Attention A T users. To access the menus on this page please perform the following steps. 1. Please switch auto forms mode to off. 2. Hit enter to expand a main menu option (Health, Benefits, etc). 3. To enter and activate the submenu links, hit the down arrow. You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links.


Quick Links
Veterans Crisis Line Badge
My healthevet badge




NW MIRECC improves the quality of life and function of Veterans by developing, evaluating and promoting the implementation of effective treatments for Posttraumatic Stress Disorder (PTSD) and its complex comorbidities. The most prominent of these comorbidities is repetitive blast mild Traumatic Brain Injury (mTBI); others are Alcohol Use Disorder (AUD), chronic pain (in particular, post-concussive headaches), cognitive impairment, and increased risk for neurodegenerative disorders (chronic traumatic encephalopathy [CTE] and Alzheimer’s disease [AD]). 

VA MIRECC's provide for the improvement of the provision of health-care services and related counseling services to eligible veterans suffering from mental illness (especially mental illness related to service-related conditions) through—

  • the conduct of research (including research on improving mental health service facilities of the Department and on improving the delivery of mental health services by the Department);
  • the education and training of health care personnel of the Department; and
  • the development of improved models and systems for the furnishing of mental health services by the Department.

VA Puget Sound NW MIRECC Research Center, on March 15, 2019, VA Puget Sound Health Care System opened a new 220,000-square-foot Mental Health Research Building on the Seattle campus.The mission of VISN 20 MIRECC is to improve the health and well-being of Veterans by developing, evaluating, and disseminating effective treatments for PTSD and its complex comorbidities including the behavioral consequences of mTBI, substance use disorders (SUD), chronic musculoskeletal pain, post-concussive headaches, and dementia. NW MIRECC brings together complementary research, education, and clinical programs from VAPSHCS and VAPORHCS. The collaborative approach to mental health research, education and treatment has had a profound impact on the lives of Veterans. 


VA ranks as one of the nation's leaders in health research. NW MIRECC applies modern genetic, neurologic and clinical trial methodology to the discovery and development of new and more effective treatments for major and often treatment resistant mental disorders afflicting Veterans and the active duty combat personnel who will become Veterans. NW MIRECC seeks to improve the mental health and well-being of Veterans through research and dissemination of information to providers both within the VA and the general public. Research studies at NW MIRECC are currently enrolling Military Veterans, First Responders, Health Care workers, and Civilians in Seattle, Washington. NW MIRECC research studies significantly contribute to advancements in our understanding of medical problems that lead to health improvements for Veterans and civilians alike. 

NW MIRECC studies are conducted through clinical research and through translational research wherein teams of clinicians and scientists work side-by-side to characterize and model key features of clinical problems and then translate the findings from scientific theory or animal models into practical applications for Veterans. Most notably, staff at the NW MIRECC pioneered the use of the blood pressure medication prazosin to treat trauma-related nightmares, one of the most common symptoms of military PTSD. Due in part to our educational outreach efforts, this medication is now prescribed to over 100,000 Veterans and active-duty Servicemembers, and we continue to investigate its usefulness for other psychiatric conditions that are common in Veterans.

Military Veteran in Wheelchair,NW MIRECC now provides protected research time, developmental study support, and new resources to a diverse, multidisciplinary cadre of biostatisticians, endocrinologists, geneticists, molecular biologists, neurologists, neuropsychologists, psychiatrists, radiologists, educators, clinicians, young investigators, and support staff, all of whom work together to deliver world-class, cutting-edge science, education, and clinical care to Veterans and health professionals.


MIRECC Presents is an accredited Continuing Education webinar series on mental health topics provided by NW MIRECC in collaboration with VA ILEAD. The knowledge produced by NW MIRECC research efforts is disseminated through VA's Institute for Learning, Education and Development (ILEAD) web-based learning platforms and face-to-face educational offerings, and directly implemented in clinics throughout VISN 20 and throughout the country.  

  • Disseminates best practice treatments, current research findings and the latest pertinent knowledge related to PTSD, mTBI, and their complex comorbidities through both web-based and face-to-face educational offerings.
  • Collects and implements feedback from participant evaluations to ensure quality programing.
  • Serves as a national resource for expertise in mental health education.

NW MIRECC improves the health and well-being of Veterans by developing, evaluating, and disseminating novel and effective treatments. MIRECC Presents empowers mental health providers to integrate cutting-edge treatments and timely research into their daily clinical practices, thereby raising the quality of care for Veterans who experience mental health challenges. NW MIRECC substantially enhances the capacity and potential of VISN 20 to generate and disseminate new knowledge about mental illness and treatments. 

  • ENHANCE your knowledge and skills in assessment, differential diagnosis and treatment of Veterans' mental health
  • IMPROVE the connection between contemporary research and clinical care of Veterans
  • FACILITATE biopsychosocial multidisciplinary team management of Veterans' mental health conditions

MIRECC Presents webinars are held on the first and third Wednesday of each month from October to June at 12pm PT (3pm ET). The target audience includes, but is not limited to, Physicians, Nurses, Psychologists, Social Workers and other professionals supporting Veteran care and active-duty combat personnel who will become Veterans. Sign up for email updates or access your subscriber preferences:


Wounded WarriorMental Illness Consultation Program (MICON)

Occasionally Veterans face challenges that perplex their mental health providers at the VA. To assist providers with these more difficult cases, experts at the Northwest Mental Illness Research, Education and Clinical Center developed the MICON. In this program, Veterans Affairs clinicians may contact the NW MIRECC consultants with academic questions concerning a mental health topic or with clinical questions concerning unusual, complex, or difficult patient issues. A NW MIRECC investigator will return the provider's call or email within 48 hours and provide a free one-on-one consultation. MICON specializes in non-urgent psychiatric case consultation in PTSD, mTBI, SUD, dementia, and other areas in mental health.

NW MIRECC clinicians are essential for the diagnosis and management of mental health conditions. They serve in mental health clinics as well as specialty clinics that provide a key space for the development and evaluation of new treatments for PTSD, mTBI, SUD, chronic pain, and dementia. NW MIRECC clinicians have particular expertise in the off-label use of the blood-pressure medication prazosin for PTSD. NW MIRECC specialty clinics also offer clinicians in-depth training in the diagnosis and management of mental health conditions.

Postdoctoral Fellowship

VA Advanced Psychology Postdoctoral Fellowship Program in Mental Illness Research and Treatment (MIRT)NW MIRECC, located on the Portland VA Medical Center (PVAMC) campus, part of VAPORHCS, is home to a postdoctoral fellowship that is part of VA's Advanced Fellowship Program in Mental Illness Research and Treatment (MIRT). VA MIRT is a two-year postdoctoral training program. In collaboration with mentors, the Advanced Psychology Postdoctoral Fellows develop and implement research projects, publish and present findings, write grants, and utilize the latest technology for educational activities and clinical service delivery. Psychology Postdoctoral Fellows devote 75% of their time to research and education activities and 25% to clinical training. 

The primary goal of the NW MIRECC Advanced Psychology Postdoctoral Fellowship program is to train and equip physicians, psychologists, and other allied health professionals with the knowledge and expertise to lead clinical research efforts that make lasting contributions in the lives of Veterans experiencing mental health challenges. The NW MIRECC research center located at VAPORHCS is affiliated with Oregon Health and Science University (OHSU). Over the course of the two-year program, fellows are trained in clinical and health systems research, advanced clinical care service delivery, and program administration in an interdisciplinary setting. In some instances, the program may be extended for a third year to further develop advanced competencies in clinical research.

VISN 20 MIRECC Partnerships

=Joint Base Lewis McChordThis important work is only possible through productive collaborations with local and national academic, government, industry, military, and community partners. As part of the NW MIRECC mission to enhance access to mental health expertise, the NW MIRECC collaborates and consults with other MIRECCs and Centers of Excellence, as well as with other VA, DoD, Federal, State departments of Veterans Affairs, community agencies, and experts. The close geographic proximity (40 miles) of Department of Defense (DoD) Joint Base Lewis-McChord/Madigan Army Medical Center to VA Puget Sound has provided an exciting opportunity to develop innovative and productive research, education, and clinical care collaborations with DoD personnel that address PTSD and its associated conditions in their early stages in active-duty Servicemembers.

The Integrated Disability Evaluation System (IDES) is a joint Department of Defense (DoD) and VA disability evaluation process. Under this system, VA helps DoD determine if wounded, ill, or injured Service members are fit for continued Military service and provide disability benefits to Service members and Veterans, if appropriate. VA Veteran Readiness and Employment (VR&E) program offers 5 support-and-services tracks to help Veterans get education or training, find and keep a job, and live as independently as possible.

  1. Reemployment track
  2. Rapid Access to Employment track
  3. Self-Employment track
  4. Employment Through Long-Term Services track
  5. Independent Living track

RecruitMilitary and Disabled American Veterans (DAV) has held 16 events in Joint Base Lewis McChord, drawing over 3,000 attendees and 707 exhibitors. The 62nd Medical Squadron (MDS) - Joint Base Lewis-McChord currently delivers IDES services at levels which significantly beat DoD standard.

Vet Centers are community-based counseling centers that provide confidential counseling, outreach, and referral services, including professional readjustment counseling to eligible Veterans, active-duty Army, Navy, Marine Corps, Air Force, Coast Guard, and Space Force service members, including National Guard and Reserve components, and their families. Vet Centers are authorized to furnish bereavement counseling services to surviving parents, spouses, children and siblings of service members who die of any cause while on active duty, to include federally activated Reserve and National Guard personnel.

NW MIRECCVeterans Integrated Service Network 20 (VISN 20) serves 135 counties in Alaska, Idaho, Oregon, Washington, and extending into Del Norte County California and Lincoln County Montana. VISN 20 is the largest geographic region of VA and home to 273 federally recognized American Indian and Alaskan Native tribes, 229 of which are located in Alaska. Encompassing 23% of the US land mass, VISN 20 spans three time zones over 817,417 square miles. VA Puget Sound Health Care System (VAPSHCS) and the Portland VA Health Care System (VAPORHCS) were commissioned by Congress and the U.S. Department of Veterans Affairs (VA) as one of the first three Mental Illness Research, Education, and Clinical Centers (MIRECCs) in the United States. VAPSHCS serves Veterans from a five-state area in the Pacific Northwest with two main divisions: American Lake VA Medical Center and Seattle VA Medical Center. VA Outpatient Clinics and Vet Centers in Washington are located in Bellingham, Bellevue, Bremerton, Chehalis, Edmunds, Everett, Federal Way, Lacey, Mount Vernon, Olympia, Port Angeles, Puyallup, Richland, Renton, Silverdale, Seattle, Spokane, Union Gap, Vancouver, Walla Walla, Wenatchee, and Yakima. Veterans in Washington are also served by VA Medical Centers in Spokane, Vancouver, and Walla Walla. VAPORHCS serves Veterans in Oregon and Southwest Washington with two main divisions: Portland VA Medical Center and Vancouver VA Medical Center. VA Outpatient Clinics and Vet Centers in Oregon are located in Bend, Boardman, Brookings, Enterprise, Eugene, Fairview, Grants Pass, Hines, Hillsboro, Klamath Falls, LaGrande, Lincoln City, Newport, Portland, Salem, The Dalles, Warrenton, and West Linn. Veterans in Oregon are also served by VA Medical Centers in Roseburg, White City, and Vancouver, Washington.

Browse facilities by state

Virgin Islands American Samoa Vermont Rhode Island Rhode Island Connecticut Connecticut New Jersey New Jersey Delaware Delaware Massachusetts Massachusetts Alaska Hawaii Philippines Guam Puerto Rico Maine New Hampshire Vermont New York Michigan Pennsylvania West Virginia Ohio Indiana Kentucky Virginia Maryland Maryland Washington DC North Carolina South Carolina Georgia Florida Wisconsin Illinois Tennessee Alabama Mississippi Louisiana Arkansas Missouri Minnesota Washington Idaho Oregon California Nevada Arizona Texas Oklahoma Iowa Nebraska Kansas Utah New Mexico Colorado South Dakota North Dakota Wyoming Montana
USA map

VA provides health care for Veterans from providers in the local community outside of VA. Veterans may be eligible to receive care from a community provider when VA cannot provide the care needed. VA launched its new and improved Veterans Community Care Program (VCCP) on June 6, 2019, implementing portions of the VA Maintaining Internal Systems and Strengthening Integrated Outside Networks Act of 2018 (MISSION Act), which both ended the Veterans Choice Program and established VCCP. Types of care under the new VCCP include General Community Care, Urgent Care, Emergency Care, Foreign Medical Care, Home Health and Hospice Care, Indian and Tribal Health Services, In Vitro Fertilization, State Veterans Home, and Flu Shots. Veterans work with their VA health care provider or other VA staff to see if they are eligible to receive community care based on new criteria. The VA Community Care Network (CCN) is VA’s direct link with community providers to ensure Veterans receive timely, high-quality care.

VA Vet Center LogoVet Centers in the VISN 20 Health Care Network are community-based counseling centers that provide a wide range of social and psychological services, including professional readjustment counseling to eligible Veterans, active-duty Army, Navy, Marine Corps, Coast Guard, Air Force, and Space Force service members, including National Guard and Reserve components, and their families. 1-877-WAR-VETS is an around the clock confidential call center where Veterans, service members and their families can talk about their military experience or any other issue they are facing in transitioning after military service or trauma and get connected to their nearest Vet Center.

Vet Centers in VISN 20

Vet Centers provide counseling to make a successful transition from military to civilian life or after a traumatic event experienced in the military. Individual, group, marriage and family counseling is offered in addition to referral and connection to other VA or community benefits and services. If you can’t make it to a nearby Vet Center, VA offers satellite Vet Center locations and Mobile Vet Centers that may be closer to you.


Anchorage Vet Center (Anchorage, AK)

Anchorage Satellite Vet Centers in Anchor Point and Homer

Fairbanks Vet Center (Fairbanks, AK)

Fairbanks Satellite Vet Centers in Fort Greely and Fort Wainwright

Kenai Vet Center Outstation (Soldotna, AK)

Wasilla Vet Center (Wasilla, AK)


Central Oregon Vet Center (Bend, OR)

Eugene Vet Center (Eugene, OR)

Eugene Satellite Vet Centers in Florence and Reedsport 

Grants Pass Vet Center (Grants Pass, OR)

Grants Pass Satellite Vet Center in Cave Junction and Grants Pass Mobile Vet Center

Portland, OR Vet Center (Portland, OR)

Portland Satellite Vet Centers in Oregon City, St. Helens, and Vancouver, Washington

Salem Vet Center (Salem, OR)

Salem Mobile Vet Center


Boise Vet Center (Boise, ID)

Boise Satellite Vet Center in Ontario, Oregon and Boise Mobile Vet Center

Spokane Satellite Vet Centers in Couer d'Alene, Kootenai, Post Falls, Fairchild AFB, and Newport, Washington


Bellingham Vet Center (Bellingham, WA)

Everett Vet Center (Everett, WA)

Federal Way Vet Center (Federal Way, WA)

Lacey Vet Center Outstation (Lacey, WA)

Seattle Vet Center (Seattle, WA)

Spokane Vet Center (Spokane, WA)

Spokane Satellite Vet Centers in Fairchild AFB, Newport, Post Falls and Couer d'Alene, Idaho

Spokane Mobile Vet Center

Tacoma Vet Center (Tacoma, WA)

Tacoma Mobile Vet Center

Vancouver Vet Center - Washington State University, Clark County (Vancouver, WA)

Walla Walla Vet Center (Walla Walla, WA)

Yakima Valley Vet Center (Yakima, WA)

Yakima Satellite Vet Center in Ellensburg

Veterans Crisis "988" - The Military Crisis Line is a free, confidential resource for all Army, Navy, Marines, Coast Guard, Air Force and Space Force service members, including members of the National Guard and Reserve, and Veterans. You're not alone—the Veterans Crisis Line is here for you. For immediate help in dealing with a suicidal crisis, contact the Veterans Crisis Line: Dial 988 then Press 1. You don't have to be enrolled in VA benefits or health care to call.

Suicide Risk 988 Military Veterans Crisis Line

In Europe
Call 00800 1273 8255 or DSN 118

In Korea
Call 080-855-5118 or DSN 118

In Afghanistan
Call 00 1 800 273 8255 or DSN 111

In the Philippines
Call #MYVA or 02-8550-3888 and press 7

A Veteran overseas may contact the Veterans Crisis Line via the chat modality at If the Veteran prefers a phone call, they can request this within the chat venue. For TTY users: Use your preferred relay service or dial 711 then 1-800-273-8255. Are you looking for clinical care or counseling? Assistance with benefits? No matter what you’re experiencing, we’re here to connect you with resources and support systems to help. The Veterans Crisis Line is free and confidential. When you call, chat, or text, a qualified responder will listen and help. You decide how much information to share. Support doesn't end with your conversation. Our responders can connect you with the resources you need.


VA has a variety of mental health resources, information, treatment options, and more — all accessible to Veterans, Veterans’ supporters, and the general public. Explore the pages below to learn more about a specific mental health topic. Each of these pages includes resources, information on treatment options, and more.

Stories of Support

Telehealth Therapy

For Daniel, Don, and Jennifer, convenient video counseling made it easier to put their health first. Adjusting from military service to civilian life can be both exciting and challenging. Make the Connection

Dial 988 then press 1

Connect with the Veterans Crisis Line to reach caring, qualified responders with the Department of Veterans Affairs. The Veterans Crisis Line is free and confidential. Support doesn't end with your conversation. Our responders can connect you with the resources you need.

Mental Health Updates

Explore the latest mental health news, resources, and real-life stories of mental health recovery.

Plan your trip to VA

In 1946, Veterans Canteen Service (VCS) was established by law to provide comfort and well-being to America’s Veterans. With our many retail stores, cafés and coffee shops across the country, we serve those who have served our country. Our Canteens are whole health spaces for Veterans to connect, relax, share and care for themselves in an environment that is their benefit. We are proud to Serve America’s Veterans and those who provide for their care.

VCS operates over 200 Patriot Stores in Veterans Administration (VA) Medical Centers nationwide. Many of our stores have been recently updated and expanded to provide our customers with a modern, clean and comfortable shopping experience. Our stores welcome our customers with wider aisles, wood-like floors, enhanced lighting and directional signage. PatriotStores have expanded hours of operation to provide service for customers on weekends at most locations.

The Patriot Cafe is the best place in the VA Medical Center to enjoy delicious, freshly prepared breakfast or lunch served hot or cold each weekday. Providing Veterans, their families, VA employees, volunteers and visitors a place to relax and enjoy a meal or take-out for their convenience. With a wide variety of food from traditional comfort food, specialized menu selections and a large assortment of healthy choices; there is something for everyone's taste buds.

Email Updates
To sign up for updates or to access your subscriber preferences, please enter your contact information below.