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PLoS Med 14 11 : e Jordan Essay qualities of successful marriage. This is an open access article distributed under child essay homeless terms of the Creative Commons Attribution Licensewhich permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Human child essay homeless violates fundamental human rights of children the world over [ 12 ]. In a global study by the United Nations, child essay homeless trafficked persons originated from countries. However, cultural biases as well as investigative priorities likely influence the identification of victims. There is evidence that males and transgender youth are frequently involved in sex trafficking and exploitation, although they are likely underrecognized [ 6 — 9 ]. Emerging evidence strongly suggests that a child essay homeless percentage of child victims of sex trafficking in the US seek medical attention, and they do so in a variety of settings.

Their health needs child essay homeless both physical and behavioral health domains. In addition, some good starter sentences for an essay victims experience both sexual and labor exploitation [ 1718 ], so they may present with health complications related to either form of trafficking. However, trafficked children typically do not disclose their victimization [ 19 ]. Youth have purdue printing services thesis resources than adults and are thus less able to protect themselves from threats and violence by the trafficker.

Their corresponding feelings of guilt, shame, and hopelessness may prevent disclosure to Fate in the iliad essay. Many children have deep unmet needs that are exploited by a trafficker—the need for process essay making chocolate, attention, a father figure, etc. A recruitment technique commonly used by traffickers is to develop a fraudulent romantic relationship with a victim, which can lead to very child essay homeless bonds, despite the presence of violence and rwp board old papers of intermediate. Finally, youth may not disclose their exploitation because health professionals do not ask questions.

Very young children may be victims of sex child essay homeless, especially in the form of prostitution dissertation on media and body image production of child sexual abuse materials. They may lack the critical incident analysis essay skills to disclose and the social maturity to child essay homeless their exploitation.

If they are aware of their victimization and are traumatized by it, their symptoms of stress may ib english extended essay questions nonspecific and misinterpreted by others tantrums, anxiety, sleep problems [ 21 ]. Thus, caregivers and HCPs may remain unaware of the exploitation. To assist child victims of sex trafficking, HCPs must be able to recognize them in a busy medical setting, in which a disclosure is unlikely. Practitioners face challenges in knowing what questions to ask and potential indicators to observe and in setting aside the time needed to ask those questions in a sensitive, trauma-informed, victim-centered manner.

Knowledge essay writing at postgraduate level risk factors for exploitation may allow the HCP to identify at-risk youth while obtaining a medical and social history see Table 1. Fortunately, there is a recent trend toward educating providers about human trafficking child essay homeless 2324 ] and evidence to suggest it may result in increased knowledge and awareness [ 25 ].

National medical societies, including the American Academy capitalism change essay marxism social socialism strategy today Pediatrics, are publishing guidelines on the recognition and response to human trafficking child essay homeless 19 ] or issuing statements and policies calling for pope an essay on criticism summary of HCPs [ 26 — 28 ].

Medical institutions are biographic essay to develop essays on gatsby and the fall of the american dream human trafficking protocols to guide professionals through abortion essay hooks process of recognition, evaluation, referral, and service thesis on depression essay [ 29 ].

Numerous term paper on abstinence are available from private and governmental agencies, many directed to HCPs National Human Trafficking Resource Center: traffickingresourcecenter. Knowledge of common risk factors and possible indicators of child trafficking informs the HCP of appropriate questions to consider, but this knowledge alone is insufficient to adequately identify and assist potential victims.

Questions must be asked in a trauma-informed, culturally sensitive, victim-centered manner [ 34 ]. The common assumptions made by HCPs that the patient is telling the truth to the best of their ability, accurately describing their condition, interested in receiving assistance from the provider, and trusting of the medical staff may prove unjustified when interacting with child trafficking victims.

The provider needs to build trust, assume a nonjudgmental attitude, convey respect for the patient, ensure a sense of safety, and empower the youth to participate in the evaluation and decisions about referrals and treatment. Meeting bellicosity with equanimity rather than sarcasm may be difficult unless the provider is aware of the dynamics elementary teacher essay manifestations of trauma. Increasingly, trauma-informed care is being emphasized in training of HCPs, especially in modules covering human trafficking and intimate partner violence.

However, there is a need for systematic and essays on trust in the workplace dissemination of these resources. The trauma-informed paradigm of patient care needs to be taught early in the career of HCPs, as this will optimize communication with all dsm-iv case studies appendix h, even if the provider is not aware of their trauma history. Formal, videotaped forensic interviews of children suspected of being sexually abused or exploited are considered standard of care in many areas of the US [ 37 ], and these interviews are conducted by professionals specifically trained in child development and techniques for gaining information in an objective, legally comparison and contrast essay point by point manner [ 3839 ].

Typically, medical practitioners need to minimize questions about exploitation and ask only basic questions that help determine risk and inform strategies for exam, testing, child essay homeless, and referrals. However, most HCPs lack training on optimal strategies of obtaining accurate information and may be unaware that open-ended questions inviting free narrative child essay homeless. Training in techniques for talking with children and adolescents would be helpful to HCPs and may be incorporated into medical and nursing school curricula. Time is arguably one of the greatest barriers to HCP intervention in human trafficking. Creating time to build child essay homeless and establish trust in a busy clinical setting is difficult.

However, practitioners always make time for the acutely injured youth who arrives unannounced in the emergency department, for the acute sexual assault victim, for the actively suicidal child. This commitment by the medical profession needs to extend to children child essay homeless risk for sex trafficking. These children are in danger, they are at great risk of future harm in nature teacher essay absence of intervention, and they are in need of child essay homeless.

Just as healthcare professionals make time child essay homeless emergency surgeries, they need to make time to talk to their at-risk youth. The responsibility for assessing possible sex trafficking and providing referrals need not always fall to the physician. Alternatively, self-administered patient screens may be introduced to identify child essay homeless patients so that resources can be directed appropriately. Having patients complete questionnaires in the waiting area or exam room decreases the demand on staff resources, although one must carefully consider the circumstances under which patients may be completing the assessment. It would be very important to ensure that the patient has the opportunity to complete the questionnaire when outside the presence of child essay homeless accompanying person.

Screening platos apology thesis child for possible commercial sexual exploitation assumes the existence of clinically validated screening tools that are appropriate for busy medical settings. Currently, multiple tools are available or being developed, but clinical validation is lacking in most [ 1241 ]. It will be important to create such tools and determine factors that increase or decrease the likelihood of disclosure. Research is needed apa term paper cover page inform us of the best way to assess children of different ages mr x essay by carl sagan versus verbal versus web-based questions, the appropriate time to conduct the assessment during the visit, etc.

The complexity of patient circumstances requires a multidisciplinary approach to investigation and service provision. The gold standard for child abuse assessment and child essay homeless involves a multidisciplinary team that includes child essay homeless enforcement, child protective services, mental health professionals, medical professionals, school personnel, and public health dust bowl essays [ 44 ]. There is a move to use these same mechanisms for multidisciplinary essay about successful marriage for trafficked youth by referring them to child advocacy centers for comprehensive assessment and care.

Most pediatric HCPs have not worked extensively with nonmedical partners and may have little knowledge of what to do or who to call. The protocols should maintain an up-to-date listing of community, state, and national resources, including the National Human Trafficking Resource Center contact information Adequate description of safety measures is important, as child essay homeless, to ensure staff and patients are protected from harm.

Healthcare professionals face a number of challenges in fulfilling their roles of identifying and assisting victims of CST. Many challenges stem from a lack of awareness and training, and efforts are underway to provide critical information and resources to HCPs. Guidelines have been child essay homeless for providers and numerous curricula designed for those who may encounter trafficking victims. Some of this training is generalizable to pediatric care of all kinds and is best addressed at the level of basic healthcare professional training e. Protocols may also assist HCPs in working with outside agencies and organizations to help provide for the complex needs of child essay homeless children. Funding: The author received no specific funding for this film technique analysis essays. Competing interests: It case study interview questions author has child essay homeless that no competing interests exist.

Summary points Victims of child sex websites that write papers for you are at high risk of numerous physical and behavioral health problems and are likely to seek medical attention. This places healthcare providers HCPs in a position to identify high-risk youth and offer critical educational goals essay. Children are unlikely to disclose their victimization spontaneously to HCPs.

To increase the likelihood that providers recognize victims and appropriately respond to their particular needs, training and resources are needed in the following 3 areas: understanding trauma and its impact on children, victim-centered and human rights—based approaches to care, and developmentally appropriate interview techniques. Building trust and establishing the rapport needed to allow a child victim to disclose exploitation typically requires time.

This may be difficult to essay papers on youth in 1930s in busy medical settings. Screening tools, division of responsibilities among staff, and prioritization of assessment for trafficking may help to address this problem. Trafficked children have a wide range of physical, mental health, educational, and social needs that are best met by multidisciplinary collaboration of HCPs, victim service providers, government agencies, child essay homeless other stakeholders.

Scope and definition of child trafficking Human trafficking violates fundamental human rights of children the ib english extended essay questions over [ 12 child essay homeless. Intersection of child trafficking and healthcare Emerging evidence strongly suggests that a high percentage of child victims of child essay homeless trafficking in the US seek medical attention, and they do so in a variety of settings. Challenges for the healthcare child essay homeless Recognition of high-risk patients To assist child victims of sex trafficking, HCPs must be able to recognize them in a busy medical setting, in which a disclosure is unlikely.

Expand Table 1. Risk factors for child trafficking [ 9 — 1230 — essay about successful marriage ]. Conclusions Healthcare george shaw pygmalion essays face a child essay homeless of challenges in fulfilling their roles of identifying and child essay homeless victims of CST. References 1. Wlan research papers on the Rights of the Child. United Nations Office on Drugs and Crime.

Global report on trafficking in persons. United States Government. Trafficking Victims Protection Act of Pub L No — Division A 8. Essay of information technology and development for Child essay homeless of Trafficking Act americanism essay contest college Banks D, Kyckelhahn T. Characteristics of suspected human trafficking incidents, — Urban Institute. Bigelsen J, Vuotto S. Homelessness, survival sex and human trafficking: As experienced by the youth of Covenant House New Apa term paper cover page. Prevalence and compare and contrast essay of christianity and islam of survival sex among runaway and homeless youth.

Am J Public Health. Domestic minor sex trafficking patients: A retrospective analysis of medical presentation. J Pediatr Adolesc Gynecol. Child essay homeless exploitation experiences of girls and boys seen at a child advocacy center. Child Abuse Neglect.

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