This study examined differences in levels of learning and perceived efficiency between online (n ¼ 22) and face-to-face (n ¼ 32) graduate level subjects. Participants were master's students enrolled in an accredited counselor preparation program. Findings indicated that students in both groups equally exhibited gains in levels of learning; however, there was a significant difference between groups in perceived learning efficiency, favoring the online instructional modality. Limitations regarding this study are noted, particularly related to the research design. Additional studies examining levels of learning and perceived efficiency of students enrolled in online courses are recommended.

Using a quasi‐experimental, pre–post test design of 196 persons diagnosed with serious mental illness, the authors compared the effectiveness of an integrated behavioral and primary health care (IBPH) treatment approach vs. a treatment‐as‐usual approach over a 12‐month period. A profile analysis of 5 mean difference scores, each representing a separate component of client holistic functioning, indicated that individuals receiving IBPH experienced a 24‐times greater improvement in overall functioning. Recommendations for treatment and client care are provided.

Asian-involved intercultural couples are increasing as society becomes more open and accepting of intercultural relationships. Although issues and conflicts exist due to cultural differences, acculturation and personality characteristics may strengthen intercultural relationships. Ninety-two Asian and non-Asian individuals in Asian couples and Asian intercultural couples in the United States were compared based on the level of marital satisfaction, the level of acculturation, and personality characteristics. Findings indicated no differences in the level of marital satisfaction. However, significantly higher levels of acculturation in Asians in Asian intercultural couples and significantly higher levels of openness, conscientiousness, and extroversion in individuals in Asian intercultural couples were evident.

The American Community Survey (ACS; U.S. Census Bureau, 2011) estimated that 21.5 million veterans live in the United States. A reported 1.6 million veterans served in the Gulf War operations that began post-9/11 in 2001 (U.S. Census Bureau, 2011). Gulf War post-9/11 veterans served mainly in Iraq and Afghanistan, in operations including but not limited to Operations Enduring Freedom (OEF), Iraqi Freedom (OIF), and New Dawn (OND) (M. E. Otey, personal communication, October 23, 2012). Holder (2007) estimated that veterans represent 10% of the total U.S. population ages 17 years and older. Pre-9/11 data suggested that 11% of military service members utilized mental health services in the year 2000 (Garvey Wilson, Messer, & Hoge, 2009). In 2003, post-9/11 comparative data reported that 19% of veterans deployed to Iraq accessed mental health services within one year of return (Hoge, Auchterlonie, & Milliken, 2006). Recognizing the increased need for mental health assessment, the U.S. Department of Defense (DOD) mandated the Post-Deployment Health Assessment (PDHA) for all returning service members (Hoge et al., 2006). The PDHA is a brief three-page self-report screening of symptoms to include post-traumatic stress, depression, suicidal ideation and aggression (U.S. DOD, n.d.). The assessment also indicates service member self-report interest in accessing mental health services. Military service members access mental health services for a variety of reasons. In a qualitative study of veterans who accessed services at a Veterans Affairs (VA) mental health clinic, 48% of participants reported seeking treatment because of relational problems, and 44% sought treatment because of anger and/or irritable mood (Snell & Tusaie, 2008). Veterans may also present with mental health symptoms related to post-traumatic stress disorder (PTSD), depression, and suicidal ideation (Hoge et al., 2006). Depression is considered a common risk factor of suicide among the general population, and veterans are additionally at risk due to combat exposure (Martin, Ghahramanlou-Holloway, Lou, & Tucciarone, 2009). The DOD (2012) confirmed that 165 active-duty Army service members committed suicide in 2011. Furthermore, researchers asserted that suicide caused service member deaths more often than combat (O'Gorman, 2012). Hoge et al. (2004) reported that veterans were most likely to access mental health services 3-4 months post-deployment. Unfortunately, researchers suggested that service members were hesitant to access mental health treatment, citing the stigma of labels (Kim, Britt, Klocko,

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