From the Brown School, Washington University, St. Louis; School of Social Work, University of Michigan, Ann Arbor, Mich.; Harvard South Shore Psychiatry Residency Training Program, Harvard Medical School, Brockton, Mass.; Ann Arbor VA Medical Center, Ann Arbor; Department of Psychiatry, University of Michigan Health System, Ann Arbor; Center for Organization, Leadership, and Management Research, VA Boston Healthcare System, Boston.