Project HERMITAGE: HIV Prevention in Hospitalized Russian Drinkers

Inclusion Criteria: * Age 18-70 years old; * HIV positive; * Alcohol consumption at NIAAA at-risk drinking levels (greater than 14 drinks per week \[or more than 4 drinks per day\] for men, and greater than 7 drinks per week \[or more than 3 drinks per day\] for women) during the 30 days prior to hospital admission, For subjects whose drinking was not risky 30 days prior to hospital admission, we will ask if their drinking was equivalent to binge amounts on any day in the prior 6 months; * Self-reported unprotected anal or vaginal sex in the last 6 months; * Provision of contact information (e.g., name, home address, telephone number) of two relatives or close friends who can be contacted to share information that may be used to assist with follow-up; * Stable address within St. Petersburg or districts within 150 kilometers of St. Petersburg; and * Possession of a home telephone; * Fluent in Russian; * Ability to provide informed consent. Exclusion Criteria: * Severe cognitive impairment (i.e., clinically apparent dementia, active psychosis, or severe paranoid disorder) as judged by a hospital clinician and stated in the records; * Acute illness precluding ability to participate in assessment for eligibility (however these patients may be assessed again on a subsequent day); * Trying to get (partner) pregnant.