Countries such as Pakistan and India, which have huge populations and many competing economic and social priorities, are also experimenting with task-shifting, in which mental health counseling can be delivered by lay health workers trained to provide scientifically sound counseling with supervision.

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Though psychological trauma, which can eventually lead to post-traumatic stress disorder, became a widely recognized problem after the Vietnam War, the promotion of mental-health counseling for Iraq and Afghanistan war veterans has accelerated a trickle-down effect to civilians and first responders.

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Jefferson County Mental Health has spearheaded the counseling effort, making sure victims receive the assistance they need.

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Though no one can predict how long the students and families in Littleton will need counseling, mental health professionals are prepared to help as long as it takes.

CNN: Denver groups help trauma victims

OptumHealth : Provides a range of specialized health and wellness services to its customers such as mental health and substance abuse treatment and counseling.

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In addition, the nonprofit mental health clinic Newtown Youth and Family Services is providing counseling for families, community members and school staff.

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He predicted states would spend only 2.8% more than they otherwise would have, because their Medicaid programs now have to pay for things such as mental-health services, emergency-room visits and drug counseling that will be entirely or largely paid for by Washington under the expansion.

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Bernard Project recently expanded to rebuild homes in New Orleans and opened a center for wellness and mental health, offering residents one-on-one and group counseling, among other clinical services.

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When vets arrive -- through referral by the Veterans Administration, which largely funds the program -- they receive meals, housing, clothing, counseling and transportation to the VA hospital for additional medical and mental health care.

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As Major Holcombe said, marriage counseling has become a key component of the California National Guard's mental health strategy.

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