Jonathan S Dowben1, Peter C Kowalski2, Norman L Keltner3. 1. Child and Family Behavioral Health Service (CAFBHS), Department of Behavioral Medicine, Brooke Army Medical Center (BAMC), Fort Sam Houston, San Antonio, Texas, USA. 2. Behavioral Health Center of Eastern Idaho Regional Medical Center, Idaho Falls, Idaho, USA. 3. School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA.