1. Street Violence (exchange/ Survival sex) Street Violence (exchange/ Survival sex) Street Violence (exchange/ Survival sex) Jeff Johnson, MSW Jeff Johnson, MSW Co- Facilitated by Doreen Co- Facilitated by Doreen 1a.- Survival sex was defined as having ever traded sex for money, gifts, drugs, shelter, or other needs 1a.- Survival sex was defined as having ever traded sex for money, gifts, drugs, shelter, or other needs

2. 28% of street youths and 10% of youths have reported having participated in survival sex, which was associated with age, days away from home, victimization, criminal behaviors, substance use, suicide attempts, sexually transmitted disease, and pregnancy. Unprotected sexual Activities were common. 28% of street youths and 10% of youths have reported having participated in survival sex, which was associated with age, days away from home, victimization, criminal behaviors, substance use, suicide attempts, sexually transmitted disease, and pregnancy. Unprotected sexual Activities were common. 15% to 20% who had exchanged sex reported they had ever been told they have HIV or another sexually transmitted infection (STI). 15% to 20% who had exchanged sex reported they had ever been told they have HIV or another sexually transmitted infection (STI).

3. Overall, 32.3% of women, 27.1% of men, and 38.1% of transgendered persons reported a history of either sexual or physical assault in the previous year; 9.4% of women, 1.4% of men, and 11.9% of transgendered persons reported sexual assault, and 30.6% of women, 26.6% of men, and 33.3% of transgendered persons reported physical assault Overall, 32.3% of women, 27.1% of men, and 38.1% of transgendered persons reported a history of either sexual or physical assault in the previous year; 9.4% of women, 1.4% of men, and 11.9% of transgendered persons reported sexual assault, and 30.6% of women, 26.6% of men, and 33.3% of transgendered persons reported physical assault

4. In a recent survey the population surveyed engaged in sex drug exchange or survival sex. (78% currently needing housing and shelter; 84% had been homeless, and 75% using illegal substances. In a recent survey the population surveyed engaged in sex drug exchange or survival sex. (78% currently needing housing and shelter; 84% had been homeless, and 75% using illegal substances.

5. Seventy percent of the youths were sexually active, average of 11.7 sexual partners ( past 30 days). Seventy percent of the youths were sexually active, average of 11.7 sexual partners ( past 30 days).

6. Violence 80% had been physically assaulted 80% had been physically assaulted 43% had been attacked by clients 43% had been attacked by clients 66% had been raped 66% had been raped 78% had been threatened with a weapon 78% had been threatened with a weapon

7. Needs Assessment/ Services 78% wanted “a home or a safe place” 78% wanted “a home or a safe place” 50% wanted peer counseling 50% wanted peer counseling 73% wanted job training 73% wanted job training 67% asked for drug and alcohol treatment 67% asked for drug and alcohol treatment 50% wanted self- defense training 50% wanted self- defense training 50% reported serious health problems 50% reported serious health problems

8. Youth are becoming for the first time at a younger age, at an average age of 13 and 14 years of age. “Out of home placements” 41% reporting previous placements in correctional facilities, 13% reporting previous placements in treatment facilities for chemical or alcohol dependency; a quarter of al homeless youth report that they have engaged in survival sex to meet their basic needs. Youth are becoming for the first time at a younger age, at an average age of 13 and 14 years of age. “Out of home placements” 41% reporting previous placements in correctional facilities, 13% reporting previous placements in treatment facilities for chemical or alcohol dependency; a quarter of al homeless youth report that they have engaged in survival sex to meet their basic needs.

9. StreetWorks Collaborative employs a team of 30 outreach workers to meet the immediate needs of homeless and runaway youth by providing food and other basic necessities, and to connect youth with housing and services which they might not other wise access. StreetWorks Collaborative employs a team of 30 outreach workers to meet the immediate needs of homeless and runaway youth by providing food and other basic necessities, and to connect youth with housing and services which they might not other wise access.

10. Many street youths use drugs”to deal with the emotional pain of being sexually victimized at home and, once on the streets, by four to 10 customers’ a day,” Estes said. Many street youths use drugs”to deal with the emotional pain of being sexually victimized at home and, once on the streets, by four to 10 customers’ a day,” Estes said.

11. More than 70% of the women said they sought treatment because of their concern for children. 29% of the women reported that they needed childcare in order to participate in treatment. 98% of the women subjects and experts selected services for children as a critical component for addiction services. More than 70% of the women said they sought treatment because of their concern for children. 29% of the women reported that they needed childcare in order to participate in treatment. 98% of the women subjects and experts selected services for children as a critical component for addiction services. Major motivation for women to seek drug treatment was concern for themselves (79%) and concern for children (72%). Both Groups occurred that family and child therapy were important counseling modalities. Major motivation for women to seek drug treatment was concern for themselves (79%) and concern for children (72%). Both Groups occurred that family and child therapy were important counseling modalities.

12. Education and training needs Education and training needs Parent training 81% Parent training 81% Vocational 73% Vocational 73% GED 60% GED 60%

13. Counseling modalities Counseling modalities Family and child counseling 73% Family and child counseling 73% Individual counseling 67% Individual counseling 67% Women groups 56% Women groups 56% Group Therapy 42% Group Therapy 42% Polydrug treatment 36% Polydrug treatment 36%

14. Barriers to treatment Barriers to treatment Lack of access 71% Lack of access 71% Lack of childcare 59% Lack of childcare 59% Type of program 51% Type of program 51% Emotional state 39% Emotional state 39% Negative pressure from Friends, Family 31% Negative pressure from Friends, Family 31% Fear of loosing child 29% Fear of loosing child 29%

15. Insensitive supervision and coordinated term efforts correctional interventions need to focus not only on individual level factors but also social context that gave rise to their problem behaviors in the first place. Insensitive supervision and coordinated term efforts correctional interventions need to focus not only on individual level factors but also social context that gave rise to their problem behaviors in the first place.