CLEAR: Choosing Life! Empowerment! Action! Results!

CLEAR: Choosing Life! Empowerment! Action! Results! is an evidence-based, health promotion intervention for males and females ages 16 and older living with HIV/AIDS or at high risk for HIV. CLEAR uses one-on-one cognitive-behavioral techniques to assist clients in changing their behaviors around issues like sexual risk, substance abuse, treatment adherence, stigma, disclosure and health/self-care. CLEAR enables prevention counselors to individually tailor the intervention to address the unique needs of each client.

CLEAR consists of 5 core skill sessions, 21 menu sessions, and a wrap-up session. The core skill sessions teach the essential cognitive and behavioral skills of the program. Within these core skill sessions, clients develop a personal life goal and an individual prevention plan which directs the focus and selection of subsequent menu sessions.

The Centers for Disease Control and Prevention's (CDC's) guidelines on Comprehensive Risk Counseling and Services (CRCS), formerly known as Prevention Case Management (PCM), identify CLEAR as a structured intervention that may be integrated into CRCS programs.