TABLE 3.

Siempre Seguiré Intervention Session Content

Session	Goals	Take-Home Activity
1. Orientation to the Group and Discussion about Discrimination and Group Members’ Intersecting Identities	• Orient group members to group/ground rules • Build group cohesion • Provide psychoeducation about systems of oppressions • Discuss how discrimination affects group members’ lives • Describe most important identities	Tracking Discrimination: Describe any discrimination experiences from ethnicity, immigration status, sexual orientation, and/or HIV-serostatus
2. Discussion of Multiple Identities and Coping with Discrimination	• Discuss men’s experiences living with multiple stigmatized identities • Evaluate specific instances of coping as effective or ineffective based on their own values/goals	Tracking Discrimination: Same as prior week and add tracking of coping responses
3. Introduction to Ways to Understand Discrimination and Coping with Discrimination I	• Introduce group members to the CBT model • Discuss how to apply CBT model (and chain analysis) to discrimination	Tracking Discrimination: Same as prior week
4. Ways to Understand Discrimination and Coping with Discrimination II	• Gain further knowledge and experience on understanding discrimination experiences • Define and identify critical links, and vulnerability and resilience factors	Tracking Discrimination: Same as prior week, and add identification of vulnerability and resilience factors
5. Ways to Understand Discrimination and Coping with Discrimination III	• Identify barriers to effectively coping with discrimination experiences (e.g., internalized stigma and power differentials with perpetrators, such as law enforcement) • Brainstorm and learn strategies for addressing those barriers	Tracking Discrimination: Same as prior week, with encouragement to use different coping strategies to broaden repertoire
6. Investigating Medical Mistrust	• Orient group members to mistrust as an expectable consequence of discrimination that can affect healthcare engagement and health outcomes	Tracking Discrimination: Same as prior week, focused specifically on the role of mistrust in experiences of and coping with discrimination
7. Getting the Social Support You Need	• Describe support that group members have • Strategize about how to get support for whole self, across identities	Tracking Discrimination: Same as Week 5
8. Addressing Structural Discrimination and Review	• Discuss ways to take action and advocate for change through changing societal structures • Review progress	Prepare for Graduation: same as Week 5 plus reflect on what was learned, what changes were made, and what will be remembered
9. Graduation	• Describe how to practice after group ends	N/A

Note. Sessions were conducted in Spanish. All sessions began and ended with a relaxation exercise, and except for Session 1, started with a review of the ground rules, a recap of the prior session, and a take-home activity review. Refreshments were served at the beginning of each session, and free-flowing discussions the communal meal helped to encourage group cohesion.