Veterans PTSD Treatment and Psychological Readjustment Act of 1991

Veterans PTSD Treatment and Psychological Readjustment Act of 1991 - States that it shall be the policy of the Secretary of Veterans Affairs to implement the recommendations of the Chief Medical Director's (CMD) Special Committee on Post-Traumatic Stress Disorder to establish and operate specialized inpatient post-traumatic stress disorder units (SIPUs) at Department of Veterans Affairs medical centers. Requires such facilities and services to be available to all eligible veterans, including veterans of the Persian Gulf conflict. Requires the Secretary to gradually increase the number of SIPUs in order to meet a total increase of not less than 30 units by December 31, 1994.

Requires the Secretary to direct the Special Committee to identify areas of the country in which there are significant needs for expanding the Vet Center program. Directs the Special Committee to present a list of not less than 40 areas as candidates for new Vet Centers to the Readjustment Counseling Service of the Department no later than September 30, 1991. Requires the Counseling Service to gradually increase the number of existing Vet Centers in order to meet a total increase of not less than 40 by December 31, 1994.

Directs the Advisory Committee on Readjustment of Veterans (established under this Act) to prepare a report to be submitted to the Congress on recommendations to increase outreach efforts to veterans of the Vietnam era and thereafter with readjustment counseling needs. Expands eligibility under the Vet Center program to include veterans of the Persian Gulf conflict. Directs the Secretary to make facilities and services of the Vet Centers available to family members of military personnel assigned to duty in the Persian Gulf. Urges the Secretary to fill expeditiously Vet Center staff vacancies caused by reassignment to Department medical facilities in preparation for receipt of casualties from the Persian Gulf conflict.

Directs the Secretary to establish the Advisory Committee and seek its advice with respect to: (1) the administration of Department benefits for veterans, particularly Vietnam and post-Vietnam era veterans; (2) reports and studies pertaining to veterans, particularly Vietnam and post-vietnam era veterans; and (3) the needs of all veterans with respect to compensation, health care, readjustment, outreach, and other benefits and programs administered by the Department. Requires the Advisory Committee to report annually to the Secretary pertaining to the social, economic, educational, and psychological readjustment of veterans. Requires the Secretary to submit such reports to the Congress, along with comments and recommendations. Authorizes the Secretary to conduct a pilot program to contract for care and treatment and rehabilitative services in halfway houses, therapeutic communities, psychiatric residential treatment centers, and other community-based treatment facilities for eligible veterans suffering from PTSD. Requires the CMD to plan, design, and conduct such program. Requires the Secretary to approve the quality and effectiveness of a program operated by a contract facility before allowing veterans to be furnished treatment there under the pilot program.

Directs the Secretary to: (1) urge all public and private entities to provide appropriate employment and training opportunities to veterans who have been provided treatment and rehabilitative services under this Act for PTSD and who have been determined to be sufficiently rehabilitated to be employable; and (2) provide all possible assistance to the Secretary of Labor in placing such veterans in such opportunities.

Requires the Secretary to provide referral services and advice to veterans discharged or released from active service who are not eligible for PTSD treatment and services.

Limits participation in the PTSD pilot program to 500 eligible individuals. Directs the Secretary to report to the Senate and House Veterans' Affairs Committees on the operation of the pilot program through FY 1994. Terminates the pilot program after five years of operation.

Directs the Special Committee to examine the effectiveness of contracts for the treatment of PTSD with private facilities and therapists. Requires the Special Committee to report its findings and recommendations to the veterans' committees.

Requires the Secretary, in administering the Health Professionals Educational Assistance Program, to encourage the participation of individuals who desire to become psychologists, psychiatrists, social workers, psychiatric nurses, and other professionals specializing in the treatment of PTSD.

Directs the CMD to conduct research programs to consider the most effective treatment for PTSD and the effectiveness of involving the family in the treatment of PTSD and to report his findings to the veterans' committees. Requires such research to be conducted through the National Center on Post-Traumatic Stress Disorder, with consultation from the Special Committee and the Advisory Committee.

States that it shall be the policy of the Secretary to implement the recommendations of the Special Committee to establish and operate post-traumatic stress disorder clinical teams (PCTs) at Department medical centers that provide mental health services. Requires such services to be available to all veterans, including veterans of the Persian Gulf conflict. Directs the Secretary to increase the number of PCTs by 50 units by the end of calendar year 1994. Requires the Secretary, in establishing such new PCTs, to give priority to locations that do not have a SIPU or an affiliated Vet Center.

Requires the Secretary to direct the Special Committee to assess the capacity of the Department to provide treatment for PTSD. Requires the Special Committee to report its findings to the Secretary, to be forwarded to the Congress.