We seek to refine the multicomponent CA CIFFTA treatment so that it includes new psycho-educational modules designed to serve sexual/gender minority youth. The study investigates the efficacy of a hybrid intervention (face to face and web-based interventions) delivered to both adolescents and parents when compared to treatment as usual. Analyses will investigate: 1) the efficacy of the intervention compared to Treatment As Usual, 2) the linkages between co-existing problem areas (e.g., self-harm, risky sexual behavior, substance use) to see if there is evidence for a syndemic; and 3) the relationship of culture-related variables (e.g., acculturation, familism, and Hispanic Stress) to the key factors hypothesized to contribute to self-harm behavior (i.e., depression, family conflict, substance use, and emotion dysregulation).
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