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A dilemma of logic for the VA?

In this issue, Rosen and colleagues report on an exquisitely well-designed and well-implemented research effort to examine a strategy to improve outcomes for veterans with posttraumatic stress disorder (PTSD) after discharge from residential treatment. However, the aim of the study, although well intentioned, seems naïve given current realities, and it misses the mark in regard to lessons learned over the past 30 years about treatment outcomes for veterans with PTSD and the challenges that treatment presents.