Page:United States Statutes at Large Volume 106 Part 5.djvu/910

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106 STAT. 4548 PUBLIC LAW 102-573—OCT. 29, 1992 to Indian tribes and tribal organizations to provide intermediate mental health services to Indian children and adolescents, including— "(A) inpatient and outpatient services; "(B) emergency care; "(C) suicide prevention and crisis intervention; and "(D) prevention and treatment of mental illness, and dysfunctional and self-destructive behavior, including child abuse and family violence. "(2) Funds provided under this subsection may be used— "(A) to construct or renovate an existing health facility to provide intermediate mental health services; "(B) to hire mental health professionals; "(C) to staff, operate, and maintain an intermediate mental health facility, group home, or youth shelter where intermediate mental health services are being provided; and "(D) to make renovations and hire appropriate staff to convert existing hospital beds into adolescent psychiatric units. "(3) Funds provided under this subsection may not be used for the purposes described in section 216(b)(1). "(4) An Indian tribe or tribal organization receiving a grant under this subsection shall ensure that intermediate adolescent mental health services are coordinated with other tribal. Service, and Bureau of Indian Affairs mental health, alcohol and substance abuse, and social services programs on the reservation of such tribe or tribal organization. "(5) The Secretary shall establish criteria for the review and approval of applications for grants made pursuant to this subsection. "(6) There are authorized to be appropriated to carry out this section $10,000,000 for fiscal year 1993 and such sums as may be necessary for each of the fiscal years 1994, 19P5, 1996, 1997, 1998, 1999, and 2000. ". SEC. 206. NEW STUDIES AND DEMONSTRATION PROGRAM. (a) HOSPICE CARE.— Title II of the Act is amended by inserting after section 204 the following: "HOSPICE CARE FEASIBILITY STUDY 25 USC I62ld. "SEC. 205. (a) The Secretary, acting through the Service and in consultation with representatives of Indian tribes, tribal organizations, Indian Health Service personnel, and hospice providers, shall conduct a study— "(1) to assess the feasibility and desirability of furnishing hospice care to terminally ill Indians; and "(2) to determine the most efficient and effective means ' of furnishing such care. "(b) Such study shall— "(1) assess the impact of Indian culture and beliefs concerning death and dying on the provision of hospice care to Indians; "(2) estimate the number of Indians for whom hospice care may be appropriate and determine the geographic distribution of such individuals; "(3) determine the most appropriate means to facilitate the participation of Indian tribes and tribal organizations in providing hospice care;