PTSD and Risk Behavior in HIV Positive Female Adolescents

Inclusion Criteria:

• Age 18 through 24 years old, inclusive, at the time of administration of the Screening Questionnaire.
• Female birth gender
• Verbal confirmation of acquisition of behaviorally-acquired HIV infection including from injection drug use (IDU) or heterosexual intercourse (vaginal, oral and/or anal) after the age of 9 years
• HIV-1 infection as documented by a positive result on any of the following licensed tests at any time: any antibody test confirmed by Western blot, HIV culture, plasma HIV-1 RNA PCR > 1,000 copies/mL or a HIV DNA PCR
• History of physical and/or sexual abuse prior to age 18 years old documented by a Screening Questionnaire
• Voluntary vaginal and/or anal intercourse with a male within the 4 months prior to screening.
• Ability to understand and communicate in spoken English sufficient to provide informed consent and to be interviewed
• Availability of enrollment slots for the participant's assigned substance-use category at the time of the Screening Questionnaire. (Approximately half of the participants will report substance use) This will be monitored throughout the study enrollment period.
• Willingness to have the qualitative study interview audio-taped
• Willingness and ability to provide informed consent

Exclusion Criteria:

• Currently suicidal or homicidal by clinician judgment
• Visibly distraught and/or visibly emotionally unstable (e.g., depressive mood, exhibiting manic, suicidal, or violent behavior);
• Visibly intoxicated or under the influence of psychoactive agents; or
• Presents as acutely ill.