1 David Atkins is with the Office of Research and Development, Department of Veterans Affairs, Washington, DC. Amy S. B. Bohnert is with the VA Center for Clinical Management Research, Ann Arbor, MI, and the Departments of Anesthesiology, Psychiatry, and Epidemiology, University of Michigan, Ann Arbor. Note. The opinions expressed in this editorial are those of the authors alone and do not reflect official policy of the Department of Veterans Affairs or any federal agency.