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Well-Being and Mental Health Resources for Residents and Fellows | UCSF Medical Education
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<li class="link-list"> <a href="/haile-t-debas-academy-medical-educators" class="link-list-title"> Academy of Medical Educators </a> </li> <li class="link-list"> <a href="/volunteer-clinical-professor-vcp" class="link-list-title"> Volunteer Clinical Professors </a> </li> <li class="link-list"> <a href="/faculty-educators/cfe-news-and-listservs/education-and-teaching-news" class="link-list-title"> CFE News and Announcements </a> </li> <li class="link-list"> <a href="/faculty-educators/cfe-events-news-and-recognition/recognition-and-awards" class="link-list-title"> Recognition and Awards </a> </li> <li class="link-list"> <a href="https://meded.ucsf.edu/faculty-educators/contact-center-faculty-educators" class="link-list-title"> Contact Center for Faculty Educators </a> </li> </ul> </div> <div class="we-mega-menu-col span5 col-md-5" data-element-type="we-mega-menu-col" data-width="5" data-block="megamenufacultyeducators" data-blocktitle="0" data-hidewhencollapse="" data-class=""> <div 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menu-item--collapsed" > <a href="/prospective-trainees" data-drupal-link-system-path="node/135966">Prospective Trainees</a> </li> </ul> </nav> </div> </aside> <div class="layout-content"> <div class="region region-content"> <div data-drupal-messages-fallback class="hidden"></div><div id="block-dom-content" class="block block-system block-system-main-block"> <article class="node node--type-basic-page node--view-mode-full"> <div class="node__content"> <h1 class="page-title"><span class="field field--name-title field--type-string field--label-hidden">Well-Being and Mental Health Resources for Residents and Fellows</span> </h1> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><div contenteditable="false" tabindex="-1"><img alt="Mental Health Image" data-entity-type data-entity-uuid height="436" src="/sites/meded.ucsf.edu/files/inline-images/mental%20health%20page.jpg" width="545" loading="lazy"></div> <p> </p> <dom-collapsible data-widget="domcollapsible"> <h5 class="header-text" slot="header-text">Emergency and Crisis Mental Health Services</h5> <div class="content-text" slot="content-text"> <p> </p> <table align="center" border="1" cellpadding="1" cellspacing="1" style="width: 100%;"> <tbody> <tr> <td><strong>Police or Medical Emergency</strong></td> <td>Call the <u>UCSF Police Department</u> at 911 or (415) 476-6911</td> </tr> <tr> <td><strong>Person of Concern is Unreachable </strong></td> <td>Call the <u>UCSF Police Department</u> for a welfare check at (415) 476-HEAL (4235)</td> </tr> <tr> <td><strong>Emergent Mental Health Support</strong></td> <td> <p>Call National Mental Health Crisis Line 988 or </p> <p>San Francisco Crisis Line (24/7 support, (415) 781-0500 or text CRISIS to (415) 200-2920)</p> </td> </tr> </tbody> </table> </div> </dom-collapsible> <dom-collapsible data-widget="domcollapsible"> <h5 class="header-text" slot="header-text">Urgent and Important Mental Health Services </h5> <div class="content-text" slot="content-text" style="width: 90%;"> <table align="center" border="1" cellpadding="1" cellspacing="1"> <thead> <tr> <th scope="col">Need</th> <th scope="col">Resource</th> <th scope="col">What It Is</th> <th scope="col"> <p>Contact Information</p> </th> </tr> </thead> <tbody> <tr> <td><strong>Urgent (not emergent) Psychiatric Care Needed After Hours</strong></td> <td>ProtoCall Services</td> <td> <p>24/7 urgent telephone mental health support for residents and fellows</p> <ul> <li>Telephone triage and urgent support</li> <li>Linkage and follow up with FSAP as needed</li> <li>Urgent (non-emergent) service only</li> </ul> </td> <td> <ul> <li>UCSF GME ProtoCall Services : (855) 221-0598</li> </ul> </td> </tr> <tr> <td><strong>Local Emotional and Mental Health Support</strong></td> <td>The UCSF Faculty and Staff Assistance Program (FSAP)</td> <td> <p>Confidential employee assistance services at no cost to UCSF faculty, staff, post-docs, residents, and fellows</p> <ul> <li>Services include assessment, counseling, and referral services for a broad range of personal work-related issues</li> <li>Daytime and after-hours services for residents and fellows</li> <li>Assists in community referrals or to the <a href="https://psych.ucsf.edu/lpphc">Department of Psychiatry at Langley Porter Hospital and Clinics</a></li> </ul> </td> <td> <ul> <li><strong>Website:</strong> <a href="https://hr.ucsf.edu/wellbeing/faculty-and-staff-assistance-program">Faculty and Staff Assistance Program</a><br> </li> <li>(415) 476-8279<br> </li> <li><a href="/cdn-cgi/l/email-protection#9bfde8faebdbeef8e8fdb5feffee"><span class="__cf_email__" data-cfemail="86e0f5e7f6c6f3e5f5e0a8e3e2f3">[email protected]</span></a><br> </li> <li> <p><a href="https://fsap.ucsf.edu/IndividualCounselingRequest/Request">Book online</a> (must be on UCSF network or VPN)</p> </li> </ul> <ul type="disc"> <li>In your email message or secure voicemail, please include that you are a resident/fellow, the urgency of need, some available times to meet, and whether you prefer Zoom or phone (all sessions are virtual at this time due to COVID). This information will help FSAP prioritize your appointment</li> <li>Responses are triaged based on urgency and may take up to 72 hours</li> </ul> </td> </tr> <tr> <td><strong>Mental Health Insurance Benefits</strong></td> <td> <p>The resident and fellow HMO and PPO health insurance plans</p> </td> <td> <ul> <li>In-network virtual and in-person mental healthcare are covered with an insurance co-pay through in-person or virtual/telehealth options. </li> </ul> <p> </p> <ul> <li>The Headspace Care (formerly Ginger) behavioral health platform provides unlimited text-based coaching and 15 <strong>free</strong> video therapy/psychiatry sessions per plan year.</li> </ul> </td> <td> <ul> <li><strong>Website:</strong> <a href="https://hr.ucsf.edu/benefits/staff-and-faculty/behavioral-health-benefits-through-insurance">Virtual and Telehealth Insurance Providers </a></li> <li>In-person support: <a href="https://www.ucresidentbenefits.com/ucsf/medical/find-a-medical-or-behavioral-health-provider/get-care">Get Care</a></li> <li>For assistance locating Anthem in-network mental health care providers, contact Sue Forstat, UCSF Health Facilitator Program at (415) 514-3324 or <a href="/cdn-cgi/l/email-protection#92c1e7f7bcf4fde0e1e6f3e6d2e7f1e1f4bcf7f6e7"><span class="__cf_email__" data-cfemail="da89afbff4bcb5a8a9aebbae9aafb9a9bcf4bfbeaf">[email protected]</span></a></li> </ul> <p></p> <ul> <li><b>Headspace Care </b>(formerly Ginger): visit the <a href="https://www.ucresidentbenefits.com/behavioral-health/headspace-coaching-therapy-and-psychiatry/">Headspace Coaching page under Behavioral Health on the UC Resident Benefits site</a> and <a href="https://www.ucresidentbenefits.com/wp-content/uploads/2023/07/UC-Residents-Headspace-Care-formerly-Ginger_FAQ-110123.pdf">read FAQs</a></li> <li><strong>Email</strong>: <a href="/cdn-cgi/l/email-protection#7417150611070104041b0600341c11151007041517115a171b19" rel="noopener" target="_blank"><span class="__cf_email__" data-cfemail="9af9fbe8ffe9efeaeaf5e8eedaf2fffbfee9eafbf9ffb4f9f5f7">[email protected]</span></a></li> </ul> </td> </tr> </tbody> </table> </div> </dom-collapsible> <dom-collapsible data-widget="domcollapsible"> <h5 class="header-text" slot="header-text">Resources to report or get support for mistreatment</h5> <div class="content-text" slot="content-text"> <table align="center" border="1" cellpadding="1" cellspacing="1" style="width: 100%;"> <thead> <tr> <th scope="col" style="width: 520px;">Resource</th> <th scope="col" style="width: 696px;">Description</th> <th scope="col" style="width: 190px;">Contact Information</th> </tr> </thead> <tbody> <tr> <td style="width: 520px;"> <p><strong>Report Concerns Regarding Mistreatment</strong></p> </td> <td style="width: 696px;"> <ul> <li><strong>SAFE</strong> (Supporting a Fair and Equitable Environment) form has options for trainees to report concerns or mistreatment of any type anonymously or confidentially.</li> </ul> </td> <td style="width: 190px;"> <ul> <li><strong>Website</strong>: <a href="http://tiny.ucsf.edu/safe">Reporting Form for SAFE</a></li> </ul> </td> </tr> <tr> <td style="width: 520px;"><strong>Discuss Issues with the Office of GME</strong></td> <td style="width: 696px;"> <ul> <li>Kathy Julian, MD (Associate Dean for GME) and Jennifer Vogt, MBA (Director of GME) have "open door" policies and are always available to help with resident and fellow concerns and inquiries <br> </li> </ul> </td> <td style="width: 190px;"> <ul> <li>Dr. Kathy Julian Email: <a href="/cdn-cgi/l/email-protection#89c2e8fde1f0a7c3fce5e0e8e7c9fceafaefa7ecedfc"><span class="__cf_email__" data-cfemail="1853796c706136526d74717976586d7b6b7e367d7c6d">[email protected]</span></a></li> <li>Jennifer Vogt Email: <a href="/cdn-cgi/l/email-protection#c78da2a9a9aea1a2b5e991a8a0b387b2a4b4a1e9a2a3b2"><span class="__cf_email__" data-cfemail="9fd5faf1f1f6f9faedb1c9f0f8ebdfeafcecf9b1fafbea">[email protected]</span></a></li> <li>GME Confidential Hotline (415) 502-9400</li> </ul> </td> </tr> <tr> <td style="width: 520px;"><strong>Discuss Campus-Related Issues with Ombuds</strong></td> <td style="width: 696px;"> <ul> <li><strong>The Office of Ombuds</strong><u> </u>serves as a resource for all members of the UCSF community (Faculty, staff, administrators, students, post-doctoral fellows, residents, and fellows) and offers a safe, confidential place to discuss campus-related issues and explore possibilities for informally addressing concerns </li> </ul> </td> <td style="width: 190px;"> <ul> <li><strong>Website</strong>: <a href="https://ombuds.ucsf.edu/">Office of the Ombuds</a></li> </ul> </td> </tr> <tr> <td style="width: 520px;"><strong>Report Discrimination or Harassment</strong></td> <td style="width: 696px;"> <ul> <li><strong>The Office for the Prevention of Harassment and Discrimination </strong><u>(OPHD) </u>supports the University policy prohibiting discrimination and harassment of any person on the basis of their membership in a protected category </li> </ul> </td> <td style="width: 190px;"> <ul> <li><strong>Website:</strong> <a href="https://ophd.ucsf.edu/">Office for the Prevention of Harassment and Discrimination</a></li> <li>(415) 502-3400</li> </ul> </td> </tr> <tr> <td style="width: 520px;"><strong>Receive support for discrimination, harassment, or interpersonal violence</strong></td> <td style="width: 696px;"> <ul> <li><strong>The Campus Advocacy, Resources and Education Office (CARE Advocate)</strong><u> </u>Free, confidential support for those who have experienced discrimination, harassment, or abuse related to race, ethnicity, national origin or other protected identities, or interpersonal violence such as sexual assault, dating/intimate partner violence, sexual harassment or stalking.</li> </ul> </td> <td style="width: 190px;"> <ul> <li><strong>Website:</strong> <a href="https://careadvocate.ucsf.edu/contact-us">CARE Advocate</a></li> </ul> </td> </tr> </tbody> </table> </div> </dom-collapsible> <dom-collapsible> <h5 class="header-text" slot="header-text">Connect with A GME Peer Support Ambassador</h5> <div class="content-text" slot="content-text"> <table align="center" border="1" cellpadding="1" cellspacing="1" style="width: 100%;"> <tbody> <tr> <td style="width: 248px;"><strong>GME Peer Support Ambassadors</strong></td> <td style="width: 323px;"> <ul> <li>The <strong>UCSF GME Peer Support Ambassador Program</strong><strong> </strong>has 12 resident Peer Support Ambassadors across specialties who are trained to provide confidential peer support </li> </ul> </td> <td style="width: 354px;"> <ul> <li><strong>Website:</strong> <a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="b1e877e1-6641-4fad-be42-b54e8664c214" href="/current-residents-clinical-fellows/well-being-and-mental-health-resources-residents-and-fellows/gme-peer-support-ambassador-program">GME Peer Support Ambassador Program</a></li> <li><b>Request Peer Support:</b><br> <a href="https://tiny.ucsf.edu/PSAconnect">tiny.ucsf.edu/PSAconnect</a></li> <li><b>Questions</b><br> Contact <a href="/cdn-cgi/l/email-protection#2e434f5c475d4f00434d484f5c424f404b6e5b4d5d48004b4a5b"><span class="__cf_email__" data-cfemail="177a76657e6476397a747176657b767972576274647139727362">[email protected]</span></a></li> </ul> </td> </tr> </tbody> </table> <p> </p> </div> </dom-collapsible> <dom-collapsible data-widget="domcollapsible"> <h5 class="header-text" slot="header-text">Additional Support Services and Resources</h5> <div class="content-text" slot="content-text"> <table align="center" border="1" cellpadding="1" cellspacing="1" style="width: 100%;"> <thead> <tr> <th scope="col" style="width: 248px;">Resource</th> <th scope="col" style="width: 323px;">Description</th> <th scope="col" style="width: 354px;">Contact Information</th> </tr> </thead> <tbody> <tr> <td style="width: 248px;"><strong>Campus Life Wellness Resource Hub</strong></td> <td style="width: 323px;"> <ul> <li>Resources and events to support wellness across the UCSF campus</li> </ul> </td> <td style="width: 354px;"> <ul> <li><strong>Website:</strong> <a href="https://mywellness.ucsf.edu/#/">UCSF Wellness and Community</a></li> </ul> </td> </tr> <tr> <td style="width: 248px;"><strong>UCSF Spiritual Care Services</strong></td> <td style="width: 323px;"> <ul> <li>Chaplain services for staff, teams, and patients</li> </ul> </td> <td style="width: 354px;"> <ul> <li><strong>Website: </strong><a href="https://www.ucsfhealth.org/services/spiritual-care-services">Spirtual Care at UCSF</a></li> <li>(415) 353 - 1941 (Parnassus & Mount Zion)</li> <li>(451) 514 - 4200 (mission Bay)</li> </ul> </td> </tr> <tr> <td style="width: 248px;"><strong>UCSF Department of Psychiatry Self-Care Resources</strong></td> <td style="width: 323px;"> <ul> <li>A website with resources to support your mental health during challenging times</li> </ul> </td> <td style="width: 354px;"> <ul> <li><strong>Website:</strong> <a href="https://https://psychiatry.ucsf.edu/copingresources">Self-Guided Mental Health Resources</a></li> </ul> </td> </tr> <tr> <td style="width: 248px;"> <p><strong>National Academy of Medicine Action Collaborative on Clinician Well-being and Resilienc</strong>e</p> </td> <td style="width: 323px;"> <ul> <li>A website with resources to support individual clinicians and promote system change for well-being</li> </ul> </td> <td style="width: 354px;"> <ul> <li><strong>Website</strong>: <a href="https://nam.edu/compendium-of-key-resources-for-improving-clinician-well-being/">National Academy of Medicine -Clinician Well-Being and Resilience</a></li> </ul> </td> </tr> <tr> <td style="width: 248px;"> <p><b>The WELL Toolkit from University of Pittsburgh</b></p> </td> <td style="width: 323px;"> <ul> <li>Curriculum developed by the University of Pittsburgh that program directors and chief residents can customize for sessions on well-being content required by ACGME</li> </ul> </td> <td style="width: 354px;"> <ul> <li><strong>Website</strong>: <a href="https://nam.edu/compendium-of-key-resources-for-improving-clinician-well-being/">W</a><a href="https://gmewellness.upmc.com/">ELL Toolkit</a></li> </ul> </td> </tr> </tbody> </table> </div> </dom-collapsible> <dom-twocolumn-layout data-column1-color="transparent" data-column1-size="50" data-column2-color="transparent" data-column2-size="50" data-widget="domtwocolumn"> <div class="column1" slot="column1" style="--column1-color: var(--bg-transparent); --column1-size: var(--size-50); --column1-font-color: var(--font-black)"> <p><a href="https://app.mywellbeingindex.org/assess?__hstc=20629287.11bef43e2a1fe7e3481d033e0995bc11.1677188066726.1677188066726.1677188066726.1&__hssc=20629287.1.1677188066726&__hsfp=12124649"><img alt="Well-Being Index Logo" data-entity-type="file" data-entity-uuid="ced68414-8322-46ea-b4b0-ecaf9b10a357" height="207" src="/sites/meded.ucsf.edu/files/inline-images/WB.PNG" width="552" class="align-left" loading="lazy"></a></p> <p class="text-align-center"> </p> </div> <div class="column2" slot="column2" style="--column2-color: var(--bg-transparent); --column2-size: var(--size-50); --column2-font-color: var(--font-black)"> <p>An online well-being self-screening tool, a well-Being index, is available to all UCSF residents and fellows. The Well-Being Index is a validated tool that helps you better understand your overall well-being and areas of risk compared to other residents and fellows from around the country. This tool is anonymous and your scores are not shared with anyone, including anyone at UCSF. <a href="https://app.mywellbeingindex.org/assess?__hstc=20629287.11bef43e2a1fe7e3481d033e0995bc11.1677188066726.1677188066726.1677188066726.1&__hssc=20629287.1.1677188066726&__hsfp=12124649">Well-Being Index</a></p> <p> </p> <hr> <p> </p> </div> </dom-twocolumn-layout> <dom-twocolumn-layout data-column1-color="transparent" data-column1-size="50" data-column2-color="transparent" data-column2-size="50" data-widget="domtwocolumn"> <div class="column1" slot="column1" style="--column1-color: var(--bg-transparent); --column1-size: var(--size-50); --column1-font-color: var(--font-black)"> <p> </p> <p class="text-align-center"><img alt="people in scrubs comforting each other with caring hands" data-entity-type="file" data-entity-uuid="4b23d2b0-b02a-4caa-b35d-7033d64d2e1f" height="268" src="/sites/meded.ucsf.edu/files/inline-images/GMEWPV.png" width="219" loading="lazy"><span title="Click and drag to resize"></span></p> </div> <div class="column2" slot="column2" style="--column2-color: var(--bg-transparent); --column2-size: var(--size-50); --column2-font-color: var(--font-black)"> <p><strong>NEW!</strong> <a href="https://ucsf.app.box.com/file/1530574120478?s=8q07lkcf2u6oyee4tpy2o2itpmq4ws59">This guidance</a> has been carefully crafted to help trainees navigate the complexities of handling incidents of threat, violence, or injury at work. It's important to recognize that the steps for residents and fellows sometimes differ from other hospital staff (e.g., nurses, etc.) due to the unique nature of your training and specific health and disability coverage. Your safety and well-being are our top prioirities and your input is valuable in ensuring this document remains effective and pertinent. We welcome any feedback or suggestions you might have for future updates. Please send any questions or suggestions to <a href="/cdn-cgi/l/email-protection#22454e474c4c0c504d51474c404e57564a62574151440c474657">Glenn Rosenbluth</a> and <a href="/cdn-cgi/l/email-protection#3a5e535b545b14575b484e53545f40087a4f59495c145f5e4f">Diana (Dee) Martinez</a>. </p> <p> </p> <hr> <p> </p> </div> </dom-twocolumn-layout> <p> </p> <dom-twocolumn-layout data-column1-color="transparent" data-column1-size="50" data-column2-color="transparent" data-column2-size="50" data-widget="domtwocolumn"> <div class="column1" slot="column1" style="--column1-color: var(--bg-transparent); --column1-size: var(--size-50); --column1-font-color: var(--font-black)"><img alt="a map of who to call in what cirumstance" data-entity-type="file" data-entity-uuid="c5ce3d1d-c5c6-4844-9fdb-c2705d3883db" height="256" src="/sites/meded.ucsf.edu/files/inline-images/Screenshot%202024-07-24%20at%205.54.09%20PM.png" width="193" class="align-center" loading="lazy"> <p class="text-align-center"> </p> </div> <div class="column2" slot="column2" style="--column2-color: var(--bg-transparent); --column2-size: var(--size-50); --column2-font-color: var(--font-black)"> <p>Whether you are looking for resources for individual mental health or peer support for residents and fellows or want to report or get support for discrimination, harassment or other mistreatment, this guide presents the appropriate resources to address these types of concerns.</p> <p><strong><a class="file file--mime-application-pdf file--application-pdf" data-entity-type="file" data-entity-uuid="b5ef8ad6-5ee0-4ac3-8fad-23335a76d9cb" filename="Resource Map GME Well-being June 2024 Final.pdf" href="/sites/meded.ucsf.edu/files/inline-files/Resource%20Map%20GME%20Well-being%20June%202024%20Final.pdf">A Map of UCSF GME Well-being Resources</a></strong></p> </div> </dom-twocolumn-layout> </div> </div> </article> </div> </div> </div> <aside class="layout-sidebar support" aria-label="Sidebar for related content"> <div class="region region-sidebar"> <div id="block-contentfield" class="different-button-styles block block-fieldblock block-fieldblocknode"> <div class="clearfix text-formatted field field--name-field-textarea-content-sidebar field--type-text-long field--label-hidden field__item"><p class="lead-alt">Quick Links</p> <h4>Confidential:</h4> <p><strong>UCSF GME Confidential<br> Hotline/Helpline:</strong><br> <a href="tel:(415) 502-9600">(415) 502-9400</a> </p> <p><strong>Office of the Ombuds</strong><br> <a href="tel:(415) 502-9600">(415) 502-9600</a> | <a href="http://ombuds.ucsf.edu/" target="_blank">ombuds.ucsf.edu</a></p> <p><strong>Faculty Staff Assistance Program (FSAP)</strong><br> <a href="tel:(415) 476-8779">(415) 476-8279</a> | <a href="https://hr.ucsf.edu/wellbeing/faculty-and-staff-assistance-program">FSAP</a></p> <p><a href="https://careadvocate.ucsf.edu/"><strong>CARE Advocate</strong></a><br> Kendra Hypolite, MSW, LS<br> <a href="tel:(415) 502-8802">(415) 502-8802</a> | <a href="/cdn-cgi/l/email-protection#ed8e8c9f88ad988e9e8bc3888998"><span class="__cf_email__" data-cfemail="ff9c9e8d9abf8a9c8c99d19a9b8a">[email protected]</span></a></p> <p><strong>SAFE</strong> (Supporting a Fair and Equitable Environment) has options for trainees to report concerns or mistreatment of any type anonymously or confidentially.</p> <p><strong>SAFE Reporting: </strong><a class="btn btn-danger btn-xs" href="http://tiny.ucsf.edu/safe">SAFE</a></p> <h4>Non-Confidential:</h4> <p><strong>Title IX Coordinator </strong><br> Nyoki Sacramento, Director & Title IX Coordinator<br> <a href="tel:(415) 502-3400">(415) 502-3400</a> | <a href="/cdn-cgi/l/email-protection#fca895889099c5bc899f8f9ad2999889"><span class="__cf_email__" data-cfemail="e7b38e938b82dea792849481c9828392">[email protected]</span></a> | <a href="https://shpr.ucsf.edu/" target="_blank">shpr.ucsf.edu</a></p> <h4>UCSF Police Department</h4> <p><strong><span>Emergency</span> <span>(24</span> <span>hours)</span></strong><br> From a campus line, dial 9-911<br> From a non-campus line or cell phone, dial <a href="tel:(415) 476-6911">(415) 476-6911</a></p> <p><strong>Non-Emergency (24 hours)</strong><br> <a href="tel:(415) 476-1414">(415) 476-1414</a> | <a href="http://police.ucsf.edu/" target="_blank">police.ucsf.edu</a></p> <h4>Other Resources:</h4> <p><a href="https://meded.ucsf.edu/sites/meded.ucsf.edu/files/inline-files/Resource%20Map%20GME%20Well-being%20June%202024%20Final.pdf">A Map of UCSF GME Well-being Resources PDF</a></p> </div> </div> </div> </aside> </main> </div> </div> <div role="complementary" aria-label="Content bottom region used for Blocks like Events, News, Related Links, etc" class="region region-content-bottom"> <div id="block-footersom-2" class="footer-som block block-block-content block-block-contente30fbc93-2eac-4844-b528-35cf3d41a53e"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden 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