[Federal Register Volume 60, Number 149 (Thursday, August 3, 1995)]
[Notices]
[Page 39766]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-19154]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Supplement to Renovate the Alcohol Detention Center, Page, 
Arizona

AGENCY: Center For Substance Abuse Treatment, Substance Abuse and 
Mental Health Services Administration (SAMHSA), HHS.

ACTION: Notice of intent to provide a supplemental award to renovate a 
facility to serve the substance abuse needs of the people of Page, 
Arizona, and the western portion of the Navajo Nation.

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SUMMARY: The Center for Substance Abuse Treatment (CSAT), SAMHSA, is 
publishing this notice to provide information to the public of a 
planned single source supplemental award to the Navajo Nation Division 
of Health for renovating a facility (i.e., the Alcohol Detention Center 
of Page, Arizona, and the western portion of the Navajo Nation). The 
anticipated project period is one year and the estimated FY 1995 award 
is $200,000. An award will be made based on the receipt of a 
satisfactory application that is approved by an initial review group 
and the CSAT National Advisory Council.

AUTHORITY/JUSTIFICATION: This supplemental award will be made under the 
authority of section 510(b)(1) of the Public Health Service Act, as 
amended. An award is being made on a single source basis because the 
Conference Report to the Treasury/Postal Service and General 
Appropriations Act of 1995, specified that $200,000 should be reserved 
for this renovation effort.
    The Catalog of Federal Domestic Assistance number for this program 
is 93.122.
    The Navajo Nation Division of Health is a current CSAT Rural, 
Remote and Culturally Distinct program grantee that is currently 
providing substance abuse services to the people of Page, Arizona, and 
the rural remote population in the western portion of the Navajo 
Nation, by utilizing the resources and existing network of local 
private and public, social, health and welfare organizations and 
agencies. It has been selected for a supplemental award for renovations 
to its Alcohol Detention Center to further address the special 
substance abuse problems of these populations.
    The Navajo Nation has utilized this facility since 1981 for drug 
and alcohol treatment activities. The facility is currently being used 
to serve individuals targeted by the CSAT program. However, the 
facility requires renovations to provide 13 adult residential treatment 
beds for men and women which can be licensed by the State of Arizona.
    The Navajo Nation Division of Health is the local entity with a 
developed infrastructure and ongoing collaborative arrangements with 
local officials most able to implement this renovation project with a 
minimum of start up time.
    The Navajo Nation is extremely rural. Lack of transportation and 
communication are common problems. Further, there is a greater need 
than availability of basic medical and health care services. In 1992, 
the Navajo Nation Department of Health reported that approximately 
55,000 Navajos participated in various treatment and counseling 
interventions. Alcohol related deaths, accidents, injuries, illness, 
violence, and driving while intoxicated are significant problems. For 
example, five of the nine leading causes of mortality for Navajos are 
accidents, heart disease, homicide, suicide, and chronic liver disease 
and cirrhosis. Alcohol can be a major contributing factor to each of 
these problems.
    Based on Indian Health Service (IHS) statistics, Navajo youth aged 
12-18 and young adults aged 19-35 (especially male) are the high risk 
groups for substance abuse, with about one-fourth having abused 
alcohol, marijuana, and/or inhalants. In any given community on the 
reservation or border town, substance abuse is highly prevalent. 
Further, 35% of 8th grade Navajo students off the reservation have used 
alcohol and/or other drugs of abuse.
    The Navajo Nation Department of Health reports a limited 
residential capacity including only 28 youth drug treatment beds and no 
adult beds. The number of beds are inadequate to meet the inpatient 
treatment needs of the Navajo Nation.

FOR FURTHER INFORMATION CONTACT: Clifton D. Mitchell, Chief Special 
Policy Projects Branch, CSAT/SAMHSA, Rockwall II, Suite 740, 5600 
Fishers Lane, Rockville, Maryland 20857. Telephone number (301) 443-
8804.

    Dated: July 31, 1995.
Richard Kopanda,
Acting Executive Officer, Substance Abuse and Mental Health Services 
Administration.
[FR Doc. 95-19154 Filed 8-2-95; 8:45 am]
BILLING CODE 4162-20-P