“But He’s My Boyfriend” How Coercion and Manipulation Can Lead to Human Trafficking Hope G....
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Transcript of “But He’s My Boyfriend” How Coercion and Manipulation Can Lead to Human Trafficking Hope G....
“But He’s My Boyfriend”How Coercion and Manipulation Can Lead to Human Trafficking
Hope G. Miller BSN RN CA-CP SANESierra Medical CenterUniversity Medical Center of El Paso
SANE What is a SANE and How the Medical Forensic Sexual Assault Exam Can Aid in Recovery and Mental Health
FYI….
As many as 2.8 million children run away each year in the US. Within 48 hours of hitting the streets, one third of these children are lured or recruited into the underground world of prostitution and pornography.
The National Center for Missing and Exploited Children
The average number of victims for non-incestuous pedophiles who molest girls is 20, for pedophiles who prefer boys 100.
The Association For the Treatment of Sexual Abusers (ATSA)
An average serial child molester may have as many as 400 victims in his lifetime.
Child Sexual Abuse Prevention Study
Child pornography is one of the fastest growing crimes in the US right now. Nationally, there has been a 2500% increase in arrests in 10 years.
FBI
What is a SANE? (Texas)
A Sexual Assault Nurse Examiner is a registered nurse who has been specially trained to provide comprehensive care to sexual assault patients, who demonstrates competency in conducting a medical forensic exam and has the ability to be an expert witness
Certified through the Texas Office of Attorney General to conduct exams on Adult, Adolescent and Pediatric patients – recertify every 2 years
Acute exams within 96 hours of assault/abuse Exception would be if the patient has been sequestered
Medical ALWAYS comes before forensic – a patient’s life is more important than “evidence”
What is a Medical Forensic Exam?
Four parts to a medical forensic sexual assault exam History of Assault
Head to Toe Assessment
Detailed Ano-Genital Exam
Evidence Collection
The medical forensic exam is not considered an emergent or life saving procedure
The patient must provide informed consent for an exam to be conducted
To force an exam on an non-consenting patient – even a minor – would be to assault them again
How Can Having an Exam Help?
It gives the patient an opportunity to have their story documented in their own words Exception to Hearsay Rule – Medical diagnosis and treatment
It gives the patient peace of mind to know that their body is okay It is normal for an adolescent/adult female to not have genital
injuries due to having an estrogenized hymen
If there are injuries they usually will be minor and not need intervention and will heal on their own
It gives them the opportunity to be given pregnancy and STI prophylaxis that day and also for future serial STI testing
It can help to start the healing and recovery process The exam is patient centered and patient driven – we do not do
anything that they do not want to do
As an active participant in the exam they do not feel like a victim because they are in control of what happens to their body
How Can Having an Exam Help?
Assurance and verbal reinforcement that what happened to them was not their fault – no matter the circumstances
They will be connected to a local rape crisis advocate while at the hospital (STARS – Sexual Trauma and Assault Response Services) The advocate will serve as a support person for the patient both
during their visit and thereafter and can connect them to many services as well as helping them to apply for crime victims compensation
The SANE should not have contact with the patient after the exam
There is the possibility of collecting DNA or other evidence in the kit that could help the case Known and Unknown Assailant – CODIS (DNA database)
It is important to understand that the medical forensic sexual assault examination is the beginning of the process and is only one piece of the puzzle – no “evidence” does not mean there is not a case
What Can YOU Do?
Rape/Sexual Assault is the only crime in the United States that is perpetually blamed on the victim Rape Culture - a concept where rape is pervasive
and normalized due to societal attitudes about gender and sexuality
When a person tells you that they have been raped, sexually assaulted or sexually abused – no matter if it happened yesterday or 20 years ago…..
Listen
Believe
Help
What is Human Trafficking?
A form of modern day slavery/involuntary servitude
Adults and Children – Men and Women
Rural, Suburban, Urban,
Local and International – Worldwide
Sex Trafficking, Child Pornography
Labor Trafficking: Nanny’s, Maids, Sweatshop Workers, Janitors, Restaurant Workers, Migrant Farm Workers, Fishery Workers, Hotel and Tourist Industry Workers, Beggars…
Debt Bondage – Working Off a Debt
How is a Person Trafficked?
Force – physical restraint or physical harm: violence, rape, beatings, physical confinement may be used to break down victim’s resistance
Fraud – False promises re: employment, wages, working conditions. Better life, marriage, fame and fortune
Coercion – Threat of serious harm to them or loved ones, physical restraint or threat of abuse of the legal process
These only apply if the person being trafficked is an adult
When an individual under the age of 18 provides sexual services in exchange for anything of value, human trafficking has occurred regardless of whether force, fraud or coercion were used.
Trafficking Versus Smuggling
Trafficking:
Force, fraud or coercion is used – victim may have offered consent initially but was then exploited by trafficker
Human trafficking is a crime committed against an individual
A person does not need to be moved physically to be a victim of human trafficking
Smuggling:
Consent is given by individual
Crime is against a country and its borders
Illegal transport across transnational border
Human Trafficking Statistics
Estimated 27 million victims worldwide – more than any other time in history
Yearly profits generated by human trafficking worldwide = 32 Billion. Unlike drugs - victims can be “sold” again and again.
More than 70% of victims are female and half are children/adolescents
Up to 800,000 persons are trafficked each year across international borders – 20% of those people pass through Texas = 160,000 year
Texas OAG estimates that one out of every 5 human trafficking victims travels through Texas – major destination and transit state
Child/Adolescent Statistics
In the US: 300,000 children/adolescents are at risk each year for sexual exploitation – at least 100,000 of them are being used for prostitution
Average age of child/adolescent entering prostitution = 12 to 14 years old
Life expectancy of child/adolescent exploited for prostitution = 7 years
Only 1% of child victims are rescued
These numbers are probably lower than actual fact
Prostitution Versus Trafficking
Trafficking may be hard to prove or prosecute if the victim is legally old enough to provide consent for sex
A victim who is underage cannot legally provide consent for sex (even if they say it was consensual)
There is no such thing as a child (adolescent) prostitute – there is only prostitution of a child which is trafficking and always against the law
Victims can be difficult to identify – 43% of reported HT cases investigated by LE occurred in private residences.
Understanding, preventing and identifying victims will require that people change the way they view the crime
The best way to prevent, identify and rescue is through awareness and education
Who is at Risk?
Human trafficking, like sexual abuse knows no socioeconomic boundaries
Persons who have been sexually abused are more likely to be targeted
Sexual abuse and Interpersonal Violence (DV) are huge push factors for human trafficking
Persons who tend to be on the periphery of society
Foster Home
Runaways/Throwaways
Developmentally Disabled
Psychological Illness
Adolescents and Risks
Adolescents are more at risk due to several factors:
Identity vs. Confusion (Erickson’s Psychosocial Stages): Trying to find out who they are and where they fit in
Tend to be risk takers
Focused on peers – less parental interaction, supervision
Lack the knowledge and judgment skills that come with age and experience – If it seems too good to be true, it probably is!
Traffickers will frequent places where adolescents go without supervision
Mall
Social Media
American Adolescents & HT
Adolescent girls are especially at risk for being drawn in by a male who will pretend to be their boyfriend (Romeo pimp) and then use coercion and manipulation to exploit the relationship for their personal and financial gaino “Love addiction” – they may view their trafficker/pimp as
their boyfriend and/or their protector, “Baby daddy”
o Trauma Bonding, Stockholm Syndrome – “brainwashing”
Traffickers/Pimps are master manipulators Maslow’s Hierarchy of Needs (for pimps)
A large percentage do not see themselves as victims and believe that they are there by choice
Adolescent Mental Health Victims may be subjected to physical, sexual and psychological
abuse – they could require multiple services depending on the length of time and severity of abuse they have endured
Safety, Shelter, Basic Necessities
Counseling – Months or Years
Medical Care – Possibly Extensive
Legal Services
Transitional and/or Long Term Housing
Advocacy
Education
Financial Assistance
Job Skills/Job Training
Life Skills Training
Child Care
Translation Services
Etc.
Identifying Traffickers/Pimps Warning Signs – If 3 or more apply to a relationship = Red Flag
Fancy Cars, Clothes or Jewelry
Frequently spends nights away or out of town
Acts out the hip hop or gang/pimp culture
Claims to own a business or has a job that you cannot visit
He has dreams of making it big and being successful – he will encourage her to become part of HIS dream
Her dreams and goals for life will be put on hold for his
He pulls her in and everything becomes “we” in her conversation – when a person internalizes a dream they will work harder to achieve it
Secludes her from family and friends by moving her away
Attempts to fast track the relationship – moving away and talking of marriage within a short time frame
Decreasing healthy relationships with others – her circle becomes smaller and smaller
Gets to know HER dreams and goals and dangles them like a carrot inevitably
Carries multiple cell phones
Identifying Victims
Tired during the day from working all night
Suddenly has expensive things – high end name brand purse, diamond bracelet, name brand clothes or nails and hair done on a regular basis
Increasingly interested in or talks a lot about his dream – “we’re going to….”
Older boyfriend, usually one not in school
Morals and values have slowly expanded
New tattoo, barcodes or branding of initials – his name, “Daddy” or saying showing ownership “property of”
Carries multiple cell phones
Keeps eyes down while in public, avoids eye contact
Starts to become secluded – you see her less and less
Signs of physical abuse
Submissive or appears fearful, anxious or nervous
Screening Questions
Have you ever exchanged sex for food, shelter, drugs or money?
Have you ever been forced or asked to have sex against your will?
Have you been asked to have sex with multiple partners?
Do you have to meet a quota of money before you can go home?
Have you or a family member been threatened in any way?
What are your working and living conditions like?
Can you come and go as you please?
What Can You Do? It is only through education and awareness that human
trafficking may be prevented
It is also through education and awareness that victims may be identified and rescued – they are “hiding” in plain sight
Educate yourselves and your peers/colleagues about human trafficking and help spread awareness
If you are in a position to do so – ask questions Use extreme caution
Do not confront a pimp/trafficker
Do not try to rescue a victim
You may need to involve security or call 911
If the person is under 18 and you suspect they are being abused or trafficked you do not need the patient’s permission to report it or to call law enforcement – you must move to protect them - the burden of proof is not ours
National Human Trafficking Resource Center
1.888.3737.888
www.acf.hhs.gov/trafficking
24/7/365 170 Languages