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Description:The Safety Counts intervention consists of a total of 9 sessions focusing on developing and implementing a personalized risk reduction plan. First, 2 individual standard pre - and posttest counseling sessions incorporate drug-focused prevention education to review basic HIV/AIDS information and provide optional HIV testing and counseling. Next, 2 interactive group workshop sessions, employing stages of change framework, are implemented with structured exercises involving 3-7 clients to help them develop a personal HIV risk reduction plan, consider potential barriers and solutions, identify sources of social support through group discussion, view role model videos, and complete 2 worksheet exercises to identify their own HIV risks and place themselves in on a stages -of-change continuum for each risk behavior. Then a one-on-one individual counseling session is conducted to refine the client’s personal risk reduction plan, strengthen commitment to personal goals, ensure availability of social support for risk reduction, and assess and arrange referral needs. One month after the client receives the individual counseling session, a minimum of two 15 -20 minute field-based supportive follow-up outreach contacts are scheduled to reinforce progress toward risk reduction and encourage achievement and maintenance of personal risk reduction goals. Also, a minimum of 2 monthly social events, each lasting 2 hours, are provided, including lunch and planned HIV risk reduc tion activities, games, and skits for clients and their peer support buddies (15-25 clients and 10-15 guests) to provide support for HIV risk reduction, influence perceived social norms, and increase self-efficacy for reducing HIV risks. Lastly, food bank grocery bags and food coupons are made available to clients in storefront offices as a program incentive every other week.
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