25 U.S.C. § 1665m — Domestic and sexual violence preven-

Page 331 TITLE 25—INDIANS § 1665m PRIOR PROVISIONS A prior section 1665k, Pub. L. 94–437, title VII, § 712, as added Pub. L. 102–573, title VII, § 702(a), Oct. 29, 1992, 106 Stat. 4581, provided for establishment of the Gila River alcohol and substance abuse treatment facility, prior to the general amendment of this subchapter by Pub. L. 111–148. § 1665l. Child sexual abuse prevention and treat- ment programs (a) Establishment The Secretary, acting through the Service, shall establish, consistent with section 1665a of this title, in every Service area, programs in- volving treatment for— (1) victims of sexual abuse who are Indian children or children in an Indian household; and (2) other members of the household or family of the victims described in paragraph (1). (b) Use of funds Funding provided pursuant to this section shall be used for the following: (1) To develop and provide community edu- cation and prevention programs related to sex- ual abuse of Indian children or children in an Indian household. (2) To identify and provide behavioral health treatment to victims of sexual abuse who are Indian children or children in an Indian house- hold, and to their family members who are af- fected by sexual abuse. (3) To develop prevention and intervention models which incorporate traditional health care practices, cultural values, and commu- nity involvement. (4) To develop and implement culturally sen- sitive assessment and diagnostic tools for use in Indian communities and urban centers. (c) Coordination The programs established under subsection (a) shall be carried out in coordination with pro- grams and services authorized under the Indian Child Protection and Family Violence Preven- tion Act (25 U.S.C. 3201 et seq.). (Pub. L. 94–437, title VII, § 713, as added Pub. L. 111–148, title X, § 10221(a), Mar. 23, 2010, 124 Stat. 935.) Editorial Notes REFERENCES IN TEXT The Indian Child Protection and Family Violence Prevention Act, referred to in subsec. (c), is title IV of Pub. L. 101–630, Nov. 28, 1990, 104 Stat. 4544, which is classified principally to chapter 34 (§ 3201 et seq.) of this title. For complete classification of this Act to the Code, see Short Title note set out under section 3201 of this title and Tables. CODIFICATION Section 713 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 1665l, Pub. L. 94–437, title VII, § 713, as added Pub. L. 102–573, title VII, § 702(a), Oct. 29, 1992, 106 Stat. 4581, provided for the conduct of the Alaska Na- tive drug and alcohol abuse demonstration project, prior to the general amendment of this subchapter by Pub. L. 111–148. § 1665m. Domestic and sexual violence preven- tion and treatment (a) In general The Secretary, in accordance with section 1665a of this title, is authorized to establish in each Service area programs involving the pre- vention and treatment of— (1) Indian victims of domestic violence or sexual abuse; and (2) other members of the household or family of the victims described in paragraph (1). (b) Use of funds Funds made available to carry out this section shall be used— (1) to develop and implement prevention pro- grams and community education programs re- lating to domestic violence and sexual abuse; (2) to provide behavioral health services, in- cluding victim support services, and medical treatment (including examinations performed by sexual assault nurse examiners) to Indian victims of domestic violence or sexual abuse; (3) to purchase rape kits; and (4) to develop prevention and intervention models, which may incorporate traditional health care practices. (c) Training and certification (1) In general Not later than 1 year after March 23, 2010, the Secretary shall establish appropriate pro- tocols, policies, procedures, standards of prac- tice, and, if not available elsewhere, training curricula and training and certification re- quirements for services for victims of domes- tic violence and sexual abuse. (2) Report Not later than 18 months after March 23, 2010, the Secretary shall submit to the Com- mittee on Indian Affairs of the Senate and the Committee on Natural Resources of the House of Representatives a report that describes the means and extent to which the Secretary has carried out paragraph (1). (d) Coordination (1) In general The Secretary, in coordination with the At- torney General, Federal and tribal law en- forcement agencies, Indian health programs, and domestic violence or sexual assault victim organizations, shall develop appropriate vic- tim services and victim advocate training pro- grams— (A) to improve domestic violence or sexual abuse responses; (B) to improve forensic examinations and collection; (C) to identify problems or obstacles in the prosecution of domestic violence or sexual abuse; and (D) to meet other needs or carry out other activities required to prevent, treat, and im- prove prosecutions of domestic violence and sexual abuse. Page 332 TITLE 25—INDIANS § 1665n (2) Report Not later than 2 years after March 23, 2010, the Secretary shall submit to the Committee on Indian Affairs of the Senate and the Com- mittee on Natural Resources of the House of Representatives a report that describes, with respect to the matters described in paragraph (1), the improvements made and needed, prob- lems or obstacles identified, and costs nec- essary to address the problems or obstacles, and any other recommendations that the Sec- retary determines to be appropriate. (Pub. L. 94–437, title VII, § 714, as added Pub. L. 111–148, title X, § 10221(a), Mar. 23, 2010, 124 Stat. 935.) Editorial Notes CODIFICATION Section 714 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 1665m, Pub. L. 94–437, title VII, § 714, as added Pub. L. 102–573, title VII, § 702(a), Oct. 29, 1992, 106 Stat. 4581, authorized appropriations through fiscal year 2000 to carry out this subchapter, prior to the gen- eral amendment of this subchapter by Pub. L. 111–148. § 1665n. Behavioral health research (a) In general The Secretary, in consultation with appro- priate Federal agencies, shall make grants to, or enter into contracts with, Indian tribes, tribal organizations, and urban Indian organizations or enter into contracts with, or make grants to ap- propriate institutions for, the conduct of re- search on the incidence and prevalence of behav- ioral health problems among Indians served by the Service, Indian tribes, or tribal organiza- tions and among Indians in urban areas. Re- search priorities under this section shall in- clude— (1) the multifactorial causes of Indian youth suicide, including— (A) protective and risk factors and sci- entific data that identifies those factors; and (B) the effects of loss of cultural identity and the development of scientific data on those effects; (2) the interrelationship and interdepend- ence of behavioral health problems with alco- holism and other substance abuse, suicide, homicides, other injuries, and the incidence of family violence; and (3) the development of models of prevention techniques. (b) Emphasis The effect of the interrelationships and inter- dependencies referred to in subsection (a)(2) on children, and the development of prevention techniques under subsection (a)(3) applicable to children, shall be emphasized. (Pub. L. 94–437, title VII, § 715, as added Pub. L. 111–148, title X, § 10221(a), Mar. 23, 2010, 124 Stat. 935.) Editorial Notes CODIFICATION Section 715 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. PART B—INDIAN YOUTH SUICIDE PREVENTION § 1667. Findings and purpose (a) Findings Congress finds that— (1)(A) the rate of suicide of American Indi- ans and Alaska Natives is 1.9 times higher than the national average rate; and (B) the rate of suicide of Indian and Alaska Native youth aged 15 through 24 is— (i) 3.5 times the national average rate; and (ii) the highest rate of any population group in the United States; (2) many risk behaviors and contributing factors for suicide are more prevalent in In- dian country than in other areas, including— (A) history of previous suicide attempts; (B) family history of suicide; (C) history of depression or other mental illness; (D) alcohol or drug abuse; (E) health disparities; (F) stressful life events and losses; (G) easy access to lethal methods; (H) exposure to the suicidal behavior of others; (I) isolation; and (J) incarceration; (3) according to national data for 2005, sui- cide was the second-leading cause of death for Indians and Alaska Natives of both sexes aged 10 through 34; (4)(A) the suicide rates of Indian and Alaska Native males aged 15 through 24 are— (i) as compared to suicide rates of males of any other racial group, up to 4 times great- er; and (ii) as compared to suicide rates of females of any other racial group, up to 11 times greater; and (B) data demonstrates that, over their life- times, females attempt suicide 2 to 3 times more often than males; (5)(A) Indian tribes, especially Indian tribes located in the Great Plains, have experienced epidemic levels of suicide, up to 10 times the national average; and (B) suicide clustering in Indian country af- fects entire tribal communities; (6) death rates for Indians and Alaska Na- tives are statistically underestimated because many areas of Indian country lack the proper resources to identify and monitor the presence of disease; (7)(A) the Indian Health Service experiences health professional shortages, with physician vacancy rates of approximately 17 percent, and nursing vacancy rates of approximately 18 percent, in 2007; (B) 90 percent of all teens who die by suicide suffer from a diagnosable mental illness at time of death;