Lakota Family Acceptance Program for Relationship or Family Issues

(L-FAP Trial)

This trial aims to support Indigenous LGBTQ2S+ youth and their caregivers by promoting family acceptance and reducing mental health challenges like depression and anxiety. The program, called the Adapted Lakota Family Acceptance Program, specifically tailors its eight weekly sessions for Lakota families, focusing on improving family relationships and cultural connections. It targets Indigenous LGBTQ2S+ youth aged 13-18 and their caregivers who experience moderate to high levels of family rejection and can commit to attending these sessions together.

As an unphased trial, participants can contribute to important research that may enhance support systems for Indigenous LGBTQ2S+ youth and their families.

Research has shown that the Adapted Lakota Family Acceptance Program (LFAP) is safe for Indigenous 2SLGBTQ+ youth and their families. This program is suitable and practical for this group. Previous studies have not reported any major safety concerns. The program aims to increase family acceptance and reduce risky behaviors, helping to protect against depression and substance abuse. Overall, participants tolerate the treatment well, with no significant negative effects reported.¹²³⁴⁵

Researchers are excited about the Lakota Family Acceptance Program because it offers a culturally adapted approach to addressing relationship and family issues, particularly tailored for the Lakota community. Unlike standard therapy options that might not consider cultural nuances, this program integrates traditional Lakota practices and values, fostering a supportive environment that resonates with participants' cultural backgrounds. This culturally sensitive intervention aims to improve family dynamics and acceptance, potentially leading to more meaningful and sustainable outcomes for those involved.

Research has shown that family acceptance can greatly improve the well-being of LGBTQ youth. Studies have found that when families are more accepting, young people experience higher self-esteem and better overall health. Evidence also indicates that family acceptance can help prevent depression and substance abuse. The Family Acceptance Project (FAP) works to improve communication and strengthen family bonds, leading to better outcomes for LGBTQ youth. Specifically, FAP methods have reduced mental health issues like depression and the risk of suicide. This trial will evaluate the Adapted Lakota Family Acceptance Program, which could enhance mental and behavioral health for Indigenous LGBTQ2S+ youth. Participants in the intervention group will engage in the 8-session LFAP intervention, while those in the waitlist control group will receive the intervention after completing 6-month follow-ups and measurements.²⁴⁵⁶⁷