Notice2023-04335
Staff Sergeant Fox Suicide Prevention Grant Program Funding Opportunity
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
March 2, 2023
Issuing agencies
Veterans Affairs Department
Abstract
The Department of Veterans Affairs (VA) is announcing the availability of funds for suicide prevention grants under the Staff Sergeant Fox Suicide Prevention Grant Program (SSG Fox SPGP). This Notice of Funding Opportunity (NOFO) contains information concerning the SSG Fox SPGP; the renewal and new applicant suicide prevention grant application processes; and the amount of funding available. Awards made for suicide prevention grants will fund operations beginning on October 1, 2023. This is a 1-year award with the option to renew for an additional year, pending availability of funds and grantee performance.
Full Text
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<title>Federal Register, Volume 88 Issue 41 (Thursday, March 2, 2023)</title>
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<body><pre>[Federal Register Volume 88, Number 41 (Thursday, March 2, 2023)]
[Notices]
[Pages 13229-13235]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-04335]
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DEPARTMENT OF VETERANS AFFAIRS
Staff Sergeant Fox Suicide Prevention Grant Program Funding
Opportunity
AGENCY: Department of Veterans Affairs.
ACTION: Notice of funding opportunity.
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SUMMARY: The Department of Veterans Affairs (VA) is announcing the
availability of funds for suicide prevention grants under the Staff
Sergeant Fox Suicide Prevention Grant Program (SSG Fox SPGP). This
Notice of Funding Opportunity (NOFO) contains information concerning
the SSG Fox SPGP; the renewal and new applicant suicide prevention
grant application processes; and the amount of funding available.
Awards made for suicide prevention grants will fund operations
beginning on October 1, 2023. This is a 1-year award with the option to
renew for an additional year, pending availability of funds and grantee
performance.
DATES: Applications for suicide prevention services grants under SSG
Fox SPGP must be received by 11:59 p.m. Eastern Time on May 19, 2023.
In the interest of fairness to all competing applicants, this deadline
is firm as to date and hour, and VA will treat as ineligible for
consideration any application that is received after the deadline.
Applicants should take this practice into account and make early
submission of their materials to avoid any risk of loss of eligibility
brought about by unanticipated delays, computer service outages or
other submission-related problems.
ADDRESSES: For a Copy of the Application Package: Copies of the
application can be downloaded from the SSG Fox SPGP website at <a href="https://www.mentalhealth">https://www.mentalhealth</a>.va.gov/ssgfox- grants/. Questions should be referred
to the SSG Fox SPGP via email at <a href="/cdn-cgi/l/email-protection#782e392b2b3f3e17003f0a19160c0b380e19561f170e"><span class="__cf_email__" data-cfemail="82d4c3d1d1c5c4edfac5f0e3ecf6f1c2f4e3ace5edf4">[email protected]</span></a>. For detailed
program information and requirements, see part 78 of title 38, Code of
Federal Regulations (38 CFR part 78).
Submission of Application Package: Applicants must submit
applications electronically following instructions found at <a href="https://www.mentalhealth">https://www.mentalhealth</a>. <a href="http://va.gov/ssgfox-grants/">va.gov/ssgfox-grants/</a>. Applications may not be
mailed, hand carried, or sent by facsimile (FAX). Applications must be
received by SSG Fox SPGP by 11:59 p.m. Eastern Time on the application
deadline date. Applications must arrive as a complete package.
Materials arriving separately will not be included in the application
package for consideration and may result in the application being
rejected.
Technical Assistance: Information regarding how to obtain technical
assistance with the preparation of a new or renewal suicide prevention
grant application is available on the SPGP Program website at <a href="https://www.mentalhealth">https://www.mentalhealth</a> <a href="http://mentalhealth.va.gov/ssgfox-grants/">mentalhealth.va.gov/ssgfox-grants/</a>.
FOR FURTHER INFORMATION CONTACT: Ms. Sandra Foley, SSG Fox SPGP
Director, Office of Mental Health and Suicide Prevention either via
email at <a href="/cdn-cgi/l/email-protection#cb9d8a98988c8da4b38cb9aaa5bfb88bbdaae5aca4bd"><span class="__cf_email__" data-cfemail="f6a0b7a5a5b1b0998eb18497988285b68097d8919980">[email protected]</span></a> or via Telephone: (202) 502-0002 (This
is not a toll-free number).
SUPPLEMENTARY INFORMATION:
Funding Opportunity Title: Staff Sergeant Fox Suicide Prevention
Grant Program.
Announcement Type: Initial.
Funding Opportunity Number: VA-FOX-SP-FY2023.
Assistance Listing Number: 64.055.
I. Funding Opportunity Description
A. Assistance Listing Number: 64.055. Staff Sergeant Fox Suicide
Prevention Grant Program.
B. Purpose: The purpose of the SSG Fox SPGP is to reduce Veteran
suicide
[[Page 13230]]
by expanding suicide prevention programs for Veterans through the award
of suicide prevention services grants to eligible entities to provide
or coordination the provision of suicide prevention services to
eligible individuals and their families. SSG Fox SPGP builds upon VA's
public health approach, which combines clinical and community-based
interventions to prevent Veteran suicide for those inside and outside
of VA health care. This grant program assists in further implementing a
public health approach through these community efforts. The goal of
these grants is to reduce Veteran suicide risk; improve baseline mental
health status, well-being, and social support; and improve financial
stability for eligible individuals and their families.
C. Funding Priorities: The principal goal of this NOFO is to seek
entities that have demonstrated the ability to provide or coordinate
suicide prevention services.
Under Priority 1, VA will provide funding to those entities with
existing SPGP awards. Grant funds will be awarded pursuant to 38 CFR
78.40. Following the ranking and selection of renewal applicants, if
remaining funds are available, they will be awarded pursuant to the
following Priority 2.
Under Priority 2 applications will be accepted from new eligible
entities.VA may prioritize the distribution of suicide prevention
services grants under this Priority to (i) rural communities, (ii)
Tribal lands, (iii) territories of the United States, (iv) medically
underserved areas, (v) areas with a high number or percentage of
minority Veterans or women Veterans and (vi) areas with a high number
or percentage of calls to the Veterans Crisis Line.
D. Definitions: The regulations for the SSG Fox SPGP, published in
the Federal Register on March 10, 2022, and codified in 38 CFR part 78,
contain all detailed definitions and requirements pertaining to this
program. A subsequent technical correction to the regulation was
published in the Federal Register on March 22, 2022.
E. Authority: Funding applied for under this NOFO is authorized by
section 201 of the Commander John Scott Hannon Veterans Mental Health
Improvement Act (Public Law 116-171, ``the Act''). VA established and
implemented this statutory authority for the SSG Fox SPGP in 38 CFR
part 78. Funds made available under this NOFO may be subject to the
requirements of section 201 of the Act, 38 CFR part 78 and other
applicable laws and regulations.
F. Approach: Suicide prevention services are those services that
address the needs of eligible individuals and their families and are
necessary for improving the mental health status and well-being and
reducing the suicide risk of eligible individuals and their families.
Applicants must include in their application that they will provide or
coordinate the provision of the baseline mental health screening to all
participants aged 18 and over. In addition, the application must
include the proposed suicide prevention services to be provided or
coordinated to be provided and the identified need for those services.
Suicide prevention services include:
Outreach to identify and engage eligible individuals (and their
families) at highest risk of suicide: Grantees providing or
coordinating the provision of outreach must use their best efforts to
ensure that eligible individuals, including those who are at highest
risk of suicide or who are not receiving health care or other services
furnished by VA, and their families are identified, engaged and
provided suicide prevention services. Based on the suicide risk and
eligibility screening conducted by grantees, eligible individuals who
should be considered at highest risk of suicide are those with a recent
suicide attempt, an active plan or preparatory behavior for suicide or
a recent hospitalization for suicidality. VA will provide access to the
Columbia Suicide Severity Rating Scale (CSSR-S) to determine level of
suicide risk. Outreach must include active liaison with local VA
facilities; State, local, or tribal government (if any); and private
agencies and organizations providing suicide prevention services to
eligible individuals and their families in the area to be served by the
grantee. This outreach can include, for example, local mental health
and emergency or urgent care departments in local hospitals or clinics.
Grantees are required to have a presence in the area to meet with
individuals and organizations to create referral processes to the
grantee and other community resources. VA requires that grantees
coordinate with VA with respect to the provision of health care and
other services to eligible individuals. VA expects that grantees will
work with local VA facilities on a regular basis to coordinate care
when needed for eligible individuals.
Baseline mental health screening: Grantees must provide or
coordinate the provision of baseline mental health screenings to all
participants aged 18 and over they serve at the time those services
begin. This baseline mental health screening ensures that the
participant's mental health needs can be properly determined and that
suicide prevention services can be further tailored to meet the
individual's needs. The baseline mental health screening must be
provided using validated screening tools that assess suicide risk and
mental and behavioral health conditions. VA will provide access to the
Patient Health Questionnaire (PHQ9), Generalized Self-Efficacy Scale
(GSE), Interpersonal Support Evaluation List (ISEL-12), Socio Economic
Status (SES) and the Warwick Edinburgh Mental Well Being Scale (WEMWBS)
to grantees providing or coordinating the provision of baseline mental
health screenings.
If an eligible individual is at risk of suicide or other mental or
behavioral health condition pursuant to the baseline mental health
screening, the grantee must refer such individual to VA for care. If
the eligible individual refuses the grantee's referral to VA, any
ongoing clinical services provided to the eligible individual by the
grantee is at the expense of the grantee. It is important to note that
this is only required for eligible individuals and not the family of
eligible individuals.
If a participant other than an eligible individual is at risk of
suicide or other mental or behavioral health condition pursuant to the
baseline mental health screening, the grantee must refer such
participant to appropriate health care services in the area. To the
extent that the grantee is able to furnish such appropriate health care
services on an ongoing basis and has available funding separate from
funds provided under this grant program to do so, they would be able to
furnish such services using those non-VA funds without being required
to refer such participants to other services. As noted previously
herein, any ongoing clinical services provided to the participant by
the grantee is at the expense of the grantee.
When such referrals are made by grantees to VA, to the extent
practicable, those referrals are required to be a ``warm hand-off'' to
ensure that the eligible individual receives necessary care. This
``warm hand-off'' may include providing any necessary transportation to
the nearest VA facility, assisting the eligible individual with
scheduling an appointment with VA and any other similar activities that
may be necessary to ensure the eligible individual receives necessary
care in a timely manner.
Education: Suicide prevention education programs may be provided
and coordinated to be provided to educate communities, Veterans and
families on how to identify those at risk
[[Page 13231]]
of suicide, how and when to make referrals for care and the types of
suicide prevention resources available within the area. Education can
include gatekeeper training, lethal means safety training or specific
education programs that assist with identification, assessment or
prevention of suicide. Gatekeeper training generally refers to programs
that seek to develop individuals' knowledge, attitudes and skills to
prevent suicide. Gatekeeper training is an educational course designed
to teach clinical and non-clinical professionals or gatekeepers the
warning signs of a suicide crisis and how to respond and refer
individuals for care. Education is important because learning the signs
of suicide risk, how to reduce access to lethal means and to connect
those at risk of suicide to care can improve understanding of suicide
and has the potential to reduce suicide.
Clinical services for emergency treatment: Clinical services may be
provided or coordinated to be provided for emergency treatment of a
participant. Emergency treatment means medical services, professional
services, ambulance services, ancillary care and medication (including
a short course of medication related to and necessary for the treatment
of the emergency condition that is provided directly to or prescribed
for the patient for use after the emergency condition is stabilized and
the patient is discharged) was rendered in a medical emergency of such
nature that a prudent layperson would have reasonably expected that
delay in seeking immediate medical attention would have been hazardous
to life or health. This standard is met by an emergency medical
condition manifesting itself by acute symptoms of sufficient severity
(including severe pain) that a prudent layperson who possesses an
average knowledge of health and medicine could reasonably expect the
absence of the immediate medical assistance to result in placing the
health of the individual in serious jeopardy, serious impairment to
bodily functions or serious dysfunction of any bodily organ or part. It
is important to note that emergency medical conditions include
emergency mental health conditions.
If an eligible individual is furnished clinical services for
emergency treatment and the grantee determines that the eligible
individual requires ongoing services, the grantee must refer the
eligible individual to VA for additional care. If the eligible
individual refuses the grantee's referral to VA, any ongoing clinical
services provided to the eligible individual by the grantee is at the
expense of the grantee.
If a participant other than an eligible individual is furnished
clinical services for emergency treatment and the grantee determines
that the participant requires ongoing services, the grantee must refer
the participant to appropriate health care services in the area for
additional care. Except in instances in which a participant other than
an eligible individual is furnished clinical services for emergency
treatment, funds provided under this grant program may not be used to
provide ongoing clinical services to such participants, and any ongoing
clinical services provided to the participant by the grantee is at the
expense of the grantee.
Case management services: Case management services are focused on
suicide prevention to effectively assist participants at risk of
suicide. Grantees providing or coordinating the provision of case
management services must provide or coordinate the provision of such
services that include, at a minimum, (a) performing a careful
assessment of participants, and developing and monitoring case plans in
coordination with a formal assessment of suicide prevention services
needed, including necessary follow-up activities, to ensure that the
participant's needs are adequately addressed, (b) establishing linkages
with appropriate agencies and service providers in the area to help
participants obtain needed suicide prevention services, (c) providing
referrals to participants and related activities (such as scheduling
appointments for participants) to help participants obtain needed
suicide prevention services, such as medical, social and educational
assistance or other suicide prevention services to address
participants' identified needs and goals, (d) deciding how resources
and services are allocated to participants on the basis of need, (e)
educating participants on issues, including, but not limited to,
suicide prevention services' availability and participant rights and
(f) other activities, as approved by VA, to serve the comprehensive
needs of participants for the purpose of reducing suicide risk.
Peer support services: The coordination of peer support services by
the grantee must be to help participants understand what resources and
supports are available in their area for suicide prevention. Peer
support services must be provided by Veterans trained in peer support
with similar lived experiences related to suicide or mental health.
Peer support specialists serve as role models and a resource to assist
participants with their mental health recovery. Peer support
specialists function as interdisciplinary team members, assisting
physicians and other professional and non-professional personnel in a
rehabilitation treatment program. Each grantee providing or
coordinating the provision of peer support services must ensure that
Veterans providing such services to participants meet the requirements
of 38 U.S.C. 7402(b)(13) and meet qualification standards for
appointment or have completed peer support training, are pursuing
credentials to meet the minimum qualification standards for appointment
and are under the supervision of an individual who meets the necessary
requirements of 38 U.S.C. 7402(b)(13).
Qualification standards include that the individual is (1) a
Veteran who has recovered or is recovering from a mental health
condition and (2) certified by (i) a not-for-profit entity engaged in
peer support specialist training as having met such criteria as the
Secretary shall establish for a peer support specialist position or
(ii) a State as having satisfied relevant State requirements for a peer
support specialist position. VA has further set forth qualifications
for its peer support specialists in VA Handbook 5005, Staffing (last
updated September 30, 2021). Grant funds may be used to provide
education and training for employees of the grantee or the community
partner who provide peer support services based on the terms set forth
in the grant agreement.
Assistance in obtaining VA benefits: The provision of this
assistance will provide grantees with additional means by which VA can
notify participants of available VA benefits. Grantees assisting
participants in obtaining VA benefits are required to aid participants
in obtaining any benefits from VA for which the participants are
eligible. Such benefits include but are not limited to (1) vocational
and rehabilitation counseling, (2) supportive services for homeless
Veterans, (3) employment and training services, (4) educational
assistance and (5) health care services. Grantees are not permitted to
represent participants before VA with respect to a claim for VA
benefits unless they are recognized for that purpose pursuant to 38
U.S.C. 5902. Employees and members of grantees are not permitted to
provide such representation unless the individual providing
representation is accredited pursuant to 38 U.S.C. chapter 59.
Assistance in obtaining and coordinating other public benefits and
assistance with emergent needs: Grantees assisting participants in
obtaining and coordinating other public benefits or assisting with
emergency
[[Page 13232]]
needs are required to assist participants in obtaining and coordinating
the provision of benefits that are being provided by Federal, State,
local or Tribal agencies, or any other grantee in the area served by
the grantee by referring the participant to and coordinating with such
entity. If a public benefit is not being provided by Federal, State,
local, or Tribal agencies, or any other grantee in the area, the
grantee is not required to obtain, coordinate or provide such public
benefit. Public benefits and assistance that a participant may be
referred to include health care services, which include (1) health
insurance and (2) referrals to a governmental entity or grantee that
provides (i) hospital care, nursing home care, outpatient care, mental
health care, preventive care, habilitative and rehabilitative care,
case management, respite care, home care, (ii) the training of any
eligible individual's family in the care of any eligible individual and
(iii) the provision of pharmaceuticals, supplies, equipment, devices,
appliances and assistive technology. Grantees also may refer
participants, as appropriate, to an entity that provides daily living
services relating to the functions or tasks for self-care usually
performed in the normal course of a day. Grantees may refer or provide
directly personal financial planning services; transportation services;
temporary income support services (including, among other services,
food assistance and housing assistance); fiduciary and representative
payee services; legal services to assist eligible individuals with
issues that may contribute to the risk of suicide; and the provision of
childcare. For additional details on these elements, applicants may
consult 38 CFR 78.80.
Nontraditional and innovative approaches and treatment practices:
Grantees may provide or coordinate the provision of nontraditional and
innovative approaches and treatment, including but not limited to
complementary or alternative interventions with some evidence for
effectiveness of improving mental health or mitigating a risk factor
for suicidal thoughts and behavior. Applicants may propose
nontraditional and innovative approaches and treatment practices in
their suicide prevention services grant applications. VA is exercising
its authority by reserving the right to approve or disapprove
nontraditional and innovative approaches and treatment practices to be
provided or coordinated to be provided using funds authorized under SSG
Fox SPGP.
Other services: Grantees may provide general suicide prevention
assistance, which may include payment directly to a third party (and
not to a participant or their family), in an amount not to exceed $750
per participant during any 1-year period, beginning on the date that
the grantee first submits a payment to a third party. Expenses that may
be paid include expenses associated with gaining or keeping employment,
such as uniforms, tools, certificates and licenses, as well as expenses
associated with lethal means safety and secure storage, such as gun
locks and locked medication storage.
Applicants may propose additional suicide prevention services to be
provided or coordinated to be provided. Examples of other services may
include but are not limited to adaptive sports; equine assisted
therapy; in-place or outdoor recreational therapy; substance use
reduction programming; individual, group, or family counseling; and
relationship coaching. VA reserves the right to approve or disapprove
other suicide prevention services to be provided or coordinated to be
provided using funds authorized under SSG Fox SPGP.
G. Guidance For The Use of VA Suicide Prevention Grant Funds:
Consistent with section 201(o) of the Act, only grantees that are a
State or local government or an Indian Tribe can use grant funds to
enter into an agreement with a community partner under which the
grantee may provide funds to the community partner for the provision of
services to eligible individuals and their families. However, grantees
may choose to enter into contracts for goods or services because in
some situations, resources may be more readily available at a lower
cost, or they may only be available from another party in the
community.
Grantees may make payments directly to a third party on behalf of a
participant for childcare, transportation, and general suicide
prevention assistance. Funds can be used to conduct outreach, educate
and connect with eligible individuals who are not engaged with VA
services. Any outreach and education that is funded by SSG Fox SPGP
should link directly back to a referral to the grantee's program for an
opportunity to enroll the eligible individual in the program.
Funds must be used to screen for eligibility and suicide risk and
enroll individuals in the program accordingly. Note that some
individuals who come through the referral process may not engage in
services. Grantees are expected to determine what referrals are
appropriate for these individuals for follow up services. Funds must be
used to coordinate and provide suicide prevention services, by the
grantee, based on screening and assessment, including clinical services
for emergency treatment.
Funds also must be used to evaluate outcomes and effectiveness
related to suicide prevention services. Prior to providing suicide
prevention services, grantees must verify, document and classify each
participant's eligibility for suicide prevention services. Grantees
must determine and document each participant's degree of risk of
suicide using tools identified in the suicide prevention services grant
agreement. Prior to services ending, grantees must provide or
coordinate the provision of a mental health screening to all
participants aged 18 or over they serve, when possible. This screening
must be conducted with the same tools used to conduct the initial
baseline mental health screening. Having this screening occur at the
beginning and prior to services ending is important in evaluating the
effectiveness of the services provided.
Grantees must document the suicide prevention services provided or
coordinated, how such services are provided or coordinated, the
duration of the services provided or coordinated and any goals for the
provision or coordination of such services. If the eligible individual
wishes to enroll in VA health care, the grantee must inform the
eligible individual of a VA point of contact for assistance with
enrollment.
For each participant aged 18 and over, grantees must develop and
document an individualized plan with respect to the provision of
suicide prevention services provided. This plan must be developed in
consultation with the participant.
As outlined in 38 CFR 78.105, activities for which grantees will
not be authorized to use suicide prevention services grant funds
include direct cash assistance to participants and their families;
those legal services prohibited pursuant to Sec. 78.80(g); medical or
dental care and medicines except for clinical services for emergency
treatment authorized pursuant to Sec. 78.6; and any activities
considered illegal under Federal law, and any costs identified as
unallowable per 2 CFR part 200, subpart E.
II. Award Information
A. Overview: This NOFO announces the availability of funds for
suicide prevention grants under the SSG Fox SPGP.
B. Funding Priorities: The funding priorities for this NOFO are as
follows: Under Priority 1, current grantees may
[[Page 13233]]
apply for a new grant award to continue to provide services within the
scope of their current grant award; for purposes of 38 CFR part 78,
these awards are considered renewals. Priority 1 applicants must apply
using the renewal application. To be eligible for renewal of a suicide
prevention grant, the Priority 1 applicants' program must be
substantially the same as the program of the grantees' current grant
award. Renewal applications can request funding that is equal to or
less than their current annualized award.
Under Priority 2, VA will accept applications from eligible
entities that are not current grantees for funding consideration.
Priority 2 applicants must apply using the application materials
designated for new applicants.
C. Allocation of Funds: Approximately $52,500,000 is available for
grant awards under this NOFO. The maximum allowable grant size is
$750,000 per year per eligibility entity.
(1) In response to this NOFO, only existing grantees can apply as
Priority 1 applicants. New applicants apply under Priority 2. Priority
1 renewal grant requests cannot exceed the current award.
(2) If a Priority 1 applicant is not renewed, the existing grant
will end on September 30, 2023.
(3) Priority 1 applicants may request an amount less than their
current award; this will not be considered a substantial change to the
program.
D. Grant Award Period: Grants awarded will be for a minimum of a 1-
year period starting October 1, 2023. Awards may be extended for up to
one additional year pending availability of funding and grantee
performance.
III. Eligibility Information
A. Eligible Applicants: Eligible entity means an entity that meets
the definition of an eligible entity in section 201(q) of the Act.
Under section 201(q)(3) of the Act, an eligible entity must be one of
the following:
(1) An incorporated private institution or foundation that (i) has
no part of the net earnings of which incurs to the benefit of any
member, founder, contributor, or individual and (ii) has a governing
board that would be responsible for the operation of the suicide
prevention services provided under this section.
(2) A corporation wholly owned and controlled by an organization
meeting the requirements of clauses (i) and (ii) in III.A.(1).
(3) An Indian Tribe.
(4) A community-based organization that can effectively network
with local civic organizations, regional health systems and other
settings where eligible individuals and their families are likely to
have contact.
(5) A State or local government, which may include, but not be
limited to, nonprofit and private organizations such as those that are
part of VA-Substance Abuse and Mental Health Services Administration's
Governors' and Mayors' Challenge to prevent suicide among Service
members, Veterans, and their families; universities; and city, county,
State, and Tribal governments.
Demonstration of eligibility as detailed in the application
includes submission of documents as outlined in section IV of this
NOFO.
Applicants applying for funding consideration under Priority 1 are
existing grantees with grant awards scheduled to end by September 30,
2023. For Priority 1 and 2, eligible entities may apply for up $750,000
per entity.
Applicants must be registered in the System for Award Management
(SAM; <a href="http://sam.gov">sam.gov</a>) and provide a unique entity identifier and continue to
maintain an active SAM registration with current information as per 2
CFR part 200.
B. Cost Sharing and Matching: Applicants are not required to submit
proposals that contain matching funds.
IV. Application Submission Information
A. Obtaining an Application Package: Initial and renewal
applications are located at <a href="https://www.mentalhealth">https://www.mentalhealth</a>. <a href="http://va.gov/ssgfox-grants/">va.gov/ssgfox-grants/</a>. Any questions regarding this process may be referred to SSG
Fox SPGP via email at <a href="/cdn-cgi/l/email-protection#97c1d6c4c4d0d1f8efd0e5f6f9e3e4d7e1f6b9f0f8e1"><span class="__cf_email__" data-cfemail="530512000014153c2b1421323d27201325327d343c25">[email protected]</span></a>. For detailed program
information and requirements, see 38 CFR part 78.
B. Content and Form of Application: Applicants must submit
applications electronically following instructions found at <a href="https://www.mentalhealth">https://www.mentalhealth</a>. <a href="http://va.gov/ssgfox-grants/">va.gov/ssgfox-grants/</a>.
C. Submission Date and Time: Applications for suicide prevention
grant under SSG Fox SPGP must be received by SSG Fox SPGP by 11:59 p.m.
Eastern Time on May 19, 2023. Awards made for suicide prevention grants
will fund operations beginning October 1, 2023. Applications must
arrive as a complete package. Materials arriving separately will not be
included in the application package for consideration and may result in
the application being rejected. In addition, in the interest of
fairness to all competing applicants, this deadline is firm as to date
and hour, and VA will treat as ineligible for consideration any
application that is received after the deadline. Applicants should take
this practice into account and make early submission of their materials
to avoid any risk of loss of eligibility brought about by unanticipated
delays, computer service outages or other delivery-related problems.
D. Other Submission Requirements:
(1) Existing grantees applying for Priority 1 grants may apply only
as renewal applicants using the application designed for renewal
grants.
(2) New applicants applying for Priority 2 grants may apply only as
new applicants using the application designed for new grants.
(3) Submission of an incorrect, incomplete, inconsistent, unclear
or incorrectly formatted application package will result in the
application being rejected during threshold review. The application
packages must contain all required forms and certifications. Selections
will be made based on criteria described in 38 CFR part 78 and this
NOFO. Applicants and grantees will be notified of any additional
information needed to confirm or clarify information provided in the
application and the deadline by which to submit such information.
Applicants must submit applications electronically. Applications may
not be mailed, hand carried or sent by facsimile.
(4) In accordance with 2 CFR part 200, applicants may elect to
charge a de minimis rate of 10 percent of modified total direct costs
(MTDC) which may be used indefinitely. No documentation is required to
justify the 10 percent de minimis indirect cost rate. As described in 2
CFR 200.403, costs must be consistently charged as either indirect or
direct costs but may not be double charged or inconsistently charged as
both. If chosen, this methodology once elected must be used
consistently for all Federal awards until such time as a non-Federal
entity chooses to negotiate for a rate, which the non-Federal entity
may apply to do at any time.
E. Funding Restrictions: Funding will be awarded under this NOFO to
existing grantees and new applicants (pending the availability of
funds), beginning October 1, 2023. In addition to limitations set forth
in law and regulation, the following restrictions apply.
(1) Funding cannot be used for construction.
(2) Funding cannot be used for vehicle purchases.
(3) Funding cannot be used for food for staff unless part of per
diem travel.
(4) Funding cannot be used for pre-award costs.
[[Page 13234]]
V. Application Form and Content
A. Priority 1 (Renewals): VA's regulations at 38 CFR 78.35 describe
the criteria that VA will use to score those grantees who are applying
for renewal of a grant. Such criteria will assist with VA's review and
evaluation of grantees to ensure that those grantees have successful
existing programs using the previously awarded grant funds and that
they have complied with the requirements of 38 CFR part 78 and section
201 of the Act. The criteria in Sec. 78.35 ensure that renewals of
grants are awarded based on the grantee's program's success, cost-
effectiveness and compliance with VA goals and requirements for this
grant program.
The renewal application is organized into the following sections:
Program Outcomes (maximum 55 points), Cost Effectiveness (maximum 20
points), Compliance with Program Goals and Requirements (25 maximum
points) and Exhibits (no point values).
VA will use the following criteria to score grantees applying for
renewal of a suicide prevention services grant:
(1) Success of the grantee's program.
(2) Cost-effectiveness of the grantee's program.
(3) Extent to which the grantee's program complies with SSG Fox
SPGP goals and requirements.
The Exhibit section includes an applicant budget template, to be
submitted in a Microsoft Excel File. The budget submission must include
(1) annual budget, attached as Exhibit I, containing a proposed
quarterly budget for the renewal period and (2) a budget narrative,
which provides a description of each of the line items contained in the
renewal application.
B. Priority 2 (New Applicants): VA's regulations at 38 CFR part
78.25 describe the criteria that VA will use to score new applications.
Applicants must include all required documents in their application
submission. Submission of an incorrect, incomplete, inconsistent,
unclear or incorrectly formatted application package will result in the
application being rejected.
VA will use the following criteria to score applicants who are
applying for a suicide prevention services grant:
(1) Background, qualifications, experience and past performance of
the applicant and any community partners identified by the applicant in
the suicide prevention services grant application.
(2) Program concept and suicide prevention services plan.
(3) Quality assurance and evaluation plan.
(4) Financial capability and plan.
(5) Area linkages and relations.
The Exhibit section includes an applicant budget template, to be
submitted in a Microsoft Excel File. The budget submission must include
(1) annual budget, attached as Exhibit I, containing a proposed
quarterly budget for the period and (2) a budget narrative, which
provides a description of each of the line items contained in the
application.
VI. Review and Selection Process
A. Review Process: Based on the application criteria described
previously herein, grant applications will be divided into two groups:
renewal applications and new applications. Suicide prevention services
grant applications will be scored by a VA grant review committee. The
grant review committee will be trained in understanding the program's
goals, the requirements of the NOFO, VA's regulations for this Program
(38 CFR part 78) and the prescribed scoring rubric (pursuant to 2 CFR
part 200). Consistent with 38 CFR 78.40, if all available grant funds
are awarded to renewal grants for existing grantees, no new
applications will be awarded.
B. Application Selection: VA will only score applicants who meet
the following threshold requirements:
(1) Application must be filed within the time period established in
the NOFO, and any additional information or documentation requested by
VA is provided within the time frame established by VA.
(2) Application must be completed in all parts.
(3) Activities for which the suicide prevention services grant is
requested must be eligible for funding.
(4) Applicant's proposed participants must be eligible to receive
suicide prevention services.
(5) Applicant must agree to comply with the requirements of 38 CFR
part 78.
(6) Applicant must not have an outstanding obligation to the
Federal Government that is in arrears and does not have an overdue or
unsatisfactory response to an audit.
(7) Applicant must not be in default by failing to meet the
requirements for any previous Federal assistance.
If these threshold requirements are not met, VA will deem
applicants to be ineligible for further consideration.
Renewal applications must receive at least 60 points and at least 1
point under each of the criteria noted in section V of this NOFO. After
selection of renewal applicants, if there is funding available, VA will
score and rank all new applicants who score at least 60 cumulative
points and receive at least one point under each of the criteria noted
above in section V of this NOFO.
VA will use the ranked scores of new applicants as the primary
basis for selection. The applicants will be ranked in order from
highest to lowest. However, VA will give preference to applicants that
have demonstrated the ability to provide or coordinate suicide
prevention services. VA may prioritize the distribution of suicide
prevention services grants to (i) rural communities, (ii) Tribal lands,
(iii) territories of the United States, (iv) medically underserved
areas, (v) areas with a high number or percentage of minority Veterans
or women Veterans and (vi) areas with a high number or percentage of
calls to the Veterans Crisis Line.
To the extent practicable, VA will ensure that suicide prevention
services grants are distributed to (i) provide services in areas of the
United States that have experienced high rates of suicide by eligible
individuals, (ii) applicants who can assist eligible individuals at
risk of suicide who are not currently receiving health care furnished
by VA and (iii) ensure that suicide prevention services are provided in
as many areas as possible.
VII. Award Administration Information
A. Award Notices: Although subject to change, VA expects to
announce grant awards in the fourth quarter of fiscal year 2023. VA
reserves the right in any year to make adjustments (e.g., to funding
levels) as needed within the intent of the NOFO based on a variety of
factors, including the availability of funding. The initial
announcement of awards will be made via a news release posted on VA's
SSG Fox SPGP website at <a href="https://www.mentalhealth">https://www.mentalhealth</a>.va.gov/ssgfox-grants.
The SSG Fox SPGP will concurrently notify both successful and
unsuccessful applicants. Only a grant agreement with a VA signature is
evidence of an award and is an authorizing document allowing costs to
be incurred against a grant award. Other notices, letters or
announcements are not authorizing documents. The grant agreement
includes the terms and conditions of the award and must be signed by
the entity and VA to be legally binding.
B. Administrative and National Policy Requirements: VA places great
emphasis on responsibility and accountability. VA has procedures in
place to monitor grants provided under the SSG Fox SPGP. All applicants
selected in response to this NOFO must agree to meet applicable
inspection standards outlined in the grant agreement.
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As SSG FOX SPGP grants cannot be used to fund treatment for mental
health or substance use disorders, with the exception of clinical
services for emergency treatment, applicants must provide evidence that
they can provide access to such services to all program participants
through formal and informal agreements with community providers.
C. Reporting: Applicants should be aware of the following:
(1) Upon execution of a suicide prevention services grant agreement
with VA, grantees will have a liaison appointed by the SSG Fox SPGP
Office who will provide oversight and monitor the use of funds to
provide or coordinate suicide prevention services provided to
participants.
(2) VA will require grantees use validated tools and assessments to
determine the effectiveness of the suicide prevention services
furnished by VA. These include any measures and metrics developed and
provided by VA for the purposes of measuring the effectiveness of the
programming to be provided in improving mental health status and well-
being and reducing suicide risk and suicide deaths of eligible
individuals. Grantees will be required to use the VA Data Collection
Tool for this purpose
(3) Grantees must provide each participant with a satisfaction
survey, which the participant can submit directly to VA, within 30 days
of such participant's pending exit from the grantee's program. This is
required to assist VA in evaluating grantees' performance and
participants' satisfaction with the suicide prevention services they
receive.
(4) Monitoring also will include the submittal of periodic and
annual financial and performance reports by the grantee in accordance
with 2 CFR part 200. The grantee will be expected to demonstrate
adherence to the grantee's proposed program concept, as described in
the grantee's application.
(5) VA has the right, at all reasonable times, to make onsite
visits to all grantee locations and have virtual meetings where a
grantee is using suicide prevention services grant funds to review
grantee accomplishments and management control systems and to provide
such technical assistance as may be required.
D. Payments to Grantees: Grantees will receive payments
electronically through the U.S. Department of Health and Human Services
Payment Management System. Grantees will have the ability to request
payments as frequently as they choose. Grantees must have internal
controls in place to ensure funding is available for the full duration
of the grant period of performance, to the extent possible.
VIII. Program Evaluation
The purpose of program evaluation is to evaluate the impact
participation in the SSG Fox SPGP has on eligible individuals'
financial stability, mental health status, well-being, suicide risk and
social support, as required by the Act.
As part of the national program evaluation, grantees must input
data regularly in VA's web-based system. VA will ensure grantees have
access to the data they need to gather and summarize program impacts
and lessons learned on the implementation of the program evaluation
criteria; performance indicators used for grantee selection and
communication; and the criteria associated with the best outcomes for
Veterans.
Training and technical assistance for program evaluation will be
provided by VA, which will coordinate with subject matter experts to
provide various trainings including the use of measures and metrics
required for this program.
Signing Authority
Denis McDonough, Secretary of Veterans Affairs, approved this
document on February 27, 2023, and authorized the undersigned to sign
and submit the document to the Office of the Federal Register for
publication electronically as an official document of the Department of
Veterans Affairs.
Luvenia Potts,
Regulation Development Coordinator, Office of Regulation Policy &
Management, Office of General Counsel, Department of Veterans Affairs.
[FR Doc. 2023-04335 Filed 3-1-23; 8:45 am]
BILLING CODE 8320-01-P
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This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.