title: Setting up a clinical psychology service for commercial sex workers.
abstract: The objective of this study was to provide what we believe to be the first report of the establishment of a clinical psychology service to provide accessible psychological assessment, intervention and crisis support, integrated within an existing East London sexual health clinical and outreach service for commercial sex workers (CSWs). Data are presented on referral patterns, demographics, presenting issues to clinical psychology, interventions and outcomes for the first year of the service. Women presented with a range of psychosocial needs. Psychological interventions included direct therapy, signposting to other services and consultation with staff. We concluded that this flexible model of service provision improves access to mental health services within the context of a specialist sexual health and outreach service for CSWs. The provision of a named, female clinical psychologist who provides both the clinical sessions and attends outreach has been an important factor in developing trust and familiarity, leading to better uptake of the clinical psychology service.
authors.affiliation: Clinical Psychology Services, Infection and Immunity, Barts and the London NHS Trust, London, UK. clare.stevenson@bartsandthelondon.nhs.uk
authors.forename: Clare
authors.initials: C
authors.lastname: Stevenson
authors.forename: Jenny
authors.initials: J
authors.lastname: Petrak
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000554:Ambulatory Care Facilities; D003159:Community-Institutional Relations; D017280:Condoms / Q000706:statistics & numerical data; D003419:Crisis Intervention; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D008131:London; D008605:Mental Health Services / Q000458:organization & administration*; D008875:Middle Aged; D020380:Needs Assessment; D016730:Program Development; D021841:Safe Sex; D011477:Sex Work / Q000523:psychology*; D013308:Streptonigrin; D047568:Unsafe Sex
chemical_list: C079133:retrostatin; D013308:Streptonigrin