Identifying the Human Trafficking Victim
To provide healthcare providers with an overview of human trafficking in both the global and communal perspective and provide descriptors and behaviors of victims who may present to the healthcare setting.
- Contact hours
- 3
- Estimated time
- 95 minutes
- Last reviewed
- —
Free
Get Unlimited CE insteadSecure checkout. Certificates issue instantly and stay in your vault even after a subscription ends.
- Post-test required · 70% to pass · unlimited retakes
About this course
The Trafficking Victims Protection Act (TVPA) brings human trafficking to the forefront of conversation on an international level. Prevention through education is paramount going forward in efforts to curb the growth of this $150 billion industry. Healthcare providers are on the frontline of these efforts as the first point of contact for most victims. Being able to identify the trafficking victim and provide resources is key to the victim becoming a survivor of human trafficking.
Learning objectives
- Define the various forms of human trafficking in the global and community setting
- Describe indicators of potential trafficking and appropriate resources available
- Identify actions the healthcare provider can take to assist the trafficking victim
- Describe current legislatures that assist and protect trafficking victims
Course outline
23 sections · finish in any order across devices
- 1
Introduction
Globally, human trafficking is a $150 billion industry. In fact, the International Labour Organization (ILO); an organization that brings together governments, employers and workers to set labor standards and develop policies that promote decent work for all women and men, estimated in 2016 that 40.
6 min
- 2
Global Trafficking
Each year, thousands of individuals fall victim to national and international trafficking. The 2016 Global Report on Trafficking in Persons revealed profile characteristics of the trafficker in relationship to that of the person who is trafficked. Traffickers tend to speak the same language as the v
4 min
- 3
Essential Elements: A-M-P Model
Human trafficking involves three essential elements: action, means, and purpose. According to the National Human Trafficking Resource Center (NHTRC) and the Trafficking Victims Protection Act (TVPA), the Action-Means-Purpose, or A-M-P Model helps determine whether force, fraud, or coercion was prese
4 min
- 4
Adverse Childhood Experiences
Adverse Childhood Experiences (ACE) can increase the likelihood of risk-taking behavior that could predispose a person to a trafficking situation. A better understanding of how a high ACE score can increase the risk of a person becoming a victim of trafficking is best explored through research. The
4 min
- 5
Myths of Human Trafficking Victims
Myths or misperceptions often lead to missed opportunities to identify victims. It is essential for healthcare providers and first point-of-contact personnel to be educated on these potential myths. Trafficking in persons is not just a crime that occurs in a faraway place or one that only involves m
4 min
- 6
Health Implications of the Trafficking Victim
Labor and sex trafficking carry inherent health risks and need exploration. Research studies in South Africa and West Bengal, India regarding the effects of sex trafficking and HIV risk determined that women and girls who experienced forced sexual encounters through being trafficked were 50% more li
4 min
- 7
Recognizing the Human Trafficking Victim in the Healthcare Setting
Healthcare providers, for a variety of reasons, may fail to stop, observe, and ask questions to identify a potential victim of human trafficking. Biases, fear of no available resources, lack of education regarding human trafficking red flags, lack of privacy, myths, the absence of protocols, stereot
4 min
- 8
Signs of Sex Trafficking
According to the National Human Trafficking Resource Center (NHTRC) and hotline, general signs of sex trafficking in persons may include but not be limited to the following with some modifications:
4 min
- 9
Signs of Labor Trafficking
Common presenting complaints of victims of human trafficking are much like those of intimate partner violence but may vary depending on if a victim of labor versus sex trafficking. Labor traffickers prey on specific vulnerabilities to entice individuals to accept substandard working conditions. Work
4 min
- 10
Common Trafficking Terms
Languages are essential to the understanding of different cultures, environments, enterprises, and socioeconomic groups. Human trafficking and smuggling have a dialect, unique to traffickers and victims. Exploration of trafficking vocabulary will help healthcare providers relate to and understand vi
4 min
- 11
Conducting a Physical Assessment
Conducting a full assessment in this vulnerable population is of vital importance. An examination may prove difficult due to the emotional and psychological state of the victim. Human trafficking victims may appear to be uncooperative and give an inconsistent history. These reactions are manifestati
5 min
- 12
Conducting a Psychological Assessment
Mental health indicators of trafficking in persons may be missed or explained away as a panic attack. Again, the healthcare provider must stop and take an in-depth assessment while considering the flags. The healthcare provider should look for signs such as depression, suicidal ideations, self-mutil
4 min
- 13
Communicating with a Victim of Human Trafficking
Once a healthcare provider identifies a potential trafficked person, it is imperative to establish a private, quiet, safe place to assess the patient further, much like in cases of child or elder abuse. Building rapport and providing an opportunity for the victim to feel empowered is of utmost impor
4 min
- 14
Creating an Opportunity for Intervention
The trafficker may be the accompanying family member or significant other that declines to leave the patient alone. Like intimate partner violence, the healthcare provider must create an opportunity to separate the victim from the trafficker. For instance, they can take the patient to the bathroom f
4 min
- 15
Reporting Human Trafficking
If a patient reveals they are a victim of human trafficking, the healthcare provider should ask the patient if it is alright to call the national human trafficking resource center hotline number. The healthcare provider should also provide the victim with the phone number and encourage them to call
4 min
- 16
Mandatory Reporting/HIPAA Considerations
Guidelines for the reporting of suspected cases of human trafficking for adults and children will vary depending on facility, location, state, and federal laws. Adults may not want to report the incident. Consideration should be given in the decision to alert law enforcement based on predetermined p
4 min
- 17
Referral Considerations
Long-term psychological impacts must be taken into consideration when referrals for treatment of trafficking victims are enacted into a treatment plan. Multifarious conditions exist emotionally and physically, rendering approaches to future care a challenge for healthcare providers.
4 min
- 18
Documentation of Assessments, Interventions, and Referrals
Documentation of physical findings and interventions is important and may assist the victim in prosecuting their trafficker later if health records get subpoenaed. The healthcare provider should follow established documentation guidelines and reporting requirements based on state and local statute o
4 min
- 19
The Trafficking Victim’s Recovery
Cultural shock impacts and language barriers play a role in the recovery period and successful transition into society as a survivor and not a victim. Survivors of human trafficking can offer much-needed insight into the thoughts, feelings, and interactions with members of the healthcare team and gu
4 min
- 20
Legislative Victories: The 3P's Approach
The United States Congress has passed several comprehensive bills to expose human trafficking crimes in domestic and international communities. This legislative process finds its basis in the 13th Amendment to the US Constitution which banned involuntary servitude and slavery in 1865. One such law,
4 min
- 21
Conclusion
Healthcare providers must know human trafficking protocols in their institutions and know the local resources available. Local resources such as Project Help, rape crisis centers, women's shelters, homeless shelters, addiction centers, and churches can provide needed materials and support services f
4 min
- 22
Human Trafficking Post-Test
Men can be victims of human trafficking.
4 min
- 23
Human Trafficking Post-Test Answers
The wheel for human trafficking depicts the different types of abuse inflicted on trafficking victims at the hands of traffickers. Power and control, the wheel center, represent the primary weapon a trafficker uses to the manipulate a victim and keep them bound to the trafficker. Other tools in the
4 min
This course satisfies
Requirement summaries come from our state requirement records. Always confirm details with your board before you renew.
References and resources
- Albright E, D'Adamo K. Decreasing Human Trafficking through Sex Work Decriminalization. AMA J Ethics. 2017 Jan 01;19(1):122-126. [
- Austin A, Herrick H, Proescholdbell S. Adverse Childhood Experiences Related to Poor Adult Health Among Lesbian, Gay, and Bisexual Individuals. Am J Public Health. 2016 Feb;106(2):314-20.
- Cardoso JB, Brabeck K, Stinchcomb D, Heidbrink L, Price OA, Gil-García ÓF, Crea TM, Zayas LH. Integration of Unaccompanied Migrant Youth in the United States: A Call for Research. J Ethn Migr Stud. 2019;45(2):273-292.
- Cimino AN, Madden EE, Hohn K, Cronley CM, Davis JB, Magruder K, Kennedy MA. Childhood Maltreatment and Child Protective Services Involvement Among the Commercially Sexually Exploited: A Comparison of Women Who Enter as Juveniles or as Adults. J Child Sex Abus. 2017 Apr;26(3):352-371.
- Daley D, Bachmann M, Bachmann BA, Pedigo C, Bui MT, Coffman J. Risk terrain modeling predicts child maltreatment. Child Abuse Negl. 2016 Dec;62:29-38.
- Felitti VJ. Health Appraisal and the Adverse Childhood Experiences Study: National Implications for Health Care, Cost, and Utilization. Perm J. 2019;23:18-026.
- Fraley HE, Aronowitz T, Stoklosa HM. Systematic Review of Human Trafficking Educational Interventions for Health Care Providers. West J Nurs Res. 2020 Feb;42(2):131-142.
- Fraley HE, Aronowitz T. The Peace and Power Conceptual Model: An Assessment Guide for School Nurses Regarding Commercial Sexual Exploitation of Children. Nurs Sci Q. 2017 Oct;30(4):317-323.
- Geynisman-Tan JM, Taylor JS, Edersheim T, Taubel D. All the darkness we do not see. Am. J. Obstet. Gynecol. 2017 Feb;216(2):135.e1-135.e5.
- Goodwin M. Vulnerable Subjects: Why Does Informed Consent Matter? J Law Med Ethics. 2016 Sep;44(3):371-80.
- Gordon M, Fang S, Coverdale J, Nguyen P. Failure to Identify a Human Trafficking Victim. Am J Psychiatry. 2018 May 01;175(5):408-409.
- Greenbaum J, Stoklosa H. The healthcare response to human trafficking: A need for globally harmonized ICD codes. PLoS Med. 2019 May;16(5):e1002799.
- Greenbaum VJ, Livings MS, Lai BS, Edinburgh L, Baikie P, Grant SR, Kondis J, Petska HW, Bowman MJ, Legano L, Kas-Osoka O, Self-Brown S. Evaluation of a Tool to Identify Child Sex Trafficking Victims in Multiple Healthcare Settings. J Adolesc Health. 2018 Dec;63(6):745-752.
- Hossain M, Zimmerman C, Abas M, Light M, Watts C. The relationship of trauma to mental disorders among trafficked and sexually exploited girls and women. Am J Public Health. 2010 Dec;100(12):2442-9.
- Iglesias-Rios L, Harlow SD, Burgard SA, Kiss L, Zimmerman C. Mental health, violence, and psychological coercion among female and male trafficking survivors in the greater Mekong sub-region: a cross-sectional study. BMC Psychol. 2018 Dec 12;6(1):56.
- Islam MS. An assessment of child protection in Bangladesh: How effective is NGO-led Child-Friendly Space? Eval Program Plann. 2019 Feb;72:8-15.
- Jensen C. Toward evidence-based anti-human trafficking policy: a rapid review of CSE rehabilitation and evaluation of Indian legislation. J Evid Inf Soc Work. 2018 Nov-Dec;15(6):617-648.
- Kelly MA, Bath EP, Godoy SM, Abrams LS, Barnert ES. Understanding Commercially Sexually Exploited Youths' Facilitators and Barriers Toward Contraceptive Use: I Didn't Really Have a Choice. J Pediatr Adolesc Gynecol. 2019 Jun;32(3):316-324.
- Kiss L, Zimmerman C. Human trafficking, and labor exploitation: Toward identifying, implementing, and evaluating effective responses. PLoS Med. 2019 Jan;16(1):e1002740.
- Leong FTL, Pickren WE, Vasquez MJT. APA efforts in promoting human rights and social justice. Am Psychol. 2017 Nov;72(8):778-790.
- Leslie J. Human Trafficking: Clinical Assessment Guideline. J Trauma Nurs. 2018 Sep/Oct;25(5):282-289.
- Long E, Dowdell EB. Nurses' Perceptions of Victims of Human Trafficking in an Urban Emergency Department: A Qualitative Study. J Emerg Nurs. 2018 Jul;44(4):375-383.
- Macias-Konstantopoulos WL. Caring for the Trafficked Patient: Ethical Challenges and Recommendations for Health Care Professionals. AMA J Ethics. 2017 Jan 01;19(1):80-90.
- Macias-Konstantopoulos WL. Diagnosis Codes for Human Trafficking Can Help Assess Incidence, Risk Factors, and Comorbid Illness and Injury. AMA J Ethics. 2018 Dec 01;20(12):E1143-1151.
- Menon B, Stoklosa H, Van Dommelen K, Awerbuch A, Caddell L, Roberts K, Potter J. Informing Human Trafficking Clinical Care Through Two Systematic Reviews on Sexual Assault and Intimate Partner Violence. Trauma Violence Abuse. 2018 Nov 19;1524838018809729.
- Metcalf EP, Selous C. Modern slavery response and recognition training. Clin Teach. 2020 Feb;17(1):47-51.
- Mostajabian S, Santa Maria D, Wiemann C, Newlin E, Bocchini C. Identifying Sexual and Labor Exploitation among Sheltered Youth Experiencing Homelessness: A Comparison of Screening Methods. Int J Environ Res Public Health. 2019 Jan 28;16(3)
- Murray A, Smith L. Implementing Evidence-Based Care for Women Who Have Experienced Human Trafficking. Nurs Womens Health. 2019 Apr;23(2):98-104.
- Nsonwu M. Human Trafficking of Immigrants and Refugees in North Carolina. N C Med J. 2019 Mar-Apr;80(2):101-103.
- Powell C, Dickins K, Stoklosa H. Training US health care professionals on human trafficking: where do we go from here? Med Educ Online. 2017;22(1):1267980.
- Preble KM, Black BM. Influence of Survivors' Entrapment Factors and Traffickers' Characteristics on Perceptions of Interpersonal Social Power During Exit. Violence Against Women. 2020 Jan;26(1):110-133.
- Reap VJ. Sex Trafficking: A Concept Analysis for Health Care Providers. Adv Emerg Nurs J. 2019 Apr/Jun;41(2):183-188.
- Reid JA, Baglivio MT, Piquero AR, Greenwald MA, Epps N. Human Trafficking of Minors and Childhood Adversity in Florida. Am J Public Health. 2017 Feb;107(2):306-311.
- Reid JA, Baglivio MT, Piquero AR, Greenwald MA, Epps N. No youth left behind to human trafficking: Exploring profiles of risk. Am J Orthopsychiatry. 2019;89(6):704-715.
- Reid JA. Entrapment and Enmeshment Schemes Used by Sex Traffickers. Sex Abuse. 2016 Sep;28(6):491-511.
- Rollins R, Gribble A, Barrett SE, Powell C. Who is in Your Waiting Room? Health Care Professionals as Culturally Responsive and Trauma-Informed First Responders to Human Trafficking. AMA J Ethics. 2017 Jan 01;19(1):63-71.
- Rothman EF, Farrell A, Bright K, Paruk J. Ethical and Practical Considerations for Collecting Research-Related Data from Commercially Sexually Exploited Children. Behav Med. 2018 Jul-Sep;44(3):250-258.
- Rothman EF, Stoklosa H, Baldwin SB, Chisolm-Straker M, Kato Price R, Atkinson HG., HEAL Trafficking. Public Health Research Priorities to Address US Human Trafficking. Am J Public Health. 2017 Jul;107(7):1045-1047.
- Sabella D. PTSD among our returning veterans. Am J Nurs. 2012 Nov;112(11):48-52.
- Sabella D. The role of the nurse in combating human trafficking. Am J Nurs. 2011 Feb;111(2):28-37; quiz 38-9.
- Scannell M, MacDonald AE, Berger A, Boyer N. Human Trafficking: How Nurses Can Make a Difference. J Forensic Nurs. 2018 Apr/Jun;14(2):117-121.
- Shah D. Women's rights in Asia and elsewhere - a fact or an illusion? Climacteric. 2019 Jun;22(3):283-288.
- Stoklosa H, MacGibbon M, Stoklosa J. Human Trafficking, Mental Illness, and Addiction: Avoiding Diagnostic Overshadowing. AMA J Ethics. 2017 Jan 01;19(1):23-34.
- Stuckler D, Steele S, Lurie M, Basu S. Introduction: 'dying for gold': the effects of mineral miningon HIV, tuberculosis, silicosis, and occupational diseases in southern Africa. Int J Health Serv. 2013;43(4):639-49.
- Teh LCL, Caddell R, Allison EH, Finkbeiner EM, Kittinger JN, Nakamura K, Ota Y. The role of human rights in implementing socially responsible seafood. PLoS ONE. 2019;14(1):e0210241.
- Vanwesenbeeck I. Sex Work Criminalization Is Barking Up the Wrong Tree. Arch Sex Behav. 2017 Aug;46(6):1631-1640.
- Viergever RF, Thorogood N, van Driel T, Wolf JR, Durand MA. The recovery experience of people who were sex trafficked: the thwarted journey towards goal pursuit. BMC Int Health Hum Rights. 2019 Jan 22;19(1):3.
- Waugh L. Human Trafficking and the Health Care System. NCSL Legisbrief. 2018 Apr;26(14):1-2.
- Wyatt TR, Sinutko J. Hidden in Plain Sight: A Guide to Human Trafficking for Home Healthcare Clinicians. Home Healthc Now. 2018 Sep/Oct;36(5):282-288.
Update history
Take this course and the rest of the library
Unlimited annual access covers every course, every state you track, and your certificates forever.
Get Unlimited CEStill have a question? Ask our CE assistant
Ask by voice or text about requirements, courses, pricing or your license — you get an answer instantly.
Type or tap the mic and speak — ask about your state's requirements, any course, your license type or pricing, and you get an answer right away.
