Title 42The Public Health and WelfareRelease 119-73

§290ee–5a Sobriety treatment and recovery teams

Title 42 › Chapter CHAPTER 6A— - PUBLIC HEALTH SERVICE › Subchapter SUBCHAPTER III–A— - SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION › Part Part D— - Miscellaneous Provisions Relating to Substance Abuse and Mental Health › § 290ee–5a

Last updated Apr 6, 2026|Official source

Summary

The Secretary can give grants to States, local, or tribal governments to start or grow START or similar programs. These programs pair social workers or mentors with families facing substance use disorders and child abuse or neglect to provide peer support, intensive treatment, and child welfare help. Grants can pay for staff training, more treatment and drug testing, better data sharing with courts and agencies, and program evaluation and technical help. Grantees must only serve families with an open child welfare record where substance use disorder was a reason for the record or finding. Grantees must coordinate with any grant under section 629g(f) that helps children affected by substance abuse. The Secretary may reserve not more than 5 percent of the funds for technical assistance from the National Center on Substance Abuse and Child Welfare.

Full Legal Text

Title 42, §290ee–5a

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

(a)The Secretary may make grants to States, units of local government, or tribal governments to establish or expand Sobriety Treatment And Recovery Team (referred to in this section as “START”) or other similar programs to determine the effectiveness of pairing social workers or mentors with families that are struggling with a substance use disorder and child abuse or neglect in order to help provide peer support, intensive treatment, and child welfare services to such families.
(b)A grant awarded under this section may be used for one or more of the following activities:
(1)Training eligible staff, including social workers, social services coordinators, child welfare specialists, substance use disorder treatment professionals, and mentors.
(2)Expanding access to substance use disorder treatment services and drug testing.
(3)Enhancing data sharing with law enforcement agencies, child welfare agencies, substance use disorder treatment providers, judges, and court personnel.
(4)Program evaluation and technical assistance.
(c)A State, unit of local government, or tribal government receiving a grant under this section shall—
(1)serve only families for which—
(A)there is an open record with the child welfare agency; and
(B)substance use disorder was a reason for the record or finding described in paragraph (1); 11 So in original. Probably should be “subparagraph (A)”. and
(2)coordinate any grants awarded under this section with any grant awarded under section 629g(f) of this title focused on improving outcomes for children affected by substance abuse.
(d)The Secretary may reserve not more than 5 percent of funds provided under this section to provide technical assistance on the establishment or expansion of programs funded under this section from the National Center on Substance Abuse and Child Welfare.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Codification Section was formerly classified to section 290ee–10 of this title prior to renumbering by Pub. L. 117–328.

Reference

Citations & Metadata

Citation

42 U.S.C. § 290ee–5a

Title 42The Public Health and Welfare

Last Updated

Apr 6, 2026

Release point: 119-73