ReSET for the Treatment of Stimulant Use in HIV Clinics: Care Optimization Supporting Treatment Adherence (COSTA)

Eligibility Criteria

• * Identifies as male or as a female, who was assigned male sex at birth and who has not undergone any hormonal Treatment;
• * Reports past year anal intercourse with a male, or identifies as a man who has sex with other men;
• * Age 18 or older (reSET is only approved for use with adults);
• * Person Living with HIV who is an Aids Healthcare Foundation (AHF) patient at one of the four metro areas: Atlanta, Dallas/Fort Worth, Fort Lauderdale, Los Angeles;
• * Screens positive for a moderate or severe stimulant use disorder in the last 3-months using the Alcohol, Smoking and Substance Involvement Test (ASSIST);
• * Reports that he is not currently in drug Treatment;
• * Currently has an active Antiretroviral Therapy prescription and reports \< 90% HIV Tx adherence on the 3-item Wilson measure in the past 30 days69;
• * Has an iPhone, Android smartphone or a tablet computer;
• * Can obtain access to stable internet with privacy acceptable to the participant at least twice a week\*
• * Indicates being able to understand English (reSET is only available in English; can be read or heard);
• * Consents to participation in the study.
• * Otherwise eligible participants will be excluded if they appear to have diminished capacity to consent either because of cognitive impairment or severe psychiatric symptoms (e.g., mania, psychosis).
• * Patients who can benefit from another type of Treatment because of severity of Stimulant Use Disorder or opiate use disorder will be referred appropriately.
• * We will exclude persons residing in criminal justice facilities because they will not have access to a mobile device as required by reSET.