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Code · BILL · 113th Congress · H.R. 4574 (Introduced in House) — To maximize the access of individuals with mental illness to community-based services, to strengthen the impact of su... · Sec. 103

Sec. 103. National strategy for mental health

867 words·~4 min read·/bill/113/hr/4574/ih/section-103·

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Not later than February 1 of each year, the Director shall submit to the President and Congress and make available to the public a National Strategy for Mental Health (in this title referred to as the National Strategy for Mental Health or the Strategy ) setting forth a comprehensive plan to maximize the access of individuals with mental illness to community-based services, to strengthen the impact of such services, and to meet the comprehensive needs of individuals with mental illness.
In preparing the Strategy, the Director shall actively consult and work in coordination with the following: The heads of all Federal departments and agencies that provide mental health services. The National Mental Health Council. The National Mental Health Advisory Board. Existing Federal interagency efforts related to mental health services, such as the Military and Veterans Mental Health Interagency Task Force. State, local, and tribal governments. Nongovernmental entities.
Individuals with mental illness, particularly individuals with a serious mental illness and children and adolescents with a serious emotional disturbance. The Director shall ensure the Strategy meets the following requirements: The Strategy shall contain comprehensive, research-based goals and quantifiable performance measures that shall serve as targets for the year with respect to which the Strategy applies for— improving the outcomes of and accessibility to evidence-based mental programs and services; promoting community integration of individuals with mental illness; increasing access to prevention and early intervention services related to mental health; promoting mental health awareness and reducing stigma; and advancing mental health research.
The Strategy shall contain a report on Federal effectiveness with respect to meeting those performance measures set by the Strategy for the preceding year, including an evaluation of whether or not such performance measures were met and the reasons therefore, including— the extent of coordination between Federal departments and agencies providing mental health services; the extent to which the objectives and budgets of Federal departments and agencies providing mental health services were consistent with the recommendations of the Strategy for the preceding year; and the efficiency and adequacy of Federal programs and policies with respect to mental health services.
The Strategy shall contain a report on— the mental health diagnoses, disaggregated by age, race, gender, geographic distribution, population density, socioeconomic status, and other target populations determined necessary for inclusion by the Director; the quality and quantity of mental health services, including community-based services, for individuals with mental illness, disaggregated by age, race, gender, geographic distribution, population density, socioeconomic status, and other target populations determined necessary for inclusion by the Director; and the size and allocation of Federal resources devoted to supporting individuals with mental illness, particularly serious mental illness, and children and adolescents with a serious emotional disturbance, disaggregated by age, race, gender, geographic distribution, population density, socioeconomic status, and other target populations determined necessary for inclusion by the Director.
The Strategy shall contain a report on Federal efforts to consult, coordinate with, facilitate joint efforts among, and support State, local, and tribal governments, nongovernmental entities, and individuals with mental illness, particularly serious mental illness, and children and adolescents with a serious emotional disturbance, including an evaluation of the effectiveness of those efforts. The Strategy shall contain research-based guidance for assessing and improving the quality of mental health services that is responsive to gaps identified in community-based and other mental health services, particularly for individuals with a serious mental illness and children and adolescents with a serious emotional disturbance.
The Strategy shall contain the views and perspectives of individuals with mental illness, particularly individuals with serious mental illness and children and adolescents with a serious emotional disturbance, with respect to mental health services as prepared by the National Mental Health Advisory Board. The Strategy shall contain a plan to achieve the goals and performance measures set for the year with respect to which the Strategy applies, including the following: Program and budget priorities necessary to achieve the performance measures.
Recommendations for improved Federal interagency coordination, such as shared grant application processes, grantee reporting requirements, training and technical assistance efforts, definitions, recipient eligibility requirements, research, evaluation efforts, and data collection, and recommendations for legislative changes necessary to achieve such interagency coordination and to facilitate the delivery of a comprehensive array of mental health services. Recommendations for improved coordination between the Federal Government and State, local, and tribal governments, nongovernmental entities, and individuals with mental illness, particularly individuals with serious mental illness and children and adolescents with a serious emotional disturbance.
A strategic research, innovation, and demonstration agenda to guide the use of Federal research spending with respect to mental illness, particularly serious mental illness. Recommendations to promote community integration of individuals with mental illness, consistent with the Americans with Disabilities Act of 1990, section 504 of the Rehabilitation Act of 1973, and the Supreme Court’s decision in Olmstead v. L.C. Recommendations to enhance prevention and early intervention services for children and adolescents with mental illness.
Recommendations concerning ways to ensure appropriate access to intensive community-based services for Medicaid beneficiaries. The Strategy shall contain additional reports the Director determines necessary, such as reports on the unmet needs of individuals with mental illness, international comparisons of mental health services and outcomes, or the status of implementation and enforcement of mental health parity.
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