25 U.S.C. § 1653: Contracts and grants for provision of health care and referral services

estimate the population of urban Indians residing in the urban center in which such organization is situated who are or could be recipients of health care or referral services; estimate the current health status of urban Indians residing in such urban center; estimate the current health care needs of urban Indians residing in such urban center; identify all public and private health services resources within such urban center which are or may be available to urban Indians; determine the use of public and private health services resources by the urban Indians residing in such urban center; assist such health services resources in providing services to urban Indians; assist urban Indians in becoming familiar with and utilizing such health services resources; provide basic health education, including health promotion and disease prevention education, to urban Indians; establish and implement training programs to accomplish the referral and education tasks set forth in paragraphs (6) through (8) of this subsection; identify gaps between unmet health needs of urban Indians and the resources available to meet such needs; make recommendations to the Secretary and Federal, State, local, and other resource agencies on methods of improving health service programs to meet the needs of urban Indians; and where necessary, provide, or enter into contracts for the provision of, health care services for urban Indians. the extent of unmet health care needs of urban Indians in the urban center involved; the size of the urban Indian population in the urban center involved; the accessibility to, and utilization of, health care services (other than services provided under this subchapter) by urban Indians in the urban center involved; any previous or current public or private health services project in an urban center that was or is funded in a manner other than pursuant to this subchapter; or any project funded under this subchapter; the capability of an urban Indian organization to perform the activities set forth in subsection (a) and to enter into a contract with the Secretary or to meet the requirements for receiving a grant under this section; the satisfactory performance and successful completion by an urban Indian organization of other contracts with the Secretary under this subchapter; the appropriateness and likely effectiveness of conducting the activities set forth in subsection (a) in an urban center; and the extent of existing or likely future participation in the activities set forth in subsection (a) by appropriate health and health-related Federal, State, local, and other agencies. The Secretary, acting through the Service, shall facilitate access to, or provide, health promotion and disease prevention services for urban Indians through grants made to urban Indian organizations administering contracts entered into pursuant to this section or receiving grants under subsection (a). The Secretary, acting through the Service, shall facilitate access to, or provide, immunization services for urban Indians through grants made to urban Indian organizations administering contracts entered into pursuant to this section or receiving grants under subsection (a). the size of the urban Indian population to be served; the immunization levels of the urban Indian population, particularly the immunization levels of infants, children, and the elderly; the utilization by the urban Indians of alternative resources from State and local governments for no-cost or low-cost immunization services to the general population; and the capability of the urban Indian organization to carry out services pursuant to this subsection. For purposes of this subsection, the term “immunization services” means services to provide without charge immunizations against vaccine-preventable diseases. The Secretary, acting through the Service, shall facilitate access to, or provide, mental health services for urban Indians through grants made to urban Indian organizations administering contracts entered into pursuant to this section or receiving grants under subsection (a). A grant may not be made under this subsection to an urban Indian organization until that organization has prepared, and the Service has approved, an assessment of the mental health needs of the urban Indian population concerned, the mental health services and other related resources available to that population, the barriers to obtaining those services and resources, and the needs that are unmet by such services and resources. to prepare assessments required under paragraph (2); to provide outreach, educational, and referral services to urban Indians regarding the availability of direct mental health services, to educate urban Indians about mental health issues and services, and effect coordination with existing mental health providers in order to improve services to urban Indians; to provide outpatient mental health services to urban Indians, including the identification and assessment of illness, therapeutic treatments, case management, support groups, family treatment, and other treatment; and to develop innovative mental health service delivery models which incorporate Indian cultural support systems and resources. The Secretary, acting through the Service, shall facilitate access to, or provide, services for urban Indians through grants to urban Indian organizations administering contracts entered into pursuant to this section or receiving grants under subsection (a) to prevent and treat child abuse (including sexual abuse) among urban Indians. A grant may not be made under this subsection to an urban Indian organization until that organization has prepared, and the Service has approved, an assessment that documents the prevalence of child abuse in the urban Indian population concerned and specifies the services and programs (which may not duplicate existing services and programs) for which the grant is requested. to prepare assessments required under paragraph (2); for the development of prevention, training, and education programs for urban Indian populations, including child education, parent education, provider training on identification and intervention, education on reporting requirements, prevention campaigns, and establishing service networks of all those involved in Indian child protection; and to provide direct outpatient treatment services (including individual treatment, family treatment, group therapy, and support groups) to urban Indians who are child victims of abuse (including sexual abuse) or adult survivors of child sexual abuse, to the families of such child victims, and to urban Indian perpetrators of child abuse (including sexual abuse). the support for the urban Indian organization demonstrated by the child protection authorities in the area, including committees or other services funded under the Indian Child Welfare Act of 1978 ( 25 U.S.C. 1901 et seq.), if any; the capability and expertise demonstrated by the urban Indian organization to address the complex problem of child sexual abuse in the community; and the assessment required under paragraph (2).