Title 42The Public Health and WelfareRelease 119-73

§290bb–40 Grants for the integrated treatment of serious mental illness and co-occurring substance abuse

Title 42 › Chapter CHAPTER 6A— - PUBLIC HEALTH SERVICE › Subchapter SUBCHAPTER III–A— - SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION › Part Part B— - Centers and Programs › Subpart subpart 3— - center for mental health services › § 290bb–40

Last updated Apr 6, 2026|Official source

Summary

Gives money to states, local governments, Indian tribes, tribal groups, and private nonprofit groups to start or expand programs that treat people who have a serious mental illness and also a substance abuse problem. The federal health official will favor applicants that serve people who have dealt with police or the courts, were recently jailed, failed past treatment, never followed up with outpatient care, or are homeless. Grants last no more than 5 years. The law authorizes $40,000,000 for fiscal year 2001 and whatever money is needed for fiscal years 2002 and 2003. Recipients must use the funds to offer services that are truly integrated (not separate or one-after-the-other). They must hire staff trained to treat both mental illness and substance abuse, provide both types of care in the same place, offer culturally and linguistically appropriate services, set up at least 10 integrated programs at sites that used to offer only one kind of service, and work with other local public and private programs. The federal health official must make sure existing community programs keep their funding level and that awards are spread fairly across regions and between cities and rural areas. Applicants must send an application with a plan for a strong evaluation, and recipients must submit a process and outcomes evaluation at the end.

Full Legal Text

Title 42, §290bb–40

The Public Health and Welfare — Source: USLM XML via OLRC

(a)The Secretary shall award grants, contracts, or cooperative agreements to States, political subdivisions of States, Indian tribes, tribal organizations, and private nonprofit organizations for the development or expansion of programs to provide integrated treatment services for individuals with a serious mental illness and a co-occurring substance abuse disorder.
(b)In awarding grants, contracts, and cooperative agreements under subsection (a), the Secretary shall give priority to applicants that emphasize the provision of services for individuals with a serious mental illness and a co-occurring substance abuse disorder who—
(1)have a history of interactions with law enforcement or the criminal justice system;
(2)have recently been released from incarceration;
(3)have a history of unsuccessful treatment in either an inpatient or outpatient setting;
(4)have never followed through with outpatient services despite repeated referrals; or
(5)are homeless.
(c)A State, political subdivision of a State, Indian tribe, tribal organization, or private nonprofit organization that receives a grant, contract, or cooperative agreement under subsection (a) shall use funds received under such grant—
(1)to provide fully integrated services rather than serial or parallel services;
(2)to employ staff that are cross-trained in the diagnosis and treatment of both serious mental illness and substance abuse;
(3)to provide integrated mental health and substance abuse services at the same location;
(4)to provide services that are linguistically appropriate and culturally competent;
(5)to provide at least 10 programs for integrated treatment of both mental illness and substance abuse at sites that previously provided only mental health services or only substance abuse services; and
(6)to provide services in coordination with other existing public and private community programs.
(d)The Secretary shall ensure that a State, political subdivision of a State, Indian tribe, tribal organization, or private nonprofit organization that receives a grant, contract, or cooperative agreement under subsection (a) maintains the level of effort necessary to sustain existing mental health and substance abuse programs for other populations served by mental health systems in the community.
(e)The Secretary shall ensure that grants, contracts, or cooperative agreements awarded under subsection (a) are equitably distributed among the geographical regions of the United States and between urban and rural populations.
(f)The Secretary shall award grants, contract, or cooperative agreements under this subsection for a period of not more than 5 years.
(g)A State, political subdivision of a State, Indian tribe, tribal organization, or private nonprofit organization that desires a grant, contract, or cooperative agreement under this subsection shall prepare and submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require. Such application shall include a plan for the rigorous evaluation of activities funded with an award under such subsection, including a process and outcomes evaluation.
(h)A State, political subdivision of a State, Indian tribe, tribal organization, or private nonprofit organization that receives a grant, contract, or cooperative agreement under this subsection shall prepare and submit a plan for the rigorous evaluation of the program funded under such grant, contract, or agreement, including both process and outcomes evaluation, and the submission of an evaluation at the end of the project period.
(i)There is authorized to be appropriated to carry out this subsection $40,000,000 for fiscal year 2001, and such sums as may be necessary for fiscal years 2002 through 2003.

Reference

Citations & Metadata

Citation

42 U.S.C. § 290bb–40

Title 42The Public Health and Welfare

Last Updated

Apr 6, 2026

Release point: 119-73