Human trafficking clinical presentation treatment
Download
1 / 19

Human Trafficking: - PowerPoint PPT Presentation


  • 544 Views
  • Updated On :

Human Trafficking: Clinical Presentation & Treatment How to Care for Trafficked Persons in the E.D. Makini Chisolm-Straker , MSII Brown Medical School, Mt. Sinai School of Medicine 2007 Instructional Goals:

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Human Trafficking:' - albert


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Human trafficking clinical presentation treatment l.jpg

Human Trafficking:Clinical Presentation & Treatment

How to Care for

Trafficked Persons in the E.D.

MakiniChisolm-Straker, MSII

Brown Medical School, Mt. Sinai School of Medicine

2007


Instructional goals l.jpg
Instructional Goals:

  • You will be familiar with the clinical presentation of human trafficking victims in the E.D. in the U.S.

  • You will be familiar with the appropriate treatment of human trafficking victims.

  • You will appreciate the role of emergency healthcare practitioners in facilitating the escape of trafficked persons.


Instructional learning objective what you will do by the end of this session l.jpg

Instructional Learning Objective(what you will do by the end of this session):

You will know the hotline to call when a suspected trafficking victim presents to the emergency department.


Slide4 l.jpg
Case

  • obtunded teenage♀, GCS 5

  • extensive bleeding from vaginal canal

  • visible burns, cuts, scars on wrists, ankles, neck

  • hx of schizophrenia?

  • bro. concerned about a dangerous abortion attempt


Human trafficking is l.jpg
Human Trafficking is:

  • the recruitment, transportation, transfer, harboring or receipt of persons:

    • by the threat or use of kidnapping, force, fraud, deception or coercion, or by the giving or receiving of unlawful payments or benefits

    • to achieve the consent of a person having control over another person, and

    • for the purpose of sexual exploitation or forced labor.


Human trafficking is6 l.jpg
Human Trafficking is:

  • the illegal use of a variety of means

  • to force an individual (the trafficked)

  • to relinquish his/her personal freedom

  • for the profit of another person (the trafficker).

  • often, simply considered “involuntary servitude” or “modern-day slavery.”


Types of trafficking l.jpg

Sexual Exploitation

prostitution

pornography

bride trafficking

commercial abuse of children

massage parlors, hostess clubs, brothels, escort services, commercial phone sex & internet dating

exotic dancing/stripping

Types of Trafficking


Types of trafficking8 l.jpg

Forced Labor

domestic servitude (domestic work & child care)

manual labor

-small-scale factory work

-construction work

-sweatshops & farms of multinational corps

-agricultural & landscape work

restaurants

nail salons

hotel housekeeping

false adoption

drug trade

street begging

camel jockeys

child soldiers

organ harvesting

Types of Trafficking


Slide9 l.jpg

Trafficking Affects

(Populations at Risk):

  • 15,000 – 60,000 people are trafficked into the

  • U.S. annually

  • 80% of trafficked persons are ♀& children

  • U.S. citizens

  • U.S. residents

  • documented immigrants

  • undocumented immigrants

  • youth (esp. runaways)

  • urban pop.

  • suburban pop.


Role of healthcare practitioners in the e d l.jpg
Role of Healthcare Practitioners in the E.D.

  • Identify human trafficking victims

  • Treat the chief complaint/illness and/or the emergent issue

  • Offer (& provide, if patient-desired) appropriate treatment for the unsafe environment


Difficulty identifying trafficking victims l.jpg
Difficulty Identifying Trafficking Victims

  • distrust of service providers

  • lies & false stories

  • untrustworthy interpreters

  • “one shot”

  • difference between intimate partner violence & human trafficking


Signs sx l.jpg

lack of knowledge of a given community/whereabouts

not in control of personal ID

few  no personal possessions

does not speak

3rd party insists on being present or interpreting

injuries (multiple, old & new)

signs of malnourishment

branding

Signs & Sx


Signs sx13 l.jpg

no healthcare

under 18 & in sex industry – DE FACTO

claim of “just visiting”

inconsistent story

behavior change when “law enforcement” is mentioned

STIs

bacterial &/or yeast infxns

demeanor (e.g.: fearful, anxious, submissive, flat affect)

Signs & Sx


What to do l.jpg
What to do

What to do

  • building trust is the number one priority

  • reassure the potential victim

  • one-on-one interactions are ideal

  • specifically ask about the patient’s safety

  • offer reworded stories

  • stay calm & even-keel

  • ALWAYS document your suspicion in your notes, at the very least


8 call a help hotline l.jpg

8. Call a Help Hotline:

English: 1-866-US-TIPLINE

Korean: 1-888-976-5274

Spanish: 1-888-80-AYUDA


Slide16 l.jpg

The folks working at the hotlines are trained to know how to help you, but you are their eyes & ears. Trust their knowledge, your experience & your gut. If the patient is an adult, they have the last say, but give them every opportunity to receive help.Even if a potential victim doesn’t want help, call: 1 - 8 6 6 - U S - T I P L I N E,to report suspected trafficking;the tip can save lives.


Clinical recommendations l.jpg
Clinical Recommendations* help you, but you are their eyes & ears.

Presumptive Treatment for:

  • gonorrhea

  • chlamydia

  • trichomoniasis

  • syphilis

  • UTI

    *for sexually exploited victims


Slide18 l.jpg

Special thanks to Polaris Project help you, but you are their eyes & ears.

for the images & information.

Clinical Recommendations courtesy of

Doctors of the World.


Slide19 l.jpg

For more information on help you, but you are their eyes & ears. trafficking in the U.S. you can:email: [email protected]: www.polarisproject.orgor www.humantraffickingED.com


ad