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Table of Contents

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1 What is the Aspire Center? Overview $49!<9=69;!C7MM!L9!5!IZ[L9K!;987K9=675M!6;956S9=6!G5F7M76A!T5M8B!N=BC=!58!5!KBS7F7M75;AU!57S9K!56!:;BSB67=J!;9FBH9;A2!7=!(9;H7F9S9SL9;8\!:5;67FEM5;MA!64B89!;96E;=7=J!G;BS!649!C5;8!7=!);5]!5=K!&GJ45=7865=?!!

Services $49!<9=69;!C7MM!:;BH7K9!SEM67:M9!6;956S9=6!SBK5M76798\!7=FMEK7=J^!F589!S5=5J9S9=6_8BF75M!CB;N\!HBF567B=5M!;945L7M76567B=\!=9E;B:8AF4BMBJ7F5M!588988S9=6\!:8AF4B649;5:A\!BFFE:567B=5M!649;5:A\!9KEF567B=5M!FM58898\!S9K7F567B=!S5=5J9S9=6\!5=K!FBS:M9S9=65;A_5M69;=567H9!649;5:798?!)6!C7MM!L9!5!GB;ES!GB;!649!7S:M9S9=6567B=!5=K!K9H9MB:S9=6!BG!=BH9M!6;956S9=68!GB;!:B866;5ES567F!86;988!K78B;K9;\!6;5ES567F!L;57=!7=WE;A\!5=K!B649;!:;BLM9S8!5GG9F67=J!"969;5=!;9FBH9;A?!!

Staff (9;H7F98!C7MM!L9!:;BH7K9K!LA!9Q:9;79=F9K!"&!9S:MBA998!C764!9Q:9;6789!7=!649!5LBH9!5;958?!(65GG!C7MM!7=FMEK9!@R!GEMM[67S9!9S:MBA998!7=FMEK7=J!+7F9=89K!"BF567B=5M!'E;898\!%9J7869;9K!'E;898\!(BF75M!3B;N9;8_<589!/5=5J9;8\!'E;89!0;5F6767B=9;\!08AF4BMBJ7868\!"BF567B=5M!%945L7M76567B=!(:9F75M786\!.FFE:567B=5M!$49;5:786\!08AF4756;786\!<45:M57=\!045;S5F786!5=K!%9J7869;9K!*7967675=?!)=!5KK767B=!6B!649!:;BG9887B=5M!865GG\!649;9!C7MM!L9!B649;!"&!8E::B;6!865GG!GB;!4BE89N99:7=J\!89FE;76A\!96F?!!

Housing $49!<9=69;!C7MM!:;BH7K9!69S:B;5;A!4BE87=J!GB;!"969;5=8!C4B!KB!=B6!=99K!7=:5679=6!F5;9\!LE6!CBEMK!L9=9G76!G;BS!;945L7M76567B=!89;H7F98!GB;!5=!5H9;5J9!BG!PZ[2@Z!K5A8?!$49;9!C7MM!L9!5!6B65M!BG!IZ!L9K8!C764!P!L9K8!GB;!G9S5M9!"969;5=8!5=K!2Z!GB;!"969;5=8!C764!S7MK!6;5ES567F!L;57=!7=WE;A?!&M64BEJ4!649!<9=69;!C7MM!7=FMEK9!9M9S9=68!BG!S9=65M!495M64!5=K!8EL865=F9!E89!6;956S9=6!GB;!

Recovery A process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential1.

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Intake criteria & procedure &MM!"969;5=8!C7MM!L9!F5;9GEMMA!8F;99=9K!5=K!89M9F69K!GB;!5KS7887B=!64;BEJ4!649!(5=!*79JB!"&!/9K7F5M!<9=69;!7=!+5!`BMM5?!'B!aC5MN[7=8b!C7MM!L9!:9;S7669K?!09;!"&!;9JEM567B=8!GB;!%%$0!G5F7M76798@\!7=!B;K9;!6B!L9!5KS7669K!6B!649!&8:7;9!<9=69;\!"969;5=8!SE86!S996!R!9M7J7L7M76A!F;769;75^!

2? -9!5889889K!58!=B6!S9967=J!F;769;75!GB;!5FE69!:8AF4756;7F!B;!S9K7F5M!5KS7887B=?!!

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2 Why now? Why here? (5=!*79JB!458!649!M5;J986!FB=F9=6;567B=!BG!);5]!5=K!&GJ45=7865=!"969;5=8!7=!649!FBE=6;AcFE;;9=6MA!@V\ZZZ!5=K!J;BC7=J?!$49!86;988!BG!K9:MBAS9=6\!7=FMEK7=J!9Q:B8E;9!6B!FBSL56!5=K!69;;B;786!5665FN8\!F5E898!8BS9!"969;5=8!6B!9Q:9;79=F9!5KWE86S9=6!K7GG7FEM6798!6456\!7G!M9G6!E=5KK;9889K\!FBEMK!;98EM6!7=!:BB;!BE6FBS98!8EF4!58!E=9S:MBAS9=6!5=K!4BS9M988=988?!(E::B;67=J!64989!"969;5=8d!;96E;=!6B!=B;S5M!F7H7M75=!M7G9!78!5!6B:!:;7B;76A!GB;!649!"&?!$4989!"969;5=8!BG69=!;9]E7;9!5!M9H9M!BG!F5;9!6456!78!47J49;!645=!865=K5;K!BE6:5679=6!89;H7F98!:;BH7K9K!LA!649!"&!LE6!M988!7=69=87H9!645=!7=:5679=6!4B8:765M7e567B=?!)=!5KK767B=!6B!649!2ZR!%987K9=675M!

“I feel safe here.”

—Veteran, Mountain Home

Tennessee Domiciliary

!

! I!

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3 Are such Centers effective?

%%$0!G5F7M76798!8EF4!58!649!&8:7;9!<9=69;!45H9!5!;7F4!4786B;A!7=!649!"&?!$49!G7;86!C58!GBE=K9K!BH9;!5!F9=6E;A!5JB!7=!2XZV\!5=K!649;9!5;9!FE;;9=6MA!2ZR!G5F7M76798!=567B=C7K9?!)=!G78F5M!A95;!@Z2Z\!=95;MA!64;99!]E5;69;8!BG!"969;5=8!TR@fU!8EFF988GEMMA!FBS:M969K!649!:;BJ;5SD?!&M8B\!649!S5WB;76A!BG!"969;5=8!K9SB=86;569K!7S:;BH9S9=68!7=!8AS:6BS8!5=K!GE=F67B=7=Jg!9?J?\!VOf!84BC9K!7S:;BH9S9=6!7=!S9=65M!495M64!:;BLM9S8!5=K!RDf!84BC9K!7S:;BH9K!;9M567B=847:8!C764!G5S7MA!5=K!G;79=K8?!'ES9;BE8!:ELM7849K!86EK798!45H9!K9SB=86;569K!649!9GG9F67H9=988!BG!649!"&h8!%%$0_KBS7F7M75;A!:;BJ;5SI\O\P\R?!

4 A good neighbor $49!&8:7;9!<9=69;!C7MM!L9!5!JBBK!=97J4LB;!7=!.MK!$BC=!5=K!BE;!:;989=F9!L;7=J8!89H9;5M!L9=9G768!6B!FBSSE=76A\!7=FMEK7=J^!

• 123435246!783892:;!$49!<9=69;!C7MM!F;9569!=9C!WBL8!5=K!C7MM!L;7=J!iP!S7MM7B=!5==E5MMA!7=6B!649!FBSSE=76A!GB;!G7H9!A95;8\!=B6!7=FMEK7=J!649!G7=5=F75M!FB=6;7LE67B=8!BG!649!:;BG9887B=5M!865GG\!C4B!C7MM!L9!E67M7e7=J!MBF5M!LE87=98898?!

• '<!=8>25?64@!5<3A8B:2<3;!$49!<9=69;!458!XD!E=K9;J;BE=K!:5;N7=J!8:5F98\!C47F4!C7MM!L9!SB;9!645=!8EGG7F79=6!6B!5FFBSSBK569!:5679=68\!865GG\!5=K!H7876B;8?!&L8BME69MA!=B!86;996!:5;N7=J!C7MM!L9!5MMBC9K?!!

• /@2C8;!17H9=!649!7==BH567H9!=56E;9!BG!649!&8:7;9!<9=69;!5=K!649!9QF767=J!CB;N!6456!C7MM!65N9!:M5F9!649;9\!649!<9=69;!78!:B789K!6B!L9FBS9!5!=567B=5M!F9=69;!BG!9QF9MM9=F9?!)6!78!BE;!4B:9!6456!649!.MK!$BC=!FBSSE=76A!C7MM!65N9!:;7K9!7=!89;H7=J!58!649!4BS9!GB;!8EF4!5!G5F7M76A?!39!7=69=K!6B!F;9569!5!FBSSE=76A!5KH78B;A!FBSS76699!6B!588786!E8!C764!:;BJ;5S!K9H9MB:S9=6!7=FMEK7=J!5!HBME=699;!:;BJ;5S!C49;9LA!MBF5M!;987K9=68!5=K!86EK9=68!L9FBS9!:5;6!BG!BE;!:;BJ;5S!BGG9;7=J8?!!!

“This program has saved my life.”

—Veteran, Detroit Domiciliary

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5 What will the Center look like? $49!<9=69;!C7MM!L9!]E796\!E=FME669;9K\!5=K!C7MM!5::95;!6B!5=AB=9!B=!649!86;996!58!87S:MA!5!LE87=988!LE7MK7=J?!$49;9!C7MM!L9!5!K987J=569K!8SBN7=J!:567B!7=!649!L5FN\!FBS:M969MA!BE6!BG!H79C!BG!:5889;8LA?!+B769;7=J!BE687K9!649!G5F7M76A!B;!7=!649!=97J4LB;4BBK!C7MM!L9!86;7F6MA!:;B47L769K?!&MM!&8:7;9!<9=69;!"969;5=8!C7MM!87J=!5!FB=6;5F6!7=K7F567=J!6456!649A!5J;99!6B!GBMMBC!649!<9=69;!;EM98!5=K!E=K9;865=K!6456!;EM9!H7BM567B=!C7MM!L9!J;BE=K8!GB;!K78S7885M?!

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6 Security $49!<9=69;!C7MM!L9!5!85G9!45H9=!GB;!"969;5=8!FB=F9=6;567=J!B=!6497;!:;BF988!BG!;9FBH9;A!7=!:;9:5;567B=!GB;!5!;96E;=!6B!F7H7M75=!M7G9?!/57=657=7=J!5!85G9!9=H7;B=S9=6!GB;!"969;5=8\!865GG\!5=K!649!=97J4LB;7=J!FBSSE=76A!78!5!6B:!:;7B;76A?!'ES9;BE8!85G9JE5;K8!C7MM!L9!7=!:M5F9!6B!9=8E;9!85G96A^!!

• (:@25:!83:@D!5@2:8@24;!"&!S5=K5698@!86569!6456!"969;5=8!C4B!:;989=6!5!87J=7G7F5=6!;78N!BG!45;S!6B!649S89MH98!B;!B649;8!B;!C4B!S996!F;769;75!GB;!5FE69!:8AF4756;7F!B;!S9K7F5M!4B8:765M7e567B=!<"$%)('%!L9!5KS7669K!6B!%%$08!8EF4!58!649!&8:7;9!<9=69;?!

• ,43C4:8C!><BE2:462F4:2<3;!<5M7GB;=75!M5C!S5=K5698!6456!495M64F5;9!:;BH7K9;8!SE86!4B8:765M7e9!:5679=68!C4B!5;9!5!K5=J9;!6B!649S89MH98!B;!B649;8\!GB;!6;956S9=6!5=K!9H5ME567B=V?!&8:7;9!<9=69;!"969;5=8!C7MM!L9!E=K9;!7=69=87H9!BL89;H567B=!LA!865GG!6;57=9K!6B!;9FBJ=7e9!8EF4!;78N?!)=!649!E=M7N9MA!9H9=6!6456!5!"969;5=!L9FBS98!5!K5=J9;!6B!47S89MG_49;89MG!B;!B649;8!5G69;!L97=J!5KS7669K!6B!649!&8:7;9!<9=69;\!865GG!C7MM!5;;5=J9!GB;!7SS9K7569!89FE;9!6;5=8G9;!6B!649!"&!4B8:765M!7=!+5!`BMM5?!

• (85?@2:D!G84B?@8B;!$49!<9=69;!C7MM!45H9!@I_R!FM7=7F5M!865GG!5=K!649;9!C7MM!=9H9;!L9!M988!645=!64;99!865GG!S9SL9;8!:;989=6!56!5=A!67S9?!$49!<9=69;!C7MM!45H9!B=9!S57=!FB=6;BMM9K!5=K!SB=76B;9K!9=6;A_9Q76!:B7=6!5=K!649!KBB;8!C7MM!L9!MBFN9K!9H9;A!K5A!56!O!:?S?!$49;9!C7MM!L9!5!86;7F6MA!9=GB;F9K!22!:?S?!FE;G9C?!"969;5=8!C7MM!L9!;9]E7;9K!6B!F49FN!7=!5=K!BE6!BG!649!LE7MK7=J?!"7BM567B=!BG!5=A!85G96A!;EM98!C7MM!L9!J;BE=K8!GB;!K78F45;J9!G;BS!649!:;BJ;5S?!

• (498:D!:@45H!@85<@C;!3764!649!"&h8!SB;9!645=!2ZZ[A95;!9Q:9;79=F9!C764!%%$0!:;BJ;5S8\!649;9!458!L99=!=B!7=F7K9=F9!BG!H7BM9=F9!B;!K786E;L5=F98!C7647=!649!5KWB7=7=J!=97J4LB;4BBK8?!$49;9!5;9!=ES9;BE8!9Q5S:M98!BG!:B8767H9!7=69;5F67B=8!C764!8E;;BE=K7=J!FBSSE=76798?!jB;!9Q5S:M9\!B=9!%%$0!78!FB[MBF569K!C764!5!/B=6988B;7!(F4BBM!7=!'9C!kB;N\!C764!5!S7KKM9!8F4BBM!5=K!47J4!8F4BBM!=9Q6!KBB;?!

“Please keep doing what you’re doing. I can’t say enough good things about the program.”

—Veteran, Mountain Home

Tennessee Domiciliary

!

! R!

7 Will the Center be expanded in the future? $49;9!5;9!=B!:M5=8!6B!7=F;9589!649!=ESL9;!BG!L9K8!GB;!649!G5F7M76A?!

8 Will the Center include a methadone clinic? 'B\!6478!78!=B6!5!8EL865=F9!5LE89!;945L7M76567B=!:;BJ;5S?!!

9 What happens to Veterans after they leave the Center?

l:B=!J;5KE567B=!G;BS!649!:;BJ;5S!5=K!C764!649!5887865=F9!BG!5!"&!<589!/5=5J9;\!649!"969;5=!C7MM!6;5=8767B=!6B!478!B;!49;!BC=!4BS9!6B!M7H9!7=K9:9=K9=6MA?!"&!(5=!*79JB!,95M64F5;9!(A869S!458!5!FBS:;949=87H9!F589!S5=5J9S9=6!695S!6456!5887868!"969;5=8!C764!5MM!58:9F68!BG!;97=69J;567B=!7=FMEK7=J!5887865=F9!C764!4BE87=J!5=K!G7=K7=J!9S:MBAS9=6?!"969;5=8!C4B!F4BB89!6B!M95H9!5J57=86!BE;!5KH7F9!C7MM!L9!5887869K!LA!649!"&!7=!MBF567=J!5::;B:;7569!4BE87=J!5=K!5M69;=567H9!6;956S9=68!5=K!C7MM!=9H9;!L9!aK78F45;J9K!6B!649!86;9968?b!

10 What is posttraumatic stress disorder (PTSD)?

0$(*!78!5=!5=Q796A!K78B;K9;!6456!5!:9;8B=!F5=!K9H9MB:!5G69;!9Q:9;79=F7=J!5!6;5ES567F!9H9=6c7?9?\!8BS9647=J!4B;;7LM9!5=K!G;7J469=7=J!6456!649!:9;8B=!C76=98898!B;!6456!45::9=8!6B!649S?!*E;7=J!6478!6A:9!BG!9H9=6\!649!:9;8B=!647=N8!6456!478!B;!49;!M7G9!B;!B649;8d!M7H98!5;9!7=!K5=J9;\!5=K!S5A!G99M!5G;57K!B;!G99M!6456!649;9!78!=B!FB=6;BM!BH9;!C456!78!45::9=7=J?!$49!SB86!FBSSB=!6;5ES567F!9H9=6!9Q:9;79=F9K!LA!649!"969;5=8!C9!89;H9!78!G;BS!9Q:B8E;9!6B!FBSL56?!&LBE6!Rf!BG!&S9;7F5=8!C7MM!K9H9MB:!0$(*!BH9;!649!FBE;89!BG!6497;!M7G967S9X!5=K!5LBE6!D?Of!BG!l?(?!5KEM68!5J9K!2V!6B!OIcO?@!S7MM7B=!:9B:M9c45H9!0$(*!KE;7=J!649!FBE;89!BG!5!J7H9=!A95;2Z?!&=!9867S569K!2If!BG!"969;5=8!;96E;=7=J!G;BS!);5]!5=K!&GJ45=7865=!45H9!0$(*22?!

$49!8AS:6BS8!BG!0$(*!7=FMEK92@^!2U!;9M7H7=J!649!9H9=6!T5M8B!F5MM9K!;9[9Q:9;79=F7=J\!9?J?\!=7J46S5;98!B;!GM584L5FN8Ug!@U!5HB7K7=J!876E567B=8!6456!;9S7=K!ABE!BG!649!9H9=6g!DU!G99M7=J!9SB67B=5MMA!=ESL!T9?J?\!K7GG7FEM6A!9Q:;9887=J!G99M7=J8\!=B6!7=69;9869K!7=!:M958E;5LM9!5F67H76798Ug!IU!G99M7=J!N9A9K!E:!T9?J?\!W7669;A_9587MA!865;6M9K\!7;;765LM9\!5MC5A8!5M9;6\!B=!649!MBBNBE6!GB;!K5=J9;U?!

!

! V!

11 Does treatment for PTSD work? 0$(*!78!6;9565LM9g!649;9!5;9!9GG9F67H9\!9H7K9=F9[L589K!6;956S9=68!GB;!649!FB=K767B=?!$49!6CB!S57=!6A:98!5;9!:8AF4B649;5:A!TFBE=89M7=JU!5=K!S9K7F567B=?!$4989!5;9!BG69=!:;98F;7L9K!6BJ9649;\!5=K!LB64!C7MM!L9!BGG9;9K!56!649!&8:7;9!<9=69;!GB;!"969;5=8!C4B!=99K!649S?!&=!9Q5S:M9!BG!5!0$(*!6;956S9=6!BGG9;9K!LA!649!"&!78!.-'/'(:#7)?@A'$"-#)B.?Cc5!6A:9!BG!:8AF4B649;5:A!6456!7=HBMH98!65MN7=J!5LBE6!649!6;5ES5!;9:9569KMA!E=67M!649!S9SB;798!5;9!=B!MB=J9;!E:89667=J?!05679=68!5M8B!JB!7=6B!876E567B=8!6456!5;9!85G9!LE6!C47F4!649A!45H9!L99=!5HB7K7=J!L9F5E89!649A!5;9!;9M569K!6B!649!6;5ES5?!%9895;F4!7=K7F5698!6456!649!5H9;5J9!0#[6;9569K!:5679=6!G5;9K!L9669;!645=!VPf!BG!:5679=68!7=!FB=6;BM!FB=K767B=8!56!649!9=K!BG!6;956S9=6!B=!0$(*!S958E;982D?!&=B649;!9H7K9=F9[L589K!6;956S9=6!6456!C7MM!L9!:;BH7K9K!78!D':(&%&9#).-'5#$$&(:)E6#-0A1)BD.EC\!C47F4!GBFE898!B=!F45MM9=J7=J!5=K!SBK7GA7=J!S5M5K5:67H9!L9M79G8!;9M569K!6B!649!6;5ES567F!9Q:9;79=F9?!<0$!458!L99=!84BC=!6B!;9KEF9!0$(*!8AS:6BS8!87J=7G7F5=6MA!SB;9!645=!5!FB=6;BM!J;BE:!7=!"969;5=8!C764!F4;B=7F!S7M765;A[;9M569K!0$(*2I?!

12 What is traumatic brain injury (TBI)? $49!:;7S5;A!F5E898!BG!$-)8!7=!649!F7H7M75=!:B:EM567B=!5;9!G5MM8\!SB6B;!H947FM9!5FF7K9=68\!L97=J!86;EFN!LA!5=!BLW9F6\!5=K!5885EM68?!$49!FB=GM7F68!7=!);5]!5=K!&GJ45=7865=!45H9!;98EM69K!7=!7=F;9589K!=ESL9;8!BG!"969;5=8!C4B!45H9!9Q:9;79=F9K!6;5ES567F!L;57=!7=WE;798\!KE9!6B!LM5868\!SB6B;!H947FM9!5FF7K9=68\!5=K!JE=84B6!CBE=K8?!$-)8!F5=!L9!F569JB;7e9K!7=6B!S7MK\!SBK9;569\!B;!89H9;9\!K9:9=K7=J!B=!4BC!MB=J!649!:9;8B=!9Q:9;79=F98!5!MB88!BG!FB=8F7BE8=988!5=K!649!89H9;76A!BG!FB=89]E9=F98\!8EF4!58!5S=98752O?!

$49!H586!S5WB;76A!BG!$-)8!5;9!F569JB;7e9K!58!S7MK?!)=7675M!8AS:6BS8!BG!S7MK!$-)!8EF4!58!495K5F49\!K7ee7=988\!7=8BS=75\!7S:57;9K!S9SB;A!5=K_B;!MBC9;9K!6BM9;5=F9!GB;!=B789!5=K!M7J46\!6A:7F5MMA!;98BMH9!LA!P!SB=648?!(BS9!:5679=68!4BC9H9;!FB=67=E9!6B!9Q:9;79=F9!;987KE5M!a:B86[FB=FE887H9b!8AS:6BS8!7=FMEK7=J^!8BS567F!T495K5F49\!67==76E8\!7=8BS=75\!96F?U\!FBJ=767H9!TS9SB;A\!5669=67B=!5=K!FB=F9=6;567B=!K7GG7FEM6798U!5=K!9SB67B=5M_L945H7B;5M!T7;;765L7M76A\!K9:;9887B=\!5=Q796A\!K787=47L767B=U2O?!!

!

! X!

13 Does treatment for TBI work? &!J;956!K95M!BG!;9895;F4!78!FE;;9=6MA!E=K9;C5A!B=!649!588988S9=6!5=K!6;956S9=6!BG!$-)?!(6EK798!8EJJ986!6456!H5;7BE8!6;956S9=6!5::;B5F498!5;9!:;BS787=J\!7=FMEK7=J!:5679=6!5=K!G5S7MA!9KEF567B=\!S9SB;A!57K8\!9Q9;F789\!5=K!BFFE:567B=5M!;945L7M76567B=2O\2P?!$49!"&!5=K!649!*9:6?!BG!*9G9=89!45H9!9865LM7849K!:;5F67F9!JE7K9M7=98!GB;!649!6;956S9=6!BG!$-)2P?!$49!&8:7;9!<9=69;!CBEMK!L9!649!G7;86!%%$0!6B!7=FMEK9!5!8:9F75M!6;5FN!6B!8:9F7G7F5MMA!5KK;988!649!=99K8!BG!;96E;=7=J!);5]!5=K!&GJ45=7865=!"969;5=8!C764!$-)?!

14 More Information • /$(+I!CCC?:68K?H5?JBH!!

• $@4?G4:25!7@423!23J?@DI!CCC?:BMA6;5ES5?H5?JBH_E=K9;865=K7=J[6L7_!

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• 0<3:45:!*9LL79!*BS7=7FN\!+<(3\!&8:7;9!<9=69;!*7;9F6B;!56!TVOVU!PI@[PII2?!

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