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B. Christopher Frueh, PhD, Todd C. Buckley, PhD, Anouk L. Grubaugh, PhD and Jon D. Elhai, PhD

B. Christopher Frueh is with the University of Hawaíi, Hilo. Todd C. Buckley is with the Blackstone Center for Cognitive and Behavioral Therapy, Hopkinton, MA. Anouk L. Grubaugh is with the Medical University of South Carolina, Charleston, and the Ralph H. Johnson Veterans Affairs Medical Center, Charleston. Jon D. Elhai is with the Disaster Mental Health Institute, University of South Dakota, Vermillion.

Correspondence: Requests for reprints should be sent to B. Christopher Frueh, PhD, Professor of Psychology, University of Hawaíi at Hilo, 200 West Kawili Street, Hilo, HI 96720. (e-mail: frueh@hawaii.edu).

	Because this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

We are pleased that our critical examination¹ of Department of Veterans Affairs (VA) psychiatric disability policies has stirred discussion. We agree that such discussion is important and timely for VA and that policy recommendations require a balanced consideration of the evidence.

Although Marx et al. cite several studies that purportedly contradict narrow aspects of our thesis, our conclusions on mental health service use were primarily based on recent large national administrative databases examined by the VA Office of Inspector General² and by the US Government Accountability Office.³ Further, Marx et al. themselves selectively interpret the data they cite. Using 1 . . . [Full Text]