Presentation on theme: "Bridging the Gap Between the Commercial Sex Trade and Drug Services"— Presentation transcript:
1Bridging the Gap Between the Commercial Sex Trade and Drug Services We believe in people’s capacity to change
2Who we are..Blenheim Evolve is a FREE, SPECIALIST Stimulant, club drug and cannabis service in Southwark:One-to-one key workingClub Drug ClinicSMART recoveryDrop-InWomen’s only serviceNeedle ExchangeOne-to-one sessions for families and carersA skilled team of drug practitioners
3Mind the Gap… “It’s not easy, sometimes appointments get cancelled, or you have to wait agesin the reception and that can be a triggerfor people. You get stressed as well waitingand then that just makes you want to go outand use more drugs”“If women are not ready to reduce their drug use or go to rehab they are lost to services….”“It’s so hard for me to get to morning appointments when I’ve been on road all night, so I just don’t go…”“It’s difficult to wait for myappointment with men there.”“It is crucial to have a good drugs workerwho is flexible to women’s needs,punitive straightjacket rehabilitation doesn’t work”“I really fear being judged,it’s hard enough talkingabout the drug use…”“This client group is seen as expensive,there’s no room for their complexity..”
4Why the Gap?Not recognising how heterogeneous the Commercial Sex Trade is.Is Sex Work, work? Or is it gendered violence?Glamorised or stigmatised..Polarised morals.. Is providing services supporting prostitution?How to establish need? Where’s the guidance and policy?Unhelpful and confusing legal framework
5Let’s Focus…Women in Street Based Prostitution are 12x more likely to be murdered (VAWG, 2013)In a study interviewing 83 women involved in the London Commercial Sex Trade:72% of women reported one or more current psychological and/or physical health problem65% of women had experienced violence from a punter in the last year. 35% from a partner.82% reported past or current involvement with CJS64% of women reported being homeless or in temporary accommodation71% of women had childrenCripplingly low self-esteem/ loss of selfBindel, Breslin & Brown, 2013
6In more detail.. Societal Stigmas.. Prostitution and Drug Use: “I lack confidence, I feel like sometimes everybody can tell that I’m on drugs and that I might be selling myself. No self-esteem, I feel worthless. I’m out there doing something society frowns upon. I’ve got a lot of shame and guilt that I’m doing it.” DrugScope & Ava, 2013What biases do we as drugs practitioners hold? Can we comfortably talk about sex? – What training do we provide to staff? (Chemsex..)
8Confusing Legal Framework: Prostitution is legal –But:Soliciting, kerb crawling,sex in a public toilet,disorderly behaviour,keeping a brothelare offences..11% ↑in custodial sentences88% for non-violent crimes(VAWG 2013)
9How to establish need?“..the Drug Treatment Outcomes Research Study (2007) found that 10% of women commencing drug treatment said they had exchanged sex for money, drugs or something else in the past four weeks. While this may encompass more than what might be strictly defined as street-based prostitution, it does indicate that the group is likely to be sizeable.”DrugScope & Ava 2013Women involved in Street Based Prostitution are virtually absent from all current policy..The words: “Prostitution” “Sex Work” “Woman” and “Woman or Girl” are completely absence from the 2010 National Drug Strategy…The VAWG Strategy 2013 states that the VAWG panel will be drawing up “Commissioning Guidelines”..
10Changing Demographics: Rapid increase in non-British women selling street based sex in London, evidence of women and girls under 18yrs selling sex in London. And evidence of women moving between on-street and off-street sites.Bindle, Breslin & Brown, 2013Thai Women and Girls known to services in Westminster, being given Crystal Meth to work and brought to the UK with no legal status – No recourse to public funds.Eastern European Women using cocaine and alcohol, the market is such that “Partying” is a key aspect of being booked for work. One service reported how these women would find accessing a drug service particularly difficult as they would not identify themselves with other drug users.
12Good Practice Guide…Relationships and trust are key to engaging this client group..Staff training – challenging the assumptionsFlexible/evening opening hoursWomen’s only provision – really important.Outreach – condoms, NX, relationship building..Childcare provision (or links to)Actively advertise that you work with this client group (Learning from LGBT inclusive practice?)Peer support and telephone support
13Good referral pathways and partnership links with housing, sexual health, Domestic Violence services, Community Mental Health Teams, GP Surgeries and Employment, Education and Training services.In a time of stretched resources are there joint commissioning decisions which can be made, what partnership work can be done?Provide a range of treatment options.. Harm reduction and Exiting.. Who’s agenda is it?
14And Finally… I would like to say a big thank you to: The English Collective of ProstitutesSt Mungos Palace RoadSPIRES (Jenny & Pam)SWISHThe Praed Street Project (Jane Ayres)SHOC (Haringey)