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Trump unveils 'bold' plan to prevent veteran suicide, but critics say it's not enough

By NIKKI WENTLING | STARS AND STRIPES Published: June 17, 2020

WASHINGTON — President Donald Trump praised his new plan to prevent veteran suicide Wednesday as unprecedented, bold action against the problem — but critics argue it isn’t enough.

Trump unveiled the plan, which was three months overdue, in the White House on Wednesday afternoon, surrounded by Department of Veterans Affairs officials and veterans advocates. The plan is the result of an executive order Trump signed March 5, 2019, creating a Cabinet-level task force titled PREVENTS, short for “President’s Roadmap to Empower Veterans and End a National Tragedy of Suicide.”

The last annual report from the VA showed that suicide among veterans continues to be higher than among the rest of the population, particularly among women. About 20 veterans and members of the National Guard and Reserve die by suicide every day.

The task force issued its 60-page plan, which included 10 recommendations. The recommendations are expected to take two years to fully implement.

The first action will be a national public service announcement, which Trump described as a “historic” campaign to help end the stigma surrounding mental health. Second lady Karen Pence, mother of a Marine Corps pilot, will be the campaign’s lead ambassador.

The plan also focuses on improved research into veteran suicide, increased suicide-prevention training and new partnerships between government agencies and outside organizations. It includes a legislative proposal that would establish a federal grant program to fund state and local groups that help veterans.

“We’re gathered to address an especially urgent struggle,” Trump said. “Today, we’re unveiling our roadmap to empower veterans and end the national tragedy of suicide.”

Republican lawmakers praised Trump’s plan, including the GOP leaders of the House and Senate veterans’ affairs committees, Sen. Jerry Moran, R-Kan., and Rep. Phil Roe, R-Tenn.

“We must do more to change the culture and conversation surrounding suicide in the public and private sectors and, most importantly, in neighborhoods across the country where the real healing work must start and end,” Roe said in a statement. “The PREVENTS roadmap shows us how, and I am confident that it will help to save and improve the lives of at-risk veterans and others for years to come.”

Democrats, though, criticized the plan for not being bold enough.

Sen. Jon Tester, D-Mont., ranking member on the Senate Veterans’ Affairs Committee, said the plan was a “necessary step forward,” but “far more” — including policy changes — needs to be done to make a real difference.

Tester and Moran have pushed legislation for over a year that would boost funding to local organizations that help veterans, as well as increase mental health staff, alternative therapies and research at the Department of Veterans Affairs. The bill, the Commander John Scott Hannon Veterans Mental Health Care Improvement Act, also builds into the law an initiative that Trump announced in 2018 to automatically enroll every servicemember into VA mental health care for one year when they transition from active duty.

Rep. Mark Takano, D-Calif, chairman of the House Committee on Veterans’ Affairs, was even more critical of the PREVENTS plan, describing it Wednesday as “meek” and “tepid.” He claimed it was developed with little input from veterans service organizations and lawmakers who work on veterans policy.

“Tepid calls for more research, interagency coordination and meek public education campaigns won’t do enough to end this crisis,” Takano said in a statement. “We have much more substantial work to do to prevent veteran suicide and ultimately help save veterans’ lives.”

Karen Pence, along with other senior administration officials who spoke on background Wednesday, said the plan came at an urgent time. The coronavirus pandemic has created more need for a national plan to address suicide, an official said.

“I feel like right now is such an opportune time because we’re all dealing with anxiety, we’re all dealing with stress,” Pence said. “So, if I can do anything as lead ambassador, it’s my goal to help take away the stigma around mental health. We want them to know there are people out there who want to help.

There is a way forward.”

The VA’s budget request for fiscal 2021, released in February, includes $53.4 million to the PREVENTS initiative.

wentling.nikki@stripes.com
Twitter: @nikkiwentling

 

Official PREVENTS recommendations

As released from the White House:
1. Create and implement a national public health campaign focused on suicide prevention for Veterans and all Americans.

2. Identify and prioritize suicide surveillance and research that focuses on a veteran’s unique combination of individual, relationship, community, and societal factors to deliver the most effective intervention(s) tailored to meet their needs and circumstances.

3. Promote foundational changes to the way research is conducted — including improving the speed and accuracy with which research is translated into practice, improving efficiency through data sharing and data curation practices, and using innovative funding techniques to drive team science and reproducibility.

4. Develop effective partnerships across government agencies and nongovernment entities and organizations to increase capacity and impact of programs and research to empower veterans and to prevent suicide.

5. Encourage employers and academic institutions to provide and integrate comprehensive mental health and wellness practices and policies into their culture and systems.

6. Provide and promote comprehensive suicide prevention trainings across professions.

7. Identify, evaluate, and promote community-based models that are effectively implementing evidence-informed mental health and suicide prevention programs across the country. In doing so, they should leverage relationships with community-based efforts, nonprofit organizations, faith-based communities, veteran and military organizations focused on saving the lives of veterans.

8. Increase implementation of programs focused on lethal means safety (e.g., voluntary reduction of access to lethal means by individuals in crisis, free/inexpensive and easy/safe storage options).

9. Develop a coordinated, interagency federal funding mechanism to support, provide resources for, and facilitate the implementation of successful evidence-informed mental health and suicide prevention programs focused on Veterans and their communities at the state and local levels.

10. Streamline access to innovative suicide prevention programs and interventions by expanding the network of qualified health care providers.
 


 

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