Yes. I think each time we do an adaptation of two of our training programs, The Working Mind and Mental Health First Aid, we learn something we can pass on to the next one.
I think my biggest learning throughout all of this over the years has been with the issue of stigma. I'm not talking about stigma for farmers, although that is a very real thing. We have all kinds of evidence that if we made the right investment and created programs that could address the mental health of the agricultural community as well as elsewhere that they would work, but we're not paying attention to that evidence. It leads me to believe—and we are now starting to study it more at the commission—that there is the issue of what we are calling structural or institutional stigma.
There is all kinds of evidence to demonstrate that if we did the right thing, it would work. We simply aren't doing it. We have to reach a crisis, and I believe that we are in a crisis situation right across the country in terms of suicide. Our rates stayed the same for over a decade but are now climbing. Never mind all of the deaths by opioid overdose that aren't actually suicides. We are not doing anything nationally. It is happening piecemeal across the country to address this crisis situation.
Stigma on many different fronts has to be addressed. The answers are there. We simply are not putting the time, money and effort into developing the answers.