Make sure the client is not getting retested because they don't understand the window period. Proceed with Risk Assessment Form. Use client's answers to form questions to elicit more information on their safer sex strategies. Intersperse open ended questions with the question from the rik assessment form. Explore relationship between substance use and risky behavior If they are a current user, discuss how and when they use.
People generally like to talk about the details of their substand use with someone they trust.
Avoid framing the discussion in terms of recovery, unless the client brings this up. Discuss ways to reduce the risk without advocating that they stop using altogether. Always validate steps to they have taken to reduce harm. For heterosexual and bisexual clients, explore relationship between client's birth control method and risky behavior. If the client is getting tested with their lover discuss how the results of their tests will affect their decisions to use protection.