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首页> 外文期刊>Journal of substance abuse treatment >Rethinking substance abuse treatment with sex workers: How does the capability approach inform practice?
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Rethinking substance abuse treatment with sex workers: How does the capability approach inform practice?

机译：重新思考性工作者的药物滥用治疗：能力方法如何为实践提供信息？

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Substance abuse treatment providers commonly provide services for men and women involved in sex work. Sex workers often present to treatment with a complicated array of challenges (M. L. Burnette et al., 2008a; D. C. Ling, W. C. W. Wong, E. A. Holroyd, & S. A. Grayson, 2007; M. Young, C. Boyd, & A. Hubbell, 2000), and, while many scholars have posited the need for adapted interventions for sex workers (L. Nuttbrock, A. Rosenblum, S. Magura, C. Villano, & J. Wallace, 2004; A. Weiner, 1996), there is still a lull in the development of comprehensive, tailored services for sex workers seeking substance abuse treatment (L. Nuttbrock et al., 2004). Augmenting this gap is the lack of a clear framework through which to understand the challenges that sex workers endure and how their challenges may differ from treatment-seeking non-sex workers. In order to address this gap, the current study explored the utility of a social justice framework, namely the Capability Approach, in predicting sex work involvement among a substance-abusing sample. We hypothesize that increased challenges to achieving capability will predict sex work involvement among a substance-abusing sample. Results suggest that the Capability Approach is a useful framework that can be used to differentiate between sex workers and their substance-abusing counterparts and that sex workers experience greater challenges to achieving capability. As such, the current findings support recent calls in the literature for the development of tailored services to meet the needs of this population.
机译：药物滥用治疗提供者通常为从事性工作的男女提供服务。性工作者常常面临复杂的挑战（ML Burnette等，2008a; DC Ling，WCW Wong，EA Holroyd，＆SA Grayson，2007; M. Young，C.Boyd，＆A.Hubbell，2000 ），尽管许多学者认为有必要对性工作者采取适当的干预措施（L. Nuttbrock，A。Rosenblum，S。Magura，C。Villano和J. Wallace，2004年; A。Weiner，1996年），仍然为寻求滥用药物治疗的性工作者提供全面，量身定制的服务而停滞不前（L. Nuttbrock等，2004）。扩大这一差距的原因是缺乏一个清晰的框架来了解性工作者所承受的挑战以及他们的挑战与寻求治疗的非性工作者之间的差异。为了解决这一差距，本研究探索了社会正义框架（即能力方法）在预测滥用药物样本中的性工作参与方面的效用。我们假设提高能力的挑战将预测吸毒样本中的性工作参与。结果表明，能力方法是一个有用的框架，可用于区分性工作者和其滥用毒品的同伴，并且性工作者在实现能力方面面临更大的挑战。因此，当前的发现支持了最近文献中呼吁开发定制服务以满足该人群的需求。

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