Title 42, The Public Health and WelfareRelease 119-110

§290ee–5a Sobriety Treatment and Recovery Teams

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

Last updated Sep 23, 2026|Official source

Summary

The Secretary may give grants to States, local governments, or tribal governments to start or expand Sobriety Treatment and Recovery Team (START) or similar programs. These programs pair social workers or mentors with families that have substance use problems and child abuse or neglect. The goal is to provide peer support, focused treatment, and child welfare services. Grant money can be used for training staff (for example, social workers, treatment counselors, and mentors), expanding access to treatment and drug testing, improving data sharing with police, courts, child welfare, and treatment providers, and for evaluating and improving programs. Grantees must serve only families with an open child welfare case where substance use was a reason. Grantees must also coordinate these grants with any grant they get under section 629g(f) that helps children affected by substance abuse. The Secretary may keep up to 5 percent of the funds to pay the National Center on Substance Abuse and Child Welfare to provide technical help.

Full Legal Text

Title 42, §290ee–5a

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

(a)In general
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)Allowable uses
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)Program requirements
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); 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)Technical assistance
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 42, The Public Health and Welfare

Last Updated

Sep 23, 2026

Release point: 119-110