Human Trafficking Awareness Training 101 for HEALTHCARE ...

1 Human TraffickingAwareness Training 101 for HEALTHCARE PROFESSIONALSThe Human Trafficking Training InstituteOctober 18, is Human Trafficking ?"Kay Chernush for the State Department." Trafficking is Modern Day Slavery Victims are exploited for COMPELLED COMMERCIAL SERVICES Work in harsh and violent circumstances For little or no pay Sometimes 24/7 Transatlantic Slave Trade: Then and NowBrandingThe Auction BlockLaws Against : Laws Against Slavery Constitution of the United States 1862 Emancipation Proclamation 1865 13thAmendment 1876 Jim Crow Laws 1910 Mann Act 1964 Civil Rights Trafficking Victims Protection Act Commercial SexForced Labor"Kay Chernush for the State Department." RightsAgencies that Capture & ProsecuteHomeland Security InvestigationsFBI Investigations894 Cases in 2012746 Cases in 2012 Civil Rights SquadsCriminal SquadsCyber : Forced Labor , harboring, transportation, provision, or obtaining of a labor or the use of force, fraud or the purpose of.

2 SlaveryUS v. TraffickingRestaurantsHospitalityNail SalonsAgricultural workersFactory WorkTheresa Mubang trafficked two Cameroonian minors in Greenbelt, MD: Promised American Education Forced to take care of two children No pay Beatings with broomstick, cable cords, and shoes Slept on the floorBegging AgainstChildrenChild abductionsChild Sexual exploitationChild pornographyFBI Innocence Lost National Initiative Child Exploitation Task Forces23,953 arrests 2001-2013 Sex : Barbara : Barbara : Barbara Prostitution Sex Trafficking ?TVPA: Severe Form of Trafficking in Person recruitment, harboring, transportation, provision, or obtaining of a the purpose of a commercial sex by force, fraud or coercion, OR If the victim isunder age 18, force, fraud, or coercion does not need to be provenChildren & Sex Trafficking : How does it Add Up? Ave. age of entry: 12 to15 years old 300,000 American minors are at-risk for sexual exploitation every year 100,000 American minors are victims of sex Trafficking every criminal enterprise in the criminal enterprise in the $150 billion in profits per year worldwideFastest-growing criminal enterprise in the worldHuman Trafficking Globally 27 Million People are Trafficked Globally each Year (2013 State Dept TIP Report) Human Trafficking Globally 27 Million People are Trafficked Globally each Year (2013 State Dept TIP Report) 14,500 to 17,500 People Estimated to be Trafficked into the US each Year (2013 State Dept TIP Report) Human Trafficking in the USProstitution ArrestsUS (FBI UCR)DCAdultsDC Minors20129,309619420138714 Who are the Victims?

3 Subcommittee on HealthThe Trafficking Awareness Training for Health Care Act of from a focus group on the effects of Trafficking of women & childrenMental AbuseEmotionally DevastedPhysical Abuse106 victimsinterviewedSource: Laura J. Lederer Director, Bastian Center for the Study of Human TraffickingLaura J. Lederer& Christopher A. WetzelThe Health Consequences of Sex Trafficking and Their Implications for Identifying Victims in HeathcareFacilities, Annals of Health Law, vol. 23, Issue 1, WINTER ViolencePhysical HealthPsychological Violence Weapon Burning Kicked Punched Beaten Stabbed Raped AbusedPhysical HealthPsychological Violence Weapon Burning Kicked Punched Beaten Stabbed Raped Abused 92%Physical HealthPsychological Violence Weapon Burning Kicked Punched Beaten Stabbed Raped Abused 92%Physical Health Neurological Memory Loss appetite Weight loss Eating disorder Malnutrition Cardio problem Dental issuesPsychological Violence Weapon Burning Kicked Punched Beaten Stabbed Raped Abused 92%Physical Health Neurological Memory Loss appetite Weight loss Eating disorder Malnutrition Cardio problem Dental issues 99%Psychological Violence Weapon Burning Kicked Punched Beaten Stabbed Raped Abused 92%Physical Health Neurological Memory Loss appetite Weight loss Eating disorder Malnutrition Cardio problem Dental issues 99%Psychological Depression Shame Guilt Anxiety Nightmares PTSD Suicidal

4 Acute stress Violence Weapon Burning Kicked Punched Beaten Stabbed Raped Abused 92%Physical Health Neurological Memory Loss appetite Weight loss Eating disorder Malnutrition Cardio problem Dental issues 99%Psychological Depression Shame Guilt Anxiety Nightmares PTSD Suicidal Acute stress Bipolar 98% Pregnancies (71%) Abortions (55%) 21% Five or more abortions 53% Forced abortions Miscarriages (55%)Consequences to Drug Abuse (84%) STDs (67%) PTSD (55%) Attempted suicide (42%)Consequences to But [abortions] were expensive ..So you went back door where the charge was more like $150. I had so much scar tissue from these abortions because there was no follow-up and in a couple of cases I had bad infections, so bad that I eventually lost my fallopian tubes and had to have a hysterectomy. Case Study Human Trafficking Role Has Great Potential in Identify Human Trafficking Victims? found 88% of victims had contact with a HCP during captivityWho are at risk for Trafficking ?

5 SEX Trafficking Contact with social services Runawayor homeless Neglect, physical& sexual or abuse Drug or alcohol addiction Lack of supervision athome LABOR TRAFFICKINGWho are at risk for Trafficking ?SEX Trafficking Contact with social services Runawayor homeless Neglect, physical& sexual or abuse Drug or alcohol addiction Lack of supervision athome LABOR TRAFFICKINGWho are at risk for Trafficking ?SEX Trafficking Contact with social services Runawayor homeless Neglect, physical& sexual or abuse Drug or alcohol addiction Lack of supervision athome LABOR Trafficking Poverty Foreign nationals (legal and illegal) Limited English Red flags: ControlSEX &LABOR Trafficking Restrictedcommunication Controlledby another person One man may be with more than one girl Is not free to leave or go as he/she wishes Works excessively long and atunusual hours- Average of 13 buyers per day- 30 to 50 buyers per dayRed flags: PhysicalSEX Trafficking Tattoos Physical abuse Signs offorced sex High number of sexual partners High number of abortions Multiple STDsLABOR TRAFFICKINGRed flags.

6 PhysicalSEX Trafficking Tattoos Physical abuse Signs offorced sex High number of sexual partners High number of abortions Multiple STDsLABOR Trafficking Live attheir workplace Not in possession of ID docs Neglected appearance Often appears overworked Cracking the Whip State of Victim? State of VictimSurvival mode taught to lieActs older than their ageBonds with traffickersShameViolent and defensiveFear of retaliation PTSDC hallenges to Identify VictimsThey are trained to lieFear of law enforcementDon t view themselves as victimsShame & worthlessnessMisperceptions that they are a sex Trafficking RecommendationsInterview them aloneUse your own translatorsTreat as a forensic caseFollow up: phone call or your reporting : Mandatory Reporting in DCDC Code Sec Know or have reasonable cause to suspect A child has been abused or neglected or is in immediate danger of being physically abused OR Child has injury caused by bullet, knife or sharp object, other than by accidental means WHO.

7 Child care workers, dentists, medical examiners, mental health professionals, nurses, people caring for or treating patients, physicians, psychologists, schools officials, social service workers or Human Trafficking counselor HOW: Mustimmediately make an oral report AND If requested, a written report TO:DC MPD OR Child & Family Services : Mandatory Reporting in MDFam. Law Sec. 5-704 Have reason to believe A child has been subjected to abuse or neglect:1. WHO: Staff to a hospital, child care institution, or similar institution: HOW:Mustimmediately notify and give all information TO: Head of the institution or designee of the institution2. WHO: Health Practitioners, educators or Human services workers: HOW: Mustmake a written report within 48 hrs of contact AND Shouldimmediately make an oral report TO: Local law enforcement ORDepartment of Human Resources Social Services Child Protective you Suspect AbuseMeet them where they areDon t be a rescuer or an investigatorProvide information and assistanceDevelop trustBe compassionate: Don t examples It could be my father, my 4 brothers or the men who come to party on the weekend.

8 Our first priority is your safetyWe can find you a safe place to stayWe can work with you to not be deportedYou are a victim, not a criminalLaw enforcement can protect youThere are services available to assist youReassurancesServices Available to HHS Certified VictimsImmediate Assistance: Housing Food, clothing Medical and dental Psychological counseling Language interpretation Legal assistance Employment authorization Continued PresenceLong Term Assistance: Psychological counseling Independent living skills Job Training & education Income assistance Legal and advocacy U & T to Ask Ensure safety of the suspected victim Distinguish from other forms of abuse: Work conditions Repeated sexual abuse Living Stop Modern Slavery All volunteer organization with over 1,500 members Have monthly speakers on various topics of Human Trafficking Provide trainings to: Health Care Providers, Universities, High Schools, Neighborhood Watch Groups, Faith Based organizations, and other NGOs Advocacy Group promoting END DEMAND campaign Telephone numbers DC Child & Family Services Agencies202-671-7233 MD Department of Human ResourcesLocal Departments of Social Services Child Protective Services by Human Trafficking Hotline number888-373-3888 Red flags.

9 PSYCHOLOGICALSEX Trafficking Does not consider self as a victim Loyalty or positive feelings toward the trafficker May try to protect the trafficker In fear of discussinghow physical symptoms happened Shame, guiltLABOR & SEXTRAFFICKING Do not know what city they are in Do not remember their addresses Have inconsistencies in their story Lacks social interaction Person fears that something bad will happen to them or a familymember, ifthey leave Shame Appearswithdrawn, fearful, anxious, depressed, submissive and nervousStreet Sex Trafficking in DC Mass. Ave. NW (between 10thand 15thSts NW) LBGT Tract: K St. & 5thSt NW Pimps and traffickers .. took home between $5,000 and $32,833 a week. $20-$150 per sex actResidential Brothels Phony business cards: House call manicures Men s cologne Relaxation Centers $30 for 15 minutes Victims see very little of the money Victims charged for lodging, food, condoms, clothingCommercial-front Brothels in DC(Massage Parlors)18 massage parlors on