VA mental health system sharply denounced at hearing VA facilities used practices that "greatly distorted" the actual waiting time for appointments, Halliday said, enabling the department to make claims that 95 percent of first-time patients seeking mental-health care received an evaluation within 14 days when, in reality, fewer than half were seen in that time. Sen. Patty Murray (D-Wash.), chairman of the committee, described the findings as showing a "rampant gaming of the system." Nicholas Tolentino, a former mental health administrative officer at the VA Medical Center in Manchester, N.H., told the committee that managers at the facility pressed the staff to develop ways to see as many veterans as possible while providing the most minimal mental-health services possible. "The plan that was ultimately developed gamed the system so that the facility met performance requirements but utterly failed our veterans," said Tolentino, a former Navy corpsman who went to work at the Manchester facility in 2009. One manager directed the staff to focus only on the immediate reason for an appointment and not to ask the veteran about any other problems because "we don't want to know or we'll have to treat it," according to Tolentino. "VA is failing to meet its own mandates for timeliness and instead is finding ways to make the data look like they are complying," said Murray, who requested the report. "It's mind-boggling," said Sen. Scott Brown, (R-Mass.), who raised concerns that the long waits that veterans seeking mental-health services face leaves them at heightened risk for suicide. The data was often based on available appointments, rather than the patient's clinical needs, according to the inspector general's office. The office issued reports in 2005 and 2007 raising similar concerns that the VA was using faulty data to calculate wait times. "This has been an issue for many years and hasn't been resolved," John Daigh Jr., assistant inspector general for health-care inspections, told the committee. Under pressure to reduce waiting times for veterans, the VA announced last week that it plans to hire 1,600 mental-health workers, an increase of more than 9 percent. But the VA already has about 1,500 vacancies in mental-health specialties, positions that have been hard to fill given better pay in the private sector. How are you going to ensure that 1,600 positions . . . don't become 1,600 vacancies? Murray asked. Schoenhard said the department is studying ways to better recruit and retain mental-health professionals. "In the interim, you have soldiers who are killing themselves," Brown said. Tolentino, who said his complaints "largely fell on deaf ears," resigned from the Manchester facility in December. "Ultimately, I could not continue to work at a facility where the well-being of our patients seemed secondary to making the numbers look good," he said.