Development and Evaluation of a Virtual Reality Tool for At-Risk Trauma-Exposed Young People

Inclusion Criteria for YMSM are as follows: * Someone who identifies as a YMSM or identifies as someone with romantic or physical attraction to individuals who identify as men * Is aged 15-30 years * Have experienced at least one ITE in lifetime (i.e., sexual assault, physical assault, witnessed domestic or community violence) * Report being consensually sexually active or planning to become sexually active with a partner in the next 12 months * Live in the Charleston, SC/Tri-county area Inclusion Criteria for adolescents with SUD are as follows: * Someone who reports using substances in the past year (for participants ages 15-17) or the past 6 months (for participants ages 18-30) * Is aged 15-30 years * Have experienced at least one ITE in lifetime (i.e., sexual assault, physical assault, witnessed domestic or community violence) * Report being consensually sexually active or planning to become sexually active with a partner in the next 12 months * Live in the Charleston, SC/Tri-county area Inclusion Criteria for front line healthcare workers are as follows: * works directly with adolescents who have experienced ITE and/or * works directly with adolescents or young adults with SUD and/or * works directly with YMSM and/or * works directly with and/or adolescent or young adults who are HIV-positive Exclusion Criteria for all participants are as follows: * exhibits psychotic symptoms; * exhibits significant cognitive disability; * reports a history of Pervasive Developmental Disorder; * has active suicidal or homicidal ideations * self-reports high levels of motion sickness