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Staff Publications and Presentations

Staff Publications and Presentations 

From its early days, the U.S. Department of Veterans Affairs' Northwest Mental Illness Research, Education, and Clinical Center (NW MIRECC) has conducted research to understand Posttraumatic Stress Disorder (PTSD), Traumatic Brain Injury, and other mental health challenges facing Veterans.  NW MIRECC's diligent search for answers to mental health problems afflicting our Veterans continue today.

The findings of NW MIRECC research are disseminated through MIRECC Presents, lectures and presentations, and publications. Below is a list of publications and presentations by VISN 20 NW MIRECC researchers and fellowship program faculty that are currently in press. Where available, a link to the full article is provided at the end of the citation.

In Press

Book Chapters

 Boehnlein, J. (in press). Cross-cultural perspectives on the assessment and treatment of severe trauma in the United
States. In R. Rechtman (Ed.), Le Psychiatrie Culturel. Paris: InPress Publications.

Hopko, D. R., McIndoo, C. C., & File, A. A. (in press). Depressive syndromes and medical comorbidities. In R. DeRubeis,
& D. Strunk (Eds.), The Oxford Handbook of Mood Disorders. New York: Oxford University Press.

Morasco, B., Lovejoy, T. I., & Ilgen, M. A. (in press). Management of chronic pain in patients with comorbid substance
use disorder. In: D. C. Turk, R. J. Gatchel (Eds.). New York: Guilford Press.

Yard, S. S., & McCutcheon, S. R. (in press). Post-Traumatic Stress Disorder. In E. Rodolfa, & J. B. Schaffers (Eds.),
A Casebook and Workbook for Users of the ICD-10-CM: Psychological and Behavioral Conditions. Washington, D.C.: American Psychological Association.

Research Articles

Bourassa, K. J., Edwards-Steward, A., Smolenski, D. J., Campbell, S. B., Reger, G. M., & Norr, A. M. (in press). The impact of
prolonged exposure therapy on social support and PTSD symptoms. Journal of Affective Disorders. doi:10.1016/j.jad.2019.09.036

ABSTRACT: Posttraumatic stress disorder (PTSD) results in high costs to society, particularly among military personnel. Much is known about PTSD treatments-such as exposure therapies-and their outcomes, but less is known about how treatment might impact social support and PTSD symptoms over the course of treatment. In the current study, soldiers with PTSD (N = 162) were randomized to complete prolonged exposure therapy (either with or without virtual reality) or a waitlist control condition. We examined the impact of treatment on perceived social support as a secondary treatment outcome, as well as the associations between social support and PTSD symptoms over time.

Bourassa, K. J., Stevens, E., Katz, A. C., Rothbaum, B. O., Reger, G. M., & Norr, A. M. (in press). The impact of
exposure therapy on resting heart rate and heart rate reactivity among active duty soldiers with PTSD. Psychosomatic Medicine. doi:10.1097/PSY.0000000000000758

ABSTRACT: Posttraumatic stress disorder (PTSD) is linked to poor health, including cardiovascular disease (CVD). These effects may be a result of increased tonic cardiovascular function and cardiovascular reactivity (CVR). Despite PTSD's negative health burden, relatively little is known about whether frontline treatments for PTSD may alleviate cardiovascular risk. The current study was a secondary analysis of a larger intervention study of active duty soldiers with PTSD. We examined change in participants' resting heart rate (HR) and HR reactivity from baseline (prior to randomization) to mid- and post-treatment using residualized change regression models.

Kow, R., Sikkema, C., Wheeler, J., Wilkinson, C., & Kraemer, B. C. (in press). Dopa decarboxylase modulates tau
toxicity. Biological Psychiatry. doi:10.1016/j.biopsych.2017.06.007

Lehavot, K., Katon, J., Chen, J., Fortney, J., & Simpson, T. L. (in press). Prevalence, correlates, and treatment
of posttraumatic stress disorder by gender and Veteran Status: Results from the national epidemiologic survey on alcohol and related conditions-iii. American Journal of Preventive Medicine.

Li, G., Mayer, C., Morelli, D., Millard, S., Raskind, W., ... & Peskind, E. R. (in press). Effect of simvastatin
on CSF Alzheimer disease biomarkers in cognitively normal adults. Neurology. doi:10.1212/WNL.0000000000004392

Logsdon, A., Meabon, J., Cline, M., Bullock, K., Raskind, M. A., Peskind, E. R., ... & Cook, D. G. (in press).
Blast exposure elicits blood-brain barrier disruption and repair mediated by tight junction integrity and nitric oxide dependent processes. Scientific Reports. doi:10.1038/s41598-018-29341-6

Lovejoy, T. I., Morasco, B., Demiednko, M. I., Meath, T...H...A..., & Dobscha, S. K. (in press). Clinician
referrals for non-opioid pain care following discontinuation of long-term opioid therapy differ based on reasons for discontinuation. Journal of General Internal Medicine.

Lozier, C. C., Nugent, S. M., Dobscha, S. K., Smith, N. X., Deyo, R. A., Yarborough, B. J., & Morasco, B. (in press).
Correlates of use and perceived effectiveness of non-pharmacology strategies for chronic pain among patients prescribed long-term opioid therapy. Journal of General Internal Medicine.

Painter, J. M., Brignone, E., Gilmore, A. K., Lehavot, K., Fargo, J., ... & Gundlapalli, A. V. (in press). Gender
differences in service utilization among Operations Enduring Freedom, Iraqi Freedom, and New Dawn Veterans Affairs patients with severe mental illness and substance use disorders. Psychological Services.

Poritz, J., Mignogna, J., Christie, A., Holmes, H., & Ames, H. (in press). The Patient Health Questionnaire
Depression Screener in spinal cord injury. Journal of Spinal Cord Medicine. doi: 10.1080/10790268.2017.1294301

Raskind, M. A., Peskind, E. R., Chow, B., Harris, C., Davis-Karim, A., Holmes, H... & Huang, G. D. (in press).
A multicenter trial of prazosin for combat posttraumatic stress disorder with trauma nightmares: VA Cooperative Study No. 563. New England Journal of Medicine.

Rau, H., Hendrickson, R. C., Roggenkamp, H., Peterson, S., Parmenter, B., Cook, D. G., ... & Pagulayan, K. F. (in press).
Fatigue- but not mTBI history, PTSD, or sleep quality –directly contributes to prospective memory performance in Iraq and Afghanistan era Veterans. The Clinical Neuropsychologist.

Shulman, G. P., Buck, B. E., Gahm, G. A., Reger, G. M., & Norr, A. M. (in press). Effectiveness of the intent to
complete and intent to attend intervention to predict and prevent soldier PTSD treatment drop out. Journal of Traumatic Stress.

Wyse, J. J., Morasco, B., Dobscha, S. K., Demidenko, M. I., Meath, T. H. A., & Lovejoy, T. I. (in press). Provider
reasons for discontinuing long-term opioid therapy following aberrant urine drug tests differ based on the type of substance identified. Journal of Opioid Management.

NW MIRECC Research Articles:   In Press | 2019 | 2018 | 2017 | 2016 | 2015 | 2014

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

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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.

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