How survivors of exploitation who use drugs navigate systems of care: An analysis of survivor insights using the intersectional risk environment

Authors

• Theresa Anasti, Washington University in St. Louis
• Hilary Thibodeau, Washington University in St. Louis
• Nathaniel A Dell, Washington University School of Medicine in St. Louis
• Kathleen Preble, University of Texas at Arlington
• Lauren Grimes, Washington University School of Medicine in St. Louis
• Lindsay B Gezinski, University of Utah

Journal

Harm reduction journal

Publication Date

4-27-2026

Volume

23

Issue

1

First Page

128

Document Type

Open Access Publication

DOI

10.1186/s12954-026-01443-9

Rights and Permissions

Anasti, T., Thibodeau, H., Dell, N.A. et al. How survivors of exploitation who use drugs navigate systems of care: an analysis of survivor insights using the intersectional risk environment. Harm Reduct J 23, 128 (2026). https://doi.org/10.1186/s12954-026-01443-9 This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/.

Recommended Citation

Anasti, Theresa; Thibodeau, Hilary; Dell, Nathaniel A; Preble, Kathleen; Grimes, Lauren; and Gezinski, Lindsay B, "How survivors of exploitation who use drugs navigate systems of care: An analysis of survivor insights using the intersectional risk environment." Harm reduction journal. 23, 1. 128 (2026).
https://digitalcommons.wustl.edu/oa_4/7318

Department

ICTS (Institute of Clinical and Translational Sciences)