1. Denise R. Black, PhD, LCSW, is part-time instructor, College of Social Work, University of Tennessee, 1618 Cumberland Avenue, 109 Henson Hall, Knoxville, TN; e-mail: dblack16@vols.utk.edu. Mary L. Held, PhD, LCSW, is assistant professor, College of Social Work, University of Tennessee, Nashville. Tami H. Wyatt, PhD, RN, is Robert Wood Johnson Foundation executive nurse fellow, torchbearer professor in nursing, and associate dean of research, College of Nursing, University of Tennessee, Knoxville