,,ii #aafth ,,congress #ast ,session ,s4 #aafj ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,april #aa1 #bjai ,ms4 ,smith introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to amend the ,child ,abuse ,prevention and ,treatment ,act to increase support for mental health4 #a4 ,short title ,this ,act may be cited as the ,supporting ,family ,mental ,health in ,,capta ,act4 #b4 ,amendments to the ,child ,abuse ,prevention and ,treatment ,act 7a7 ,findings ,section #b of the ,child ,abuse ,prevention and ,treatment ,act 7#db ,u4,s4,c4 #eaja note7 is amended-- 7#a7 in paragraph 7#f77;,a71 by inserting physical1 behavioral1 and after legal12 and 7#b7 in paragraph 7#aa71 by inserting trauma-informed1 after comprehensive14 7b7 ,national clearinghouse ,section #ajc7;b7 of the ,child ,abuse ,prevention and ,treatment ,act 7#db ,u4,s4,c4 #eajd7;b77 is amended-- 7#a7 in paragraph 7#a71 by striking effective programs1 and inserting evidence-based1 evidence-informed1 or promising programs12 7#b7 by redesignating paragraphs 7#e7 through 7#i7 as paragraphs 7#f7 through 7#aj71 respectively2 and 7#c7 by inserting after paragraph 7#d71 the following3 7#e7 maintain and disseminate information that describes best practices for making appropriate referrals related to1 and addressing1 the physical1 behavioral1 mental health1 and developmental needs of victims of child abuse or neglect2 4 7c7 ,research and assistance activities ,section #ajd of the ,child ,abuse ,prevention and ,treatment ,act 7#db ,u4,s4,c4 #eaje7 is amended-- 7#a7 in subsection 7a7-- 7,a7 in paragraph 7#a7-- 7i7 by striking subparagraph 7,f7 and inserting the following3 7,f7 effective approaches to interagency collaboration between child welfare agencies1 the juvenile justice authorities1 and public health and mental health agencies that improve the delivery of services and treatment 7including services and treatment related to domestic violence or mental health71 which may include approaches relating to methods for continuity of treatment plan and services as children transition between systems2 2 7ii7 by redesignating subparagraphs 7,g7 through 7,m71 and subparagraphs 7,n7 and 7,o71 as subparagraphs 7,h7 through 7,n71 and subparagraphs 7,q7 and 7,r71 respectively2 7iii7 by inserting after subparagraph 7,f7 the following3 7,g7 effective practices to leverage community-based resources to prevent child abuse and neglect1 including resources regarding physical1 behavioral1 and mental health1 substance use disorder1 housing1 parent support1 financial assistance1 early childhood development and learning1 education1 and other services to assist families2 2 7iv7 by inserting after subparagraph 7,n71 as redesignated by subparagraph 7,b71 the following3 7,o7 methods to address geographic1 racial1 and cultural equity and disparities in the child welfare system1 including a focus on access to culturally appropriate family strengthening programs and activities that prevent child abuse and neglect2 7,p7 evidence-based1 evidence-informed1 or promising practices or programs to prevent child abuse and neglect in families that have not had contact with the child welfare system2 2 and 7v7 in subparagraph 7,q71 as redesignated by subparagraph 7,b71 by striking subparagraph 7,o7 and inserting subparagraph 7,r72 and 7,b7 in paragraph 7#b71 by striking paragraph 7#a77,o7 and inserting paragraph 7#a77,r72 and 7#b7 in subsection 7b77#b7-- 7,a7 in subparagraph 7,c71 by striking and after the semicolon2 7,b7 in subparagraph 7,d71 by striking the period at the end and inserting 2 and2 and 7,c7 by adding at the end the following3 7,e7 various methods and procedures to reduce geographic1 racial1 and cultural disparities in the child welfare system1 which may include engaging law enforcement1 education1 health1 and other relevant systems in such efforts4 4 7d7 ,grants for ,indian tribes ,section #aje7;a77#a7 of the ,child ,abuse ,prevention and ,treatment ,act 7#db ,u4,s4,c4 #eajf7;a77#a77 is amended-- 7#a7 in subparagraph 7,d7-- 7,a7 by striking entities providing physical and mental health services and inserting entities providing physical1 behavioral1 and mental health services2 7,b7 by striking and health care agencies that support and inserting and physical1 behavioral1 and mental health care agencies that support2 and 7,c7 by striking the health evaluation needs and inserting the physical1 behavioral1 and mental health evaluation needs2 7#b7 in subparagraph 7,l77ii71 by striking and after the semicolon2 7#c7 in subparagraph 7,m71 by striking the period at the end and inserting 2 and2 and 7#d7 by adding at the end the following3 7,n7 for enabling ,indian ,tribes or ,tribal organizations to provide services and programs that are adapted to the culture and context of the ,tribal communities served4 4 7e7 ,grants to ,states ,section #ajf of the ,child ,abuse ,prevention and ,treatment ,act 7#db ,u4,s4,c4 #eajf;a7 is amended-- 7#a7 in subsection 7a7-- 7,a7 in paragraph 7#f7-- 7i7 in subparagraph 7,c71 by striking and after the semicolon2 and 7ii7 by striking subparagraph 7,d7 and inserting the following3 7,d7 training in early childhood1 child1 and adolescent development and the impact of child abuse and neglect1 and the long-term impacts of adverse childhood experiences2 7,e7 training regarding trauma-informed practices to mitigate the effects of trauma for infants1 children1 youth1 and parents2 7,f7 training to enhance linkages among child protective service agencies and entities providing physical1 behavioral1 and mental health services1 and community resources1 for purposes of conducting evaluations and providing services related to substantiated cases of child abuse or neglect2 and 7,g7 training regarding the links between child abuse and neglect and domestic violence1 and comprehensive1 trauma-informed approaches to working with families with substance use disorder or mental health issues2 2 7,b7 in paragraph 7#ac77;,a71 by inserting early care and learning and after linkages with2 and 7,c7 in paragraph 7#ac77;,b71 by inserting trauma-informed1 after supporting prompt12 and 7#b7 in subsection 7b77#b77;,b77xxi71 by striking 7#bj ,u4,s4,c4 #adca et seq47 and inserting 87#bj ,u4,s4,c4 #adca et seq471 including a description of how those provisions and procedures are effective in ensuring that such a referral is made and how the ,state will ensure compliance with those provisions and procedures1 which may include-- 7,i7 a memorandum of agreement between the ,state child welfare agency and the ,state agency responsible for administering such part1 regarding the coordination of referral procedures1 communication of the requirement for such referral to child welfare and early intervention staff at the local level1 and guidance on local coordination between the those #b agencies1 both systemically and around individual cases2 7,,ii7 training for local child welfare staff on the nature of developmental delays and disabilities1 the prevalence of such delays and disabilities in infants and toddlers in the child welfare system1 and the importance of early intervention services2 and 7,,iii7 a description of how data will be collected and reported on the percentage of infants and toddlers screened for developmental issues1 referred for full evaluation 7if screening is not performed by the agency providing early intervention services71 determined to need early intervention services1 and receiving such services4 4 7f7 ,referrals for mental health services ,section #bja7;b77#a7 of the ,child ,abuse ,prevention and ,treatment ,act 7#db ,u4,s4,c4 #eaaf7;b77#a77 is amended in subparagraph 7,h7 by inserting 81 mental health10 after 8early health04 7g7 ,application ,section #bjd of the ,child ,abuse ,prevention and ,treatment ,act 7#db ,u4,s4,c4 #eaaf;d7 is amended-- 7#a7 in paragraph 7#aa71 by striking and after the semicolon2 7#b7 by redesignating paragraph 7#ab7 as paragraph 7#ac72 and 7#c7 by inserting after paragraph 7#aa7 the following3 7#ab7 a description of the actions that the applicant entity will take to improve the mental health of children and families in order to strengthen and support families to prevent child abuse and neglect1 including through activities such as-- 7,a7 maternal depression screening and treatment1 social-emotional screening for young children1 evidence-based treatment for families with complex needs1 trauma-focused and pro-attachment mental health models2 7,b7 programs and services that address social determinants of health2 and 7,c7 programs and services that address intimate partner violence in child-serving settings2 and 4 7h7 ,local program requirements ,section #bje7;a77#c7 of the ,child ,abuse ,prevention and ,treatment ,act 7#db ,u4,s4,c4 #eaaf;e7a77#c77 is amended-- 7#a7 in subparagraph 7,a71 by adding at the end the following3 7v7 referral to mental health services1 which may include using infant and early childhood mental health evaluation and treatment services2 and 2 and 7#b7 in subparagraph 7,b77ix71 by striking the period at the end and inserting a semicolon4 #c4 ,technical amendments ,the ,child ,abuse ,prevention and ,treatment ,act 7#db ,u4,s4,c4 #eaja et seq47 is amended-- 7#a7 by striking tribes and inserting ,tribes each place the term appears2 7#b7 by striking tribal and inserting ,tribal each place the term appears2 and 7#c7 in paragraph 7#e7 of section #c 7#db ,u4,s4,c4 #eaja note7-- 7,a7 by striking tribe and inserting ,tribe2 and 7,b7 by inserting 7without respect to capitalization7 after given the terms4