1 / 19

Human Trafficking: Clinical Presentation & Treatment

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:.

trygg
Download Presentation

Human Trafficking: Clinical Presentation & Treatment

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. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. 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

  2. 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.

  3. 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.

  4. 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

  5. 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.

  6. 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.”

  7. 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

  8. 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

  9. 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.

  10. 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

  11. Difficulty Identifying Trafficking Victims • distrust of service providers • lies & false stories • untrustworthy interpreters • “one shot” • difference between intimate partner violence & human trafficking

  12. 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

  13. 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

  14. 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

  15. 8. Call a Help Hotline: English: 1-866-US-TIPLINE Korean: 1-888-976-5274 Spanish: 1-888-80-AYUDA

  16. 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.

  17. Clinical Recommendations* Presumptive Treatment for: • gonorrhea • chlamydia • trichomoniasis • syphilis • UTI *for sexually exploited victims

  18. Special thanks to Polaris Project for the images & information. Clinical Recommendations courtesy of Doctors of the World.

  19. For more information on trafficking in the U.S. you can:email: m.chisolmstraker@gmail.comvisit: www.polarisproject.orgor www.humantraffickingED.com

More Related