[Congressional Record Volume 153, Number 90 (Wednesday, June 6, 2007)]
[Senate]
[Pages S7185-S7194]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

      By Mr. DODD (for himself, Mr. Domenici, and Mr. Kennedy):
  S. 1560. A bill to amend the Public Health Service Act to improve the 
quality and availability of mental health services for children and 
adolescents; to the Committee on Health, Education, Labor, and 
Pensions.

[[Page S7186]]

  Mr. DODD, Mr. President, I rise today to introduce bipartisan 
legislation with my colleagues, Senators Domenici and Kennedy, that 
seeks to meet the mental health needs of children and adolescents.
  I believe that the task of ensuring the emotional well-being and 
resiliency of our young people is one of paramount importance. We all 
know that mental health is a critical component contributing to a 
child's general health and ability to grow both intellectually and 
physically. Yet, the task of ensuring the mental health of children and 
adolescents is not an easy one. In fact, it is arguably one of the most 
difficult and largely unspoken tasks facing our Nation today.
  According to the Substance Abuse and Mental Health Services 
Administration SAMHSA, 1 in 10 children and adolescents suffer from 
mental health disorders serious enough to cause some level of 
impairment. Out of these young people, only one in five receive the 
specialty mental health services they require.
  These startling statistics prompted former Surgeon General Dr. David 
Satcher to convene a conference in 1999 that examined the mental health 
needs of children. The conference, composed of some of the Nation's 
leading experts in mental and public health published a seminal report 
that concluded that ``. . . the burden of suffering experienced by 
children with mental illness and their families has created a health 
crisis in this country.'' The report further concluded that ``. . . 
there is broad evidence that the Nation lacks a unified infrastructure 
to help children suffering from mental illness.''
  The ``burden of suffering'' described in Surgeon General Satcher's 
report is a burden endured by millions of children, adolescents, and 
their families in Connecticut and across our Nation. Throughout my 
Senate career, I have heard from families who have shared with me their 
personal stories in struggling to care for their children. Their 
stories have fueled my belief that child and adolescent mental health 
needs to be a top priority.
  Recognizing the fragmentation of the Nation's mental health delivery 
system, Surgeon General Satcher's report concluded that one fundamental 
way to meet the mental health needs of children and adolescents is to 
``. . . move towards a community-based mental health delivery system 
that balances health promotion, disease prevention, early detection, 
and universal access to care.'' The report further stated eight goals 
to ensure the resiliency of children and adolescents. These goals were: 
first, to promote public awareness of children's mental health issues 
and reduce the stigma often associated with mental illness; second, to 
continue to develop, disseminate, and implement scientifically proven 
prevention and treatment services in the field of children's mental 
health; third, to improve the assessment and recognition of mental 
health needs in children; fourth, to eliminate racial, ethnic and 
socioeconomic disparities in access to mental health care services; 
fifth, to improve infrastructure for children's mental health services, 
including support for scientifically proven interventions across 
professions; sixth, to increase access to and coordination of quality 
mental health care services; seventh, to train frontline providers to 
recognize and manage mental health issues, and educate mental health 
care providers about scientifically proven prevention and treatment 
services, and; finally, to monitor the access to and coordination of 
quality mental health care services.
  In 2002, President Bush established the President's New Freedom 
Commission on Mental Health to study three obstacles identified by the 
President that prevent Americans with mental illness from getting the 
care they require. These obstacles were identified as the stigma that 
too often surrounds mental health care, a lack of mental health parity, 
and the fragmented mental health delivery system. In 2003, the 
President's New Freedom Commission issued a report that made a series 
of recommendations on how the Nation's mental health system could be 
transformed for the better. Like Surgeon General Satcher's report, this 
publication also set forth a series of goals. They were: first, to 
ensure that Americans understand that mental health is essential to 
overall health; second, to ensure that mental health care is consumer- 
and family-driven; third, to eliminate disparities in mental health 
care services; fourth, to ensure that early mental health screening, 
assessment, and referral services are common practices; fifth, to 
ensure that excellent mental health care is delivered and research is 
accelerated; and finally, to ensure that technology is used to access 
mental health care and information.
  I describe these two reports because the legislation I am introducing 
with my colleagues today seeks to address the recommendations they 
espouse. The Child and Adolescent Mental Health Resiliency Act of 2007 
authorizes $205 million in an effort to meet five principal objectives.
  The first objective is to increase access to, and improve the quality 
of, mental health care services delivered to children and adolescents. 
Our legislation seeks to meet this objective in several ways.
  First, it authorizes a new grant of $50 million for states to develop 
and implement a comprehensive mental health plan exclusively for 
children and adolescents that provides community-based mental health 
early intervention and prevention services and relevant support 
services, such as primary health care, education, transportation and 
housing. The plan would have to meet a set of core operational and 
evaluative requirements and would have to be developed through 
extensive outside consultation with children and adolescents, their 
families, advocates and health professionals.
  Second, our legislation authorizes two matching grants of $22.5 
million each for community health centers, many of which primarily 
serve low-income populations, and primary health care facilities, such 
as a pediatrician's office, to provide community-based mental health 
services in coordination with community mental health centers and/or 
trained mental health professionals.
  Third, our legislation authorizes a new grant of $22.5 million for 
states, localities and private nonprofit organizations, for example, 
school districts, to provide community-based mental health services in 
schools and appropriate mental health training activities to relevant 
school and health professionals.
  Fourth, our legislation authorizes a new grant of $20 million for 
States, localities and private nonprofit organizations to provide 
community-based mental health services specifically for at-risk mothers 
and their children.
  Fifth, our legislation authorizes a new grant of $10 million for 
States, localities and private nonprofit organizations to provide 
community-based mental health services for children and adolescents in 
juvenile justice systems.
  Sixth, our legislation authorizes $10 million for the Secretary of 
Health and Human Services to establish, run and evaluate a 
demonstration project that improves the ability of local case managers 
to work across the mental health, public health, substance abuse, child 
welfare, education, juvenile justice and social services systems in a 
State.
  Finally, our legislation requires States to meet their statutory 
obligations to fund fully mental health screening services under the 
Early and Periodic Screening, Diagnostic and Treatment Services 
Program. It also requires current successful initiatives, such as the 
Comprehensive Community Mental Health Services for Children with 
Serious Emotional Disturbance Program, the Community Mental Health 
Services Performance Partnership block grant, the Community Mental 
Health Services block grant, and the Jail Diversion Program, to expand 
their scope with respect to certain reporting, evaluative, and service 
activities.
  The second objective our legislation seeks to meet is ensuring 
greater public awareness and greater family participation in mental 
health services decisionmaking. Toward this end, our legislation does 
the following:
  First, it authorizes a new grant of $10 million for States, 
localities and private nonprofit organizations to develop policies that 
enable families of children and adolescents with mental health 
disorders to have increased control and choice over mental health 
services provided and received through a publicly funded mental health 
system.

[[Page S7187]]

  Second, it authorizes a new grant of $10 million for private 
nonprofit organizations to provide information on child and adolescent 
mental health disorders, services, support services and respite care to 
families of children and adolescents with or who are at risk for mental 
health disorders.
  Third, it authorizes a new grant of $10 million for private nonprofit 
organizations to develop community coalitions and public education 
activities that promote child and adolescent resiliency.
  In addition, our legislation authorizes $10 million to establish two 
new technical assistance centers. These centers are designed to collect 
and disseminate information on mental health disorders, mental health 
disorder risk factors, mental health services, mental health service 
access, relevant support services, reducing the inappropriate use of 
seclusion and restraints, and family participation in mental health 
service decision-making, exclusively for children and adolescents with 
or at risk of mental health disorders.
  The third objective that this legislation seeks to meet is for the 
Federal Government to develop a policy specifically designed to meet 
the unique mental health needs of children and adolescents. The 
legislation authorizes $10 million for the establishment of an 
interagency coordinating committee consisting of all Federal officials 
whose departments or agencies oversee mental health activities for 
children and adolescents. Modeled after language in the Garrett Lee 
Smith Memorial Act, our legislation requires the coordinating committee 
to consult with outside parties, develop a Federal policy exclusively 
pertaining to child and adolescent mental health, and report annually 
to Congress on specific challenges and solutions associated with 
comprehensively addressing the mental health needs of children and 
adolescents. It also gives the committee flexibility to develop and 
implement joint demonstration projects that bolster appropriate mental 
health care services to children and adolescents.
  The fourth and final objective that this legislation seeks to meet is 
increasing the amount of research into child and adolescent mental 
health. Only through intensive research can we develop evidence-based 
best practices that allow us to develop services that fully meet the 
mental health needs of our children. Toward that end, our legislation 
authorizes a new grant of $12.5 million for States, localities, 
institutions of higher education and private nonprofit organizations to 
identify and research current service, training and information 
awareness gaps in mental health delivery systems for children and 
adolescents. Our legislation also authorizes $12.5 million to enhance 
comprehensive Federal research and evaluation of promising best 
practices, existing disparities, psycho-tropic medications, trauma, 
recovery and rehabilitation, and co-occurring disorders as they relate 
to child and adolescent mental health.
  I have begun working with my colleagues on the Committee on Health, 
Education, Labor, and Pensions to reauthorize the Substance Abuse and 
Mental Health Services Administration. It is my hope that this 
legislation can contribute to that reauthorization effort.
  I would like to conclude by saying that this legislation, while 
comprehensive, is a first step, not a complete solution, towards fully 
meeting the challenge of ensuring the resiliency of our children and 
adolescents. We need to continue working together--young people, 
families, doctors, counselors, nurses, teachers, advocates, and 
policymakers, since we all have a stake, either professional or 
personal, on this issue. Only by working together can we develop 
effective and compassionate ways through which every young person in 
this Nation is given a solid foundation upon which to reach his or her 
dreams in life. I sincerely hope that my colleagues will join us in 
this important effort.
  I ask unanimous consent that the text of the bill be printed in the 
Record.
  There being no objection, the text of the bill was ordered to be 
printed in the Record, as follows:

                                S. 1560

       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

[[Page S7188]]

     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;

[[Page S7189]]

       ``(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 Service 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

[[Page S7190]]

     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

[[Page S7191]]

     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

[[Page S7192]]

     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;

[[Page S7193]]

       (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

[[Page S7194]]

     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.''.

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