Department of Veterans Affairs

Bradley E. Karlin

The Department of Veterans Affairs (VA) operates the largest integrated healthcare delivery system in the United States. Counseling has had an important and increasingly prominent role in the VA healthcare system since its establishment over 60 years ago. Administered by the Veterans Health Administration (VHA), the VA healthcare delivery system contains the nation's largest mental healthcare system. The VA is the largest provider of mental health services in the country and is among the nation's largest employers of psychiatrists, psychologists, social workers, and mental health nurses. To meet the diverse psychosocial needs of veterans, the VHA provides a full spectrum of counseling services, including individual, group, and family psychotherapy; intensive case management; vocational rehabilitation; medication management; psychoeducation; skills training; psychological, cognitive, and neuropsychological assessment services; and psychosocial rehabilitation (PSR) for veterans with serious mental illness. Counseling services (and related psychological services) provided by VHA emphasize evidence-based approaches to a variety ...

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