COL (Ret) Elspeth Cameron Ritchie, MD, MPH Chief, Mental Health Community Based Outpatient Clinics Washington DC VA Clinical Professor of Psychiatry George Washington University School of Medicine Professor of Psychiatry Howard University College of Medicine Clinical Professor of Psychiatry, Georgetown University School of Medicine Professor of Psychiatry, Uniformed Services University of the Health Sciences (USUHS) Joseph E Wise, MD Major, Medical Corps, US Army Walter Reed National Military Medical Center Bethesda, MD, USA Bryan Pyle, MSW Department of Social Work Walter Reed National Military Medical Center US Navy Bethesda, MD, USA