From the perspective of PWSI and key informants, even well funded sex work specific programs are not without their problems.
Key informants identified a variety of service needs for PWSI but the two primary ones were "safe and appropriate" short- and long-term housing and general healthcare.
However, a number of the PWSI we interviewed reported that they prefer to keep their work "a secret" from health providers to avoid "being judged.
Together, the lack of resources, the limited availability and narrow orientation of some programs, and the erosion of the due process rights of participants impede the ability of PWSI to achieve a state of complete physical, social, and mental well-being.
Shifting toward a harm reduction/ labor rights framework (Bindman and Doezema 1997; Lopes 2005:11) facilitates our ability to address these issues because it already recognizes and reinforces the rights of PWSI to physical, social, and mental well-being as well as sexual rights.
The key informants, "sexperts," and sex workers we interviewed not only highlighted the challenges tied to health, safety, and well-being of PWSI, they also provided insights into potential ways to address these challenges.
All the issues raised by PWSI in our research--in all types of sex work--are covered in the Guide and all parties to sex work carry responsibilities and rights related to health, safety, and well-being (i.
Such modifications would benefit not only PWSI, but all IC workers.
In addition to reworking OHS legislation, more attention needs to be paid to changing the way PWSI are perceived and treated and the types of services that are available to meet their needs.
In the projects examined for this study it was often unclear whether the initiatives were designed to protect residents or both residents and PWSI and whether the program's orientation was that of sex work as exploitation, or sex work as work.
Given this division of responsibilities, it will be imperative, following the federal decriminalization of sex work, to ensure that policies developed and modified at the provincial/territorial and municipal levels do not maintain or enhance existing levels of risks and harm faced by PWSI or create differential justice across Canada.
In this paper PWSI refers te adults involved in the exchange of sexual services, or explicitly sexual fantasies, for money, goods, or services.