Human Trafficking Healthcare Provider Awareness and Intervention Training Objectives • Define Human Trafficking (HT) Labor & Sex • Scope and purpose of IPATH • Recognize.
Download ReportTranscript Human Trafficking Healthcare Provider Awareness and Intervention Training Objectives • Define Human Trafficking (HT) Labor & Sex • Scope and purpose of IPATH • Recognize.
Human Trafficking Healthcare Provider Awareness and Intervention Training Objectives • Define Human Trafficking (HT) Labor & Sex • Scope and purpose of IPATH • Recognize statistical significance of crime • Roles & characteristics of those involved • Identify victims for opportunity to intervene • Spread awareness & intervention training What is Human Trafficking? • The fastest growing criminal industry in the world • A crime second only to drug trafficking • Generates $150.2 BILLION annually • Modern day slavery HUMAN TRAFFICKING HOTLINE: 1-888-3737-888 Labor Trafficking Labor Trafficking: The recruitment, harboring, transportation, provision, or obtaining of a person for labor or services, through the use of force, fraud, or coercion for the purpose of subjection to involuntary servitude, peonage, debt bondage, or slavery.(1) Sex Trafficking Sex Trafficking: A commercial sex act induced by force, fraud, or coercion, or in which the person induced to perform such act has not attained 18 years of age.(1) Where are trafficked persons found? Trafficking is found in many industries including: • • • • • • • • • The sex industry Agricultural industry (farmer uses for crop harvest) Construction industries Factories, restaurants, hotels Domestic servitude as servant, housekeeper or nanny Health and beauty industries As a bride As beggars or peddlers As a child soldier Indiana’s anti-trafficking task force Indiana Protection for Abused and Trafficked Humans www.indianaagainsttrafficking.org 42 One of human trafficking task forces nationwide originally funded by the Department of Justice’s Office of Victims of Crime and the Bureau of Justice Assistance. Task Force Partnering Agencies & Organizations: U.S. Attorney’s Office – Northern District and Southern District, Indiana Attorney General’s Office, FBI, Indianapolis Metropolitan Police Department, Marion County Prosecutor's Office, Homeland Security, Indiana State Police, Department of Labor, Department of Child Services, The Julian Center, Neighborhood Christian Legal Clinic and others The Goals of IPATH: 1. Enhance law enforcement’s ability to identify and rescue victims. 2. Provide resources and training to identify and rescue victims. 3. Ensure comprehensive services are available for victims. A Collaborative Client-Centered Approach LAW ENFORCEMENT AWARENESS VICTIM Community organizations partnering together to SERVICES outreach and Worksprovide with identified victims education to & thesocial community providing legal services on human trafficking TRAINING Provides trainings to people that might come into contact with victims. Collaborates with agencies on current/future investigations, provides officer trainings, & prevention tactics VICTIM SERVICES Works with identified victims providing legal & social services PROTOCOL Creating and evaluating protocol & procedures for handling human trafficking situations Who is involved in trafficking? • The recruiter/spotter gains the victim’s trust and then sells them for labor or to a pimp. Sometimes this is a boyfriend, a neighbor, or even a family member. • The trafficker/pimp is the one who controls the victims. By making the victim fearful through abuse, threats, and lies the trafficker gains power over his/her victim. • The • The trafficked person or victim could be anyone. consumer/john funds the human trafficking industry by purchasing goods and services. S/he may be unaware that someone is suffering and that there is a victim. Three Elements of Trafficking In order to be considered trafficking on both federal and state levels, all three of these elements must be identified: Recruiting harboring, moving, or obtaining a person By force, fraud or coercion For the purpose of involuntary servitude, debt bondage, slavery or sex trade There does not have to have physical abuse. What is Force, Fraud, & Coercion? Force Coercion Fraud • Kidnapping • Promises of valid immigration • Debt bondage • Torture • Falsified documents • Threats of harm to victim or • Battering • Victim told or pressured to use • Threats with weapons • Sexual abuse • Confinement • Forced use of drugs false travel papers • Contract signed for legitimate work • Promised job differs from actuality • Forced abortions • Promises of money or salary • Denial of medical • Misrepresentation of work care conditions • Wooing into romantic relationship family • Control of children • Controlled communication • Photographing in illegal situations • Holding ID/travel documents • Verbal or psychological abuse • Control of victims money • Punishments for misbehavior Indiana Law: IC Trafficking: A person who, by force, threat of force, or fraud engages a person in: •Forced Labor •Involuntary Servitude •Marriage •Prostitution •Participation in Sexual Conduct (2) 35-42-3.5-1 Prosecutors don’t have to prove force when a minor under the age of 18 is being trafficked Any individual can be guilty of committing trafficking of a child; no specific relationship required Restitution is available to trafficking victims Trafficking victims may also have a civil cause of action to recover other damages from the trafficker Myths & Statistics Myth #1: All prostitutes are willing participants. • Children as young as 12 are used in commercial sex and prostitution. (4) • Every year 1 million children are exploited by the commercial sex trade worldwide. (5) • Commercial sex is extremely violent and dangerous. • 34 is the average age of death for those in commercial sex.(6) http://youtu.be/-NQoaf-2nsE Myths & Statistics Myth #2: Human trafficking occurs only in foreign countries. • Between 14,500 and 17,500 men, women, and children are trafficked into the United States each year. (7) • Every year 100,000 to 300,000 U.S. children are at risk of being victims of sex trafficking, according to the National Center for Missing and Exploited Children. (8) • Of sex trafficking victims found in the U.S., 83% were U.S. citizens, according to a Justice Department study. (9) Midwest/Indiana statistics BJA Funded AntiTrafficking Task Forces Cases in US Cases in Midwest Cases in Indiana 5,143 (2007-2012) 392 (2007-2012) 134 (law enforcement) 123 (service providers) Information was obtained from the Bureau of Justice Assistance (BJA). The BJA Task Forces in the Midwestern Region were located in the states of: Illinois, Indiana, Missouri, Wisconsin, and Minnesota. OVC is the Office for Victims of Crime Origin & Destination (10) Countries The United States is one of the most popular destinations for human trafficking. Human Trafficking & Sporting Events Studies have shown that there is an increase in the demand for commercial sex services surrounding large sporting events or conventions such as the Super Bowl, World Series, etc. According to the Indianapolis Metropolitan Police Department, 68 prostitution arrests were made before and on the day of the 2011 Super Bowl. 2 human trafficking victims were identified and 2 other potential human trafficking victims were identified. Reported Rescue of 16 youth ages 13 to 17 during a sting operation by the FBI targeting sex traffickers bringing victims to New Jersey for the Super Bowl weekend (FoxNews.com, February 4, 2014). The Victim or Trafficked Person Human Trafficking has no socioeconomic or cultural barriers. Regardless of their demographics, victims are vulnerable in some way, and the traffickers will use their particular vulnerability to exploit them. Some risk factors – Think: “What makes a person vulnerable?” Youth Poverty Unemployment Desperation Homes in countries torn by armed conflict, civil unrest, political upheaval, corruption, or natural disasters Family backgrounds with violence, abuse, conflict Chronic runaways; involvement in the child welfare system Homelessness A need to be loved Immigration status Addiction Why Don’t Trafficked Victims Escape? TRAFFICKED PERSONS HAVE JUSTIFIABLE FEARS! •They may be in danger if they try to leave. •The traffickers have such a strong psychological and physiological hold on them -“Trauma Bonding” (imbalance of power and intermittent violence). •They fear for the safety of their families in their home countries or in the U.S. •They are afraid of being deported or arrested. •They may fear the U.S. legal system because they may not understand the laws that protect them. •They may not be able to support themselves on their own. IT IS OUR RESPONSIBILITY TO PROTECT AND ASSIST PEOPLE BEING EXPLOITED. How Are People Recruited? • • • • • • • • Grooming / “Boyfriend” Internet and social media Fake employment agencies Acquaintances or family Newspaper ads Front businesses Word of mouth Abduction Brittany Backpage.com The Trafficker •The trafficker will likely be in a lucrative business enterprise as the heart of human trafficking is exploiting cheap labor. •The trafficker may be part of a larger organized crime ring or gang, or may be profiting independently. The Trafficker • Might be someone who knows the victim and victim’s family. • May be bilingual. • May be an older man with younger women who seems to be controlling, watching their every move, and correcting/instructing them frequently. The Consumer / John • 10% of men in the U.S. buy sex from prostituted or trafficked individuals.(11) • Frequent “Johns” are more likely to be married/older. (12) • Don’t Buy the Lie.(13) • Anyone who unknowingly (or knowingly) purchases goods and services from an organization who uses trafficked victims. Role of Healthcare Providers As a provider, you are in a unique position to recognize, identify, reach out and rescue victims. While trafficking is largely a hidden crime, many victims are in plain sight if you know what to look for. Since pimps and traffickers generally exercise nearly complete control of their victims, these points of contact with healthcare represent rare opportunities for victim identification and intervention. A Critical Role for Healthcare Providers • 87.8% of trafficking victims encounter a health care professional while still captive.(19) • Few if any of these encounters result in the victim being freed because of lack of training to recognize victims.(14) • Lack of training results in misconceptions among healthcare providers, hindering identification of and service provision to victims.(15) Victim Contact with Health Care (19) Provider Treatment Source % Reporting (N = 98) Any contact with healthcare 87.8% Any type of clinic 57.1% Hospital / ER 63.3% Planned Parenthood 29.6% Regular doctor 22.5% Urgent care clinic 21.4% Women’s health clinic 19.4% Neighborhood clinic 19.4% On-site doctor 5.1% Other 13.3% Victim Contact with Health Care Provider • Pregnancy, miscarriage, and / or abortion was experienced by more than ½ of female survivors.(19) • Obtaining birth control is another reason for victims to interact with a healthcare provider. • 51.7% obtain from doctor or clinic(19) • 65.2% said they went alone to get it(19) Identification of Victims Identification: Underlying Conditions Victims suffer from host of physical and psychological problems stemming from: • Inhumane living conditions • Poor sanitation • Inadequate nutrition • Poor personal hygiene • Brutal physical and emotional abuse • Dangerous workplace conditions • General lack of medical care Identification: Common Signs • Most suggestive physical symptoms are injuries from physical violence - signs of being kicked, punched, beaten, forced sex – as nearly all survivors reported these(19) • Reproductive history – STDs, Pregnancies, Abortions • Weight loss, malnutrition, loss of appetite, eating disorders – 71.4% victims reported at least one of these(19) • Drug and/or Alcohol Addiction (control mechanism by trafficker or as a coping mechanism for the abuse) • Psychological Symptoms Identification: Violence & Abuse % Reporting (n=103) (19) Common Forms of Violence/Abuse Some form of violence/abuse 95.1% Forced sex 81.6% Punched 73.8% Beaten 68.9% Kicked 68.1% Forced unprotected sex 68.0% Threatened with weapon 66.0% Strangled 54.4% Abused by a person of authority 50.5% Identification: Physical Signs Category % of respondents reporting at least one symptom(19) Any Physical Health Problem 99.1% (N=106) Neurological 91.7% (N=106) General Health 86.0% (N=105) Injuries 69.2% (N=102) Cardiovascular / Respiratory 68.5% (N=106) Gastrointestinal 62% Dental 54.3% (N=105) (N=106) In one study, 57% of victims experienced 12 or more concurrent health symptoms at the time of discovery.(17) Identification: Substance Abuse % Reporting Usage (N=102) (19) Substance Substance Abuse 84.3% Alcohol 59.8% Marijuana 53.4% Cocaine 50.5% Crack Cocaine 44.7% Heroin 22.3% Ecstasy 13.6% PCP 9.7% Identification: Psychological Problems During Trafficking (N = 106) After Trafficking (N = 83) Change in % Reporting Reported at least one psychological issue 98.1% 96.4% -1.7% Average number of psychological issues 12.1 10.5 -1.6 Depression 88.7% 80.7% -8.0% Flashbacks 68.0% 63.9% -4.1% Shame / guilt 82.1% 71.1% -11.0% PTSD 54.7% 61.5% +6.8% Attempted suicide 41.5% 20.5% -21.0% Identification: Social (16) Indicators Potential victim is accompanied by another person who seems controlling and/or insists on speaking for the victim Numerous inconsistencies in his or her story May have signs of neglected healthcare needs Is not in control of their own money and/or may have an excess amount of cash False or no legal documentation – i.e., license or state issued identification for U.S. Citizens; passport, Green Card, or other identification for foreign nationals Uses restricted or scripted communication Identification: Social (16) Indicators May have hotel room keys in possession May be a chronic runaway/homeless youth May describe signs of frequent relocation May have signs of branding (tattoo, jewelry) May lie about age Lack of knowledge of a given community or whereabouts Identification: Behavioral Indicators Avoids eye contact Exhibits a loss of sense of time or space Disorientation, confusion, phobias, or panic attacks caused by daily mental abuse, torture, and culture shock Exhibits behaviors including hyper-vigilance or paranoia, nervousness, tension, submission, etc. Screening S.A.R.T. – Sexual Assault Response Team SART models have dramatically enhanced the services provided to victims of sexual assault in communities throughout the United States and should be used for trafficking victims whenever possible. Word choice & conveying appropriate information to victims of trafficking (20) DON’TS You are safe now. No one here will hurt you. Coming to us and working with us will help you. DOS We will do everything we can to keep you safe. DON’TS DOS You are a victim, not a criminal. We are not working with the individuals who hurt you and took advantage of you. We are here to help you. The people who did this to you are the criminals. You were mistreated and your rights were violated. You can trust me [Do not say this. Show them this. It is much more impactful.] We are here because we want to do our best to help you and protect you as well as your family. We want to make sure what happened to you doesn’t happen to any one else. [Inflicts guilt; victim blaming; onus is never on the victim for prevention] Interview Conduct all interviews in a private setting away from the person accompanying the patient. May need an interpreter, but, do not allow the accompanying person to act as the interpreter. Interview may take significant time as the patient may not recognize himself/herself as a victim. Be sensitive, every incident of human trafficking is different. Do not ask if they are a victim of human trafficking as they may not even know what is happening to them or may have been trained to lie about it. They may even feel responsible for their situation. Interview If the Individual is a female, approach should be made by a female staff member. Separate the Individual from his/her belongings and escort/interpreter. The victim may be wearing/carrying some sort of tracking/communication device such as a GPS transmitter, cell phone or other small device – you can separate the victim from these devices by getting him/her into a gown and into an x-ray room. If possible, choose a comfortable space which is conducive to confidentiality. Interview Utilize existing culturally sensitive protocols. Use age-appropriate language when working with minors. When you ask about sexual history, be sure to distinguish between consensual experiences and non-consensual experiences. The victim may indeed lie about his/her age. There may be evidence of sexual trauma, untreated STDs or frequent pregnancies/abortions. Interview Individual reports an excessively large number of sexual partners, especially when it is not ageappropriate. Individuals under the age of 18 may express interest in, or may already be in, relationships with adults or older men. Victim may use lingo or slang relating to the individual’s involvement in prostitution. There may be evidence of controlling or dominating relationships. Victim may not know when or where last medical examination was done. Key Questions for HT Determination Can you leave your work or job situation if you want? When you are not working, can you come and go as you please? Have you been threatened with harm if you try to quit? Has anyone threatened your family? What are your working or living conditions like? Where do you sleep and eat? Do you have to ask permission to eat, sleep or go to the bathroom? Is there a lock on your door or windows so you cannot get out? Physical Assessment Physical Assessment May or may not be wearing inappropriate clothing. May have tattoos on the neck and/or lower back i.e. a man’s name or initials (most often encountered with US citizen victims). Other types of branding – i.e. cutting or burning. Physical Assessment Malnourishment or generally poor health Signs of physical abuse – unexplained injuries or signs of prolonged abuse including injuries / bruises at different stages of healing: - Bruises - Black eyes - Burns - Cuts - Broken bones - Broken teeth - Multiple scars (including from electric prods) Physical Assessment Evidence of a prolonged infection that could easily be treated through a routine physical/check up Addiction to drugs and/or alcohol Urinary difficulties, pelvic pain, pregnancy, or rectal trauma caused from working in the sex industry Chronic back, hearing, cardiovascular, or respiratory problems as a result of forced manual labor in unsafe conditions Poor eyesight and/or eye problems due to dimly lit work sites Serious dental problems Documentation • Written records should document the time between the abuse and the time the exam is conducted as well as describe the patient’s demeanor. • Patient’s words should be set off in quotation marks; should not use phrases implying doubt, such as “patient alleges.” • Should not summarize the patient’s report. • Should not refer to the perpetrator of the abuse with terms that might be used by the patient, such as “my boyfriend.”(18) Documentation When observations conflict with a patient’s statement, healthcare providers should record reasons for the differences. For example, if a patient’s injuries are consistent with being struck by an object but the patient reports falling down stairs this should be recorded and medical providers should document the specific elements of the injury that are consistent with the impact of an object and inconsistent with a fall. Long-term Sequelae • Post traumatic stress disorder (PTSD) • Persistent symptoms of increased arousal – i.e. difficulty falling or staying asleep, irritability or outbursts of anger, difficulty concentrating, exaggerated startle response • Intense distress/reactivity to internal/external cues that symbolize or resemble aspect of traumatic event • “Hyper-vigilance” or paranoia, fear, anxiety, depression, submission, tension and/or nervousness • Trauma bonding Long-term Sequelae • Severe depression • Suicidal ideation • Spiritual questions • Feelings of being mentally broken • Multiple symptoms resulting from untreated STDs • Sexual dysfunction • Difficulty establishing/maintaining healthy relationships Trauma Informed Care • Aims to avoid re-victimization. • Appreciates many problem behaviors began as understandable attempts to cope. • Strives to maximize choices for the survivor and control over the healing process. • Seeks to be culturally competent. • Understands each survivor in the context of life experiences and cultural background. Key: Not “what is wrong with you?” But, “What happened to you?” Victim Outreach Complex Issue Societal Problem crossing multiple systems: Healthcare Providers Law Enforcement Legal System Child Protective Services Juvenile Detention Centers Jails / prisons Safe Houses Faith-based outreach / rescue Trafficked Persons and Their Needs There are four general areas of victim needs: 1. Immediate Assistance: Housing, food, medical, safety, security, interpretation and legal services 2. Mental Health Assistance: Support, Counseling 3. Income Assistance/Employment: Cash, Living Expenses, Training 4. Legal Status and/or Other Legal Assistance: T-Visa, Legal Services Immediate Danger - Actions • Make sure you are not putting yourself or the individual in danger take care to notice who is around when you are asking questions or providing resources. If you think someone is listening, STOP! • If you suspect that the victim is in immediate danger, call 911. • Call the police and ask to be transferred to the human trafficking detective on duty. • Indianapolis Trafficked Persons Assistance Program 24-hour hotline: 1-800-928-6403 (operated by the Julian Center). • National Human Trafficking Resource Center Hotline: 1-888-3737-888 or Text Be Free: 233733 (operated by Polaris Project). • Child Abuse Hotline: 1-800-800-5556 (operated by Indiana Department of Child Services) Intermediate Actions • Present outreach / shoe cards and/or hotline numbers to the victim. Give this information directly to the victim and only when he/she is alone. • Complete Human Trafficking Report for IPATH (located at end of Screening Tool) and forward to Indiana Attorney General’s Office. • Call the National Human Trafficking Resource Center (NHTRC) to report the incident: 1-888-3737-888 Ongoing Challenges • Hidden nature of trafficking • Isolated nature of confinement • Victim’s unwillingness, fear, inability to come forward • Use of the internet to “recruit” • Lack of awareness • Difficulty to prove “force, fraud or coercion” • Stereotypes and misconceptions • Trauma bonding means victim may try to protect trafficker • Lack of appropriate services available to serve victims My next steps: What will I do differently now? Who will I tell about this issue? When will I implement new protocols in my clinical practice? Fill out reminder sheet Fill out evaluation Additional Resources: Neighborhood Christian Legal Clinic 3333 North Meridian St., Suite 201 Indianapolis, IN 46208 (317) 429-4131 nclegalclinic.org Polaris Project www.PolarisProject.org The US Department of Health and Human Services: Rescue and Restore Campaign http://www.acf.hhs.gov/programs/orr/ programs/anti-trafficking The Julian Center 2011 North Meridian St Indianapolis, IN 46202 (317) 941-2200 www.juliancenter.org Exodus Refugee Immigration Inc. 1125 Brookside Ave, Suite C9 Indianapolis, IN 46202 (317) 921-0836 www.exodusrefugee.org Darci Jenkins | Midwest Regional Coordinator Northern Tier Anti-Trafficking Consortium (NTAC) | Heartland Alliance 33 W Grand Ave, Suite 500 | Chicago, IL 60654 (312) 662-6185 x 2425 [email protected] Additional Resources: Centers of Hope (Located in Emergency Departments): Community 1500 N. Ritter Ave., Indpls., IN 46219 317.355.4660 / 317.355.5729 Methodist 1701 N. Senate Blvd., Indpls., IN 46202 317.962.3394 St. Francis 8111 S. Emerson, Indpls., IN 46237 317.528.5442 St. Vincent 2001 W. 86th St., Indpls., IN 46260 317.338.6629 Eskenazi Health Services 1001 W. 10th St., Indpls., IN 46202 317.630.6180 Pediatric Center of Hope (Wishard & Riley) 705 Riley Hospital Drive., Indpls., IN 46202 Wishard Primary Care Center – Pediatrics 317.944.5000 THANK YOU! Thank you to IPATH, US Department of Justice, Polaris Project, Shared Hope International, Lexis Nexis, Neighborhood Christian Legal Clinic, Exodus Refugee Immigration Inc., Freedom Network USA, the National Immigrant Justice Center, and the Human Rights Center for providing information for this presentation. And Thank You for participating in this training today! You can make a difference and save a life! References 1.Victims of Trafficking and Violence Protection Act of 2000, Pub. L. No. 106-386 (2000), available at http://www.state.gov/j/tip/laws/61124.htm 2. Human and Sexual Trafficking, Ind. Code § 35-42-3.5, available at http://www.in.gov/legislative/ic/code/title35/ar42/ch3.5.html 3.U.S. Dept. of State Trafficking in Persons Report (2010), available at http://www.state.gov/g/tip/rls/tiprpt/2010/index.htm. 4.Some research indicates that the average age of entry for U.S. girls is 12 to 14, while the average age for U.S. boys and transgender youth is 11 to 13. See Amanda Walker-Rodriguez and Rodney Hill, Human Sex Trafficking, FBI Law Enforcement Bulletin, (March, 2011), available: http://www.fbi.gov/statsservices/publications/law-enforcement-bulletin/march_2011/human_sex_trafficking. See also Polaris Project, Child Sex Trafficking At-A-Glance, (2011), available at http://loveandlighttofreedom.org/uploads/Child_Sex_Trafficking__Polaris_Project-_Jan_2012_.pdf. See also Ernie Allen, President and CEO of the National Center for Missing and Exploited Children, speaking to the House Victims’ Rights Caucus Human Trafficking Caucus, Cong. Rec., 111th Cong., 2nd sess., 2010. See also U.S. Children are Victims of Sex Trafficking (April 2008), humantrafficking.org, http://www.humantrafficking.org/updates/801. 5.U.S. Department of State, The Facts About Child Sex Tourism (2005) at p.22 (2005), available at http://www.state.gov/documents/organization/47255.pdf References 6. Leslie Bennetts, The John Next Door, July 18, 2011, The Daily Beast/Newsweek, available at http://www.thedailybeast.com/newsweek/2011/07/17/the-growing-demand-for-prostitution.html. 7. U.S. Dept. of State Trafficking in Persons Report (2010), available at http://www.state.gov/g/tip/rls/tiprpt/2010/index.htm; see also Congressional Research Service, Trafficking in Persons: U.S. Policy and Issues for Congress (2010) at p.2, available at http://www.unhcr.org/refworld/topic,4565c22535,4565c25f42b,4d2d96e62,0,USCRS,,.html. 8. Testimony of Ernie Allen (July, 2010), National Center for Missing & Exploited Children, available at www.missingkids.com/missingkids/servlet/NewsEventServlet?LanguageCountry=en_US&PageId=4312. 9. Human Trafficking/Trafficking In Persons, Dept. of Justice, Bureau of Justice Statistics, http://bjs.ojp.usdoj.gov/index.cfm?ty=tp&tid=40 (last visited 1/14/2012). 10. http://news.bbc.co.uk/2/hi/in_depth/6497799.stm 11. Demand Abolition: www.demandabolition.org/why-demand/ 12. Melissa Farley, Emily Schuckman, Jacqueline M. Golding, Kristen Houser, Laura Jarrett, Peter Qualliotine, Michele Decker, Comparing Sex Buyers with Men Who Don’t Buy Sex: “You can have a good time with the servitude” vs. “You’re supporting a system of degradation” (2011) at p. 16 Prostitution Research & Educ., available at http://www.prostitutionresearch.com/pdfs/Farleyetal2011ComparingSexBuyers.pdf. References 13. Indiana Attorney General’s website: www.in.gov/attorneygeneral/humantrafficking/ 14. Family Violence Prevention Fund, World Childhood Foundation. Turning Pain into Power: Trafficking Survivors’ Perspectives on Early Intervention Strategies. Available at: www.endabuse.org. 15. Institute for Clinical Systems Improvement, 2006. 16. Rescue and Restore Campaign, The National Symposium on the Health Needs of Human Trafficking Victims, Shared Hope International 17. Zimmerman C, Yun K, Shvab I, Watts C, Trappolin L, Treppete M, et al. The health risks and consequences of trafficking in women and adolescents. Findings from a European study. London: London School of Hygiene and Tropical Medicine, 2003. 18. American College of Emergency Physicians, 1999; Isaac & Enos, 2001. 19. Annals of Health Law, The Health Policy and Law Review of Loyola University Chicago School of Law, Beazley Institute for Health Law and Policy, Volume 23, Issue I, Winter Edition 2014, The Health Consequences of Sex Trafficking and Their Implications for Identifying Victims in Healthcare Facilities by Laura J. Lederer and Christopher A. Wetzel References 20. Megan Mahoney, MSW, Director, Northern Tier Anti-Trafficking Consortium, Heartland Alliance, Presentation before the Madison County Child Sexual Abuse Task Force Nicole and Dede’s story - Women Open human trafficking symposium at University of Michigan by detailing personal stories; http://www.annarbor.com/news/women-open-human-trafficking-symposium-by-detailingpersonal-stories/ viewed 4/05/2013 (written 2/4/2011) END Presenters Toolkit: • Slide deck • Shoe cards • Human Trafficking Identification: Screening Tool and Report • Copies of slide deck or at least reference pages to hand out • Reminder cards and envelopes • Evaluations • Email details of training to [email protected]. Place, Date/Time, Number of people attending/trained – have participants sign attendance sheet and forward to AG’s office. • Feel free to bring other materials / books to share with your audience