Supporting youth involved in domestic minor sex trafficking: Divergent perspectives on youth agency

Sapiro, Beth; Johnson, Laura; Postmus, Judy L.; Simmel, Cassandra

doi:10.1016/j.chiabu.2016.06.019

Cited by 51 publications

(38 citation statements)

References 20 publications

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“…Given the dangers and risks related to sex trafficking, historically some providers and agencies have taken a more paternalistic approach with CSE youth (Sapiro et al, 2016; Swaner et al, 2016). Sapiro and colleagues describe a tension among those working with CSE youth between respecting the self-agency of CSE youth, and providing health and safety protections to their clients (Sapiro et al, 2016). Youth in our study described an acute sense of feeling criticized for their actions or lifestyles and being told what to do by providers, which often deterred them from seeking care.…”

Section: Discussionmentioning

confidence: 99%

“…Surveys of physicians and medical students demonstrate that most providers lack training (Beck et al, 2015) and awareness of how to detect CSEC and, if encountered, how to respond (Titchen et al, 2015). Beyond the health care system, although CSE youth may interact with multiple systems of care, including law enforcement, child welfare, and other social service agencies, there is a lack of cohesion among service providers across disciplines on how to best care for CSE youth (Sapiro, Johnson, Postmus, & Simmel, 2016; Swaner et al, 2016). Furthermore, it is unclear what factors drive CSE youth to seek and engage in health services, the barriers to accessing care, or what type of services are most desired.…”

Section: Introductionmentioning

confidence: 99%

“…Qualitative research can illuminate experiences and voices of hard-to-reach populations and can potentially transform care (Israel, Eng, Schulz, Parker, 2005). Prior studies have interviewed stakeholders, health care professionals, and social service providers about CSE youth and their needs (Sapiro et al, 2016; Swaner et al, 2016). Qualitative studies among CSE youth have provided important perspectives on engagement with street outreach workers, and challenges faced by youth at risk for involvement in CSEC (Holger-Ambrose, Langmade, Edinburgh, & Saewyc, 2013; Kruger et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Commercially sexually exploited youths’ health care experiences, barriers, and recommendations: A qualitative analysis

Ijadi-Maghsoodi¹,

Bath

Cook

et al. 2018

Child Abuse & Neglect

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The current study sought to understand commercially sexually exploited (CSE) youths' health care experiences, barriers to care, and recommendations for improving health care services. We conducted focus groups (N=5) with 18 CSE youth from February 2015 through May 2016 at two group homes serving CSE youth in Southern California. We performed thematic content analysis to identify emergent themes about CSE youths' perspectives on health care. Youth described facilitators to care, including availability of services such as screening for sexually transmitted infections, knowledge about sexual health, and a strong motivation to stay healthy. Barriers included feeling judged, concerns about confidentiality, fear, perceived low quality of services, and self-reliance. Overall, youth emphasized self-reliance and "street smarts" for survival and de-emphasized "victimhood," which shaped their interactions with health care, and recommended that health providers develop increased understanding of CSE youth. Our findings suggest that providers and community agencies can play an essential role in raising awareness of the needs of CSE youth and meet their health needs through creating a non-judgmental environment in health care settings that validates the experiences of these youth.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Commercially sexually exploited youths’ health care experiences, barriers, and recommendations: A qualitative analysis

Ijadi-Maghsoodi¹,

Bath

Cook

et al. 2018

Child Abuse & Neglect

View full text Add to dashboard Cite

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“…Health care decision-making in relation to youth affected by CSE is limited and underresearched. Available literature focused on youth (Bay-Cheng & Fava, 2014; Coyne, 2008;Coyne et al, 2014) and their service providers (Crickard et al, 2010;Sapiro et al, 2016) offers limited but critical insight into how youth's agency is perceived in health care settings and in service provision, and exerted in decision-making. Review about adolescent agency found that youth are often marginalized in the health care consultation and decision-making process.…”

Section: Restructuring Youth's Agency In Health Care Decision-makingmentioning

confidence: 99%

“…As such, service providers may find it difficult to reconcile that victimization does not preclude a youth's ability to exercise agency in decision-making (Bay-Cheng & Fava, 2014). Service providers' divergent beliefs and disparate treatment ultimately influences the level of autonomy afforded to youth and the providers' approach to care (Sapiro et al, 2016). The continuum of autonomy, agency, and power is nuanced and complex, especially as it relates to health care decision-making for youth.…”

Section: Restructuring Youth's Agency In Health Care Decision-makingmentioning

confidence: 99%

Fierce Autonomy: How Girls and Young Women Impacted by Commercial Sexual Exploitation Perceive Health and Exercise Agency in Health Care Decision-Making

et al. 2020

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Prior research has examined the high health care needs and vulnerabilities faced by survivors of commercial sexual exploitation (CSE), yet their perspectives are frequently absent. We sought to understand the narratives and views of individuals affected by CSE on their bodies, health, and motivations to seek health care treatment. Twenty-one girls and young women ages 15 to 19 years with self-identified histories of CSE participated in the study. All participants had current or prior involvement in the juvenile justice and/or child welfare systems. Data collection included brief questionnaires, followed by semi-structured individual interviews. The interviews took place between March and July 2017 and were analyzed using iterative and inductive techniques, using the shared decision-making model as a guide. “Fierce Autonomy” emerged as a core theme, depicting how past traumas and absence of control led the girls and young women to exercise agency and reclaim autonomy over decisions affecting their health.

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‘It's like a much deeper understanding and you kind of believe them more …’: The value of peer support for young people affected by sexual violence

2022

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Research demonstrates that relationships are key when working to support young people affected by sexual violence. Within these relationships, young people show a preference for non-judgemental, flexible, consistent and informal support. Peer supportdefined here as support provided by those with similar experiencesis however an uncharted area for assisting young people affected by sexual violence. This paper draws on interviews with 25 respondents with knowledge and experience of setting up, supervising and/or participating in peer support initiatives for young people impacted by different forms of sexual violence in Europe and North America. The article highlights how one form of peer support, peer or 'survivor' mentoring, can provide emotional and social support; create space for 'normality'; and give choices to young people. It outlines three unique dimensions to the support provided by peers more generally: relatability, credibility and translatability. The discussion reflects on what this might mean for traditional support provided by professionals. It also draws attention to the significance of recognising both the variety of experience and identity of young survivors of sexual trauma and the impact this may have on promoting relatability within relationships.

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Supporting youth involved in domestic minor sex trafficking: Divergent perspectives on youth agency

Cited by 51 publications

References 20 publications

Commercially sexually exploited youths’ health care experiences, barriers, and recommendations: A qualitative analysis

Commercially sexually exploited youths’ health care experiences, barriers, and recommendations: A qualitative analysis

Fierce Autonomy: How Girls and Young Women Impacted by Commercial Sexual Exploitation Perceive Health and Exercise Agency in Health Care Decision-Making

‘It's like a much deeper understanding and you kind of believe them more …’: The value of peer support for young people affected by sexual violence

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