The current Stem system is programmed on a web-based application. A staff member interviews the participant to determine which kinds of messages they want to have sent with emphasis on personal meaning and concerns for confidentiality. The staff member then types the message into the web-based program while the patient is present. The investigators have an archive of previously used personal messages that new participants could review and reuse or create their own messages. For the enhanced TEXT application proposed here, the investigators will use the same procedure to develop messages. Staff members will also assist the participants in programming the cell phone with appropriate numbers and reviewing its relevant features. Therefore, staff members will do all of the programming, with the participant's guidance about what messages will be helpful to them. When literacy is an issue, the investigators will use a combination of simple textable icons along with a few words to assist the participant in understanding the message.