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<dc:title>113 S1583 IS: Mental Health Support for Veteran Families and Caregivers Act of 2013</dc:title>
<dc:publisher>U.S. Senate</dc:publisher>
<dc:date>2013-10-28</dc:date>
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<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<distribution-code display="yes">II</distribution-code><congress>113th CONGRESS</congress><session>1st Session</session><legis-num>S. 1583</legis-num><current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber><action><action-date date="20131028">October 28, 2013</action-date><action-desc><sponsor name-id="S313">Mr. Sanders</sponsor> introduced the following bill; which was read twice and referred to the <committee-name committee-id="SSVA00">Committee on Veterans' Affairs</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title>To require the Secretary of Veterans Affairs to conduct an education program and peer support program for the education and training of family members and caregivers of veterans with mental health disorders. </official-title></form><legis-body><section id="S1" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the
		  <quote><short-title>Mental Health Support for Veteran Families and Caregivers Act of 2013</short-title></quote>.</text></section><section id="id2fe2d46814cc4cd6a2974a89b32050a9"><enum>2.</enum><header>Education program and peer support program for family members and caregivers of veterans with mental health disorders</header><subsection id="id6278ccd550bf4df4a6eeb676869c2ae2"><enum>(a)</enum><header>Programs</header><paragraph id="idFC50D23B86A1491299FB6BAAD7F529AB"><enum>(1)</enum><header>In general</header><text>Not later than 270 days after the date of the enactment of this Act, the Secretary of Veterans Affairs shall establish an education program (in this section referred to as the <term>education program</term>) and a peer support program (in this section referred to as the <term>peer support program</term>) for the education and training of family members and caregivers of eligible veterans with  mental health disorders.</text></paragraph><paragraph id="id8dc619640d324305975a6cb34be74618"><enum>(2)</enum><header>Definitions</header><text>In this section:</text><subparagraph id="id19337D7B797B466BA5DB8FCD84A9998F"><enum>(A)</enum><header>Family member; caregiver</header><text>The terms <term>family member</term> and <term>caregiver</term> have the meaning given those terms in <external-xref legal-doc="usc" parsable-cite="usc/38/1720G">section 1720G(d)</external-xref> of title 38, United States Code.</text></subparagraph><subparagraph id="idEA1057C356BF4C638F8F1AB3CD5F5906"><enum>(B)</enum><header>Eligible veteran</header><text>The term <term>eligible veteran</term> means a veteran who is enrolled in the health care system established under <external-xref legal-doc="usc" parsable-cite="usc/38/1705">section 1705(a)</external-xref> of title 38, United States Code.</text></subparagraph></paragraph></subsection><subsection id="id9981977FA9B6493BBFB9CADC05AFE68C"><enum>(b)</enum><header>Education program</header><paragraph id="idBBBA97420A1C4A389A35A414C8BEA346"><enum>(1)</enum><header>In general</header><text>Under the education program, the Secretary shall provide a course of education to family members and caregivers of eligible veterans on matters relating to coping with mental health disorders in veterans.</text></paragraph><paragraph id="idA329151D06FD4551AD5ADB53A53B6443"><enum>(2)</enum><header>Duration</header><subparagraph id="id5F7AA083D24E4E5B9EDC43E70ADC5696"><enum>(A)</enum><header>In general</header><text>The education program shall be carried out during the four-year period  beginning on the date of the commencement of the education program.</text></subparagraph><subparagraph id="id3EE218093597489A996DB28F59054CB0"><enum>(B)</enum><header>Authority for extension</header><text>The Secretary may extend the duration of the education program for an additional four years.</text></subparagraph></paragraph><paragraph id="idf0da18fc5d6340dda4e0beccce5d7cf1"><enum>(3)</enum><header>Locations</header><subparagraph id="id3c00f08ed46841ed89a54291aa983e62"><enum>(A)</enum><header>In general</header><text>Except as required by subparagraph (C), the Secretary shall carry out the education program at the following facilities of the Department of Veterans Affairs:</text><clause id="id8c8dc9a2306e4c048a2f6b72f6a07f30"><enum>(i)</enum><text>Not less than 10 medical centers of the Department.</text></clause><clause id="id9ba9ce393c2b4a718019dff76ab42e7d"><enum>(ii)</enum><text>Not less than 10 clinics of the Department.</text></clause><clause id="id3d1aa87a50db4400891146e40035a556"><enum>(iii)</enum><text>Not less than 10 centers for readjustment counseling and related mental health services for veterans under <external-xref legal-doc="usc" parsable-cite="usc/38/1712A">section 1712A</external-xref> of title 38, United States Code (commonly referred to as <term>vet centers</term>).</text></clause></subparagraph><subparagraph id="idab802549dd564fafae7b039d3cbd4865"><enum>(B)</enum><header>Considerations</header><text>In selecting locations for the program, the Secretary shall consider the feasibility and advisability of selecting locations in the following areas:</text><clause id="id4b7c0038e2624398a0984123b00823ef"><enum>(i)</enum><text>Rural areas.</text></clause><clause id="id70db0ef2fc294c81820e6240952561a6"><enum>(ii)</enum><text>Areas that are not in close proximity to an active duty installation.</text></clause><clause id="id659d5677bca6467687f3c87313891982"><enum>(iii)</enum><text>Areas in different geographic locations.</text></clause></subparagraph><subparagraph id="id9f58bcf70a624ac285d4662b2c225227"><enum>(C)</enum><header>Expansion of locations</header><text>Not later than two years after the date of the commencement of the education program, the Secretary shall expand the number of facilities at which the Secretary is carrying out the education program to include the following:</text><clause id="id590bd88858bf4e92ad509477034cc7af"><enum>(i)</enum><text>Not less than 10 additional medical centers of the Department.</text></clause><clause id="idc7a6d1eb409a468c8e44541416cdcc25"><enum>(ii)</enum><text>Not less than 10 additional clinics of the Department.</text></clause><clause id="idfd687bbac57b4e69950cc117a7be01ff"><enum>(iii)</enum><text>Not less than 10 additional vet centers.</text></clause></subparagraph></paragraph><paragraph id="id53C4BD6DE25647CEB2F5A4DA04BD5C64"><enum>(4)</enum><header>Contracts</header><subparagraph id="idE658984865EB435196BF4F084280B7B6"><enum>(A)</enum><header>In general</header><text>In carrying out the education program, the Secretary shall enter into contracts with qualified entities described in subparagraph (B) to offer the course of education described in paragraph (5) to family members and caregivers of eligible veterans and covered veterans.</text></subparagraph><subparagraph id="id516CEF477B8D4D758F171175EA3B450B"><enum>(B)</enum><header>Qualified entity described</header><text>A qualified entity described in this subparagraph is a non-profit entity with experience in mental health education and outreach, including work with children, teens, and young adults, that—</text><clause id="idF585300DF6034DFC8866DD20ECF3C3D0"><enum>(i)</enum><text>uses high quality, relevant, and age-appropriate information in educational programming, materials, and coursework, including such programming, materials, and coursework for children, teens, and young adults; and</text></clause><clause id="id0AD3E11C57C449DE9E9EF0B9BEF93F87"><enum>(ii)</enum><text>works with agencies, departments, nonprofit mental health organizations, early childhood educators, and mental health providers to develop educational programming, materials, and coursework.</text></clause></subparagraph><subparagraph id="id66666E0EB2074E8EA047B914D7B350C6"><enum>(C)</enum><header>Priority</header><text>In entering into contracts under this paragraph, the Secretary shall give priority to qualified entities that, to the maximum extent practicable, use Internet technology for the delivery of course content in an effort to expand the availability of support services, especially in rural areas.</text></subparagraph></paragraph><paragraph id="id129DB93844C34C12806819C84C51DEFA"><enum>(5)</enum><header>Elements</header><text>The course of education described in  this paragraph shall consist of not less than 10 weeks of education and shall include the following:</text><subparagraph id="id6d20a822386d434d94fbb9f07ab9ac37"><enum>(A)</enum><text>General education on different mental health disorders, including information to improve understanding of the experiences of individuals suffering from those disorders.</text></subparagraph><subparagraph id="idc5e014ee4208457c862f84d653bc712e"><enum>(B)</enum><text>Techniques for  handling crisis situations and administering mental health first aid to individuals suffering from mental health disorders.</text></subparagraph><subparagraph id="id8ce1d15a4dd84107a9bcfd1e813ae1d0"><enum>(C)</enum><text>Techniques for coping with the stress of living with someone with a mental health disorder.</text></subparagraph><subparagraph id="id0cca5cb6e11f4db5b8df39a4a7c7f7aa"><enum>(D)</enum><text>Information on additional services available for family members and caregivers through the Department or community organizations and providers related to mental health disorders.</text></subparagraph><subparagraph id="id5da65c258367497884aa51feb5b22e51"><enum>(E)</enum><text>Such other matters as the Secretary considers appropriate.</text></subparagraph></paragraph><paragraph id="idcf1af49b53d04ee4b0862bbece4d0a03"><enum>(6)</enum><header>Instructors</header><subparagraph id="id98F48F07AD2A40A78B57B63095AE7ED2"><enum>(A)</enum><header>Training</header><text>Each instructor of the course of education described in paragraph (5) shall maintain a level of proficiency in the course of education as determined by the Secretary, and shall submit proof of that level of proficiency to the Secretary at such time and in such manner as the Secretary determines appropriate.</text></subparagraph><subparagraph id="idF4D5DB84C4494587B39DB0F9521AA7E6"><enum>(B)</enum><header>Individuals who have completed the course as instructors</header><text>Commencing as of the date that is two years after the date of the commencement of the education program, any individual who has successfully completed the course of education described in paragraph (5) and has successfully completed such additional training as is required for instructors pursuant to subparagraph (A) may act as an instructor in the course of education.</text></subparagraph></paragraph><paragraph id="id79a1016420ce474482cd9e676b552253"><enum>(7)</enum><header>Monitoring of instruction</header><subparagraph id="idAC52166F533E40359D1C29BCE8DB0B79"><enum>(A)</enum><header>In general</header><text>The Secretary shall select mental health care providers of the Department to monitor, in consultation with primary care providers, the progress of the instruction provided under the education program.  Such mental health care providers shall carry out such monitoring by meeting quarterly with instructors of the course of education described in paragraph (5).</text></subparagraph><subparagraph commented="no" id="id63D562CB91CE4BD9B6257B1896E894AC"><enum>(B)</enum><header>Report</header><text>Not less frequently than semiannually, each mental health care provider selected under subparagraph (A) shall submit to the Secretary a report on the progress of the instruction provided under the education program.</text></subparagraph></paragraph></subsection><subsection id="idde48efa83e2e4a9f9a7def8dd8150983"><enum>(c)</enum><header>Peer support program</header><paragraph id="id8E94293DF3824AE3ABD986F9CE0784E6"><enum>(1)</enum><header>In general</header><text>Under the peer support program, the Secretary shall provide peer support to family members and caregivers of eligible veterans on matters relating to coping with mental health disorders in veterans.</text></paragraph><paragraph id="id3ED150F552234046B81B069C2C5AFCB3"><enum>(2)</enum><header>Locations</header><text>The Secretary shall provide peer support under the peer support program at each location at which the Secretary provides education under the education program.</text></paragraph><paragraph id="idDA5116A4350D4A7582B0C01CD77DAEE4"><enum>(3)</enum><header>Elements</header><text>Peer support under the peer support program shall consist of meetings in group settings between a peer support coordinator under paragraph (4) and family members and caregivers of eligible veterans on matters relating to coping with mental health disorders in veterans.  At each location, those meetings shall be conducted not less often than twice each calendar quarter.</text></paragraph><paragraph id="id136859CFBEBE4B9F9D2C24A18C8996C3"><enum>(4)</enum><header>Peer support coordinator</header><subparagraph id="idE6A575E7912E46A99F06F79F07984647"><enum>(A)</enum><header>In general</header><text>The Secretary, acting through the director of each participating facility, shall select an individual who has successfully completed the course of education described in subsection (b)(5) to serve as a peer support coordinator for each such facility to carry out the peer support program.</text></subparagraph><subparagraph id="id81A1CB44730F499E871BDC12B3B0BE70"><enum>(B)</enum><header>Proficiency of instructors</header><text>Each peer support coordinator shall maintain a level of proficiency in peer support as determined by the Secretary, and shall submit proof of that level of proficiency to the Secretary at such time and in such manner as the Secretary determines appropriate.</text></subparagraph></paragraph><paragraph id="id94B9EF37C95C4DA2B8065D0FFB18F7A2"><enum>(5)</enum><header>Mentors</header><text>The Secretary shall select a mental health care provider of the Department to serve as a mentor  to each peer support coordinator.</text></paragraph><paragraph id="id2753DC87167342DEA4848C8619CACEF6"><enum>(6)</enum><header>Monitoring of peer support coordinators</header><text>The mental health care providers of the Department selected under subsection (b)(7) shall—</text><subparagraph id="idB27532411DFD4927A5261C1B7AE4AF85"><enum>(A)</enum><text>monitor the progress of the peer support program by meeting quarterly with peer support coordinators; and</text></subparagraph><subparagraph id="idFA8A5181527C48AC9F92E86DFAC53D8F"><enum>(B)</enum><text>not less frequently than semiannually, submit to the Secretary a report on the progress of the peer support program.</text></subparagraph></paragraph></subsection><subsection id="id06a75ea27f0045399ccc84cb50fd8fb1"><enum>(d)</enum><header>Surveys</header><paragraph id="idFA843560184E42329F674FC257024576"><enum>(1)</enum><header>In general</header><text>The Secretary shall conduct a comprehensive and statistically significant survey of the satisfaction of individuals that have participated in the course of education described in subsection (b)(5) and individuals that have participated in the peer support program that includes the following:</text><subparagraph id="idabeebfc53da7405fbef69536beaeb3a0"><enum>(A)</enum><text>The general satisfaction of those individuals with the education and assistance provided in the education program and the peer support program.</text></subparagraph><subparagraph id="ide7873ec6a14b406a80c57aba73decabb"><enum>(B)</enum><text>The perceived effectiveness of the education program and the peer support program in providing education and assistance  that is useful for those individuals.</text></subparagraph><subparagraph id="idF8C931C3C30A48458B13D29A1228A370"><enum>(C)</enum><text>The applicability of the education program and the peer support program to the issues faced by those individuals.</text></subparagraph><subparagraph id="id6e8a3ba89c5d460993a49e262a3333c2"><enum>(D)</enum><text>Such other matters as the Secretary considers appropriate.</text></subparagraph><subparagraph id="idE2F2089F49A742BFA3EF5E1088EC407F"><enum>(E)</enum><text>A representative sample of the information required by subparagraphs (A) through (D) from each Veterans Integrated Service Network that is participating in the education program and the peer support program.</text></subparagraph></paragraph><paragraph id="id043AF14C9A8147C0B15B06BC74300CAA"><enum>(2)</enum><header>Compilation of information</header><text>The information compiled as a result of the surveys required by paragraph (1) shall be included in the annual report required by subsection (e)(1).</text></paragraph></subsection><subsection id="id985B71A5525C422E82C232E3BCFCA08B"><enum>(e)</enum><header>Reports</header><paragraph id="idee21b910f1954ad69e00e20410fa0eca"><enum>(1)</enum><header>Annual report</header><subparagraph id="ida6209db901cb45ce9684f0c00aa9709b"><enum>(A)</enum><header>In general</header><text>Not later than one year after the date of the commencement of the education program and not later than September 30 each year thereafter until 2017, the Secretary shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report on the education program and the peer support program.</text></subparagraph><subparagraph id="id6312e1d3d9154391a8c00606e03dc755"><enum>(B)</enum><header>Elements</header><text>Each report submitted under subparagraph  (A) shall include the following:</text><clause id="id839713cd0ea04adab800e0ff8b788cc4"><enum>(i)</enum><text>The number of individuals that participated in the course of education described in subsection (b)(5) during the year preceding the submission of the report.</text></clause><clause id="id3A31BD292AC4414194A8BB58730ECA50"><enum>(ii)</enum><text>The number of individuals that participated in the peer support program during the year preceding the submission of the report.</text></clause><clause id="id613C965E605B45E583A0ED8A2FEB80AC"><enum>(iii)</enum><text>A detailed analysis of the surveys conducted under subsection (d) with respect to the individuals described in clause (i) and (ii).</text></clause><clause id="idC5940F4737624535A604A5AE2BC2DA68"><enum>(iv)</enum><text>A summary of feedback with respect to the education program and the peer support program received from the mentors selected under subsection (c)(5) and the monitors selected under subsection (b)(7).</text></clause><clause id="idE0C74E0C3D1C4364AAF0D9F7E653A770"><enum>(v)</enum><text>The degree to which veterans and family members and caregivers of veterans are aware of the eligibility requirements for enrollment in the education program and the peer support program.</text></clause><clause id="ida713f9e3d08f4d2ca6b9cb5a560b5ed3"><enum>(vi)</enum><text>Any plans for expansion of the education program and the peer support program.</text></clause><clause id="id9318c915a3e346ae9e9cf9fe87078825"><enum>(vii)</enum><text>The interim findings and conclusions of the Secretary with respect to the success of the education program and the peer support program.</text></clause></subparagraph></paragraph><paragraph id="id3e4d7bfaf07444fca5e7a36c5bd6ca71"><enum>(2)</enum><header>Final report</header><subparagraph id="idEB6FD01A194A426A9CEFC4C6C01A2BD4"><enum>(A)</enum><header>In general</header><text>Not later than  one year after the completion of the education program, the Secretary shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report on the feasibility and advisability of continuing the education program and the peer support program.</text></subparagraph><subparagraph id="id7F22971B226B4B37A9CF72D408DB8353"><enum>(B)</enum><header>Elements</header><text>The report submitted under subparagraph (A) shall include the following:</text><clause id="idc241139c3a9745d288744114ed4faf06"><enum>(i)</enum><text>A detailed analysis of the surveys conducted under subsection (d).</text></clause><clause id="iddac30735c2094d33bc9d4797c38ddc26"><enum>(ii)</enum><text>The feasibility and advisability of continuing the education program without  entering into contracts for the course of education described in subsection (b)(5) and instead using peer support coordinators selected under subsection (c)(4) as instructors of the course of education.</text></clause><clause id="id3BDE56C19F4E40C8925D723C05C7A58E"><enum>(iii)</enum><text>The feasibility and advisability of expanding the education program and the peer support program.</text></clause></subparagraph></paragraph></subsection></section></legis-body></bill>


