To get the slutty version of Altina do the following:
Turn on switch 0249: Altina HARD
Set Altina to 20 rp.
Add +5 Yarra rp
Add +5 Trin rp
If you whored Qum, then take away -1 Qum rp.
If you did not whore Qum, then add +5 Qum rp.
Even after this, you probably won't have the correct rp value for Altina unless you also account for other changes depending on where your save is and what decisions you make. Check her wiki page for more details.