A Comprehensive Approach to Secondary HIV Prevention and Care Among Positives

Inclusion Criteria: Index 1. 18 years old or older 2. documentation of HIV positive status 3. report one of following risk behaviors in past 90 days: sharing injection equipment, use of crack cocaine, or unprotected vaginal or anal sex Testing network 1. 18 or older 2. provided testing coupon provided by an index participant Longitudinal network participant- 1. tested HIV negative at the Lighthouse via redeeming a testing coupon 2. reported interacting with index who gave the coupon at least weekly 3. report one of following risk behaviors in the prior 90 days: sharing injection equipment, use of crack cocaine, or unprotected vaginal or anal sex Positive Networks 1. HIV positive 2. report one of following risk behaviors in the prior 90 days: sharing injection equipment, use of crack cocaine, or unprotected vaginal or anal sex Exclusion Criteria: Index- already enrolled in the study as a Network participant Testing network- already enrolled in the study as a Network participant Longitudinal network- a) already enrolled in the study as a Network participant b) already enrolled in the study as a Index participant Positive network- a) already enrolled in the study as a Network participant b) already enrolled in the study as a Index participant