Background: APCASO and the Service Worker In Group Foundation (SWING) have collaborated on THE PROJECT Mental Health Supports for Sex Workers in Thailand. This initiative seeks to understand the mental health needs of sex workers through a needs assessment, followed by the creation of action-oriented tools for sex worker-led service provision and capacity building. The project addresses the urgent need for mental health education and support among sex workers, considering the impacts of criminalization laws, HIV/STI/TB, and healthcare barriers due to the COVID-19 pandemic.
Mental Health of Sex Workers: Sex workers often face societal stigma and complex legislative frameworks that exacerbate mental and physical health challenges. The COVID-19 pandemic has further intensified these issues, leading to increased economic strains and social isolation. Research indicates high prevalence rates of mental disorders such as depression, anxiety, PTSD, and suicidal tendencies among sex workers, particularly in low- and middle-income countries. However, existing mental health assessments do not specifically cater to the unique experiences of sex workers.
Objective: The project aims to create a comprehensive mental health self-evaluation tool tailored for sex workers, enabling them to assess their mental well-being, sexual health, and the impact of COVID-19.
Overview of Mental Health Evaluating Tools: The project explores three primary tools for mental health assessment: the PHQ-9, the ST-5, and the 2Q Depression Screen. These tools, while effective in general settings, are not specifically designed for sex workers’ unique experiences.
Mental Health Screening at HIV Clinics of SWING Foundation: SWING Foundation has implemented mental health screening using the 2Q Depression Screen and PHQ-9 at their clinics. The screenings revealed a need for a more tailored approach to address the mental health challenges specific to sex workers.
Methodology for the Development of a Self–Evaluation Tool for Sex Workers: SWING’s initiative involved conducting a survey with 200 sex workers, using tools like the GHQ-28 to assess their mental health status. The survey collected data on demographics, sex work description, health and mental health, and needs assessment.
Results: The analysis of data from tools like the PHQ-9 and ST-5 highlighted the necessity of a specific approach to mental health for sex workers. The findings indicated high stress and depression levels linked to factors unique to sex work, such as financial responsibility and experiences of violence.
Mental Health Self–Evaluation Tool: The project’s primary objective is to develop a mental health screening tool that is sensitive and responsive to the specific needs of sex workers. This tool will identify signs of mental health issues while considering the unique experiences related to sex work. The goal is to provide a comprehensive, accessible, and culturally sensitive resource for sex workers, healthcare providers, and support organizations.
In conclusion, this project aims to contribute positively to the well-being and quality of life of sex workers by focusing on a more inclusive and representative approach to mental health assessment, tailored to their unique challenges and experiences.
To view the mental health needs assessment that the SWING Foundation conducted among sex workers in Thailand, click here: https://apcaso.org/needs-assessent-for-mental-health-services-among-sex-workers-in-thailand/
To view the mental health 101 curriculum that the SWING Foundation developed under this project, click here: https://apcaso.org/mental-health-101-curriculum-for-sex-workers/