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VA Puget Sound Health Care System (VAPSHCS) and VA Portland Health Care System (VAPORHCS) were commissioned by Congress and the VA as one of the first three Mental Illness Research, Education, and Clinical Centers (MIRECC) in the United States. In the Pacific Northwest, VA Veterans Integrated Services Network (VISN) 20 operates across three time zones over 817,417 square miles in in Alaska, Oregon, Washington, most of Idaho, and one county each in California and Montana. Spanning 23% of the US land mass, VA VISN 20 is the largest geographic region of VA. VISN 20 is home to 273 federally recognized American Indian and Alaska Native tribes. As of the end of FY2023, 42.2% of enrollees and 39.7% of patients resided in rural or highly rural areas. As part of the NW MIRECC mission to enhance access to mental health expertise, NW MIRECC collaborates and consults with other MIRECCs and Centers of Excellence, as well as with other VA, Department of Defense (DoD), Federal, State departments of Veterans Affairs, community agencies, and experts. The close geographic proximity (40 miles) of DoD Joint Base Lewis-McChord (JBLM) Madigan Army Medical Center to the Seattle Washington VAPSHCS campus 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.

VA Puget Sound Health Care System (VAPSHCS) Mail Stop: S-116-MIRECC 1660 S. Columbia Way Seattle, WA 98108 Telephone: (206) 277-5566 NW MIRECCs research center located at VAPSHCS is affiliated with University of Washington (UW).

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. Veterans Medical Centers are also located in Spokane, Vancouver, and Walla Walla. VA Outpatient Clinics and Vet Centers 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.

VA Portland Health Care System (VAPORHCS) Mail Stop: P3MIRECC 3710 SW US Veterans Hospital Road Portland, OR 97239 NW MIRECCs research center located at VAPORHCS is affiliated with Oregon Health and Science University (OHSU).

VAPORHCS serves Veterans in Oregon and Southwest Washington with two main divisions: Portland VA Medical Center and Vancouver VA Medical Center. Veterans Medical Centers are also located in Roseburg, White City, and Vancouver, Washington. VA Outpatient Clinics and Vet Centers are located in Astoria, Bend, Boardman, Brookings, Enterprise, Eugene, Fairview, Grants Pass, Hines, Hillsboro, Klamath Falls, LaGrande, Lincoln City, Newport, Portland, Salem, The Dalles, and West Linn.

Postdoctoral Training Program at NW MIRECC 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). 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. Advanced Psychology Postdoctoral Fellows of the two-year postdoctoral training program at VAPORHCS, in collaboration with their mentors, 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 direct patient care and clinical consultation. 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. For questions or inquiries relating to VA's Advanced Psychology Postdoctoral Fellowship Program in Mental Illness Research and Treatment (MIRT), visit the Postdoctoral Fellowship section of the NW MIRECC website.

Research at NW MIRECC A new 220,000-square-foot Mental Health and Research Building on the Seattle Washington VAPSHCS campus provides outpatient mental health care services, from medication management and psychosocial case management to Dialectical Behavior Therapy and evidence-based individual, family and group psychotherapy for all major mental health diagnoses. Research studies at NW MIRECC are currently enrolling Military Veterans, First Responders, Health Care workers, and Civilians. For information about specific research, please contact the number listed on the research study. Although the center does not offer standard clinical services directly to Veterans, Veterans may be eligible to participate in clinical research projects. For other mental health services, contact a VA medical center for information on eligibility and treatment options.

Learn more with MIRECC Presents NW MIRECC serves VA facilities within VISN 20 and the larger VA system. The knowledge produced by NW MIRECC research efforts is disseminated through VA's Institute for Learning, Education and Development (ILEAD) platform and face-to-face educational offerings, and directly implemented in clinics throughout the Northwest and throughout the country. The collaborative approach to mental health research, education and treatment has had a profound impact on the lives of Veterans. MIRECC Presents courses are held through Microsoft Teams on the first and third Wednesday of each month from October to June. 3:00PM ET/ 2:00PM CT/ 1:00PM MT/ 12:00PM PT/ 11:00AM AKT/ 9:00AM HT 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. MIRECC Presents mental health courses are provided through VA Talent Management System. Veterans Health Administration (VHA) TrainingFinder Real-time Affiliate Integrated Network (TRAIN) is for non-VA public health and health care providers, with a focus on Veteran patient care.

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Use of these Materials and Finding VA Health Care

Please note that the health care information provided in these materials is for educational purposes only. It does not replace the role of a medical practitioner for advice on care and treatment. If you are looking for professional medical care, find your local VA healthcare center by using the VA Facilities Locator & Directory. This page may contain links that will take you outside of the Department of Veterans Affairs website. VA does not endorse and is not responsible for the content of the linked websites.

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Today's VHA - the largest of the three administrations that comprise the VA - continues to meet Veterans' changing medical, surgical, and quality-of-life needs. VHA is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. There are 18 Veterans Integrated Service Networks (VISNs) in VHA operating as regional systems of care to better meet local health care needs and provides greater access to care. In the Pacific Northwest, VISN 20 serves Veterans in Alaska, Oregon, Washington, most of Idaho, and one county each in California and Montana. Spanning 23% of the US land mass, VISN 20 is the largest geographic region of VA. Operating across three time zones over 817,417 square miles, VISN 20 is home to 273 federally recognized American Indian and Alaskan Native tribes. According to DoD, American Indians and Alaska Natives have one of the highest representations in the United States Armed Forces. VA consults with American Indian and Alaska Native tribal governments to develop partnerships that enhance access to services and benefits by Veterans and their families. VA is committed to ensuring that Native American Veterans and their families are able to utilize all benefits and services they are entitled to receive. As of the end of FY2023, 42.2% of VISN 20 enrollees and 39.7% of VISN 20 patients resided in rural or highly rural areas. Veterans may be eligible to receive care from a community provider when VA cannot provide the care needed. Veterans Community Care Program (VCCP) provides health care for Veterans from providers in the local community. VCCP includes 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.

Browse facilities by state

VA Puget Sound Health Care System (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. Veterans Medical Centers are also located in Spokane, Vancouver, and Walla Walla. VA Outpatient Clinics and Vet Centers 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.

VA Portland Health Care System (VAPORHCS) serves Veterans in Oregon and Southwest Washington with two main divisions: Portland VA Medical Center and Vancouver VA Medical Center. Veterans Medical Centers are also located in Roseburg, White City, and Vancouver, Washington. VA Outpatient Clinics and Vet Centers are located in Astoria, Bend, Boardman, Brookings, Enterprise, Eugene, Fairview, Grants Pass, Hines, Hillsboro, Klamath Falls, LaGrande, Lincoln City, Newport, Portland, Salem, The Dalles, and West Linn.

VA Regional Offices

The Veterans Benefits Administration (VBA) helps service members transition out of military service, and assists with Veterans with education, home loans, life insurance and much more. Service members, Veterans, their families, and Survivors are invited to request information on VA Benefits including disability compensation, pension, fiduciary, education, Veteran Readiness and Employment (VR&E), Home Loans, and Insurance. In addition to information on VA Benefits Veterans may initiate an intent to file and request assistance with filing compensation and pension claims. Visit regional office websites to learn about the services the regional office provides, directions to the facility, hours of operation, and the leadership team that serves the regional office.

Find out if you can get VA health care as a Veteran

The following four categories of Veterans are not required to enroll but are urged to do so to permit better planning of health resources:

1. Veterans with a service-connected (SC) disability rated at 50% or more.
2. Veterans seeking care for a disability the military determined was incurred or aggravated in the line of duty, but which VA has not yet rated, within 12 months of discharge.
3. Veterans seeking care for a SC disability only or under a special treatment authority.
4. Veterans seeking registry examinations (ionizing radiation, Agent Orange, Gulf War/Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn (OEF/OIF/OND) depleted uranium, airborne hazards, and Open Burn Pit Registry).

Find out how to apply for VA health care benefits as a Veteran or service member. For other mental health services, contact a VA medical center for information on eligibility and treatment options.

Vet Centers in VISN 20

Vet 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.

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. We are a self-sustaining entity providing merchandise and services to Veterans enrolled in VA’s healthcare system, their families, caregivers, VA employees, volunteers and visitors. We are honored to give back to the VA community through many programs established for the health and well-being of our nation’s heroes. Revenues generated from VCS are used to support a variety of programs, such as VA’s Rehabilitation Games, Fisher Houses, Poly-Trauma Centers for OIF/OEF/OND Veterans, disaster relief efforts, Substance Abuse Cessation, VA’s Homelessness initiatives, Women Veterans, Veteran Suicide Prevention and other activities.

Hospital Service Directory

To find out whether there is a van near you use the Disabled American Veterans (DAV) Hospital Service Coordinator Directory to contact your nearest HSC for information or assistance. Please remember that the DAV Transportation Network is staffed by volunteers; therefore, it is unable to cover every community.