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Description:BRAINE is a brief motivational interviewing intervention consisting of two individualized sessions focusing on alcohol use and HIV risk-taking. The first session, lasting 60 minutes, consists of assessing the participant’s degree of hazardous drinking, providing feedback, identifying relationships between drinking and negative consequences including HIV risk behaviors, reviewing HIV drug risk behaviors, and identifying personal goals and potential barriers for behavior change. The counselor provides an atmosphere to enhance the participant’s motivation to change, uses an empathic therapeutic style, and supports the participant’s self-efficacy for behavior change. The counselor helps the participant with setting goals and developing a “change plan” concerning future alcohol consumption designed to reduce the link between drinking and other hazardous behaviors, particularly borrowing injection equipment from someone else. A copy of the “change plan” is given to the participant to refer to at home. A second motivational interviewing session, lasting 30 - 45 minutes, occurs 1 month later for reinforcement. This session is to review the “change plan,” discuss any recent negative consequences from drinking, and help participant’s assess their own alcohol-related injection risk behaviors and come up with ways to reduce this risk. The counselor helps the participant set goals and develop another “change plan” for achieving these goals. A copy of the “change plan” is again provided to the participant. Participants are also given a list of referrals for substance abuse and medical treatment at both sessions.
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