Brief Interventions in the Emergency Department for Alcohol and HIV/Sexual Risk

Inclusion Criteria: * Male and female patients older than 18 who receive medical care in the ED \*score positive (\> 8 for males; \> 6 for females) for harmful alcohol use on the AUDIT screening questionnaire and report past 3-month binge drinking * be sexually active (past 6 months) * endorse any past-year sex-risk behavior criterion, including: * having more than one sexual partner * having sexual intercourse without a condom * consuming alcohol prior to or during sex * sing illicit drugs (or using licit drugs to get high) prior to or during sex. Exclusion Criteria: * Patients under the age of 18; Patients in a mutually monogamous relationship for longer than 1 year will be excluded unless either the patient or his/her partner are HIV+ or has unknown HIV status. Other exclusion criteria include: * scoring below 18 on a mini-mental status exam * no verifiable address * plans to move outside a 45-mile radius within the follow-up period.