Shared Decision Making to Treat Or Prevent (STOP) HIV in Justice Populations (R33)

This study is testing a shared decision-making support program to help people with HIV or at high risk of HIV — particularly those who have been involved in the criminal justice system — make more informed choices about HIV treatment or prevention (such as PrEP, a pill that prevents HIV). The program aims to improve uptake of HIV medications in communities that often face barriers to care. **You may be eligible if...** - You are an adult living in Western Connecticut, Dallas/Tarrant Counties in Texas, or Madison County, Kentucky - You have had involvement with the justice system (jail, prison, or community supervision) in the past 6 months - You are either living with HIV and not currently taking antiretroviral medication, or you are HIV-negative but at high risk and not taking PrEP - You have used opioids or stimulants in the past 6 months - You are willing to have an HIV test and speak English or Spanish **You may NOT be eligible if...** - You have a severe medical or psychiatric condition that makes safe participation impossible - You are unable to provide consent - You are currently pregnant Talk to your doctor to see if this trial is right for you.