APCASO, through the APCRG Platform, supported Swing Foundation based in Thailand to conduct an assessment of the mental health service needs among sex workers in Thailand.
Background and Objectives: This report collates the findings from a comprehensive survey aimed at understanding the mental health service needs of sex workers in urban settings, with a particular focus on those diagnosed with depression. The objective is to inform the development of effective, targeted mental health interventions that are accessible and acceptable to this group.
Methods: A cross-sectional study design was employed, utilizing both quantitative and qualitative data collection methods. The sample consisted of 200 sex workers from Bangkok and Pattaya, with the PHQ-9 tool used to detect the presence of depression. Data was gathered through a self-administered online questionnaire and face-to-face interviews conducted by trained SWING clinic staff. Stratified sampling ensured representation across genders and work environments, while convenience sampling facilitated participant recruitment during outreach activities.
Key Findings: The study revealed a significant recognition of the need for mental health services among sex workers, especially among those with depression. High demand was noted for annual mental health screenings in work areas, friendly service units tailored to sex workers, and counseling services aimed at crisis management, including for infectious disease outbreaks. The preference for online self-assessment tools and group support activities indicates a desire for privacy and peer support.
Conclusion and Recommendations: The evidence points to an urgent requirement for mental health support structures that are sensitive to the challenges faced by sex workers. The report recommends the establishment of specialized mental health services that are readily accessible at work sites and through online platforms, regular screening programs for early detection and intervention, and the formation of support groups to promote mental well-being. It also emphasizes the need for ongoing training for healthcare providers to enhance sensitivity and reduce stigma.
To view the report on the development of the mental health self-evaluation tool that the SWING Foundation developed, click here: https://apcaso.org/report-on-the-development-of-mental-health-self-assessment-tool/
To view the mental health 101 curriculum that the SWING Foundation developed, click here: https://apcaso.org/mental-health-101-curriculum-for-sex-workers/