Confronting internalized oppression as a barrier to self-care among Black MSM: The RISE intervention

Issues: Internalized oppression is often overlooked in prevention efforts targeted toward Black men who have sex with men (BMSM). However, research suggests that oppressive experiences, and the internalization of these experiences, may lead to poor mental health outcomes, and increased substance use and/or sexual risk behavior. Thus, interventions focusing on reducing internalized oppression may be effective in thwarting the HIV epidemic among BMSM. Description: RISE (Rewriting Inner Scripts) is an intervention targeting BMSM that was developed by the Maryland Department of Health and Mental Hygiene. The intervention was developed with input from BMSM-serving community leaders and providers, who indicated the prominence of poor mental health, substance use, and social isolation as contributors to HIV risk. RISE is a one-day small group retreat that helps BMSM identify oppressive experiences in their lives, recognize similarities between oppression linked to racial and sexual identities, and recognize the impact of internalized oppression on self perception and perceptions of other men. Through engaging in group activities and promoting dialogue on topics linked to race, sexuality, shame, and healing, the intervention aims to provide participants with coping and self-parenting skills, and increase utilization of health services. Lessons Learned: The majority of participants indicate intentions to continue using the coping and self-care skills provided through the intervention. Likewise, the most participants note that they would seek out health services including HIV testing, and mental health/substance abuse treatment. Recommendations: Interventions targeting BMSM should address racial and sexual oppression, and the internalization of oppressive experiences among BMSM.