Methods: We used community-based and participatory research methods to engage girls and women who trade sex, and other local experts, in the design and implementation of a new model. A community advisory panel has been meeting since 2007. The project surveyed (n=135), conducted semi-structured interviews (n=35), and focus group (6) with adults who trade sex in the neighborhood. Statistical findings are presented elsewhere. Here I focus on participant-observation methods from Anthropology that we used to drive the research and learn from the entire process by discerning cultural and structural information about how best to build the model. Research participants readily shared their feedback and comments on the research process itself; stating that the research encounter was unique and supportive because they did not have safe spaces in their lives to talk, reflect, and think about sex trading and where they wanted to be in life.
Results: Based on all project data we first “diagnosed” why sex traders do not connect to resources and what they think would help. Then we developed a drop-in space concept, based in community connection rather than programming and services. It opened in 2010 and has begun attracting participants. It works by offering a first, and self-directed, step toward reconnection to systems of care. Drop-in centers have been used for other populations, but ours is specific to sex traders.
Conclusions: It is possible to connect, prevent and intervene in sex trading and trafficking, thereby promoting health and well-being. Participatory and ethnographic approaches are critical to developing prevention models that truly “work” for intended populations.