Inclusion Criteria:  18 years of age or older Living with HIV Receiving HIV care at study site Hazardous alcohol use plus at least one mental health substance use comorbidity or Moderate to severe alcohol use disorder 6 months since initiation of Antiretroviral Treatment (ART) Late refill ( greater 7 days) Antiretroviral Treatment (ART) and/or HIV viral load (VL) above the limit of assay detection greater than 20,40, 60 copies per milliliter in past year  Exclusion Criteria:  Plan to relocate out of Lusaka in next 6 months No access to a telephone Actively suicidal and in need of immediate care Currently psychotic Participating in another interventional study