human trafficking presentation 2017 med talks (read-only) · know about human trafficking. however,...
TRANSCRIPT
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Ifthisissuchahugeindustry,biggerthanslaverybefore,whydosofewknowabout
it?
Becauseunlikeslaveryofold,thisslaveryhappens inthedark,behindcloseddoors.
Sotheaverageperson isnotexposed totheslaverythathappensallaround them.
Physiciansdon’thavethatluxury. Yourneighboors willgothroughout thedayminute
byminuteandtheywon’thavetothinkabout this.Theywon’thavetoremember
thatinthetimeI’vebeentalkingtoyou,6peoplehavebeensoldintoslavery.Butyou
won’thave thatluxury becausewhenthedeedisdoneandthedamageisinflicted,
thosevictimswillbewalkingintoyouroffice.Physiciansaresomeoftheonlypeople
thathumantraffickingvictimsevercomeintocontactwith.
Donoharm– lettingthosepeoplewalkawaywoulddo tremendousharm,notjustto
theindividuals,buttoallofsocietytoletthiscontinue
Weneed toknowwhattolook forandwhattodoabout it
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Ifthegirl isacriminal,whoisthevictim?Whatshouldherpunishmentbe?Hasher
choicebeenmadefreely?Isa16yearoldcapableofmakingthesekindsofchoices?
Whatifshewere12yearsold?Or14yearsold?Howabout19yearsold?When
doesthehumanbrainand“executive function”ofthefrontallobematuretoallow
forhealthdecision-making?
Ifthegirl isavictim,whoistheperpetrator? Thebuyer/“john”/rapist? Thepimp?
Hercommunity? “Rapistculture”?Mediaoutlets thatperpetuatethesaleofsexand
ofsexualizedyouth?
Isthebuyer/“john”/rapistavictim? Isthepimp?
Does itmatterwhoweblame?
If ourculture isresponsible,howdowechange ourculture?
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http://www.doc-path.org/path
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TheTraffickingVictimsProtectionAct of2000madesextraffickingaseriousviolation
ofFederallaw.
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*100,000 isconsidered aconservativeestimateofU.S.childrenatriskforbeing
traffickedeachyear.ThisestimatecomesfromastudydonebytheNationalCenter
forMissingandExploitedChildren,adivisionoftheUnitedStatesDepartmentof
Justice.
Lotsintheairport
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If youthinkyoumighthavemissedthesignsandthatsomeoneyoumetwas
trafficked,howdidyou respond inthatsituation?
Whatmightyoudodifferentlyinthefuture?
Wouldyouknowwhattodoinyourpractice?
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http://www.doc-path.org/path
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Itisimportant torememberthatvictimsofhumantraffickingcomefromallracial,
ethnic,andsocioeconomic backgrounds. Theypresentinavarietyofways,but these
areafewred flagsthatwarrantfurtherquestions.
Poor eyecontact,anxious: victimsmightbetrained bypimpstoavoideyecontactasasignof respect.“Attitude”:defensivenessisanaturalcopingmechanism.
Runaway/FosterCare:childrenwhorunaway fromhomeareatgreaterrisk forbeing
pickedupbypimps/traffickers.
Constantly texting:Pimpsfrequently demandthat theirvictimstextatregularintervalssothat theycankeeptabson thematalltimes.Sexuallypromiscuous:victimsareoftencoachedbytheirpimpstoactinsexually
provocativeways.
RepeatedSTDsareanaturalconsequence ofmultiplepartnersand inabilitytocontrol
condomuse.
Malnourished: malnourisheddoesnotnecessarilymeanthin.Victimsmayhavepoor
eatinghabitsand irregularmeals.
Substanceaddiction:pimpsmayforcevictimstousedrugs likeheroinorcocaineasa
meanstocontrollingthem.
3rd partypresentwhodoesnotallowthevictimtospeakforher/himselfWeather-inappropriateclothing
Bruising/scars/burns/cuts in“hidden” places- thesexualexperiences thatthesevictimshaveareveryviolent.Contrary towhatsomepopularpornographic media
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mayportrayaboutsex,thereisasignificantamountofemotionalandphysical
damagedone
Tattoosofpimp’snameorastrangesymbol
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Weshouldneither judgeorignorethesewarningsigns
Intervention isnoteasyand requiresaninvestmentofTIME:
Timetoeducateoneselfabouthumantrafficking
Timetospendaskingquestionssensitively
Timetoconnect thepatientwithresources
Timeto followupwiththepatientlong-term
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Sowhatto doinaclinicsetting?
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http://www.doc-path.org/path
2minvideo
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Interactionwiththesevictimswhilethey�revictims:Healthcarestaffareamongthe
fewprofessionalslikelytointeractwiththesevictimswhiletheyarestillbeing
controlled/heldby theirtraffickers
Careabove&beyond thenorm: Traffickedpeoplearelikelytoneedcarebeyond the
normforpeople theirage.
SensitivelyaskquestionsAreyoucomfortable?Doyouneeda
blanket/gown/food?
AreyouOK?Areyouinpain?Wheredoyoulive?Doyousleep,eat,andworkallinthesameplace?Canyouleaveyourworkorjobifyouwantto?
Haveyouevertraded anythingforsex?
Haveyoubeenthreatenedorhurt?
Hasanyonethreatenedyourfamily?
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Therescuefantasy–weriskputtingthepatientinworserisk
Makeitapolicytoseeapatientalone
Policesometimesrapethevictimsinthecar
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Some examples:
maynoteven recognizethem
Cantget pimptoleavetheroom
Victimdoesn’t wanthelp orseeaproblemPoliceactinharmfulways
Victimdoesn’t cometo follow-up
Once rescued,victimreturns tothepimp
Etc.
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Demand-SideSolutions: Thisisademand-sideproblem. Assuch,weneedtodo
researchintomodifiableriskfactorsindemandforcommercialsex. Ifwechoose to
partakeofcommercialsexproducts oractivities,weneed tobeawareofWHEREand
WHOthoseproducts/activitiesarecomingfrom.Decreasethedemand forhuman
trafficking.
HealthPractitionerTraining– thisiswhere WEcomein.– Alsocanhelppreceptors
We needmoremoney&logisticalsupport fornon-governmentalorganizations
(NGOs)thatare attemptingtointervene
Children�seducation isneeded tohelpkidsavoidtheemotionalandphysicaltrapsof
pimps/traffickers
Lawenforcement (Lancet2002):Althoughmanycountrieshavelawstoprosecute
peoplewhotraveloverseasforsexwithminors,these lawsareseldomenforced.
Spreadtheword– themorewetalkabout this,themorethesevictimshaveavoice
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http://www.doc-path.org/path
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Itistemptingtothink thata20minutevideoandaslidesetimpartallthereisto
knowabouthumantrafficking.
However,people devote theirentirecareerstothistopic: fromadvocating for
patients,tolobbyingCongress, tocreatinglegislation,todevelopingsafehousesfor
victims/survivors.
Manysurvivorsarestartingtotakeastandandprovide trainingthemselves.
Doyouknowofatrainingprograminyourarea?Ifnot, checkoutthe followingslides
totapintoresources!
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Oneoftheeasiestwaystolearnabout thisgivenourbusyschedule istolikesome
reputable facebook pagesabouthumansextrafficking.
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