text: SECTION 1. SHORT TITLE.
  
      This Act may be cited as the ``Women in Trauma Act of 2002''.
  
  SEC. 2. FINDINGS.
  
      Congress finds as follows:
              (1) Researchers have concluded that women may experience 
          significant adverse mental health consequences relating to 
          trauma exposure, often the result of sexual or domestic 
          violence.
              (2) The majority of women suffering from both substance 
          abuse and mental health problems have been victims of rape, 
          incest, or physical or emotional abuse and hundreds of 
          thousands of these same women are also severely beaten by their 
          husbands or a significant male intimate. Surveys have indicated 
          that approximately 1,500,000 children are physically abused 
          each year and 700,000 are victims of sexual abuse.
              (3) Women with serious mental illnesses are over-
          represented in samples that experienced trauma, including 
          physical, sexual, and emotional abuse. Between 50 and 70 
          percent of women hospitalized for psychiatric disorders have a 
          history of trauma.
              (4) Even for people whose mental health problems are caused 
          by other factors, a history of early physical or sexual abuse 
          leads to the earlier onset of their illness, a more severe 
          course of illness, and a greater likelihood of suicide and 
          other poor outcomes.
              (5) Trauma exposure is generally prevalent in people who 
          suffer from mental health and substance abuse problems, and can 
          worsen the course and overall impact of these illnesses.
              (6) In a recent study, 97 percent of homeless women with 
          mental illness were found to have experienced severe physical 
          or sexual abuse and 87 percent experienced this abuse both as 
          children and as adults.
              (7) Of women in prisons and jails, 80 to 100 percent have 
          been victims of physical and sexual abuse.
              (8) The prevalence of violence- and trauma-related problems 
          among women with mental health and substance abuse problems is 
          not adequately addressed by most treatment practices.
              (9) There is an urgent need to provide services that 
          directly address the issue of trauma for women suffering from 
          mental health and substance abuse problems.
              (10) To improve mental health and substance abuse services 
          for women, further research to expand the development and 
          implementation of trauma-sensitive services is needed as well 
          as additional services to improve access to comprehensive 
          therapeutic interventions and to the support needed to overcome 
          barriers to recovery.
  
  SEC. 3. GRANTS TO IMPROVE TREATMENT FOR WOMEN WITH HISTORIES OF TRAUMA.
  
      Subpart 3 of part B of title V of the Public Health Service Act (42 
  U.S.C. 290bb-31 et seq.) is amended by adding at the end the following:
  
  ``SEC. 520K. GRANTS TO IMPROVE TREATMENT FOR WOMEN WITH HISTORIES OF 
                TRAUMA.
  
      ``(a) Research Grants.--
              ``(1) Grants authorized.--
                      ``(A) In general.--The Secretary, acting through 
                  the Director of the National Institute of Mental Health 
                  and in consultation with the Administrator of the 
                  Substance Abuse and Mental Health Services 
                  Administration, shall award grants, contracts, or 
                  cooperative agreements to public and nonprofit private 
                  entities, as well as Indian tribes and tribal 
                  organizations, for the purpose of building the evidence 
                  base for new treatment interventions that 
                  simultaneously address trauma, substance abuse, and 
                  psychiatric disorders, including depression and anxiety 
                  disorders (including post-traumatic stress disorder, 
                  psychotic and dissociative disorders) and the 
                  integration of existing interventions for the treatment 
                  of trauma, substance abuse, and psychiatric disorders, 
                  including depression and anxiety disorders (including 
                  post-traumatic stress disorder, psychotic and 
                  dissociative disorders).
                      ``(B) Geographical distribution.--The Secretary 
                  shall ensure that grants, contracts, or cooperative 
                  agreements awarded pursuant to this paragraph are 
                  distributed equitably among regions of the country and 
                  among urban and rural areas.
                      ``(C) Duration of awards.--Grants, contracts, or 
                  cooperative agreements awarded pursuant to this 
                  paragraph may not exceed 5 years. Such grants, 
                  contracts, or agreements may be renewed.
              ``(2) Application.--
                      ``(A) In general.--Each entity desiring a grant 
                  under this subsection shall submit an application to 
                  the Secretary at such time, in such manner, and 
                  accompanied by such information as the Secretary may 
                  reasonably require.
                      ``(B) Contents.--Each application submitted 
                  pursuant to subparagraph (A) shall--
                              ``(i) describe the activities for which 
                          assistance under this subsection is sought; and
                              ``(ii) demonstrate that the testing of 
                          treatment interventions will be carried out 
                          through community-based treatment programs.
              ``(3) Authorization of appropriations.--There is authorized 
          to be appropriated to carry out this subsection, $50,000,000 
          for fiscal year 2003, and such sums as may be necessary for 
          each fiscal year thereafter.
      ``(b) Treatment Grants.--
              ``(1) Grants authorized.--
                      ``(A) In general.--The Secretary, acting through 
                  the Administrator of the Substance Abuse and Mental 
                  Health Services Administration, shall make grants to 
                  public and nonprofit private entities, including Indian 
                  tribes and tribal organizations, for the purpose of 
                  providing comprehensive community-based mental health 
                  and substance abuse services to women who have 
                  experienced a history of physical or sexual abuse, or 
                  other types of trauma.
                      ``(B) Grantmaking considerations.--The Secretary 
                  shall ensure that--
                              ``(i) grants awarded pursuant to this 
                          paragraph are distributed equitably among the 
                          regions of the country and among urban and 
                          rural areas; and
                              ``(ii) preference is given to applicants 
                          with strong ties to minority communities and 
                          those that offer services that are culturally 
                          and linguistically appropriate.
                      ``(C) Duration.--The Secretary shall award grants 
                  under this paragraph for a period not to exceed 5 
                  years. Such grants may be renewed.
              ``(2) Technical assistance.--The Secretary, acting through 
          the Administrator of the Substance Abuse and Mental Health 
          Services Administration, shall provide technical assistance to 
          entities awarded grants pursuant to paragraph (1) with respect 
          to the implementation of programs described in paragraph (3).
              ``(3) Use of funds.--An entity awarded a grant pursuant to 
          paragraph (1) shall--
                      ``(A) establish and operate 1 or more 
                  multidisciplinary integrated systems of community-based 
                  care--
                              ``(i) to include medical, social, and 
                          behavioral services for the simultaneous and 
                          coordinated treatment of trauma, substance 
                          abuse, and psychiatric disorders, including 
                          depression and anxiety disorders (including 
                          post-traumatic stress disorder, psychotic, and 
                          dissociative disorders);
                              ``(ii) that specifically addresses the 
                          impact of trauma on the lives of women 
                          receiving services through the grant; and
                              ``(iii) that may include services for 
                          children of women who are survivors of trauma;
                      ``(B) establish avenues for the involvement of 
                  women who access the services described in subparagraph 
                  (A), in all phases of service delivery and design 
                  including in the development of individualized 
                  treatment plans;
                      ``(C) offer specialized and structured treatment 
                  components addressing trauma that are culture- and 
                  gender-specific;
                      ``(D) implement collaboration among public and 
                  private nonprofit entities likely to serve women with 
                  histories of trauma including rape and domestic 
                  violence programs, hospital emergency rooms, 
                  appropriate branches of the criminal justice system, 
                  low-income housing authorities, substance abuse and 
                  mental health service providers, consolidated health 
                  centers, battered women's shelters, and churches and 
                  other community-based organizations;
                      ``(E) undertake aggressive outreach efforts to 
                  encourage women from minority communities, in 
                  particular, to participate; and
                      ``(F) offer educational materials or training, 
                  through subparagraph (D) or other avenues, to agencies 
                  and community-based organizations that serve women with 
                  histories of trauma to increase awareness of the 
                  devastating impact of chronic exposures to traumatic 
                  experiences on women's mental health and of the need to 
                  address this impact in the context of mental health and 
                  substance abuse treatment.
              ``(4) Access to child care.--An entity awarded a grant 
          pursuant to paragraph (1) may use grant funds to provide child 
          care, either directly or through an off site, licensed child 
          care provider, to women offered services under such grant to 
          facilitate participation and address a primary barrier to care.
              ``(5) Application.--
                      ``(A) In general.--Each entity desiring a grant 
                  under this subsection shall submit an application to 
                  the Secretary at such time, in such manner, and 
                  accompanied by such information as the Secretary may 
                  reasonably require.
                      ``(B) Contents.--Each application submitted 
                  pursuant to subparagraph (A) shall--
                              ``(i) describe the activities for which 
                          assistance under this subsection is sought; and
                              ``(ii) describe a plan for the rigorous 
                          evaluation of such activities, including both 
                          process and outcome evaluation, and the 
                          submission of the evaluation at the end of the 
                          project period.
              ``(6) Authorization of appropriations.--There is authorized 
          to be appropriated to carry out this subsection, $100,000,000 
          for fiscal year 2003, and such sums as may be necessary for 
          each fiscal year thereafter.''.
target: Women in Trauma Act of 2002 - Amends the Public Health Service Act to require the Secretary of Health and Human Services, acting through the Director of the National Institute of Mental Health, to award grants to build treatment interventions simultaneously addressing trauma, substance abuse and psychiatric disorders, including the integration of existing interventions.Requires the Secretary, acting through the Administrator of the Substance Abuse and Mental Health Services Administration, to make grants and provide technical assistance for the provision of comprehensive community-based mental health and substance abuse services to women with a history of physical or sexual abuse or other trauma. Targets minority community services. Requires such services to be multidisciplinary and provide coordinated and simultaneous treatment for multiple issues, be individualized as well as gender- and culture-specific, and include services for children, if needed. Authorizes the use of grant funds for childcare to facilitate participation.
feat_title: To amend the Public Health Service Act to improve treatment for the mental health and substance abuse needs of women with histories of trauma, including domestic and sexual violence.