Vulnerability and involvement in drug use and ... - Sex Work Europe
Vulnerability and involvement in drug use and ... - Sex Work Europe
Vulnerability and involvement in drug use and ... - Sex Work Europe
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● Access to hous<strong>in</strong>g is crucial for a range of needs from low threshold shelter<br />
with plann<strong>in</strong>g for the longer term to longer- t e rm stable homes. Hous<strong>in</strong>g<br />
e m e rged as an important problem for sex workers <strong>in</strong> a Home Office funded<br />
evaluation of an arrest re f e rral scheme <strong>in</strong> K<strong>in</strong>g’s Cross, London. Relocation<br />
was mentioned by many as a pre requisite for their discont<strong>in</strong>uation of sex<br />
work. However, projects need to develop strong l<strong>in</strong>ks with accommodation<br />
p roviders outside sex work are a s .<br />
● T h e re is an untapped potential for mentor<strong>in</strong>g <strong>and</strong> peer education <strong>in</strong> sex work<br />
networks to encourage harm reduction <strong>in</strong> sex work <strong>and</strong> <strong>drug</strong> <strong>use</strong> <strong>and</strong> to<br />
encourage <strong>and</strong> support exit<strong>in</strong>g plans.<br />
The Children at Risk Review conducted as part of the government spend<strong>in</strong>g plans 2003-<br />
2006 (Tre a s u ry, 2002) confirms that current provision of childre n ’s services is poorly<br />
developed <strong>and</strong> lack<strong>in</strong>g an overall strategy to pull them together. This study supports the<br />
review’s recommendations for structural change to better co-ord<strong>in</strong>ate children’s services. The<br />
<strong>in</strong>tention here is to improve service co-ord<strong>in</strong>ation so that young people do not fall through<br />
gaps <strong>in</strong> service networks.<br />
Those we predicted might become trapped on the basis of their vulnerabilities but who<br />
never experienced problematic <strong>drug</strong> <strong>use</strong><br />
T h e re were n<strong>in</strong>e participants <strong>in</strong> this group. Two of these participants had been exposed to<br />
only one trapp<strong>in</strong>g factor giv<strong>in</strong>g a weak prediction that they might become trapped. Four<br />
had been exposed to two trapp<strong>in</strong>g factors giv<strong>in</strong>g a medium prediction that they might<br />
become trapped. The rema<strong>in</strong><strong>in</strong>g three participants had been exposed to all thre e<br />
trapp<strong>in</strong>g factors giv<strong>in</strong>g a high prediction that they might become trapped. Cru c i a l l y, none<br />
of these participants re p o rted ever hav<strong>in</strong>g experienced problematic <strong>drug</strong> <strong>use</strong>. Given that<br />
<strong>in</strong> the whole sample participants’ self-def<strong>in</strong>itions of lifetime freedom from pro b l e m a t i c<br />
d rug <strong>use</strong> appear reasonable us<strong>in</strong>g ACMD (1998) def<strong>in</strong>itions, there is re a s o n a b l e<br />
confidence <strong>in</strong> this self-re p o rt data. Their absence of problematic <strong>drug</strong> <strong>use</strong> by def<strong>in</strong>ition<br />
meant that they would not be ‘trapped’ <strong>in</strong> the mutually re i n f o rc<strong>in</strong>g aspects of pro b l e m a t i c<br />
d rug <strong>use</strong> <strong>and</strong> sex work.<br />
Analyses of these <strong>in</strong>terviews confirm a conclusion previously drawn from those pre d i c t e d<br />
<strong>and</strong> confirmed as ‘non-trapped’. This is that above all else, freedom from problematic <strong>drug</strong><br />
<strong>use</strong> is key to freedom from multiply<strong>in</strong>g vulnerabilities.<br />
‘Trapp<strong>in</strong>g’ <strong>and</strong> ‘exit<strong>in</strong>g’<br />
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