§ 1665c. — Indian Health Service youth program.
[Laws in effect as of January 24, 2002]
[Document not affected by Public Laws enacted between
January 24, 2002 and December 19, 2002]
[CITE: 25USC1665c]
TITLE 25--INDIANS
CHAPTER 18--INDIAN HEALTH CARE
SUBCHAPTER V-A--SUBSTANCE ABUSE PROGRAMS
Sec. 1665c. Indian Health Service youth program
(a) Detoxification and rehabilitation
The Secretary shall develop and implement a program for acute
detoxification and treatment for Indian youth who are alcohol and
substance abusers. The program shall include regional treatment centers
designed to include detoxification and rehabilitation for both sexes on
a referral basis. These regional centers shall be integrated with the
intake and rehabilitation programs based in the referring Indian
community.
(b) Treatment centers or facilities
(1) The Secretary shall construct, renovate, or, as necessary,
purchase, and appropriately staff and operate, a youth regional
treatment center in each area under the jurisdiction of an area office.
For the purposes of this subsection, the area offices of the Service in
Tucson and Phoenix, Arizona, shall be considered one area office and the
area office in California shall be considered to be two area offices,
one office whose jurisdiction shall be considered to encompass the
northern area of the State of California, and one office whose
jurisdiction shall be considered to encompass the remainder of the State
of California.
(2) For the purpose of staffing and operating such centers or
facilities, funding shall be pursuant to section 13 of this title.
(3) A youth treatment center constructed or purchased under this
subsection shall be constructed or purchased at a location within the
area described in paragraph (1) agreed upon (by appropriate tribal
resolution) by a majority of the tribes to be served by such center.
(4)(A) Notwithstanding any other provision of this subchapter, the
Secretary may, from amounts authorized to be appropriated for the
purposes of carrying out this section, make funds available to--
(i) the Tanana Chiefs Conference, Incorporated, for the purpose
of leasing, constructing, renovating, operating and maintaining a
residential youth treatment facility in Fairbanks, Alaska; and
(ii) the Southeast Alaska Regional Health Corporation to staff
and operate a residential youth treatment facility without regard to
the proviso set forth in section 450b(l) of this title.
(B) Until additional residential youth treatment facilities are
established in Alaska pursuant to this section, the facilities specified
in subparagraph (A) shall make every effort to provide services to all
eligible Indian youth residing in such State.
(c) Federally owned structures
(1) The Secretary, acting through the Service, shall, in
consultation with Indian tribes--
(A) identify and use, where appropriate, federally owned
structures suitable as local residential or regional alcohol and
substance abuse treatment centers for Indian youth; and
(B) establish guidelines for determining the suitability of any
such federally owned structure to be used as a local residential or
regional alcohol and substance abuse treatment center for Indian
youth.
(2) Any structure described in paragraph (1) may be used under such
terms and conditions as may be agreed upon by the Secretary and the
agency having responsibility for the structure.
(d) Rehabilitation and aftercare services
(1) The Secretary, in cooperation with the Secretary of the
Interior, shall develop and implement within each Service service unit
community-based rehabilitation and follow-up services for Indian youth
who are alcohol or substance abusers which are designed to integrate
long-term treatment and to monitor and support the Indian youth after
their return to their home community.
(2) Services under paragraph (1) shall be administered within each
service unit by trained staff within the community who can assist the
Indian youth in continuing development of self-image, positive problem-
solving skills, and nonalcohol or substance abusing behaviors. Such
staff shall include alcohol and substance abuse counselors, mental
health professionals, and other health professionals and
paraprofessionals, including community health representatives.
(e) Inclusion of family in youth treatment program
In providing the treatment and other services to Indian youth
authorized by this section, the Secretary shall provide for the
inclusion of family members of such youth in the treatment programs or
other services as may be appropriate. Not less than 10 percent of the
funds appropriated for the purposes of carrying out subsection (d) of
this section shall be used for outpatient care of adult family members
related to the treatment of an Indian youth under that subsection.
(f) Multidrug abuse study
(1) The Secretary shall conduct a study to determine the incidence
and prevalence of the abuse of multiple forms of drugs, including
alcohol, among Indian youth residing on Indian reservations and in urban
areas and the interrelationship of such abuse with the incidence of
mental illness among such youth.
(2) The Secretary shall submit a report detailing the findings of
such study, together with recommendations based on such findings, to the
Congress no later than two years after October 29, 1992.
(Pub. L. 94-437, title VII, Sec. 704, as added Pub. L. 102-573, title
VII, Sec. 702(a), Oct. 29, 1992, 106 Stat. 4574.)
