Community Mental Health and Substance Abuse Services Improvement Act of 1992

Summary

Community Mental Health and Substance Abuse Services Improvement Act of 1991 - Title I: Block Grants to States Regarding Mental Health and Substance Abuse - Amends title XIX (Block Grants) of the Public Health Service Act (the Act) to direct the Secretary of Health and Human Services (the Secretary) to make an annual allotment, in accordance with a specified formula, to each State with an approved application for providing comprehensive community mental health services to adults with a serious mental illness and to children with a serious emotional disturbance. Sets forth criteria for State plans and mental health centers. Requires a State, in order to receive a grant, to maintain a State mental health planning council. Authorizes appropriations. Directs the Secretary to make an annual allotment to each State making specified agreements for the purpose of planning, carrying out, and evaluating activities to prevent and treat the abuse of alcohol and other drugs. Requires a State to give priority to communities with the highest prevalence of substance abuse. Requires: (1) a specified percentage to be available to treat pregnant women and women with dependent children; and (2) that child care and prenatal care will be available for women receiving services. Requires that a specified percentage be expended for intravenous drug abuse programs with priority given to programs treating individuals with the etiologic agent for acquired immune deficiency syndrome. Requires outreach activities. Requires a grant recipient State to: (1) provide for a revolving fund to make loans to establish group homes for recovering substance abusers; and (2) have in effect a law prohibiting the sale of tobacco products to any individual under the age of 18. Sets forth additional provisions concerning a State's responsibilities, application, and plan. Authorizes appropriations. Adds a new subtitle to title XIX of the Act which sets forth new provisions regarding block grants, including provisions concerning: (1) the submission of the description of the intended use of a block grant; (2) reports and audits by States; (3) disposition of funds appropriated for allotments; (4) failure to comply with agreements required as a condition of receiving payments; and (5) nondiscrimination. Directs the Secretary to make grants to public entities for the purpose of providing comprehensive community mental health services to children with a serious emotional disturbance. Sets forth requirements for receiving grants, including: (1) matching fund requirements; and (2) requirements concerning the provision of services. Permits an entity to impose charges for the provision of such services, provided that: (1) the charges are adjusted to reflect the income of the child's family; and (2) no charges are imposed or families with income and resources below the official poverty line. Prohibits the period during which grant payments may be made from exceeding five years. Authorizes appropriations. Authorizes the Secretary to make grants to States for the purpose of increasing the maximum number of individuals to whom public and nonprofit private entities are capable of providing effective treatment for substance abuse. Requires that priority in making grants be given to States: (1) giving priority to residential treatment services for pregnant women; and (2) that more than meet their matching funds requirement. Sets forth requirements for receiving a grant. Authorizes appropriations. Title II: Other Programs of Alcohol, Drug Abuse, and Mental Health Administration - Requires that at least 15 percent of the amounts appropriated under the Act for conducting or supporting research regarding mental health be made available for research on community-based treatment programs. Authorizes appropriations for such research. Establishes within the National Institute of Mental Health the Office of Rural Mental Health. Requires the Director of such Office to coordinate various activities concerning mental health in rural areas and to conduct research and carry out demonstration projects. Authorizes appropriations. Amends the Protection and Advocacy for Mentally Ill Individuals Act of 1986 to extend the authorization of appropriations. Establishes, in the Alcohol, Drug Abuse, and Mental Health Administration an Office for Treatment Improvement. Requires the Director of such Office, with respect to the treatment of substance abuse, to carry out specified duties, including: (1) collaborating efforts with other similar agencies; (2) assisting entities providing treatment services; and (3) providing grants for the purpose of establishing demonstration projects that will improve the provision of treatment services for substance abuse. Authorizes appropriations for such grants. Requires the establishment of a demonstration program within the national capital area. Requires the Director of the Office for Substance Abuse Prevention to establish a national data base providing information on programs for the prevention of substance abuse. Authorizes appropriations for such Office to assist communities in developing long-term strategies for the prevention of substance abuse and to evaluate the success of different approaches. Authorizes appropriations under the Act for prevention, treatment, and rehabilitation model projects for high risk youth. Replaces current provisions providing grants to establish projects for pregnant and postpartum women having substance abuse problems with provisions providing grants for residential treatment programs for such women. Sets forth program requirements. Authorizes appropriations. Provides for grants to establish projects for prevention and education activities and outpatient treatment regarding the effects of drug and alcohol abuse on pregnant and postpartum women and their infants. Requires the Director of the Prevention Office, through awarding grants, to develop programs to increase the number of full-time substance abuse treatment professionals and the number of professionals providing treatment services. Authorizes appropriations. Authorizes appropriations for: (1) a grant program the purpose of which is to reduce the waiting period for drug abuse treatment; (2) research on alcohol abuse and alcoholism; (3) research on drug abuse; (4) a study concerning programs that provide sterile hypodermic needles and bleach to individuals at risk of contracting acquired immune deficiency syndrome; and (5) grants to entities for the acquisition of small instrumentation necessary for research on mental health and substance abuse. Title III: Trauma Centers and Drug-Related Violence - Authorizes the Secretary to make grants for the purpose of providing for the operating expenses of trauma centers that have incurred substantial uncompensated costs in providing trauma care in geographic areas with a significant incidence of violence arising from the abuse of drugs. Sets forth provisions concerning: (1) qualifying for such grants; and (2) priorities in making such grants. Authorizes appropriations. Title IV: National Drug Control Strategy - Amends the Anti-Drug Abuse Act of 1988 to require the National Drug Control Strategy to identify factors that influence individuals to engage in the abuse of drugs and determine whether the sale to and use of alcoholic beverages and tobacco products by minors are factors.

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4 official files

• Reported in House (text)

  Reported in House · EN

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• Introduced in House (text)

  Introduced in House · EN

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• Passed House amended

  summary · EN · 24 March 1992

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• Introduced in House

  summary · EN · 1 November 1991

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