II 113th CONGRESS 1st Session S. 1583 IN THE SENATE OF THE UNITED STATES October 28, 2013 Mr. Sanders introduced the following bill; which was read twice and referred to the Committee on Veterans' Affairs A BILL 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.

1. Short title This Act may be cited as the Mental Health Support for Veteran Families and Caregivers Act of 2013 . 2. Education program and peer support program for family members and caregivers of veterans with mental health disorders (a) Programs (1) In general 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 education program ) and a peer support program (in this section referred to as the peer support program ) for the education and training of family members and caregivers of eligible veterans with mental health disorders. (2) Definitions In this section: (A) Family member; caregiver The terms family member and caregiver have the meaning given those terms in section 1720G(d) of title 38, United States Code. (B) Eligible veteran The term eligible veteran means a veteran who is enrolled in the health care system established under section 1705(a) of title 38, United States Code. (b) Education program (1) In general 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. (2) Duration (A) In general The education program shall be carried out during the four-year period beginning on the date of the commencement of the education program. (B) Authority for extension The Secretary may extend the duration of the education program for an additional four years. (3) Locations (A) In general Except as required by subparagraph (C), the Secretary shall carry out the education program at the following facilities of the Department of Veterans Affairs: (i) Not less than 10 medical centers of the Department. (ii) Not less than 10 clinics of the Department. (iii) Not less than 10 centers for readjustment counseling and related mental health services for veterans under section 1712A of title 38, United States Code (commonly referred to as vet centers ). (B) Considerations In selecting locations for the program, the Secretary shall consider the feasibility and advisability of selecting locations in the following areas: (i) Rural areas. (ii) Areas that are not in close proximity to an active duty installation. (iii) Areas in different geographic locations. (C) Expansion of locations 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: (i) Not less than 10 additional medical centers of the Department. (ii) Not less than 10 additional clinics of the Department. (iii) Not less than 10 additional vet centers. (4) Contracts (A) In general 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. (B) Qualified entity described 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— (i) 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 (ii) works with agencies, departments, nonprofit mental health organizations, early childhood educators, and mental health providers to develop educational programming, materials, and coursework. (C) Priority 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. (5) Elements The course of education described in this paragraph shall consist of not less than 10 weeks of education and shall include the following: (A) General education on different mental health disorders, including information to improve understanding of the experiences of individuals suffering from those disorders. (B) Techniques for handling crisis situations and administering mental health first aid to individuals suffering from mental health disorders. (C) Techniques for coping with the stress of living with someone with a mental health disorder. (D) Information on additional services available for family members and caregivers through the Department or community organizations and providers related to mental health disorders. (E) Such other matters as the Secretary considers appropriate. (6) Instructors (A) Training 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. (B) Individuals who have completed the course as instructors 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. (7) Monitoring of instruction (A) In general 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). (B) Report 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. (c) Peer support program (1) In general 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. (2) Locations The Secretary shall provide peer support under the peer support program at each location at which the Secretary provides education under the education program. (3) Elements 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. (4) Peer support coordinator (A) In general 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. (B) Proficiency of instructors 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. (5) Mentors The Secretary shall select a mental health care provider of the Department to serve as a mentor to each peer support coordinator. (6) Monitoring of peer support coordinators The mental health care providers of the Department selected under subsection (b)(7) shall— (A) monitor the progress of the peer support program by meeting quarterly with peer support coordinators; and (B) not less frequently than semiannually, submit to the Secretary a report on the progress of the peer support program. (d) Surveys (1) In general 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: (A) The general satisfaction of those individuals with the education and assistance provided in the education program and the peer support program. (B) The perceived effectiveness of the education program and the peer support program in providing education and assistance that is useful for those individuals. (C) The applicability of the education program and the peer support program to the issues faced by those individuals. (D) Such other matters as the Secretary considers appropriate. (E) 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. (2) Compilation of information 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). (e) Reports (1) Annual report (A) In general 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. (B) Elements Each report submitted under subparagraph (A) shall include the following: (i) 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. (ii) The number of individuals that participated in the peer support program during the year preceding the submission of the report. (iii) A detailed analysis of the surveys conducted under subsection (d) with respect to the individuals described in clause (i) and (ii). (iv) 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). (v) 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. (vi) Any plans for expansion of the education program and the peer support program. (vii) The interim findings and conclusions of the Secretary with respect to the success of the education program and the peer support program. (2) Final report (A) In general 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. (B) Elements The report submitted under subparagraph (A) shall include the following: (i) A detailed analysis of the surveys conducted under subsection (d). (ii) 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. (iii) The feasibility and advisability of expanding the education program and the peer support program.