Social Work and Law and Airtime, Oh My!

Featuring TPN.Health Member Ranord Darensburg, JD, MSW

ranord darensburg profile

“While I was in social work school, I met the dean of the law school, and he called me on the telephone and said ‘would you like to do a dual degree–law and social work?’”

A simple phone call during undergraduate studies at Tulane University set Ranord Darensburg, JD, MSW, on a dual-path in law and social work, a path that he has cultivated for the past twenty-six years. Although Ranord’s career has largely revolved around practicing law, he has remained in touch with his social work background through involvement with Orleans Parish Juvenile Court. Positions within Juvenile Court, such as traffic referee, hearing officer, public defender, grant writer, and CASA volunteer have served to bridge the spheres of law and social work for Ranord, so much so that today he cannot see one sphere operating outside the other. 

“A large part of my job is the attempt to change how we operate the juvenile justice system.”

As a culmination of his diverse experiences in the court system and practicing law, Ranord serves today as the Judicial Administrator, working closely with Chief Judge Anderson and handling all non-judicial functions, including the budget, staff, hiring and firing, and grant-writing. For Ranord, the purpose that drives and directs this largely administrative role is to create “a court of equity.” Having many processes and moving parts, creating an equitable court manifests partially in removal of unnecessary roadblocks in a person’s trajectory through the court system. For instance, last year they worked to eliminate fines and fees as well as bail for juveniles and were successful in this endeavor.

The skill of grant writing, which Ranord learned out of necessity alongside other roles in court, assists him in a key component of the juvenile justice system overhaul, which is creating and/or implementing court-led programs. Programming allows opportunities for people to engage with the court in a way that supports and fairly reciprocates their own growth and activity as citizens. For Ranord, this means paying attention to the nuanced gaps in resources or education within the court and creating or updating court programs that address those gaps. 

For instance, when the court saw a greater number of girls entering the system, Ranord worked with them to create Girls Reaching Out Works Wonders (GROWW), a program tailored to prevent girls from reoffending when they are in the program and enable them to show up at their court dates. Since the launch of the program, one hundred percent of the girls have shown up for court at their appointed dates, and two percent have reoffended. The program is so appealing to participants that many girls do not want to leave the program once they have completed it.

“Part of what we’re doing is trying to develop a relationship of trust. We have a mission to [have] a court that is procedurally fair, [where] people feel that they have been treated fairly and feel, whether the outcome is positive or negative, they’ve been heard and understand what happened to them.”

GROWW, Men Engaging in Leadership and Opportunity Works (M.E.L.O.W.), which is GROWW’s male equivalent, and other programs create opportunities for juveniles to have positive engagement with the court system, engagement that supports them in moving forward rather than feeling stuck. Of the programs Ranord has brought to Juvenile Court, he specifically notes Teen Court as it enables teens both in and outside the justice system to engage with the processes of the system. Here the teens in question, once innocence or guilt has been decided, have the space to process and explain their actions to a peer group, and the peer group decides what the consequences will be. According to Ranord, the program serves as a source of positive peer pressure that promotes honesty and openness in the room of participants.

“We really have worked hard to build a team of people who work well together. We play to our staff’s strengths, so if you’re good at something or like something, we make sure that there’s a lot of that on your plate.”

For twenty of his twenty-six years working in law and juvenile justice, Ranord has been managing people. In this way, he is primed to pay attention to individuals’ strengths and how they will fit in certain roles. In the position of Judicial Administrator, he emphasizes the importance of a team-oriented environment as part of the equation to create change in the court system. Ranord notes that the team members with whom he works at court tend to respond to things they enjoy and, in this way, are able to develop their own niches in court. 

Within the context of Families in Need of Services (FINS), a case management and referral process within the court, Ranord hopes to implement TPN.Health as a tool for the entire staff to utilize. The team frequently uses the FINS process as there is always a need for referrals to outside services, particularly in neighborhoods where services can be more difficult to locate. It is Ranord’s vision that staff members’ use of TPN.Health as a local referral source can make the FINS process scalable and much more effective.

“I want social workers to take ownership of Juvenile Court.”

Today Ranord’s education and involvement in social work informs the direction he sees for Juvenile Court. The social work principles underlie so much of what the court provides in the way of services, including but not limited to the areas of behavioral health, conflict resolution, and rehabilitation. So it makes sense that those with a social work background could be highly instrumental in the service-providing function of the court. In the realm of social work, Ranord also serves as the Regional Representative for the National Association of Social Workers Louisiana Chapter (NASW-LA). In this role he organizes the monthly NASW-LA New Orleans Regional Meetings which include free CEU opportunities for social workers. Coming up on Tuesday, January 21st, the next New Orleans Regional Meeting CEU, entitled “Call to Care Report,” will cover the topic of childhood trauma.

Ranord’s monthly CEU organization for the NASW-LA caught the attention of longtime friend and colleague, Dr. MarkAlain Dery, infectious disease specialist and founder of 102.3 FM WHIV-LP. Dr. Dery and Ranord are partnering to loop social work into WHIV’s Resistance Radio discussions, which take a hard look at society through the lens of racial, gender, housing, and educational justice. Funded through a grant from the Aids Education & Training Center (AETC), the program will serve as a free General CEU Credit, approved by the NASW-LA. 

Dr. Dery, Ranord, and the rest of the production team plan for every third Monday of the month, called “Movement Mondays,” to feature a new social work topic on Resistance Radio. Launching on Martin Luther King Day, the first topic will be “Social Work and Civil Rights,” new and original CEU material which Ranord is writing for the purpose of the show. Ranord will co-host the broadcast alongside Dr. Dery and present alongside Judge Calvin Johnson and Deidre D. Hayes, DSW, BCD, LCSW-BACS. With Lenney Raney (aka DJ Chinua) DJ-ing the and TPN.Health providing the snacks, Ranord remarks, “It’s sure to be a party!”

“Your voice almost put me to sleep.”-guy from Cafe Luna

When I interviewed Ranord for TPN.Health over coffee at Cafe Luna, a nearby patron approached us and sang praises of Ranord’s soothing voice. In addition to having a naturally pleasing tone, Ranord is no stranger to the soundboard as he hosted a weekly radio show for two years on the Westbank called “Issues of Life: Solutions For Living Well.” The show gave people practical information about making their lives easier, better, or less stressful. As soon-to-be co-host of Resistance Radio’s “Movement Mondays,” Ranord will be bringing with him not only a uniquely pleasant voice but years of experience hosting a radio show and creating CEU presentations.

“My purpose [is] to use all the talent, skills, and education I have to enlighten, educate, and inform people about ways to live better and be stronger.”

Underlying all of Ranord’s roles, that of practicing attorney, people-mover, public speaker, and radio host, to name a few, is the theme of enlightening people from lived experience and his own education. In this way, these roles do not operate singularly. Rather, they continually work together and inform one another to serve as vehicles for Ranord to grow and expand on the overarching theme of his work.

Want to intentionally expand your network of trusted professionals? Create a TPN.Health clinical profile to begin making connections to Ranord and others like him in the behavioral health field.

TPN.Health MIND/CLINIC: Dr. James Flowers

TPN.Health introduces James Flowers, PhD, LPC! Dr. Flowers will be speaking at TPN.Health’s upcoming MIND CLINIC Conference December 5th, sharing twenty-eight years of experience designing programs to evaluate the total health of a person from a biopsychosocial approach.

A world-renowned expert in the treatment of chronic pain, Dr. Flowers is the founder of J. Flowers Health Institute in Houston, Texas and owner of Kemah Palms Recovery and Cypress Lakes Lodge, addiction treatment centers in Texas.

Why a chronic pain speciality?

The youngest of four siblings, Dr. Flowers witnessed two of his middle sisters’ struggles with health, including drug addiction and a painful cancer ending in death. Witnessing these struggles, specifically his sister’s journey with cancer, cultivated Dr. Flowers’ interest in suffering and the diagnostic process. This also meant that Dr. Flowers had first-hand exposure to the dynamics of treatment providers working to address complex issues.

Essential to his interest in diagnostics was the fact that his sister’s cancer went undiagnosed for years as it did not appear on any particular test. Despite the lack of visibility, the cancer still affected her health in the meantime and perhaps could have been addressed earlier had she had access to a comprehensive diagnostic evaluation. Upon living the progression of his sister’s cancer to her death and seeing the effect on his family in the process, Dr. Flowers decided to alter the trajectory of his life. When she died, he knew that he wanted to develop programs designed to help as many people as possible to truly uncover and understand their diagnoses.

“I believe when someone is suffering, we should do a comprehensive diagnostic evaluation, which means developing a living MRI of a person’s life.”

Twenty-eight years ago when Dr. Flowers first began his training to develop chronic disease management and treatment programs, he noticed quickly that not everyone in healthcare was on board with this idea. In the U.S., the concept of evaluating the total person was widely accepted in the Northeast and Northwest, but in other areas of the country it was not considered a necessity. For instance, if someone had twelve back surgeries a provider might think it preposterous that the focal issue could be with anything other than the back.

Fast forward to 2019. The total-person medical evaluation is more widely accepted in the whole of the United States. What Dr. Flowers has seen over the years are unintentional treatment failures from qualified providers. Despite the best efforts of providers, oftentimes the true diagnoses of a person can go undiscovered because providers have not been systematically enabled to develop a whole picture of the client’s health, brain and body, working together. Moving beyond the surface work of assessment, in comprehensive diagnostic evaluations both provider and client have access to ongoing conversations with one another about the intricacies of each body system and how the systems themselves are in conversation.

James Flowers headshot on white backdrop

“The thing that keeps me going is that this is truly my passion in life. My work is my passion.”

In living out his passion of helping people find real solutions through his work, Dr. Flowers balances his recreational activities with an equally passionate spirit. For him, these activities manifest largely in running long distances and piloting airplanes. Whether his feet are hitting the pavement or floating in the clouds, he values that engagement with these activities does not allow for him to have self-defeating thoughts. For instance, when flying the plane, he must support himself constantly in order to uphold responsibility for the lives on board. In running long distances, total self-support is a necessity, or else he won’t finish!

Underpinning all of Dr. Flowers’ work is the fact that people are not fragmented parts working independently of one another. We are whole systems of systems, and we can honor the moving parts by addressing them in a way that contributes to the overall health of the whole person. Join us at the TPN.Health MIND CLINIC to unpack the processes of creating a true living MRI in integrated healthcare and what this means for you as a provider today.

2019 LCA Conference Recap: Part 2

“We’ve embarked on this research-writing project and have found a gap in the literature.” -Jordan Esfeld, BS, MS-C

Kathryn Pennings, TPN.Health Clinical Liaison, with colleagues Jordan Esfeld and Annie Rooney, all of whom are masters level students in the Clinical Mental Health Counseling program at Loyola University, gave an interactive presentation of their research findings at the 2019 Louisiana Counseling Association (LCA) Conference.

The presentation, “Trauma-Informed Yoga and Addiction Recovery,” sprang from Jordan and Kathryn’s’ exploration of alternative modalities for addiction recovery in an addictions course. After they presented on trauma-informed yoga as an alternative modality, their professor Dr. Stephanie Robinson encouraged the students to explore this in an in-depth way, as the topic trauma-informed yoga applied to the field of addiction recovery was absent in the literature. So began their development of this particular project. They invited to the research team Annie Rooney, an experienced teacher of trauma-informed yoga in the local community of New Orleans, who was able to inform the project with her experiences in practice.

So, what exactly is trauma-informed yoga?

Essentially, it is a bodily practice that does the work of unifying the fragmentation created in a person’s reality from a history of trauma. Jordan explained that the ways this fragmentation presents itself is through implicit memory and explicit memory. Implicit memory is the body’s physical storage of response mechanisms in the nervous system to trauma events and triggering events, while explicit memory is the mental recall of a specific memory, the storytelling mechanism.

Jordan noted, “When implicit memory is at the forefront of what is re-traumatizing or re-triggering, sometimes the top-down modality of talk-therapy alone is not enough. We need to access the whole of the person to be able to unify the fragmented pieces.” Yoga, tailored to address the specific bodily responses that occur with trauma, is the modality that can grant that access.

Linking Trauma-Informed Yoga to Addiction-Recovery

  • Trauma plagues most people that are seeking addiction treatment.
  • Trauma is rated as the top most distressing experience of people recovering from substance use disorders.
  • Heightened arousal of the autonomic nervous system in PTSD is connected with an increased chance of relapse post-recovery.

Substance use acts as a mechanism for people to cope with the pain of the trauma. The goal of trauma-informed yoga in recovery is to support the symptoms of trauma that come up in the recovery process, such as when the substance is removed. The problem lies in models of treatment that address substance use as separate from trauma history, when in reality the two are intertwined. What ends up happening is that parallel or stage models of treatment perpetuate the fragmentation that occurs with trauma.

In researching, the students found that oftentimes treatment centers will use these models that address trauma and addiction separately or sequentially and do not offer support through trauma-informed yoga. The ideal is to support all of the processes that go on in addiction-recovery with an integrated approach that addresses the whole individual rather than just crisis management. One of the elements to integrate is trauma-informed yoga.

Pennings, Rooney, and Esfeld presenting at LCA

Although the paper was specific to how trauma-informed yoga can be a supportive treatment modality to substance use disorders, the presenters invited the audience to share ideas for how trauma-informed yoga could be supportive to their own work. Kathryn noted the versatility of trauma-informed yoga when she expressed, “We’ve been putting a lot of work into something that can be translated into a lot of different populations, not just the recovery community.”

In the spirit of interactivity, the presenters invited volunteers from the audience to take part in a demonstration of a trauma-informed yoga class to illustrate the structure of a typical class. Gabrielle Deculus, TPN.Health Director of Marketing, and Felicia Kleinpeter, Director of Clinicians, were eager to participate. Annie conducts her classes in the form of a circle and displayed this in the demonstration. The circle form can resolve some of the power differentiation perceptions and comparison-thinking that comes up when people are in rows.

Part of the presentation was considering the factors that affect how specific individuals and groups engage with the practice. As an instructor, Annie notes the importance of this consideration in practice, for example, in her work with trafficked individuals. Considering how these individuals engage means paying attention to language use and the inclusion or exclusion of specific poses. All this is to avoid triggering people and create a space where people principally have opportunities to feel capable and empowered.

The conversation shifted to accessibility when some audience members shared their past perceptions of yoga. For instance, someone in the room shared the perception that yoga is for people who have ample free time for leisure and money to spare. Another shared the notion that yoga was sectioned-off from the everyday and offered just at expensive treatment facilities.

These barriers to access may have been true for many in the past, but things have shifted. Today, free or low-cost in-person classes are available, as well as free online instruction. Annie shared that several of her students practice yoga at home by watching the popular YouTube channel Yoga with Adriene. Today the reality is that yoga is accessible to most everyone.

It is hopeful that these clinicians-in-training are trailblazing the field with their research and practices. TPN.Health wants to hear from clinicians and students who will become behavioral health professionals. Are you involved in research that you’re passionate about? Share within the TPN.Health community so fellow trusted clinicians and providers can learn about it!

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LCA Conference Recap: Part 1

More trusted clinical voices equals a better TPN.Health.

It was an information-packed beginning of the week for the hundreds of clinicians who attended the 2019 Louisiana Counseling Association (LCA) Conference, and the TPN.Health team was in the thick of it all. We had the privilege to hear experiences of the clinicians that visited our table. We learned a lot. Our intent is that the clinical community will continue to be the ones to shape the TPN.Health professional platform by sharing their experiences, needs, and ideas. How can we better meet the needs of the whole clinical community, with all its niches and nuanced areas?

2 clinicians holding TPN.Health cups

I spoke to several new TPN.Health members who are meeting the needs of marginalized communities. Kyle Hankinson, PLPC, NCC, shares his unique experience working with the LGBTQ+ community on the Westbank. As a PLPC, Kyle has experienced the challenge of finding a job outside of a private practice as many places look for clinical experience that PLPCs just don’t have.

Kyle Hankinson, PLPC, NCC--his face on a blue water background

Practicing privately is allowing Kyle to get that experience and see the specific population of clients he wants to help. In addition to Kyle’s focus on the LGBTQ+ community, he offers services to Spanish-speaking people. Kyle spoke to what can happen when the challenges of two marginalized communities converge. For instance, someone whose identity is intersectional at Latino and LGBTQ+ may have significantly compounded cultural obstacles in getting the resources they need.

Naomi Dugar profile against white wall

Naomi Dugar, LPC, with her business partner Jasmine Hernandez, Ph.D, LPC, NCSC, NCC are in practice at the New Orleans Multicultural Institute of Counseling (NOMIC) in Gretna. In their practice, ninety percent of the clients they see identify as Hispanic or Latino. When I spoke to Naomi, she noted how important it is in her practice to have rates that are affordable for her clientele to pay out of pocket, as bilingual services are not that easy to come by.

“I want to spread the word that there are resources available for the underserved population. Having an interpreter in the session and a practitioner that does not speak the native language is very impersonal. A lot of times the client will have to provide an interpreter themselves.” -Naomi Dugar

For Naomi, being bilingual in the behavioral health field was beneficial when building clientele in a private practice. The referrals were already at her disposal. She just needed to put herself out there to let clients know her services were available as she was building the practice. Also serving as President of the Louisiana Multicultural Division, Naomi presented with Dr. Hernandez on counseling immigrant children in schools — how separation, migration, and reunification affects families. Naomi notes the necessity for counselors to have cultural awareness in these settings.

It’s clear the clinical voices contributing to TPN.Health are growing! Thanks to our time at LCA, we are now 100+ helping professionals stronger in the TPN.Health community. We are grateful for this growth opportunity, not only in the breadth of the platform but in the insight as to the needs of helping professionals.

Tune in later for a TPN.Helath blog wrapping up our time at LCA, where we connect with Kathryn Pennings, TPN.Health Clinical Liaison, on her trauma-informed yoga presentation at the conference.

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Paying Attention: A Recap of “Teaching DBT Skills”

On Tuesday, September 17, TPN.Health took part in sponsorship of a “Teaching DBT Skills” training, which Imagine Recovery hosted. Thanks to the work of Eric Schmidt and Nicole Manwaring in their presentations, fifty clinicians gathered at the Tulane School of Social Work were able to have a day of in-depth training while achieving CEUs. This training was anything but surface as clinicians were given opportunities to practice and question the presented skills throughout the day.

DBT training- classroom view

We started the day bright and early with an exercise in letting go of resentment. The practice was mindfulness. Notice five things you can see. Five things you can hear. Five things you can feel. Notice you’re here. Then, bring your hands (holding the resentment) to your face. Look at it. Then, let your hands fall. Notice the trio of five things again.

“What came up for you?” asked Eric to the participants in the room. Mikal Matton, LPC, spoke on cultivating self compassion; she says, “If I can move in close to it (the resentment) without judgment, maybe I can change my relationship with it.” Another clinician noted, “There is a lot happening right now that we’re just not paying attention to.”

clinicians at training sitting in their seats

There is so much happening both in our immediate worlds as humans and in the ecosystem of behavioral health. So, throughout the day, TPN.Health paid attention to several clinicians by tuning into their experience at the day of DBT.

Stephen Dacovich, LCSW, shares, “A lot of workshops are theoretical, and this is practical application where we are actually encouraged to do some of the roleplaying. This is a great application of learning a new skill set.”

Mark Saucier, LPC, works in a local behavioral hospital in the counseling department and owns a small private practice on the side. He learned some new approaches that he will take to the field. These include the ideas that we choose what irritates us and that we need context to understand life’s circumstances, asking the right questions like, “What happens when I feel this way?” He notes that a lot of the DBT skills will be immediately applicable in both of his workplaces.

Taylor Farris, LMSW, who works at Lafayette Parish Correctional facility, speaks to the necessity of the emotion regulation piece of DBT in her work setting: “The emotion regulation is extremely vital to what I do — trying to get people to emotionally regulate themselves because they’re in a stressful environment 24/7 until they’re released. So the more skills they are able to build up, the easier it is for them to get through their sentence.”

Jessica Gibson Kendrick--red shirt, white wall

Jessica Gibson Kendrick, LPC, pictured above, is partnered in opening a new private practice in Lafayette, LA, so she is thinking forward, “Hopefully starting in the fall, there will be a DBT skills group. There’s a big need for this in our community and just not enough of this type of practice to serve the community that we live in, so I’m excited to complete the DBT skills training so we can take this back to our community and start something new.”

TPN.Health is excited to be hosting and/or sponsoring more of the CEU events that clinicians (you) want to experience. Some of the CEU suggestions we’ve heard so far include training in ACT, more DBT skills-based workshops, mindfulness, clinician impact on mental health in Louisiana, incorporating spirituality into therapy, and undoing institutional racism.

3 DBT Training participants, presenter in the middle

So, what’s next on the agenda? We will officially sponsor the 2019 LCA Conference in New Orleans, happening from September 29th to October 1st. Find us on Instagram @tpnhealth and tag three Louisiana licensed clinicians for a chance to win free registration ($350 value) to the conference. See you there!

What other CEUs could benefit you the clinician and the TPN community of clinicians at large? As Christopher O’Shea, TPN Co-founder, said in his address to the room at the DBT training, “We are listening.”

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TPN. Health Sets Up at the 3rd Annual St. Bernard Recovery Rally

“This is about community.”

Four years in the making, St. Bernard Recovery Awareness’ first step as a nonprofit organization was to get the St. Bernard Parish Council to proclaim National Recovery Month, and the nonprofit was successful in this endeavor. In line with the proclamation of National Recovery Month, on Saturday, September 7th, local behavioral health companies and organizations filled the space at Docville Farm to celebrate the 3rd Annual St. Bernard Recovery Rally.

“To utilize a consortium of community resources to identify and eliminate barriers within the mental health system that impede one’s journey of recovery,” is part of the mission statement at St. Bernard Recovery Awareness.

Kathryn talking about TPN to vendor

On Saturday, September 7, TPN. Health set up alongside event participants to partake in that consortium of resources. We spoke to fellow behavioral health service providers as well as members of the community seeking resources. Tia Serigne, team member at St. Bernard Recovery Awareness, in her opening remarks at the event said, “This is about community,” and the proceedings of the event reflected that statement, not only for the community of people seeking help in St. Bernard Parish but the community of behavioral health service providers in the area.

Over lunch I spoke to Dave, a recovering person who was born and raised in St. Bernard Parish. He spoke of his own journey in recovery and the resulting evolution of relationships within his own family, some of whom had accompanied him to the rally. He expressed that coming to events like this one was part of his personal recovery.

James T., also a local resident in recovery, addressed the entire room in telling his story as a recovering addict. The three hardest words he ever had to say to his wife were, “I need help.” Dave, sitting next to me, said quietly, “That’s hard to do.” I share the same experience; it is hard to do. Asking for help is something that I have to practice of my own volition. It’s not in the natural order for me, and the more I talk to people who are seeking solutions to their problems, the more I realize that other adult people the have the same sense of difficulty in asking for help.

Sanquinette Haynes in white MHSD shirt

When I asked Sanquinette Haynes, LMSW, representing the Metropolitan Human Services District, what she deems important for herself as a clinician and her community of clinicians, she references her experiences in pre-flight safety presentations on airplanes. Who gets the gas mask first? If you’ve been on an airplane, you know the answer. “Place the oxygen mask on yourself first before helping others who may need your assistance.” In her experience, this is a draining profession in which clinicians need to remember to care for themselves emotionally and physically.

Captain Raul Vallacillo of the St. Bernard Fire Department in his address to the whole room also spoke to the need of care for service providers, specifically first responders — firemen, policemen, and medics — in the community of St. Bernard Parish. This could take the form of support groups to serve as a safe place for members to process in community. Following Vallacillo’s address, I spoke with Robert Fezekas, LMSW, President of St. Bernard Recovery Awareness, who said that creating these resources for first responders in St. Bernard Parish is part of the next project for the nonprofit.

team at St. Bernard Recovery on stage

The St. Bernard Recovery Awareness efforts and successes in bridging the gaps in behavioral health for the community of St. Bernard Parish inspires TPN. Health and is in the spirit of our work to form collaborative connections with providers and professionals and innovate in the behavioral health industry.

What Robert Fezekas, LCSW, and team members are doing for this community should be a template for the providers of behavioral health resources everywhere. This work is actively bridging gaps among treatment providers and fostering open communication about the needs of those seeking help.

Felicia and colleague

How does bridging gaps work?

At TPN.Health, we believe bridging gaps — thereby forming connections — begins with honest conversations. What are the needs, concerns, and visions of the clinicians and communities we serve? What assistance can you use as humans in a helping profession?

We want to hear from you!

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