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The content provided herein is provided for informational purposes only. The views expressed by any individual presenter are solely their own, and not necessarily the views of HRET. This content is made available on an “AS IS” basis, and HRET disclaims all warranties including, but not limited to, warranties of merchantability, fitness for a particular purpose, title and non-infringement. No advice or information provided by any presenter shall create any
warranty.Slide2
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
SystemsSlide3
Human TraffickingSlide4
Forced Labor
Bonded Labor
(debt
bondage)
Sex Trafficking
Involuntary Domestic Servitude
Forced Criminal Activity
Child Trafficking
Organ Trafficking
Forced labor
Domestic
labor
Begging and peddling rings or sales crews
Sex trafficking
Child pornography
Mail-order
brides
Child laundering (illegal adoptions)
Child soldiersSlide5
International
Labor Organization,
2012
New York City
Los Angeles
Population 14.9 million
+
+
Chicago
Human Trafficking Victims: The Numbers
Estimated number of people in forced labor, worldwide:
20.9 million Slide6
Human Trafficking and the U.S.
83%
95%
U.S. Human Trafficking Reporting
System, 2008-2010Slide7
Trafficking: Risk Factors
History of childhood sexual abuse (70-95%)
Family dysfunction
Runaway or throwaway episodes
Homelessness
Substance use/abuse
Gang affiliation or membership
Learning or physical disabilities
Lack of financial securitySlide8
Mechanisms o
f
Power and Control
Polaris Project, 2010Slide9
Societal
Model of Public Health
(Socio-ecological Model)
Community
Relationship
Individual
Centers for Disease Control and PreventionSlide10
Physical injuries
STIs and related diseasesHigh-risk and/or unplanned pregnancies
Malnutrition
Somaticized symptoms
Dental disease
and/or injury
Substance
abuse
Psychological
disorders
Health Consequences & NeedsSlide11
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
Relevance to Health CareSlide12
Physician offices
Access to Health Care
Emergency
departments
Community health
clinicsSlide13
Education and training
Patient care
Victim
identification
Referral to
services
Prevention
Collaborations
Research
Advocacy
Opportunities for
Health Care ProfessionalsSlide14
National Human Trafficking
Resource Center
Polaris Project, 2013
The Polaris Project
The National Hotline:Slide15
Human Trafficking: Catholic Health Initiatives’ ApproachSlide16
United Against Violence
Human Trafficking: The CHI Commitment
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)Slide17
Violence as a Public Health Issue:Violence is PREVENTABLE
Human Trafficking: The CHI Commitment
Change behaviors through education
Increase resilience / decrease risk
Minimize contagion
Treatment of the problem can lead to eradication
Evidence-informed strategiesSlide18
Human Trafficking: The CHI Commitment
Strategies
Community-based Initiatives
Public Policy
Public Policy
Education & Awareness
Education & Awareness
Socially Responsible InvestingSlide19
Community-based Initiatives
Human Trafficking: The CHI Commitment
Evidence-informed process
Collective action
Replicable model
Shared learningsSlide20
Human Trafficking Taskforce of Nelson, KY
Human Trafficking: The CHI Commitment
KY House Bill 3
Became law March 2013
Comprehensive legislation addressing victims and perpetratorsSlide21
Education & Awareness
Human Trafficking: The CHI Commitment
Web-based Education:
YouTube Video:Slide22
Education & Awareness
Human Trafficking: The CHI Commitment
Next phase: Clinical Education
Mode to be determined
Experts from Massachusetts General Hospital
Coordinating with Clinical Leadership at CHISlide23
Socially Responsible Investing
Human Trafficking: The CHI Commitment
Addressing
labor and sex trafficking
E
fforts
to impact corporations policies, practices and products
F
ocus
on travel & hospitality industry (airlines, hotels,
etc.)
S
eeking improved education
, training of employees and company positionsSlide24
Public Policy
Human Trafficking: The CHI Commitment
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 Slide25
Partnering for Impact
Human Trafficking: The CHI Commitment
Institute of Medicine Forum on Global Violence Prevention
Catholic Collaborative – Catholic Health AssociationSlide26
Covenant Health:
Getting Started In The Fight Against Human Trafficking
.Slide27Slide28
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 othersSlide29
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 teamprovided 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 groupsSlide30Slide31
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 reportsSlide32
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 onSlide33
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