P.L. 102-573 Sec 704, as codified in Title 25 U.S.C. 1665c. Indian Health Service Youth Program |
(a) DETOXIFICATION AND REHABILITATION.
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| 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 on the referring Indian community.
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(b) TREATMENT CENTERS OR FACILITIES.
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| (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 the Act of November 2, 1921 (25 U.S.C. 13). |
| (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 title, 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 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 4(l) of the Indian Self-Determination and Education Assistance Act (25 U.S.C. 450b(l)). |
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(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. |
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(c) FEDERALLY OWNED STRUCTURES.
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| (1) |
The Secretary, acting through the Service, shall, in consultation with Indian tribes -- |
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(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 |
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(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. |
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(d) REHABILITATION AND AFTERCARE SERVICES.
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| (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. |
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(e) INCLUSION OF FAMILY IN YOUTH TREATMENT PROGRAM
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| 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) shall be used for outpatient care of adult family members related to the treatment
of an Indian youth under that subsection. |
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(f) MULTIDRUG ABUSE STUDY
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| (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 the date of the enactment of this section. |
