The specific aims of the 5-year study are to: 1) describe the nature and extent of substance
use and sexual risk behaviors in a sample of 500 sexually active, substance using,
not-in-treatment men who have sex with men (MSM) in urban South Florida (Miami/Ft.
Lauderdale); 2) identify the independent covariates of baseline substance abuse and sexual
risks; 3) evaluate, through random assignment of participants, the relative effectiveness of
two intervention conditions in reducing sexual risks and substance use, as measured at 3-,
6-, and 12-month follow-up assessments: a) an innovative five-session risk reduction
intervention derived from psychological empowerment theory titled Project GOAL; and, b) an
enhanced community standard-of-care HIV counseling Comparison Condition.