Elizabeth B. Devereaux, MSW, ACSW/L, OTR/L, FAOTA, was an Associate Professor Department of Psychiatry, and Director of the Division of Occupational Therapy at the Marshall University School of Medicine, Huntington, West Virginia, when this article was prepared. She is now retired. (Mailing address, 304 Wood Lomond Court, Huntington, West Virginia 25705)

Robert B. walker, MD, is Professor and Chairman, Department of Family and Community Health, and Associate Dean for Clinical Affairs, Marshall University School of Medicine, Huntington, West Virginia, and Director Lincoln County Primary Care Center Hamlin, West Virginia