Given multiple health risk behaviors displayed by some Baltimore youth, there is a need for broad-based interventions that target multiple risk and protective factors. LifeSkills Training (LST) is a skills-based cognitive behavioral prevention intervention for students in grades 6-8.  After reviewing the multiple problem behaviors of Baltimore’s adolescents and the research on LST, Baltimore City Public Schools, the local Health Department, and the behavioral health organizations decided to expand the delivery of LST in City Schools, but to also add modules specifically focusing on sexual risks. Specifically, eight additional sexual health modules have been developed to supplement the 7th and 8th grade delivery of LST (hereafter referred to as LST+). The goal of this study is to assess the feasibility of implementing integrated health interventions (i.e. LST and LST+) for middle school students in Baltimore, MD. There are two specific aims:

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