Inclusion Criteria:

• 1. Cis-gender women,
• 2. Receiving human immunodeficiency virus (HIV) care at the University of Miami Women's HIV Service,
• 3. Recent history (12-month) of cervical or anal dysplasia or human papilloma virus (HPV) positivity; AND a recent (12-month) history of one or more of the following:
• i) drug use (alcohol, tobacco products, marijuana, illicit drugs) or ii) depression or iii) psychiatric condition (anxiety, post-traumatic stress disorder (PTSD)) or iv) unsuppressed HIV viral load d. All life stages - pregnant, non-pregnant, pre/post-menopausal

Exclusion Criteria:

• 1. Under 18
• 2. Not able to read/write English at the 6th grade level
• 3. Cognitively impaired adults (as documented in medical records)
• 4. Debilitating psychiatric condition (e.g. schizophrenia/bi-polar/psychotic disorders)
• 5. Prisoners