President Obama orders VA to expand suicide prevention services

President Obama issued an executive order Friday tasking the Department of Veterans Affairs to expand its suicide prevention and mental health services.

Under the order, VA is expected to increase its veteran crisis line by 50 percent by the end of the year; ensure that a veteran in distress is given access to a trained mental health worker in 24 hours or less; and launch a national 12-month suicide prevention campaign to educate veterans about available mental health services.


The order reinforces some initiatives that VA has already undertaken.

 

In April, VA announced that it would hire 1,600 mental health clinicians to meet surging demand, and the order instructs the agency to use loan repayment programs and scholarships, among other strategies, to recruit those professionals by June 2013.

The order also asks VA to create at least 15 pilot projects in partnership with the Department of Health and Human Services to address unfilled mental health staff vacancies and long wait times. The pilots, to be created within 180 days, will test the effectiveness of partnerships with community and rural health clinics as well as substance abuse treatment centers. 

Related: Military hopes antidepressant nasal spray will prevent suicides

Previous estimates have indicated that at least 6,000 veterans died by suicide annually in recent years; data from the Centers for Disease Control and Prevention show that about 18 veteran suicides occur daily.

VA Secretary Eric K. Shinseki praised the order in a statement released Friday morning, saying that the agency would work to implement its requirements immediately.

"History shows that the costs of war will continue to grow for a decade or more after the wars have ended," Shinseki said. "The mental health and well-being of our brave men and women who have served the Nation is the highest priority for the Department of Veterans Affairs."

Related: Monthly Army suicides reach all-time high in July

The order targets not only immediate concerns about mental health care staffing and suicide prevention measures, but also long-term goals in understanding the science behind combat-related psychological wounds like post-traumatic stress disorder (PTSD) and traumatic brain injury (TBI). Along with the Department of Defense and other federal agencies, VA is directed to develop a research plan that includes efforts to better diagnose and treat PTSD and TBI.

The president delivered the order Friday as part of his visit to Fort Bliss in Texas, which marks the two-year anniversary of the end of combat operations in Iraq. He addressed troops at the Army post and held a roundtable discussion with service members and their families.

Rebecca Ruiz is a reporter at NBC News. Follow her on Twitter here.

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you stupid phuck OBAMA: if you gave a sh!t about any veterans they would NEVER SERVE 3 or 4 TOURS! YOU let that happen. YOU ALONE: YOU ARE THE BOSS! Don't you dare try to fake this sh!t @ T-50! Phucking rtard... To all of you vets, I am sorry about what your very own country has done to you. Yes, you signed the line, but it said to protect the US from terrorists both foreign and domestic...not play world police. The horrible things you've lived through are because the Chiefs were sending you away from the only land you should protect just to be political cannon fodder. Please get help and GET ALL OF YOUR RECORDS RELATED TO YOUR SERVICE CONNECTION RELATED PROBLEMS AND FILE FOR 100% disability AT ALL COSTS! Make them pay.

  • 1 vote
Reply#80 - Mon Sep 17, 2012 5:40 PM EDT

It's just a new version of the same old shell game politicians play at election time. Wait until after the election when the Va's Budget gets slashed by a third. It's coming! I've been in the system since the 70s at the end of the Vietnam War. Back then, they system was not even a 3rd rate provider. Too many archaic rules and regulations, paperwork back logs which resulted in claims denials. I've watched the VA transform themselves many times over since then. Mostly for the good. However, the VA needs to have a Stable Budget not subject to presidential Veto. The spending for the VA needs to be mandatory, not discretionary as in the past. Year after Year, I've watched President after President slash VA Budgets because for one reason or another because it was easier to cut the spending for their budget. It is discretionary Spending. In order for the VA to take care of Veterans with honor and dignity, their budget must be increased at least by as much as the cost of living each year until they say otherwise. Because this country has had troops deployed around the globe in a combat situations for almost 11 years or more, and now as the wars are winding down, and they are coming home, we need to make sure there is adequate funding for adequate staffing to administer treatment to veterans. We must never forget the sacrifice of warriors and the promise of our nation to make sure they get the care they deserve.

    Reply#81 - Mon Sep 17, 2012 6:26 PM EDT

    I would like to share a letter inspired by this executive order.

    It occurred to me after President Obama's Executive orders
    last Friday in, basically, mandating that the VA do everything within its power
    to lower the suicide rate, I am potentially a prime candidate representing
    their failure. No, this is not a suicide
    threat, but you have to know it crosses my mind if death would not just be
    easier and, on days like the past few where I have been unable to hold up my
    head for more than moments at a time in excruciating pain, I have even prayed
    God would just take me. When we first
    started speaking and I was telling you of the stories I am collecting as I can,
    I did not understand why the man right around the corner from me had given up
    and why another just gave up and blew his brains out. I want to live, but I will ONLY live if I am
    free and this prison I am in now is NOT freedom.

    I told you I am always the one that gets the short end of
    the stick at one point also. To be fair,
    I thrive in controversy so I have never really minded as it has always kept
    life interesting. However, I am no
    longer physically, mentally, and emotionally able to fight back against the
    world anymore. How bad is it? How about an overview without much
    explanation or details?

    1) I have a son of whom I share legal custody with my wife
    whom I believed to be dead for 13 years so I have never even met him. He is in Pennsylvania with someone who does
    not have legal custody as my wife is out running from multiple felony warrants
    in multiple states so he is legally abandoned.
    The State police in Pennsylvania refused to allow me to pick him up even
    though I have natural and marital parental custody.

    2) Verizon wireless is charging me $500 for a phone that
    fell apart out of the box into 6 pieces they lost upon its return so I am going
    to lose my cell phone and then be charged the remainder of my phones costs
    along with early termination fees so I will never be able to afford a decent
    cell company again and it will assist in ruining my credit more than the VA and
    the state of Alabama has.

    3) I have been ordered to pay child support by Madison
    County Alabama on only the word of the mother and without DNA evidence. I have the letter from them pretty much
    stating that even with evidence they would not bastardize a child once parental
    responsibility has been established leaving me still responsible for 30 some
    odd thousand dollars which is also on my credit report.

    4) I gave Chase bank a physical address for sending in
    payments to Time Warner Cable and they sent it electronically without being
    authorized. I did a claim stating this
    and it was put back into my account so I could repay TWC. This week they took it back out of my account
    again saying it was a valid transaction so that TWC has been double paid, my
    account is over drawn, and now I will not be able to afford food for the next 6
    weeks.

    5) As I am generally restricted to the bed or the recliner
    right next to the bed, my only real access to the world is the internet and the
    only real difference in my life and being in a federal prison. TWC cannot keep my connection stable to save
    their lives. Because I do not have cable
    TV and use the internet to watch shows I want through streaming I can tell you
    they falsely advertise their streaming capability and I pay for a connection
    well and above the average. The only way
    I get to have a stable connection is by spending an hour or so on the phone
    with their tech support while they adjust my signal strength and settings and
    then it will work fine for about a week and then start screwing up to make me
    spend that hour on the phone again which would be fine if I could just up and
    spend an hour doing anything.

    6) My power chair the VAMC provided is less than a year old
    and does not work for very long at a time.
    A couple of days ago I unplugged it as it had been plugged in overnight,
    went the 150 yards to my landlords house and only had two of the eight lights
    remaining on the charge panel. I have a
    video eight minutes long from a couple of weeks earlier of it only losing one
    light and a second almost (flashing on and off as it teetered) from a round
    trip. The VA will not repair it because
    they put me in for another chair with a vehicle lift that I have not heard
    anything about since and it was only supposed to take a week a few weeks ago.

    7) I live in a home with interior doorways my chair will not
    go through which means I must walk or crawl some whether I am able or not just
    to be able to eat or go to the bathroom.
    I take a shower an average of once every month or so because I cannot
    physically get into the tub and am not eligible for home health as I can still
    physically crawl out of the bed myself.
    I do sit on the toilet and use a wash rag on days I can manage.

    8) I want to build a home set up for both ambulatory and
    handicap and even have redesigned the kitchen cabinets to make more sense for a
    wheelchair. I want three foot doorways
    and four foot hallways. I want a doggie
    door connected to a fully enclosed pen so my Chihuahuas can go outside to pee
    rather than use puppy pads by the door that tend to accumulate before I can
    physically get to them. I want a tub
    that I can manage which is big enough to immerse myself and float as floating
    is as near to relaxed as I have been able to find and there is no pool therapy
    in this area. I can afford all of this
    with my VA certificate, but that requires credit which brings me to...

    9) Every time I dispute a VA bill on my credit report, more
    gets filed to it because the VAMC does not do its job keeping up with paying
    its bills. I just got a second bill for
    $1300 from newly applied bills that have appeared since I am trying to use my
    credit. I do not have a choice but to
    fight back if I want to use it and they know this so that I have to do their
    job for them where I should have NO responsibility.

    So tell me, with all of this that also keeps piling up
    because I am helpless to keep up with it all, my pain levels, my immobility, no
    hope for anything but more suffering at the hands of the VAMC, and the simple
    fact I am as imprisoned as a mass murderer all because I served my country, why
    should I want to live? I think it is
    safe to say, that just a week after the executive order the Marion VAMC is in
    direct violation. After a year of your
    offices' inquiries that have only made things worse, is it not time the Senator
    got directly involved before I starve over the next six weeks? Do not get me wrong, I have plenty of food in
    the kitchen from food banks, but what good is it when I cannot physically do
    complicated cooking that requires extended periods of energy and mobility?

    If it comes to starving or suicide, I will choose
    suicide. If it comes to suffocating more
    than I now do for moments at a time, I will choose suicide. If it comes to wasting away with bedsores
    because I cannot be mobile, I will choose suicide. I already live literally half a step above
    criminal in prison, when it becomes the same thing I will choose suicide. I am in my right mind and you may not
    understand or agree, but I can guarantee you would choose exactly the same a
    week into living my life if you managed the first day with my pain levels at
    all. The absolute worst of it is, with a
    power chair and lift for travel and chiropractic once a month to relieve the
    built up strain relieving some of my pain levels I might even have a chance of
    finding an attorney to assist me to straighten some of my mess out that my
    disability has complicated or at least file small claims suits myself. Of course, Marion repairing the work of the
    Tuscaloosa VAMC dental clinic along with completing it so I could chew once
    again would be nice, the mass removed from my left sinus cavity that makes it even
    more dangerous for me to try and walk as it causes imbalance, deafening ringing
    in my ears, and blindness intermittently in my left eye would be appreciated,
    and a neurologist to see if they can figure out if there is any way they can
    help me continue without getting worse would be fantastic!

    And just because this says suicide and I have a grudge it is
    time for the disclaimer. I am not a
    danger to anyone else; period. I am not
    a danger to myself and will not commit suicide as long as I have hope though
    torture, abuse, neglect, and imprisonment are eroding that fast. This is not a threat and actually decisions I
    made a long time ago when I thought I might find myself no longer able to walk
    and living on the streets of Dallas homeless for the rest of my life though I
    first started seriously considering my future decisions after the first Gulf
    War when I worked in the supposedly best nursing home in the state of
    Alabama. I only lasted nine months
    because I could not take watching the neglect and being a part of it; if it
    matters. I will not become a resident of
    a home like that and spend my days covered in drool, urine, and crap doped
    beyond actually being aware of life as that is not life, only living death and
    I will choose pure death even if it is against my Faith. Who knows, maybe it is even now my purpose to
    put my life up once again as sacrifice for others, for my country, so that
    Marion VAMC is used as the example in defying an executive order. I may not be able to physically, mentally,
    and emotionally follow through with most of my ambitions, but this is one that
    is well within my abilities if it comes down to it. Before you think me insane in threatening to
    take my life, it would not be any more insane that knowing what I know now and
    reenlisting to serve my country again as that was suicide of my health and
    freedom because the government fails to keep its responsibilities safe. It is also no less insane than my being
    forced to try to walk as I cannot get my chair through small doors when it would
    literally only take a head blow in the fall to break my neck with it in the
    condition it is currently in and no less insane than driving to Wal-Mart and
    having to crawl from the parking lot to the entranceway on the chance there is
    a power cart available so I can go shopping.
    Oh, I have someone going with me to video the next time I go and I
    wonder if I can get it posted online enough places to make it go viral as I do
    not fight with death and violence. It is
    time everyone begins to recognize that to be a disabled veteran it is mandatory
    to give up pride and self-respect to embrace shame just to be able to survive.

    And yes, this letter could be used to have me locked up for
    an evaluation which will also serve a purpose if that is the route you choose,
    but in considering the fallout from that action it probably removes that option
    as it would only finish me off financially and cost me my pets which are some
    days the only reason I move along with substantiating any excuse to punish and
    torture those who want to still live after becoming disabled through serving
    our country. Besides, this is not a
    suicide note or threat, just a consideration of is this what sacrifice I will
    have to make for my country and to stop suffering abuse and neglect for myself
    and others?

    It is also not my wish to threaten the senator's reputation
    in any way or embarrass him but considering two separate reporters have started
    researching and asking questions finally, questions are going to start in why a
    year of senatorial involvement has only made things worse. As I see it, there are five weeks remaining
    before the Presidential elections and publically failing to follow an executive
    order that makes sense could cost an election or showing the President’s
    inability to have his orders executed could win it for the Republicans though
    that only matters is McConnell cares about this country, doesn’t it?

    Have a good weekend as you get to be outside if you choose!

    God Bless

    Ron Hobson; Rev.

      Reply#82 - Sun Sep 23, 2012 3:49 PM EDT
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