Table 4.

Outline of adapted intervention sessions.

Group topic	Information, motivation, and skills taught
(1) Health care participation	Actively participating in your health care, Improving skills for partnering with health care providers; Building ARV adherence skills; HIV and opportunistic infections.
(2) Reducing drug and sex-related risk and negotiating RR with partners	Harms of injecting drugs & harm reduction techniques (e.g., proper needle cleaning); Reducing cue-elicited craving, Harms of unsafe sexual practices & Safer sex techniques (e.g., condom applications); Building skills to communicate about risk reduction with your partner.
(3) Healthy lifestyle choices	Learning coping skills; Stress management skills; Building skills to identify and plan healthy daily activities; Learning & practicing several relaxation techniques; Building skills to identify and plan healthy daily activities
(4) Preventing relapse to risky behavior: Recovery as a journey	Building a road map for the journey of recovery; Relapse prevention skills; Identify early warning signs; Understanding and managing seemingly irrelevant decisions (SID).
(5) Overcoming stigma	Understand stigma and consequences; Decreasing the strength of the “addict” self & connecting with the “core” self; Identifying and strengthening the cognitive, affective, and behavioral attributes of a healthier, non-drug using lifestyle; Building skills to redefine the self as a non-drug user.
(6) Motivation for change; overcoming helplessness	Understanding the sources of helplessness and the consequences; Identify empowering situations; Build skills to assess readiness to change; Increase motivation to pursue a healthy lifestyle.
(7) Moving Beyond Grief	Understanding the stages of grief; Build skills to cope with fears related to HIV; Facing fears and reclaiming control of life; Identifying and prioritizing that which has personal meaning.
(8) Reaching your goals	Learning about memory and concentration and how to improve; Build skills to set goals, establish priorities, and initiate action; Building skills to improve nutirition pyramid; Developing medication adherence skill.