FMBI With War-affected Families

Inclusion Criteria: * Adult inclusion criteria: * Above the age of 18 * Karen refugees resettled to the United States greater than one year prior to enrollment * Caregiving responsibility for at least one child between the ages of 11 and 18 * Reported primary or secondary torture or war trauma exposure, based on assessments conducted during UMN IRB STUDY00000729 * Participation in UMN IRB STUDY00000729 and having agreed to be contacted for future research * Youth inclusion criteria: * Ages 11 to 18 * Living in the home with the primary caregivers * Considered a dependent of the primary caregivers (still in high school or transitioning from school to workforce, not married and/or raising their own children - will take individual youth circumstances into consideration individually to make a determination of dependence) Exclusion Criteria: * Self-reported or study team observed severe or unstable mental or physical illness such as acute psychosis, presence or risk of safety concerns, and/or a physical disability or illness, which prevents the potential participant from engaging in the study activities. Youth will be excluded if screening is positive for PTSD. Caregivers will not be excluded if mental health screening is positive for PTSD/severe depression. * Nonbiological caregiving relationships with child * If one member of the family declines to participate in the initial enrollment, the family will be excluded. If the randomly selected index youth declin…