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Title 25, IndiansRelease 119-110

§1665c Comprehensive Behavioral Health Prevention and Treatment Program

Title 25 › CHAPTER 18 — INDIAN HEALTH CARE › SUBCHAPTER V–A — BEHAVIORAL HEALTH PROGRAMS › Part A — General Programs › § 1665c

Last updated Sep 22, 2026|Official source

Summary

The Secretary, through the Service, must run a full behavioral health program for members of Indian tribes and may add systems of care when appropriate. The program covers prevention education; detox and psychiatric care; residential, outpatient, and aftercare services; community education and staff training; special residential programs for high‑risk groups (including pregnant and postpartum women and their children); and diagnostic services. The Secretary may contract with public or private providers to deliver these services and must help tribes create rules to certify providers and accredit facilities so services meet minimum standards. Training should also reach workers in health, education, courts, law enforcement, and social services.

Full Legal Text

Title 25, §1665c

Indians, Source: USLM XML via OLRC

(a)Establishment
(1)In general
The Secretary, acting through the Service, shall provide a program of comprehensive behavioral health, prevention, treatment, and aftercare, which may include, if feasible and appropriate, systems of care, and shall include—
(A)prevention, through educational intervention, in Indian communities;
(B)acute detoxification, psychiatric hospitalization, residential, and intensive outpatient treatment;
(C)community-based rehabilitation and aftercare;
(D)community education and involvement, including extensive training of health care, educational, and community-based personnel;
(E)specialized residential treatment programs for high-risk populations, including pregnant and postpartum women and their children; and
(F)diagnostic services.
(2)Target populations
The target population of such programs shall be members of Indian tribes. Efforts to train and educate key members of the Indian community shall also target employees of health, education, judicial, law enforcement, legal, and social service programs.
(b)Contract health services
(1)In general
The Secretary, acting through the Service, may enter into contracts with public or private providers of behavioral health treatment services for the purpose of carrying out the program required under subsection (a).
(2)Provision of assistance
In carrying out this subsection, the Secretary shall provide assistance to Indian tribes and tribal organizations to develop criteria for the certification of behavioral health service providers and accreditation of service facilities which meet minimum standards for such services and facilities.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Codification section 704 of Pub. L. 94–437 is based on section 181 of title I of S. 1790, One Hundred Eleventh Congress, as reported by the Committee on Indian Affairs of the Senate in Dec. 2009, which was enacted into law by section 10221(a) of Pub. L. 111–148.

Prior Provisions

A prior section 1665c, Pub. L. 94–437, title VII, § 704, as added Pub. L. 102–573, title VII, § 702(a), Oct. 29, 1992, 106 Stat. 4574, provided for Indian Health Service program of alcohol and substance abuse detoxification and rehabilitation for Indian youth, prior to the general amendment of this subchapter by Pub. L. 111–148.

Reference

Citations & Metadata

Citation

25 U.S.C. § 1665c

Title 25, Indians

Last Updated

Sep 22, 2026

Release point: 119-110