Prostitution and sexual exploitation in the North East and Cumbria Introduction • Since 2007 mapping sex markets: 2008 Northumberland and Tyne and Wear; 2010 Co. Durham and Darlington; 2012 Cumbria; and 2014 Teesside. • Part of NRF’s Safety and Justice Programme • Worked with CSPs, DAATs, LSCBs and Probation • Studies of adults and children Women involved in prostitution across NE and Cumbria 900 800 700 600 500 Commercial prostitution 400 300 200 100 0 Survival sex Distribution of women involved Commercial prostitution 180 160 140 120 100 80 60 40 20 0 Survival sex Children who are sexually exploited in NE and Cumbria 250 200 150 Female Male 100 50 0 Local differences • Off street markets associated with high numbers of brothels and escort agencies: high numbers in Newcastle, Durham and Darlington; low in Hartlepool and Redcar • On street markets associated with low numbers of brothels and escort agencies: large street markets in Stockton and Middlesbrough; low in most other areas • High male sex markets in Darlington and a trafficked Chinese female brothel population • High end sex markets in Newcastle and pull factor influencing areas across the North East Reasons behind involvement • Many involved since children: cycle continues with roughly one third have had children who have been removed into care • From care system and outside • Substance misuse: opiate and crack • Encouraged by peers, drug dealers, role modeling: some generational involvement • Debt and access to essential resources, esp. accommodation • Very difficult to exit; no other survival strategies/options, debt cycles Impact on health • Substance misuse: opiate, crack, pills, alcohol – much survival sex is self medicating because of historic abuse and trauma and linked very poor mental health, depression, PTSD, bipolar • Experience of extreme violence, especially women involved in street prostitution • Poor diet, exposure to BBV and infections, dental problems, abscesses, lack of shelter, weak immune system A few illustrative examples • Female in an abusive relationship as both a victim and a perpetrator, suffered sexual abuse as a child, sniffs gas and drinks alcohol, considered to be at a very high risk of death due to ill health and dangerous substance use. • 20 year old female, known to exchange sex for accommodation and money. Heroin and crack addict. One incident included being held hostage and raped over a period of several days, refused to press charges as felt this was “an occupational hazard”. • 31 year old female, learning difficulties and very challenging behaviour, alcoholic and intravenous heroin user, poor physical and mental health, epilepsy, asthma and depression, three children adopted. • 42 year old female, ex-street worker, mental health problems of bipolar and depression, addicted to benzos, tablets and ex-heroin, had a child who was being looked after by her mother. She worked up drug and housing debts and returned to prostitution to pay off debts. Targeted services • Those involved engage poorly with community services: sporadic, resistant, perpetrator/victim, behaviour problems • Housing options are few, such as Roc Solid • Need targeted services, such as A Way Out and Barnardo’s • Hard work, using different approaches to what is available – for some maintaining safety, for others there has been exit successes