Domestic Sex Trafficking of Minors: Medical Student and Physician Awareness

Titchen, Kanani; Loo, Dyani; Berdan, Elizabeth A.; Rysavy, Mary B.; Ng, Jessica J.; Sharif, Iman

doi:10.1016/j.jpag.2015.05.006

Cited by 62 publications

(44 citation statements)

References 22 publications

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“…Despite growing societal awareness of commercial sexual exploitation, most providers lack the training and tools to detect and appropriately respond to CSE youth 31,32 .…”

Section: Discussionmentioning

confidence: 99%

Exploring Mental Health and Substance use Treatment Needs of Commercially Sexually Exploited Youth Participating in a Specialty Juvenile Court

Cook

Barnert

Ijadi-Maghsoodi

et al. 2018

Behavioral Medicine

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The study sought to: 1) describe the mental health and substance use profiles among participants of a specialty trafficking court program (the Succeed Though Achievement and Resilience Court); 2) describe youths’ mental health and substance use treatment prior to participating in the program; and 3) examine whether abuse influences report of mental health problems and/or substance use. Retrospective case review of court files was performed on commercially sexually exploited youth who volunteered to participate in the court from 2012 to 2014 (N=184). All participants were female. Mental health problems and report of substance use was high among this population. Substance use differed at statistically significant levels between youth with a documented abuse history compared to those with no abuse history. Substance use also differed by report of mental health problems. Unexpected findings included the high rate of hospitalization for mental health problems and relatively low substance use treatment prior to STAR Court participation. Opportunities for improvement in critical points of contact to identify commercially sexually exploited youth and address their health needs are discussed.

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“…Despite growing societal awareness of commercial sexual exploitation, most providers lack the training and tools to detect and appropriately respond to CSE youth 31,32 .…”

Section: Discussionmentioning

confidence: 99%

Exploring Mental Health and Substance use Treatment Needs of Commercially Sexually Exploited Youth Participating in a Specialty Juvenile Court

Cook

Barnert

Ijadi-Maghsoodi

et al. 2018

Behavioral Medicine

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“…Most healthcare providers have only begun to recognize DMST as a problem within the past decade, which may have contributed to delayed provider identification of DMST youth. Although clinicians now recognize the importance of identifying trafficked youth, assessment for and detection of these youth are relatively uncommon (Baldwin et al, ; Titchen et al, ). Providers may not associate certain factors with the risk of DMST (Beck et al, ).…”

Section: Discussionmentioning

confidence: 99%

Healthcare needs and utilization patterns of sex‐trafficked youth: Missed opportunities at a children's hospital

Ertl

Bokor

Tuchman

et al. 2020

Child

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Background Domestic minor sex‐trafficked (DMST) youth experience profound medical and mental health consequences. This retrospective study reviewed healthcare utilization patterns and documented individualized risk factors of sex‐trafficked youth in the 5 years prior to presenting to a healthcare setting. The primary aim of this study was to examine healthcare utilization patterns among DMST youth with the goal of determining opportunities for earlier identification within the healthcare system. Methods A chart review was conducted of all patients <18 years old referred for suspected or confirmed sex trafficking to a child and adolescent protection centre (CAPC) in an urban, academic children's hospital in Washington, DC from January 1, 2006 to March 1, 2017. Patients were seen by a child abuse pediatrician or a trauma‐informed social worker in an inpatient, outpatient, or emergency department setting. Demographics and medical, psychiatric, and social history were abstracted from encounters within the hospital's healthcare system along with provider concern for DMST up to 5 years prior to their initial CAPC visit. Descriptive statistics were performed. Results Thirty‐nine patients were identified with a mean age of 14.6 years (SD = 1.7). Ninety percent (n = 35/39) of patients were seen in the healthcare system within the 5 years prior to their initial CAPC visit, totaling 191 encounters. Of the visits, 57% (n = 108/191) occurred in the emergency department. The most common chief complaints for encounters were psychiatric (21%, n = 41/191). Less than half of the youth, 43%, had any documented provider concern for sex trafficking in their medical record prior to identification as DMST. Conclusion Most of this cohort was previously evaluated within the healthcare system. However, there was limited provider documentation of concern for DMST despite the presence of risk factors. Provider recognition of youth at risk for DMST is crucial for providing care for youth.

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“…Gaps in knowledge of human trafficking identification, care, and response are apparent among medical students, residents, physician assistants, attending physicians, nurses, and social workers [20][21][22][23][24][25][26]. For example, in a New York City-based study, only 4.8 percent of emergency medicine clinicians reported feeling confident about their ability to identify a victim of human trafficking [24].…”

Section: The Need For Education On Human Trafficking In Medical Trainingmentioning

confidence: 99%

“…Several studies [20][21][23][24][25][26], including a randomized controlled trial [22], have demonstrated that simple training can have a significant impact on clinicians' knowledge of trafficking and ability to recognize and care for trafficking victims. For example, prior to training, a majority of the students in a Michigan medical school either believed that the correct number to call to report a victim of human trafficking was 911 or were uncertain of whom to call.…”

Section: The Need For Education On Human Trafficking In Medical Trainingmentioning

confidence: 99%

“…Various modalities, including Grand Rounds-style didactics and online training, have shown promising results in increasing clinician knowledge of human trafficking for medical students and physicians. Core topics include definitions of trafficking; scope and scale of the problem; prevention; health consequences; a traumainformed, multidisciplinary approach to identification based on trafficking indicators; and resources for response at the national level (i.e., the National Human Trafficking Resource Center hotline) and the local level (i.e., physical and psychological medical care, hospital or clinic social work services, and other resources for shelter, substance abuse treatment, or legal services, based on survivor needs) [26,28].…”

Section: The Need For Education On Human Trafficking In Medical Trainingmentioning

confidence: 99%

See 1 more Smart Citation

Medical Education on Human Trafficking

2015

AMA Journal of Ethics

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Domestic Sex Trafficking of Minors: Medical Student and Physician Awareness

Cited by 62 publications

References 22 publications

Exploring Mental Health and Substance use Treatment Needs of Commercially Sexually Exploited Youth Participating in a Specialty Juvenile Court

Exploring Mental Health and Substance use Treatment Needs of Commercially Sexually Exploited Youth Participating in a Specialty Juvenile Court

Healthcare needs and utilization patterns of sex‐trafficked youth: Missed opportunities at a children's hospital

Medical Education on Human Trafficking

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