Because epidemiological estimates indicate that young adult females experience the greatest annual increase in HIV infection rates, public schools must prepare for a corresponding increment in pediatric HIV resulting from transmission during pregnancy, birth, or the neonatal period. In addition, data reveal that adolescents continue to engage in alarmingly high rates of risk taking in the context of sexual activity and drug use. These findings have important implications for the changing role of school psychologists. A three-tiered consultation model, first proposed by Meyers (1975), is described in which school psychologists can engage in child-centered, teacher-centered, and system-centered consultation practice in response to the HIV/AIDS crisis in school.