Beginning in 1995 the Department of Veterans Affairs Medical Center in St. Louis began developing a psychological-social rehabilitation program for patients with chronic mental illness that is centered on time-limited therapeutic groups. The groups consist of a series of 50-minute sessions held for a period of eight weeks. Participants select the number of sessions per week they wish to attend. Topics addressed include budgeting, communications and feelings, community resources, empowerment, life challenges, medication, nutrition, symptom management and relapse prevention, and self-evaluation of progress.