Sec. 101. Trauma-related coordinating bodies
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Title V of the Public Health Service Act is amended by inserting after section 520A ( 42 U.S.C. 290bb–32 ) the following: The Secretary, acting through the Assistant Secretary, shall award grants to State, county, local, or Indian tribe or tribal organizations (as such terms are defined in section 4 of the Indian Self-Determination Act and Education Assistance Act) or nonprofit private entities for demonstration projects to enable such entities to act as coordinating bodies to address community trauma.
The Secretary shall award such grants in amounts of not more than $4,000,000. The Secretary shall award such grants for periods of 4 years. To be eligible to receive a grant under this section, an entity shall include 1 or more representatives of each of the categories described in paragraph (2). The categories referred to in paragraph
(1)are— governmental agencies, such as public health, human services, or child welfare agencies, that conduct activities to screen, assess, provide services or referrals, prevent, or provide treatment to support infants, children, youth, and their families as appropriate, that have experienced or are at risk of experiencing trauma; faculty or qualified staff at an institution of higher education (as defined in section 101(a) of the Higher Education Act of 1965) or representatives of a member of the National Child Traumatic Stress Network, in an area related to screening, assessment, service provision or referral, prevention, or treatment to support infants, children, youth, and their families, as appropriate, that have experienced or are at risk of experiencing trauma; hospitals, health care clinics, or other health care institutions, such as mental health and substance use treatment facilities; the criminal justice system with respect to adults and juveniles, which may include law enforcement, judicial, or court employees; local educational agencies or agencies responsible for early childhood education programs, which may include Head Start and Early Head Start agencies; community-based faith, human services, or social services organizations, including providers of after-school programs, home visiting programs, agencies that serve victims of domestic and family violence and child sexual abuse, or programs to prevent or address the impact of violence and addiction; and the general public, including individuals who have experienced trauma. In order for an entity to be eligible to receive the grant under this section, the representatives included in the entity shall, collectively, have professional training and expertise concerning childhood trauma and evidence-based, evidence-informed, and promising best practices to prevent and mitigate the impact of exposure to trauma. To be eligible to receive a grant under this section, an entity shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require, including information describing how the coordinating body funded under the grant will continue its activities after the end of the grant period. In awarding grants under this section, the Secretary shall give priority to entities proposing to serve communities that have faced high rates of community trauma, including from intergenerational poverty, civil unrest, discrimination, or oppression, which may include an evaluation of— an age-adjusted rate of drug overdose deaths that is above the national overdose mortality rate, as determined by the Director of the Centers for Disease Control and Prevention; and an age-adjusted rate of violence-related (or intentional) injury deaths that is above the national average, as determined by the Director of the Centers for Disease Control and Prevention. An entity that receives a grant under this section to act as a coordinating body shall use the grant funds— to bring together stakeholders who provide or use services in, or have expertise concerning, covered settings to identify community needs and resources related to services to prevent or address the impact of trauma, and to build on any needs assessments conducted by organizations or groups represented on the coordinating body; to collect data, on indicators specified by the Secretary, that covers multiple covered settings; and to use the data to identify unique community challenges and barriers, gaps in services, and high-need areas, related to services to prevent or address the impact of trauma; to build awareness, skills, and leadership (including through culturally sensitive, trauma-informed training and public outreach campaigns) related to implementing the best practices developed under section 7132(d) of the SUPPORT for Patients and Communities Act ( Public Law 115–271 ) (referred to in this subsection as the developed best practices ); and to develop a strategic plan that identifies— policy goals and coordination opportunities (including coordination in applying for grants) relating to implementing the developed best practices; and a comprehensive, integrated approach for the entity and its members to prevent and mitigate the impact of exposure to trauma in the community, and to assist the community in healing from existing and prior exposure to trauma. Amounts made available under this section shall be used to supplement and not supplant other Federal, State, and local public funds and private funds expended to provide trauma-related coordination activities. At the end of the period for which grants are awarded under this section, the Secretary shall conduct an evaluation of the activities carried out under each grant under this section. In conducting the evaluation, the Secretary shall assess the outcomes of the grant activities carried out by each grant recipient. There is authorized to be appropriated to carry out this section $50,000,000 for the period of fiscal years 2020 through 2023. In this section, the term covered setting means the settings in which individuals may come into contact with infants, children, youth, and their families, as appropriate, who have experienced or are at risk of experiencing trauma, including schools, hospitals, settings where health care providers, including primary care and pediatric providers, provide services, early childhood education and care settings, home visiting settings, after-school program facilities, child welfare agency facilities, public health agency facilities, mental health treatment facilities, substance use treatment facilities, faith-based institutions, domestic violence agencies, child advocacy centers, homeless services system facilities, refugee services system facilities, juvenile justice system facilities, law enforcement agency facilities, Healthy Marriage Promotion or Responsible Fatherhood service settings, child support service settings, and service settings focused on individuals eligible for assistance under the temporary assistance for needy families program funded under part A of title IV of the Social Security Act. .
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- 42 USC 290bb–32
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