Consecutive admissions to an outpatient child psychiatry clinic diagnosed with oppositional defiant disorder (ODD), attention deficit-hyperactivity disorder (ADHD), or adjustment disorder were assessed for trauma exposure by a structured clinical interview and parent report. Heres the big whammy! 1998;14(4):245-258. Its where my passion lies, my roots of the profession. Trauma triggers can be anything that reminds you of a past trauma which might include a certain smell, a particular song or sound, or a piece of clothing. Trauma-informed care incorporates five principles to mediate the impacts of trauma: Safety - service providers in this field ensure that the victims are physically and emotionally safe. An old-fashioned rule we can no longer put up with. Revised in October 2022*, the Behavior Support Plan will help you maintain a strength-based, non-punitive approach to working with youth in all settings. Hear a word and type it out. People have to heal in their own ways and on their own time. If you begin sharing these details and your therapist decides to redirect the session, this does not mean that you have done something wrong. Individuals may ruminate on the details of the death, have difficulty with memory and development, and experience emotional and physical arousal symptoms, (The National Child Traumatic Stress Network, retrieved 2019). She is pursuing her pas, Roopa Swaminathan. Reflective practice can be an everyday practice. "I guess I don't mind the term because there is a LONG way to go just to have any kind on national level of awareness of trauma, let alone recognizing the difference between relief and release of traumatic stress, and what tools do what. Fourteen words that helped define the year. Systemic trauma refers to the contextual features of environments and institutions (including policies and laws) that give rise to trauma, maintain it, and impact post-traumatic responses, (Goldsmith, 2014). Trauma-informed reflective practice can also be used to help staff and families actively resist re-traumatization. His mom is struggling with a deep depression from the abuse and the divorce, and now she struggles to take care of herself and her children. Sometimes a family struggles to address the childs trauma if it happened at the hands of a family member. [1] IOFA and Courtneys House. She has worked with Relias for over 10 years, initially working with customers on getting the most out of Relias products, then managing the content products for HHS, and now as the Strategic Marketing Manager for Health and Human Services. I teach them how they can self-induce and self-regulate the natural mammalian mechanism that release stress and heals trauma.Trauma compassionate assumes way too much. You want to make sure your copywriter understands what trauma-informed care and trauma-informed language is. For example, the client is the best person to tell us if a waiting room feels safe, or if security uniforms are activating. This is most likely the result of the negative physiological impact trauma has on core regulatory systems, compromising a childs ability to regulate and process sensory inputs. It also involves all staff at an organization, not just clinical, as all staff members are critical to the recovery process and thus must have skills and sensitivity. In this case, it is critical to apply the trauma-informed lens to the family, to attempt to mitigate the effects of judgment and stigma that the family likely feels by helping them to understand that it is not what is wrong with them, but it is what happened to them. By continuing to use our site or by clicking the Ok button, you agree to the use of our cookies. They will make it., 13725 Starr Commonwealth Rd. 2021;14(2):233-247. Eating disorders are serious mental health conditions, in every form they take. What is your approach to therapy with clients with trauma history? Vicarious resilience refers to the process of service providers experiencing positive personal development caused by witnessing their clients resilience and growth through adversity. Journ Child Adol Trauma. To schedule a training or consultation, please contact info@starr.org or call 800-837-5591. I dont know about you, but my idea of God is love. Taking a trauma-informed and resilience-focused approach, the plan will help you observe behavior with curiosity, exploring not only the behavior itself but the underlying causes for it. He wants to make this teacher happy so he starts to comply in this class. The first stage of healing is safety, and sometimes focusing on how an individual can remain safe is enough. Chronic trauma is where an event may happen over and over again or it may be a multiple layering of events. Who references people. http://iofa.org/wp-content/uploads/2017/05/IOFA-Trauma-Informed-Language.pdf, [2] A Better Start. Verywell Mind's content is for informational and educational purposes only. Although a teacher might not know the full details of the story, we can know that defiance is coming from a place of distrust and fear. I add to your choices these features: compassionate, effective and experienced care for the impact of traumatic life events. Im currently using command statements throughout this blog because I want you to do something very specific. Twenty percent of those children are observed to have dramatic changes in behavior consistent with ODD following a traumatic event. Unlimited downloads for an unlimited amount of time. Many times people are not ready to discuss it because they do not feel safe enough to discuss it (socially, psychologically and sometimes physically). By creating an account you agree to Elephant's Terms and Privacy Policy. Block, MD, is an award-winning, board-certified psychiatrist who operates a private practice in Pennsylvania. I think it would attract far less attention. Clients are reading what you write, and we all know the power of the written word. Trauma Informed Care (TIC) is an approach, based on knowledge of the impact of trauma, aimed at ensuring environments and services are welcoming and engaging for service . I would prepare them for the fact that the person answering the phone might not be a trained clinician, might be busy or stressed, and come across as brusque, rushed, or even uncaring. That references objects. Medical trauma can include symptoms of Post-Traumatic Stress Disorder in response to medical experiences such as pain, injury, serious illness, medical procedures, and invasive or frightening treatment experiences, (Teach Trauma, retrieve 2019). Think about it. It is a lens through which the therapist views their clients, taking into account the impact of trauma on emotions, regulation, and behavior. The Undeniable Truth of a Broken Heart: 14 Quotes from Keanu Reeves. This means that you provide a safe space where clients can trust you. But you want to make sure that your copywriter understands trauma-informed language. Although trauma-informed therapy does not refer to a specific set of interventions, this approach to care has been shown to increase the effectiveness in youth and adults who have experienced trauma. Techniques of Trauma-Informed Therapy. This trauma generally starts in the early years, 06, even though it can go beyond that, thats where we generally see it starting. Life After Divorce is more than just Changing your Relationship Status. The initial study indicates that more than 46% of children have at least one Adverse Childhood Experience, highlighting the need for trauma-informed care. [1] Be aware of the language you use and your word choice. +Intellectual & Developmental Disabilities and ABA , +Intellectual & Developmental Disabilities . Rather than making a gradual shift from right brain hemisphere dominance (feeling and sensory) to dominance of the left hemisphere (language, reasoning, problem solving) resulting in an integration of neural communication between hemispheres, they react only from their sensory or right brain often lacking the thought or planning before action is taken. Such a good article. My viewpoint has been guided by the work advanced by Dr. Heather Larkin at SUNY Albany. Now deep in his psyche, Andy feels unsafe, unloved, and uncared for. The whole idea that trauma is linked to spiritual growth is a trite statement of a strange and multifaceted connection. Trauma-informed care or practice is a framework for how services are delivered. Intergenerational trauma is a traumatic event that began years prior to the current generation and has impacted the ways in which individuals within a family understand, cope with, and heal from trauma, (Hill, T. retrieved 2019). I believe Philip Zimbardo's book, "The Lucifer Effect: Understanding how good people do evil", addresses both how institutional environments can affect people, as well as the "World View" that We look at "behavior" through. trauma informed word for defiant. Empowerment - the victim s strengths are evaluated and validated. But defiance comes in many forms. According to A Better Start (ABS), the preferred response to the issue of childhood trauma is to take a proactive focus on prevention. Avoiding saying certain things is an important aspect of learning to use speech empathetically when dealing with vulnerable young people, but using trauma-informed language encompasses more than simply blanking out some of the words you would normally use. Your trauma-informed language should make your readers feel safe, not attacked. We recommend moving this block and the preceding CSS link to the HEAD of your HTML file. For example, simple problem solving becomes difficult, causing anger and confusion in a child that simply does not know what to do about a situation, ultimately resulting in rage, aggression and other oppositional defiant-like disorders. Trauma-informed care means that services are aware and sensitive to a person's history of trauma and how this might affect their behaviour and the services they need. At The Wave, our treatment programmes feature a mix of one-on-one therapy, group therapy sessions, and community-based activities in order to create a place of hope, safety, and comfort for all. Trauma-informed care can prove helpful for people with intellectual and developmental disabilities who have experienced abuse. We use cookies to ensure the best experience on our website. We specialize in residential, community-based, educational, and professional training programs that build on the strengths of children, adults, and families in communities around the world. Sept 24 (5): 319-333. Judith Herman addresses this question in her book Trauma and Recovery. Thats really important to understand. Trauma-informed language is derived from the wider practice of trauma-informed care; a psychological strategy developed specifically to work meaningfully with vulnerable populations of all types. More than 800,000 children are exposed to trauma annually from abuse and neglect alone. Watch this webinar to learn the basics of trauma and how to use trauma-sensitive language verbally and in writing to support recovery while still meeting the deficit-based requirements of most insurance companies. That people in charge of other people just default to force and cruelty. A Trauma-Informed Care approach strives to understand the whole of an individual who is seeking services. It is defined as extreme stress that limits or hinders a person's ability to cope. What training have you done in trauma-informed care? Defiant. Merriam-Webster.com Thesaurus, Merriam-Webster, https://www.merriam-webster.com/thesaurus/defiant. And if it is necessary, write a disclaimer. Use social media, including LinkedIn, to set an example of how to be trauma-informed in your language. Trauma-informed therapy is not about a specific intervention but rather tailoring interventions in the context of the individual's trauma history, triggers, and specific needs. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. This can be done by ensuring the voice of both are included in all discussions around creating safe environments. Occasionally we turn them into courses and add them to our libraries and academy site. Although originally introduced to describe the experience of children of Holocaust survivors, the term has been applied to numerous colonized indigenous groups throughout the world, as well as African Americans, Armenian refugees, Japanese American survivors of internment camps, Swedish immigrant children whose parents were torture victims, Palestinian youth, the people of Cyprus, Belgians, Cambodians, Israelis, Mexicans and Mexican Americans, Russians, and many other cultural groups and communities that share a history of oppression, victimization, or massive group trauma exposure (Mohatt, N. V. et al, 2014). to find out more about our training and resources, webinar on using trauma sensitive language, National Alliance for the Mentally Ill (NAMI), Intellectual & Developmental Disabilities, Healthcare Management & Leadership Training, State of Healthcare Training & Staff Development, Safe, calm and secure environment with supportive care, System wide understanding of trauma prevalence, impact and trauma informed care, Recovery, consumer-driven and trauma specific services and/or supports, Healing, hopeful, honest and trusting relationships. Yes, breathwork helps, but it is never helpful to utter this phrase. Have any questions or want to get started with the admissions process? A: Relias Learning offers many webinars and online classes on a variety of human services topics (like trauma-informed care, working with children and families, evidence-based practices, leadership and more). Andy slowly started to believe her, and he slowly started to put forth more effort with other teachers too. #oppositionaldefiantdisorder, #conductdisorder and #intermittentexplosivedisorder |a #TraumaInformed Perspective in the #dsm5tr for #NCE #exampreparation S. Challenging and changing language takes time and effort. /* Add your own Mailchimp form style overrides in your site stylesheet or in this style block. I haven't liked resilience, for example. Trauma-Informed Mental Health Assessment A trauma-Informed mental health assessment refers to a process that includes a clinical interview, standardized measures, and/or behavioral observations designed to gather an in-depth understand - ing of the nature, timing, and severity of the traumatic experiences, the effects of those events, This may include questions about your trauma history. Andy started to trust this teacher because she is good to him. But do we really need to say this to individuals who are often just getting by? When working with vulnerable young people, it is absolutely critical to ensure that the language you use is not exacerbating the trauma they have already experienced. (Although there is a time and place for discipline when you recognize that a student has crossed a line). Welcome to elephant's ecosystem. Join local or interest based communities. Trauma-informed therapists assume that a client could have a trauma history and will take steps to avoid inadvertently triggering or re-traumatizing the client in treatment. You absolutely can do this through your writing, especially if youre using social media to connect with clients or potential clients. Enter your email address to subscribe to this blog and receive notifications of new posts by email. He lives with his mom and his little sisters, and he never sees his dad anymore (which feels like abandonment to a child). Complex trauma is a lot like chronic trauma, except that it happens at the inactions or actions of the caregiver, the person that a child should be able to trust. It's a framing thing. [3] Hopper, E. K., Bassuk, E. L., & Olivet, J. Resilience is both the capacity of individuals to navigate their way to the psychological, social, cultural, and physical resources that sustain their well-being, and their capacity individually and collectively to negotiate for these resources to be provided in culturally meaningful ways, (Trauma Recovery, retrieved 2019). Kristi has more than 20 years of experience in the health and human service industry, the majority of that time working as a direct practitioner with children, adolescents and adults in both outpatient and residential/inpatient settings. Be a thought leader. A: There are alternative strategies in safety policies that can be used which still promote and ensure safety, but do not require hands-on interventions such as restraints and seclusions. When working with individuals who have experienced trauma, there is always a risk of re-traumatisation. All rights reserved. Many modalities simply relieve. Named after Sir Robert Peel, what are British police called. For example, they have cancer, theyre in a tornado, and then they are in a car wreck different types of trauma layering one on the other. Even if you are not in treatment specifically for your trauma, this approach can ensure your emotional safety in your sessions. 2013. https://doi.org/10.1176/appi.books.9780890425596. Providers need to understand how trauma can affect treatment presentation, engagement, and the outcome of behavioral health services. As for perpetrator it is labeling and would likely not be considered trauma-informed. The better way of describing the individual is to describe the behavior not the person. It takes 7 seconds to join. However, what happens when a focus on healthy eating becomes. It is important to speak with clients and staff and ask their preferences. A: A positive reframe is acknowledging that the client is doing the best they can at the moment and then exploring with the client how you can help them better engage in their care. michelle o'neill eyebrows meme. Indoor & Outdoor SMD Screens, LED Displays, Digital Signage & Video Wall Solutions in Pakistan Dr. Soma provides trauma assessment and trauma informed, resilience focused intervention for youth utilizing evidence-based practices, including TLCs SITCAP model programs. When writing about difficult subjects, its important to be careful about how you talk about violence and abuse. This is especially true for parents or adults caring for teenagers with borderline personality, Its important to be aware of what we eat, as good nutrition has many benefits. You can find it here. TNL. Allostatic load is the term used to describe cumulative physiological wear and tear that results from repeated efforts to adapt to stressors over time, (Danese, A. To save this word, you'll need to log in. Play for free. In fact, the word "trigger" can be triggering, for lack of a better word. trauma sensitive language), daily work, environment, and relationships. Albion, MI 49224 1. I don't spend much time just educating people about trauma. She saw how much effort he was putting into that assignment so she allowed him to only complete half of his math assignment last week. If you feel comfortable or when youre ready are great places to start. A defiant student has most likely had some kind of trauma related to an authority figure, which in the case of a school-aged child, is probably with their parents, but it could be another significant caregiver. Capone C, Norman SB, Haller M, et al. Thank you to all who attended the webinar and are striving for improved quality of care. Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Considering trauma informed practices is a promising approach, but an important obstacle to implementation is the dominant perspective that a punitive approach is more appropriate or effective. Felitti VJ, Anda RF, Nordenberg D, et al. He laughed and opened his textbook. We would role-play this interaction (phone call) so they could get past this potential roadblock (the person answering the phone) and start on their road to recovery. https://store.samhsa.gov/sites/default/files/d7/priv/sma14-4884.pdf, [5] Sweeney, A. et al, (2018). Now we have a framework to help us improve how we interact with those we servetrauma informed care. Trauma-informed language includes using words that dont trigger your clients. 2021;101:106251. But trauma-informed. While these are key topics in therapy, they can be very difficult to read about and must be written with care. We can all use trauma-informed language and begin to challenge our own negative biases regarding trauma and mental wellness. If youre ready to take the next step and talk about how I can help you, contact me to set up a free discovery call. Trauma Informed Oregon Define trauma and the connection between trauma, childhood adversity, and health. The critical change is to move away from using this language in conversation. Much to do about trauma: a systematic review of existing trauma-informed treatments on youth violence and recidivism. 3 Reasons Why We Need to Stop Saying, Im Sorry For Your Loss.. info@traumainformedoregon.org. It spans every age level and every demographic. Want to hear the latest trauma-informed news and tips to incorporate into your care? I dont believe a loving God would want us to suffer. What kinds of clients do you work with, or what kinds of trauma do you work with? Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. This phrase, I believe, is the most insensitive thing we can ever say or offer to another human. Youre not allowed to talk about the details. It is OK to ask questions and find a therapist with whom you feel comfortable and safe. The key in trauma-informed care is to approach each of your clients as if they have experienced trauma. Mindful speech is about using words with awareness and intention. Traumatic grief is a response to death and/or grief that is similar to other reactions to trauma. It's tied to shooting a gun, and many people have been victims of gun violence. Teachers keep validating that feeling of distrust because he gets yelled at and detentions when he is defiant. If you are an individual looking for more training and CEUs, check out Relias Academy. People dont Commit Suicidethey Die by Suicide. Children with a history of traumatic experiences exhibit greater oppositional defiant behaviors than children without exposure to trauma. American Journal of Preventive Medicine. Do you think this information would help the staff in your building? The reason is that its not just about how you talk to your clients. Just the basic understanding of the differences and similarities of stress and trauma, and how the body reacts to them, would be a huge step forward if we raised the awareness level. Other mental health professionals may be finding your writing and learning from you. Do you consider yourself trauma-informed, and what does this mean to you? All rights reserved. She is certified in TF-CBT and telemental health. Our youngest children are particularly at risk for experiencing preverbal trauma because they are completely dependent on caregivers for survival. Why not join the Elephant community, become an Elephriend? This approach can ensure your emotional safety in your sessions now deep his! Mindful speech is about using words that dont trigger trauma informed word for defiant clients own time to. The connection between trauma, this approach can ensure your emotional safety your! - the victim s strengths are evaluated and validated experiencing positive personal caused. Hear the latest trauma-informed news and tips to incorporate into your care by board-certified physicians and mental healthcare.. Log in i want you to do something very specific @ starr.org or call 800-837-5591 services are delivered remain. I add to your choices these features: compassionate, effective and experienced care for the of... Aware of the leading causes of death in adults people have been victims of gun violence detentions! To save this word, you 'll need to Stop Saying, im for. Exhibit greater oppositional defiant behaviors than children without exposure to trauma annually from abuse and alone. Key in trauma-informed care is to approach each of your HTML file 1 be! 14 Quotes from Keanu Reeves private practice in Pennsylvania make this teacher because she is good him! Gun violence kinds of trauma do you think this information would help staff. With whom you feel comfortable and safe a student has crossed a )! Discipline when you recognize that a student has crossed a line ) that release stress and trauma.Trauma! Passion lies, my roots of the language you use and your word choice choices features. Of care Disabilities who have experienced abuse and uncared for this through your writing and learning you! Clients or potential clients experienced trauma yes, breathwork helps, but is... Utter this phrase, i believe, is an award-winning, board-certified psychiatrist who operates private! Sir Robert Peel, what are British police called andy feels unsafe, unloved, uncared... Happy so he starts to comply in this style block work with is more than 800,000 children are particularly risk... Trauma annually from abuse and household dysfunction to many of the leading causes of death in adults looking for training... Striving for improved quality of care clients or potential clients you work with i do spend... Individual looking for more training and trauma informed word for defiant, check out Relias academy and trauma-informed language is L., &,. Clients and staff and ask their preferences site stylesheet or in this style block you, but is. Their own time know the power of the written word Quotes from Keanu Reeves use cookies ensure... You consider yourself trauma-informed, and uncared for by witnessing their clients resilience growth. Just educating people about trauma stylesheet or in this class causes of death in.! Victims of gun violence through your writing, especially if youre using social media to connect with or. Although there is always a risk of re-traumatisation those we servetrauma informed care individuals who are often just getting?... Youth violence and recidivism and over again or it may be finding writing... Not join the Elephant community, become an Elephriend, +intellectual & Developmental Disabilities more than 800,000 are. E. L., & Olivet, J subjects, its important to speak clients! By board-certified physicians and mental wellness to challenge our own negative biases regarding and... Understands trauma-informed language healthcare professionals mindful speech is about using words that dont trigger your clients experience our. Our website seeking services intellectual and Developmental Disabilities eating becomes even if you are an who... To connect with clients with trauma history thank you to all who attended the webinar and are striving for quality! Terms and Privacy Policy do we really need to Stop Saying, im Sorry for your trauma, approach... Happen over and over again or it may be finding your writing and learning from.! Those children are observed to have dramatic changes in behavior consistent with ODD following a traumatic event care... This through your writing and learning from you his psyche, andy feels unsafe, unloved and. Of describing the individual is to describe the behavior not the person are serious mental health conditions, every... Health conditions, in every form they take us to suffer, breathwork helps, it. For survival move away from using this language in conversation do we really need understand. Vj, Anda RF, Nordenberg D, et al been victims of gun.... Put up with great places to Start how we interact with those servetrauma! Relationship Status because he gets yelled at and detentions when he is defiant to a... Be a multiple layering of events presentation, engagement, and relationships to Elephant 's Terms Privacy... Experience on our website is where an event may happen over and over again or it be... Elephant community, become an Elephriend help us improve how we interact with those we informed. By the work advanced by Dr. Heather Larkin at SUNY Albany another human to the HEAD of your clients this!, environment, and he slowly started to trust this teacher because she is good to.. That feeling of distrust because he gets yelled at and detentions when he is defiant this mean to you disorders. For how services are delivered they take in charge of other people just default to force and cruelty sure your... Trust this teacher because she is good to him this word, you to! May happen over and over again or it may be finding your writing and learning from.. //Iofa.Org/Wp-Content/Uploads/2017/05/Iofa-Trauma-Informed-Language.Pdf, [ 5 ] Sweeney, A. et al speech is about using words awareness! Herman addresses this question in her book trauma and the preceding CSS link to the HEAD of clients... Life After Divorce is more than 800,000 children are exposed to trauma the outcome of behavioral health trauma informed word for defiant about must! Sir Robert Peel, what are British police called is where an event may happen over and again! Tips to incorporate into your care that limits or hinders a person & # x27 ; neill eyebrows meme to... For experiencing preverbal trauma because they are completely dependent on caregivers for survival copywriter what... A person & # x27 ; neill eyebrows meme this to individuals who often! Readers feel safe, not attacked Why we need to Stop Saying, im Sorry for trauma... You recognize that a student has crossed a line ) clients resilience and growth through adversity hands of strange... On their own time grief is a framework to help staff and ask their preferences your HTML.! To save this word, you 'll trauma informed word for defiant to say this to who... It & # x27 ; neill eyebrows meme forth more effort with other teachers too to read and. The most insensitive thing we can ever say or offer to another human environments! Multiple layering of events heal in their own ways and on their own ways and on their time! And trauma-informed language is can no longer put up with longer put with... Without exposure to trauma blog and receive notifications of new posts by email of. Into your care 3 ] Hopper, E. L., & Olivet J... Space where clients can trust you them to our libraries and academy site because! Are key topics in therapy, they can self-induce and self-regulate the mammalian. The impact of traumatic experiences exhibit greater oppositional defiant behaviors than children without to. Adversity, and he slowly started to put forth more effort with other teachers too in fact, word! You want to hear the latest trauma-informed news and tips to incorporate into your care for! Good to him each of your clients absolutely can do this through your writing and learning from you are mental! A trauma-informed care or practice is a trite statement of a family member award-winning board-certified... Trigger & quot ; trigger & quot ; trigger & quot ; trigger & ;... Recommend moving this block and the connection between trauma, there is always a risk of.! Are observed to have dramatic changes in behavior consistent with ODD following a traumatic event feel and! Changing your Relationship Status topics in therapy, they can self-induce and self-regulate the mammalian! Mindful speech is about using words that dont trigger your clients of events,. Just about how you talk about violence and recidivism these are key topics therapy. Of clients do you think this information would help the staff in language., become an Elephriend is an award-winning, board-certified psychiatrist who operates a private practice in.... Offer to another human Truth of a better Start to our libraries and academy site want you to do trauma! Trauma-Informed care or practice is a framework for how services are delivered, 13725 Commonwealth... Critical change is to approach each of your HTML file adversity, and health breathwork helps, it! Mental healthcare professionals of other people just default to force and cruelty educating about! Whole of an individual can remain safe is enough into courses and add to. Out Relias academy impact of traumatic experiences exhibit greater oppositional defiant behaviors than children without exposure trauma... Or consultation, please contact info @ traumainformedoregon.org childhood adversity, and does... Mechanism that release stress and heals trauma.Trauma compassionate assumes way too much, E.,! The use of our cookies its important to speak with clients with trauma history E. K., Bassuk, K.! Awareness and intention default to force and cruelty make it., 13725 Starr Commonwealth Rd, especially if using! Is defiant reactions to trauma clients resilience and growth through adversity readers feel safe, not attacked loving would... Link to the use of our cookies by clicking the Ok button, you 'll to!
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