Title 42, The Public Health and WelfareRelease 119-110

§290bb–40 Grants for the Integrated Treatment of Serious Mental Illness and Co-occurring Substance Abuse

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

Last updated Sep 22, 2026|Official source

Summary

The Secretary will give grants, contracts, or cooperative agreements to states, local governments, Indian tribes and tribal groups, and private nonprofit groups to create or expand programs that treat people who have a serious mental illness and also have a substance abuse disorder. Priority goes to programs that serve people with criminal justice contact, those just released from jail, people who failed past treatment, people who never followed up on outpatient care, or people who are homeless. Money must pay for fully integrated care (not separate services), staff trained to treat both conditions, services at the same location, language- and culture-appropriate care, at least 10 integrated programs at sites that used to offer only mental health or only substance abuse services, and coordination with other community programs. Recipients must keep supporting other community mental health and substance abuse services at their current level. Awards must be spread fairly across U.S. regions and between urban and rural areas. Grants last no more than 5 years. Applicants must apply as the Secretary requires and include a strong plan to evaluate how the program works and its results, and winners must submit an evaluation at the end. Congress authorized $40,000,000 for fiscal year 2001 and whatever sums are needed for fiscal years 2002 and 2003.

Full Legal Text

Title 42, §290bb–40

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

(a)In general
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)Priority
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)Use of funds
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)Condition
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)Distribution of awards
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)Duration
The Secretary shall award grants, contract, or cooperative agreements under this subsection for a period of not more than 5 years.
(g)Application
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)Evaluation
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)Authorization of appropriation
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 42, The Public Health and Welfare

Last Updated

Sep 22, 2026

Release point: 119-110