,,ii #aagth ,,congress #ast ,session ,s4 #bjhf ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,june #af1 #bjba,mr4 ,durbin 7for himself1 ,mrs4 ,capito1 ,ms4 ,duckworth1 and ,ms4 ,murkowski7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to improve the identification and support of children and families who experience trauma4 #a4 ,short title ,this ,act may be cited as the ,resilience ,investment1 ,support1 and ,expansion from ,trauma ,act or the ,,rise from ,trauma ,act4 ,i ,community programming #aja4 ,trauma and resilience-related coordinating bodies ,title ,v of the ,public ,health ,service ,act is amended by inserting after section #ebj;,a 7#db ,u4,s4,c4 #bij;bb-#cb7 the following3 #ebj;,b4 ,local coordinating bodies to address community trauma1 prevention1 and resilience 7a7 ,grants 7#a7 ,in general ,the ,secretary1 in coordination with the ,director of the ,centers for ,disease ,control and ,prevention and the ,assistant ,secretary1 shall award grants to ,state1 county1 local1 or ,indian tribe or tribal organizations 7as such terms are defined in section #d of the ,indian ,self-,determination ,act and ,education ,assistance ,act7 or nonprofit private entities for demonstration projects to enable such entities to act as coordinating bodies to prevent or mitigate the impact of trauma and toxic stress in a community1 or promote resilience by fostering protective factors4 7#b7 ,amount ,the ,secretary shall award such grants in amounts of not more than #f1jjj1jjj4 7#c7 ,duration ,the ,secretary shall award such grants for periods of #d years4 7b7 ,eligible entities 7#a7 ,in general ,to be eligible to receive a grant under this section1 an entity shall include #a or more representatives from at least #e of the categories described in paragraph 7#b74 7#b7 ,composition ,the categories referred to in paragraph 7#a7 are-- 7,a7 governmental agencies1 such as public health1 mental health1 human services1 or child welfare agencies1 that provide training related to covered services or conduct activities to screen1 assess1 provide services or referrals1 prevent1 or provide treatment to support infants1 children1 youth1 and their families as appropriate1 that have experienced or are at risk of experiencing trauma2 7,b7 faculty or qualified staff at an institution of higher education 7as defined in section #aja7;a7 of the ,higher ,education ,act of #aife7 or representatives of a local member of the ,national ,child ,traumatic ,stress ,network1 in an area related to screening1 assessment1 service provision or referral1 prevention1 or treatment to support infants1 children1 youth1 and their families1 as appropriate1 that have experienced or are at risk of experiencing trauma2 7,c7 hospitals1 health care clinics1 or other health care institutions1 such as mental health and substance use disorder treatment facilities2 7,d7 criminal justice representatives related to adults and juveniles1 which may include law enforcement or judicial or court employees2 7,e7 local educational agencies 7as defined in section #haja of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #ghja77 or agencies responsible for early childhood education programs1 which may include ,head ,start and ,early ,head ,start agencies2 7,f7 workforce development1 job training1 or business associations2 7,g7 nonprofit1 community-based faith1 human services1 civic1 or social services organizations1 including participants in a national or community service program 7as described in section #abb of the ,national and ,community ,service ,act of #aiij 7#db ,u4,s4,c4 #abegb771 providers of after-school programs1 home visiting programs1 family resource centers1 agencies that serve victims of domestic and family violence or child abuse1 or programs to prevent or address the impact of violence and addiction2 and 7,h7 the general public1 including individuals who have experienced trauma who can appropriately represent populations and activities relevant to the community that will be served by the entity4 7#c7 ,qualifications ,in order for an entity to be eligible to receive the grant under this section1 the representatives included in the entity shall1 collectively1 have training and expertise concerning childhood trauma1 resilience1 and covered services4 7c7 ,application ,to be eligible to receive a grant under this section1 an entity shall submit an application to the ,secretary at such time1 in such manner1 and containing such information as the ,secretary may require4 7d7 ,priority ,in awarding grants under this section1 the ,secretary shall give priority to entities proposing to serve communities or populations that have faced or currently face high rates of community trauma1 including from intergenerational poverty1 civil unrest1 discrimination1 or oppression1 which may include an evaluation of-- 7#a7 an age-adjusted rate of drug overdose deaths that is above the national overdose mortality rate1 as determined by the ,director of the ,centers for ,disease ,control and ,prevention2 7#b7 an age-adjusted rate of violence-related 7or intentional7 injury deaths that is above the national average1 as determined by the ,director of the ,centers for ,disease ,control and ,prevention2 and 7#c7 a rate of involvement in the child welfare or juvenile justice systems that is above the national average1 as determined by the ,secretary4 7e7 ,use of funds ,an entity that receives a grant under this section to act as a coordinating body may use the grant funds to-- 7#a7 bring together stakeholders who provide or use services in1 or have expertise concerning1 covered settings to identify community needs and resources related to covered services1 and to build on any needs assessments conducted by organizations or groups represented on the coordinating body2 7#b7 7,a7 collect data1 on indicators to reflect local priority issues1 including across multiple covered settings and disaggregated by age1 race1 and any other appropriate metrics2 and 7,b7 use the data to identify unique community challenges and barriers1 community strengths and assets1 gaps in services1 and high-need areas1 related to covered services2 7#c7 build awareness1 skills1 and leadership 7including through trauma-informed and resilience-focused training and public outreach campaigns7 on covered services in covered settings2 7#d7 develop a strategic plan1 in partnership with members of the served community or population1 that identifies-- 7,a7 policy goals and coordination opportunities to address community needs and local priority issues 7including coordination in applying for or utilizing existing grants1 insurance coverage1 or other government programs71 including for communities of color and relating to delivering and implementing covered services2 and 7,b7 a comprehensive1 integrated approach for the entity and its members to prevent and mitigate the impact of exposure to trauma or toxic stress in the community1 and to assist the community in healing from existing and prior exposure to trauma through promotion of resilience and fostering protective factors2 7#e7 implement such strategic plans in the local community1 including through the delivery of covered services in covered settings2 and 7#f7 identify funding sources and partner with community stakeholders to sustainably continue activities after the end of the grant period4 7f7 ,supplement not supplant ,amounts made available under this section shall be used to supplement and not supplant other ,federal1 ,state1 and local public funds and private funds expended to provide trauma-related coordination activities4 7g7 ,evaluation ,at the end of the period for which grants are awarded under this section1 the ,secretary shall conduct an evaluation of the activities carried out under each grant under this section4 ,in conducting the evaluation1 the ,secretary shall assess the outcomes of the grant activities carried out by each grant recipient1 including outcomes related to health1 education1 child welfare1 criminal justice involvement1 or other measurable outcomes pertaining to wellbeing and societal impact4 7h7 ,authorization of appropriations ,there is authorized to be appropriated to carry out this section #fjj1jjj1jjj for each of fiscal years #bjbb through #bjbi4 7i7 ,definitions ,in this section3 7#a7 ,covered services ,the term covered services means culturally responsive services1 programs1 models1 or interventions that are evidence-based1 evidence-informed1 or promising best practices to support infants1 children1 youth1 and their families as appropriate by preventing or mitigating the impact of trauma and toxic stress or promoting resilience by fostering protective factors1 which may include the best practices developed under section #gacb7;d7 of the ,,support for ,patients and ,communities ,act 7,public ,law #aae-bga74 7#b7 ,covered setting ,the term covered setting means the settings in which individuals may come into contact with infants1 children1 youth1 and their families1 as appropriate1 who have experienced or are at risk of experiencing trauma1 including schools1 hospitals1 settings where health care providers1 including primary care and pediatric providers1 provide services1 early childhood education and care settings1 home visiting settings1 after-school program facilities1 child welfare agency facilities1 public health agency facilities1 mental health treatment facilities1 substance use disorder treatment facilities1 faith-based institutions1 domestic violence agencies1 violence intervention organizations1 child advocacy centers1 homeless services system facilities1 refugee services system facilities1 juvenile justice system facilities1 law enforcement agency facilities1 ,healthy ,marriage ,promotion or ,responsible ,fatherhood service settings1 child support service settings1 and service settings focused on individuals eligible for ,temporary ,assistance for ,needy ,families2 and 4 #ajb4 ,expansion of performance partnership pilot for children who have experienced or are at risk of experiencing trauma 7a7 ,in general ,section #ebf of the ,departments of ,labor1 ,health and ,human ,services1 and ,education1 and ,related ,agencies ,appropriations ,act1 #bjad 7#db ,u4,s4,c4 #abcja note 7 is amended-- 7#a7 in subsection 7a71 by adding at the end the following3 7#d7 ,to improve outcomes for infants1 children1 and youth1 and their families as appropriate1 who have experienced or are at risk of experiencing trauma means to increase the rate at which individuals who have experienced or are at risk of experiencing trauma1 including those who are low-income1 homeless1 involved with the child welfare system1 involved in the juvenile justice system1 have been victims of violence 7including community1 family1 or sexual violence71 unemployed1 or not enrolled in or at risk of dropping out of an educational institution and live in a community that has faced acute or long-term exposure to substantial discrimination1 historical oppression1 intergenerational poverty1 civil unrest1 a high rate of violence or drug overdose deaths1 achieve success in meeting educational1 employment1 health1 developmental1 community reentry1 permanency from foster care1 or other key goals4 2 7#b7 in subsection 7b7-- 7,a7 in the subsection heading1 by striking ,fiscal ,year #bjad and inserting ,fiscal ,years #bjbb ,through #bjbf2 7,b7 by redesignating paragraphs 7#a7 and 7#b7 as subparagraphs 7,a7 and 7,b71 respectively1 and by moving such subparagraphs1 as so redesignated1 #b ems to the right2 7,c7 by striking ,federal agencies and inserting the following3 7#a7 ,disconnected youth pilots ,federal agencies 2 and 7,d7 by adding at the end the following3 7#b7 ,trauma-informed care pilots ,federal agencies may use ,federal discretionary funds that are made available in this ,act or any appropriations ,act1 including across different or multiple years1 for any of fiscal years #bjbb through #bjbf to carry out up to #aj ,performance ,partnership ,pilots4 ,such ,pilots shall-- 7,a7 be designed to improve outcomes for infants1 children1 and youth1 and their families as appropriate1 who have experienced or are at risk of experiencing trauma2 and 7,b7 involve ,federal programs targeted on infants1 children1 and youth1 and their families as appropriate1 who have experienced or are at risk of experiencing trauma4 2 7#c7 in subsection 7c77#b7-- 7,a7 in subparagraph 7,a71 by striking #bjah and inserting #bjbe2 and 7,b7 in subparagraph 7,f71 by inserting before the semicolon 1 including the age range for such population2 and 7#d7 in subsection 7e71 by striking #bjah and inserting #bjbe4 7b7 ,requirement ,not later than #i months after the date of enactment of this ,act1 the ,director of the ,office of ,management and ,budget1 working with the ,attorney ,general and the ,secretary of ,labor1 ,secretary of ,health and ,human ,services1 ,secretary of ,education1 and ,secretary of ,housing and ,urban ,development1 and any other appropriate agency representative1 shall1 with respect to carrying out this section-- 7#a7 explore authorities to enable the issuance of appropriate start-up funding2 7#b7 issue guidance documents1 template waivers and performance measurements1 best practices and lessons learned from prior pilot programs1 recommendations for how to sustain projects after award periods1 and other technical assistance documents as needed2 and 7#c7 align application timing periods to provide maximum flexibility1 which may include the availability of initial planning periods for awardees4 #ajc4 ,hospital-based interventions to reduce readmissions ,section #cic of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;b-#a;a7 is amended by adding at the end the following3 7c7 ,hospital-,based interventions ,to reduce readmissions 7#a7 ,grants ,the ,secretary shall award grants to eligible entities to deliver and evaluate hospital-based interventions to improve outcomes and reduce subsequent reinjury or readmissions of patients that present at a hospital after overdosing1 attempting suicide1 or suffering violent injury or abuse4 7#b7 ,eligible entities ,to be eligible to receive a grant under this subsection and entity shall-- 7,a7 be a hospital or health system 7including health systems operated by ,indian tribes or tribal organizations as such terms are defined in section #d of the ,indian ,self-,determination ,act and ,education ,assistance ,act72 and 7,b7 submit to the ,secretary an application at such time1 in such manner1 and containing such information as the ,secretary may require1 which shall include demonstrated experience furnishing successful hospital-based trauma interventions to improve outcomes and prevent reinjury or readmission for patients presenting after overdosing1 attempting suicide1 or suffering violent injury or abuse4 7#c7 ,use of funds ,an entity shall use amounts received under a grant under this subsection to deliver1 test1 and evaluate hospital-based trauma-informed interventions for patients who present at hospitals with drug overdoses1 suicide attempts1 or violent injuries 7such as domestic violence or intentional penetrating wounds1 including gunshots and stabbings71 or other presenting symptoms associated with exposure to trauma1 violence1 substance misuse1 or suicidal ideation1 to provide comprehensive education1 screening1 counseling1 discharge planning1 skills building1 and long-term case management services to such individuals1 and their guardians or caregivers as appropriate1 to prevent hospital readmission1 injury1 and improve health1 wellness1 and safety outcomes4 ,such interventions may be furnished in coordination or partnership with qualified community-based organizations and may include or incorporate the best practices developed under section #gacb7;d7 of the ,,support for ,patients and ,communities ,act 7,public ,law #aae-bga74 7#d7 ,quality measures ,an entity that receive a grant under this section shall submit to the ,secretary a report on the data and outcomes developed under the grant1 including any quality measures developed1 evaluated1 and validated to prevent hospital readmissions for the patients served under the program involved4 7#e7 ,sustainable coverage ,the ,secretary1 acting through the ,administrator of the ,centers for ,medicare ,medicaid ,services1 shall evaluate existing authorities1 flexibilities1 and policies and disseminate appropriate and relevant information to eligible entities on the opportunities for health insurance coverage and reimbursement for the activities described in paragraph 7#c74 4 #ajd4 ,training and certification guidelines for community figures 7a7 ,in general ,not later than one year after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services shall study and establish guidelines for use by ,states with respect to standards for training1 certification1 and partnership or supervision from licensed clinical professionals as appropriate1 of community figures1 including community mentors and trusted leaders1 peers 7including young adults and youth7 with lived experiences1 faith-based leaders1 coaches and arts program leaders1 and community paraprofessional providers such as out-of-school providers1 to-- 7#a7 educate and promote an understanding of trauma1 toxic stress1 and resilience2 7#b7 promote resilience by fostering protective factors and providing peer support services2 7#c7 provide case management services and promote linkages to community services2 and 7#d7 deliver appropriate1 culturally responsive1 and trauma-informed practices4 7b7 ,recommendations ,training and certification guidelines under subsection 7a7 shall include recommendations for experience1 education1 and supervision requirements for1 and partnerships between1 such trained and certified community figures and other health care providers such that the trained and certified community figures may be reimbursed through the ,state ,medicaid plan under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 for furnishing services to individuals enrolled in such plan4 ,,ii ,workforce development #bja4 ,training and recruitment of individuals from communities that have experienced high levels of trauma1 violence1 or addiction ,part ,b of title ,,vii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bic et seq47 is amended by adding at the end the following3 #gdb4 ,individuals from communities that have experienced high levels of trauma1 violence1 or addiction ,in carrying out activities under this part1 the ,secretary shall ensure that emphasis is provided on the recruitment of individuals from communities that have experienced high levels of trauma1 violence1 or addiction and that appropriate activities under this part are carried out in partnership with community-based organizations that have expertise in addressing such challenges to enhance service delivery4 4 #bjb4 ,funding for the ,national ,health ,service ,corps ,section #ajejc7;b77#b7 of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #bed;b-#b7;b77#b77 is amended-- 7#a7 in subparagraph 7,e71 by striking and at the end2 7#b7 in subparagraph 7,f71 by striking the period and inserting 2 and2 and 7#c7 by adding at the end the following3 7,g7 #cfj1jjj1jjj for each of fiscal years #bjbb through #bjbf1 of which #ej1jjj1jjj shall be allocated in each such fiscal year for awards to eligible individuals whose obligated service locations are in schools or community-based settings as described in section #cch,n of the ,public ,health ,service ,act4 4 #bjc4 ,infant and early childhood clinical workforce ,part ,p of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;g7 is amended by adding at the end the following3 #cii,v-#g4 ,infant and early childhood clinical workforce 7a7 ,in general ,the ,secretary1 acting through the ,associate ,administrator of the ,maternal and ,child ,health ,bureau1 shall establish an ,infant and ,early ,childhood ,mental ,health ,clinical ,leadership ,program to award grants to eligible entities to establish a national network of training institutes for infant and early childhood clinical mental health4 7b7 ,eligible entities ,to be eligible to receive a grant under this section1 an entity shall-- 7#a7 be-- 7,a7 an institution of higher education as defined in section #aja7;a7 of the ,higher ,education ,act of #aife1 including historically ,black colleges and universities 7as defined for purposes of section #cbb of the ,higher ,education ,act of #aife 7#bj ,u4,s4,c4 #ajfa771 and ,tribal colleges 7as defined for purposes of section #caf7;b7 of the ,higher ,education ,act of #aife 7#bj ,u4,s4,c4 #ajei;c7742 or 7,b7 be a hospital with affiliation with such an institution of higher education1 or a ,state professional medical society or association of infant mental health demonstrating an affiliation or partnership with such an institution of higher education2 and 7#b7 submit to the ,secretary an application at such time1 in such manner1 and containing such information as the ,secretary may require4 7c7 ,use of grant ,an entity shall use amounts received under a grant under this section to establish training institutes to-- 7#a7 equip aspiring and current mental health professionals1 including clinical social workers1 professional counselors1 marriage and family therapists1 clinical psychologists1 child psychiatrists1 school psychologists1 school counselors1 school social workers1 nurses1 home visitors1 community health workers1 and developmental and behavioral pediatricians with specialization in infant and early childhood clinical mental health1 and those pursuing certification or licensure in such professions2 and 7#b7 emphasize equipping trainees with culturally responsive skills in prevention1 mental health consultation1 screening1 assessment1 diagnosis1 and treatment for infants and children1 and their parents as appropriate1 who have experienced or are at risk of experiencing trauma1 including from intergenerational poverty1 civil unrest1 discrimination1 or oppression1 exposure to violence or overdose1 as well as prevention of secondary trauma1 through-- 7,a7 the provision of community-based training and supervision in evidence-based assessment1 diagnosis1 and treatment1 which may be conducted through partnership with qualified community-based organizations2 7,b7 the development of graduate education training tracks2 7,c7 the provision of scholarships1 stipends1 and trainee supports1 including to enhance recruitment1 retention1 and career placement of students from populations under-represented populations in the mental health workforce2 and 7,d7 the provision of mid-career training to develop the capacity of existing health practitioners4 7d7 ,authorization of appropriations ,there is authorized to be appropriated to carry out this section1 #be1jjj1jjj for each of fiscal years #bjbb through #bjbf4 4 #bjd4 ,trauma-informed teaching and school leadership 7a7 ,partnership grants ,section #bjb of the ,higher ,education ,act of #aife 7#bj ,u4,s4,c4 #ajbb;a7 is amended-- 7#a7 in subsection 7b77#f7-- 7,a7 by redesignating subparagraphs 7,h7 through 7,k7 as subparagraphs 7,i7 through 7,l71 respectively2 and 7,b7 by inserting after subparagraph 7,g7 the following3 7,h7 how the partnership will prepare general education and special education teachers1 including early childhood educators1 to support positive learning outcomes and social and emotional development for students who have experienced trauma 7including students who are involved in the foster care or juvenile justice systems or runaway or homeless youth7 and in alternative education settings in which high populations of youth with trauma exposure may learn 7including settings for correctional education1 juvenile justice1 pregnant1 expecting and parenting students1 or youth who have re-entered school after a period of absence due to dropping out72 2 7#b7 in subsection 7d77#a77;,a77i7-- 7,a7 in subclause 7,,ii71 by striking and after the semicolon2 7,b7 by redesignating subclause 7,,iii7 as subclause 7,,iv72 and 7,c7 by inserting after subclause 7,,ii7 the following3 7,,iii7 such teachers1 including early childhood educators1 to adopt evidence-based approaches for improving behavior 7such as positive behavior interventions and supports and restorative justice practices71 supporting social and emotional learning1 mitigating the effects of trauma1 improving the learning environment in the school1 preventing secondary trauma1 compassion fatigue1 and burnout1 and for alternatives to punitive discipline practices1 including suspensions1 expulsions1 corporal punishment1 referrals to law enforcement1 and other actions that remove students from the learning environment2 and 2 and 7#c7 in subsection 7d71 by adding at the end the following3 7#g7 ,trauma-informed and resilience-focused practice and work in alternative education settings ,developing the teaching skills of prospective and1 as applicable1 new1 early childhood1 elementary school1 and secondary school teachers to adopt evidence-based trauma-informed and resilience-focused teaching strategies-- 7,a7 to-- 7i7 recognize the signs of trauma and its impact on learning2 7ii7 maximize student engagement and promote the social and emotional development of students2 7iii7 implement alternative practices to suspension and expulsion that do not remove students from the learning environment2 and 7iv7 engage with other school personnel1 including administrators and nonteaching staff1 to foster a shared understanding of the items described in clauses 7i71 7ii71 and 7iii72 and 7,b7 including programs training teachers1 including early childhood educators1 to work with students with exposure to traumatic events 7including students involved in the foster care or juvenile justice systems or runaway and homeless youth7 and in alternative academic settings for youth unable to participate in a traditional public school program in which high populations of students with trauma exposure may learn 7such as students involved in the foster care or juvenile justice systems1 pregnant and parenting students1 runaway and homeless students1 students exposed to family violence or trafficking1 and other youth who have re-entered school after a period of absence due to dropping out74 4 7b7 ,administrative provisions ,section #bjc7;b77#b7 of the ,higher ,education ,act of #aife 7#bj ,u4,s4,c4 #ajbb;b7b77#b77 is amended-- 7#a7 in subparagraph 7,a71 by striking and after the semicolon2 7#b7 in subparagraph 7,b71 by striking the period at the end and inserting 2 and2 and 7#c7 by adding at the end the following3 7,c7 to eligible partnerships that have a high-quality proposal for trauma-informed and resilience-focused training programs for general education and special education teachers1 including early childhood educators4 4 7c7 ,grants for the development of leadership programs ,section #bjb7;f77#a77;,b7 of the ,higher ,education ,act of #aife 7#bj ,u4,s4,c4 #ajbb;a7f77#a77;,b77 is amended-- 7#a7 in clause 7v71 by striking and at the end2 7#b7 in clause 7vi71 by striking the period and inserting 2 and2 and 7#c7 by adding at the end the following3 7vii7 identify students who have experienced trauma and connect those students with appropriate school-based or community-based interventions and services4 4 #bje4 ,tools for front-line providers ,not later than #ah months after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services1 in coordination with appropriate stakeholders with subject matter expertise which may include the ,national ,child ,traumatic ,stress ,network or other resource centers funded by the ,department of ,health and ,human ,services1 shall carry out activities to develop accessible and easily understandable toolkits for use by front-line service providers 7including teachers1 early childhood educators1 school and out-of-school program leaders1 paraeducators and school support staff1 home visitors1 mentors1 social workers1 counselors1 health care providers1 child welfare agency staff1 individuals in juvenile justice settings1 faith leaders1 first responders1 kinship caregivers1 domestic violence agencies1 child advocacy centers1 homeless services personnel1 and youth development and community-based organization personnel7 for appropriately identifying1 responding to1 and supporting infants1 children1 and youth1 and their families1 as appropriate1 who have experienced or are at risk of experiencing trauma or toxic stress4 ,such toolkits shall incorporate best practices developed under section #gacb7;d7 of the ,,support for ,patients and ,communities ,act 7,public ,law #aae-bga71 and include actions to build a safe1 stable1 and nurturing environment for the infants1 children1 and youth served in those settings1 capacity building1 and strategies for addressing the impact of secondary trauma1 compassion fatigue1 and burnout among such front-line service providers and other caregivers4 #bjf4 ,children exposed to violence initiative ,title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#cd ,u4,s4,c4 #ajaja7 is amended by adding at the end the following3 ,,oo ,children exposed to violence and addiction initiative #cjea4 ,grants to support children exposed to violence and substance use 7a7 ,in general ,the ,attorney ,general may make grants to ,states1 units of local government1 ,indian tribes and tribal organizations 7as such terms are defined in section #d of the ,indian ,self-,determination ,act and ,education ,assistance ,act71 and nonprofit organizations to reduce violence and substance use by preventing children's trauma from exposure to violence or substance use and supporting infants1 children1 and youth1 and their families1 who have been harmed by violence1 trauma1 or substance use to heal4 7b7 ,use of funds 7#a7 ,in general ,a grant under subsection 7a7 may be used to implement trauma-informed policies and practices that support infants1 children1 youth1 and their families1 as appropriate1 by-- 7,a7 building public awareness and education about the importance of addressing childhood trauma as a means to reduce violence and substance use and improve educational1 economic1 developmental1 and societal outcomes for infants1 children1 and youth2 7,b7 providing training1 tools1 and resources to develop the skills and capacity of parents 7including foster parents71 adult guardians1 and professionals who interact directly with infants1 children1 and youth1 in an organized or professional setting1 to reduce the impact of trauma1 grief1 and exposure to violence on children1 including through the best practices developed under section #gacb7;d7 of the ,,support for ,patients and ,communities ,act 7,public ,law #aae-bga72 and 7,c7 supporting community collaborations and providing technical assistance to communities1 organizations1 and public agencies on how they can coordinate to prevent and mitigate the impact of trauma from exposure to violence and substance use on children in their homes1 schools1 and communities4 7#b7 ,priority ,priority in awarding grants under this section shall be given to communities that seek to address multiple types of violence and serve children who have experienced poly-victimization4 7c7 ,authorization of appropriations ,there are authorized to be appropriated to carry out this section #aa1jjj1jjj for each of fiscal years #bjbb through #bjbf4 4 #bjg4 ,establishment of law enforcement child and youth trauma coordinating center 7a7 ,establishment of center 7#a7 ,in general ,the ,attorney ,general1 in coordination with the ,civil ,rights ,division1 shall establish a ,national ,law ,enforcement ,child and ,youth ,trauma ,coordinating ,center 7referred to in this section as the ,center7 to provide assistance to adult- and juvenile-serving ,state1 local1 and tribal law enforcement agencies 7including those operated by ,indian tribes and tribal organizations as such terms are defined in section #d of the ,indian ,self-,determination ,act and ,education ,assistance ,act7 in interacting with infants1 children1 and youth who have been exposed to violence or other trauma1 and their families as appropriate4 7#b7 ,age range ,the ,center shall determine the age range of infants1 children1 and youth to be covered by the activities of the ,center4 7b7 ,duties ,the ,center shall provide assistance to adult- and juvenile-serving ,state1 local1 and tribal law enforcement agencies by-- 7#a7 disseminating information on the best practices for law enforcement officers1 which may include best practices based on evidence-based and evidence-informed models from programs of the ,department of ,justice and the ,office of ,justice ,services of the ,bureau of ,indian ,affairs or the best practices developed under section #gacb7;d7 of the ,,support for ,patients and ,communities ,act 7,public ,law #aae-bga71 such as-- 7,a7 models developed in partnership with national law enforcement organizations1 ,indian tribes1 or clinical researchers2 and 7,b7 models that include-- 7i7 trauma-informed approaches to conflict resolution1 information gathering1 forensic interviewing1 de-escalation1 and crisis intervention training2 7ii7 early interventions that link child and youth witnesses and victims1 and their families as appropriate1 to age-appropriate trauma-informed services2 and 7iii7 preventing and supporting officers who experience secondary trauma2 7#b7 providing professional training and technical assistance2 and 7#c7 awarding grants under subsection 7c74 7c7 ,grant program 7#a7 ,in general ,the ,attorney ,general1 acting through the ,center1 may award grants to ,state1 local1 and tribal law enforcement agencies or to multi-disciplinary consortia to-- 7,a7 enhance the awareness of best practices for trauma-informed responses to infants1 children1 and youth who have been exposed to violence or other trauma1 and their families as appropriate2 and 7,b7 provide professional training and technical assistance in implementing the best practices described in subparagraph 7,a74 7#b7 ,application ,any ,state1 local1 or tribal law enforcement agency seeking a grant under this subsection shall submit an application to the ,attorney ,general at such time1 in such manner1 and containing such information as the ,attorney ,general may require4 7#c7 ,use of funds ,a grant awarded under this subsection may be used to-- 7,a7 provide training to law enforcement officers on best practices1 including how to identify and appropriately respond to early signs of trauma and violence exposure when interacting with infants1 children1 and youth1 and their families1 as appropriate2 and 7,b7 establish1 operate1 and evaluate a referral and partnership program with trauma-informed clinical mental health1 substance use1 health care1 or social service professionals in the community in which the law enforcement agency serves4 7d7 ,authorization of appropriations ,there are authorized to be appropriated to the ,attorney ,general-- 7#a7 #f1jjj1jjj for each of fiscal years #bjbb through #bjbf to award grants under subsection 7c72 and 7#b7 #b1jjj1jjj for each of fiscal years #bjbb through #bjbf for other activities of the ,center4