
From the U.S. Code Online via GPO Access
[wais.access.gpo.gov]
[Laws in effect as of January 2, 2001]
[Document not affected by Public Laws enacted between
  January 2, 2001 and January 28, 2002]
[CITE: 25USC1665c]

 
                            TITLE 25--INDIANS
 
                     CHAPTER 18--INDIAN HEALTH CARE
 
                SUBCHAPTER V-A--SUBSTANCE ABUSE PROGRAMS
 
Sec. 1665c. Indian Health Service youth program


(a) Detoxification and rehabilitation

    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 in the referring Indian 
community.

(b) Treatment centers or facilities

    (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 section 13 of this title.
    (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 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 450b(l) of this title.

    (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.

(c) Federally owned structures

    (1) The Secretary, acting through the Service, shall, in 
consultation with Indian tribes--
        (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
        (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.

(d) Rehabilitation and aftercare services

    (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.

(e) Inclusion of family in youth treatment program

    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) of 
this section shall be used for outpatient care of adult family members 
related to the treatment of an Indian youth under that subsection.

(f) Multidrug abuse study

    (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 October 29, 1992.

(Pub. L. 94-437, title VII, Sec. 704, as added Pub. L. 102-573, title 
VII, Sec. 702(a), Oct. 29, 1992, 106 Stat. 4574.)
