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Management of sex workers and other high-risk groups William Spice
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Key words
Drugs; health care; sex workers.
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Low educational level, learning difficulties and a criminal record can also act as barriers to the reintegration of sex workers into the nonsex workforce [7].
Exit programmes therefore need to be holistic and tailored to individual vulnerabilities, which is best achieved through coordinated referral to the relevant agencies and the provision of long-term follow-up [8]. Clark and
Squires [7] proposed the establishment of Vulnerable
Adult Protection programmes in which the coordinating role would be taken on by a key worker. In such a model, an initial intervention to provide safe house accommodation could be followed by referral to drug rehabilitation or sexual health services, and ultimately lead to training in new skills and assistance with job seeking. The Sex Workers in Sexual Health Project in Coventry reported on 10
CSW who had successfully exited over 2 years [60], but few services exist owing to funding constraints and lack of multi-agency co-operation, with the majority concentrating on harm reduction rather than exiting.
Sex workers in the UK will continue to face multiple hazards for as long as the occupation continues to be seen as a policing problem rather than a welfare issue.