Provisions Relating to Public Health Service Act
Comprehensive Alcohol Abuse, Drug Abuse, and Mental Health Amendments Act of 1988 - Chapter 1: Revision and Extension of Alcohol and Drug Abuse and Mental Health Services Block Grant - Amends the Public Health Service Act to authorize FY 1989 through 1991 appropriations for the alcohol and drug abuse and mental health services block grant program.
Sets forth formulas for determining allotments among the various States and territories.
Earmarks a specified portion of Hawaii's allotment to be available only for Native Hawaiians. Conditions FY 1989 payments to a State upon the State's agreement to spend the funds exclusively for substance abuse programs, using at least half the funds for an enumerated series of permissible activities addressing intravenous drug abuse prevention and treatment programs.
Authorizes the Secretary of Health and Human Services (HHS), with respect to funds available for substance abuse programs, to permit States to use the amounts for construction of substance abuse facilities.
Describes conditions under which such a waiver is authorized.
Decreases the percentage of funds authorized for administrative expenses.
Conditions FY 1991 payments to a State for mental health services upon the State's agreement to use at least 55 percent of the funds for new services and programs for a limited period of time.
Permits the waiver of this condition under certain circumstances.
Requires States to provide for periodic independent peer review with respect to the quality and appropriateness of treatment services provided by entities funded under this chapter.
Increases the percentage of allotments that must be used for specified mental health and alcohol and drug abuse activities.
Requires States to use at least 50 percent of allotments for alcohol and drug abuse activities for FY 1990 and thereafter for intravenous drug abuse prevention and treatment programs.
Requires States to agree to:
(1) maintain expenditures for services under this chapter at a specified level, subject to waiver under extraordinary economic conditions;
(2) use at least ten percent of funds for programs and services designed for women, especially those who are pregnant or who have dependent children; and
(3) use at least ten percent of funds for mental health services for programs for seriously emotionally disturbed children and adolescents.
Describes a variety of other conditions that a State must meet in order to receive funds under this chapter, including requirements relating to treatment for intravenous drug abuse, outreach activities, substance abuse spending priorities, and data collection.
Requires recipient States to agree to establish and maintain a State mental health planning council to perform specified duties, including the monitoring of both the allocation and adequacy of mental health services within the State. Conditions FY 1989 funding to a State upon the State's agreement to establish a revolving fund to make loans for the costs of establishing group housing for persons recovering from alcohol or drug abuse.
Requires the State to assure continuing operation of the fund in order to receive payments for FY 1990 and thereafter.
(1) by States in connection with new mental health services and programs; and
(2) by the Secretary of HHS to the Congress, by October 1, 1990, on State activities under the alcohol and drug abuse and mental health services block grant program.
Directs the Secretary to provide technical assistance to States in connection with the program.
Directs the Secretary, acting through the Director of the National Institute on Alcohol Abuse and Alcoholism and the Director of the National Institute on Drug Abuse, to evaluate alcohol and drug abuse treatment programs to determine their quality and appropriateness and to submit to specified congressional committees, within six months of this Act's enactment, a plan for such an evaluation.
Directs the Secretary, acting through the Director of the National Institute of Mental Health (NIMH), to develop and maintain an ongoing program of research on community mental health programs and services.
Describes required program features.
Authorizes the NIMH Director to establish research centers to carry out evaluations required under the program.
Directs the Administrator of the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) to:
(1) develop a model plan for a community-based system of care for chronically mentally ill individuals; and
(2) develop a model insurance plan for consideration by the Director of the Office of Personnel Management and the Congress. Instructs the Comptroller General, by the end of FY 1990, to prepare and submit to specified congressional committees a report assessing the extent to which States have submitted and implemented comprehensive mental health services plans.
Chapter 2: Revision and Extension of Certain Programs of Alcohol, Drug Abuse, and Mental Health Administration - Amends the Public Health Service Act to authorize FY 1989 through 1991 appropriations to the Office for Substance Abuse Prevention to be used for:
(1) the alcohol and drug abuse information clearinghouse;
(2) prevention, treatment, and rehabilitation model projects for high-risk youth; and
(3) model projects for pregnant and postpartum women and their infants.
Revises provisions governing the duties of the Director of the Office for Substance Abuse Prevention to:
(1) target expressly health professionals involved in drug abuse education, prevention, and intervention as a group for whom clinical training programs must be supported; and
(2) implement programs, through appropriate schools, to train health care and social work personnel to diagnose and treat alcohol and drug abuse.
Revises criteria used to determine award priority in connection with grants for drug abuse and alcohol abuse prevention projects for high-risk youth.
Amends the Public Health Service Act to direct the Secretary of HHS, acting through the Administrator of the Alcohol, Drug Abuse, and Mental Health Administration, annually to collect data on the incidence and prevalence of various forms of mental illness and substance abuse, both nationally and in major metropolitan areas.
Instructs the Administrator to ensure that specified types of data are collected.
Requires annual surveys in connection with collection of these data, with summaries and analyses made available to the public.
Directs the ADAMHA Administrator to develop uniform standards for data collection.
Authorizes the Secretary, through the ADAMHA Administrator, to make grants for the purpose of reducing the waiting list of public and nonprofit private programs that provide drug abuse treatment services.
Lists eligibility criteria, as well as conditions and limitations applicable to such grants.
Directs the Secretary of HHS, acting through the Director of the Office for Substance Abuse Prevention, to make grants to establish projects for drug and alcohol abuse prevention, education, and treatment with respect to pregnant and postpartum women and their infants.
Gives priority to projects for low-income women and for innovative projects regarding the use of drugs, including cocaine and crack, about which insufficient information exists.
Describes application and evaluation procedures.
Empowers the Secretary, acting through the ADAMHA Administrator, to make grants to public and private entities for demonstration projects to:
(1) determine the feasibility and long-term effectiveness of offering drug abuse treatment and vocational training in exchange for public service;
(2) conduct outreach activities in connection with drug abuse and AIDS; and
(3) provide drug abuse treatment services to pregnant and postpartum women and their infants.
Requires the Secretary to provide for program evaluations and for the dissemination of derivative information.
Directs the Secretary to establish demonstration projects that provide grants to the States to enable them to provide effective treatment and treatment referrals to drug abusers.
Describes criteria to govern grant awards.
Requires the Secretary to select projects that focus on treatment of at least one of the following:
(3) pregnant women;
(4) female addicts and their children; and
(5) public housing residents.
Requires, in addition, the selection of at least one project that includes a centralized local referral unit meeting specified criteria.
Sets forth application procedures and priority concerns.
Requires systematic evaluation of the projects on a long-term basis to determine their impact on treated individuals and on the community.
Authorizes FY 1989 through 1991 appropriations for alcohol abuse and alcoholism research.
Authorizes corresponding appropriations for drug abuse research.
Includes individuals between 21 and 24 years old among those to be expressly targeted in suicide-related information that the Secretary of HHS publishes and makes available to the public and to health professionals.
(The current focus is on persons 21 years old and younger.) Directs the Secretary, through the ADAMHA Administrator, to:
(1) make grants and enter into agreements with public and nonprofit private entities to undertake research and studies concerning the causes, diagnosis, treatment, control, and prevention of mental illness; and
(2) establish a National Mental Health Education Program for a variety of treatment improvement, research support, and data collection purposes, including the establishment of a clearinghouse for mental health research and treatment programs.
Directs the Secretary, through the NIMH Director, to make grants to States and nonprofit private agencies for:
(1) mental health services demonstration projects and research projects involving community services for chronically mentally ill individuals, seriously emotionally disturbed children and youth, the elderly, and homeless chronically mentally ill persons;
(2) demonstration projects for the prevention of youth suicide;
(3) demonstration projects for improved recognition and treatment of depressive disorders; and
(4) demonstration projects for prevention and treatment relating to sex offenses.
Authorizes similar grants for demonstration projects covering prevention services for persons at risk of developing mental illness.
Lists permissible grant uses.
Limits grants to no more than three consecutive one-year periods.
Authorizes FY 1989 and 1990 appropriations, earmarking a specified percentage for projects in rural areas.
Makes miscellaneous amendments to the Public Health Service Act to:
(1) designate the Office of Substance Abuse Prevention as an agency of the Alcohol, Drug Abuse, and Mental Health Administration;
(2) require triennial rather than annual reporting on the Administration's prevention activities;
(3) eliminate the Alcohol, Drug Abuse, and Mental Health Advisory Board;
(4) authorize the Administrator to accept voluntary services and to conduct certain kinds of research training;
(5) permit the Secretary, acting through the Administrator, to make grants (authorizes FY 1989 through 1991 funding) of up to $100,000 for the acquisition of small instrumentation necessary for research, on the condition that the grant will be contemporaneously utilized by at least two grantees; and
(6) target expressly pregnant women and their children in connection with certain grant programs.
Amends the Anti-Drug Abuse Act of 1986 to extend the deadline by which the Secretary of HHS must report to the Congress on the extent to which drug abuse treatment is covered by private insurance, public programs, and other payors.
Chapter 3: Reports and Studies - Directs the Secretary of HHS to:
(1) study and report to the Congress on the relationship between mental illness and substance abuse and ways to treat persons having both problems;
(2) contract with an independent expert entity to study the current use of involuntary commitment for inpatient or outpatient treatment of mental illness and report results to the Congress; and
(3) request the National Academy of Sciences to review the research of the National Institutes of Health and the Alcohol, Drug Abuse, and Mental Health Administration and submit results to the Congress. Chapter 4: Miscellaneous - Amends the Public Health Service Act to instruct the Director of the National Institute on Drug Abuse and the States to take specified actions in connection with military facilities identified by the Commission on Alternative Utilization of Military Facilities as usable to house nonviolent persons for drug abuse treatment purposes.
Amends the Federal Property and Administrative Procedures Act of 1979 to permit the transfer of such properties to the States for donation to drug abuse treatment centers.