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Missouri veterans director outlines suicide‑prevention programs; MAVO urges additional funding for veterans homes and service officers

2220021 · February 3, 2025
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Summary

John Sabala of the Missouri Department of Health described provider maps, QPR training, a wellness-champion pilot, the governor's challenge and faith‑community trainings to address veteran suicide; Missouri Association of Veterans Organizations told the committee recent funding shortfalls may force closures and urged more general‑revenue support.

John Sabala, veteran services director at the Missouri Department of Health, told the House Committee on Veterans and Armed Forces about statewide suicide‑prevention and veteran‑support initiatives, describing a mix of outreach, training and referral tools aimed at reducing veteran suicide and connecting veterans to care.

Sabala outlined several programs and resources. He said a web‑based interactive provider map lets users filter for military‑cultural competency and TRICARE acceptance to find local behavioral‑health clinicians. "It also can let them select if the person is military cultural competent, or TRICARE insured," Sabala said. He said the map had been pruned from roughly 240 to about 80 providers during an annual scrub but he expects the roster to grow to 250 or more by year’s end.

Sabala described the Missouri Veteran Suicide Prevention Team, a network of trained volunteer QPR (Question, Persuade, Refer) instructors who deliver suicide‑prevention training across the state. He also described a wellness‑champion pilot (three pilot sites) that pays for Mental Health First Aid training for volunteers who help link veterans to local resources. "We do this in veteran service organizations, and non‑associated organizations as well," Sabala said. He identified care transitions and nonclinical peer support as current priorities and said the governor’s challenge team is exploring formal handoffs between hospitals, VA providers and community care.

Sabala also previewed a faith‑community training planned for February 2025 to teach clergy and faith leaders how to recognize at‑risk veterans, provide basic suicide‑prevention skills and connect congregants to care. He urged committee members to promote Buddy Check 22 day (the 22nd of each month), a public awareness and outreach day encouraging people to check on veterans.

Committee members asked procedural questions about training access and program scope. Representative Blank asked whether Sabala reaches out to county jails and prisons; Sabala said he is an "army of one" and that while he will assist if contacted, the Department of Mental Health and the VA maintain other initiatives for justice‑involved veterans. Representative Lucas and others discussed how enrollment numbers affect VA clinic placement and service availability.

After Sabala’s presentation, Troy Williams, chairman of the Missouri Association of Veterans Organizations (MAVO), urged lawmakers to address funding shortfalls for the Missouri Veterans Commission (MVC) and to curtail unaccredited "claims sharks" who charge veterans large fees to file VA claims. "In Missouri, we have approximately 25 accredited lawyers and agents and 10 veteran service officers," Williams said, and he told the committee the state grant program that funds veteran service officers had not been updated in 15 years.

Williams said the MAVO agenda includes expanding property‑tax exemptions for veterans (proposed changes to constitutional language), dedicating a portion of gaming revenue to MVC, and increasing state support for veterans homes and service‑officer staffing. He cited federal regulation 38 CFR 14.636 when describing who is authorized to charge for filing VA disability claims.

Why it matters: Witnesses described programs aimed at preventing veteran suicides and improving access to care, while advocacy groups warned that MVC funding shortfalls and unregulated claims businesses threaten veterans’ access to benefits and services.

What’s next: Sabala encouraged committee members and veterans organizations to use the Department of Health website resources (mogovchallenge.com and the DMH veteran web pages) to access training and provider information; MAVO announced a statewide rally and asked legislators to consider budget and statutory changes affecting veterans.