Valerie L. Custer, OTR, is an Occupational Therapist, Rehabilitation Unit, The University of Texas Medical Branch Hospitals, Galveston, Texas 77550. At the time of this study, she was an Occupational Therapist in the Mental Health Unit and Work Programs, Department of Occupational Therapy, The University of Texas Medical Branch Hospitals, Galveston, Texas

Kathryn E. Wassink, COTA, is an Occupational Therapy Assistant, Texas City Independent School District, Texas City, Texas, and a bachelor’s student in the occupational therapy program, School of Allied Health Sciences, The University of Texas Medical Branch, Galveston, Texas. At the time of this study, she was an Occupational Therapy Assistant in Unit Work Programs, Department of Occupational Therapy, The University of Texas Medical Branch Hospitals, Galveston, Texas