Outcome Measures - The evaluation of the implementation strategies will be based on the RE-AIM framework. Data will be collected from patient survey and chart review for all patients sampled for the evaluation. The reach implementation outcome measure will be specified as the proportion of sampled patients who received the core element of the TOP intervention (documentation in the electronic health record of a case review of the patient by the virtual care team). This will be assessed by chart review at three time points: 1) 9 month follow-up, 2) 20 month follow-up, and 3) 31 month follow-up. For each patient sampled, perceived access and clinical effectiveness data will be collected at four different time points: 1) pre-implementation baseline, 2) 9 month follow-up, 3) 20 month follow-up, and 4) 31 month follow-up. PTSD outcomes will be specified as a continuous change in the PCL-5 score between baseline and follow-up. Perceived access will be measured using items specifically developed for the project. Provider adoption will be assessed with qualitative interviews of all CBOC clinicians treating a sampled patient as well as members of the TOP intervention team (i.e., care manager, telepsychiatrists and telepsychologists) and the local champion. During the qualitative interviews with these CBOC and VAMC providers, the investigators will also assess barriers and facilitators to adoption, including their perceived benefits and weaknesses of the TOP intervention.