1. Department of Family Medicine and Biobehavioral Health, University of Minnesota Medical School, Duluth, MN, USA;
2. Family Practice, Bad River Health and Wellness Center, Ashland, WI, USA;
3. Child and Adolescent Psychiatry, Duluth, MN, USA;
4. Department of Psychiatry, Essentia Health, Duluth, MN, USA;
5. University of Minnesota Medical School, Duluth, MN, USA