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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 />

45

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