They also overlap within larger organized crime structures. Prostitution, like the illegal drug trade, is big business on the black market, and it has been for some time. Organized crime emerged in its modern form as a result of the prohibition against alcohol in the s.
Mobsters honed their craft importing bootleg liquor into the country. Once prohibition was repealed, organized crime needed new enterprises to finance its continued existence and turned to activities like prostitution, drugs and gambling. Drug production and sex trafficking started to become even larger, international operations while remaining closely related to each other.
Sex work has also moved to smaller-scale, closer to home settings. The Internet can act as another channel for drug diversion and arranging prostitution services. These may still be tied to larger criminal groups, but the internet can also be an outlet for women who want to work without a pimp or people who want to get illegal drugs while dealing with fewer middlemen.
There is obviously a lot of risk involved, but women and men in need of money may find it worth the risk. If they were diagnosed with PTSD, they were offered treatment for this as well. We needed to find out if it was feasible to provide this new service and whether we would be able to do research to test if it worked. We also wanted to know what street sex workers and the staff providing the service thought of it and wanted to get a rough idea of how much it would cost the NHS to provide it.
To understand whether the research could work, we monitored if the street sex workers were prepared to take part in the study and if they did, how long for. We also monitored how often they took part in the groups and trauma treatment to understand how easy it would be to deliver this service, as well as collecting information on costs.
We carried out in-depth interviews with the women using the service, as well as the organisations providing it to understand what they thought of it and how it could be improved. We also wanted the research and service to be guided by women with experience of drug use and street sex work. We sought their opinions at each stage and came up with solutions to problems which arose.
Fewer street sex workers took part than expected. Eleven women took part and four attended enough groups to be screened for PTSD. They were all diagnosed with PTSD and so took part in the trauma therapy phase of treatment. Participants and service providers mostly found the research study and the service was a positive experience, especially the street sex worker-only environment.
These staff would need more support if the new service continued. The study reveals how necessary trauma treatment is for street sex workers, although it is not usually readily available to them. All four of the participants were diagnosed with PTSD. The severity of the trauma the women disclosed was unexpectedly challenging for non-clinical service providers. There are grounds for concern about the alcohol consumption of these women. About one-quarter of the women said that they used alcohol every day; some of them reported drinking at levels which greatly exceed recommended limits for women, and some were drinking at levels which were likely to be physically damaging.
Abstract The precise manner in which the use of different types of drugs is related to prostitution has not been adequately researched. Publication types Research Support, Non-U. Substances Illicit Drugs Psychotropic Drugs.
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