Reducing Alcohol Exposed Pregnancy Risk: EARLY Randomized Controlled Trial

Inclusion Criteria: * ages 18-44 * fertile * can provide informed consent * had vaginal intercourse with a man in the past 3 months * uses ineffective or no contraception * speaks and reads English * reports drinking more than seven standard drinks per week on average or more than one binge drinking episode (more than 3 standard drinks on one occasion) during the past 3 months * if opioid dependent with recent use, is enrolled in opiate agonist treatment * planning to remain available for the follow-up period Exclusion Criteria: * pregnancy * cognitive disorders including mental retardation, dementia, or active -psychosis that could impair ability to understand the intervention material or give informed consent * current Major Depressive Disorder that could diminish responsiveness to interventions focused on promoting change * currently opioid dependent with active use and not engaged in opiate agonist treatment * concurrently participating in another behavioral intervention study during the study period targeting drinking or contraception efficacy that could interfere with or augment the intervention in the EARLY project.