Evaluation of the Department of Veterans Affairs Mental Health Services (2018)

Chapter: 4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration

Previous Chapter: 3 The Veterans Health Administration's Mental Health Services
Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

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Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 46.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 47.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 48.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 49.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 50.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 51.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 52.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 53.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 54.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 55.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 56.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 57.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 58.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 59.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 60.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 61.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 62.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 63.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 64.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 65.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 66.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 67.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 68.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 69.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 70.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 71.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 72.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 73.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 74.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 75.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 76.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 77.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.

There was a problem loading page 78.

Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
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Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
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Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
Page 47
Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
Page 48
Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
Page 49
Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
Page 50
Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
Page 51
Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
Page 52
Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
Page 53
Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
Page 54
Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
Page 55
Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
Page 56
Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
Page 57
Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
Page 58
Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
Page 59
Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
Page 60
Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
Page 61
Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
Page 62
Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
Page 63
Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
Page 64
Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
Page 65
Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
Page 66
Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
Page 67
Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
Page 68
Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
Page 69
Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
Page 70
Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
Page 71
Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
Page 72
Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
Page 73
Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
Page 74
Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
Page 75
Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
Page 76
Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
Page 77
Suggested Citation: "4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration." National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press. doi: 10.17226/24915.
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Next Chapter: 5 Methodology
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