Evaluating Human Trafficking Service Programs: What Can Be Learned from Domestic Violence Service Program Evaluations

Krieger, Kathleen; Gibbs, Deborah; Cutbush, Stacey

doi:10.1080/23322705.2020.1784686

Cited by 5 publications

(12 citation statements)

References 60 publications

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“…Human trafficking screening policies and response protocols can build on existing policies and protocols related to child maltreatment, elder abuse, IPV, and sexual violence. 40 Health facilities that have developed policies and protocols could share them with other facilities. It is important to ensure that human trafficking policies and protocols are comprehensive, clearly define human trafficking, and note unique differences from other forms of abuse.…”

Section: Discussionmentioning

confidence: 99%

Understanding Health Facility Needs for Human Trafficking Response in Michigan

et al. 2021

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Objectives Human trafficking is a public health issue that has substantial health consequences. However, research on the preparedness of health facilities to serve people who have experienced or are experiencing human trafficking is limited. We examined health facility preparedness related to human trafficking in Michigan. Methods We used a cross-sectional design to explore health facility preparedness related to human trafficking in Michigan. We sampled 10 prosperity regions according to health facility type (Federally Qualified Health Centers, health departments, and hospitals). An email invitation was sent to identified health facility personnel (eg, administrators, physicians, nurses) from May to June 2019 with a link to a 26-item survey with items about current policies, protocols, and areas for improvement related to human trafficking. Results Forty-two Federally Qualified Health Centers, health departments, and hospitals responded to the survey. Most health facilities had screening policies and response protocols related to child maltreatment (screening: 32/41 [78.0%]; response: 38/40 [95.0%]) and intimate partner violence (screening: 33/41 [80.5%]; response: 37/40 [92.5%]). However, fewer facilities had a screening policy (16/41 [39.0%]) and response protocol (25/40 [62.5%]) for human trafficking; more of these facilities focused on sex trafficking than on labor trafficking. The top needs related to human trafficking were (1) individual-level health care provider training, (2) health facility–level screening policies and response protocols, (3) community-level resources, and (4) societal-level awareness, funding allocation, and data. Conclusions Facility-level resources are needed to ensure that health care providers have adequate training and support to address human trafficking in the health care system.

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Section: Discussionmentioning

confidence: 99%

Understanding Health Facility Needs for Human Trafficking Response in Michigan

et al. 2021

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“…31 Health care providers who create a safe, comfortable environment for trafficking victims and practice compassionate, trauma-informed, victim-centered care can improve engagement in and access to services. 2,11,12,15,[17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33] Women and adolescents interviewed immediately after leaving a trafficking situation in Europe reported a substantial reduction in subjective physical and mental health symptoms after 2 months of continued health care. 34 Two victim services models (1 in Miami, Florida, and 1 in Houston, Texas) are funded in part by the Office for Victims of Crime (OVC), which is 1 of 6 offices of the US Department of Justice established to enhance victim services.…”

Section: Smentioning

confidence: 99%

“…31 Health care providers who create a safe, comfortable environment for trafficking victims and practice compassionate, trauma-informed, victim-centered care can improve engagement in and access to services. 2,11,12,15,17-33 Women and adolescents interviewed immediately after leaving a trafficking situation in Europe reported a substantial reduction in subjective physical and mental health symptoms after 2 months of continued health care. 34…”

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confidence: 99%

“…These collaborative models provide easy access and high-quality, interdisciplinary, trauma-informed medical care and victim services to restore and rehabilitate survivors of human trafficking. 25-33 Previous publications on the 2 models focused on client demographic characteristics, health consequences, and community collaborations, 27,35,36 but in-depth descriptions and implementation considerations have not been discussed.…”

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confidence: 99%

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Creating a Collaborative Trauma-Informed Interdisciplinary Citywide Victim Services Model Focused on Health Care for Survivors of Human Trafficking

et al. 2022

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Although human trafficking is recognized as a public health issue, research on the health effects of human trafficking and best intervention practices is limited. We describe 2 citywide collaborative victim services models, the THRIVE (Trafficking, Healthcare, Resources, and Interdisciplinary Victim Services and Education) Clinic at the University of Miami and Jackson Health System in Miami, Florida, and the Greater Houston Area Pathways for Advocacy-based, Trauma-Informed Healthcare (PATH) Collaborative at Baylor College of Medicine, CommonSpirit Health, and San Jose Clinic in Houston, Texas, funded in part by the Office for Victims of Crime, which focus on trauma-informed health care delivery for victims of human trafficking. From June 2015 through September 2021, the THRIVE Clinic served 214 patients with an average age of 28.7 years at the time of their first visit. From October 2017 through September 2021, the PATH Collaborative received 560 suspected trafficking referrals, 400 of which screened positive for labor or sex trafficking. These models serve as a framework for replication of interdisciplinary practices to provide health care for this unique population and preliminary information about the strategies put in place to assist victims during their recovery. Key lessons include the importance of a citywide needs assessment, patient navigators, interdisciplinary care, and building community partnerships to ensure safe housing, transportation, identification, health insurance, vocation services, input from survivors, peer-to-peer mentorship, and medical–legal services. Further research is needed to understand the detrimental health effects of trafficking and the health care needs of victims. In addition, a need exists to develop optimal models of care for recovery and reintegration for this patient population and to address public health, legal, and medical policies to ensure access to and sustainability of comprehensive, trauma-informed, interdisciplinary victim services.

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“…Nonetheless, evaluations of anti-trafficking services are hindered by several related factors (Krieger et al, 2020). First, service settings that are frequently complex and dynamic.…”

Section: Evaluation Of Anti-trafficking Servicesmentioning

confidence: 99%

Developing Evaluation Approaches for an Anti-Human Trafficking Housing Program

Macy

Eckhardt²,

Wretman

et al. 2022

American Journal of Evaluation

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The increasing number of anti-trafficking organizations and funding for anti-trafficking services have greatly out-paced evaluative efforts resulting in critical knowledge gaps, which have been underscored by recent recommendations for the development of greater evaluation capacity in the anti-trafficking field. In response to these calls, this paper reports on the development and feasibility testing of an evaluation protocol to generate practice-based evidence for an anti-trafficking transitional housing program. Guided by formative evaluation and evaluability frameworks, our practitioner-researcher team had two aims: (1) develop an evaluation protocol, and (2) test the protocol with a feasibility trial. To the best of our knowledge, this is one of only a few reports concerning anti-trafficking housing program evaluations, particularly one with many foreign-national survivors as evaluation participants. In addition to presenting evaluation findings, the team herein documented decisions and strategies related to conceptualizing, designing, and conducting the evaluation to offer approaches for future evaluations.

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Evaluating Human Trafficking Service Programs: What Can Be Learned from Domestic Violence Service Program Evaluations

Cited by 5 publications

References 60 publications

Understanding Health Facility Needs for Human Trafficking Response in Michigan

Understanding Health Facility Needs for Human Trafficking Response in Michigan

Creating a Collaborative Trauma-Informed Interdisciplinary Citywide Victim Services Model Focused on Health Care for Survivors of Human Trafficking

Developing Evaluation Approaches for an Anti-Human Trafficking Housing Program

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