25 U.S.C. § 1667a — Definitions

Page 333 TITLE 25—INDIANS § 1667b (C) more than 1⁄2 of teens who die by suicide have never been seen by a mental health pro- vider; and (D) 1⁄3 of health needs in Indian country re- late to mental health; (8) often, the lack of resources of Indian tribes and the remote nature of Indian res- ervations make it difficult to meet the re- quirements necessary to access Federal assist- ance, including grants; (9) the Substance Abuse and Mental Health Services Administration and the Service have established specific initiatives to combat youth suicide in Indian country and among In- dians and Alaska Natives throughout the United States, including the National Suicide Prevention Initiative of the Service, which has worked with Service, tribal, and urban Indian health programs since 2003; (10) the National Strategy for Suicide Pre- vention was established in 2001 through a De- partment of Health and Human Services col- laboration among— (A) the Substance Abuse and Mental Health Services Administration; (B) the Service; (C) the Centers for Disease Control and Prevention; (D) the National Institutes of Health; and (E) the Health Resources and Services Ad- ministration; and (11) the Service and other agencies of the De- partment of Health and Human Services use information technology and other programs to address the suicide prevention and mental health needs of Indians and Alaska Natives. (b) Purposes The purposes of this part are— (1) to authorize the Secretary to carry out a demonstration project to test the use of tele- mental health services in suicide prevention, intervention, and treatment of Indian youth, including through— (A) the use of psychotherapy, psychiatric assessments, diagnostic interviews, thera- pies for mental health conditions predis- posing to suicide, and alcohol and substance abuse treatment; (B) the provision of clinical expertise to, consultation services with, and medical ad- vice and training for frontline health care providers working with Indian youth; (C) training and related support for com- munity leaders, family members, and health and education workers who work with In- dian youth; (D) the development of culturally relevant educational materials on suicide; and (E) data collection and reporting; (2) to encourage Indian tribes, tribal organi- zations, and other mental health care pro- viders serving residents of Indian country to obtain the services of predoctoral psychology and psychiatry interns; and (3) to enhance the provision of mental health care services to Indian youth through existing grant programs of the Substance Abuse and Mental Health Services Administration. (Pub. L. 94–437, title VII, § 721, as added Pub. L. 111–148, title X, § 10221(a), Mar. 23, 2010, 124 Stat. 935.) Editorial Notes CODIFICATION Section 721 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. § 1667a. Definitions In this part: (1) Administration The term ‘‘Administration’’ means the Sub- stance Abuse and Mental Health Services Ad- ministration. (2) Demonstration project The term ‘‘demonstration project’’ means the Indian youth telemental health dem- onstration project authorized under section 1667b(a) of this title. (3) Telemental health The term ‘‘telemental health’’ means the use of electronic information and tele- communications technologies to support long- distance mental health care, patient and pro- fessional-related education, public health, and health administration. (Pub. L. 94–437, title VII, § 722, as added Pub. L. 111–148, title X, § 10221(a), Mar. 23, 2010, 124 Stat. 935.) Editorial Notes CODIFICATION Section 722 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. § 1667b. Indian youth telemental health dem- onstration project (a) Authorization (1) In general The Secretary, acting through the Service, is authorized to carry out a demonstration project to award grants for the provision of telemental health services to Indian youth who— (A) have expressed suicidal ideas; (B) have attempted suicide; or (C) have behavioral health conditions that increase or could increase the risk of sui- cide. (2) Eligibility for grants Grants under paragraph (1) shall be awarded to Indian tribes and tribal organizations that operate 1 or more facilities— (A) located in an area with documented disproportionately high rates of suicide; (B) reporting active clinical telehealth ca- pabilities; or (C) offering school-based telemental health services to Indian youth. (3) Grant period The Secretary shall award grants under this section for a period of up to 4 years.