Transcript Human Trafficking 101

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Human Trafficking:
What the Health Care System Can Do
Presenters:
• Roy Ahn, Associate Director, Division of Human Rights,
Massachusetts General Hospital
• Colleen Scanlon, Senior Vice President, Advocacy, Catholic
Health Initiatives
• MC Sullivan, Director, Ethics, Covenant Health Systems
The ACT of…
Human
Trafficking
By MEANS of…
For the PURPOSE
of…
• Recruitment
• Transportation
• Transfer
• Harboring
• Receipt of persons
•
•
•
•
•
•
•
Threat
Force
Coercion
Abduction
Fraud
Deception
Abuse of power/vulnerability
• Sexual exploitation
• Forced labor
• Slavery or slavery-like servitude
• Removal of organs
Child
Trafficking
Sex
Trafficking
Organ
Trafficking
• Forced labor
• Domestic labor
• Begging and
peddling rings or
sales crews
• Sex trafficking
Involuntary
Domestic
Servitude
Forced
Labor
• Child pornography
Bonded Labor
(debt bondage)
• Mail-order brides
• Child laundering
(illegal adoptions)
• Child soldiers
Forced
Criminal
Activity
Human Trafficking Victims: The Numbers
New York City
+
Los Angeles
Population
14.9 million
+
Chicago
Estimated number of people in forced labor, worldwide:
20.9 million
International Labor Organization, 2012
Human Trafficking and the U.S.
100
90
83%
95%
In percentage
80
70
60
50
U.S. Born
40
Foreign Born
30
20
10
0
Sex Trafficking
Labor Trafficking
U.S. Human Trafficking
Reporting System,
2008-2010
Trafficking: Risk Factors
 History of childhood sexual abuse (7095%)
 Family dysfunction
 Runaway or throwaway episodes
 Homelessness
 Substance use/abuse
 Gang affiliation or membership
 Learning or physical disabilities
 Lack of financial security
Mechanisms
of Power
and Control
Polaris Project, 2010
Model of Public Health
(Socio-ecological Model)
Societal
Community
Relationship
Individual
Centers for Disease Control and Prevention
Health Consequences & Needs
• Physical injuries
• STIs and related diseases
• High-risk and/or unplanned pregnancies
• Malnutrition
• Somaticized symptoms
• Dental disease and/or injury
• Substance abuse
• Psychological disorders
Relevance to Health Care
 Human trafficking is a social ill that
detracts from the health of
individuals and communities
 Frontline health providers may be in
a position to intervene and mitigate
the effects of human trafficking
 Obligation to promote the health
and well-being of society
Access to Health Care
Emergency departments
Community health clinics
Physician offices
Opportunities for
Health Care Professionals
•
•
•
•
•
•
•
•
Education and training
Patient care
Victim identification
Referral to services
Prevention
Collaborations
Research
Advocacy
National Human Trafficking
Resource Center
The Polaris Project
The National
Hotline:
Polaris Project, 2013
Human Trafficking: Catholic Health
Initiatives’ Approach
Human Trafficking: The CHI Commitment
United Against Violence
WORKING TOGETHER,
UNITED AGAINST
VIOLENCE,
we can make a difference
in this struggle against
one of the nation’s most
critical public-health
concerns.
(2008)
Human Trafficking: The CHI Commitment
Violence as a Public Health Issue:
Violence is PREVENTABLE
• Change behaviors through
education
• Increase resilience /
decrease risk
• Minimize contagion
• Treatment of the problem
can lead to eradication
• Evidence-informed strategies
Human Trafficking: The CHI Commitment
Strategies
Communitybased
Initiatives
Socially
Responsible
Investing
Education
Education&&
Awareness
Awareness
Public Policy
Policy
Public
Human Trafficking: The CHI Commitment
Community-based Initiatives
Evidence-informed process
Collective action
Replicable model
Shared learnings
Human Trafficking: The CHI Commitment
Human Trafficking Taskforce of Nelson, KY
Community
Education
Partnerships
Government
Involvement
State-wide
Coordination
KY House Bill 3
Became law March 2013
Comprehensive legislation
addressing victims and
perpetrators
Human Trafficking: The CHI Commitment
Education & Awareness
Web-based Education:
YouTube Video:
Human Trafficking: The CHI Commitment
Education & Awareness
Next phase: Clinical Education
• Mode to be determined
• Experts from Massachusetts
General Hospital
• Coordinating with Clinical
Leadership at CHI
Human Trafficking: The CHI Commitment
Socially Responsible Investing
• Addressing labor and sex trafficking
• Efforts to impact corporations policies,
practices and products
• Focus on travel & hospitality industry
(airlines, hotels, etc.)
• Seeking improved education, training of
employees and company positions
Human Trafficking: The CHI Commitment
Public Policy
State and Federal Efforts
• Tracking and monitoring best
practices in policy
• Advocating at the federal/state
level (legislation and regulations)
• Working with the Alliance to End
Slavery and Trafficking and similar
organizations
Human Trafficking: The CHI Commitment
Partnering for Impact
International
• Institute of Medicine
Forum on Global
Violence Prevention
• Catholic
Collaborative –
Catholic Health
Association
Impact
National
Local
Covenant Health:
Getting Started In The Fight Against
Human Trafficking
.
Covenant Health's Initiative: Scope Out
the Situation
• original thought: start small, but start somewhere
• learned from one of our own facilities
• St. Mary's, Lewiston (ME) had been invited to participate in
a community initiative
• scouted in our own corporate office local community to see
what resources already existed
• our women's religious congregations have done
extraordinary amounts, been the leaders
• Boston safe house, US Department of State, UNANIMA,
Polaris Project, MGH and increasing numbers of others
Covenant Health: Seed the Ground
• presentations made at a variety of leadership meetings
that encompassed the entire senior management
group and the systemwide Operating Committee
• presentations made to systemwide Ethics Committee,
Mission Committee, Spiritual Care Committee and other
strategic groups
• presented at CHA Assembly with MGH team
• provided access to MGH team to all interested facilities
• VP Communications worked with designer to create
posters for display at all facilities
• presentations at local colleges, social clubs and church
groups
Covenant Health: Up-ing the
Game
• hospitals in Maine and in New Hampshire now
sponsor annual conferences
• created language for use in negotiating
accommodation and meeting contracts for
company conferences
• published article in Health Progress
• identified human trafficking as on-going
strategic component of planning activities
• [next step should be required action steps to
measure impact]
• includes human trafficking in its community
benefit, stewardship and PJP annual reports
Strength in Numbers
• CHA has served as clearinghouse and
convenor for those involved to share stories
and info
• Other systems create similar but different
events, messages that can be replicated and
customized, eg, Avera in South Dakota
• Link other resources to your webpage on
trafficking: Polaris Project, Department of
State, UNANIMA and so on
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