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25 U.S.C. § 1665j — Indian youth program
Federal law — U.S. Code and appendices · legal_authorities
**(a) Detoxification and rehabilitation** The Secretary, acting through the Service, consistent with [section 1665a of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1665a&num=0&edition=prelim), shall develop and implement a program for acute detoxification and treatment for Indian youths, including behavioral health services. The program shall include regional treatment centers designed to include detoxification and rehabilitation for both sexes on a referral basis and programs developed and implemented by Indian tribes or tribal organizations at the local level under the Indian Self-Determination and Education Assistance Act ([25 U.S.C. 450](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section450&num=0&edition=prelim) et seq.).11 See References in Text note below. Regional centers shall be integrated with the intake and rehabilitation programs based in the referring Indian community.
**(b) Alcohol and substance abuse treatment centers or facilities**
(1) **Establishment**
(A) *In general* — The Secretary, acting through the Service, shall construct, renovate, or, as necessary, purchase, and appropriately staff and operate, at least 1 youth regional treatment center or treatment network in each area under the jurisdiction of an area office.
(B) *Area office in California* — For the purposes of this subsection, the area office in California shall be considered to be 2 area offices, 1 office whose jurisdiction shall be considered to encompass the northern area of the State of California, and 1 office whose jurisdiction shall be considered to encompass the remainder of the State of California for the purpose of implementing California treatment networks.
(2) **Funding** — For the purpose of staffing
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Stable record: federal_law:legal_authorities:record_usc_853b9da690d36a2c0dead027
Source file: Laws/federal/codes/united-states-code/title-25/section-1665j-indian-youth-program--e2e7cd66fd.md
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Source location: Title 25, Chapter 18, § 1665j; chapter-018-indian-health-care.md
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**(a) Detoxification and rehabilitation** The Secretary, acting through the Service, consistent with [section 1665a of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1665a&num=0&edition=prelim), shall develop and implement a program for acute detoxification and treatment for Indian youths, including behavioral health services. The program shall include regional treatment centers designed to include detoxification and rehabilitation for both sexes on a referral basis and programs developed and implemented by Indian tribes or tribal organizations at the local level under the Indian Self-Determination and Education Assistance Act ([25 U.S.C. 450](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section450&num=0&edition=prelim) et seq.).11 See References in Text note below. Regional centers shall be integrated with the intake and rehabilitation programs based in the referring Indian community.
**(b) Alcohol and substance abuse treatment centers or facilities**
(1) **Establishment**
(A) *In general* — The Secretary, acting through the Service, shall construct, renovate, or, as necessary, purchase, and appropriately staff and operate, at least 1 youth regional treatment center or treatment network in each area under the jurisdiction of an area office.
(B) *Area office in California* — For the purposes of this subsection, the area office in California shall be considered to be 2 area offices, 1 office whose jurisdiction shall be considered to encompass the northern area of the State of California, and 1 office whose jurisdiction shall be considered to encompass the remainder of the State of California for the purpose of implementing California treatment networks.
(2) **Funding** — For the purpose of staffing and operating such centers or facilities, funding shall be pursuant to [section 13 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section13&num=0&edition=prelim).
(3) **Location** — 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 Indian tribes to be served by such center.
(4) **Specific provision of funds**
(A) *In general* — 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 4(l) of the Indian Self-Determination and Education Assistance Act ([25 U.S.C. 450b](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section450b&num=0&edition=prelim)(l)).1
(B) *Provision of services to eligible youths* — 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 youths residing in Alaska.
**(c) Intermediate adolescent behavioral health services**
(1) **In general** — The Secretary, acting through the Service, may provide intermediate behavioral health services, which may, if feasible and appropriate, incorporate systems of care, to Indian children and adolescents, including—
(A) pretreatment assistance;
(B) inpatient, outpatient, and aftercare services;
(C) emergency care;
(D) suicide prevention and crisis intervention; and
(E) prevention and treatment of mental illness and dysfunctional and self-destructive behavior, including child abuse and family violence.
(2) **Use of funds** — Funds provided under this subsection may be used—
(A) to construct or renovate an existing health facility to provide intermediate behavioral health services;
(B) to hire behavioral health professionals;
(C) to staff, operate, and maintain an intermediate mental health facility, group home, sober housing, transitional housing or similar facilities, or youth shelter where intermediate behavioral health services are being provided;
(D) to make renovations and hire appropriate staff to convert existing hospital beds into adolescent psychiatric units; and
(E) for intensive home- and community-based services.
(3) **Criteria** — The Secretary, acting through the Service, shall, in consultation with Indian tribes and tribal organizations, establish criteria for the review and approval of applications or proposals for funding made available pursuant to this subsection.
**(d) Federally owned structures**
(1) **In general** — The Secretary, in consultation with Indian tribes and tribal organizations, shall—
(A) identify and use, where appropriate, federally owned structures suitable for local residential or regional behavioral health treatment for Indian youths; and
(B) establish guidelines for determining the suitability of any such federally owned structure to be used for local residential or regional behavioral health treatment for Indian youths.
(2) **Terms and conditions for use of structure** — 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 and any Indian tribe or tribal organization operating the program.
**(e) Rehabilitation and aftercare services**
(1) **In general** — The Secretary, Indian tribes, or tribal organizations, in cooperation with the Secretary of the Interior, shall develop and implement within each Service unit, community-based rehabilitation and follow-up services for Indian youths who are having significant behavioral health problems, and require long-term treatment, community reintegration, and monitoring to support the Indian youths after their return to their home community.
(2) **Administration** — Services under paragraph (1) shall be provided by trained staff within the community who can assist the Indian youths in their continuing development of self-image, positive problem-solving skills, and nonalcohol or substance abusing behaviors. Such staff may include alcohol and substance abuse counselors, mental health professionals, and other health professionals and paraprofessionals, including community health representatives.
**(f) Inclusion of family in youth treatment program** In providing the treatment and other services to Indian youths authorized by this section, the Secretary, acting through the Service, shall provide for the inclusion of family members of such youths 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 (e) shall be used for outpatient care of adult family members related to the treatment of an Indian youth under that subsection.
**(g) Multidrug abuse program** The Secretary, acting through the Service, shall provide, consistent with [section 1665a of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1665a&num=0&edition=prelim), programs and services to prevent and treat the abuse of multiple forms of substances, including alcohol, drugs, inhalants, and tobacco, among Indian youths residing in Indian communities, on or near reservations, and in urban areas and provide appropriate mental health services to address the incidence of mental illness among such youths.
**(h) Indian youth mental health** The Secretary, acting through the Service, shall collect data for the report under [section 1671 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1671&num=0&edition=prelim) with respect to—
(1) the number of Indian youth who are being provided mental health services through the Service and tribal health programs;
(2) a description of, and costs associated with, the mental health services provided for Indian youth through the Service and tribal health programs;
(3) the number of youth referred to the Service or tribal health programs for mental health services;
(4) the number of Indian youth provided residential treatment for mental health and behavioral problems through the Service and tribal health programs, reported separately for on- and off-reservation facilities; and
(5) the costs of the services described in paragraph (4).
Cross-references
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Mandatory application** All provisions of sections 5305(b), 5306, 5307, 5321(c) and (d), 5323, 5324(k) and (l), 5325(a) through (k), and 5332 of this title and section 314 of Public Law 101–512 (coverage under chapter 171 of title 28, commonly known as the “Federal Tort Claims Act”), to the extent not in conflict with this subchapter, shall apply to compacts and funding agreements authorized by this subchapter.
**(b) Discretionary application** At the request of a participating Indian tribe, any other provision of subchapter I of this chapter, to the extent such provision is not in conflict with this subchapter, shall be made a part of a funding agreement or compact entered into under this subchapter. The Secretary is obligated to include such provision at the option of the participating Indian tribe or tribes. If such provision is incorporated it shall have the same force and effect as if it were set out in full in this subchapter. In the event an Indian tribe requests such incorporation at the negotiation stage of a compact or funding agreement, such incorporation shall be deemed effective immediately and shall control the negotiation and resulting compact and funding agreement.
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 5301
Stored review status: release_metadata_unconfirmed. Explicit cross-reference supplied in source Markdown; currentness and applicability require review.
Federal law — U.S. Code and appendices · legal_authorities
**(a) Establishment** There is established within the Service an office, to be known as the “Office of Direct Service Tribes”.
**(b) Treatment** The Office of Direct Service Tribes shall be located in the Office of the Director.
**(c) Duties** The Office of Direct Service Tribes shall be responsible for—
(1) providing Service-wide leadership, guidance and support for direct service tribes to include strategic planning and program evaluation;
(2) ensuring maximum flexibility to tribal health and related support systems for Indian beneficiaries;
(3) serving as the focal point for consultation and participation between direct service tribes and organizations and the Service in the development of Service policy;
(4) holding no less than biannual consultations with direct service tribes in appropriate locations to gather information and aid in the development of health policy; and
(5) directing a national program and providing leadership and advocacy in the development of health policy, program management, budget formulation, resource allocation, and delegation support for direct service tribes.
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1665a
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Grant applications**
(1) **Efficiency of grant application process** — The Secretary, acting through the Administration, shall carry out such measures as the Secretary determines to be necessary to maximize the time and workload efficiency of the process by which Indian tribes and tribal organizations apply for grants under any program administered by the Administration, including by providing methods other than electronic methods of submitting applications for those grants, if necessary.
(2) **Priority for certain grants**
(A) *In general* — To fulfill the trust responsibility of the United States to Indian tribes, in awarding relevant grants pursuant to a program described in subparagraph (B), the Secretary shall take into consideration the needs of Indian tribes or tribal organizations, as applicable, that serve populations with documented high suicide rates, regardless of whether those Indian tribes or tribal organizations possess adequate personnel or infrastructure to fulfill all applicable requirements of the relevant program.
(B) *Description of grant programs* — A grant program referred to in subparagraph (A) is a grant program—
(i) administered by the Administration to fund activities relating to mental health, suicide prevention, or suicide-related risk factors; and
(ii) under which an Indian tribe or tribal organization is an eligible recipient.
(3) **Clarification regarding Indian tribes and tribal organizations** — Notwithstanding any other provision of law, in applying for a grant under any program administered by the Administration, no Indian tribe or tribal organization shall be required to apply through a State or State agency.
(4) **Requirements for affected States**
(A) *Definitions* — In this paragraph:
(i) *Affecte
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1671
Stored review status: release_metadata_unconfirmed. Explicit cross-reference supplied in source Markdown; currentness and applicability require review.
Federal law — U.S. Code and appendices · legal_authorities
### Statutory Notes
#### Codification
Section 458aaa–18 was editorially reclassified as [section 5399 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section5399&num=0&edition=prelim).
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 450
Stored review status: release_metadata_unconfirmed. Explicit cross-reference supplied in source Markdown; currentness and applicability require review.
Federal law — U.S. Code and appendices · legal_authorities
The Bureau of Indian Affairs, under the supervision of the Secretary of the Interior, shall direct, supervise, and expend such moneys as Congress may from time to time appropriate, for the benefit, care, and assistance of the Indians throughout the United States for the following purposes:
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 13
Stored review status: release_metadata_unconfirmed. Explicit cross-reference supplied in source Markdown; currentness and applicability require review.
Federal law — U.S. Code and appendices · legal_authorities
### Statutory Notes
#### Codification
Section 458bbb–2, Pub. L. 93–638, title V, § 503, as added Pub. L. 106–568, title XIII, § 1302, Dec. 27, 2000, 114 Stat. 2938, was renumbered section 803 of Pub. L. 93–638 and transferred to [section 458ddd–2 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section458ddd-2&num=0&edition=prelim) prior to editorial reclassification as [section 5423 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section5423&num=0&edition=prelim).
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 450b
Stored review status: release_metadata_unconfirmed. Explicit cross-reference supplied in source Markdown; currentness and applicability require review.
Federal law — U.S. Code and appendices · legal_authorities
The President shall, at the time the budget is submitted under [section 1105 of title 31](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title31-section1105&num=0&edition=prelim), for each fiscal year transmit to the Congress a report containing—
(1) a report on the progress made in meeting the objectives of this chapter, including a review of programs established or assisted pursuant to this chapter and an assessment and recommendations of additional programs or additional assistance necessary to, at a minimum, provide health services to Indians, and ensure a health status for Indians, which are at a parity with the health services available to and the health status of, the general population;
(2) a report on whether, and to what extent, new national health care programs, benefits, initiatives, or financing systems have had an impact on the purposes of this chapter and any steps that the Secretary may have taken to consult with Indian tribes to address such impact;
(3) a report on the use of health services by Indians—
(A) on a national and area or other relevant geographical basis;
(B) by gender and age;
(C) by source of payment and type of service; and
(D) comparing such rates of use with rates of use among comparable non-Indian populations.11 So in original. The period probably should be a semicolon.
(4) a separate statement which specifies the amount of funds requested to carry out the provisions of [section 1621 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1621&num=0&edition=prelim);
(5) a separate statement of the total amount obligated or expended in the most recently completed fiscal year to achieve each of the objectives described in [section 1680d of this title](https://uscode.house.
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1674
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Federal law — U.S. Code and appendices · legal_authorities
Page 329
TITLE 25—INDIANS
§ 1665j
1 So in original. Probably should be ‘‘section,’’.
California shall be considered to be 2 area of-
fices, 1 office whose location shall be considered
to encompass the northern area of the State of
California and 1 office whose jurisdiction shall
be considered to encompass the remainder of the
State of California. The Secretary shall consider
the possible conversion of existing, underused
Service hospital beds into psychiatric units to
meet such need.
(Pub. L. 94–437, title VII, § 709, as added Pub. L.
111–148, title X, § 10221(a), Mar. 23, 2010, 124 Stat.
935.)
Editorial Notes
CODIFICATION
Section 709 of Pub. L. 94–437 is based on section 181 of
title I of S. 1790, One Hundred Eleventh Congress, as re-
ported by the Committee on Indian Affairs of the Sen-
ate in Dec. 2009, which was enacted into law by section
10221(a) of Pub. L. 111–148.
PRIOR PROVISIONS
A prior section 1665h, Pub. L. 94–437, title VII, § 709, as
added Pub. L. 102–573, title VII, § 702(a), Oct. 29, 1992, 106
Stat. 4579, related to the Pueblo substance abuse treat-
ment project for San Juan Pueblo, New Mexico, prior
to the general amendment of this subchapter by Pub.
L. 111–148.
§ 1665i. Training and community education
(a) Program
The Secretary, in cooperation with the Sec-
retary of the Interior, shall develop and imple-
ment or assist Indian tribes and tribal organiza-
tions to develop and implement, within each
Service unit or tribal program, a program of
community education and involvement which
shall be designed to provide concise and timely
information to the community leadership of
each tribal community. Such program shall in-
clude education about behavioral health issues
to political leaders, tribal judges, law enforce-
ment pers
Source: Supplied 2024 U.S. Code historical extraction · 25 U.S.C. § 1665j
Stored review status: historical_2024_not_currentness_verified. Same stored citation; legal effect and authority still require review.
Federal law — U.S. Code and appendices · legal_authorities
Page 141
TITLE 25—INDIANS
§ 450f
Section was formerly classified to section 93 of Title
45, Railroads.
§ 443c. Transferred
Editorial Notes
CODIFICATION
Section 443c was editorially reclassified as section
1684 of this title.
§ 443d. Transferred
Editorial Notes
CODIFICATION
Section 443d was editorially reclassified as section
1685 of this title.
§§ 444 to 449. Repealed. Aug. 5, 1954, ch. 658, § 5,
68 Stat. 675
Sections, act Apr. 3, 1952, ch. 129, §§ 1–6, 66 Stat. 35, re-
lated to Indian hospital services and facilities. See sec-
tion 2001 et seq. of Title 42, The Public Health and Wel-
fare.
Statutory Notes and Related Subsidiaries
EFFECTIVE DATE OF REPEAL
Repeal effective July 1, 1959, see section 6 of act Aug.
5, 1954, set out as an Effective Date note under section
2001 of Title 42, The Public Health and Welfare.
SUBCHAPTER
II—INDIAN
SELF-DETER-
MINATION AND EDUCATION ASSISTANCE
§ 450. Transferred
Editorial Notes
CODIFICATION
Section 450 was editorially reclassified as section 5301
of this title.
§ 450a. Transferred
Editorial Notes
CODIFICATION
Section 450a was editorially reclassified as section
5302 of this title.
§ 450a–1. Transferred
Editorial Notes
CODIFICATION
Section 450a–1 was editorially reclassified as section
5303 of this title.
§ 450b. Transferred
Editorial Notes
CODIFICATION
Section 450b was editorially reclassified as section
5304 of this title.
§ 450c. Transferred
Editorial Notes
CODIFICATION
Section 450c was editorially reclassified as section
5305 of this title.
§ 450d. Transferred
Editorial Notes
CODIFICATION
Section 450d was editorially reclassified as section
5306 of this title.
§ 450e. Transferred
Editorial Notes
CODIFICATION
Section 450e was editorially reclassified as section
5307 of this title.
§ 4
Source: Supplied 2024 U.S. Code historical extraction · 25 U.S.C. § 450
Stored review status: historical_2024_not_currentness_verified. The source passage cites 25 U.S.C. § 450. This identifies an authority to review, not proof of applicability.
Federal law — U.S. Code and appendices · legal_authorities
Page 141
TITLE 25—INDIANS
§ 450f
Section was formerly classified to section 93 of Title
45, Railroads.
§ 443c. Transferred
Editorial Notes
CODIFICATION
Section 443c was editorially reclassified as section
1684 of this title.
§ 443d. Transferred
Editorial Notes
CODIFICATION
Section 443d was editorially reclassified as section
1685 of this title.
§§ 444 to 449. Repealed. Aug. 5, 1954, ch. 658, § 5,
68 Stat. 675
Sections, act Apr. 3, 1952, ch. 129, §§ 1–6, 66 Stat. 35, re-
lated to Indian hospital services and facilities. See sec-
tion 2001 et seq. of Title 42, The Public Health and Wel-
fare.
Statutory Notes and Related Subsidiaries
EFFECTIVE DATE OF REPEAL
Repeal effective July 1, 1959, see section 6 of act Aug.
5, 1954, set out as an Effective Date note under section
2001 of Title 42, The Public Health and Welfare.
SUBCHAPTER
II—INDIAN
SELF-DETER-
MINATION AND EDUCATION ASSISTANCE
§ 450. Transferred
Editorial Notes
CODIFICATION
Section 450 was editorially reclassified as section 5301
of this title.
§ 450a. Transferred
Editorial Notes
CODIFICATION
Section 450a was editorially reclassified as section
5302 of this title.
§ 450a–1. Transferred
Editorial Notes
CODIFICATION
Section 450a–1 was editorially reclassified as section
5303 of this title.
§ 450b. Transferred
Editorial Notes
CODIFICATION
Section 450b was editorially reclassified as section
5304 of this title.
§ 450c. Transferred
Editorial Notes
CODIFICATION
Section 450c was editorially reclassified as section
5305 of this title.
§ 450d. Transferred
Editorial Notes
CODIFICATION
Section 450d was editorially reclassified as section
5306 of this title.
§ 450e. Transferred
Editorial Notes
CODIFICATION
Section 450e was editorially reclassified as section
5307 of this title.
§ 4
Source: Supplied 2024 U.S. Code historical extraction · 25 U.S.C. § 450b
Stored review status: historical_2024_not_currentness_verified. The source passage cites 25 U.S.C. § 450b. This identifies an authority to review, not proof of applicability.