,,ii  #aac? ,,congress  #a/ ,session    
,s4 #chj  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,febru>y #bf1 #bjac    
,mrs4 ,murray introduc$ ! foll[+ bill2  
:i* 0 read twice & ref]r$ to !          
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions  ,a ,,bill  ,to am5d 
! ,public ,heal? ,s]vice ,act to        
reau?orize & update ! ,national ,*ild   
,traumatic ,/ress ,initiative = grants  
to address ! problems ( individuals :o  
exp]i5ce trauma & viol5ce relat$ /ress4 
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,*ildr5's ,recov]y f ,trauma ,act4    
#b4 ,f9d+s ,congress makes ! foll[+     
f9d+s3  7#a7 ,accord+ to a #bjjb        
,gov]nm5t ,acc\ntability ,(fice report  
7,,gao-#jb-hac71 l>ge numb]s ( *ildr5   
exp]i5ce trauma-relat$ m5tal heal?      
problems1 :ile at ! same "t fac+ b>ri]s 
to receiv+ appropriate m5tal heal? c>e4 
7#b7 ,accord+ to ! ,national ,in/itute (
 ,m5tal ,heal?1 only #cf p]c5t ( y\? )  
any m5tal disord] receiv$ s]vices1 &    
only half ( ^! y\? :o 7 sev]ely impair$ 

by _! m5tal disord] receiv$ any         
pr(essional m5tal heal? treatm5t4 ,( ^? 
) anxiety disord]s 7includ+ po/         
traumatic /ress disord]71 only #ah p]c5t
 receiv$ s]vices4 ,half ( all lifetime  
cases ( m5tal illness beg9 by age #ad1 &
 t despite effective treatm5ts t h be5  
develop$1 !re are long delays1 sometimes
 decades1 betwe5 fir/ onset ( symptoms &
 :5 treatm5t is obta9$4  7#c7 ,f9d+s f !
 ,adv]se ,*ildhood ,exp]i5ces ,/udy h   
%[n t adv]se *ildhood exp]i5ces         
pr$ispose *ildr5 t[>ds negative         
trajectories f infancy to adul?ood4     
7#d7 ,! ,great ,smoky ,m\nta9s ,/udy1 a 
repres5tative longitud9al /udy ( *ildr51
 f\nd t by age #af1 m ?an #fg p]c5t ( ! 
*ildr5 _h be5 expos$ to "o or m         
traumatic ev5ts1 su* z *ild maltreatm5t1
 dome/ic viol5ce1 or sexual assault     
7,copel& et al1 #bjjg74  7#e7 ,accord+  
to ! ,national ,in/itute ( ,m5tal       
,heal?1 ! lifetime preval5ce (          
po/-traumatic /ress disord] = #ac to #ah
 ye> olds is #d to #f p]c5t 7,,nimh1    

#bjaj74 ,9 #bjjg1 ! ,national ,in/itute 
( ,m5tal ,heal? report$ t adults :o 7   
abus$ or neglect$ z *ildr5 h increas$   
risk ( major depression1 (t5 beg9n+ 9   
*ildhood ) long-la/+ effects4  7#f7     
,accord+ to ! ,dep>tm5t ( ,def5se1 m ?an
 #gjj1jjj *ildr5 h exp]i5c$ "o or m     
p>5tal deploym5ts4 ,*ildr5's reactions  
to a p>5t's deploym5t v>y by a *ild's   
developm5tal /age1 age1 & pres5ce ( any 
preexi/+ psy*ological or behavioral     
problems4 ,! m5tal heal? ( ! p>5t is (t5
 a key factor affect+ ! *ild's di/ress  
level4 ,p>5ts report+ cl9ically         
significant /ress are m likely to h     
*ildr5 id5tifi$ z high risk =           
psy*ological & behavioral problems4     
7#g7 ,! ,national ,intimate ,p>tn] &    
,sexual ,viol5ce ,survey reveal$ t ne>ly
 #a 9 #e wom5 report$ hav+ be5 ! victim 
( a rape at "s "t dur+ _! lives4        
,=ty-two p]c5t exp]i5c$ _! fir/ rape    
be=e ! age ( #ah4  7#h7 ,! ,national    
,*ild ,traumatic ,/ress ,network        
collect$ data on #ad1jhh *ildr5 &       

adolesc5ts s]v$ by #ef ,network s]vice  
c5t]s across ! c\ntry f #bjjd to #bjaj1 
exam9+ ! preval5ce ( exposure to a wide 
range ( trauma types1 access to s]vices1
 & *ild outcomes outcome4 ,ne>ly #hj    
p]c5t ( *ildr5 ref]r$ = scre5+ &        
evaluation report$ exp]i5c+ at lea/ "o  
type ( traumatic ev5t4 ,( ! #aa1ajd     
*ildr5 & adolesc5ts :o report$ trauma   
exposure1 #gg p]c5t _h exp]i5c$ m ?an "o
 type ( trauma & #ca p]c5t _h exp]i5c$  
five or m types4  7#i7 ,! *ildr5 s]v$ by
 ! ,national ,*ild ,traumatic ,/ress    
,network are involv$ ) _m diff]5t k9ds (
 *ild-s]v+ sy/ems4 ,( ^? receiv+ s]vice1
 #fe p]c5t _h receiv$ social s]vices &  
#ce p]c5t _h receiv$ s*ool-bas$ s]vices4
 ,aft] treatm5t1 significant improvem5ts
 7 made 9 trauma symptoms1 m5tal heal?  
diagnoses1 & behavioral problems4  #c4  
,grants to address ! problems (         
individuals :o exp]i5ce trauma & viol5ce
 relat$ /ress ,section #ehb ( ! ,public 
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bij;hh-#a7 is am5d$ to read z foll[s3  

#ehb4 ,grants to address ! problems (   
individuals :o exp]i5ce trauma & viol5ce
 relat$ /ress  7a7 ,9 g5]al ,! ,secret>y
 %all aw>d grants1 contracts or         
coop]ative agreem5ts to public &        
nonpr(it private entities1 z well z to  
,indian tribes & tribal organizations1 =
 ! purpose ( develop+ & ma9ta9+ programs
 t provide =--  7#a7 ! cont9u$ op]ation 
( ! ,national ,*ild ,traumatic ,/ress   
,initiative 7ref]r$ to 9 ?is section z !
 ,,nctsi7 t focus on ! m5tal1           
behavioral1 & biological aspects (      
psy*ological trauma response2 &  7#b7 ! 
developm5t ( k ) reg>d to evid5ce-bas$  
practices = id5tify+ & treat+ m5tal1    
behavioral1 & biological disord]s (     
*ildr5 & y\? result+ f witness+ or      
exp]i5c+ a traumatic ev5t4  7b7         
,priorities ,9 aw>d+ grants1 contracts  
or coop]ative agreem5ts "u subsection   
7a77#b7 7relat$ to ! developm5t ( k on  
evid5ce-bas$ practices = treat+ m5tal1  
behavioral1 & biological disord]s       
associat$ ) psy*ological trauma71 !     

,secret>y %all give priority to         
univ]sities1 hospitals1 m5tal heal?     
ag5cies1 & o!r community-bas$ *ild-s]v+ 
programs t h e/abli%$ cl9ical & rese>*  
exp]i5ce 9 ! field ( trauma-relat$ m5tal
 disord]s4  7c7 ,*ild outcome data ,!   
,,nctsi coord9at+ c5t] %all collect1    
analyze1 & report ,,nctsi-wide *ild     
outcome & process data = ! purpose (    
e/abli%+ ! effectiv5ess1 implem5tation1 
& cl9ical utility ( e>ly id5tification &
 deliv]y ( evid5ce-bas$ treatm5t &      
s]vices deliv]$ to *ildr5 & families    
s]v$ by ! ,,nctsi grantees4  7d7 ,tra9+ 
,! ,,nctsi coord9at+ c5t] %all ov]see ! 
cont9uum ( int]pr(essional tra9+        
initiatives 9 evid5ce-bas$ &            
trauma-in=m$ treatm5ts1 int]v5tions1 &  
practices (f]$ to ,,nctsi grantees &    
provid]s 9 all *ild-s]v+ sy/ems4  7e7   
,dissem9ation ,! ,,nctsi coord9at+ c5t] 
%all collaborate ) ! ,secret>y 9 !      
dissem9ation ( evid5ce-bas$ &           
trauma-in=m$ int]v5tions1 treatm5ts1    
products1 & o!r res\rces to all         

*ild-s]v+ sy/ems & policymak]s4  7f7    
,review ,! ,secret>y %all e/abli%       
cons5sus-driv51 9-p]son or teleconf]5ce 
review ( ,,nctsi applications by *ild   
trauma exp]ts & review crit]ia relat$ to
 exp]tise & exp]i5ce relat$ to *ild     
trauma & evid5ce-bas$ practices4  7g7   
,geographical di/ribution ,! ,secret>y  
%all ensure t grants1 contracts or      
coop]ative agreem5ts "u subsection 7a7  
are di/ribut$ equitably among ! regions 
( ! ,unit$ ,/ates & among urban & rural 
areas4 ,not)/&+ ! previ\s s5t5ce1       
exp]tise & exp]i5ce 9 ! field (         
trauma-relat$ disord]s %all be          
prioritiz$ 9 ! aw>d+ ( su* grants are   
requir$ "u subsection 7b74  7h7         
,evaluation ,! ,secret>y1 z "p ( !      
application process1 %all require t ea* 
applicant = a grant1 contract or        
coop]ative agreem5t "u subsection 7a7   
submit a plan = ! rigor\s evaluation ( !
 activities fund$ "u ! grant1 contract  
or agreem5t1 includ+ bo? process &      
outcome evaluation1 & ! submission ( an 

evaluation at ! end ( ! project p]iod4  
7i7 ,duration ( aw>ds ,) respect to a   
grant1 contract or coop]ative agreem5t  
"u subsection 7a71 ! p]iod dur+ :i*     
paym5ts "u su* an aw>d w be made to !   
recipi5t %all be #f ye>s4 ,su* grants1  
contracts or agreem5ts may be r5ew$4    
,exp]tise & exp]i5ce 9 ! field (        
trauma-relat$ disord]s %all be a        
priority = new & cont9u+ aw>ds4  7j7    
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to c>ry out  
?is section1 #ajj1jjj1jjj = fiscal ye>  
#bjad1 & su* sums z may be necess>y =   
ea* ( fiscal ye>s #bjae ?r\gh #bjbd4  4