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Healthcare providers viagra for sale online are ramping up plans to administer erectile dysfunction treatment boosters and seasonal flu treatments at the same time. Luckily, they viagra for sale online already developed the infrastructure.The initial erectile dysfunction treatment rollout created an infrastructure for mass vaccinations. Recent federal guidance eliminated the need for a 14-day waiting period between erectile dysfunction treatment vaccinations and other shots.That means providers can administer erectile dysfunction treatment and flu shots in the same visit, which could help avoid a "twindemic.""We're definitely messaging and encouraging people to do both," said Dr. Tamara Sheffield, medical director of community health and prevention at Utah-based, Intermountain Healthcare.One million people aged 12 and older within Intermountain's service area are not fully vaccinated against erectile dysfunction treatment, Sheffield said.Last week, the Biden administration announced plans to viagra for sale online offer erectile dysfunction treatment boosters beginning Sept.

20. Federal regulators have viagra for sale online already authorized a third treatment shot to immunocompromised individuals. But experts worry lax preventive measures against erectile dysfunction treatment like isolation and mask requirements, increased travel and in-person classes will increase the risk of spreading both influenza and erectile dysfunction. Social distancing led viagra for sale online to the lowest number of flu-related hospitalizations since 2005, according to the Centers for the Disease Control and Prevention.

Intermountain has an information system that alerts clinicians of inpatients who are in need of a flu vaccination. Recently, the health system added a similar viagra for sale online protocol for the erectile dysfunction treatment. Nurses can check whether an inpatient needs a first or second dose and then administer it to them before they leave the hospital."It's really just taking the infrastructure we already have with influenza and expanding it for erectile dysfunction treatment," Sheffield said.More than half of Intermountain's 100 outpatient clinics are administering erectile dysfunction treatments. But only seven of those sites say they can handle vaccinating additional people because they viagra for sale online are short staffed.

Many hospitals in some of the hardest-hit states are at maximum capacity as they face a surge driven by unvaccinated individuals and the delta variant.Maintaining adequate staffing to handle an influx of patients remains a big challenge. Also, the time it will take to administer both treatments will likely mean viagra for sale online clinics can vaccinated fewer people. "It's very difficult to distinguish influenza from erectile dysfunction treatment or from RSV [respiratory syncytial viagra] or a common cold, and they'll be circulating around the same time with overlapping symptoms," said Dr. Jeff Andrews, viagra for sale online vice president of global medical affairs for vice medical technology firm BD, warning of future problems treating patients.

Overcoming those logistical concerns will be hard, Sheffield said. Having designated high traffic viagra for sale online sites could help. Retail clinics, which administered 108 million doses of the erectile dysfunction treatment through August, are also standing by."The big lesson we learned from erectile dysfunction treatment was really understanding the value and the importance of that quick and easy access for customers," said Chris Altman, director of immunization and clinical programs for Rite Aid. The retail pharmacy chain used foot traffic to update flu and other immunizations delayed during the viagra.But providers could face challenges if their patients' vaccination information is spread across multiple sites."It will be just a matter of making sure that coordination of care happens and the follow-up for those people so that they can get that third dose," Altman viagra for sale online said.Rite Aid leaned on pharmacists to promote the safety and efficacy of the treatments to reluctant customers.

"Having that professional readily available at all times really, really help to bridge that gap," Altman said. Logistics over viagra for sale online supply shortages and storage limitations have all been largely resolved.A ramp up of production in the spring coupled with decreases in demand have led to a treatment surplus. In February, the Food and Drug Administration updated storage requirements for the Pfizer treatment that allows for undiluted, frozen vials to be transported and stored in conventional freezers up to two weeks rather than the special, ua-low temperature storage units.Those changes have made it much easier for stores to keep treatment supplies on hand for longer before they go to waste, said Tasha Polster, vice president of pharmacy quality, compliance and patient safety for drug store giant Walgreens.Walgreens schedulers have been informing erectile dysfunction treatment seekers about the opportunity to get the flu shot as well. With more than 60,000 immunizers across the country, Polster said the company will continue to focus on outreach, viagra for sale online namely, conducting vaccination drives at churches and schools."We had done that before, but I think we learned how to do it really, really well over the past year and nearly nine months," Polster said.Priority Health will offer $0 cost share coverage for members' third erectile dysfunction treatment doses, the insurer announced.

That's despite the Biden administration saying booster shots will be available for free in the fall. Pending federal approval, U.S viagra for sale online. Health officials plan to roll out Moderna and Pfizer vaccination boosters beginning the week of Sept. 20.

While President Joe Biden said at an Aug. 18 news briefing that the process would come at no cost, Priority Health claims it's not confused and only aimed to clear up confusion."There are some instances where a provider or a pharmacist, for instance, could possibly charge an administration fee for the boosters or initial doses," said Emily Potts, senior marketing specialist at Priority Health. "So we wanted to relay to members that all costs will be covered regardless."The Centers for Medicare &. Medicaid Services announced on Aug.

13 that immunocompromised individuals will be able to receive a erectile dysfunction treatment booster shot without cost-sharing, after the Food and Drug Administration recommended immunocompromised Americans get a third dose.Priority Health is based in Michigan and has more than 1.2 million members. It boasts success in vaccinating those who were previously hesitant. The health plan also provided free transportation for Medicaid members attending treatment appointments. Its internal data show no racial disparities in vaccination status among its Medicare Advantage population."We've been very diligent and sincere about believing that the vaccination process is what we want our members to participate in," said James Forshee, senior vice president and chief medical officer for Priority Health.Per dose, the cost of a erectile dysfunction treatment can range anywhere from $3 to $37.

In large orders for the U.S. Government, Moderna typically charges around $15 per dose, and Pfizer charges $19.50. The Biden administration expects to distribute 100 million booster shots for free during the fall and winter months at more than 80,000 different locations.As healthcare providers offer bonuses and other perks to attract new employees amid a growing workforce shortage, staff unions say that's not enough as their members face personal protective equipment shortages and unsafe staffing ratios.National Nurses United, a union representing more than 175,000 members nationwide, on Thursday said the country isn't facing a workforce shortage but instead a shortage of nurses willing to risk their licenses or the safety or their patients by working in unsafe conditions. And other unions, like SEIU Healthcare, have held protests demanding better protections during the viagra."By deliberately refusing to staff our nation's hospital units with enough nurses to safely and optimally care for patients, the hospital industry has driven nurses away from direct patient care," National Nurses United said.

Providers are searching for workers as the delta variant creates erectile dysfunction treatment surges across the country. In some cases, hospitals are diverting patients and postponing electing procedures because they don't have enough workers to meet the demand. Likewise, nursing homes have been unable to admit new residents due to staff shortages. Yet, workers say a lack of personal protective equipment and safety precautions is forcing them out of the profession.

"The hospital industry is crying false tears over the lack of nurses willing to stay in direct care when these untenable working conditions are entirely of their own making," National Nurses United said. Ernest Grant, president of the American Nurses Association, an organization representing 4.2 million registered nurses, said he is very concerned about the mental and physical health of nurses who are on the front lines. "Something needs to be done to alleviate the stress and strain that they are under," Grant said, including getting the public vaccinated, valuing nurses more and paying them well. Some hospitals have offered signing bonuses as high as $25,000.

They're also raising the minimum wage and providing training and career advancement opportunities for workers. Robyn Begley, senior vice president and chief nursing officer for the American Hospital Association and CEO of the American Organization for Nursing Leadership, said shortages of healthcare workers were projected long before the viagra began as demand has grown and nurses have reached retirement age. "Hospital and health system leaders have used a variety of approaches to recruit, retain and support their workforce and have advocated that Congress and the administration prioritize programs that help address this vital national need, such as scholarships and loan repayment for nurses and nursing faculty," Begley said.Rachel Norton, a critical care nurse who works on an as-needed basis for a system in Denver, said hospitals need to offer more retention bonuses so that nurses don't leave for higher paying travel positions and are instead rewarding for staying. Providers also need to have guaranteed breaks, flexible schedules and safe staffing ratios, she said.

"Nurses need to be incentivized to work," Norton said.As healthcare costs continue to rise, many self-insured employers and other healthcare purchasers are considering direct contracts with local health systems. For a purchaser with a large, locally based population, direct contracting presents an opportunity to collaborate and innovate with healthcare providers to reduce costs and improve care. For providers, working directly with a purchaser can mean more patients and the chance to experiment with sophisticated payment models on a limited scale.However, not every provider is prepared to manage population health, complex cases, and help patients navigate their care. Through interviews with providers who have sustained success in direct contracting, Catalyst for Payment Reform, with support from the Commonwealth Fund, explored the demands of working directly with purchasers without the intermediary of a health plan.

With surprising unanimity, healthcare providers agreed that the "right stuff" for direct contracting breaks down into two components. The health system's technology and capabilities, and its culture and strategy.Technology and capabilitiesWithout a health plan as intermediary, providers must assume new roles and responsibilities to fill the gap. What's more, direct contracting arrangements typically include shared financial accountability for outcomes, requiring providers to up their game in managing population health and total cost of care. Health system leaders pointed to the following as foundational to success:• Infrastructure for population health management that includes uniform, interoperable IT systems, internally housed utilization management, and robust care management capabilities• Support for patients, such as help navigating their care journey, access to after-hours care, and integration with employers' onsite clinics• History of success in value-based contracts--particularly those that include financial riskCulture and strategyWhile important, technology and infrastructure alone are insufficient attributes for success under a direct contract.

Provider organizations must also foster a culture that aligns interests and incentives across clinicians and administrators. Providers cited the following as indicators of a strong health system partner, capable of sustaining a successful direct contract with an employer or other healthcare purchaser:• Willingness to curate the provider network, holding individual physicians and facilities accountable for outcomes• A culture that supports transparency and accountability with well-honed processes for identifying and solving problems• Acommitment to healthier patients, rather than full hospital beds The "right stuff" for purchasersDirect contracting is a two-way street, and healthcare providers should be selective in their choice of purchaser partners. Beyond being large, local and self-insured, purchasers ideally possess the following characteristics:• Familiarity with their own plan members, including areas of highest spending (e.g., maternity, orthopedics, oncology). Current and historic utilization patterns.

Differences in risk profile and illness burden between salaried and hourly workers. And analysis of past programs or collaborations and insights into why they succeeded or fell short • Clear goals established at the outset so that the purchaser and provider share a mutual understanding of success• Willingness to drive business to the provider partner, through tactics like benefit design, mandatory selection of a primary-care provider, and active annual enrollment• Robust employee communications to encourage enrollment and emphasizing advantages like lower employee cost sharing, high-quality care and an improved care experience Direct contracting can be a win-win for providers and purchasers, bringing both together toward a common goal of offering higher-value care to plan members and their families. But for it to work (and there are plenty of examples where it hasn't) both parties must come to the table with the right capabilities, culture and commitments. It might feel like a moon shot, but when done right, direct contracts between purchasers and providers not only benefit both parties, but also the most important party of all–the patient.Hackensack Meridian Health and Englewood Health appealed the delay of their proposed deal amid opposition from antitrust authorities.The Federal Trade Commission sued to block the 16-hospital Hackensack Meridian Health system's acquisition of the neighboring New Jersey hospital on the grounds that the transaction would likely increase prices and reduce quality.

A federal court in New Jersey granted the FTC's request for a preliminary injunction in early August.Hackensack and Englewood are appealing that decision, arguing that the district court erred in concurring that the deal would lessen competition and inflate prices.The FTC's case relied on hospitals boosting prices for Bergen County, New Jersey, residents, "something hospitals concededly do not and cannot do in their negotiations with health insurers," the hospitals claim. The hospitals also argue that expert witnesses relied on patients' willingness to pay rather than what insurers agreed to pay, which indicated no likelihood of price hikes.Hackensack and Englewood ask the appellate court to review whether the geographic markets were sound, whether the district court misjudged the likelihood of price increases and if the benefits of the acquisition outweighed the costs.Hackensack declined to comment on the appeal and the FTC did not immediately respond.Regulators did not find enough offsetting factors to balance the potential anticompetitive effects of combining hospitals that insurers deem substitutes, which typically leads to higher prices and diminishes quality, studies have shown. Hospital prices vary so widely for similar services due to consolidation, policy experts argue.Hackensack pledged to invest $400 million in Englewood in the definitive agreement. The transaction would increase access, improve quality, boost population health efforts and achieve cost efficiencies, executives said at the time.

But efficiencies are seldom reached given the complexity of integration, research shows..

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In response, we explain that understandings about the causes of and treatments for medical complaints have shifted across centuries, and that conditions once thought to be ‘psychosomatic’ have mom accidentally gives son viagra later been determined to have physiological causes. We also note that Sharpe and Greco do not disclose that leading scientists and physicians believe that ME/CFS is a biomedical disease, and that numerous experts, not just patients, have rejected the research underlying the CBT/GET treatment approach. In conclusion, we remind investigators that medical classifications are always subject to revision based on subsequent research, and we therefore call for more humility before declaring categorically that patients are experiencing ‘illness without disease’.health policypublic healthmedical humanities.

As I write today’s brief introduction viagra price comparison to viagra for sale online our March issue, I am acutely aware that 1 year ago in March, we shut down for the first time due to the erectile dysfunction treatment viagra. As a historian of medicine, I have always understood that the progression from epidemic to control is long and fraught, and that we still have much to do before we reach normative social interactions pre-viagra. Then again, in many ways, there can be viagra for sale online no return to ‘before’. We live, now, exclusively in the ‘after’.The viagra has stripped away comfortable illusions, has exposed how …AbstractIn a recent article in Medical Humanities, Sharpe and Greco characterise myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) as an ‘illness without disease’, citing the absence of identified diagnostic markers. They attribute patients’ rejection of psychological and behavioural interventions, such as cognitive–behavioural therapy (CBT) and graded exercise therapy (GET), to a ‘paradox’ resulting from a supposed failure to acknowledge that ‘there is no good objective evidence of bodily disease’.

In response, we viagra for sale online explain that understandings about the causes of and treatments for medical complaints have shifted across centuries, and that conditions once thought to be ‘psychosomatic’ have later been determined to have physiological causes. We also note that Sharpe and Greco do not disclose that leading scientists and physicians believe that ME/CFS is a biomedical disease, and that numerous experts, not just patients, have rejected the research underlying the CBT/GET treatment approach. In conclusion, we remind investigators that medical classifications are always subject to revision based on subsequent research, and we therefore call for more humility before declaring categorically that patients are experiencing ‘illness without disease’.health policypublic healthmedical humanities.

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Before the https://gaileylawgroup.com/levitra-online-best-price/ viagra, the cafe was a libido max vs viagra place for ranchers to gather for meals and to swap stories. “Some people would call it almost like a conference room,” said Lance Wheeler, a local rancher and regular at the cafe. €œThere are some guys that, if you drive by Patty Ann’s at a certain time of day, their car or truck will always be there on certain days.” When erectile dysfunction treatment restrictions closed in-person dining across Colorado last year, Patty Ann’s opened a takeout window. Customers spread their food on the hoods of their trucks and ate libido max vs viagra there while sharing news and commiserating over the stresses of ranching during the viagra.

Keeping that community hub operating has been vital for the ranchers around Kiowa as the viagra takes its toll on mental health in agricultural communities where health providers are scarce and a “pull yourself up by your own bootstraps” mentality is prevalent. Wheeler heads into Patty Ann’s Cafe for lunch. Ranchers often come to the Kiowa, Colorado, cafe for breakfast or lunch, which Wheeler said is a way libido max vs viagra to connect with others experiencing similar stresses. €œThat’s your support group, because you have commonality, a common experience, common difficulty.” (Eli Imadali for KHN) Roberta Kusma (left) laughs with her old friend Betty Hood at Patty Ann’s Cafe.

The two worked in the same building when it was a grocery store years ago. (Eli Imadali for KHN) The viagra over the past year has been a surprising boon for many farms and ranches as higher consumer demand amid food shortages has boosted business libido max vs viagra. But coupled with everyday worries about weather and commodity prices, the viagra also has led to mental health challenges, including serious stress, anxiety and depression among farmers and ranchers, health officials said. The American Farm Bureau Federation found that about 3 in 5 rural adults reported that the viagra has affected mental health in their communities, while two-thirds of farmers and farmworkers said the viagra has impacted their mental health.

Treatment for mental health problems libido max vs viagra caused or worsened by the stress and isolation of the viagra has obstacles particular to ranching and farming country. The stigma of acknowledging the need for mental health care can prevent people from seeking it. For those who overcome that obstacle and look for help, they are likely to find underfunded, understaffed and underequipped health providers who often don’t have the bandwidth or expertise for sufficient mental health support. €œI guess my cows are my therapists,” joked Wheeler libido max vs viagra.

The 54-year-old rancher said he has felt the stress of the added responsibility of providing meat to customers in a time of food shortages, particularly at the beginning of the viagra. But he feels lucky to have a family that supports him. Because drought has impeded hay production in libido max vs viagra Colorado, Wheeler has had to have bales shipped in from South Dakota. Wheeler says the lack of rain has been his biggest stressor.

(Eli Imadali for KHN) Similar to other Rocky Mountain states, Colorado has one of the highest suicide rates in the country. The rates are often worse in the state’s rural communities, a factor consistent with rural libido max vs viagra Americans’ risks nationwide. A Centers for Disease Control and Prevention report examining 2001-15 data found the suicide rate in rural counties was more than 17 per 100,000 people, compared with about 15 per 100,000 in small and medium-sized metro counties and about 12 per 100,000 in large metro counties. Kiowa is in Elbert County, whose 1,850 square miles of mostly dusty, flat plains start where the affluent bedroom communities of Denver end.

The county libido max vs viagra has no urgent care center or hospital like its suburban neighbors, just four clinics to serve a population of 27,000. A health care center in Elizabeth, Colorado, offers counseling, among other services. The few physical and mental health resources available in Elbert County are concentrated in the west, closer to Denver. (Eli Imadali for KHN) Dwayne Smith, Elbert County’s public health director, said that to help solve the problem residents need to talk with their health providers libido max vs viagra as candidly about their mental health challenges as about skin cancer or heart disease.

€œIn a more conservative community, where historically mental health issues may not have been talked about as openly and as comfortably as in the [Denver] area, you have to work diligently to increase people’s comfort level,” Smith said. €œEven saying the words ‘anxiety,’ ‘depression,’ ‘mental health’ — all those things that in prior generations were very much a taboo subject.” Elbert County Public Health Director Dwayne Smith poses outside the Department of Health and Human Services, surrounded by prairie. (Eli Imadali for KHN) The public health crisis is libido max vs viagra just an added burden to the already high stress on people in the agricultural industry. €œFarmers and ranchers are absorbing a lot of the shocks to the system for us.

Hailstorms, pest outbreaks, drought, markets — they’re adjusting for all that to keep food production moving,” said Colorado’s agriculture commissioner, Kate Greenberg. Unpredictable weather, a volatile commodity market and a 700-acre grass fire cost Laura Negley, a rancher in the southeastern town of Eads, a lot of income libido max vs viagra around 2012. Negley’s and her husband’s families have been in agriculture since the late 1600s and early 1700s, and they are now the third generation on the same Colorado land. But she was devastated after those losses, followed by her youngest child’s departure for college.

€œThat’s kind libido max vs viagra of when the wheels fell off for me. And then I kind of spiraled down,” Negley said. The viagra exacerbated Laura Negley’s anxiety, isolating her from extended family and causing worry about her elderly parents.(Eli Imadali for KHN) Negley, now 59, said she initially didn’t recognize she needed help even though she was deep into her “dark place” of depression and anxiety, but her brother encouraged her to see a counselor near him in Greeley. So, when the cattle were done grazing for the season, Negley libido max vs viagra spent six winter weeks getting counseling 200 miles north.

Those visits eventually transitioned to phone counseling and an anti-anxiety medication. €œI do think you have to have a support group,” said Negley, who said her faith has helped her, too. Over the years, slashed libido max vs viagra budgets to local health departments have cut to the bone. In Elbert County, Smith is one of just three full-time employees in his department.

About 15 years ago, it had at least six nurses. It now has none libido max vs viagra. It is trying to hire one. €œWe have a lack of health providers” in rural America, Negley said.

€œThe ones we do have are doing their best — but they’re trying to wear multiple hats.” Negley talks with son Jayce as he repairs a sweep plow on their family land in Eads, libido max vs viagra Colorado. (Eli Imadali for KHN) Negley’s and her husband’s families have been in agriculture since the late 1600s and early 1700s, and they are now the third generation on the same Colorado land. (Eli Imadali for KHN) Stressors like severe drought and exhaustion from unrelenting hard work can lead to mental health struggles for farmers and ranchers. Negley will likely libido max vs viagra not have cattle this year because drought impeded grass growth.(Eli Imadali for KHN) Agencies in Colorado recognize the need to improve mental health services offered to rural residents.

Colorado Crisis Services has a hotline and text-messaging number to refer people to free, confidential support. And the state is working on tailored messaging campaigns to help farmers and ranchers understand those numbers are free and confidential to contact. These services libido max vs viagra can help. According to the CDC, for every adult death by suicide, about 230 people think seriously about suicide.

A bill introduced in Colorado’s legislature would boost funding for rural rehabilitation specialists and help provide vouchers for rural Coloradans to get behavioral health services. €œWe have to be libido max vs viagra flexible. What works in Denver does not work in La Junta” or the rest of rural Colorado, said Robert Werthwein, director of the state’s Office of Behavioral Health. But in tightknit small towns, ranchers say, even if the resources are there the stigma remains.

€œThese are libido max vs viagra normal people with normal problems. We’re just trying to, perhaps first and foremost, destigmatize mental health needs and resources,” Smith said. €œTimecards and schedules have had no meaning for the past year,” says Smith, one of three full-time employees in his department. €œIt’s just been never-ending.” (Eli Imadali for KHN) Stigmas are something 26-year-old Jacob Walter and his family want to libido max vs viagra help tackle.

As Walter was growing up, a friend’s father and another friend’s mother died by suicide. Before Walter left the family’s ranch in southeastern Colorado to start his sophomore year in college, he lost his own father, Rusty, to suicide in 2016. Walter said there were few local resources at the time to help people like his libido max vs viagra dad, and the nearest town was 45 minutes away. Rusty was involved in many community service organizations and gave a lot of his time to others, Walter said, but he suffered from depression.

€œThe day before he committed suicide, we had been talking at the kitchen table, and he was just talking about [his depression], and he said. €˜You know, you can always get help and stuff.’” libido max vs viagra That’s the message agricultural leaders like Ray Atkinson, communications director at the American Farm Bureau Federation, say should be conveyed most. It’s OK to acknowledge when you need help. €œIf your tractor needed maintenance … you would stop what you’re doing and you’d get it working right before you go try and go out in the field,” Atkinson said.

€œYou are the most important piece of equipment on your farm.” Cattle libido max vs viagra eat hay on Rafter W Ranch near Simla, Colorado. Drought hasn’t allowed grazing on grassy pastures. (Eli Imadali for KHN) [Editor’s note. If you or someone you know is in a crisis, please call the National Suicide Prevention Lifeline at 1-800-273-TALK (8255), or libido max vs viagra contact the Crisis Text Line by texting TALK to 741741.

In Colorado, you can also contact Colorado Crisis Services at 1-844-493-TALK (8255) or text TALK to 38255.] Related Topics Contact Us Submit a Story TipStart Preamble Department of Veterans Affairs. Announcement for Public Meetings. The Department of Veterans Affairs (VA) will be libido max vs viagra holding two public virtual listening sessions to seek input on implementing the requirements of section 201 of the Commander John Scott Hannon Veterans Mental Health Care Improvement Act of 2019. The Act mandates VA to establish the Staff Sergeant Parker Gordon Fox Suicide Prevention Grant Program (SSG Fox SPGP) to reduce Veteran suicide through a 3-year community-based grant program that would provide financial Start Printed Page 25939assistance to eligible entities to provide or coordinate providing suicide prevention services to eligible Veterans and their families.

VA is required to consult with certain entities related to administering this new grant program. VA previously published a request for information on April 1, 2021, seeking written libido max vs viagra comments from these entities to help inform VA's development of the SSG Fox SPGP and its implementing regulations. These public virtual listening sessions serve as additional means for VA to consult with these same entities. VA will hold the first public virtual listening session on May 25, 2021, and the second public virtual listening session on May 26, 2021.

Each meeting will libido max vs viagra start at 10:00 a.m. And conclude on or before 5:00 p.m. Eastern Standard Time (EST). There will be limited space for participants to libido max vs viagra speak at the public virtual listening sessions.

To accommodate as many speakers as possible, participants will have no more than 20 minutes to provide oral comments, testimonies and/or technical remarks. More concise contributions are also welcome. The exact time allotted will vary based on libido max vs viagra the number of participants registered and selected to speak. The sessions will be held virtually as a WebEx Event, and it will be open to the public to listen.

Information about the meeting and registration to speak or listen can be obtained by emailing VASSGFoxGrants@va.gov. Virtual attendance libido max vs viagra will be limited to 1,000 registrants. Advanced registration for individuals and groups is strongly encouraged (see registration instructions below). Individuals or groups who seek to speak must pre-register by May 19, 2021, at 4:00 p.m.

EST. Speakers must virtually check-in between 9:00 a.m. And 9:45 a.m. EST to test their WebEx access and resolve any platform issues.

Start Further Info Juliana Hallows, Associate Director for Policy and Planning—Suicide Prevention Program, Office of Mental Health and Suicide Prevention (OMHSP), 11MHSP, 810 Vermont Avenue NW, Washington, DC 20420, 202-266-4653. (This is not a toll-free telephone number.) End Further Info End Preamble Start Supplemental Information Background Section 201 of the Commander John Scott Hannon Veterans Mental Health Care Improvement Act of 2019 (the Act), Public Law 116-171, enacted on October 17, 2020, requires VA to create a new community-based suicide prevention grant program to reduce Veteran suicide. Section 201 authorizes the award of grants for no more than $750,000 per grantee per fiscal year to eligible entities to provide or coordinate providing suicide prevention services to eligible individuals and their families. An eligible individual is a person at risk of suicide who is a Veteran as defined in 38 U.S.C.

101, an individual described in 38 U.S.C. 1720I(b) or an individual described in 38 U.S.C. 1712A(a)(1)(C)(i)-(iv). Consultation With Interested Parties In administering the SSG Fox SPGP, VA is required to consult with certain entities to.

1. Establish the criteria for selecting eligible entities that have submitted applications. 2. Develop a framework for collecting and sharing information about eligible entities receiving grants.

And 3. Develop the measures and metrics eligible entities receiving grants will use to determine the effectiveness of programming provided to improve mental health status, well-being and reduce suicide risk and deaths by suicide. VA is also required to consult with entities in developing a plan for the design and implementing the provision of grants, including criteria for awarding such grants, and on non-traditional and innovative approaches and treatment practices. The Act requires VA to specifically consult with the following entities.

(1) Veterans Service Organizations. (2) National organizations representing potential community partners in providing supportive services to address the needs of Veterans and their families, including national organizations that advocate for the needs of individuals with or at risk of behavioral health conditions as well as national organizations representing mayors, unions, first responders, chiefs of police and sheriffs, governors, a territory of the United States or representing a Tribal alliance. (3) National organizations representing members of the Armed Forces. (4) National organizations representing counties.

(5) Organizations with which VA has a current memorandum of agreement or understanding related to mental health or suicide prevention. (6) State Departments of Veterans Affairs. (7) National organizations representing members of the Reserve Components of the Armed Forces. (8) National organizations representing members of the Coast Guard.

(9) Organizations, including institutions of higher education, with experience in creating measurement tools for purposes of advising the Secretary on the most appropriate existing measurement tool or protocol for VA to utilize. (10) The National Alliance on Mental Illness. (11) a labor organization (as such term is defined in 5 U.S.C. 7103(a)(4)).

(12) The Centers for Disease Control and Prevention (CDC), the Substance Abuse and Mental Health Services Administration and PREVENTS. And (13) Such other organizations as the Secretary deems appropriate. On April 1, 2021, VA published a request for information in the Federal Register seeking input from these groups and entities. See 86 FR 17268.

These public virtual listening sessions serve as an additional means for VA to consult with these entities. Responses will be used to inform development of the SSG Fox SPGP and its implementing regulations. Oral comment, testimonies and technical remarks are encouraged to be concise and directed toward specific virtual public listening session topics. Please note that VA will not respond to comments or other questions regarding policy plans, decisions or issues regarding this notice.

Comments received in response to this notice will be evaluated and, as appropriate, incorporated into a proposed rulemaking for grants under this law. Registration Individual registration. VA encourages individual registrations for those not affiliated with or representing a group, association or organization. Group registration.

Identification of the name of the group, association or organization should be indicated in your registration request. Due to virtual platform meeting limitations of WebEx and the statutory mandate that VA consult with certain entities, VA may select certain entities to speak or may limit the size of a group's registration to allow receipt of testimonies and/or technical remarks from a broad, diverse group of stakeholders. Oral comments, testimonies and/or technical remarks may be limited from a group, association or organization to no more than two (2) individuals representing the same group, association or organization. Efforts will be made to accommodate all attendees who wish to participate.

However, VA will give priority to representatives of the stakeholders enumerated in the statute who request registration before May 19, 2021, 4:00 p.m. EST, and wish to provide oral comments, testimonies and/or technical remarks. The length of time allotted for participants to provide oral comments, testimonies and/or technical remarks during the meeting will be no more than 20 minutes and is Start Printed Page 25940subject to the total number of participants speaking, to ensure time is allotted to selected registered speakers. There will be no opportunity for audio-visual presentations during the meeting.

Audio (For listening purposes only). Limited to the first 200 participants, on a first-come, first-served basis. Advanced registration is not required. Audio attendees will not be allowed to offer oral comments, testimonies and/or technical remarks as the phone line will be muted.

Note. Should it be necessary to cancel the meeting due to technical issues or other emergencies, VA will take available measures to notify registered participants. VA will conduct the public meeting informally, and technical rules of evidence will not apply. VA will arrange for a written transcript of the meeting and keep the official record open for 15 days after the meeting to allow submission of supplemental information.

You may make arrangements for copies of the transcript directly with the reporter, and the transcript will also be posted in the docket of the rule as part of the official record when the rule is published. Each listening session will focus on specific virtual public listening session topics described in this notice and specified in the following Agenda. Listening Session 1 Virtual Public Listening Session 1 Topics (May 25, 2021) A. Distribution and Selection of Grants B.

Administration of Grant Program C. Training and Technical Assistance Agenda 09:00-10:00 Speaker Virtual Check-In 10:00-12:00 Morning Public Meeting Session 12:00-13:00 Break 13:00-17:00 Afternoon Public Meeting Session 17:00 Adjourn Listening Session 2 Virtual Public Listening Session 2 Topics (May 26, 2021) D. Referral for Care E. Risk of Suicide F.

Suicide Prevention Services Agenda 09:00-10:00 Arrival/Check-In 10:00-12:00 Morning Public Meeting Session 12:00-13:00 Break 13:00-17:00 Afternoon Public Meeting Session 17:00 Adjourn Virtual Public Listening Session Topics To design and implement the SSG Fox SPGP consistent with, and pursuant to, section 201 of the Act, the Secretary seeks information on the topics and issues listed below. Commenters do not need to address every question and should focus on those that relate to their expertise or perspectives. To the extent possible, please clearly indicate which topics and issues you address in your response. Virtual Public Listening Session 1.

May 25, 2021 A. Distribution and Selection of Grants (Section 201(d)(h)(1) of the Act) 1. What criteria should VA establish for the selection of eligible entities that have submitted applications under the SSG Fox SPGP?. 2.

Pursuant to the Act, the Secretary shall give preference to eligible entities that have demonstrated the ability to provide or coordinate suicide prevention services. How should VA weigh evidence of demonstrated ability to provide or coordinate suicide prevention services, in giving preference to eligible entities that have demonstrated such ability?. B. Administration of Grant Program.

Development of Measures and Metrics (Section 201(h)(2) of the Act) 1. How should VA collect and share information about entities in receipt of grants under the SSG Fox SPGP?. 2. How can shared information about entities be used to improve the provision or coordination of suicide prevention services for eligible individuals and families?.

3. What measures and metrics should eligible entities, who are in receipt of grants under the SSG Fox SPGP, use to determine the effectiveness of the programs they are providing?. 4. What existing measurements, tool or protocols are available to determine program effectiveness?.

Which of these should be used for purposes of measuring effectiveness of programs provided through this grant program?. C. Training and Technical Assistance (Section 201(g) of the Act) Section 201(g) of the Act provides that the Secretary, in coordination with CDC, shall provide training and technical assistance to grant recipients. The required training and technical assistance will cover suicide risk identification and management, data required to be collected and shared with VA, the means of data collection and sharing, use of tools to be used to measure the effectiveness of the grants and the reporting requirements.

The Secretary may provide the training and technical assistance directly or through grants or contracts with appropriate public or nonprofit entities. 1. What training and technical assistance programs and tools currently exist for the specified subject areas described above that could be utilized by VA?. 2.

What data collection tools and training currently exist for the specified subject areas that could be utilized by VA?. 3. What tools and training currently exist for measuring the effectiveness of grants that could be utilized by VA?. 4.

What tools and training currently exist for managing reporting requirements that could be utilized by VA?. 5. Should VA provide training and/or technical assistance directly, through grants or contracts with appropriate public or nonprofit entities, or a combination of both?. Virtual Public Listening Session 2.

May 26, 2021 D. Referral for Care (Section 201(m) of the Act) Section 201(m) of the Act provides that if an eligible entity in receipt of a grant under the SSG Fox SPGP determines that an eligible individual is at risk of suicide or other mental or behavioral health condition pursuant to a baseline mental health screening conducted under subsection (q)(11)(A)(ii) of the Act with respect to the individual, the entity shall refer the eligible individual to VA for additional care under subsection (n) of the Act or any other provision of law. Section 201(m) of the Act also provides that if an eligible entity in receipt of a grant under the SSG Fox SPGP determines that an eligible individual furnished clinical services for emergency treatment under subsection (q)(11)(A)(iv) of the Act requires ongoing services, the entity shall refer the eligible individual to VA for additional care under subsection (n) of the Act or any other provision of law. 1.

When an eligible entity in receipt of a grant under the SSG Fox SPGP determines that an eligible individual is at risk of suicide or other mental or behavioral health condition pursuant to a qualifying baseline mental health screening, by what mechanism should the eligible entity refer the eligible individual to VA for additional care?. 2.

If you or someone you know is in a crisis, please call the National Suicide Prevention Lifeline viagra for sale online at 1-800-273-TALK (8255), or contact the Crisis Text Line by texting TALK to 741741. In Colorado, you can also contact Colorado Crisis Services at 1-844-493-TALK (8255) or text TALK to 38255.] KIOWA, Colo. €” The yellow-and-green facade of Patty Ann’s Cafe stands out on the main street of this ranching community just 25 miles from the Denver suburbs. Before the viagra, the cafe was viagra for sale online a place for ranchers to gather for meals and to swap stories. “Some people would call it almost like a conference room,” said Lance Wheeler, a local rancher and regular at the cafe.

€œThere are some guys that, if you drive by Patty Ann’s at a certain time of day, their car or truck will always be there on certain days.” When erectile dysfunction treatment restrictions closed in-person dining across Colorado last year, Patty Ann’s opened a takeout window. Customers spread their food on the hoods of their viagra for sale online trucks and ate there while sharing news and commiserating over the stresses of ranching during the viagra. Keeping that community hub operating has been vital for the ranchers around Kiowa as the viagra takes its toll on mental health in agricultural communities where health providers are scarce and a “pull yourself up by your own bootstraps” mentality is prevalent. Wheeler heads into Patty Ann’s Cafe for lunch. Ranchers often come to the Kiowa, Colorado, cafe for breakfast or lunch, which Wheeler viagra for sale online said is a way to connect with others experiencing similar stresses.

€œThat’s your support group, because you have commonality, a common experience, common difficulty.” (Eli Imadali for KHN) Roberta Kusma (left) laughs with her old friend Betty Hood at Patty Ann’s Cafe. The two worked in the same building when it was a grocery store years ago. (Eli Imadali for KHN) The viagra over the viagra for sale online past year has been a surprising boon for many farms and ranches as higher consumer demand amid food shortages has boosted business. But coupled with everyday worries about weather and commodity prices, the viagra also has led to mental health challenges, including serious stress, anxiety and depression among farmers and ranchers, health officials said. The American Farm Bureau Federation found that about 3 in 5 rural adults reported that the viagra has affected mental health in their communities, while two-thirds of farmers and farmworkers said the viagra has impacted their mental health.

Treatment for mental health problems caused or worsened by the stress and isolation of the viagra has obstacles viagra for sale online particular to ranching and farming country. The stigma of acknowledging the need for mental health care can prevent people from seeking it. For those who overcome that obstacle and look for help, they are likely to find underfunded, understaffed and underequipped health providers who often don’t have the bandwidth or expertise for sufficient mental health support. €œI guess my cows are my therapists,” joked viagra for sale online Wheeler. The 54-year-old rancher said he has felt the stress of the added responsibility of providing meat to customers in a time of food shortages, particularly at the beginning of the viagra.

But he feels lucky to have a family that supports him. Because drought has impeded hay production in Colorado, Wheeler has had to have bales viagra for sale online shipped in from South Dakota. Wheeler says the lack of rain has been his biggest stressor. (Eli Imadali for KHN) Similar to other Rocky Mountain states, Colorado has one of the highest suicide rates in the country. The rates viagra for sale online are often worse in the state’s rural communities, a factor consistent with rural Americans’ risks nationwide.

A Centers for Disease Control and Prevention report examining 2001-15 data found the suicide rate in rural counties was more than 17 per 100,000 people, compared with about 15 per 100,000 in small and medium-sized metro counties and about 12 per 100,000 in large metro counties. Kiowa is in Elbert County, whose 1,850 square miles of mostly dusty, flat plains start where the affluent bedroom communities of Denver end. The county has no urgent care center or viagra for sale online hospital like its suburban neighbors, just four clinics to serve a population of 27,000. A health care center in Elizabeth, Colorado, offers counseling, among other services. The few physical and mental health resources available in Elbert County are concentrated in the west, closer to Denver.

(Eli Imadali for KHN) Dwayne Smith, Elbert County’s public health director, said that to help solve the problem viagra for sale online residents need to talk with their health providers as candidly about their mental health challenges as about skin cancer or heart disease. €œIn a more conservative community, where historically mental health issues may not have been talked about as openly and as comfortably as in the [Denver] area, you have to work diligently to increase people’s comfort level,” Smith said. €œEven saying the words ‘anxiety,’ ‘depression,’ ‘mental health’ — all those things that in prior generations were very much a taboo subject.” Elbert County Public Health Director Dwayne Smith poses outside the Department of Health and Human Services, surrounded by prairie. (Eli Imadali for KHN) The public health crisis is just an viagra for sale online added burden to the already high stress on people in the agricultural industry. €œFarmers and ranchers are absorbing a lot of the shocks to the system for us.

Hailstorms, pest outbreaks, drought, markets — they’re adjusting for all that to keep food production moving,” said Colorado’s agriculture commissioner, Kate Greenberg. Unpredictable weather, a volatile commodity market and a 700-acre grass fire viagra for sale online cost Laura Negley, a rancher in the southeastern town of Eads, a lot of income around 2012. Negley’s and her husband’s families have been in agriculture since the late 1600s and early 1700s, and they are now the third generation on the same Colorado land. But she was devastated after those losses, followed by her youngest child’s departure for college. €œThat’s kind of when the wheels fell viagra for sale online off for me.

And then I kind of spiraled down,” Negley said. The viagra exacerbated Laura Negley’s anxiety, isolating her from extended family and causing worry about her elderly parents.(Eli Imadali for KHN) Negley, now 59, said she initially didn’t recognize she needed help even though she was deep into her “dark place” of depression and anxiety, but her brother encouraged her to see a counselor near him in Greeley. So, when the cattle viagra for sale online were done grazing for the season, Negley spent six winter weeks getting counseling 200 miles north. Those visits eventually transitioned to phone counseling and an anti-anxiety medication. €œI do think you have to have a support group,” said Negley, who said her faith has helped her, too.

Over the viagra for sale online years, slashed budgets to local health departments have cut to the bone. In Elbert County, Smith is one of just three full-time employees in his department. About 15 years ago, it had at least six nurses. It now has none viagra for sale online. It is trying to hire one.

€œWe have a lack of health providers” in rural America, Negley said. €œThe ones we do have are doing their best — but they’re trying to wear multiple hats.” Negley talks with son Jayce as he repairs a sweep plow viagra for sale online on their family land in Eads, Colorado. (Eli Imadali for KHN) Negley’s and her husband’s families have been in agriculture since the late 1600s and early 1700s, and they are now the third generation on the same Colorado land. (Eli Imadali for KHN) Stressors like severe drought and exhaustion from unrelenting hard work can lead to mental health struggles for farmers and ranchers. Negley will likely not have cattle viagra for sale online this year because drought impeded grass growth.(Eli Imadali for KHN) Agencies in Colorado recognize the need to improve mental health services offered to rural residents.

Colorado Crisis Services has a hotline and text-messaging number to refer people to free, confidential support. And the state is working on tailored messaging campaigns to help farmers and ranchers understand those numbers are free and confidential to contact. These services viagra for sale online can help. According to the CDC, for every adult death by suicide, about 230 people think seriously about suicide. A bill introduced in Colorado’s legislature would boost funding for rural rehabilitation specialists and help provide vouchers for rural Coloradans to get behavioral health services.

€œWe have to be flexible viagra for sale online. What works in Denver does not work in La Junta” or the rest of rural Colorado, said Robert Werthwein, director of the state’s Office of Behavioral Health. But in tightknit small towns, ranchers say, even if the resources are there the stigma remains. €œThese are viagra for sale online normal people with normal problems. We’re just trying to, perhaps first and foremost, destigmatize mental health needs and resources,” Smith said.

€œTimecards and schedules have had no meaning for the past year,” says Smith, one of three full-time employees in his department. €œIt’s just been never-ending.” (Eli Imadali for KHN) Stigmas viagra for sale online are something 26-year-old Jacob Walter and his family want to help tackle. As Walter was growing up, a friend’s father and another friend’s mother died by suicide. Before Walter left the family’s ranch in southeastern Colorado to start his sophomore year in college, he lost his own father, Rusty, to suicide in 2016. Walter said there were few local resources at the time to help people like viagra for sale online his dad, and the nearest town was 45 minutes away.

Rusty was involved in many community service organizations and gave a lot of his time to others, Walter said, but he suffered from depression. €œThe day before he committed suicide, we had been talking at the kitchen table, and he was just talking about [his depression], and he said. €˜You know, you can always get help and stuff.’” That’s the message viagra for sale online agricultural leaders like Ray Atkinson, communications director at the American Farm Bureau Federation, say should be conveyed most. It’s OK to acknowledge when you need help. €œIf your tractor needed maintenance … you would stop what you’re doing and you’d get it working right before you go try and go out in the field,” Atkinson said.

€œYou are the most important piece of equipment on your farm.” Cattle eat hay on Rafter W Ranch viagra for sale online near Simla, Colorado. Drought hasn’t allowed grazing on grassy pastures. (Eli Imadali for KHN) [Editor’s note. If you or someone you know is in a crisis, please call the viagra for sale online National Suicide Prevention Lifeline at 1-800-273-TALK (8255), or contact the Crisis Text Line by texting TALK to 741741. In Colorado, you can also contact Colorado Crisis Services at 1-844-493-TALK (8255) or text TALK to 38255.] Related Topics Contact Us Submit a Story TipStart Preamble Department of Veterans Affairs.

Announcement for Public Meetings. The Department of Veterans viagra for sale online Affairs (VA) will be holding two public virtual listening sessions to seek input on implementing the requirements of section 201 of the Commander John Scott Hannon Veterans Mental Health Care Improvement Act of 2019. The Act mandates VA to establish the Staff Sergeant Parker Gordon Fox Suicide Prevention Grant Program (SSG Fox SPGP) to reduce Veteran suicide through a 3-year community-based grant program that would provide financial Start Printed Page 25939assistance to eligible entities to provide or coordinate providing suicide prevention services to eligible Veterans and their families. VA is required to consult with certain entities related to administering this new grant program. VA previously published a request for information viagra for sale online on April 1, 2021, seeking written comments from these entities to help inform VA's development of the SSG Fox SPGP and its implementing regulations.

These public virtual listening sessions serve as additional means for VA to consult with these same entities. VA will hold the first public virtual listening session on May 25, 2021, and the second public virtual listening session on May 26, 2021. Each meeting will start viagra for sale online at 10:00 a.m. And conclude on or before 5:00 p.m. Eastern Standard Time (EST).

There will be limited viagra for sale online space for participants to speak at the public virtual listening sessions. To accommodate as many speakers as possible, participants will have no more than 20 minutes to provide oral comments, testimonies and/or technical remarks. More concise contributions are also welcome. The exact time allotted will vary based on the viagra for sale online number of participants registered and selected to speak. The sessions will be held virtually as a WebEx Event, and it will be open to the public to listen.

Information about the meeting and registration to speak or listen can be obtained by emailing VASSGFoxGrants@va.gov. Virtual attendance will be viagra for sale online limited to 1,000 registrants. Advanced registration for individuals and groups is strongly encouraged (see registration instructions below). Individuals or groups who seek to speak must pre-register by May 19, 2021, at 4:00 p.m. EST.

Speakers must virtually check-in between 9:00 a.m. And 9:45 a.m. EST to test their WebEx access and resolve any platform issues. Start Further Info Juliana Hallows, Associate Director for Policy and Planning—Suicide Prevention Program, Office of Mental Health and Suicide Prevention (OMHSP), 11MHSP, 810 Vermont Avenue NW, Washington, DC 20420, 202-266-4653. (This is not a toll-free telephone number.) End Further Info End Preamble Start Supplemental Information Background Section 201 of the Commander John Scott Hannon Veterans Mental Health Care Improvement Act of 2019 (the Act), Public Law 116-171, enacted on October 17, 2020, requires VA to create a new community-based suicide prevention grant program to reduce Veteran suicide.

Section 201 authorizes the award of grants for no more than $750,000 per grantee per fiscal year to eligible entities to provide or coordinate providing suicide prevention services to eligible individuals and their families. An eligible individual is a person at risk of suicide who is a Veteran as defined in 38 U.S.C. 101, an individual described in 38 U.S.C. 1720I(b) or an individual described in 38 U.S.C. 1712A(a)(1)(C)(i)-(iv).

Consultation With Interested Parties In administering the SSG Fox SPGP, VA is required to consult with certain entities to. 1. Establish the criteria for selecting eligible entities that have submitted applications. 2. Develop a framework for collecting and sharing information about eligible entities receiving grants.

And 3. Develop the measures and metrics eligible entities receiving grants will use to determine the effectiveness of programming provided to improve mental health status, well-being and reduce suicide risk and deaths by suicide. VA is also required to consult with entities in developing a plan for the design and implementing the provision of grants, including criteria for awarding such grants, and on non-traditional and innovative approaches and treatment practices. The Act requires VA to specifically consult with the following entities. (1) Veterans Service Organizations.

(2) National organizations representing potential community partners in providing supportive services to address the needs of Veterans and their families, including national organizations that advocate for the needs of individuals with or at risk of behavioral health conditions as well as national organizations representing mayors, unions, first responders, chiefs of police and sheriffs, governors, a territory of the United States or representing a Tribal alliance. (3) National organizations representing members of the Armed Forces. (4) National organizations representing counties. (5) Organizations with which VA has a current memorandum of agreement or understanding related to mental health or suicide prevention. (6) State Departments of Veterans Affairs.

(7) National organizations representing members of the Reserve Components of the Armed Forces. (8) National organizations representing members of the Coast Guard. (9) Organizations, including institutions of higher education, with experience in creating measurement tools for purposes of advising the Secretary on the most appropriate existing measurement tool or protocol for VA to utilize. (10) The National Alliance on Mental Illness. (11) a labor organization (as such term is defined in 5 U.S.C.

7103(a)(4)). (12) The Centers for Disease Control and Prevention (CDC), the Substance Abuse and Mental Health Services Administration and PREVENTS. And (13) Such other organizations as the Secretary deems appropriate. On April 1, 2021, VA published a request for information in the Federal Register seeking input from these groups and entities. See 86 FR 17268.

These public virtual listening sessions serve as an additional means for VA to consult with these entities. Responses will be used to inform development of the SSG Fox SPGP and its implementing regulations. Oral comment, testimonies and technical remarks are encouraged to be concise and directed toward specific virtual public listening session topics. Please note that VA will not respond to comments or other questions regarding policy plans, decisions or issues regarding this notice. Comments received in response to this notice will be evaluated and, as appropriate, incorporated into a proposed rulemaking for grants under this law.

Registration Individual registration. VA encourages individual registrations for those not affiliated with or representing a group, association or organization. Group registration. Identification of the name of the group, association or organization should be indicated in your registration request. Due to virtual platform meeting limitations of WebEx and the statutory mandate that VA consult with certain entities, VA may select certain entities to speak or may limit the size of a group's registration to allow receipt of testimonies and/or technical remarks from a broad, diverse group of stakeholders.

Oral comments, testimonies and/or technical remarks may be limited from a group, association or organization to no more than two (2) individuals representing the same group, association or organization. Efforts will be made to accommodate all attendees who wish to participate. However, VA will give priority to representatives of the stakeholders enumerated in the statute who request registration before May 19, 2021, 4:00 p.m. EST, and wish to provide oral comments, testimonies and/or technical remarks. The length of time allotted for participants to provide oral comments, testimonies and/or technical remarks during the meeting will be no more than 20 minutes and is Start Printed Page 25940subject to the total number of participants speaking, to ensure time is allotted to selected registered speakers.

There will be no opportunity for audio-visual presentations during the meeting. Audio (For listening purposes only). Limited to the first 200 participants, on a first-come, first-served basis. Advanced registration is not required. Audio attendees will not be allowed to offer oral comments, testimonies and/or technical remarks as the phone line will be muted.

Note. Should it be necessary to cancel the meeting due to technical issues or other emergencies, VA will take available measures to notify registered participants. VA will conduct the public meeting informally, and technical rules of evidence will not apply. VA will arrange for a written transcript of the meeting and keep the official record open for 15 days after the meeting to allow submission of supplemental information. You may make arrangements for copies of the transcript directly with the reporter, and the transcript will also be posted in the docket of the rule as part of the official record when the rule is published.

Each listening session will focus on specific virtual public listening session topics described in this notice and specified in the following Agenda. Listening Session 1 Virtual Public Listening Session 1 Topics (May 25, 2021) A. Distribution and Selection of Grants B. Administration of Grant Program C. Training and Technical Assistance Agenda 09:00-10:00 Speaker Virtual Check-In 10:00-12:00 Morning Public Meeting Session 12:00-13:00 Break 13:00-17:00 Afternoon Public Meeting Session 17:00 Adjourn Listening Session 2 Virtual Public Listening Session 2 Topics (May 26, 2021) D.

Referral for Care E. Risk of Suicide F. Suicide Prevention Services Agenda 09:00-10:00 Arrival/Check-In 10:00-12:00 Morning Public Meeting Session 12:00-13:00 Break 13:00-17:00 Afternoon Public Meeting Session 17:00 Adjourn Virtual Public Listening Session Topics To design and implement the SSG Fox SPGP consistent with, and pursuant to, section 201 of the Act, the Secretary seeks information on the topics and issues listed below. Commenters do not need to address every question and should focus on those that relate to their expertise or perspectives. To the extent possible, please clearly indicate which topics and issues you address in your response.

Virtual Public Listening Session 1. May 25, 2021 A. Distribution and Selection of Grants (Section 201(d)(h)(1) of the Act) 1. What criteria should VA establish for the selection of eligible entities that have submitted applications under the SSG Fox SPGP?. 2.

Pursuant to the Act, the Secretary shall give preference to eligible entities that have demonstrated the ability to provide or coordinate suicide prevention services. How should VA weigh evidence of demonstrated ability to provide or coordinate suicide prevention services, in giving preference to eligible entities that have demonstrated such ability?. B. Administration of Grant Program. Development of Measures and Metrics (Section 201(h)(2) of the Act) 1.

How should VA collect and share information about entities in receipt of grants under the SSG Fox SPGP?. 2. How can shared information about entities be used to improve the provision or coordination of suicide prevention services for eligible individuals and families?. 3. What measures and metrics should eligible entities, who are in receipt of grants under the SSG Fox SPGP, use to determine the effectiveness of the programs they are providing?.

4. What existing measurements, tool or protocols are available to determine program effectiveness?. Which of these should be used for purposes of measuring effectiveness of programs provided through this grant program?. C. Training and Technical Assistance (Section 201(g) of the Act) Section 201(g) of the Act provides that the Secretary, in coordination with CDC, shall provide training and technical assistance to grant recipients.

The required training and technical assistance will cover suicide risk identification and management, data required to be collected and shared with VA, the means of data collection and sharing, use of tools to be used to measure the effectiveness of the grants and the reporting requirements. The Secretary may provide the training and technical assistance directly or through grants or contracts with appropriate public or nonprofit entities. 1. What training and technical assistance programs and tools currently exist for the specified subject areas described above that could be utilized by VA?. 2.

What data collection tools and training currently exist for the specified subject areas that could be utilized by VA?. 3. What tools and training currently exist for measuring the effectiveness of grants that could be utilized by VA?. 4. What tools and training currently exist for managing reporting requirements that could be utilized by VA?.

5. Should VA provide training and/or technical assistance directly, through grants or contracts with appropriate public or nonprofit entities, or a combination of both?. Virtual Public Listening Session 2. May 26, 2021 D. Referral for Care (Section 201(m) of the Act) Section 201(m) of the Act provides that if an eligible entity in receipt of a grant under the SSG Fox SPGP determines that an eligible individual is at risk of suicide or other mental or behavioral health condition pursuant to a baseline mental health screening conducted under subsection (q)(11)(A)(ii) of the Act with respect to the individual, the entity shall refer the eligible individual to VA for additional care under subsection (n) of the Act or any other provision of law.

Section 201(m) of the Act also provides that if an eligible entity in receipt of a grant under the SSG Fox SPGP determines that an eligible individual furnished clinical services for emergency treatment under subsection (q)(11)(A)(iv) of the Act requires ongoing services, the entity shall refer the eligible individual to VA for additional care under subsection (n) of the Act or any other provision of law.

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Report of read what he said the where can you buy viagra Government Inquiry into Mental Health and Addiction, published in 2018. He Ara Oranga acknowledged that the system provided a solid foundation to build on, and that New Zealand’s mental health and addiction system has valuable strengths, including a skilled and committed workforce. However, the assessment of the system outlined unmet needs, growing inequities and long-term, systemic barriers. The engagement sought specific feedback on the mental wellbeing framework published within Kia Kaha, Kia Maia, Kia Ora Aotearoa, focusing on four key areas. The key principles outlined in the framework, and where can you buy viagra how they could, or should, be applied over the longer term.

How communities can best be supported to initiate and lead mental wellbeing initiatives, appreciating that the focus areas within the mental wellbeing framework seek to broaden the scope of support to include greater emphasis on mental wellbeing and support within communities. Specific thoughts on what’s needed within each of the six ‘enablers’ – key areas which, if investment is directed, can support transformation. What longer-term shifts (over the next 6-10 years) would support system transformation..

Report of the Government Inquiry into Mental Health and Addiction, published in viagra for sale online 2018. He Ara Oranga acknowledged that the system provided a solid foundation to build on, and that New Zealand’s mental health and addiction system has valuable strengths, including a skilled and committed workforce. However, the assessment of the system outlined unmet needs, growing inequities and long-term, systemic barriers.

The engagement sought specific feedback on the mental wellbeing framework published within Kia Kaha, Kia Maia, Kia Ora Aotearoa, focusing on four key areas. The key principles outlined in viagra for sale online the framework, and how they could, or should, be applied over the longer term. How communities can best be supported to initiate and lead mental wellbeing initiatives, appreciating that the focus areas within the mental wellbeing framework seek to broaden the scope of support to include greater emphasis on mental wellbeing and support within communities.

Specific thoughts on what’s needed within each of the six ‘enablers’ – key areas which, if investment is directed, can support transformation. What longer-term shifts (over the next 6-10 years) would support system transformation..