Ms. Woltmann is affiliated with the Dartmouth Psychiatric Research Center, Lebanon, New Hampshire, and the Center for Evaluative Clinical Sciences, Dartmouth Medical School, Dartmouth College, Hanover. Dr. Valenstein and Ms. Welsh are with the Serious Mental Illness Treatment, Research, and Evaluation Center, Department of Veterans Affairs, Ann Arbor, Michigan, and Dr. Valenstein is also with the Department of Psychiatry, University of Michigan. Dr. Lee is with the Midwest Center for Health Services and Policy Research, Hines Veterans Affairs Hospital, Hines, Illinois, and with the Institute for Healthcare Studies and Division of General Internal Medicine, Northwestern University Feinberg School of Medicine, Chicago. Ms. Wolschon, Dr. Grabowski, and Dr. Reilly are with the John D. Dingell Medical Center, Department of Veterans Affairs, Detroit, Michigan. An earlier version of this article was presented in the poster sessions of the annual research meeting of Academy Health, June 6—8, 2004, and the annual meeting of the American Psychiatric Association, May 1—6, 2004. Send correspondence to Ms. Woltmann, Center for Evaluative Clinical Sciences, Dartmouth Medical School, Dartmouth College, 7252 MML Building, Hanover, NH 03755 (e-mail: firstname.lastname@example.org).