

Kids with mental health challenges eventually grow up and become adults. So how do caregivers and communities help them as they make this major transition? And, since many psychological conditions begin in early adulthood– how can parents, friends and even, colleges, help them understand and learn to manage their own mental health?
•••
IN-STUDIO GUESTS: Joining us from Alaska's mental healthcare community we have two guests in the studio with host, Shana Sheehy.
• Barry Andres is a Licensed Clinical Social Worker and Clinical Manager of the Child and Adolescent Outpatient Department at Anchorage Community Mental Health Services where one division, theTransitional Aged Youth Program, helps young people move from one form of care to another.
• Georgia DeKeyser is a Psychiatric Nurse Practitioner and the Associate Director of the University of Alaska Anchorage Student Health and Counseling Center.
LINKS FROM THIS PROGRAM:
WHERE TO FIND HELP:
FEATURED STORIES:
- Parents Talk About Change - We asked a few parents how they deal with transition; we've gathered their answers into a collection of community voices.
- Covenant House Helping Youth in Transition - Young adults who experience mental illness are more likely to be homeless at some point.Covenant House Alaska serves homeless youth through age 20; about 40% of the youth they serve have been in residential treatment for behavioral and mental health issues. Twice as many qualify as beneficiaries of the Alaska Mental Trust Authority, meaning they have a substance abuse problem, mental health issue, traumatic brain injury and/or a developmental disability. Our contributor Jessica Cochran visited Covenant House to learn how the organization helps serve those youth.
- UAA's "AN-CAP" Program Attracts Alaska Native Providers -One new program at the University of Alaska is aimed at increasing the number of “home-grown” mental health care providers in rural Alaska - to help people of all ages. The program is called the AN-CAP program; that stands for Alaska Native Community Advancement in Psychology. It’s a re-tooling of the previous Alaska Native Psychology Program. Contributor Jessica Cochran spoke with Professor EJ David and student Tina Woods to learn more about it.
This series is supported by funds from the Alaska Mental Health Trust Authority and is a copyrighted production of the Content Producers Guild.
Listen to the whole series here.

I APOLOGIZE TO the Alaska Railroad reservations agent who took our request for tickets to Talkeetna the weekend before Christmas. Normally I am not so obsessive-compulsive about seating arrangements, but my older son was with us, and he likes to know things ahead of time.
It’s complicated.
MJ is 18 and, up until this past October, had been out of our home and in residential treatment for a laundry list of issues. Autism spectrum, depression, intermittent explosive disorder; the diagnoses came and went like seasons. My son is one of thousands in Alaska with mental illness, and now he’s back in our lives and part of our traveling family...to an extent, anyway - travel with MJ is different.
There are no last-minute, go-on-a-whim sorts of excursions when he’s with us. Whereas previous journeys were at a fast pace to accommodate multiple attractions, the trips with MJ are filled with alternatives. Alternative sights, alternative food, alternative schedules. For everything, there must be a second scenario ready to be implemented, ASAP. We’ve learned that renting a cabin or suite with a separate bedroom provides quiet relief for anxious moments, that ear buds on a noisy train or in a restaurant are perfectly okay. My husband and I have uncovered unique coping strategies to help soothe tense situations, and the phrase “divide and conquer” has become a whole new mantra, occasionally working well enough for a deep breath of reassurance that yes, indeed, we can do this - while including MJ.

It's MJ experiencing Alaska.
Why shouldn’t he be allowed to travel in a manner that brings comfort? Alaska is an excellent destination for people like MJ who crave solitude, an absence of artificial noise, and basic, no-frills service. After all, just because hundreds flock to a glacier and wildlife cruise aboard a small ship with blaring microphones and cramped decks doesn’t mean he should, too. Viewing Alaska through his eyes has allowed us a fresh perspective on the travel industry, most especially so in Alaska, where frenetic pacing and long, exhausting days just won’t work. Paying close attention to MJ’s moods, we’ve discovered what parents of smaller children already know; factors like rest, different food, or a lack of exercise can cause night-and-day swings of happy to sad in a matter of moments. Instead of driving five hours to reach a destination, we might go two or never reach it at all, stopping instead to admire a waterfall, toss rocks into a river, or inspect interpretive signs along the highway.
We’ve learned to slow down, quiet the noise, and throw out expectations long before we shut the garage door behind us. Snowshoes not fitting quite right? No problem, head back to the cabin and delve into a book, we won’t mind. Too many people talking too loud on the train? Pop in those ear buds and move to the back. This family understands.
In light of negative attention surrounding mental illness in recent days, perhaps others will understand, too.
Note: This is the last post I shall publish for Kids These Days. I wish to extend gratitude to the producers, writers, and hosts for their incredible insight and support for the difficult job of “raising Alaska’s future;” without projects like this one, that future might be even more confusing. Sarah, Shana, Jamie, and Jessica, thank you for thinking about kids, and the adults who nurture and love their little (and big) souls.
Erin Kirkland is a freelance writer and publisher of AKontheGO, a website dedicated to Alaska family travel and recreation. She lives a charmed life in Anchorage with her fabulous family.

Report no. 12: Growing Up Around Alcohol Abuse
Reporting from: Kotzebue, AK (pop. 3,294)

HOST INTRO: Rates of alcohol abuse in Alaska are some of the highest in the nation and communities across the state regularly suffer from domestic violence, abuse, suicide and other related issues because of it. This is the final installment of the special reporting series, “Being Young In Rural Alaska” from the producers of Kids These Days.
Traveling and reporting in rural Alaska, it’s impossible to miss the signs of alcohol abuse, and yet people often don’t talk about it: it’s such a part of life that it’s almost taken for granted. So what’s it like to be a kid growing up around heavy alcohol use in small-town Alaska? Sarah Gonzales heads to Kotzebue to find out.
Kotzebue is located just north of the Arctic Circle. The community recently voted to have a liquor store in town - the first in a generation.
SARAH GONZALES: Teens in the youth leader program in Kotzebue have some strong opinions about alcohol:
[Teen voices montage] “I grew up here seeing people drink I’ve heard stories of people dying from overdrinking and I’ve seen what drinking can do to a person and I don’t like it… It hurts the family, too…Drinking can affect the family emotionally, physically and mentally…Fighting and don’t remember the family times and stuff like that…The alcohol and the abuse that I don’t like about this town…”
Teen Leaders in Kotzebue.
They are outspoken among their peers on the issues of drinking, smoking, using drugs - trying to both educate and set a good example for younger students. They’ve grown up surrounded by a lot of alcohol:
[Teen voices montage cont…] “I’ve seen my mom and relatives drinking…My dad and uncle and them and I’ve seen the way they act and I don’t wanna act like they did…After they’ve been drinking how they were, their behavior and in the morning they’d be grouchy and I don’t wanna be like that…It really saddens me to see the people – MY people I grew up with – acting like that….It makes me feel like I’m the adult and they’re the children.”
Meritha Cappelle is now a young adult in her 20’s. She grew up Kiana, a small village outside Kotzebue; she’s now an administrator within the borough.
[Meritha Capelle] “A lot! There was a lot of drinking growing up. I mean, it was just the social norm.”
Capelle says that for her growing up in a place where alcohol was restricted, where people struggled with alcoholism, made it difficult to form any sort of so-called “normal” view of drinking.
[Capelle] “I would say it wasn’t until I left Alaska that I realized, ‘Oh they have liquor on the shelves here,’ it wasn’t locked up in a whole separate store. There was a different way to drink responsibly or even a healthy way to drink, you know, to be able to stop at a drink or two rather than finishing a bottle in fifteen minutes.”
Kotzebue voted three years ago to allow alcohol and two years ago the package store and distribution center opened in town. Purchasing liquor is legal in limited quantities and only after paying the city for a permit and a background check. The system brings in revenue for the city, and allows for pretty strict regulation. That’s won the support of many community members, including law enforcement. Police Chief Craig Moates says the opening of the store hasn’t made much of an impact on the number of alcohol-related calls that they respond to.
[Chief Moates] “We respond to a number of calls ranging from theft to assaults. (Sarah: Do you have any way of knowing if the assaults or anything else are related to alcohol?) Well, generically here we say it’s the anomaly when the calls aren’t alcohol-related.”
The "liquor store" in Kotzebue is adjacent to the police station.
Those who want to get drunk will find a way to get their booze one way or another – bootlegging, homebrew, at a store - which is why some think that teaching youth how to have a healthier relationship with alcohol through moderation could be a more valuable message than the total abstinence one.
Scotty Barr grew up in Kotzebue, he’s now a health educator with Akeela:
[Scotty Barr] “If we can as parents teach them to stay healthy and not scare them off – you know, alcohol is bad for you, tobacco is bad for you – it’s like you’re fueling them and they say, you know, I’m gonna try this.”
But, there’s enough stigma about alcohol abuse, that many moderate users don’t want to engage in any sort of public, alcohol-related behavior says Meritha, like buying a bottle of wine at the local package store...
[Capelle] “I won’t go there, you know, and that’s the thing – it’s not that I won’t have a drink but I won’t go there…there’s definitely a stigma.”
And while so many people still struggle with alcohol abuse, that stigma may remain. Maniilaq Association is trying new methods in its treatment and recovery programs to try to bring those numbers down.
Bree Swanson is the Administrator for Social Services there. She says it used to be that the way those services were offered wasn’t successful – helping people get better away from their families and villages meant they often returned to the same harmful environment from before; recovery support groups were often canceled due to lack of participation. Turning that around all came down to dependable facilitators, establishing trust and implementing Inupiaq values.
[Swanson] “We started out with nobody showing up and now we have 24 in a group, so we had to add more hours just recently.”
Swanson says their training of Village-Based Counselors helps people where they live - and Maniilaq's starting to implement telemedicine capabilities, too - so providers in the hub of Kotzebue can remotely connect to outlying clients in the villages.
But turning a life around from alcohol abuse isn’t just quitting the drink, she says, it’s about having work, feeling useful, being surrounded by supportive family and friends, managing everyday stressors. It's really about getting the entire community well.
[Swanson] “You know you go back into the same community with the same people doing the same things and it’s really easy to get pulled back into that same cycle.”
Breaking the cycle is a frequent topic of conversation among the teen youth leaders and their advisor, Michelle Woods, is no-nonsense when it comes to discussing this topic with them.
[Woods] “If you’re gonna stay in the village then you make it a good village. If you don’t like the fact that you can’t walk down the street because you got a bunch of drunks being ass****s then YOU change it and you change it now by your attitude and by what you say to the little kids.”
Straight-talking Teen Leaders advisor, Michelle Woods
And the young people want that change. Fifteen-year old Lorena Gephardt wants to go away to college to become a pharmacist and then come back to Kotzebue to live, work and raise her own family. She hopes to do all that in a healthier environment.
[Gephardt] “With that stuff gone – no more drunks, no more smoking or just a healthier diet – could really make a difference in this community. (Sarah: Do you think you guys can help that happen?) I DO think that because WE are the next generation, we’re the VOICES and we DO make an impact.”
And they most likely will - if they receive the support they need to make those healthier decisions - for themselves, their families and the community as a whole.
Reporting from Kotzebue, I’m Sarah Gonzales.
The "Being Young in Rural Alaska" reporting series airs statewide Mondays on Alaska News Nightly at 5pm or 6pm depending on your location. Go here to find your APRN station & schedule.
This series is supported by funds from the Association of Alaska School Boards' Initiative for Community Engagement program.
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Report no. 6: An alternative high school concept is helping rural youth graduate.
Reporting from: Bethel, Alaska (pop. 6,219)

Alaska’s high school graduation rate lags behind the nation - and Alaska Natives are more likely to drop out of school than others. In rural Alaska, high school students who have their sights set on graduation may not be sure what to do next. In the next installment of our “Being Young in Rural Alaska” series, from the producers of Kids These Days, reporter Mark Arehart looks at an idea designed to keep kids in high school, by giving them a glimpse of their possible futures.

(image via Andrea Pokrzywinski/ACE Academy)
A student at the Aviation Career Education Academy
[natural sound: bell, kids chatting]
MARK AREHART: Usually this sound [bell] means it’s time to pack up and move on to the next class.
Not these kids, though. They are prepping for the ACT college admissions, and they work straight through the bell. They come from villages across the Yukon Kuskokwim Delta to Bethel for a special program, one that’s not just for kids with straight A’s.
[Daniel Inman] “I was actually failing high school for my first two years. So this is a great was for me to get started again.”
That’s Daniel Inman, he’s a junior from Toksook Bay. He and his classmates are enrolled in accelerated math and science classes, aimed at preparing them for college and eventual careers.
[Daniel Inman] “Right now I’m taking a full year of chemistry and algebra two in half a year.”
Not all village schools can offer the upper level science and math classes students need for some college programs; so this program – called RANSEP - has students split their time between their home villages, Bethel, and a summer session at UAA.
RANSEP students learn how to build computers
For the Lower Kuskokwim School District, the college prep program is at the center of a larger idea: the hybrid high school.
It’s an effort that brings village students to Bethel for intense learning segments, ranging from a week to an entire semester, then sends them back to their villages better prepared for the next step. Assistant Superintendent Dan Walker.
[Dan Walker] “The whole idea of a hybrid high school would be to find ways to have a positive effect on graduation rate.”
And Walker says to do that, schools need to keep kids engaged.
[Walker] “It’s how do we go about creating that environment, where kids… they want to be at school. So it’s not the only thing, we have to have really high standards in reading, writing, math, science, social studies all of those things. But what we’re finding is that we also have to have these other highly engaging, motivating activities for kids that keep them excited about school. And that’s the whole idea behind this.”
[Plane assembly sound.]
Another branch of LKSD’s hybrid high-school is the Aviation Career Education Academy, or ACE, a special week-long program that also brings kids in to Bethel from villages across the region - kids like Bruce Simons, a 7th grader from Toksook Bay.
[Bruce Simons] “I want to be a pilot when I grow up like my dad. So I can explore Alaska."
Bruce and other students jump in the cockpit of an old plane used for instruction at the local flight school hangar.
The ACE program is giving kids a chance to delve into how aviation works, both in the classroom and in the field. They are learning about everything from the right conditions for flight…
[Simons] “If there’s turbulence you can’t fly and look at the forecast before you take off.”
… to how to actually put the wings on a plane.

(image via Andrea Pokrzywinski/ACE Academy)
[Andrea Pokrzywinski] “We have 23 students this year.”
Andrea Pokrzywinski directs the Ace program.
[Pokrzywinski] “And we had well over 84 applications, so lots of interest.”
She says students were picked based on the essays they wrote, not just the grades that they’ve made.
Again, Dan Walker of LKSD:
[Walker] “Aviation is huge here in the YK Delta and we’ve got lots of kids who are interested in aviation careers.”
And that’s the reason Walker says the Hybrid High School has been a success; it gives kids that have dreams of growing up and being a doctor or a pilot the tools to learn how to do that.
Kids like Daniel Inman.
[Inman] “It’s given me my motivation back. It’s made it so I want to succeed and I want to get to college. And I want good things for my life again.”
Similar programs to LKSD’s Hybrid High School are in place in Nenana and in the Nome and Bering Straights school districts.
Reporting from Bethel, I’m Mark Arehart.
The "Being Young in Rural Alaska" reporting series airs statewide Mondays on Alaska News Nightly at 5pm or 6pm depending on your location. Go here to find your APRN station & schedule.
This series is supported by funds from the Association of Alaska School Boards' Initiative for Community Engagement program.
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WHILE ON HER solo journey to New Zealand, Aviva learned that she'd won a scholarship from the Coca Cola Scholars foundation which included a weekend with her fellow honorees in Atlanta. (Due in part to a story she produced for Kids These Days! radio, listen here.)
Listen below to hear Aviva's stories about flying cross country to be part of an elite group of young leaders in Atlanta, all teens who've done extraordinary things from cancer research to creating their own non-profits.

Aviva (front row, 4th from L) and her fellow Coca Cola Scholars

Exploring the Coca Cola museum

One drop creates a ripple!

Future leaders of the US

"...we really did have a nice bonding moment," Aviva said of meeting Morgan Freeman at the Coca Cola Scholars banquet. "He kissed me on the hand and that was nice."
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THE MAJOR DETOUR in Cha'ron McCray's life happened a long time ago. Imagine being faced with a choice about who would raise you? And being given that choice when you were a still a child? Today, Cha'ron is a thriving, capable and beautiful young woman. She's a proud member of her family and a newly-minted East Anchorage High School graduate of achievement and a recent recipient of the 2012 Young People of Achievement Award presented by YWCA Alaska.
Cha'ron sat down with KTD host Shana Sheehy to share her personal story.
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WE EMERGED OVER the canyon rim, looking like we hadn't been in society for weeks. We were out of place among the day hikers, our 30-pound packs dwarfing their backpacks clearly separating us from them. Our legs were blotched red from the knee down, not because of sunburn, but because of caked-on dirt mixing with the sweat and sunscreen. We had been hiking for almost seven hours straight, but spying the top I felt an extra boost of adrenaline. We had just finished overnighting in the Grand Canyon.
My family and I had started our trek at five in the morning the day before. As we descended down the trail past thousands of years of history with every step, the sun was just about to peek out over the horizon. Even after hiking in Alaska, I couldn't get over how picturesque the scene was. To the east, a fine mist blanketed the rocks, partially obscuring the countless crevasses and canyon spurs jutting out from the mighty Colorado River. As the sun started to rise, the west became sharper and when we reached "Ooh-Ah Point" less than an hour into the hike, the canyon opened up for our viewing pleasure. The beauty of the canyon filled my vision, from one peripheral to the other. The morning sky was a light blue, it reminded me of Alaska, also how it was only 50 degrees in the sun. But I knew that would soon change, only I had no idea how drastic that change would be when it did.

The Walgren clan about to descend into the Canyon...
The hours ticked by, and with each step down, the temperature rose. We encountered a frustrating paradox while hiking. We wanted to look around at the scenery, but as soon as we'd lift our heads up off the trail ahead, our foot would hit a rock and our heartbeats would soar from 80 to 180 in the span of a second as we envisioned how one more misstep could speed up our descent drastically.
Sadly, as the hike dragged on and the temperature climbed faster than the sun, the Grand Canyon started to lose its charm. I was still trying to appreciate it, but that was now a secondary goal. The primary one was simple - get to the bottom of this hole.
We accomplished that after around eight hours of hiking when we reached the base of the canyon where we set up camp. It was the early afternoon so for the rest of the day our only itinerary was to avoid the heat. The temperature topped out at 115 that day, but conveniently there was a creek next to the campground. Water had never felt so refreshing.
We woke up the next morning around 4:30, and I was surprised to see that we were among the last to get going. Everyone had the same idea - get out of this pit as early as possible to beat the heat. The ascent wasn't as bad, heat-wise because the higher we climbed, the lower the temperature became. By the time we saw the lodges on the rim, the temperature was in the 80's, a stark contrast to riverside.

And, back to the top again...
I'm really glad I got to hike the canyon as a kid. Now I'll always have fond memories of it, even though at times, going down into it, it felt like a deathmarch. But I can say now that, "I know what it's REALLY like," to be down inside the Grand Canyon, something those who never leave the rim get to experience.

NEWSFLASH: IN CASE you missed this week’s Kids These Days! broadcast of Inside the Teenage Brain: Teens take risks! Yes, parents, grandparents, and guardians of anyone age 12 to 18, you’ll need this nugget of information while on vacation.
I’m thrilled to finally receive validation confirming the teenage brain is wired to do crazy stuff. In fact, I learned it aches to do stuff; wild, crazy and overly nutty stuff, especially while in the company of other brains with equal settings.
No wonder parents hear the whining, witness the iPod tune-out, and see the rolling of eyes while teens are pushed and prodded through museum after historical site after interstate road trip. Here’s the irony of traveling with teens - young people need to feel a bit out of control to be in control; of emotions, bodies, and other people, we adults included. A teenager, I’ve discovered, is happiest when barreling down a mountain on a bike so fast the wheels are practically on fire, even if mom or dad is standing at the bottom of the hill shielding eyes from certain inevitable calamity. A teenage traveler wants to feel the rush of adrenaline as much as a parent wants to feel none, and I can’t think of a better state in which to offer such experiences to a growing adolescent body and brain.
Alaska is perfect for teenagers. Enough mental and physical challenges are available no matter where a family decides to begin their travels. Below are a few excellent options that just might rate a “that’s cool!” statement when completed. Do double check age, weight, and ability requirements, however, before booking any challenging activity for your son or daughter.
Mountain biking. Alyeska Resort in Girdwood and Eaglecrest Ski Area in Juneau offer summertime mountain biking around the area’s slopes. Between the cool chairlift ride up and the screaming fast trip down, kids will feel the thrill of independence coupled with the knowledge that everyone is watching from the lodge and hitting “update status” on their Facebook app. For a longer, touring-type approach, try Sockeye Cycles in Skagway or Haines, offering multi-day trips as far as the Canadian border, all gear and bikes provided.
Zzzzzzziiipppping through Alaska's forests
Ziplining. Really, what could be more in tune with a teenager’s zen than a series of zips 100 feet in the air? From Ketchikan to Talkeetna, ziplining is fast becoming the activity of choice among the adventure-loving set. In southeast Alaska, try Alaska Canopy Adventures and their 11-zip trip set high among the hemlock and spruce trees. Talkeetna is the latest community to jump on the zipline bandwagon, with Denali Zipline Tours, slated to begin zipping through the trees sometime in July, 2012. Note: Most ziplining companies require participants to weigh between 90 and 270 pounds, for safety reasons. “Zippers” must also be able to understand and fulfill self starting/stopping procedures along the course.
Mountain adventures. Alaska possesses more glacial ice and rock than many other states in the Union, and much of it lies within easy access of the state’s largest community of Anchorage. Ascending Path guiding service leads day and overnight trips to remote areas of Alaska, with a ton of learning along the way. Want to climb a glacier? No problem, the Spencer Whistle Stop Rail and Ice Climbing trip combines a great trip aboard the Alaska Railroad with a little moraine exploration on the flanks of Spencer Glacier.
Teenagers want to show us they can, indeed, be “all that.” Give them the opportunity and see where it takes them, and you.
Erin Kirkland is the mother of two boys; one teen, one wanna-be-teen. Follow her crew’s Alaska adventures at AKontheGO.com, a website dedicated to Alaska family travel resources.

Josh Shipp grew up in foster care and now travels the country helping teens make good decisions
A LOT CHANGES during adolescence - the brain is evolving, puberty has taken hold, and something else that's shifting is an adolescent's sphere of influence - sorry mom and dad, you're no longer the number one voice of reason. Anyone who has parented a teen knows well the communication gap that starts to widen right about middle school, but there are ways to continuing connecting.
Josh Shipp is a 30-year old teen behavior expert, author and TV show host whose work is all about "getting through to teens". He's been called "Dr. Phil for teens" and the "teen whisperer".
He shared some of his "getting through" strategies with KTD producer Sarah Gonzales on a recent one-day visit to Anchorage.
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OVER THE PAST 18 years, I've been told (and have told myself) that I have the strictest parents out of anyone I know. Of course now I have that wonderful thing called perspective, I know they were acting in my best interests. I may not have been able to do everything my friends did, but now I know that most of those things weren't as cool as they seemed.
The discipline started from as early as I could remember. In elementary school, we didn't have an "English Tele" (my and my brother's word for cable TV). All of my friends had cable, but my parents, acting like a very good PSA for standing up to peer pressure, didn't cave. Looking back, I kind of wish they hadn't ever relented, because 95% of the things I watch now are a waste of time.
Strangely enough, I was only ever really grounded once - but that lasted for the better part of four whole months. What'd I do? Well, I was caught not five minutes after I snuck out of the house in August, and I didn't get my privileges back until after Christmas. That swift and unyielding response showed me that the four hours I was planning to spend out of my house wasn't worth the treat that was waiting for me when I got home. My parents didn't mess around.
I remember my mom telling me the importance of structure in a kid's life, and I'm exhibit A. I can't remember a time where I was punished for something I didn't know was wrong. Everything was always clear punishment wise - this is why you're being punished - I just did it anyway.
From what I've thought about parenting, it seems to me that their main job (besides letting us live another day) is not letting us kids get ahead of ourselves. We want to stay up later, drink before it's legal, and do countless other things before common sense and science says we're ready. It's the parents' job to keep them from trying to act like an adult in 7th grade, because that wouldn't be pretty. I'm really glad to say my parents did a good job, even though at the time I wished they wouldn't be such good parents.
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