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Physicians Against the Trafficking of Humans (PATH) Toolkit
- Educational Materials
- Screening Tools
- Literature and Research Articles
- Get Involved
- Monthly Newsletter
Toolkit: created by Michelle Lyman, Kashmira Chawla, and Carmen Hans
In 2014, AMWA founded Physicians Against the Trafficking of Humans (PATH) to help educate physicians, residents, and medical students about issues surrounding human sex trafficking.
To help medical professionals better care for victims of human trafficking through
- Enhancing awareness of the scope of the problem
- Identifying at-risk patients by utilizing victim-centered interviewing techniques
- Providing and promoting trauma-informed care
- Equipping health professionals to intervene safely on behalf of patients
- Connecting patients, providers, clinics, and hospitals to resources.
In 2012, AMWA President, Dr. Gayatri Devi, identified human sex trafficking as an important issue for the organization to address. This led to the formation of the Human Trafficking Committee by Dr. Suzanne Harrison and Dr. Holly Atkinson (co-chairs). The committee authored AMWA’s position statement in this area. Dr. Kanani Titchen, then AMWA Resident Division President, conducted a survey to identify healthcare providers’ knowledge in this area and found that knowledge to be significantly lacking. These findings led to the creation of a series of educational videos and an interactive website to educate medical professionals about sex trafficking victims. PATH has also conducted webinars and supported local conferences on the issue of human sex trafficking. More about the history of PATH click here.
These videos are available for viewing and are accredited for 1.00 AMA PRA Category I credits by Indiana University School of Medicine. Click here for the course Doctors: Learn How to Recognize Victims of Child Sex Trafficking.
Please join the PATH on-line community to learn more about what you can do to stop human sex trafficking in your community. To get involved, please e-mail email@example.com for more information.
PATH IN THE MEDIA
- Read the article by Politico about the Summit here (September 21, 2015)
- Most trafficking victims see a doctor, but do doctors know how to help? (May 5, 2015)
- AMWA: Recognizing human-trafficking victims (April 27, 2015)
- Yahoo News: Most Doctors Couldn’t Spot A Human-Trafficking Victim If They Saw One. Could You? (March 18, 2015)
Julia Geynisman-Tan, MD; Mollie Gordan, MD; Kanani Titchen, MD
Yaowaree Leavell (Noona), MD, Megan Reinders, MD
Alyssa Davis – Secretary
Kathleen Till – Public Relations
Carmen Hans, Hilary Samuelson – Education
Michelle Lyman, Noona Leavell – Advocacy
Q: What is the PATH Toolkit?
A: This page is a comprehensive list of some of the growing resources for healthcare providers and student of all health professions on anti-human trafficking. The resources listed include both general information such as key definitions as well as links to additional websites, institutions, and literature. The page answers some common questions regarding human trafficking and healthcare with useful resources available to the healthcare community as well as organizing some additional resources commonly cited into categories based on factors such as education, advocacy, research articles, occupation, and others. Listed are the top three resources for quick access, with others listed below to provide additional information. If you have any suggestions for additional resources or a link you would like to share, please e-mail AMWAPathstudents@gmail.com
Q: What is human trafficking?
A: One of the most commonly cited definitions of human trafficking is from the United Nation’s Palermo Protocol and is as follows:
“The recruitment, transportation, transfer, harboring or receipt of persons, by means of the threat or use of force or other forms of coercion, of abduction, of fraud, of deception, of the abuse of power or of a position of vulnerability, or of the giving or receiving of payments or benefits to achieve the consent of a person having control over another person for the purpose of exploitation. Exploitation shall include, at a minimum, the exploitation of the prostitution of others or other forms of sexual exploitation, forced labor or services, slavery or practices similar to slavery, servitude or the removal of organs.”
Q: Who is trafficked? Where is this happening?
A: One of best resources for updated information on the number of people trafficked in the United States as reported through the National Human Trafficking Resources hotline is through the statistics published by the Polaris Project: http://www.polarisproject.org/facts
Q: Are my patients potentially trafficked persons? What should I do?
A: Below are some materials that are designed to provide more detailed description of vital skills for identifying and responding to human trafficking in a healthcare setting.
Stand Up to Sex Trafficking: Awareness, Implementation, and Networking (SUSTAIN)
Using criteria put forth by Dr. Jordan Greenbaum’s working group of the Helfer Society, we at PATH have created a training curriculum to give health care professionals more in-depth training about sex trafficking. The training, called “SUSTAIN” (Stand Up To Sex Trafficking: Awareness, Implementation, Networking,) uses a “train the trainer” model, and will be offered by AMWA-PATH experts across the country. The participant may opt for a didactic- and discussion-based half-day training or may choose to participate in the full day of training, which includes the didactic- and discussion-based morning session followed by an interactive and practice-based afternoon session that equips the participant to present his or her own talk on human sex trafficking. See below for training dates and locations. Up to $150 may be available for travel assistance. Please contact Ally Davis at firstname.lastname@example.org with questions or to register.
Chicago, IL: September 30th, 2017
Feinberg School of Medicine at Northwestern University
Full-Day: 8 am – 4 pm, lunch provided
Half-Day: 8 am – 12 pm
Philadelphia, PA: January 20th, 2018
Sidney Kimmel Medical College at Thomas Jefferson University
Full-Day: Time TBD, lunch provided
Half-Day: Time TBD
Honolulu, HI: February 10th, 2018
University of Hawaii John A. Burns School of Medicine
Full-Day: Time TBD, lunch provided
Half-Day: Time TBD
Houston, TX: Spring 2018 TBD
- Stand Up to Sex Trafficking: Awareness, Implementation, and Networking (SUSTAIN) – April 29, 2017
- Human Trafficking Summit — September 21, 2015
- DHHS and AMWA Co-sponsored Human Trafficking Summit — September 21, 2015
- Human Trafficking: Training for Healthcare Providers — March 14, 2015, in Berkeley, CA. Co-sponsored by AMWA and FPCB
- Webinar on Human Trafficking – Legal and Public Policy Issues — October 29, 2014
- Crowd funding campaign raised over $20,000 to fund production of educational videos for healthcare providers. View the crowd funding campaign under “Videos” tab.
- TEDx Talk: How to Spot Human Trafficking, presented by Dr. Kanani Titchen (12 minutes)
- Video with perspectives from a human trafficking survivor (23 minutes)
- Watch PATH co-founder, Dr. Kanani Titchen, discuss sex trafficking here (1:46 minutes)
- PATH Introduction to Human Sex Trafficking video (10:54 minutes)
- Very Young Girls – Documentary expose on commercial sex exploitation of young girls and their treatment by police in NYC, available on Netflix, view trailer here (1 hr 21 min)
See resources to learn more about trafficking and share information with other healthcare providers in your community here. Visit the links below for information on continuing education modules on the topic, pamphlets to distribute to other healthcare professionals, and more.
- PATH-AMWA: www.doc-path.org – video modules (CME Statement)
- Polaris/NHTRC: http://traffickingresourcecenter.org/nhtrc-hhs-online-trainings – online training and resources
- HEAL: Anti-Trafficking Education Initiatives – list of anti-trafficking educational resources
- SOAR: Health and Human Services pilot training on human trafficking for healthcare providers, coming in Fall 2016
- Catholic Health Initiatives: Human Trafficking and the Role of the Healthcare Provider – online modules
- Stanford University: http://humantraffickingmed.stanford.edu/ – online resources
- Mt. Sinai Hospital: Emergency Medicine Physician Trafficking Education – guide on caring for trafficked persons in the ED
- Christian Medical and Dental Association: Human Trafficking Continuing Education Module – CME accredited module
- Dignity Health Human Trafficking Response Program Shared Learnings Manual (May 2017)
- Protocol Toolkit for Developing a Response to Victims of Human Trafficking in Health Care Settings
If you suspect or confirm that your patient is a victim of human trafficking, call 1-888-373-7888. You can also report cases on the National Human Trafficking Resources Center website.
Identification and Screening Tools. If you suspect that your patient might be trafficked, consider using one of the following screening tools to ask further questions and assess the situation.
- USDHHS Rescue and Restore Campaign – Trafficking Victims Identification and Screening Tools, 1 page pdf with screening tool questions available
- Polaris/NHTRC Trafficking Victim Identification Tool – Links to various assessment tools and information for law enforcement and health providers.
- Ohio Human Trafficking Taskforce: Human Trafficking Screening Tool – manual with interview guidelines and questions as well as key definitions
- Vera Institute – Validated human trafficking screening tool (long version p. 13, short version p. 25)
- Loyola University Chicago Center for the Human Rights of Children – Screening tool for children on page 51 with accompanying red flags for clinical encounters provided on pages 47-48
Confronting Commercial Sexual Exploitation and Sex Trafficking of Minors in the United States: A Guide for the Health Care Sector by the Institute of Medicine: This guide from the Institute of Medicine/ National Research Council Report includes definitions of key terms and an overview of risk factors and consequences; barriers to identifying victims and survivors as well as opportunities for overcoming these barriers; examples of current practices in the health care sector; and recommendations aimed at identifying, preventing, and responding to these crimes.
Caring for Trafficked Persons: Guidance for Health Providers by the International Organization of Migration: The International Organization for Migration created this guide with support from the UN Global Initiative to Fight Human Trafficking. It provides advice for the healthcare professional seeking practical skills to understand, identify, and approach trafficking.
Human Trafficking: Guidebook on Identification, Assessment and Response in the Health Care Setting: Mass Gen and the Massachusetts Med Society published a manual for healthcare providers on human trafficking to describe the health effects of trafficking and guide practitioners in assessing at-risk and trafficked individuals. It is available for download.
Human Trafficking: Review of Educational Resources for Health Professionals: Review of current human trafficking educational resources by the American Journal of Preventative Medicine
The IOM Handbook on Direct Assistance for Victims of Human Trafficking: by the International Organization for Migration
The Mental Health Aspects of Trafficking in Human Beings: Set of Minimum Standards: Aimm to help the implementation of comprehensive and coordinated psychosocial care of trafficked persons from the time of their rescue to throughout their reintegration process.
National Institute of Justice: Needs assessment for service providers and trafficking victims. This report provides facts about sex trafficking in the United States and healthcare needs.
Trauma Informed Care Toolkit: document is a helpful list of websites and resources from various agencies relating to a number of specialties, types of trauma, and patient populations.
US Department of Health and Human Services: Report on medical treatment of victims of sexual assault and domestic violence and its applicability to victims of human trafficking.
Beck ME, Lineer MM, Melzer-Lange M, et al. Medical Providers’ Understanding of Sex Trafficking and Their Experience With At-Risk Patients. Pediatrics. 2015 Apr;135(4):895-902.
Grace AM, Lippert S, Collins K. Educating Health Care Professionals on Human Trafficking. Pediatr Emerg Care. 2014 Dec;30(12):856-61.
Dovydaitis T. Human Trafficking: The Role of the Health Care Provider. J Midwifery Womens Health. 2010 Sep-Oct; 55(5): 462–467.
Konstantopoulos WM, Ahn R, Alpert EJ, et al. An International Comparative Public Health Analysis of Sex Trafficking of Women and Girls in Eight Cities: Achieving a More Effective Health Sector Response. J Urban Health. 2013 Dec; 90(6): 1194–1204.
Beck ME, Lineer MM, Melzer-Lange M, et al. Medical providers’ understanding of sex trafficking and their experience with at-risk patients. Pediatrics. 2015 Apr;135(4):895-902.
Zimmerman C, Hossain M, Yun K, et al. The health of trafficked women: A survey of women entering posttrafficking services in Europe. Am J Public Health.2008;98:55–9.
Kiss L, Pocock NS, Naisanguansri V, et al. Health of men, women, and children in post-trafficking services in Cambodia, Thailand, and Vietnam: an observational cross-sectional study. Lancet Glob Health. 2015 Mar;3(3):e154-61.
How do I connect with other healthcare providers and professionals to fight human trafficking?
There are many organizations from a variety of fields focused on the prevention of human trafficking and advocating for the rights of survivors. Below are some global, national, and local organizations and federal agencies and links to their specific Anti-Human Trafficking initiatives.
- National Human Trafficking Resources Center
- Polaris Project – anti-trafficking organization
- HEAL Trafficking – expansive description and links to advocacy, education, and resources related to human trafficking
- Alliance to End Slavery and Trafficking
- ECPAT-USA – anti-trafficking policy organization
- Freedom Network USA – national coalition of anti-trafficking service providers
- Futures without Violence – advocacy, training and technical assistance for trafficking victims
- VS. – coalition builder to confront human-trafficking
- Physicians Against the Trafficking of Humans (PATH)– CME Credit available here, Search – Doctors: Learn How to Recognize Victims of Trafficking
- American Medical Women’s Association (AMWA)
- American Medical Association (AMA): How Physicians Can Identify, Asssist Trafficking Victims
- American College of Emergency Physicians (ACEP): Policy Statement on Human Trafficking
- Mt. Sinai Hospital: http://www.humantraffickinged.com/ – Resources for EM physicians
- American Congress of Obstetricians and Gynecologists (ACOG)
- American Academy of Pediatrics: Child Sex Trafficking and Commercial Sexual Exploitation Clinical Report
- American Psychological Association: Resolution on Assisting Victims of Human Trafficking
- Christian Medical and Dental Association (CMDA): Commission on Human Trafficking
- UCLA: Anti-Trafficking and Human Rights Coalition
- National Center for Missing and Exploited Children
- Cybertipline – hotline/online report crimes against children
- U.S. Federal government: Federal Strategic Action Plan on Services for Victims of Human Trafficking in the United States
- U.S. Department of Health and Human Services: U.S. Office of Trafficking in Persons
- U.S. Department of Homeland Security
- U.S. Department of State: Office to Monitor and Combat Trafficking in Persons
- U.S. Human Smuggling and Trafficking Center
- U.S. Immigrations and Customs Enforcement
- U.S. Citizenship and Immigration Services (USCIS): Human Trafficking
- U.S. Department of Justice (DOJ)
- U.S. Department of Labor
- Bureau of International Labor Affairs – Child Labor, Forced Labor, and Human Trafficking
- National Criminal Justice Reference Service: https://www.ncjrs.gov/app/topics/topic.aspx?Topicid=82
- Human Trafficking Pro Bono Legal Center
BY STATE (U.S.A.):
- U.S. Office for Victims of Crime: Matrix of human trafficking services and task forced by state
- The VS. State Guide: State-by-state overview of human trafficking legislation, news, and resources
- MISSSEY – survivor-led organizaiton to combat human trafficking of children throughout California
- West Coast Children’s Clinic – C-change clinic for sexually exploited minors
- Los Angeles: Coalition to Abolish Slavery and Trafficking
- Oakland: Banteay Srei – organization to support Southeast Asian women at risk of or engaged in sex work
- Hawaii : Pacific Survivor Center
- Minnesota: Minnesota Indian Women’s Resource Center – Sexual Violence and Trafficking
- New York
- European Commission: Together Against Trafficking in Human Beings
For more information for how to become an active member of AMWA PATH, please e-mail Alyssa Davis at email@example.com. In the e-mail consider providing information on what interests you have, such as research, education, and/ or advocacy.Donate to the Human Trafficking Initiative now!
This is a new initiative from the PATH Student group — a monthly series in research and advocacy news summaries created by the PATH residents and medical students. Newsletters will feature brief breakdowns on some of the most recent scholarly publications as well as policy changes related to human trafficking.
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