,,ii #aahth ,,congress #ast ,session ,s4 #acb ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,january #cj1 #bjbc,mr4 ,brown 7for himself and ,mr4 ,whitehouse7 introduced the following bill2 which was read twice and referred to the ,committee on ,veterans' ,affairs ,a ,,bill ,to require a pilot program on activities under the pre-separation transition process of members of the ,armed ,forces for a reduction in suicide among veterans1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,daniel ,j4 ,harvey ,jr4 and ,adam ,lambert ,improving ,servicemember ,transition to ,reduce ,veteran ,suicide ,act 4 #b4 ,pilot program on activities under the pre-separation transition process of members of the ,armed ,forces for a reduction in suicide among veterans 7a7 ,pilot program required ,the ,secretary of ,defense and the ,secretary of ,veterans ,affairs shall jointly carry out a pilot program to assess the feasibility and advisability of providing the module described in subsection 7b7 and services under subsection 7c7 as part of the pre-separation transition process for members of the ,armed ,forces as a means of reducing the incidence of suicide among veterans4 7b7 ,module 7#a7 ,in general ,the module described in this subsection shall include the following3 7,a7 ,an in-person meeting between a cohort of members of the ,armed ,forces participating in the pilot program and a social worker or nurse in which the social worker or nurse-- 7i7 educates the cohort on resources for and specific potential risks confronting such members after discharge or release from the ,armed ,forces1 including-- 7,i7 loss of community or a support system2 7,,ii7 isolation from family1 friends1 or society2 7,,iii7 identity crisis in the transition from military to civilian life2 7,,iv7 vulnerability viewed as a weakness2 7,v7 need for empathy2 7,,vi7 self-medication and addiction2 7,,vii7 importance of sleep and exercise2 7,,viii7 homelessness2 7,,ix7 risk factors contributing to attempts of suicide and deaths by suicide2 and 7,x7 safe storage of firearms as part of suicide prevention lethal means safety efforts2 7ii7 educates the cohort on-- 7,i7 the signs and symptoms of suicide risk and physical1 psychological1 or neurological issues1 such as post-traumatic stress disorder1 traumatic brain injury1 chronic pain1 sleep disorders1 substance use disorders1 adverse childhood experiences1 depression1 bipolar disorder1 and socio-ecological concerns1 such as homelessness1 unemployment1 and relationship strain2 7,,ii7 the potential risks for members of the ,armed ,forces from such issues after discharge or release from the ,armed ,forces2 and 7,,iii7 the resources and treatment options available to such members for such issues through the ,department of ,veterans ,affairs1 the ,department of ,defense1 and non-profit organizations2 7iii7 educates the cohort about the resources available to victims of military sexual trauma through the ,department of ,veterans ,affairs2 and 7iv7 educates the cohort about the manner in which members might experience challenges during the transition from military to civilian life1 and the resources available to them through the ,department of ,veterans ,affairs1 the ,department of ,defense1 and other organizations4 7,b7 ,the provision to each member of the cohort of contact information for a counseling or other appropriate facility of the ,department of ,veterans ,affairs in the locality in which such member intends to reside after discharge or release4 7,c7 ,the submittal by each member of the cohort to the ,department of ,veterans ,affairs 7including both the ,veterans ,health ,administration and the ,veterans ,benefits ,administration7 of their medical records in connection with service in the ,armed ,forces1 whether or not such members intend to file a claim with the ,department for benefits with respect to any service-connected disability4 7#b7 ,composition of cohort ,each cohort participating in the module described in this subsection shall be comprised of not fewer than #ej individuals4 7c7 ,services ,in carrying out the pilot program1 the ,secretary of ,defense and the ,secretary of ,veterans ,affairs shall provide to each individual participating in the pilot program the following services3 7#a7 ,during the transition process and prior to discharge or release from the ,armed ,forces1 a one-on-one meeting with a social worker or nurse of the ,department of ,veterans ,affairs who will-- 7,a7 conduct an assessment of the individual regarding eligibility to receive health care or counseling services from the ,department of ,veterans ,affairs2 7,b7 for those eligible1 or likely to be eligible1 to receive health care or counseling services from the ,department of ,veterans ,affairs-- 7i7 identify and provide contact information for an appropriate facility of the ,department of ,veterans ,affairs in the locality in which such individual intends to reside after discharge or release2 7ii7 facilitate registration or enrollment in the system of patient enrollment of the ,department of ,veterans ,affairs under section #agje7;a7 of title #ch1 ,united ,states ,code1 if applicable2 7iii7 educate the individual about care1 benefits1 and services available to the individual through the ,veterans ,health ,administration2 and 7iv7 coordinate health care based on the health care needs of the individual1 if applicable1 to include establishing an initial appointment1 at the election of the individual1 to occur not later than #ij days after the date of discharge or release of the member from the ,armed ,forces4 7#b7 ,for each individual determined ineligible for care and services from the ,department of ,veterans ,affairs during the transition process1 the ,secretary of ,defense shall conduct an assessment of the individual to determine the needs of the individual and appropriate follow-up1 which shall be identified and documented in the appropriate records of the ,department of ,defense4 7#c7 ,during the appointment scheduled pursuant to paragraph 7#a77;,b77iv71 the ,secretary of ,veterans ,affairs shall conduct an assessment of the individual to determine the needs of the individual and appropriate follow-up1 which shall be identified and documented in the appropriate records of the ,department of ,veterans ,affairs4 7d7 ,locations 7#a7 ,module and meeting ,the module under subsection 7b7 and the one-on-one meeting under subsection 7c77#a7 shall be carried out at not fewer than #aj locations of the ,department of ,defense that serve not fewer than #cjj members of the ,armed ,forces annually that are jointly selected by the ,secretary of ,defense and the ,secretary of ,veterans ,affairs for purposes of the pilot program4 7#b7 ,assessment and appointment ,the assessment under subsection 7c77#b7 and the appointment under subsection 7c77#c7 may occur at any location determined appropriate by the ,secretary of ,defense or the ,secretary of ,veterans ,affairs1 as the case may be4 7#c7 ,members served ,the locations selected under paragraph 7#a7 shall1 to the extent practicable1 be locations that1 whether individually or in aggregate1 serve all the ,armed ,forces and both the regular and reserve components of the ,armed ,forces4 7e7 ,selection and commencement ,the ,secretary of ,defense and the ,secretary of ,veterans ,affairs shall jointly select the locations of the pilot program under subsection 7d77#a7 and commence carrying out activities under the pilot program by not later than ,september #cj1 #bjbd4 7f7 ,duration ,the duration of the pilot program shall be five years4 7g7 ,reports 7#a7 ,in general ,not later than one year after the commencement of the pilot program1 and annually thereafter during the duration of the pilot program1 the ,secretary of ,defense and the ,secretary of ,veterans ,affairs shall jointly submit to the appropriate committees of ,congress a report on the activities under the pilot program4 7#b7 ,elements ,each report required by paragraph 7#a7 shall include the following3 7,a7 ,the demographic information of the members and former members of the ,armed ,forces who participated in the pilot program during the one-year period ending on the date of such report4 7,b7 ,a description of the activities under the pilot program during such period4 7,c7 ,an assessment of the benefits of the activities under the pilot program during such period to members and former members of the ,armed ,forces4 7,d7 ,an assessment of whether the activities under the pilot program as of the date of such report have met the targeted outcomes of the pilot program among members and former members who participated in the pilot program within one year of discharge or release from the ,armed ,forces4 7,e7 ,such recommendations as the ,secretary of ,defense and the ,secretary of ,veterans ,affairs jointly consider appropriate regarding the feasibility and advisability of expansion of the pilot program1 extension of the pilot program1 or both4 7h7 ,appropriate committees of congress defined ,in this section1 the term appropriate committees of ,congress means-- 7#a7 the ,committee on ,armed ,services and the ,committee on ,veterans' ,affairs of the ,senate2 and 7#b7 the ,committee on ,armed ,services and the ,committee on ,veterans' ,affairs of the ,house of ,representatives4