self-destructive behavior, fear, severe anxiety, or mistrust. (10) Physical signs of TBI and PTSD often overlap with physical signs of alcohol or drug impairment, which complicate a first responder’s ability to quickly and effectively identify an individual’s condition. 3. Creation of a TBI and PTSD training for first responders Part HH of title I of the Omnibus Crime Control and Safe Streets Act of 1968 ( 34 U.S.C. 10651 et seq.) is amended— (1) in section 2991— (A) in subsection (h)(1)(A), by inserting before the period at the end the following: , including the training developed under section 2993