Making CBT accessible to more veterans is especially important considering that several studies demonstrate the high prevalence and costs of chronic low back pain (CLBP) among veterans receiving care in VHA facilities. Chronic pain is often accompanied by social and psychological difficulties including loss of work, and declines in social, emotional and physical functioning. Persons with chronic pain often have co-occurring medical and psychiatric conditions and emerging data suggests that chronic pain may undermine management of these disorders. The VHA Health Economics Research Center has documented particularly high costs of care for veterans with CLBP. Given the high prevalence and cost of CLBP, and its association with decrements in the management of other chronic conditions, increasing the availability of treatments for chronic pain would likely assist in optimizing care to this population.