This project will develop a technology-augmented HIV and substance use risk reduction intervention for delivery in the Emergency Department, a medical setting where at-risk emerging adults who use drugs and engage in HIV-related risk behaviors are likely to present.
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Inclusion Criteria: * Medically stable * Mentally and physically able to consent * English-speaking * Between ages 18-25 * Past-month substance use (including illicit drugs and/or non-medical prescription drug use) and inconsistent condom use in the past month * Ownership of a smartphone Exclusion Criteria: * ED presentation suicidality and/or acute psychosis, being in police custody, or present with psychological distress requiring intensive social work (e.g. sexual assault) * Patients with a significant other that they live with who is currently participating in study * Actively participating in another study * Participated in prospective and intervention development phases of the study * Married * Do not wish to consent to audio-taping the in-person portion of the ED-based intervention session