“…Both sex work and substance abuse may be viewed from an economic perspective as phenomena representing rational decisions, made by individuals operating within severely constrained circumstances (Goldstein, 1979;Goldman, 1981;Romero-Daza, Weeks & Singer, 1998;Hanson, Lopez-Iftikhar, Alegria et al, 2002;Maher, 1996;Maher & Daly 1996;Bretteville-Jensen & Sutton, 1996). Research has shown that women who engage in street sex work are more likely to have suffered from child sexual abuse (Widom & Kuhns, 1996;McClanahan et al, 1999), to demonstrate signs of psychological distress (Young, Boyd and Hubbell 2000), and to experience stigmatization and poor overall health (Baker, Wilson, & Winebarger, 2004;Jeal & Salisbury, 2004). As a result, some researchers have emphasized the need for intensive social and health services, including mental health services, to address the underlying issues that contribute to risky behavior patterns (Briere & Jordan, 2004;Golder & Logan, 2006;Potterat et al, 1998).…”