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
EBenefits Badge

VISN 16 MIRECC Homepage

About Us

Funded in 1998, the South Central MIRECC is a virtual center with multiple anchor sites throughout VISN 16. Researchers and educators are located at anchor sites (Houston, TX; Little Rock, AR; Oklahoma City, OK; New Orleans, LA), but our programs are available to the entire VISN. Our mission is to promote equity in engagement, access, and quality of mental health care for Veterans facing barriers to care, especially rural Veterans. Download the South Central MIRECC Brochure.

Mailing Address
South Central MIRECC
2200 Fort Roots Drive, Bldg. 58
North Little Rock, Arkansas 72114
Phone: (501) 257-1971
Fax: (501) 257-1718


ACCESS: Adjusting to Chronic Conditions with Education, Support, and Skills

Cover of the ACCESS Clinicial ManualACCESS (Adjusting to Chronic Conditions with Education, Support, and Skills) is an evidence-based cognitive-behavioral intervention specifically designed to address the physical and emotional issues faced by chronically ill patients. ACCESS was based on prior studies showing that chronically ill patients often have unique physical and emotional health needs that require a patient-centered approach to care. ACCESS attempts to balance the comprehensive needs of the patient while offering a time-limited and focused treatment. ACCESS involves a total of 6 active treatment sessions (weekly meetings of 30-45 minutes in duration) and up to 4 follow-up booster sessions. The length of the total treatment (active treatment and boosters) is 16 weeks. The basic premise and novelty of ACCESS rests in the presentation of intervention concepts and treatment goals. ACCESS clinicians work with patients to acquire skills and strategies designed to address both their physical and emotional needs. For example, physical disease self-management strategies, behavioral activation, and using thoughts to improve wellness (e.g., cognitive therapy) all hold the potential to impact physical and/or emotional health. Within the ACCESS intervention, these approaches have been modified to meet the unique needs of the chronically ill targeting both physical and emotional health outcomes.

ACCESS materials include a clinician manual and a patient workbook to facilitate treatment including the opportunity to offer care by telephone.

Authors: J. Cully, M. Stanley, M. Kauth, A. Naik, M. Kunik, K. Sorocco
Funding: VA HSR&D (Merit Review Award), SC MIRECC (Clinical Educator Grant)

Download the Clinician Manual

Download the Patient Workbook