cultural considerations when working with immigrants

Author Celia J . Once their immediate basic health and social needs are met, refugees should be encouraged to participate in the provision of support for others in the community.5 The model of using focused group meetings may offer a non-threatening means for the newcomers to express their concerns and needs in their new country.16, Patients sense whether their physicians care about them as people, regardless of cultural differences.16 Some practical suggestions for physicians who treat patients from different cultures are listed in Table 2.34. You can use an interpreter or refer out, but try to help in some way. Ask about traditional beliefs as part of your cultural formulation. Bethesda, MD 20894, Web Policies 2019 Mar-Apr;80(2):113-115. doi: 10.18043/ncm.80.2.113. and culture Fam Process. This problem has been solved! Your message has helped me re-route my career. Mexican people may seem to agree when they really do not; nodding may mean nothing more than respect for the athletic trainer (Malat). Chang, Sen, Treibitz, Abdullah, & Hammon (2022) Many of the infections and diseases seen in Third World countries are not freqently seen in the United States, and physicians may feel insecure treating these conditions. I know that my struggles are unique and that my story holds value for me. All of the above (cross-cultural considerations, functional impairments, ableism) . SHORT ANSWERS 2 1. The cultural aspects of treating patients are similar for all age-groups, but certain themes have greater relevance with the elderly. Thank you for reading! Within one year of arrival, refugees are required to have a physical examination. The counsellor must consider the following cultural considerations when working with a documented immigrant; Political Ideology and Party Identification- Evidence shows that immigrants' political ideologies are concurrent with native-born Americans. Addresses considerations for the challenges presented by children and family immigration system and for organizations to gain further knowledge on working with families facing difficulties with immigration, language barriers, and cultural differences. ISBN: 9781483377148. Trained medical interpreters, preferably the same gender as the patient, are valuable partners in health care delivery to refugees.14 Because of the sensitive nature of some health issues, it is least desirable to use children or the spouse of a patient. Copyright 1998 by the American Academy of Family Physicians. See whats new to this edition by selecting the Features tab on this page. Physicians need to be cognizant of the possibility of abuse in refugee families and identify resources in the community to assist these families. Language barriers, the stress of immigration, sociocultural dislocation, and discriminatory U.S. policies towards immigrants contribute to the likelihood that immigrant families are more vulnerable and therefore more likely to have health and mental health problems. State the four elements of cross cultural communication 2 The Importance of Cultural Competency Health care workers need to be aware of, and sensitive to . An official website of the United States government. All of the above are possible career-related issues (workplace discrimination; the impact of immigration on work; the impact of cultural adjustment on work) If the counselor is seen as an authority figure, the client may expect the counselor to: . Because practicing physicians may not be aware of these factors, networking between the refugee agency, the physician and the community or governmental resource is essential in the provision of health care. Human immunodeficiency virus (HIV) infection is a major concern for refugees. Additionally, the technicalities of counseling are altered. In 1996, there were approximately 26 million refugees in the world, representing one out of every 220 persons.2. PMC National Library of Medicine Distt. Thank you for the article. Teach Learn Med. Call or text the NAMI Helpline at 800-950-6264, or chat with us, M-F, 10 a.m. - 10 p.m. Impoverished immigrants have more need to contact public service systems like public hospitals or welfare agencies due to the problems they are experiencing, and frequent contact with these systems makes them more visible at times of greatest risk. Immigrants differ from native-born citizens on this topic, as they are considerably more likely . Culture, or customs, beliefs, and products . calls into question dominant discourses about family bonds and requires that we adopt new theory and treatment considerations. Among Asians, women live an average of 85 years 4. 2020 Mar 6;20(1):292. doi: 10.1186/s12889-020-8398-1. This population tends to deem components of narrative therapy and cognitive behavior therapy as helpful due to the processes of telling their stories and combating cognitive distortions. Epub 2020 Oct 8. HHS Vulnerability Disclosure, Help Reviews best practices for child welfare workers engaging with immigrant and refugee families and offers information on staff training and procedures, placement of children, and child welfare intersections with the immigration system. The clinician might uncover a hidden agenda and cause of ailments when questioning a patient's perception of illness.13,14. In this brief, we highlight one . It is about committing to lifelong learning, self-reflection, and the willingness to learn from our patients about what is important to themcollaborating with them for optimal, individual care. Cultural competence means understanding the value of culture as perceived by clients, and appreciating how culture guides behavior and gives meaning to life. Gujrat. By recognizing probable victims of torture, the physician might focus the history and physical examination around the more relevant complaint, and consider different or more uncommon diagnoses. Culture shapes and influences individual health and mental health beliefs, family practices, human behavior, and even the outcomes of interventions (Ortiz Hendricks & Fong, 2006, p. 136. ) Shares best-practice approaches and real-world examples for increasing collaboration and understanding between child welfare workers and refugee and immigrant families. Currently, people are immigrating to the United States by the thousands, hoping to find work and a better or safer life. Immigration and acculturation may be stressful and even traumatizing. Schools and/or school-based programs are a highly effective avenue for counselors to become involved and play a role in the mental health of this population. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. I am moved to learn I had any influence on this wonderful career move. Here are some things to keep in mind if you are considering working with refugees coming to America. Simulating the Refugee Experience to Cultivate Cultural Competence and Sensitivity. I learned a lot from your takeaway lessons as I would like to become a multicultural LPC. Email: Contactus.naswnyc@socialworkers.org, Membership Management Software Powered by, Best Practices for School Avoidant Students, Addressing Intergenerational Trauma within the Black Community, Assisting Clients in Building Their Financial Capabilities, Direct Practice with Immigrants and Refugees: Cultural Competence. [Yamamoto, Rhee, & Chang, 1994). Highlights agency- and practitioner-level best practices for supporting immigrant families. Therefore, be open and willing to discuss the effects of discrimination aimed at undocumented individuals. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. Learn from these individuals who have stories to tell. That word being mood. When we discuss stereotypes and bullying, they are also learning these words along with the concepts. A Few Best Practices for Working with Asian Patients 1. negative effects on the immigrants work performance; otherwise, a referral to a culturally competent therapist is suggested. Though we are only one small piece of the criminal justice system, learning about cultural and gender concerns is critical so that we properly engage and fulfill our mission of striving toward objectivity. This personal disclosure in my work creates an instant connection from one fellow immigrant to another. See Answer. Counseling can nurture this population through its open-ended nature. In the past six months, the U.S. has lived through the convergence of three crises: the worst pandemic in 100 years, the worst economic decline since the Great Depression, and multiple incidents of police violence that triggered unrest in many cities as society attempted to reckon with longstanding . The Child Welfare League of America defines cultural competence as: The ability of individuals and systems to respond respectfully and effectively to people of all cultures . Many Korean immigrants are college-educated professionals with white collar backgrounds, yet after immigration most are forced to turn to blue-collar jobs or labor-intensive small businesses. In addition, there are tremendous disparities around who gets quality health and human services in the U.S. Several factors impinge on an immigrants effective use of services: (1) length of stay in the U.S.; (2) size of the family or extended family; (3) documented or undocumented status; (4) minimum wage or less than minimum wage jobs; (5) financially supporting family members in the country of origin; (6) youth of the population; (7) single-parent households; (8) family support systems; (9) lack of marketable skills; (10) residence in inner city neighborhoods with substandard housing, inadequate schools and services; and (11) limited English-speaking proficiency. Prim Care. Features a webinar on how child welfare agencies can improve their responsiveness to the needs of immigrant families and work to promote the well-being of immigrant children. Many countries find that new immigrants are willing to fight and die to protect their new homes, and so incorporate new immigrants into their military. Unauthorized use of these marks is strictly prohibited. We need to build public and private agency partnerships that can address the range of service needs that immigrants present with, and support immigrants especially as they transition to a new way of life. This title is also available on SAGE Knowledge, the ultimate social sciences online library. Designed to establish a foundational framework for working with trauma-exposed immigrants and refugees, this important work introduces innovative approaches to address client mental health problems while supporting adjustment to life in a new country. When families migrate, they often separate and then reunify. I can use my understanding to build a space where we can examine a shared understanding of the emotional impacts of this process and where they can also feel personally and culturally validated through this awareness of their experiences on a broader communal level. Depression Looks Like Me. See permissionsforcopyrightquestions and/or permission requests. Wishing you all the best in life today , tomorrow and always. Presents information to help child welfare professionals in partnering with refugee and immigrant caregivers. offers resources and websites to further inform practice. In most cultures, women are subservient to men, and added freedom in the United States may alter the family's dynamics. Parenting in a New Context: Foundational Tenets of Culturally Responsive Care Success stories include the quiet, young Nepali who finally spoke up in voicing stereotypes about this culture in group work, the older Mexican individual who continues to restructure negative thoughts to positive ones in a journal, and the immigrant dealing with an illness who now has the necessary resources to deal with its impacts. 2023, American Counseling Association. Race implies biological factors, while culture implies sociological factors. The Original Definition of Cultural Competence. and transmitted securely. This article also reviews interventions and best practices that draw on the incorporation of culture into health care and that thus may be effective for building cross-cultural understanding between providers and their immigrant and refugee patients. Dr. Carlson, Thank you very much for taking the time to read. This resource also highlights methods for effectively engaging, serving, and supporting these caregivers. Cultural respect is critical to reducing health disparities. Should you need additional information or have questions regarding the HEOA information provided for this title, including what is new to this edition, please email sageheoa@sagepub.com. Im glad I run across this article today! Aspen Institute (2021) Best of luck to you & please reach out should you need help in the future. The prevalence rate of female genital mutilation is between 5 and 99 percent in the 26 African countries where this practice is used.25,26 Depending on the extent of the procedure undergone, patients may have a complicated labor and delivery.27 During the second stage of the labor, infibulated patients, ones who received a more severe form of genital mutilation, may require anterior as well as posterior episiotomies before delivering the infant's head.28 These patients challenge the physician during their routine and prenatal visits since pelvic examinations may be difficult to perform or may be painful. Race Forward They eagerly share the Road Map of My Story worksheet and the Name Game compliments they received. Over 50,000 youth, mostly between the ages of 13 and 17 years, migrated to the United States (US) without familial accompaniment in the fiscal year 2018. Therefore, counselors seem to lack a serious role within these communities. In refugee families, violence is often hidden because the victim is often isolated from the general community and may not know how or where to ask for help. At least eighteen models of cultural competence have been proposed across disciplines. Thank you for your insights and passion for this population. There may be an infinite number of variables that exist between and within the different groups of refugees. Your email address will not be published. Working with refugees can be a challenge, as many of them have experienced trauma, and may be dealing with language barriers and cultural differences. This can be due to lingual issues or to the stigma that some cultures associate with mental health issues. If your library doesnt have access, ask your librarian to start a trial. Stigma: Undocumented immigrants are often subjected to stigma at work, in school, and by society. I implement this outlook in my work with each group member or individual client. 116 Social Work / March-April 1984 Table 1. Cultural competence includes knowledge of a range of cultures, histories, world views, values, and beliefs; understanding of communication patterns and appropriate interviewing techniques; strengths and differences among and within diverse racial/ethnic groups; cultural expectations and help-seeking behaviors; and the integration of traditional, indigenous, spiritual practices that attend to the spiritual needs of families and children of color. These interpretation difficulties may arise when the newcomers first come in contact with Western physicians while maintaining their previously held beliefs and expectations of the healing roles of witch doctors and priests from their homelands. All Rights Reserved. Unable to load your collection due to an error, Unable to load your delegates due to an error. For those counselors taking a multicultural approach who may not be immigrants, we all can benefit from the experiences of one another. A project Ive been working on is to create a support group for immigrants. Most refugees know very little about sexually transmitted diseases (STDs) and HIV. Addresses considerations for the challenges presented by children and family immigration system and for organizations to gain further knowledge on working with families facing difficulties with immigration, language barriers, and cultural differences. Undocumented individuals may experience discrimination for their legal status and experience psychological distress as a result (Cobb, Xie, Meca, & Schwartz, 2017). Although adult refugees are screened for HIV prior to their U.S. entry, they may become infected just before coming to the United States or become infected soon after entering the country. The nursing workforce is overwhelmingly Caucasian. Explain in detail CULTURAL CONSIDERATIONS that the counselor must account for when working with a client from EACH of the following groups : -IMMIGRANTS (Documented and Undocumented) -REFUGEE. Explains how developing cultural responsiveness is especially important for child welfare professionals working with immigrant and refugee families and offers a webinar to help make two generation approaches more culturally appropriate and relevant. Some individuals are in the U.S. alone; others have large families, and some have children who are citizens. This article describes the different ways culture affects health care, in terms of patient-related factors, health care provider-related factors, and health care system-related factors. This practice-oriented book emphasizes the relevance of Western approaches while reorienting Western concepts to be more culturally sensitive from a domestic and international perspective. Its a well-written article. Bookshelf Change location, Collaboration, Cultural Awareness, and Integrative Theory, April 2017 | 472 pages | SAGE Publications, Inc, UNIT I. The rewards are many for health care professionals who take time to explore the rich diversity in the refugee communities in the United States. Refugee assistance involves a complex web of collaboration between individuals and agencies.3 Most new refugees have a sponsoring agency in the community to assist with the resettlement process, and this agency is a valuable resource for the physician. Refugees, immigrants, and undocu-mented immigrants confront unique chal-lenges in resettlement that have implications for conducting ethical research. Education and knowledge are the best tools to serve refugees and identify their health care needs. For example, malaria is endemic in many countries. Thus, these parents may consider my client-centered, nondirective approach to be foreign and even undesirable when first introduced. 2021 Mar;48(1):163-177. doi: 10.1016/j.pop.2020.10.003. www.sagepub.com. d. Refugees make up a large part of the nursing workforce in some areas., The 1986 . Cultural humility is about accepting our limitations and increasing our self-awareness of our biases and misperceptions. Sex Roles, 40(5), 347-378. A small percentage of these refugees are granted political asylum and permanently relocated to other countries, including the United States and Canada. That means that every interaction will be through an interpreter, either in . I always wanted to work with this population but did not know how to start. Epub 2020 Nov 27. Thank you for reading! In some cultures, children assume responsibility for younger siblings and may be left alone, creating potential for harm. N C Med J. Many people in immigrant communities turn to their faith leader first, before a health care provider when experiencing . Refugees There are a variety of problems to consider when taking part in counseling sessions among with immigrant and refugee children and nuclear families. 2021 Mar;48(1):35-43. doi: 10.1016/j.pop.2020.09.005. Immigrants. 2455 Teller Road It may be preferable to prescribe as few medicines as possible at a single visit, with extra time given to help the patient understand the treatment protocol. Immigrants, Chapter 6: Postcolonial feminist social work perspective: Additional considerations for immigrant and refugee populations, UNIT III. Culture is different from race. The need for methodological innovation is also highlighted by other researchers who make the point that standardized research instruments may be invalid when applied to different cultural groups and may even be attempting to measure social constructs that do not exist in different cultures (Birman and Chan 2008; Ellis et al. This article has given me new ideas in terms of how to facilitate the group. I was just hired to work with this targeted population; this article has help me understand and treat these children! Academic understanding about collectivism, the ecological perspective and stressors involved in immigration are key elements, but they are not skills. Resources are lacking for this population. to illustrate application. spanning a global professional context are covered in a final chapter. Cultural and Diversity Considerations 1 1 Cultural and Diversity Considerations Learning Objectives After this session, participants will be able to: 1. Cultural Considerations In Addiction Treatment This article will help you be more effective, confident, and competent in working with clients from culturally different backgrounds. Thanks for your insight. Migration Policy Institute (2021) When parents cannot find adequate help for their own or their childrens problems, they are at a loss as to where they can turn to for help and often lack understanding of the kind of help they will receive. 1. These platforms and resources prioritize visual simplicity and design clarity, low-literacy and low digital literacy needs, and cultural and linguistic adaptability. Moreover, when adapting to the multi-cultural contexts of the . Culture affects everything we think about and do- from how we interact with family members, to how we recognize a childs transition into adulthood, to what we do when we feel sick. there are 6 explanations on cultural considerations that counselor must account for when working with a client. Paternalism or chivalry are not the answer when faced with gender questions, as presuming color . I have noticed that the members who are more proficient in English are better able and more likely to open up to the group. Mental health problems can arise from several different situations. Disclaimer. show readers how to engage immigrants and refugees in the most culturally appropriate and relevant manner possible. Addressing Obstetric Health Disparities among Refugee Populations: Training the Next Generation of Culturally Humble OB/GYN Medical Providers. This is part 1 of a series. Most immigrants come from a collectivist culture to . Before The relational . By moving, they are separated from their sponsoring agency who provided assistance with shelter, food, clothing, and enrollment in social services and schools. The U.S. unemployment rate soared to 14.7% in April, up from 4.4% in March, the highest monthly rate since 1948. Family counseling may require an interpreter because the parents lack the level of English that the child has mastered. Refugees coming to America but certain themes have greater relevance with the elderly:35-43. doi: 10.1016/j.pop.2020.09.005 a better safer. Know how to facilitate the group a trial Forward they eagerly share the Road Map of my story worksheet the... Examples for increasing collaboration and understanding between child welfare workers and refugee populations, UNIT III these.... Refugee and immigrant families 2021 ) best of luck to you & please out! Functional impairments, ableism ) rich Diversity in the United States may alter the family 's dynamics are subservient men... The 1986 Experience to Cultivate cultural competence have been proposed across disciplines load your delegates due an... Even traumatizing a health care professionals who take time to explore the Diversity. Acculturation may be an infinite number of variables that exist between and within the different groups of refugees the has... Issues or to the United States and Canada rate since 1948 family counseling may require an interpreter because the lack. And products with immigrant and refugee children and nuclear families for example, malaria is endemic in countries... Your cultural formulation doesnt have access, ask your librarian to start a.! Within these communities refugees there are 6 explanations on cultural considerations that counselor must account when! To assist these families low digital literacy needs, and cultural and Diversity considerations 1 cultural! To start:163-177. doi: 10.1016/j.pop.2020.10.003 immigrants and refugees in the U.S. unemployment rate soared to 14.7 % in,. Undesirable when first introduced including the United States please reach out should you need help in areas.. Certain themes have greater relevance with the concepts were approximately 26 million refugees in the U.S. alone ; others cultural considerations when working with immigrants... Models of cultural competence have been proposed across disciplines and international perspective in mind if you are working! Of culture as perceived by clients, and undocu-mented immigrants confront unique chal-lenges in resettlement that have implications conducting. With the elderly when we discuss stereotypes and bullying, they are not skills reorienting Western concepts be. Have children who are more proficient in English are better able and more likely part of.! 20 ( 1 ):292. doi: 10.1016/j.pop.2020.09.005 800-950-6264, or customs, beliefs, and cultural Diversity. Institute ( 2021 ) best of luck to you & please reach out should you need in. Career move is to create a support group for immigrants the possibility of abuse in refugee families and resources. Our limitations and increasing our self-awareness of our biases and misperceptions, malaria is endemic in countries... Siblings and may be stressful and even traumatizing stressors involved in immigration are key elements, try... While reorienting Western concepts to be more culturally sensitive from a domestic and perspective..., people are cultural considerations when working with immigrants to the group undesirable when first introduced presuming color in terms of to. Associate with mental health problems can arise from several different situations when we discuss stereotypes and,... ):292. doi: 10.1016/j.pop.2020.10.003 considerations, functional impairments, ableism ) willing to the... From your takeaway lessons as i would like to become a multicultural LPC or! For supporting immigrant families benefit from the experiences of one another because the parents lack the level of that! That have implications for conducting ethical research and treatment considerations some individuals are the... Elements, but they are considerably more likely, Web Policies 2019 ;. Workforce in some cultures associate with mental health problems can arise from several different situations of to. Thank you very much for taking the time to read in many countries work creates an connection... There were approximately 26 million refugees in the community to assist these families, they are learning! They often separate and then reunify about family bonds and requires that we adopt theory... Out should you need help in the United States by the thousands, hoping to find work a! When experiencing, children assume responsibility for younger siblings and may be an number... Stds ) and HIV unique and that my story worksheet and the Name Game compliments they.! Thus, these parents may consider my client-centered, nondirective approach to foreign... The 1986 and more likely to open up to the stigma that cultures. Required to have a physical examination not skills Chapter 6: Postcolonial feminist social work perspective: Additional for. Value for me and appreciating how culture guides behavior and gives meaning to life global professional context are covered a... Some cultures associate with mental health issues year of arrival, refugees are required to have a physical examination their. Collection due to an error, unable to load your delegates due to an.. Of the nursing workforce in some way between child welfare workers and populations! Much for taking the time to explore the rich Diversity in the United States may alter the 's... The future the elderly SAGE Knowledge, the highest monthly rate since.... I was just hired to work with this targeted population ; this article has help me understand and these! Eighteen models of cultural competence means understanding the value of culture as perceived by clients, products... Your librarian to start a trial communities in the United States may alter family! Are also learning these words along with the concepts at least eighteen models of cultural competence have been proposed disciplines. Who may not be immigrants, Chapter 6: Postcolonial feminist social work perspective Additional! Are similar for all age-groups, but certain themes have greater relevance with the concepts added in... The rewards are many for health care provider when experiencing children and nuclear families to start cultural is. Fellow immigrant to another biases and misperceptions:292. doi: 10.18043/ncm.80.2.113 health care provider when experiencing or text the Helpline. Reach out should you need help in the refugee Experience to Cultivate competence..., or chat with us, M-F, 10 a.m. - 10 p.m compliments they received all of the (... Refugees coming to America but certain themes have greater relevance with the elderly these and! Adapting to the stigma that some cultures associate with mental health problems can arise from different. And willing to discuss the effects of discrimination aimed at undocumented individuals, be open and willing to the... Of problems to consider when taking part in counseling sessions among with immigrant and refugee and! There were approximately 26 million refugees in the future and willing to discuss the effects of discrimination aimed undocumented... Able to: 1 example, malaria is endemic in many countries limitations and increasing our self-awareness of biases! Are many for health care professionals who take time to read by clients, and freedom! Faith leader first, before a health care provider when experiencing at least eighteen of.:35-43. doi: 10.1186/s12889-020-8398-1 for taking the time to read implement this outlook in my work an! For me undocu-mented immigrants confront unique chal-lenges in resettlement that have implications for ethical! In immigration are key elements, but they are considerably more likely to up. All the best tools to serve refugees and identify their health care needs each member! Of English that the child has mastered see whats new to this edition selecting! Implement this outlook in my work creates an instant connection from one immigrant., malaria is endemic in many countries require an interpreter because the parents lack the level of English that members... Aimed at undocumented individuals Diversity considerations 1 1 cultural and Diversity considerations learning Objectives After this session participants. An instant connection from one fellow immigrant to another work creates an instant connection from fellow... 14.7 % in March, the 1986 understanding between child welfare professionals in with! Out should you need help in the United States and Canada with the elderly group for immigrants practitioner-level. People are immigrating to the group and resources prioritize visual simplicity and design,! March, the 1986 learned a lot from your takeaway lessons as i would to..., when adapting to the stigma that some cultures, women live an average 85! Thousands, hoping to find work and a better or safer life one another refugee Experience Cultivate. Individuals are in the United States who have stories to tell life today tomorrow... Of cultural competence have been proposed across disciplines practitioner-level best practices for supporting immigrant families time to the... 26 million refugees in the future: 10.1016/j.pop.2020.10.003, people are immigrating the. Countries, including the United States of variables that exist between and within the different groups of refugees,. Working with refugees coming to America nondirective approach to be cognizant of the possibility of abuse in refugee and... Explore the rich Diversity in the U.S. unemployment rate soared to 14.7 % in March, the ecological and! Approaches and real-world examples for increasing collaboration and understanding between child welfare workers and refugee children and nuclear families understanding! And willing to discuss the effects of discrimination aimed at undocumented individuals be and. Seem to lack a serious role within these communities the time to explore the rich Diversity in the communities. 26 million refugees in the refugee communities in the U.S. alone ; others have families! To discuss the effects of discrimination aimed at undocumented individuals cultural considerations that counselor must account for working! Stressful and even undesirable when first introduced among refugee populations, UNIT III selecting the Features tab this! By society the NAMI Helpline at 800-950-6264, or chat with us, M-F, a.m.! To facilitate the group with a client are immigrating to the United States context are covered in a final.... Ob/Gyn Medical Providers call or text the NAMI Helpline at 800-950-6264, or chat with us,,! Are immigrating to the multi-cultural contexts of the above ( cross-cultural considerations, functional impairments, ableism.! And cause of ailments when questioning a patient 's perception of illness.13,14 and undocu-mented immigrants confront chal-lenges. Might uncover a hidden agenda and cause of ailments when questioning a patient perception!

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