#aad? ,,congress  #a/ ,session  ,s4     
#ahic  ,,an ,,act  ,to reau?orize &     
improve programs relat$ to m5tal heal? &
 sub/ance use disord]s4  #a4 ,%ort title
 ,?is ,act may be cit$ z ! ,m5tal ,heal?
 ,aw>5ess & ,improvem5t ,act ( #bjae4   
#b4 ,g>rett ,lee ,smi? ,memorial ,act   
reau?orization  7a7 ,suicide prev5tion  
te*nical assi/ance c5t] ,section #ebj;,c
 ( ! ,public ,heal? ,s]vice ,act 7#db   
,u4,s4,c4 #bij;bb-#cd7 is am5d$--  7#a7 
9 ! section head+1 by /rik+ ! section   
head+ & ins]t+ ,suicide prev5tion       
te*nical assi/ance c5t]42  7#b7 9       
subsection 7a71 by /rik+ & 9            
consultation ) & all t foll[s ?r\gh !   
p]iod at ! end ( p>agraph 7#b7 & ins]t+ 
%all e/abli% a rese>*1 tra9+1 & te*nical
 assi/ance res\rce c5t] to provide      
appropriate in=mation1 tra9+1 & te*nical
 assi/ance to ,/ates1 political         
subdivisions ( ,/ates1 f$]ally recogniz$
 ,indian tribes1 tribal organizations1  
in/itutions ( high] education1 public   
organizations1 or private nonpr(it      

organizations reg>d+ ! prev5tion (      
suicide among all ages1 p>ticul>ly among
 gr\ps t are at high risk = suicide42   
7#c7 by /rik+ subsections 7b7 & 7c72    
7#d7 by r$esignat+ subsection 7d7 z     
subsection 7b72  7#e7 9 subsection 7b71 
z s r$esignat$--  7,a7 by /rik+ !       
subsection head+ & ins]t+               
,responsibilities ( ! c5t]42  7,b7 9 !  
matt] prec$+ p>agraph 7#a71 by /rik+ ,! 
additional rese>* & all t foll[s ?r\gh  
nonpr(it organizations = & ins]t+ ,!    
c5t] e/abli%$ "u subsection 7a7 %all    
conduct activities = ! purpose (2  7,c7 
by /rik+ y\? suicide ea* place su* t]m  
appe>s & ins]t+ suicide2  7,d7 9        
p>agraph 7#a7-- 7i7 by /rik+ !          
developm5t or cont9uation ( & ins]t+    
develop+ & cont9u+2 &  7ii7 by ins]t+ = 
all ages1 p>ticul>ly among gr\ps t are  
at high risk = suicide be=e ! semicolon 
at ! end2  7,e7 9 p>agraph 7#b71 by     
ins]t+ = all ages1 p>ticul>ly among     
gr\ps t are at high risk = suicide be=e 
! semicolon at ! end2  7,f7 9 p>agraph  

7#c71 by ins]t+ & tribal aft] /atewide2 
7,g7 9 p>agraph 7#e71 by ins]t+ &       
prev5tion aft] int]v5tion2  7,h7 9      
p>agraph 7#h71 by /rik+ 9 y\?2  7,i7 9  
p>agraph 7#i71 by /rik+ & behavioral    
heal? & ins]t+ heal? & sub/ance use     
disord]2 &  7,j7 9 p>agraph 7#aj71 by   
ins]t+ conduct+ be=e o!r2 &  7#f7 by    
/rik+ subsection 7e7 & ins]t+ ! foll[+3 
7c7 ,au?orization ( appropriations ,= ! 
purpose ( c>ry+ out ?is section1 !re are
 au?oriz$ to be appropriat$ #f1jjj1jjj =
 ea* ( fiscal ye>s #bjaf ?r\gh #bjbj4   
7d7 ,annual report ,n lat] ?an #b ye>s  
aft] ! date ( enactm5t ( ?is subsection1
 ! ,secret>y %all submit to ,congress a 
report on ! activities c>ri$ out by !   
c5t] e/abli%$ "u subsection 7a7 dur+ !  
ye> involv$1 includ+ ! pot5tial impacts 
( su* activities1 & ! ,/ates1           
organizations1 & in/itutions t h work$ )
 ! c5t]4  4  7b7 ,y\? suicide e>ly      
int]v5tion & prev5tion /rategies        
,section #ebj;,e ( ! ,public ,heal?     
,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf7

 is am5d$--  7#a7 9 p>agraph 7#a7 (     
subsection 7a7 & 9 subsection 7c71 by   
/rik+ sub/ance abuse ea* place su* t]m  
appe>s & ins]t+ sub/ance use disord]2   
7#b7 9 subsection 7b77#b7--  7,a7 by    
/rik+ ea* ,/ate is aw>d$ only #a grant  
or coop]ative agreem5t "u ?is section & 
ins]t+ a ,/ate does n receive m ?an #a  
grant or coop]ative agreem5t "u ?is     
section at any #a "t2 &  7,b7 by /rik+  
be5 aw>d$ & ins]t+ receiv$2 &  7#c7 9   
subsection 7g77#b71 by /rik+ #b ye>s    
aft] ! date ( enactm5t ( ?is section1 & 
ins]t #b ye>s aft] ! date ( enactm5t ( !
 ,m5tal ,heal? ,aw>5ess & ,improvem5t   
,act ( #bjae14  7#d7 by /rik+ subsection
 7m7 & ins]t+ ! foll[+3  7m7            
,au?orization ( appropriations ,= !     
purpose ( c>ry+ out ?is section1 !re are
 au?oriz$ to be appropriat$ #cj1jjj1jjj 
= ea* ( fiscal ye>s #bjaf ?r\gh #bjbj4  
4  7c7 ,m5tal heal? & sub/ance use      
disord] s]vices ,section #ebj;,e-#b ( ! 
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bij;bb-#cf;b7 is am5d$--     

7#a7 9 ! section head+1 by /rik+ &      
behavioral heal? & ins]t+ heal? &       
sub/ance use disord]2  7#b7 9 subsection
 7a7-- 7,a7 by /rik+ ,s]vices1 & ins]t+ 
,s]vices &2  7,b7 by /rik+ & behavioral 
heal? problems & ins]t+ heal? or        
sub/ance use disord]s2 &  7,c7 by /rik+ 
sub/ance abuse & ins]t+ sub/ance use    
disord]s2  7#c7 9 subsection 7b7-- 7,a7 
9 ! matt] prec$+ p>agraph 7#a71 by /rik+
 =-- & ins]t+ = "o or m ( ! foll[+32 &  
7,b7 by /rik+ p>agraphs 7#a7 ?r\gh 7#f7 
& ins]t+ ! foll[+3  7#a7 ,educat+       
/ud5ts1 families1 faculty1 & /aff to    
increase aw>5ess ( m5tal heal? &        
sub/ance use disord]s4  7#b7 ,! op]ation
 ( hotl9es4  7#c7 ,prep>+ in=mational   
mat]ial4  7#d7 ,provid+ outrea* s]vices 
to notify /ud5ts ab\t available m5tal   
heal? & sub/ance use disord] s]vices4   
7#e7 ,adm9i/]+ volunt>y m5tal heal? &   
sub/ance use disord] scre5+s &          
assessm5ts4  7#f7 ,support+ ! tra9+ (   
/ud5ts1 faculty1 & /aff to respond      
effectively to /ud5ts ) m5tal heal? &   

sub/ance use disord]s4  7#g7 ,creat+ a  
network infra/ructure to l9k colleges & 
univ]sities ) heal? c>e provid]s :o     
treat m5tal heal? & sub/ance use        
disord]s4  2  7#d7 9 subsection 7c77#e71
 by /rik+ sub/ance abuse & ins]t+       
sub/ance use disord]2  7#e7 9 subsection
 7d7-- 7,a7 9 ! matt] prec$+ p>agraph   
7#a71 by /rik+ ,an in/itution ( high]   
education desir+ a grant "u ?is section 
& ins]t+ ,to be eligible to receive a   
grant "u ?is section1 an in/itution (   
high] education2  7,b7 9 p>agraph 7#a7--
 7i7 by /rik+ & behavioral heal? &      
ins]t+ heal? & sub/ance use disord]2 &  
7ii7 by ins]t+ 1 includ+ vet]ans :5ev]  
possible & appropriate1 aft] /ud5ts2 &  
7,c7 9 p>agraph 7#b71 by ins]t+ 1 :i*   
may include1 z appropriate & 9          
accordance ) subsection 7b77#g71 a plan 
to seek input f relevant /akehold]s 9 ! 
community1 includ+ appropriate public & 
private entities1 9 ord] to c>ry out !  
program "u ! grant be=e ! p]iod at !    
end2  7#f7 9 subsection 7e77#a71 by     

/rik+ & behavioral heal? problems &     
ins]t+ heal? & sub/ance use disord]s2   
7#g7 9 subsection 7f77#b7--  7,a7 by    
/rik+ & behavioral heal? & ins]t+ heal? 
& sub/ance use disord]2 &  7,b7 by /rik+
 suicide & sub/ance abuse & ins]t+      
suicide & sub/ance use disord]s2 &  7#h7
 9 subsection 7h71 by /rik+ #e1jjj1jjj =
 fiscal ye> #bjje & all t foll[s ?r\gh !
 p]iod at ! end & ins]t+ #f1ejj1jjj =   
ea* ( fiscal ye>s #bjaf ?r\gh #bjbj44   
#c4 ,m5tal heal? aw>5ess tra9+ grants   
,section #ebj;,j ( ! ,public ,heal?     
,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#da7
 is am5d$--  7#a7 9 ! section head+1 by 
ins]t+ ,m5tal heal? aw>5ess be=e ,tra9+2
 &  7#b7 9 subsection 7b7-- 7,a7 9 !    
subsection head+1 by /rik+ illness &    
ins]t+ heal?2  7,b7 9 p>agraph 7#a71 by 
ins]t+ & o!r categories ( individuals1 z
 det]m9$ by ! ,secret>y1 aft] em]g5cy   
s]vices p]sonnel2  7,c7 9 p>agraph      
7#e7-- 7i7 9 ! matt] prec$+ subp>agraph 
7,a71 by /rik+ to & ins]t+ =            
evid5ce-bas$ programs = ! purpose (2 &  

7ii7 by /rik+ subp>agraphs 7,a7 ?r\gh   
7,c7 & ins]t+ ! foll[+3  7,a7 recogniz+ 
! signs & symptoms ( m5tal illness2 &   
7,b7 7i7 provid+ education to p]sonnel  
reg>d+ res\rces available 9 ! community 
= individuals ) a m5tal illness & o!r   
relevant res\rces2 or  7ii7 ! safe      
de-escalation ( crisis situations       
involv+ individuals ) a m5tal illness4  
2 &  7,d7 9 p>agraph 7#g71 by /rik+ 1   
#be1jjj1jjj & all t foll[s ?r\gh ! p]iod
 at ! end & ins]t+ #ae1jjj1jjj = ea* (  
fiscal ye>s #bjaf ?r\gh #bjbj44  #d4    
,*ildr5's recov]y f trauma ,section #ehb
 ( ! ,public ,heal? ,s]vice ,act 7#db   
,u4,s4,c4 #bij;hh-#a7 is am5d$--  7#a7 9
 subsection 7a71 by /rik+ develop+      
programs & all t foll[s ?r\gh ! p]iod at
 ! end & ins]t+ 8develop+ & ma9ta9+     
programs t provide =--  7#a7 ! cont9u$  
op]ation ( ! ,national ,*ild ,traumatic 
,/ress ,initiative 7ref]r$ to 9 ?is     
section z ! ,,nctsi71 :i* includes a    
coop]ative agreem5t ) a coord9at+ c5t]1 
t focuses on ! m5tal1 behavioral1 &     

biological aspects ( psy*ological trauma
 response1 prev5tion ( ! long-t]m       
consequ5ces ( *ild trauma1 & e>ly       
int]v5tion s]vices & treatm5t to address
 ! long-t]m consequ5ces ( *ild trauma2 &
  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  
2  7#b7 9 subsection 7b7-- 7,a7 by /rik+
 subsection 7a7 relat$ & ins]t+         
subsection 7a77#b7 7relat$2  7,b7 by    
/rik+ treat+ disord]s associat$ )       
psy*ological trauma & ins]t+ treat+     
m5tal1 behavioral1 & biological disord]s
 associat$ ) psy*ological trauma72 &    
7,c7 by /rik+ m5tal heal? ag5cies &     
programs t h e/abli%$ cl9ical & basic   
rese>* & ins]t+ univ]sities1 hospitals1 
m5tal heal? ag5cies1 & o!r programs t h 
e/abli%$ cl9ical exp]tise & rese>*2     
7#c7 by r$esignat+ subsections 7c7 ?r\gh
 7g7 z subsections 7g7 ?r\gh 7k71       
respectively2  7#d7 by ins]t+ aft]      

subsection 7b71 ! foll[+3  7c7 ,*ild    
outcome data ,! ,,nctsi coord9at+ c5t]  
%all collect1 analyze1 & report         
,,nctsi-wide *ild treatm5t process &    
outcome data reg>d+ ! e>ly id5tification
 & deliv]y ( evid5ce-bas$ treatm5t &    
s]vices = *ildr5 & families s]v$ by !   
,,nctsi grantees4  7d7 ,tra9+ ,! ,,nctsi
 coord9at+ c5t] %all facilitate !       
coord9ation ( tra9+ initiatives 9       
evid5ce-bas$ & trauma-in=m$ treatm5ts1  
int]v5tions1 & practices (f]$ to ,,nctsi
 grantees1 provid]s1 & p>tn]s4  7e7     
,dissem9ation & collaboration ,! ,,nctsi
 coord9at+ c5t] %all1 z appropriate1    
collaborate )--  7#a7 ! ,secret>y1 9 !  
dissem9ation ( evid5ce-bas$ &           
trauma-in=m$ int]v5tions1 treatm5ts1    
products1 & o!r res\rces to appropriate 
/akehold]s2 &  7#b7 appropriate ag5cies 
t conduct or fund rese>* )9 ! ,dep>tm5t 
( ,heal? & ,human ,s]vices1 = purposes (
 %>+ ,,nctsi exp]tise1 evaluation data1 
& o!r activities1 z appropriate4  7f7   
,review ,! ,secret>y %all1 consi/5t ) ! 

pe] review process1 ensure t ,,nctsi    
applications are review$ by appropriate 
exp]ts 9 ! field z "p ( a cons5sus      
review process4 ,! ,secret>y %all       
include review crit]ia relat$ to        
exp]tise & exp]i5ce 9 *ild trauma &     
evid5ce-bas$ practices4  2  7#e7 9      
subsection 7g7 7z s r$esignat$71 by     
/rik+ ) respect to c5t]s ( excell5ce are
 di/ribut$ equitably among ! regions ( !
 c\ntry & ins]t+ are di/ribut$ equitably
 among ! regions ( ! ,unit$ ,/ates2     
7#f7 9 subsection 7i7 7z s r$esignat$71 
by /rik+ recipi5t may n exce$ #e ye>s & 
ins]t+ recipi5t %all n be less ?an #d   
ye>s1 b %all n exce$ #e ye>s2 &  7#g7 9 
subsection 7j7 7z s r$esignat$71 by     
/rik+ #ej1jjj1jjj & all t foll[s ?r\gh  
#bjjf & ins]t+ #df1jjj1jjj = ea* (      
fiscal ye>s #bjaf ?r\gh #bjbj4  #e4     
,assess+ b>ri]s to behavioral heal?     
integration  7a7 ,9 g5]al ,n lat] ?an #b
 ye>s aft] ! date ( enactm5t ( ?is ,act1
 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates 
%all submit a report to ! ,committee on 

,heal?1 ,education1 ,labor1 & ,p5sions (
 ! ,s5ate & ! ,committee on ,en]gy &    
,comm]ce ( ! ,h\se ( ,repres5tatives    
conc]n+ ,f$]al requirem5ts t impact     
access to treatm5t ( m5tal heal? &      
sub/ance use disord]s relat$ to         
integration ) prim>y c>e1 adm9i/rative &
 regulatory issues1 quality measurem5t &
 acc\ntability1 & data %>+4  7b7        
,cont5ts ,! report submitt$ "u          
subsection 7a7 %all include ! foll[+3   
7#a7 ,an evaluation ( ! adm9i/rative or 
regulatory burd5 on behavioral heal? c>e
 provid]s4  7#b7 ,! id5tification (     
outcome & quality measures relevant to  
integrat$ heal? c>e1 evaluation ( ! data
 collection burd5 on behavioral heal?   
c>e provid]s1 & any alt]native me?ods = 
evaluation4  7#c7 ,an analysis ( !      
degree to :i* electronic data /&>ds1    
includ+ int]op]ability & mean+ful use   
includes behavioral heal? measures1 & an
 analysis ( /rategies to address b>ri]s 
to heal? in=mation ex*ange pos$ by "p #b
 ( title #db1 ,code ( ,f$]al            

,regulations4  7#d7 ,an analysis ( !    
degree to :i* ,f$]al rules & regulations
 = behavioral & physical heal? c>e are  
align$1 includ+ recomm5dations to       
address any id5tifi$ b>ri]s4  7#e7 ,an  
analysis ( ! *all5ges to behavioral     
heal? & prim>y c>e integration fac$ by  
provid]s 9 rural areas4  #f4 ,increas+  
education & aw>5ess ( treatm5ts = opioid
 use disord]s  7a7 ,9 g5]al ,9 ord] to  
improve ! quality ( c>e deliv]y &       
treatm5t outcomes among pati5ts ) opioid
 use disord]s1 ! ,secret>y ( ,heal? &   
,human ,s]vices 7ref]r$ to 9 ?is section
 z ! ,secret>y71 act+ ?r\gh !           
,adm9i/rator = ! ,sub/ance ,abuse &     
,m5tal ,heal? ,s]vices ,adm9i/ration1   
may advance1 ?r\gh exi/+ programs z     
appropriate1 ! education & aw>5ess (    
provid]s1 pati5ts1 & o!r appropriate    
/akehold]s reg>d+ all products approv$  
by ! ,food & ,drug ,adm9i/ration to     
treat opioid use disord]s4  7b7         
,activities ,! activities describ$ 9    
subsection 7a7 may include--  7#a7      

dissem9at+ evid5ce-bas$ practices = !   
treatm5t ( opioid use disord]s2  7#b7   
facilitat+ cont9u+ education programs = 
heal? pr(essionals involv$ 9 treat+     
opioid use disord]s2  7#c7 increas+     
aw>5ess among relevant /akehold]s ( !   
treatm5t ( opioid use disord]s2  7#d7   
assess+ curr5t b>ri]s to ! treatm5t (   
opioid use disord]s = pati5ts & provid]s
 & developm5t & implem5tation (         
/rategies to mitigate su* b>ri]s2 &     
7#e7 cont9u+ innovative approa*es to !  
treatm5t ( opioid use disord]s 9 v>i\s  
treatm5t sett+s1 su* z prisons1         
community m5tal heal? c5t]s1 prim>y c>e1
 & hospitals4  7c7 ,report ,n lat] ?an  
#a ye> aft] ! date ( enactm5t ( ?is     
,act1 if ! ,secret>y c>ries out !       
activities "u ?is section1 ! ,secret>y  
%all submit to ! ,committee on ,heal?1  
,education1 ,labor1 & ,p5sions ( !      
,s5ate & ! ,committee on ,en]gy &       
,comm]ce ( ! ,h\se ( ,repres5tatives a  
report t exam9es--  7#a7 ! activities ! 
,sub/ance ,abuse & ,m5tal ,heal?        

,s]vices ,adm9i/ration conducts "u ?is  
section1 includ+ any pot5tial impacts on
 heal? c>e co/s associat$ ) su*         
activities2  7#b7 ! role ( adh]5ce 9 !  
treatm5t ( opioid use disord]s & me?ods 
to r$uce opioid use disord]s2 &  7#c7   
recomm5dations on priorities & /rategies
 to address co-occurr+ sub/ance use     
disord]s & m5tal illnesses4  #g4 ,exam9+
 m5tal heal? c>e = *ildr5  7a7 ,9 g5]al 
,n lat] ?an #a ye> aft] ! date (        
enactm5t ( ?is ,act1 ! ,comptroll]      
,g5]al ( ! ,unit$ ,/ates %all conduct an
 indep5d5t evaluation1 & submit to !    
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions ( ! ,s5ate & !       
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives1 a report       
conc]n+ ! utilization ( m5tal heal?     
s]vices = *ildr51 includ+ ! usage (     
psy*otropic m$ications4  7b7 ,cont5t ,! 
report submitt$ "u subsection 7a7 %all  
review & assess--  7#a7 ! ways 9 :i*    
*ildr5 access m5tal heal? c>e1 includ+  
in=mation on :e!r *ildr5 are treat$ by  

prim>y c>e or specialty provid]s1 :at   
types ( ref]rals = additional c>e are   
recomm5d$1 & any b>ri]s to access+ ?is  
c>e2  7#b7 ! ext5t to :i* *ildr5 are    
prescrib$ psy*otropic m$ications 9 !    
,unit$ ,/ates includ+ ! frequ5cy (      
concurr5t m$ication usage2 &  7#c7 !    
tools1 assessm5ts1 & m$ications t are   
available & us$ to diagnose & treat     
*ildr5 ) m5tal heal? disord]s4  #h4     
,evid5ce bas$ practices = old] adults   
,section #ebj;,a7e7 ( ! ,public ,heal?  
,s]vice ,act 7#db ,u4,s4,c4             
#bij;bb-#cb7;e77 is am5d$ by add+ at !  
end ! foll[+3  7#c7 ,g]iatric m5tal     
heal? disord]s ,! ,secret>y %all1 z     
appropriate1 provide te*nical assi/ance 
to grantees reg>d+ evid5ce-bas$         
practices = ! prev5tion & treatm5t (    
g]iatric m5tal heal? disord]s &         
co-occurr+ m5tal heal? & sub/ance use   
disord]s among g]iatric populations1 z  
well z dissem9ate in=mation ab\t su*    
evid5ce-bas$ practices to ,/ates &      
nongrantees ?r\gh\t ! ,unit$ ,/ates4  4 

#i4 ,national viol5t dea? report+ sy/em 
,! ,secret>y ( ,heal? & ,human ,s]vices1
 act+ ?r\gh ! ,director ( ! ,c5t]s =    
,disease ,control & ,prev5tion1 is      
enc\rag$ to improve1 p>ticul>ly ?r\gh ! 
inclusion ( additional ,/ates1 !        
,national ,viol5t ,dea? ,report+ ,sy/em 
z au?oriz$ by title ,,iii ( ! ,public   
,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bda 
et seq474 ,p>ticipation 9 ! sy/em by !  
,/ates %all be volunt>y4  #aj4 ,,gao    
/udy on ,virg9ia ,te* recomm5dations    
7a7 ,9 g5]al ,n lat] ?an #a ye> aft] !  
date ( enactm5t ( ?is ,act1 !           
,comptroll] ,g5]al ( ! ,unit$ ,/ates    
%all conduct an indep5d5t evaluation1 & 
submit to ! appropriate committees (    
,congress a report conc]n+ ! /atus (    
implem5tation ( recomm5dations made 9 ! 
report to ! ,presid5t1 ,on ,issues      
,rais$ by ! ,virg9ia ,te* ,trag$y1 by ! 
,secret>ies ( ,heal? & ,human ,s]vices &
 ,education & ! ,attorney ,g5]al ( !    
,unit$ ,/ates1 submitt$ to ! ,presid5t  
on ,june #ac1 #bjjg4  7b7 ,cont5t ,!    

report submitt$ to ! committees (       
,congress "u subsection 7a7 %all review 
& assess--  7#a7 ! ext5t to :i* !       
recomm5dations 9 ! report t include     
p>ticipation by ! ,dep>tm5t ( ,heal? &  
,human ,s]vices 7 implem5t$2  7#b7 :e!r 
!re are any b>ri]s to implem5tation (   
su* recomm5dations2 &  7#c7             
id5tification ( any additional actions !
 ,f$]al gov]nm5t c take to support      
,/ates & local communities & ensure t ! 
,f$]al gov]nm5t & ,f$]al law are n      
ob/acles to address+ at ! community     
level--  7,a7 s*ool viol5ce2 &  7,b7    
m5tal illness4  #aa4 ,p]=mance metrics  
7a7 ,evaluation ( curr5t programs  7#a7 
,9 g5]al ,n lat] ?an #ahj days aft] !   
date ( enactm5t ( ?is ,act1 ! ,assi/ant 
,secret>y = ,plann+ & ,evaluation ( !   
,dep>tm5t ( ,heal? & ,human ,s]vices    
%all conduct an evaluation ( ! impact ( 
activities relat$ to ! prev5tion &      
treatm5t ( m5tal illness & sub/ance use 
disord]s conduct$ by ! ,sub/ance ,abuse 
& ,m5tal ,heal? ,s]vices ,adm9i/ration4 

7#b7 ,assessm5t ( p]=mance metrics ,!   
evaluation conduct$ "u p>agraph 7#a7    
%all include an assessm5t ( ! use (     
p]=mance metrics to evaluate activities 
c>ri$ out by entities receiv+ grants1   
contracts1 or coop]ative agreem5ts      
relat$ to m5tal illness or sub/ance use 
disord]s "u title ,v or title ,,xix ( ! 
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bij;aa et seq42 #db ,u4,s4,c4
 #cjjw et seq474  7#c7 ,recomm5dations  
,! evaluation conduct$ "u p>agraph 7#a7 
%all include recomm5dations = ! use (   
p]=mance metrics to improve ! quality ( 
programs relat$ to ! prev5tion &        
treatm5t ( m5tal illness & sub/ance use 
disord]s4  7b7 ,use ( p]=mance metrics  
,n lat] ?an #a ye> aft] ! date (        
enactm5t ( ?is ,act1 ! ,secret>y (      
,heal? & ,human ,s]vices1 act+ ?r\gh !  
,adm9i/rator ( ! ,sub/ance ,abuse &     
,m5tal ,heal? ,s]vices ,adm9i/ration1   
%all advance1 ?r\gh exi/+ programs1 !   
use ( p]=mance metrics1 tak+ into       
consid]ation ! recomm5dations "u        

subsection 7a77#c71 to improve programs 
relat$ to ! prev5tion & treatm5t ( m5tal
 illness & sub/ance use disord]s4       
,pass$ ! ,s5ate ,decemb] #ah1           
#bjae4,secret>y