Contract: A legal written agreement that becomes binding when signed.
Criminal risk factors: means a person's characteristics and behaviors that:
(a)
affect the person's risk of engaging in criminal behavior; and
(b)
are diminished when addressed by effective treatment, supervision, and other support resources, resulting in reduced risk of criminal behavior. See Utah Code 26B-5-101
Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
Executive director: means the executive director of the department appointed under Section 26B-1-203. See Utah Code 26B-1-102
Local mental health authority: means a county legislative body. See Utah Code 26B-5-101
Local substance abuse authority: means a county legislative body. See Utah Code 26B-5-101
Office: means the Office of Substance Use and Mental Health created in Section 26B-5-102. See Utah Code 26B-5-101
Oversight: Committee review of the activities of a Federal agency or program.
Public funds: include federal and state money that has been transferred by a local substance abuse authority or a local mental health authority to a private provider under an annual or otherwise ongoing contract to provide comprehensive substance abuse or mental health programs or services for the local substance abuse authority or local mental health authority. See Utah Code 26B-5-101
State: when applied to the different parts of the United States, includes a state, district, or territory of the United States. See Utah Code 68-3-12.5
(a)
The Division of Integrated Healthcare shall exercise responsibility over the policymaking functions, regulatory and enforcement powers, rights, duties, and responsibilities outlined in state law that were previously vested in the Division of Substance Abuse and Mental Health within the department, under the administration and general supervision of the executive director.
(b)
The division is the substance abuse authority and the mental health authority for this state.
(c)
There is created the Office of Substance Use and Mental Health within the division.
(d)
The office shall exercise the responsibilities, powers, rights, duties, and responsibilities assigned to the office by the executive director.
(2)
The division shall:
(a)
(i)
educate the general public regarding the nature and consequences of substance use by promoting school and community-based prevention programs;
(ii)
render support and assistance to public schools through approved school-based substance abuse education programs aimed at prevention of substance use;
(iii)
promote or establish programs for the prevention of substance use within the community setting through community-based prevention programs;
(iv)
cooperate with and assist treatment centers, recovery residences, and other organizations that provide services to individuals recovering from a substance use disorder, by identifying and disseminating information about effective practices and programs;
(v)
promote integrated programs that address an individual’s substance use, mental health, and physical health;
(vi)
establish and promote an evidence-based continuum of screening, assessment, prevention, treatment, and recovery support services in the community for individuals with a substance use disorder or mental illness;
(vii)
evaluate the effectiveness of programs described in this Subsection (2);
(viii)
consider the impact of the programs described in this Subsection (2) on:
(A)
emergency department utilization;
(B)
jail and prison populations;
(C)
the homeless population; and
(D)
the child welfare system; and
(ix)
promote or establish programs for education and certification of instructors to educate individuals convicted of driving under the influence of alcohol or drugs or driving with any measurable controlled substance in the body;
(b)
(i)
collect and disseminate information pertaining to mental health;
(ii)
provide direction over the state hospital including approval of the state hospital’s budget, administrative policy, and coordination of services with local service plans;
(iii)
make rules in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, to educate families concerning mental illness and promote family involvement, when appropriate, and with patient consent, in the treatment program of a family member; and
(iv)
make rules in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, to direct that an individual receiving services through a local mental health authority or the Utah State Hospital be informed about and, if desired by the individual, provided assistance in the completion of a declaration for mental health treatment in accordance with Section 26B-5-313;
(c)
(i)
consult and coordinate with local substance abuse authorities and local mental health authorities regarding programs and services;
(ii)
provide consultation and other assistance to public and private agencies and groups working on substance use and mental health issues;
(iii)
promote and establish cooperative relationships with courts, hospitals, clinics, medical and social agencies, public health authorities, law enforcement agencies, education and research organizations, and other related groups;
(iv)
promote or conduct research on substance use and mental health issues, and submit to the governor and the Legislature recommendations for changes in policy and legislation;
(v)
receive, distribute, and provide direction over public funds for substance use and mental health services;
(vi)
monitor and evaluate programs provided by local substance abuse authorities and local mental health authorities;
(vii)
examine expenditures of local, state, and federal funds;
(viii)
monitor the expenditure of public funds by:
(A)
local substance abuse authorities;
(B)
local mental health authorities; and
(C)
in counties where they exist, a private contract provider that has an annual or otherwise ongoing contract to provide comprehensive substance abuse or mental health programs or services for the local substance abuse authority or local mental health authority;
(ix)
contract with local substance abuse authorities and local mental health authorities to provide a comprehensive continuum of services that include community-based services for individuals involved in the criminal justice system, in accordance with division policy, contract provisions, and the local plan;
(x)
contract with private and public entities for special statewide or nonclinical services, or services for individuals involved in the criminal justice system, according to division rules;
(xi)
review and approve each local substance abuse authority’s plan and each local mental health authority’s plan in order to ensure:
(A)
a statewide comprehensive continuum of substance use services;
(B)
a statewide comprehensive continuum of mental health services;
(C)
services result in improved overall health and functioning;
(D)
a statewide comprehensive continuum of community-based services designed to reduce criminal risk factors for individuals who are determined to have substance use or mental illness conditions or both, and who are involved in the criminal justice system;
(E)
compliance, where appropriate, with the certification requirements in Subsection (2)(j); and
(F)
appropriate expenditure of public funds;
(xii)
review and make recommendations regarding each local substance abuse authority’s contract with the local substance abuse authority’s provider of substance use programs and services and each local mental health authority’s contract with the local mental health authority’s provider of mental health programs and services to ensure compliance with state and federal law and policy;
(xiii)
monitor and ensure compliance with division rules and contract requirements; and
(xiv)
withhold funds from local substance abuse authorities, local mental health authorities, and public and private providers for contract noncompliance, failure to comply with division directives regarding the use of public funds, or for misuse of public funds or money;
(d)
ensure that the requirements of this part are met and applied uniformly by local substance abuse authorities and local mental health authorities across the state;
(e)
require each local substance abuse authority and each local mental health authority, in accordance with Subsections 17-43-201(5)(b) and 17-43-301(6)(a)(ii), to submit a plan to the division on or before May 15 of each year;
(f)
conduct an annual program audit and review of each local substance abuse authority and each local substance abuse authority’s contract provider, and each local mental health authority and each local mental health authority’s contract provider, including:
(i)
a review and determination regarding whether:
(A)
public funds allocated to the local substance abuse authority or the local mental health authorities are consistent with services rendered by the authority or the authority’s contract provider, and with outcomes reported by the authority’s contract provider; and
(B)
each local substance abuse authority and each local mental health authority is exercising sufficient oversight and control over public funds allocated for substance use disorder and mental health programs and services; and
(ii)
items determined by the division to be necessary and appropriate;
(g)
define “prevention” by rule as required under 4;
(h)
(i)
train and certify an adult as a peer support specialist, qualified to provide peer supports services to an individual with:
(A)
a substance use disorder;
(B)
a mental health disorder; or
(C)
a substance use disorder and a mental health disorder;
(ii)
certify a person to carry out, as needed, the division’s duty to train and certify an adult as a peer support specialist;
establish the requirements for a person to be certified to carry out, as needed, the division’s duty to train and certify an adult as a peer support specialist; and
(B)
specify how the division shall provide oversight of a person certified to train and certify a peer support specialist;
(i)
collaborate with the State Commission on Criminal and Juvenile Justice to analyze and provide recommendations to the Legislature regarding:
(i)
pretrial services and the resources needed to reduce recidivism;
(ii)
county jail and county behavioral health early-assessment resources needed for an individual convicted of a class A or class B misdemeanor; and
(iii)
the replacement of federal dollars associated with drug interdiction law enforcement task forces that are reduced;
(j)
establish performance goals and outcome measurements for a mental health or substance use treatment program that is licensed under 1, and contracts with the department, including goals and measurements related to employment and reducing recidivism of individuals receiving mental health or substance use treatment who are involved with the criminal justice system;
(k)
annually, on or before November 30, submit a written report to the Judiciary Interim Committee, the Health and Human Services Interim Committee, and the Law Enforcement and Criminal Justice Interim Committee, that includes:
(i)
a description of the performance goals and outcome measurements described in Subsection (2)(j); and
(ii)
information on the effectiveness of the goals and measurements in ensuring appropriate and adequate mental health or substance use treatment is provided in a treatment program described in Subsection (2)(j);
(l)
collaborate with the Administrative Office of the Courts, the Department of Corrections, the Department of Workforce Services, and the Board of Pardons and Parole to collect data on recidivism in accordance with the metrics and requirements described in Section 63M-7-102;
(m)
at the division’s discretion, use the data described in Subsection (2)(l) to make decisions regarding the use of funds allocated to the division to provide treatment;
(n)
annually, on or before August 31, submit the data collected under Subsection (2)(l) and any recommendations to improve the data collection to the State Commission on Criminal and Juvenile Justice to be included in the report described in Subsection 63M-7-204(1)(x);
(o)
publish the following on the division’s website:
(i)
the performance goals and outcome measurements described in Subsection (2)(j); and
(ii)
a description of the services provided and the contact information for the mental health and substance use treatment programs described in Subsection (2)(j) and residential, vocational and life skills programs, as defined in Section 13-53-102; and
(p)
consult and coordinate with the Division of Child and Family Services to develop and manage the operation of a program designed to reduce substance use during pregnancy and by parents of a newborn child that includes:
(i)
providing education and resources to health care providers and individuals in the state regarding prevention of substance use during pregnancy;
(ii)
providing training to health care providers in the state regarding screening of a pregnant woman or pregnant minor to identify a substance use disorder; and
(iii)
providing referrals to pregnant women, pregnant minors, or parents of a newborn child in need of substance use treatment services to a facility that has the capacity to provide the treatment services.
(3)
In addition to the responsibilities described in Subsection (2), the division shall, within funds appropriated by the Legislature for this purpose, implement and manage the operation of a firearm safety and suicide prevention program, in consultation with the Bureau of Criminal Identification created in Section 53-10-201, including:
(a)
coordinating with local mental health and substance abuse authorities, a nonprofit behavioral health advocacy group, and a representative from a Utah-based nonprofit organization with expertise in the field of firearm use and safety that represents firearm owners, to:
(i)
produce and periodically review and update a firearm safety brochure and other educational materials with information about the safe handling and use of firearms that includes:
(A)
information on safe handling, storage, and use of firearms in a home environment;
(B)
information about at-risk individuals and individuals who are legally prohibited from possessing firearms;
(C)
information about suicide prevention awareness; and
(D)
information about the availability of firearm safety packets;
(ii)
procure cable-style gun locks for distribution under this section;
(iii)
produce a firearm safety packet that includes the firearm safety brochure and the cable-style gun lock described in this Subsection (3); and
(iv)
create a suicide prevention education course that:
(A)
provides information for distribution regarding firearm safety education;
(B)
incorporates current information on how to recognize suicidal behaviors and identify individuals who may be suicidal; and
(C)
provides information regarding crisis intervention resources;
(b)
distributing, free of charge, the firearm safety packet to the following persons, who shall make the firearm safety packet available free of charge:
(i)
health care providers, including emergency rooms;
(ii)
mobile crisis outreach teams;
(iii)
mental health practitioners;
(iv)
other public health suicide prevention organizations;
(v)
entities that teach firearm safety courses;
(vi)
school districts for use in the seminar, described in Section 53G-9-702, for parents of students in the school district; and
(vii)
firearm dealers to be distributed in accordance with Section 76-10-526;
(c)
creating and administering a rebate program that includes a rebate that offers between $10 and $200 off the purchase price of a firearm safe from a participating firearms dealer or a person engaged in the business of selling firearm safes in Utah, by a Utah resident;
producing and distributing the suicide prevention education course and the firearm safety brochures and packets;
(ii)
procuring the cable-style gun locks for distribution; and
(iii)
administering the rebate program; and
(e)
reporting to the Health and Human Services Interim Committee regarding implementation and success of the firearm safety program and suicide prevention education course at or before the November meeting each year.
(4)
(a)
The division may refuse to contract with and may pursue legal remedies against any local substance abuse authority or local mental health authority that fails, or has failed, to expend public funds in accordance with state law, division policy, contract provisions, or directives issued in accordance with state law.
(b)
The division may withhold funds from a local substance abuse authority or local mental health authority if the authority’s contract provider of substance use or mental health programs or services fails to comply with state and federal law or policy.
(5)
(a)
Before reissuing or renewing a contract with any local substance abuse authority or local mental health authority, the division shall review and determine whether the local substance abuse authority or local mental health authority is complying with the oversight and management responsibilities described in Sections 17-43-201, 17-43-203, 17-43-303, and 17-43-309.
(b)
Nothing in this Subsection (5) may be used as a defense to the responsibility and liability described in Section 17-43-303 and to the responsibility and liability described in Section 17-43-203.
(6)
In carrying out the division’s duties and responsibilities, the division may not duplicate treatment or educational facilities that exist in other divisions or departments of the state, but shall work in conjunction with those divisions and departments in rendering the treatment or educational services that those divisions and departments are competent and able to provide.
(7)
The division may accept in the name of and on behalf of the state donations, gifts, devises, or bequests of real or personal property or services to be used as specified by the donor.
(8)
The division shall annually review with each local substance abuse authority and each local mental health authority the authority’s statutory and contract responsibilities regarding:
(a)
use of public funds;
(b)
oversight of public funds; and
(c)
governance of substance use disorder and mental health programs and services.
(9)
The Legislature may refuse to appropriate funds to the division upon the division’s failure to comply with the provisions of this part.
(10)
If a local substance abuse authority contacts the division under Subsection 17-43-201(10) for assistance in providing treatment services to a pregnant woman or pregnant minor, the division shall:
(a)
refer the pregnant woman or pregnant minor to a treatment facility that has the capacity to provide the treatment services; or
(b)
otherwise ensure that treatment services are made available to the pregnant woman or pregnant minor.
(11)
The division shall employ a school-based mental health specialist to be housed at the State Board of Education who shall work with the State Board of Education to:
(a)
provide coordination between a local education agency and local mental health authority;
(b)
recommend evidence-based and evidence informed mental health screenings and intervention assessments for a local education agency; and
(c)
coordinate with the local community, including local departments of health, to enhance and expand mental health related resources for a local education agency.
Amended by Chapter 177, 2023 General Session Renumbered and Amended by Chapter 308, 2023 General Session
