VAPAHCS therapists reported that more clients felt safer
and attended more sessions when they could do so in their
homes or in a clinic familiar to them. Clients reported
that the facility and staff provided a positive
environment, and many clients would recommend the STAIR
program to others.
webSTAIR was launched in 2017 as an Enterprise Wide
Initiative supported by the VA Office of Rural Health.
The initiative is being offered to rural veterans with
therapist guidance at the VAPAHCS; Michael E.
DeBakey VA Medical Center in Houston, Texas; and the
Hines, Jr. VA Hospital in Hines, Illinois. From 2017
to 2022, webSTAIR expanded through a training model
available to all VA clinicians. Clinicians were provided
with training in the webSTAIR platform and provided
access to use the program with veterans they serve.
For more information about STAIR for telemental health:
Weiss, B.J., Azevedo, K., Webb, K., Gimeno, J., &
Cloitre, M. (2018). Telemental Health Delivery of Skills
Training in Affective and Interpersonal Regulation
(STAIR) for Rural Women Veterans Who Have Experienced
Military Sexual Trauma. Journal of Traumatic Stress,
Azevedo, K.J., Weiss, B.J., Webb, K., Gimeno, J., &
Cloitre, M. (2016). Piloting Specialized Mental Health
Care for Rural Women Veterans Using STAIR Delivered via
Telehealth: Implications for Reducing Health Disparities.
Journal of Health Care for the Poor and Underserved,