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Symposia

Program / Treatment Design

The Adaptation of Evidence-Based Interventions to Address Intersectional Self-Stigma in Diverse Populations: Core Principles, Treatment Strategies, and Preliminary Outcomes

5 - (SYM 80) Tackling Intersectional Stigma and It's Relation to Hazardous Alcohol for Latinx Sexual Minorities: A Novel Intervention Development

Sunday, November 23, 2025
3:13 PM - 3:30 PM CST
Location: Foster 2, Level 2
Keywords: Stigma, ACT (Acceptance & Commitment Therapy), Vulnerable Populations
Recommended Readings: Hatzenbuehler, M. L., Phelan, J. C., & Link, B. G. (2013). Stigma as a fundamental cause of population health inequalities. American journal of public health, 103(5), 813-821.,   Turan, J. M., Elafros, M. A., Logie, C. H., Banik, S., Turan, B., Crockett, K. B., ... & Murray, S. M. (2025). Challenges and opportunities in examining and addressing intersectional stigma and health. Focus, 23(1), 70-84.,   Earnshaw, V. A. (2020). Stigma and substance use disorders: A clinical, research, and advocacy agenda. American Psychologist, 75(9), 1300.,   ,  
Abstract Body

Latinx sexual minorities, who are living at the intersection of two NIH identified health disparities groups, are at increased risk for alcohol-related problems which has been linked to the intersectional forms of stigma they experience – racism and heterosexism. Currently there are no alcohol misuse behavioral health interventions that address the intersection of stigma for Latinx sexual minorities. Drawing from motivational interviewing and LGBTQ+ affirming cognitive behavioral therapy principles best practices, this presentation discusses the formative work to develop a novel intervention – Latinx Queer Adapted Motivational Interviewing (LaQAMI). This presentation will discuss the following themes found from in-depth qualitative interviews conducted in English and Spanish (N = 19; Latinx Sexual Minorities recruited from the Northeast and the Southwest) that guided the protocol development: a) general aspects of intersectional stigma (self-stigma, stigma from the broader LGBTQ community, stigma for the Latinx community), sources of strengths (family, community), risk (discrimination, isolation); b) association between intersectional stigma and discrimination and hazardous alcohol use (e.g., reasons for drinking, coping, consequences from drinking); and c) intervention development feedback (e.g., motivations, ingredients of intervention, etc.). Preliminary results from the open-pilot will also be presented as testing will be begin this summer.