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Post-trafficking services

Susan Munsey, Heather E Miller, Terence Rugg
GenerateHope (GH) is a San Diego-based 501c3 nonprofit organization providing fully integrated, comprehensive rehabilitation services to adult female survivors of sex trafficking. While best practices for working with survivors of sex trafficking are slowly emerging, to date, there have been few publications on this subject and little data on either short- or long-term outcomes from the many and varied programs nationwide. This paper examines the GH residential program and provides early outcome results for residents living at the GH program between six and 12 months...
May 15, 2018: Journal of Evidence-informed Social Work
Nicola S Pocock, Reena Tadee, Kanokwan Tharawan, Wansiri Rongrongmuang, Brett Dickson, Soksreymom Suos, Ligia Kiss, Cathy Zimmerman
BACKGROUND: Human trafficking in the fishing industry or "sea slavery" in the Greater Mekong Subregion is reported to involve some of the most extreme forms of exploitation and abuse. A largely unregulated sector, commercial fishing boats operate in international waters far from shore and outside of national jurisdiction, where workers are commonly subjected to life-threatening risks. Yet, research on the health needs of trafficked fishermen is sparse. This paper describes abuses, occupational hazards, physical and mental health and post-trafficking well-being among a systematic consecutive sample of 275 trafficked fishermen using post-trafficking services in Thailand and Cambodia...
May 9, 2018: Globalization and Health
Livia Ottisova, Patrick Smith, Hitesh Shetty, Daniel Stahl, Johnny Downs, Sian Oram
BACKGROUND: Child trafficking is the recruitment and movement of people aged younger than 18 for the purposes of exploitation. Research on the mental health of trafficked children is limited, and little is known about the use of mental health services by this group. This study aimed to investigate the mental health and service use characteristics of trafficked children in contact with mental health services in England. METHODS & FINDINGS: The study employed an historical cohort design...
2018: PloS One
Heidi Stöckl, Ligia Kiss, Jobst Koehler, Dung Thuy Dong, Cathy Zimmerman
Background: Bride-trafficking has been a growing phenomenon in Southeast Asia, particularly in China, where one-child policies have resulted in demographic imbalances favoring males. Yet, empirical evidence about women and girls sold into marriage in China remains sparse. Methods: This study describes the experiences of 51 Vietnamese women and girls as young as 14 in post-trafficking services who were sold into marriage in China. A consecutive sample of individuals from five services in Vietnam were invited to be interviewed within the first 2 weeks of admission...
2017: Global health research and policy
Rebecca M Lutz
BACKGROUND: Human trafficking is a crime resulting in serious negative health outcomes for the victims. To provide optimal care, thus improving health outcomes, healthcare providers must be able to identify victims as they seek care for acute and chronic physical illness, communicable diseases, sexually transmitted infections, and mental health disorders (Lederer and Wetzel, 2014; Oram et al., 2012). Unfortunately, healthcare providers lack appropriate knowledge of clues that would lead to victim identification...
February 2018: Nurse Education Today
Sukran Altun, Melanie Abas, Cathy Zimmerman, Louise M Howard, Sian Oram
Mental health professionals have opportunities to intervene and provide care for trafficked people. Research shows that mental health problems - including depression, anxiety and post-traumatic stress disorder - are prevalent among trafficked people, and that at least some trafficked people come into contact with secondary mental health services in England.
February 2017: BJPsych International
Nicola S Pocock, Ligia Kiss, Sian Oram, Cathy Zimmerman
BACKGROUND: Men comprise nearly two-thirds of trafficked and forced labourers in common low-skilled labour sectors including fishing, agriculture and factory work. Yet, most evidence on human trafficking has focused on women and girls trafficked for sex work, with scant research on trafficked men and boys. METHODS: We analyse survey data from the largest systematic consecutive sample of trafficked people collected to date to describe the prevalence of violence, occupational health risks and injuries and associated factors...
2016: PloS One
Stacey Hemmings, Sharon Jakobowitz, Melanie Abas, Debra Bick, Louise M Howard, Nicky Stanley, Cathy Zimmerman, Sian Oram
BACKGROUND: Despite the multiple physical and psychological health consequences associated with human trafficking, there is little evidence-based guidance available for health providers on assessing and meeting the health needs of trafficked people. We aimed to review literature that provided guidance or research on care provision for people who had been trafficked. METHODS: We conducted a systematic review and qualitative analysis of peer-reviewed and grey literature...
July 29, 2016: BMC Health Services Research
Maria Cary, Siân Oram, Louise M Howard, Kylee Trevillion, Sarah Byford
BACKGROUND: Previous studies have found a high prevalence of depression and post-traumatic stress disorder (PTSD) among survivors of human trafficking. European countries are required to assist trafficked people in their psychological recovery, but there are no rigorous data on the costs of doing so. The objectives of this study were to quantify the use of secondary mental health services by survivors of human trafficking; to estimate the cost of survivors' use of secondary mental health services provided by the UK National Health Service (NHS); and to identify factors that predict higher costs of mental health service provision...
July 19, 2016: BMC Health Services Research
L Ottisova, S Hemmings, L M Howard, C Zimmerman, S Oram
BACKGROUND: To update and expand on a 2012 systematic review of the prevalence and risk of violence and the prevalence and risk of physical, mental and sexual health problems among trafficked people. METHOD: Systematic review and meta-analysis. Searches of 15 electronic databases of peer-reviewed articles and doctoral theses were supplemented by reference screening, citation tracking of included articles and expert recommendations. Studies were included if they reported on the prevalence or risk of violence while trafficked, or the prevalence or risk of physical, mental or sexual health outcomes among people who have been trafficked...
August 2016: Epidemiology and Psychiatric Sciences
Charlotte Aberdein, Cathy Zimmerman
BACKGROUND: Emerging evidence indicates the extreme forms of violence and acute and longer-term mental health consequences associated with trafficking and exploitation. However, there has been little research on post-trafficking mental health and psychosocial support services for survivors. This study explored the availability and accessibility of mental health and psychosocial support services in Cambodia for women, men and children trafficked and exploited for sex or labour purposes...
2015: International Journal of Mental Health Systems
Ligia Kiss, Nicola S Pocock, Varaporn Naisanguansri, Soksreymom Suos, Brett Dickson, Doan Thuy, Jobst Koehler, Kittiphan Sirisup, Nisakorn Pongrungsee, Van Anh Nguyen, Rosilyne Borland, Poonam Dhavan, Cathy Zimmerman
BACKGROUND: Trafficking is a crime of global proportions involving extreme forms of exploitation and abuse. Yet little research has been done of the health risks and morbidity patterns for men, women, and children trafficked for various forms of forced labour. METHODS: We carried out face-to-face interviews with a consecutive sample of individuals entering 15 post-trafficking services in Cambodia, Thailand, and Vietnam. We asked participants about living and working conditions, experience of violence, and health outcomes...
March 2015: Lancet Global Health
Eleanor Turner-Moss, Cathy Zimmerman, Louise M Howard, Siân Oram
Research on the health of trafficked men and on the health problems associated with trafficking for labor exploitation are extremely limited. This study analysed data from a case series of anonymised case records of a consecutive sample of 35 men and women who had been trafficked for labor exploitation in the UK and who were receiving support from a non-governmental service between June 2009 and July 2010. Over three-quarters of our sample was male (77 %) and two-thirds aged between 18 and 35 years (mean 32...
June 2014: Journal of Immigrant and Minority Health
Siân Oram, Nicolae V Ostrovschi, Viorel I Gorceag, Mihai A Hotineanu, Lilia Gorceag, Carolina Trigub, Melanie Abas
BACKGROUND: Many trafficked people suffer high levels of physical, sexual and psychological abuse. Yet, there has been limited research on the physical health problems associated with human trafficking or how the health needs of women in post-trafficking support settings vary according to socio-demographic or trafficking characteristics. METHODS: We analysed the prevalence and severity of 15 health symptoms reported by 120 trafficked women who had returned to Moldova between December 2007 and December 2008 and were registered with the International Organisation for Migration Assistance and Protection Programme...
July 26, 2012: BMC Women's Health
Nicolae V Ostrovschi, Martin J Prince, Cathy Zimmerman, Mihai A Hotineanu, Lilia T Gorceag, Viorel I Gorceag, Clare Flach, Melanie A Abas
BACKGROUND: Trafficking in women is a widespread human rights violation commonly associated with poor mental health. Yet, to date, no studies have used psychiatric diagnostic assessment to identify common forms of mental distress among survivors returning to their home country. METHODS: A longitudinal study was conducted of women aged 18 and over who returned to Moldova between December 2007 and December 2008 registered by the International Organisation for Migration as a survivor of human trafficking...
April 14, 2011: BMC Public Health
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