all>