Multi-Level HIV Prevention for Pregnant Drug Abusers

Inclusion Criteria: * 18 years of age or older * a recent history (within the past year) of using illicit substances * 12-32 weeks pregnant and not planning to terminate the pregnancy * able to read English Informed Consent form; understand and provided written informed consent * have competency in conversational English which is required to complete assessments and to participate in the intervention groups * have a stable living arrangement and provide contact information * currently not cognitively impaired since cognitive impairment may compromise the ability to comprehend and participate in the assessment and intervention * currently not showing symptoms of a major psychiatric disorder/ including psychosis, or a high risk for suicidality * report at least one episode of unprotected vaginal/anal sex since becoming pregnant * answer "Yes" to this question: "Do you plan to be in the area for the next 12 months?" * agree to a urine test at the time of each interview to detect the presence of drugs Exclusion Criteria: * under age 18 years