DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of...

50
DOMESTIC SEX TRAFFICKING OF CHILDREN IN BRAZIL NATASHA DOLBY RESEARCH FELLOW

Transcript of DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of...

Page 1: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

DOMESTIC SEX TRAFFICKING OF CHILDREN IN BRAZILNATASHA DOLBY RESEARCH FELLOW

Page 2: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

1

DomesticSexTraffickingofChildreninBrazil

NatashaDolby,ResearchFellow

July2018

Page 3: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

2

LISTOFACRONYMS.............................................................................................................................................3EXECUTIVESUMMARY.........................................................................................................................................5BACKGROUND.....................................................................................................................................................8

TRAFFICKINGINBRAZIL...................................................................................................................................................9DETERMINANTSOFCHILDSEXTRAFFICKINGINBRAZIL........................................................................................................12

Extremeeconomicdisparitiesandlackofsocialmobility..................................................................................13Deep-rootedhistoricalracism............................................................................................................................13Culturalnormsthatsexualizegirls.....................................................................................................................14Culturalnormsthatacceptviolenceagainstwomen.........................................................................................15Technologyasanenabler..................................................................................................................................15Lackoftrustinthejusticesystem,corruption,andacultureofimpunity.........................................................16

LEGALFRAMEWORKSTOADDRESSCHILDSEXTRAFFICKING..............................................................................18INTERNATIONALLAW...................................................................................................................................................18NATIONALLEGALFRAMEWORK......................................................................................................................................20

DomesticLawsprotectingChildren...................................................................................................................21ChildrenGuardianshipCouncils.........................................................................................................................22

CHALLENGESANDOPPORTUNITIESTOPREVENTANDRESPONDTOCHILDSEXTRAFFICKING............................24CHILDRENGUARDIANSHIPCOUNCILS...............................................................................................................................24CONTRADICTINGDEFINITIONSOFTRAFFICKING..................................................................................................................26LACKOFINFRASTRUCTURE.............................................................................................................................................27GOVERNMENTSUPPORTOFSERVICES..............................................................................................................................27LACKOFRELIABLEDATA................................................................................................................................................28

ADDRESSINGTHEPSYCHOLOGICALIMPACTOFCHILDSEXTRAFFICKING...........................................................29ADVERSECHILDHOODEXPERIENCES(ACES).....................................................................................................................30

ADDRESSINGTHECHALLENGESWITHALTERNATIVETOOLS...............................................................................33DANCEMOVEMENTTHERAPY:MENINADANÇA................................................................................................................34

RECOMMENDATIONS........................................................................................................................................36

Page 4: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

3

ListofAcronymsACE–AdverseChildhoodExperiences

ANCED – AssociaçãoNacional dos Centros de Defesa da Criança e do Adolescente (National

AssociationoftheCentersfortheDefenseofChildrenandAdolescents)

BR-116–OneofthemostimportantandlongestFederalhighwaysofBrazil(4,385kilometers

long)

CECRIA–CentrodeReferência,EstudoseAçõessobreCriançaseAdolescentes (Childrenand

AdolescentReference,Studies,andActionCenter)

CGCs–ConselhosTutelares(ChildrenGuardianshipCouncils)

CPI–ComissãoParlamentardeInquérito(ParliamentaryInvestigativeCommission)

CONANDA-ConselhoNacionaldosDireitosdaCriançaedoAdolescente(NationalCouncilofthe

RightsofChildrenandAdolescents)

CONATRAE-ComissãoNacionalparaaErradicaçãodoTrabalhoEscravo(NationalCommission

fortheEradicationofSlaveLabor)

CONATRAP–ComitêNacionaldeEnfrentamentoaoTráficodePessoas(NationalCommittee

AgainstTraffickinginPersons)

CSEC–ExploraçãoSexualComercialdeAdolescentes,ESCA(CommercialSexualExploitationof

Children)

DCI–DefenseforChildrenInternational

DMT–DanceMovementTherapy

ECA-EstatutodaCriançaeDoAdolescente(StatureoftheChildandAdolescent)

ESCA–ExploraçãoSexualComercialdeAdolescentes(ComercialSexualExploitationofChildren,

CSEC)

ECPAT–EndChildProstitutioninAsianTourism(1990campaign),buttheacronymsisnot

longerused.Organizationisnowagrowingnetworkof101civilsocietyorganizationsin92

countriesworkingtoresearchandbetterunderstandthisheinouscrime;tackletheonline

sexualexploitationofchildren;endthetraffickingofchildrenforsexualpurposesandthe

Page 5: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

4

forcedandearlymarriageofchildren;andbringahalttothesexualexploitationofchildren

throughthetravelandtourismindustry.

FIFA–FédérationInternationaledeFootballAssociation(WorldSoccerAssociation)

FNDCA – FórumNacional dos Direitos da Criança e do Adolescente (National Forum for the

RightsofChildrenandAdolescents)

FNPETI–FórumNacionaldePrevençãoeErradicaçãodoTrabalhoInfantil(NationalForumfor

thePreventionandEradicationofChildLabor)

GBD–GlobalBurdenofDisease

GDP–GrossDomesticProduct

GSHS–GlobalSchools-basedStudentHealthSurvey

ICAST–InternationalChildAbuseScreeningTool

ILO–InternationalLaborOrganization

IOM–InternationalOfficeforMigration

ISPCAN–InternationalSocietyforPreventionofChildAbuseandNeglect

NGO–Non-GovernmentalOrganization

PNET–PlanoNacionaldeErradicaçãodoTrabalhoEscravo(NationalPlanfortheEradicationof

SlaveLabor)

PNUD–UnitedNationsDevelopmentProgramme

SIPIA–SistemadeInformaçãoParaInfânciaeAdolescência(ChildandAdolescent Information

System)

SUS–SistemaÚnicodeSaúde(UniversalHealthCareSystem)

TIP–TraffickinginPerson

TIPReport-USDepartmentofState’sAnnualTraffickinginPersonsReport

TVPA–TraffickingVictimsProtectionAct(USA)

UN–UnitedNations

UNICEF–UnitedNationsChildren’sFund

UNODC–UnitedNationsOfficeonDrugsandCrime

WHO–WorldHealthOrganization

Page 6: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

5

ExecutiveSummary

The traffickingofchildren1 forsexualexploitation inBrazil isbothdevastating to their

healthandwell-being,andagrossviolationof theirhuman rights. Fueledbyamixofpower

inequality, extreme economic insecurity, corruption, and regressive social norms, child sex

traffickinghasflourishedinBrazil.23Thisreportpresentsthefindingsofamixedmethodsstudy

ontraffickingofchildrenforsexualpurposesinBrazil.

AlthoughBrazil ratifiedtheUnitedNationsPalermoProtocol toPrevent,Suppressand

PunishTraffickinginPersonsEspeciallyWomenandChildren(ThePalermoProtocol)andmade

manyotheradvancesinthelegalprotectionofchildren’srightsinBrazil,includingalignmentof

thepenalcodewiththeProtocol,implementationremainsextremelyweak.4Confusionpersists

around the roles and responsibilitiesofdifferent agencies andbetweenpolicies that address

slavelaborversusthosethataddresstraffickinginpersons.

Due to incongruity between international commitments and domestic legislation

implementation, the vastmajority of child victims5 of sex trafficking areoften referred to as

“childprostitutes.” This stigmatizing labeling leaves them invisible and/or condemnedby the

generalpublicand,moreimportantly,overlookedbyofficialsandsupportproviderswhoshould

belegallyobligedtoidentifyandassistthem.Fallingthroughthepolicycracks,survivorsdonot

haveavenuesoutoftheseabusivecircumstances.Forthosewhodomanagetoleave,fewever

receivetheassistancetheyneed,especiallytheappropriatementalhealthsupport.

1“Children”isthisreportreferstotheUnitedNationsguidelinesstatingthatanyoneunder18isconsideredachild.2Thereisn’tjustonenarrativeondomesticsextraffickingofgirlsandboysinBrazil.Specifically,therearevaryingperspectivesontheroleofchildren’sagencyversusvictimhoodintheircircumstances.Dialogueontraffickinghasmovedbeyondthebinarynotionoffreeversusnotfreeandnowhighlightsextraordinaryeconomicfragilityoffamilystructuresinthecontextofpovertyandemphasizesgenderdisparities,particularlythelimitedincomeopportunitiesforgirls.Whilethesedebatesarevaluable,thesediscussionsarebeyondthescopeofthispaper.3https://www.state.gov/documents/organization/271341.pdf4http://www.planalto.gov.br/ccivil_03/_ato2015-2018/2016/lei/L13344.htm5Theword“victim”and“survivor”areusedinterchangeablyinthispaper.Eachpersonself-identifiesdifferentlyandthereareconnotationstoboth.Beinga“victim”implieshelplessnessandpity,whichmightnotadequatelydescribetheexperiencesofsomepeople,whileterm“survivor”impliesthatpeopleareabletotakecontroloftheirownlives.

Page 7: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

6

Todate, therehasbeen little researchon sex traffickingof childrenand reintegration

assistanceforvictimstoinformmoreeffectiveresponsesinBrazil.Therehasbeenlittletono

research or evaluation of mental health interventions to support the recovery of human

traffickingsurvivors.6Thisreportconsiderscognitive-behavioraltherapiesandtrauma-informed

mentalhealthcareinthetreatmentoftraffickingvictims.

Thisreportaimsto:1)assessthegapsinimplementationofinternationalandnational

commitments to protect child victims of sex trafficking in Brazil; and 2) consider the

psychosocialeffectsofsextraffickingonchildren;and3)discussfindingsondancemovement

therapyasaninterventiontoolforre-integrationofsurvivorsofchildsextrafficking.Thereport

concludes with recommendations for better implementation of the Palermo Protocol and

national policies on children’s rights and sex trafficking, and offers suggestions for further

researchoninterventionstosupportsurvivors.

This report is based onmixedmethods, including: a) a literature review and b) field

observations inMedina,MGandRiodeJaneiro,RJ;andc)observationsatMeninaDança–a

Braziliannon-profitorganizationthatworkswithat-riskgirlsincommunitiesalongtheBR-116,

Brazil’s“exploitationhighway”—inthecityofMedina.

This paper begins by providing a general background on child sex trafficking and a

specific overview of the situation in Brazil, including the key determinants of child sex

traffickinginBrazil.Theremainingsectionsare:1)Ananalysisoflegalandpolicychallengesto

preventandrespondtochildsextrafficking;2)Thepsychosocialimpactofchildsextrafficking;

3) alternative approaches to address the effects of sex trafficking among children; and 4)

recommendationsforfutureactionsandtargetedinvestments.

6ExceptforthelandmarkPESTRAFstudy,PesquisaSobreTráficodeMulheres,Crianças,eAdolescentesparaFinsdeExploraçãoSexualComercialnoBrasil,RelatórioNacional;Women,ChildrenandAdolescentTrafficking-in-PersonforCommercialSexualExploitation–NationalReport,2002

Page 8: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

7

Sectiononeoffersadiscussionof the internationalanddomestic legal frameworks to

address child sex trafficking and gaps in implementation. Particular attention is given to the

effectivenessandobstaclesfacedbyBrazil’sChildrenGuardianshipCouncils(CGCs).Thesection

concludeswithadiscussionofthechallengesandopportunitiestopreventandrespondtochild

sextrafficking.Sectiontwodiscussesthepsychologicalimpactofchildsextrafficking,focusing

ontheimpactoftraumareferredtoasadversechildhoodexperiences(ACEs).Theroleofdance

movementtherapy isconsideredasanalternativesupportandrecoveryapproachtoaddress

the psychosocial impact of child sex trafficking. Results are presented from participant

observation of a dance therapy organization: Menina Dança. Based on the findings,

recommendationsareofferedtotheBraziliangovernmentandorganizationsworkingonchild

sextrafficking.

Page 9: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

8

Background

Trafficking of human beings is a multi-billion-dollar business present in nearly every

country in the world under many names.7 An expression of extreme social and economic

inequalities, human trafficking is a product of vulnerability arising from any number of co-

occurringfactors includingsocialexclusion, incomeshocks, illiteracy,state instability,conflict,

high levels of judicial corruption, or insecure immigration status, to name a few.8 Traffickers

preyonthesevulnerabilities,oftenisolatingtheirvictims,threateningtoharmthemandtheir

lovedones,manipulatingfearsrelatedtofamily,housing,food,money,love,andcommunity.9

Survivors often reportmultiple forms of abuse in the context of their trafficking experience

including repeatedly being locked in rooms, denied access to food, and routine physical

beatings.10 Survivors report instances of being bitten, kicked, smashed against walls, raped,

forcedtotakedrugs,havinggunsheldtotheirheadsasfeartactics,andfallingvictimtodebt

bondage.11Sufferingwhatcanbedebilitatingphysicalandemotionalconsequences,survivors

may face generational cycles of crisis, hardship, and loss.12 Some victims become entrapped

whentheyseekeconomicopportunitiesthatturnouttobefraudulentandtheybecomecaught

byexploitativecontracts, fakepromises,unpaidwages,unconscionableandunpayabledebts,

withhelddocuments,andviolence.13

A recent report developed jointly by the International Labour Organization (ILO), the

Walk Free Foundation, and the InternationalOrganization forMigration (IOM), found that in

theyear2016alone,morethan40millionpeoplewerevictimsofmodernslavery.14Duetothe

7TheFreedomFund8Cockayne,J.,UnshacklingDevelopment:Whyweneedaglobalpartnershiptoendmodernslavery,TheFreedomFundandtheUnitedNationalUniversity,20159http://www.lshtm.ac.uk/php/ghd/docs/traffickingfinal.pdf10https://www.state.gov/documents/organization/82902.pdf11https://www.hrw.org/sites/default/files/reports/general958.pdf12TheFreedomFund13TheFreedomFund14http://www.ilo.org/global/about-the-ilo/newsroom/news/WCMS_574717/lang--en/index.htm;AccordingtotheUSDepartmentofState,‘“Traffickinginpersons,”“humantrafficking,”and“modernslavery”areusedasumbrellatermstorefertobothsextraffickingandforcedlabor.TheTraffickingVictimsProtectionActof2000(TVPA),andtheProtocoltoPrevent,SuppressandPunishTraffickinginPersons,EspeciallyWomenandChildren,supplementingtheUnitedNationsConvention

Page 10: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

9

methodological challenges associated with estimating the size of hidden populations, these

numbers are only rough estimates and there is no universal consensus on the number of

traffickedpersonsworldwide.15SincetheUnitedNationsOfficeonDrugsandCrime(UNODC)

started to collect information on the age profile of detected trafficking victims, the share of

childrenamongthedetectedvictimshascontinuously increased,particularlygirlsunder18.16

Outofeverythreechildvictims,twoaregirlsandoneisaboy.17

TraffickinginBrazil

A2001UnitedNationsreportestimatedthat500,000boysandgirls throughoutBrazil

are “inprostitution,”which is also the samenumberestimatedby theCenter forReference,

Studies and Action for Children and Adolescents (CECRIA).18 In 2009, the United States

Department of State estimated that number to be 250,000, and theNational Forum for the

PreventionofChildLaborpublishedanestimateof500,000in2012.AccordingtoMãesdaSé,

anNGOinSãoPaulo,therearenogovernmentagencies,NGOs,orprivateinstitutionsinBrazil

thathaveaconcreteestimateofthenumberofchildrenbeingtrafficked.19Thislackofcertainty

isinpartduetothenatureofthishiddenpopulation,andinpartduetothepervasivelackof

understandingofthedefinitionofhumantrafficking,corruptpracticeslinkedtotrafficking,and

lackofresources.20

againstTransnationalOrganizedCrime(thePalermoProtocol)describethisforcedserviceusinganumberofdifferentterms,includinginvoluntaryservitude,slaveryorpracticessimilartoslavery,debtbondage,andforcedlabor.Humantraffickingcaninclude,butdoesnotrequire,movement.Peoplemaybeconsideredtraffickingvictimsregardlessofwhethertheywerebornintoastateofservitude,wereexploitedintheirhometown,weretransportedtotheexploitativesituation,previouslyconsentedtoworkforatrafficker,orparticipatedinacrimeasadirectresultofbeingtrafficked.Attheheartofthisphenomenonisthetrafficker’saimtoexploitandenslavetheirvictimsandthemyriadcoerciveanddeceptivepracticestheyusetodoso.15Brunner,J.InaccurateNumbers,InadequatePolicies,EnhancingDatatoEvaluatethePrevalenceofHumanTraffickinginASEAN,201516UNODC,GlobalReportonTraffickinginPersons,201417UNODC,GlobalReportonTraffickinginPersons,201418TráficodeMulheres,CriançaseAdolescentesparaFinsdeExploraçãoSexualnoBrasil,CECRIA,Brazil,200019http://www.maesdase.org.br/Paginas/saibamais.aspx20Brunner,J.,InaccurateNumbers,InadequatePolicies,EnhancingDatatoEvaluatethePrevalenceofHumanTraffickinginASEAN,2015

Page 11: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

10

Thelandmark2002PESTRAFReportidentified241traffickingroutes(110internalroutes

and131internationalroutes)throughandoutofBrazilforthefirsttime.21Internally,Brazilians

are trafficked frompoor states in northernBrazil to central and southern states, particularly

towardsRiodeJaneiroandSãoPaulo.Adolescentsmakeupthelargestgrouptraffickedalong

these internal routes, followedbywomen.22 Internationally Brazilians, including children, are

traffickedtoChina,Spain,theNetherlands,Portugal,Paraguay,andItaly,amongothers.23

TheannualTrafficking inPersonReport (TIPReport)24producedbytheUSDepartmentof

State, despite its many challenges, is considered to an important barometer in the global

conversationson trafficking. Ranking countries basedon self-reported trafficking information

byforeigngovernments,theTIPreportorganizescountriesintothreetiers:

� Tier1indicatesthatthegovernmentismakingsignificanteffortstocombattraffickingin

accordancewithTVPA’s(TheTraffickingVictimsProtectionAct)25minimumstandards;

� Tier2signifiesthatacountryisnotfullycomplyingwithTVPA’sminimumstandardsbut

ismakingeffortstodoso;and

� Tier3countriesarefoundnoncompliantwithTVPAstandards.

Inaddition,thereisaTier2WatchListforcountrieswhosevictimnumbersaresignificant,or

steadily increasing and the government cannot provide evidence of increasing efforts or

progress.The20016and2017TIPReportlistsBrazilasaTier2country.Thereportsummarized

thefollowingchallengesforBrazil:

(20016)Brazilisasource,transit,anddestinationcountryformen,women,andchildren subjected to sex trafficking and forced labor. Brazilian women andchildren are exploited in sex trafficking within the country, and federal policereport higher rates of children exploited in prostitution in the north andnortheastregions[…]Childsextourismremainsaproblem,particularlyinresortand coastal areas; many child sex tourists are from Europe, and to a lesser

21http://www.childhood.org.br/wp-content/uploads/2014/03/Pestraf_2002.pdf22http://www.childhood.org.br/wp-content/uploads/2014/03/Pestraf_2002.pdf23http://www.childhood.org.br/wp-content/uploads/2014/03/Pestraf_2002.pdf24https://www.state.gov/documents/organization/271341.pdf 25TheTraffickingVictimsProtectionAct(TVPA)isarguablythemostimportantanti-traffickinglaweverpassed.TheTVPA,anditsreauthorizationsin2003,2005,and2008defineahumantraffickingvictimasapersoninducedtoperformlabororacommercialsexactthroughforce,fraud,orcoercion.

Page 12: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

11

extent,theUnitedStates.Brazilianlawdefinestrabalhoescravo,orslavelabor,asforcedlabororlaborperformedduringexhaustingworkdaysorindegradingwork conditions. […] Brazilianwomenand children, aswell as girls fromothercountries intheregion,areexploited indomesticservitudewithapproximately213,000childrenemployedasdomesticworkersinBrazil.[…]NGOsandofficialsreport some police officers tolerate children exploited in sex trafficking,patronize brothels, and rob and assault women in prostitution, impedingproactiveidentificationofsextraffickingvictims.(2017) Investigation and prosecution efforts in sex trafficking cases remainedweak,reportsofofficialcomplicityandcorruptionwerelargelyunaddressed[…]Brazil should increase funding for specialized services, including housing forvictims of sex trafficking and forced labor; improve federal and state lawenforcementcooperationandcommunicationontraffickingcases,trainfederal,state, and municipal law enforcement officials on proactive identification ofvictims, […] increase specialized services for child trafficking victims, includingcasemanagement assistance and oversight of local guardianship councils. […]Thegovernmenttreatedforcedlaborasadistinctcrimefromsextrafficking[…]This resulted in uneven interagency coordinationof anti-trafficking efforts. […]Officials did not report the number of victims of domestic servitude orcommercial sexual exploitation of children identified in 2017. […] Specializedshelters forchildsextraffickingvictimswere lacking,andguardianshipcouncilsoftendidnothavetheexpertiseor resources to identifychildvictimscorrectlyandreferthemtoservices.[…]Coordinationamongagenciesatthenationalandstatelevelwasunevenandvariedinefficacy.

The majority of victims of sex trafficking in Brazil are female and from situations of

extreme poverty in a context of social exclusion.26 In general they come from poor

communities,have loweducational levels, live inperipheral/marginalizedcommunitieswitha

lackofsanitationortransportation,andlivewithafamilymemberandoftenhavechildrenof

their own.27 Often these women and adolescents work in the service industry as cleaners,

maids,cooks,or insmall commerceenterprisesaswaitresses, receptionists,andstoreclerks.

Usually thesepositionsarepoorlycompensatedandarepaid“under thetable,”providingno

benefitsandareknowntohavehighattritionrates.28Mosthavesufferedsometypeof intra-

familialviolence(sexualabuse,rape,sexualassault,andnegligence).29Whiletheimportanceof

26Darlington,S.2014BraziltacklingchildprostitutionforWorldCup-CNNFreedomProject27http://www.childhood.org.br/wp-content/uploads/2014/03/Pestraf_2002.pdf28http://www.childhood.org.br/wp-content/uploads/2014/03/Pestraf_2002.pdf29http://www.childhood.org.br/wp-content/uploads/2014/03/Pestraf_2002.pdf

Page 13: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

12

thefinancialpropositionisafactorintherecruitment,oftenbasicsurvivalanddesiretoescape

theircurrentreality is themaindriverofyoungwomenfallingpreytotraffickers’advances.30

Often,traffickingvictimsareconfinedconstantlyunderphysicalandpsychologicalthreatuntil

theypay thecostof travel, food,clothing,and ‘documentation’costs,whichoften includesa

fake identification card with a fake date of birth.31 Brazilian researchers Leal and Leal

summarizetheprobleminBrazil:

There’s a direct correlation between poverty, regional inequality and the

existenceoftraffickingroutesforsexualpurposeinallBrazilianregions,witha

fluxfromruraltourbanareas,andtotheless-developedregions.Traffickingin

persons of women, children and adolescents is the result of social

contradictionsmadeitmoreapparentduetoglobalizationsandforthefragility

of the state, making the inequalities of gender, race and ethnicity more

apparent. The phenomena is multidimensional, multifaceted and

transnational… It also has its roots in cultural relations (values that are

patriarchal, chauvinistic, class-based, from gender and adult-centered that

insertwomen,childrenandadolescentsinunequalrelationsofpower….Froma

human rights standpoint, it is configured as a criminal violation of the rights,

mandatingaresponsethatcreatesaccountabilityfortheaggressor,butalsofor

thestateandforsocietyitself.32

DeterminantsofChildSexTraffickinginBrazil

Therearemultiple factors thatcontribute tochild trafficking inBrazil,whicharesummarized

below.

30Darlington,S.2014BraziltacklingchildprostitutionforWorldCup-CNNFreedomProject31http://www.childhood.org.br/wp-content/uploads/2014/03/Pestraf_2002.pdf32Tráficodemulheres,criançaseadolescentesparafinsdeexploraçãosexualecomercialnoBrasil–realidadeedesafios,Leal&Leal,1998

Page 14: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

13

Extremeeconomicdisparitiesandlackofsocialmobility

Brazil’s history of political, economic, and social instability has led to high levels of

inequality, putting vulnerable groups at higher risk of exploitation, including children. Youth

unemploymentamongthoseaged15to24yearsofage,estimatedtobe15.8%in2015,33 is

likely tobe furtherexacerbatedbythecountry'scurrenteconomicrecession.34About30%of

the total Brazilian population is younger than 15 years, and 45% of those living in extreme

poverty (less than$61per capita) are in this age group.And the situation is evenworse for

thosewhoareyounger:almost40%offive-year-oldslivewithfamilieswhoearnlessthan$61

peryear.35In2013,Brazil’sGDPwasUS$2.24trillion:thehighestinLatinAmerica.However,its

GDPpercapitaisonlyUS$14,455.36Thereareverylimitedopportunitiesforincome-generation

activitiesforyouthfromlow-incomebackgrounds.37

Deep-rootedhistoricalracism

The vastmajority of girls and boys being sold for sex are Afro-descendants, most of

whom are girls and women between the ages of 15-24.38 Slavery in Brazil lasted for

approximately three centuries, from the start of the 16th century to themid-19th, a period

duringwhich fivemillion slaveswere shipped fromAfrica— around 11 timesmore than to

NorthAmerica.39ThenationwasthelastintheAmericastoabolishslaveryin1888.Butmany

Afro-Braziliansarestillconfinedtothemarginsofsociety.Today,almost70percentofpeople

living in extreme poverty are black.40 And they are almost totally absent from positions of

power. Afro-Brazilians make up 53% of Brazil’s population, a total of about 106 million

individuals. It is theworld’s largestblackpopulationoutsideAfrica.41Asan indicationoftheir

vulnerability,accordingtotheUnitedNationsChildren’sFund,blackBraziliansages12to18are

33http://uk.reuters.com/article/uk-employment-china-idUKKCN0S22QI2015100934http://www.bbc.com/news/business-3642542735Neri,M.andDaCosta,D.R.,Otempodascrianças,Brazil:GraduateSchoolofEconomics,GetúlioVargasFoundation,200236LegatumInstitute,2016ProsperityIndex37Someorganizationsareworkingtofillthisgap:ProjectViraVida,anNGOestablishedin2010hasbeensuccessfulintrainingyouthsurvivorsofsexualviolenceinmodernserviceskillsinfashion,tourismandhospitality,gastronomy,digitalcommunication,andofficeadministration.Inthefirstsixyears,theprogramhasserved5,000youthin26citiesacrossBrazilsee:http://www.viravida.org.br.38https://www.unicef.org/about/annualreport/files/Brazil_2016_COAR.pdf39https://library.brown.edu/create/fivecenturiesofchange/chapters/chapter-2/african-slavery/40https://freedomhouse.org/report/freedom-world/2018/brazil41http://www.nytimes.com/2015/03/24/opinion/vanessa-barbara-in-denial-over-racism-in-brazil.html

Page 15: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

14

almostthreetimesmorelikelytogetkilledthantheirwhitecounterparts,andasurveybythe

BrazilianForumonPublicSecurityfoundthatblackBraziliansaccountedfor68%ofallhomicide

victims.42

Culturalnormsthatsexualizegirls

While an in-depth discussion of this topic is beyond the scope of this paper, Brazil’s

culturalnormsare rooted ina longhistoryofpatriarchy, impunity, andeconomicdisparities.

Thetele-novelasandmediaalsocontinuetoaffecttheBraziliancollectivepsycheonsexuality,

beauty,anddisability,andcontinuetodenigrategirlsandpromoteaperceivedhyper-sexuality

of girls and women. In a 2013 survey of construction workers by Childhood Brasil, 57%

confirmedthatchildrenandadolescentsnearbybigconstructionprojectswerebeingsexually

exploited,while25%ofthemadmittedtohavinghadsexoneormoretimeswithadolescents.43

ChildhoodBrasil concluded that, “In theeyesof thispopulationofmaleworkers, there isno

sexualexploitationofchildrenandadolescents.”44A2012reportbyInstitutoProMundofound

that77%ofmenthoughtitwascommontohavesexwith“underageprostitutes.”45

Brazil ranks fourth in theworld in terms of adolescentsmarrying by 15 years of age.

ProMundo data shows that olderman seek younger women because they are perceived as

more “obedient”ofmen,becausebyassociation they feel younger themselves, andbecause

they want to “marry someone who they can teach things to.”46 Gender inequality clearly

contributes to the sexual exploitation of Brazilian girls, through unequal power dynamics,

commodification of women as sexual objects at the disposal of men, and uneven share of

familyresponsibilitiesthatinthepoorestsectorsforcingmotherstoenterintoprostitutionto

ensurethesurvivalofchildren.47

42https://www.hrw.org/report/2009/12/08/lethal-force/police-violence-and-public-security-rio-de-janeiro-and-sao-paulo43http://www.childhood.org.br/dimensoes-e-impactos-dos-grandes-eventos-esportivos#as-licoes44http://www.childhood.org.br/dimensoes-e-impactos-dos-grandes-eventos-esportivos#as-licoes45https://promundoglobal.org/wp-content/uploads/2015/07/SheGoesWithMyBoat_ChildAdolescentMarriageBrazil.pdf46https://promundo.org.br/wp-content/uploads/sites/2/2015/02/Understanding-Mens-Use-of-Violence-Against-Women-IMAGES-Brazil-Chile-Mexico.pdf47RightsoftheChild,ReportsubmittedbytheSpecialRapporteuronthesaleofchildren,childprostitutionandchildpornography,JuanMiguelPetit,2004

Page 16: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

15

Girlsandboyssubjectedtosexualabuseandviolenceathomeorthosewholiveinan

environmentwhereadultprostitution iswidespread learn toviewsuch sexual activityas the

normandmaynotseethemselvesasvictimslater.48Thisiscompoundedbythepervasivebelief

thatadolescentvictimsofsextraffickingaretoblamefortheirsituation.49

Culturalnormsthatacceptviolenceagainstwomen

A16-yearoldadolescentgirl froma low-incomecommunity inRiowasgang-raped in

2015.Graphicphotosandvideosoftheunconscious,nakedadolescentwerepostedonTwitter,

and severalmen jokedonlineabout theattack.50 Thecase rockedBrazil, andhighlighted the

nation’s deep-rooted problem of violence against women. The Brazilian Center for Latin

American Studies found thatmore than92,000womenwere killed in gender-related crimes,

includingrapeanddomesticabuse,from1980to2010.51Accordingtoa2014reportbyanNGO

calledtheFórumBrasileirodeSegurançaPública(BrazilianForumofPublicSecurity),arapeis

reported to police every 11 minutes in Brazil.52 In 2014, more than 47,500 rapes

werereportedinthecountry,ofthosecases61%ofthevictimswereblackwomen.53

Technologyasanenabler

Brazil’s fastest growing online population of young people has made the country,

according to theWall Street Journal, “the social media capital of the universe.”54 Internet

technologies and digital networks give users the unprecedented ability to connect and

communicate instantaneouslywith individualsand largeaudiencesover longdistances.While

suchtechnologieshavecertainlyhadaliberatingeffect,theyalsoenabletraffickerstoexploita

greater number of victims across geographic boundaries.55WhatsApp, which now hasmore

than100millionusers inBrazil (90%ofwhomhaveamobilephone)hasenabledsellersand

482016OffendersontheMoveReport,AGlobalStudyonSexualExploitationofChildreninTravelandTourism,ECPATInternational492016OffendersontheMoveReport,AGlobalStudyonSexualExploitationofChildreninTravelandTourism,ECPATInternational50https://www.nytimes.com/2016/05/29/world/americas/first-arrest-made-in-gang-rape-case-in-brazil.html51https://www.nytimes.com/2016/05/29/world/americas/first-arrest-made-in-gang-rape-case-in-brazil.html52http://www.forumseguranca.org.br/estatisticas/introducao/53https://www.hrw.org/world-report/2017/country-chapters/brazil54https://www.wsj.com/articles/SB1000142412788732330110457825795085789189855Latonero,Mark,Ph.D.,HumanTraffickingOnline-TheRoleofSocialNetworkingSitesandOnlineClassifieds,2011

Page 17: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

16

buyers to connect in an unprecedented way.56 In 2015 Reuters reported that traffickers

worldwide are increasingly using socialmedia to contact vulnerable teenagers and sell them

into sexwork. 57 Theyarequick toadopt the latestonlineplatformspopularwith teenagers,

creating new challenges for law enforcement agencies. Once limited to luring victims in the

street, traffickers and their intermediaries can now communicate and recruit thousands of

peoplethroughInstagram,Facebook,Kik,Tagged,Twitter,WhatsAppandSnapchat.58Europol,

theEuropeanUnion’spoliceagency,hasstatedthatsocialmediaandotheronlinetechnology

havenotonlytakentherecruitmentandsellingprocessoffthestreetsbutalsoallowtraffickers

tocontrolvictimsusingremotesurveillance.59

Lackoftrustinthejusticesystem,corruption,andacultureofimpunity

Brazilians have very little faith in the judicial system, which is generally viewed as

corrupt. In a 2013 Transparency International study, 50% of Brazilians reported that they

believetheirjudicialsystemiscorruptorextremelycorrupt.60Thelegalsystemisalsoincredibly

slow-moving.Conservativestatisticsestimatethenumberoflawsuitsawaitingfinaldecisionto

bemore than 50million.61 Between 1995 and 1999, 32.2million cases entered theBrazilian

courts. However, only 22.6million of thesewere decided during the same period.62 Judicial

stagnation in Brazil is caused by an excess of guaranteed appeals as well as an overloaded

SupremeCourt.63

Lack of trust in the police is also an aggravating factor. According to Human Rights

Watch, police in the state of Rio de Janeiro have killedmore than 8,000 people in the past

56https://www.wsj.com/articles/SB1000142412788732330110457825795085789189857https://www.reuters.com/article/women-conference-traffickers/feature-tech-savvy-sex-traffickers-stay-ahead-of-authorities-as-lure-teens-online-idUSL8N1343ZL2015111658Thesefindingswereconfirmedbythe2016OffendersontheMoveReport,AGlobalStudyonSexualExploitationofChildreninTravelandTourism;Britain’sNationalCrimeAgency59GlobalCorruptionBarometerofTransparencyInternational,201360GlobalCorruptionBarometerofTransparencyInternational,201361GlobalCorruptionBarometerofTransparencyInternational,201362InternationalTradeandBusinessLawReview,Jones.R&Moens,G.,200863TheUnitedNationsHumanRightsCouncilconfirmedthatcourtsinBrazilare‘extremelyslow,’citingtheextensiveappealssystem;UnitedNationsPressRelease,‘UnitedNationsExpertConcernedAboutLackofAccesstoJusticeinBrazil’.

Page 18: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

17

decade.64In2015,policewereresponsibleforonefifthofthehomicidesinthecityofRioalone.

According to Amnesty International, the police are responsible for as much as 15% of the

homicidesinRiodeJaneiro.65InSãoPaulo,thepoliceareresponsibleforasmanyas1outof5

violentdeaths.66Corruptbehaviorof lawenforcersmayhelp traffickers to recruit, transport,

andexploittheirvictims;corruptcriminaljusticeauthoritiesmayobstructtheinvestigationand

prosecutionofcases,and/orimpedetheadequateprotectionofvictimsofthecrime.67

64https://www.hrw.org/world-report/2018/country-chapters/brazil65https://www.amnesty.org/en/countries/americas/brazil/report-brazil/66https://www.hrw.org/world-report/2018/country-chapters/brazil67https://www.hrw.org/world-report/2018/country-chapters/brazil

Page 19: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

18

Legalframeworkstoaddresschildsextrafficking

InternationalLaw

Trafficking in human beings is not a recent phenomenon. Nevertheless, a common

internationallegaldefinitionfortheterm‘trafficking’wasnotarticulateduntilDecember2000

during the Political Conference of the United Nations in Palermo, Italy, when 121 countries

signedtheInternationalConventionAgainstTransnationalOrganizedCrime,whichincludedthe

ProtocoltoPrevent,SuppressandPunishTraffickinginPersons,especiallyWomenandChildren

(the Palermo Protocol). The Convention entered into force September 29, 2003 and the

protocolenteredintoforceon25December2003.ThePalermoProtocoldefinestraffickingin

personsas:

[T]he recruitment, transportation, transfer, harboringor receiptof persons, bymeansofthethreatoruseofforceorotherformsofcoercion,ofabduction,offraud,ofdeception,oftheabuseofpowerorofapositionofvulnerabilityorofthe giving or receiving of payments or benefits to achieve the consent of aperson having control over another person, for the purpose of exploitation.Exploitationshall include,ataminimum,theexploitationof theprostitutionofothersorotherformsofsexualexploitation,forcedlabororservices,slaveryorpracticessimilartoslavery,servitudeortheremovaloforgans.

Notably,thedefinitionoftraffickingdoesnotnecessarilyrequiremovement.Furthermore,even

whenthedefinitionoftraffickingaddressesthemovementofthevictim(“transfer”,“transport”

and“receipt”)thereisnospecificationthatthismovementhastobeacrossborders,whichis

particularly relevant given the prevalence of internal trafficking within Brazil. Importantly,

Article3(b)ofthePalermoProtocolnotesthatthe“consentofavictimoftraffickinginpersons

totheintendedexploitation”describedintheabovedefinitionisrenderedirrelevantwhereany

ofthemeansdescribedinthedefinitionhavebeenemployed.

Importantly,Principle8ofthePalermoProtocolrequiresstatestoensurethatthevictim

isprotectedfromfurtherexploitationandharm(fromthosewhohavealreadyexploitedthat

Page 20: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

19

personandfromanyoneelse).UnderthePalermoProtocolstatesareexplicitlyresponsiblefor

protecting and caring for victims and are required to provide victims of national and

internationaltraffickingwithphysicalandpsychologicalcarethatisadequatetomeetatleast

immediate needs. The Protocol is supplemented by a number of Guidelines that focus on

specificelementsofsuchcareandsupport.Guidelines6.1and6.2,forexample,requestStates

andotherstoconsiderensuring,alongwithNGOs,theavailabilityofsafeandadequateshelter

thatmeetstheneedsoftraffickedpersonsandaccesstoprimaryhealthcareandcounseling.

ThePalermoProtocoloffersadditionalprotections forchildren.Article3(c)articulates

that“[t]herecruitment,transportation,transfer,harboringorreceiptofachildforthepurpose

ofexploitationshallbeconsidered ‘trafficking inpersons’even if thisdoesnot involveanyof

the means set forth” in the definition. This means that the crime of trafficking in children

requires only an action (movement, sale, receipt, etc.) carried out for the purpose of

exploitation; it is not necessary to establish any “means” such as deception, coercion or the

abuse of power or of a position of vulnerability. Thismeans that when a child is recruited,

enticed,harbored,transported,provided,obtained,ormaintainedtoperformacommercialsex

act, it is not necessary to prove force, fraud, or coercion in order for the offense to be

characterized as human trafficking. There are no exceptions tothis rule: Children who are

“prostituted” are by definition trafficking victims.68 Guideline 8 of the Palermo Protocol

specifies that the particular physical, psychological harm suffered by trafficked children and

their increased vulnerability to exploitation require that they be dealt with separately from

adulttraffickedpersonintermsoflaws,policies,programs,andinterventions.Itfurtherstates

that child victims should be provided with appropriate assistance and protection and full

accountshouldbetakenoftheirspecialrightsandneeds.69

Beyond the 2004 ratification of the Palermo Protocol, Brazil has signed or ratified all

major international child protection instruments, including the Geneva Declaration of the

68TraffickinginPersonsReport,2015,USDepartmentofState69Surtees,R.(2013).AfterTrafficking:ExperiencesandChallengesinthe(Re)integrationofTraffickedPersonsintheGreaterMekongSub-region,UNIAP/NEXUSInstitute

Page 21: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

20

Rights of the Child (1924), The Universal Declaration of Human Rights (1948), The Second

DeclarationoftheRightsoftheChild(1959),TheConventionontheRightsoftheChild,(1989),

TheViennaDeclarationandProgrammeofAction(1993),andtheWorstFormsofChildLabor

Convention182(1999).UndertheUNConventionontheRightsoftheChild(CRC)Stateshave

thedutytoensuretheprotectionofeverychildagainstanyformofneglect,abuse,violence,

andexploitation.70

NationalLegalFramework

As mentioned in an earlier section, Brazil ratified the Palermo Protocol in 2004,

affirmingtorevisethecountry’spenalcode,whichatthetimedidn’talignwiththeProtocol.

Twelve years late, with decree 5.017/2004, Law 13.344 was revised on October 16, 2016

addressingdomesticandinternationaltraffickinginpersonsandcriminalizedallformsoflabor

traffickingandsomeformsofsextrafficking,andprescribedpenaltiesoffourtoeightyearsof

imprisonmentandafine.Thelawalsocreatedadditionalprovisionsforthecrimeoftrafficking

in persons in Article 149-A71 of the penal code (added to the penal code after the crime of

reducingapersontoconditionsanalogoustoslavery).72

Retrospectively, in 2006, Brazil created the Política Nacional de Enfrentamento ao

Tráfico de Pessoas to implement a national plan on coping with trafficked persons (Plano

NacionaldeEnfrentamentoaoTráficodePessoas,PNET-I).73In2008,BrazilhostedtheIIIWorld

70UNConventionontheRightsoftheChild(CRC)71Article149oftheBrazilianPenalCodeReducingtoaconditionanalogoustoslavery,eitherbysubjectingsomeonetoforcedlabororexhaustiveworkday,orbysubjectinghim/hertodegradingworkingconditions,orrestrictinghis/herlocomotion,byanymeans,becauseofindebtednesstowardstheemployerorhisagent:Penalty–imprisonmentfromtwotoeightyearsand,inaddition,afineaccordingtothepenaltycorrespondingtotheviolence.§1.Thesamepenaltiesapplytothosewho:I–restricttheuseofanymeansoftransportbytheemployee,inordertoretainhim/herintheworkplace;II–keepsovertsurveillanceintheworkplaceorseizesdocumentsorpersonalbelongingsoftheemployee,inordertoretainhim/herintheworkplace.72http://www.planalto.gov.br/ccivil_03/decreto-lei/Del2848compilado.htm73MinistériodaJustiçadoBrasil.TráficodePessoas–IIPlanoNacionalwww.portal.mj.gov.br

Page 22: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

21

CongresstoCombatSexualExploitationofChildrenandAdolescents,atwhichthegovernment

committedtorevisingthe2006Planbasedonthenatureoftransnationalcrimes,therolethat

technology plays in these crimes, and the structure of psycho-social work for victims as a

fundamentalcomponentofthelong-termstrategyofbreakingthecycleofviolence.74

DomesticLawsprotectingChildren

Brazil’senactmentoftheEstatutodaCriançaedoAdolescente(StatuteontheChildand

Adolescent, ECA) in 1990 marked a major and unprecedented milestone in Latin America

becauseitgavechildrentheirfullrightsascitizens.Sincethen,thecountryhasmovedtoward

building a system of protection to ensure the rights of children. The ECA called for the

establishment of an institutional framework to protect children’s rights, but years after its

adoption,severalprovisionsofECAareyettobefullyimplementedinpractice.In1993,Brazil

created a Parliamentary Investigative Commission (CPI, Comissão Parlamentar de Inquérito)

withthemandatetofurtherinvestigatethesexualexploitationofchildrenandadolescentsin

Brazil.75BrazilputintoplaceTheNationalPlanforCombatingSexualViolenceAgainstChildren

andAdolescentsin2000(PlanoNacionaldeEnfrentamentoàViolênciaSexualcontraCriançase

Adolescentes), The National Plan of Family and Community Interaction (Plano Nacional de

ConvivênciaFamiliareComunitária) in2006,TheNationalPlan toCombatHumanTrafficking

(Plano Nacional de Enfrentamento ao Tráfico de Pessoas II) in 2008, The Decennial Plan for

Children and Adolescents (Plano Decenal dos Direitos de Crianças e Adolescentes), and The

National Program for Human Rights (Programa Nacional dos Direitos Humanos- PNDH-III) in

74Brazilhasalsoengagedinextensiveawarenesscampaignsontrafficking,particularlyaroundlargesportingevents.In2013,BraziljoinedtheUnitedNationsOfficeonDrugsandCrime(UNODC)BlueHeartCampaignagainstHumanTrafficking.BrazilianpopstarIveteSangalowasappointedasanationalUNODCGoodwillAmbassadorandbecamethefaceofthecampaign,whichaimstomobilizeBraziliansocietyagainstthiscrime.TherewerealsoothercampaignstoraiseawarenessaboutchildexploitationingeneralaroundthemajorsportingeventsthattookplaceinBrazilin2014and2016suchas“GetontheField”(EntreemCampo,RedesPelosDireitosdaCriançaedoAdolescente)plannedbyECPATBrasil,TheNationalCommitteetoCombatSexualViolenceofChildrenandAdolescents(ComitêNacionaldeEnfrentamentoàViolênciaSexualContraCriançaseAdolescentes),TheNationalAssociationofCentersfortheProtectionoftheRightsoftheChildandAdolescents(AssociaçãoNacionaldosCentrosdeDefesadosDireitosdaCriançaedoAdolescente),ANCED/DCIBrasil(SeçãoDefenseforChildrenBrasil),TheNationalForumfortheRightsofChildrenandAdolescents(FórumNacionaldeDefesadosDireitosdaCriançaedoAdolescente,FNDCA),andtheNationalForumofChildSlaveLaborEradication(FórumNacionaldePrevençãoeErradicaçãodoTrabalhoInfantil,FNPETI).FortheWorldCup,theBraziliangovernmentsetaside8millionReais(about$3.3USDmillion)tocombatchildsexexploitationinhostcities.TheBraziliangovernment,theNGOcommunityandUNagenciesalsodevelopedtheConvergenceAgendaofPromotion,ProtectionandDefenseoftheRightsofChildrenandAdolescentsinGreatEventsbeforemega-sportingevents.75http://www.cidh.oas.org/countryrep/brazil-eng/chaper%205%20.htm

Page 23: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

22

2010.In2013,BrazilsignedtheBrasiliaDeclarationonChildLabor,whichprovidesguidancefor

an integratedresponsetochild laborandsetambitiousgoalstoeliminatetheworstformsof

child labor by the year 2016.76 Andmore recently, in 2018, changes to the ECAwere put in

effect, specifically Law 13.431/2017 which re-establishes the systems of guarantees of the

rights of the child and reinforces the vulnerability of the child, and that their consent is

irrelevant in accordance with the Palermo Protocol (evidence of deception, force, coercion,

should not be required elementswhen children are the victims of trafficking cases).77While

these plans represent good intention and commitment to protecting the rights of Brazilian

children, their decentralized organization, bureaucratic layers of overlapping and sometimes

conflictingeffortsbymultiple committeesandorganizedbodies, chronic lackof funding, and

general obstacles to implementation of any theory to action, all impede the practical

implementationoftheseworthygoals.

ChildrenGuardianshipCouncils

In 1990, one year after the almost universal ratification of the 1989 United Nations

Convention on the Rights of the Child (UNCRC), the Statute on the Child and Adolescent,

Exploração Comercial de Adolescentes (ECA) was passed into law in Brazil as part of the

progressive Brazilian Federal Constitution of 1988 following years of military dictatorship.

CloselyfollowingthemainprinciplesoutlinedintheUnitedNationsConventionoftheRightsof

theChild,ECArepresentedaprofoundmodificationinthewaychildrenandadolescentswere

consideredbytheBrazilianlegislation.78Thefactthatthislegislation,“currentlyacknowledged

as one of the most advanced in the world, was enacted in a society well-known for its

numerous examples of violations of child rights, is a clear indication of the many deep

contradictionsthatcharacterizeBrazil.”79

762013BrasiliaDeclarationonChildLabor,ILO,http://www.ilo.org/ipec/Campaignandadvocacy/BrasiliaConference/lang--en/index.htm77http://www.planalto.gov.br/ccivil_03/_Ato2015-2018/2017/Lei/L13431.htm78Rizzini,I.,TheChild-SavingMovementinBrazil:IdeologyintheLateNineteenthandEarlyTwentiethCenturies,200279Duarte,Cristina.,Hoven,Cristina.W.,Rizzini,Irene,Earls,Felton,Carlson,Mary.TheevolutionofchildrightscouncilsinBrazil.InternationalJournalofChildren'sRights.

Page 24: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

23

ChildrenGuardianshipsCouncils(CGCs,“ConselhosTutelares”)wereestablishedallover

Brazil as part of ECA’s implementation. CGCs are regulated by ECA and are of strategic

importanceinthesystemthatguaranteestherightsofthechildasitensuresthattherightsof

thechildaresafeguardedbyother institutions.TheCGCsdonotprovideanydirectserviceto

children or their families. Rather, they are permanent, autonomous, non-jurisdictional

institutionswiththemandatetoinformpublicpoliciesatthemunicipallevelsandmonitorthe

implementation of the policies to guarantee children’s rights as outlined in the UNCRC

according to the “System of Guarantees of the Rights of the Child and Adolescents” (the

“SystemofGuarantees”).TheSystemofGuaranteesisathreeaxessystemthatissupposedto

articulate and integrate government and civil society on the mechanisms of promotion,

protection, and executive control of the rights of the child at all levels. This system is

responsibleforactivatingthecompetentservicesinthejudiciary,andinrelevantsectors,such

ashealth, education and social assistance. The roleof theCGCs is to ensure that children in

need or at-risk receive the best possible assistance. Therefore, the CGCs respond to a wide

range of situations (e.g., child abuse, school drop-out, inadequate health care, legal issues,

etc.). It should be emphasized that the CGCs are not responsible for actually providing the

needed service; their task is to make referrals and guarantee that children actually get the

neededintervention.Anyone,includingchildrenthemselves,families,teachers,socialworkers,

policemenorotherofficials,mayaskCGCstointervene.

Intotal,thereare5,904CGCsacrossthe5,570municipalitiesinBrazil,meaningthat99%

ofmunicipalitieshaveadedicatedCGC.80TheCGCisformedbyfivecommunitymembersvoted

inbythelocalcommunity. ItsmembersreceiveaboutR$4,500monthly($1,382USD)andare

eligible for maternity and paternity leave, vacation time, and a year-end bonus. One

municipalitymayhavemorethanoneCouncil, forexample, ina largemunicipality likeRiode

Janeiro, there are dozens. Under the ECA, Public Defender’s Office (“Ministério Público”) is

responsibleforthemonitoringoftheoperationoftheCGCs.

80268municipalitieshavefewerthanoneCGCper100,000people,somehavemultiples,andsomehavenone.

Page 25: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

24

ChallengesandOpportunitiestoPreventandRespondtoChildSexTrafficking

ChildrenGuardianshipCouncils

Intheory,theCGCsshouldworkwellgiventheirautonomyandtheircapillarystructure

throughout Brazil. In practice, however, the system for enforcing children’s rights is not

operatingasitwasenvisionedinECA.Legalprofessionals,publicdefenders,publicprosecutors

and judges, operate in an inefficient institutional environment replete with constraints and

dysfunctionaswellas loopholes that leadtopervasive impunity forperpetrators.The lackof

resourcesandthelackoftrainingofcounselorshampertheproperfunctioningofmanyCGCs.

Theirpoliticizednaturecouldalsobeanobstacletotheirfunctioningeffectively,ascounselors

oftenusetheirelectionandappointmentasafirststepintheirpoliticalcareers.

Most CGCs don’t have the physical infrastructure or the ability to train and

professionalize the elected counselors.Once elected, a counselor is given a brief training on

ECAbefore startingonhisorherpost,but the training is insufficientandnot requiredoften

enough.InterviewswithlocalNGOsinRiodeJaneirorevealedthatCGCsoftendonothavethe

expertise or resources to identify child victims correctly and refer them to the appropriate

services. The people selected as members might know little or very little about trauma,

developmentalmilestones,ormentalhealth,forexample.Moreover,thereisvery littlethird-

partymonitoringoroversightofCGCs’functioning.

Assessing the performance of CGCs is also difficult. A number of researchers from

differentNGOsinBrazilmentionedthebarriersinaccessinganydataandfilesfromsomeofthe

CGCsinRiodeJaneirostate,asanexample.CGCsarenotpreparedtosystematicallycollector

analyze data about the cases they see. There is an existing system—Sistemade Informação

Para Infância e Adolescência (SIPIA)— but it is underutilized and for the most part the

informationisnotenteredelectronically.Forexample,asearchforcommercialsexexploitation

casesinthestateofRiodeJaneirofromJanuary1,2016toDecember30,2016producedzero

results (see image 2). One CGC counselor who has been in her position for 34 years in a

Page 26: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

25

prominent,high-volumeCGC inRiodeJaneiro’ssaid ifshehastoshareany informationwith

thepoliceorahospital,forexample,shesendsitbyfax.Shedoesnottrustthe“SIPIA”system

andkeepsallofhercases inhardcopies,whichwerevisiblysittingatherdeskwheredetails

could be read. The low level of sophistication of the current data systems in CGCsmake it

impossibletoaccountforallcasesofcommercialexploitationofchildren(andtomultiplecount

forothers)acrossmunicipalities,andimpossibletoshare.

AsamplesearchinSIPIAforcommercialsexexploitationcasesinthestateofRiodeJaneiro

fromJanuary1,2016toDecember30,2016,showing“noresults”.

The best practices documentation available to the general public covers the physical

aspects of the “Model CGC Unit” including placement of water fountains, distance between

front desk and counselor’s office, but it does not inform the quality of its personnel,

infrastructure,technicalsupport,ormonitoring.81In2012,theHumanRightsSecretariatofthe

Presidencystartedanationalassessmenttounderstandwhatbasic toolsofserviceeachCGC

was missing, and as a result, established that each CGC should have at a minimum: one

automobile, five computers, one printer, one refrigerator and one drinking fountain. The

assessmentshowedthat44%oftheCGCsdon’thaveanautomobile,25%don’thavealandline,

37%don’thavea24-houremergencycellphone,and52%havechangedaddressatleastonce

in the last 4 years and 15% changed more than once.82 Nowhere in the narrative of any

documentationdoestheSecretariatprovidesanylanguageonhowtobettertraincounselors,

81http://www.sdh.gov.br/assuntos/criancas-e-adolescentes/programas/fortalecimento-de-conselhos/conselho-tutelar-referencial/arquivos/manual-de-orientacoes-para-construcao-dos-conselhos-tutelares82http://www.mpap.mp.br/images/infancia/Cadastro_CT.pdf

Page 27: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

26

orbettermonitortheirwork.

The CGCs could play a key role in combating child sex trafficking in Brazil. They are

poised, in eachmunicipality to be the frontline advocates to identify victims; to understand,

gather,andanalyzetrendsinrecruitmentbytraffickers;toworkwithschoolsandchurcheson

prevention; to partner with local NGOs on advocating for high-quality healing and re-

integrationservicesforvictims.

Definitionsoftrafficking

Solvinganychallengerequiresacommonunderstandingoftheproblemitself.InBrazil,

although the legislation has been aligned with The Palermo Protocol since late 2016, the

implementation of the law lags behind. The domestic sex trafficking of Brazil’s poorest and

mostvulnerablechildrenishardlydiscussedbecauseitisstillnotperceivedofas“trafficking”,

despitethe2016changesinlegislation.83ThisinconsistentuseofterminologyinBrazilbetween

commercial sexual exploitation, “child prostitution,” and trafficking seriously hinders the

development and application of public policies between the multiple involved government

bodies as the definitions are still fragmented and recorded among multiple systems of

information.IfgovernmentbodiesandNGOsdon’tconsidercertainindicatorsthatwouldhelp

themtoidentifytraffickingvictims,thevictimswillfallthroughservicedeliverycracksandadds

tothe“invisibility”oftheproblem.ThemisidentificationoftraffickingvictimsinBrazilmightbe

keeping Brazil from securing valuable international funding to support the work of NGOs

assistingtraffickingvictims.

The Palermo Protocol’s provisions have not yet permeated to local level government

andNGOs,despitelegislationchangein2016.Duringsomeofmyinterviewsatthelocallevel,

governmentandNGOstaffrecognizedthatcommercialexploitationofchildrenexists,butnone

really addressed it under a trafficking framework. Nearly every source interviewed – from

83 Article149ofthePenalCodeisstillmisalignedasitreferstoadditionalsentencingforinternationalbordercrossing.ThereisadditionalsentencingfortraffickerswhenavictimcrossesinternationalbordersfromBrazil,butnotifavictimisbroughtintoBrazil.https://www.ilo.org/wcmsp5/groups/public/---ed_norm/---declaration/documents/publication/wcms_111297.pdf

Page 28: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

27

government, to NGO, to the average public— questioned the political will required to see

domesticsextraffickingasapriority.

Lackofinfrastructure

AlthoughBrazil hasmade significant progress in protecting the rights of children, the

countrystill lackstheinfrastructureandresourcestoidentify,rescue,shelter,andrehabilitate

traffickingvictims.Lawenforcement,socialworkers,teachers,andotherfrontlineworkershave

notbeenofferedthetrainingorgiventheresources toenable themto identify theproblem.

NGOsalsocite the lackof financial resources, theextremelyslowpaceof the justicesystem,

andtheprecariousconditionsofthepublicsystemsandnetworksthataresupposedtobe in

placetoprotectwomenandchildren.Theyalsocitethelackofcapacity/professionalizationof

thepeoplewhoarethefrontlineworkersinthedirectservicespacebothingovernmentandin

NGOs.84

Governmentsupportofservices

The federal government does not fund specialized shelters or services for trafficking

victims.General victim servicesand shelters vary inquality fromstate to stateandgenerally

remainunderfundedandinadequate.In2013therewereabout45,000availablebedsatboth

governmentandNGOsheltersthroughoutBrazil,specificallyforchildrenandadolescents,but

noefforthasbeenmadetomakethesebedsavailableaccordingtoagerangeorgender,even

though thispolicyalreadyexists in thePlanoNacionaldePromoçãoeDefesadosDireitosde

Crianças e Adolescente a Convivência Familiar e Comunitária.85 Anti-trafficking offices were

responsible for referringvictims to services,butauthoritiesdidnot reporthowmanyvictims

wereactually referred.Thegovernmentoperatesspecializedsocial servicecentersacross the

countrywherepsychologistsandsocialworkersprovidedassistancetovulnerablepeople,but

only23%werecertifiedtoassisttraffickingvictimsandmanycenterswereunderfunded.86

In 2013— the last year for which statistics were available—these centers reported

84https://www.loc.gov/law/help/child-rights/brazil.php85MinistérioPúblico,201386https://www.state.gov/j/tip/rls/tiprpt/

Page 29: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

28

assisting292 traffickingvictims; authoritiesdidnot report theageor genderof228of these

victims, but reported assisting 12 girls, 10 women, 10 boys, and 32 men. There were no

specializedservices formaleand transgendersex traffickingvictims.Thegovernmentdidnot

fundlong-termshelterfortraffickingvictims.87

Lackofreliabledata

There isaprofoundlackofdatarelatedtochildexploitation inBrazil.Thefiguresthat

existare fromtheHumanRightsSecretariatof thePresidency’sRightsAbusehotline“Disque

DenúnciaNacional”(Dial100).ComplaintsareforwardeddirectlytoDial100,buttheyinclude

all human rights violations, and are not exclusive to sexual exploitation, sexual violence, or

trafficking.Paralleltothehotline,there isafreeapp“ProtejaBrasil”(ProtectBrazil).Theapp

alsoreceivescomplaintsconcerningplaceswithoutaccessibility,internetcrimes,andviolations

related to other vulnerable populations. In 2013 the hotline received more than 120,000

denunciationsofviolationsofchildren’srights.AnalysisofreportstotheDial100hotlinefound

thatnearly50%ofvictimswerefemale,60%wereAfro-Brazilian,andvictimsofviolencewere

mainly aged 8-14, with 65% of the aggressors belonging to their immediate family.88 Sexual

violencerankedfourthplaceamongtheDial100complaintsin2013at26%(sexualviolenceis

classified in two categories: “domestic abuse of a minor, like statutory rape, and sexual

exploitation for profit, like prostitution”). In 2013 there were 28,552 reports of abuse and

10,664ofsexualexploitation.89Thereisnodataonthequalityoronthefollow-upservicesof

Disque100referrals.

87MinistérioPúblico,201388http://www.sdh.gov.br/disque100/disque-direitos-humanos89http://www.ipsnews.net/2014/06/red-card-for-exploitation-of-children-at-brazils-world-cup/

Page 30: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

29

AddressingthePsychologicalImpactofChildSexTrafficking

Trafficking often has a profound long-term impact on the health and well-being of

survivorsasaresultofphysical,sexual,andpsychologicalabuse,forcedorcoerceduseofdrugs

andalcohol,socialrestrictionsandmanipulation,economicexploitationanddebtbondage,and

otherabuses.90Theinflictionofphysicalinjuriesandtheirpsychologicalimpactareinallcases

intertwined.Indeed,interpersonalphysicalviolenceoftenincludesapsychologicalcomponent.

Forexample,physical injurywhich isspecifically intendedtodegrade,humiliate,orsubjugate

the victim results in psychological injury and distress. Psychological control—ranging from

emotional manipulation to threats of violence or witnessing violence against others— may

causeavictimtoself-harmorattemptsuicide,therebyresultinginphysicalinjury.

The experience of severe trauma can overwhelm healthy adaptation, resulting in

intense fear, helplessness, loss of control, threat of annihilation, helplessness, and terror.91

These reactions may affect normally integrated functioning, increasing physiological arousal

andemotionalderegulation,andcausechanges incognitionandmemory.92 Inastudyof387

child and adolescent survivors of human trafficking attending post-trafficking services in

Thailand,Cambodia,andVietnam,56%screenedpositivefordepression,33%foranxiety,and

26% for PTSD.93 Child trafficking victims, by virtue of their age andmaturity, may not have

developed the toolsandskillsneeded tocopewith the traumathatwouldbedifficult foran

adult to overcome. Children and adolescents are particularly vulnerable to trauma because

their brains are not fully developed. During childhood, new neuronal pathways and

interconnections form because the brain is constantly being shaped by new experiences.94

When experiences involve trauma, the brain cannot learn new information because it is

focused insteadonavoidingharmanddanger.Whenchildrenexperience trauma, “there isa

90Zimmerman,C.etal.,TheHealthRisksandConsequencesofTraffickinginWomenandAdolescents,2003,http://www.lshtm.ac.uk/php/ghd/docs/traffickingfinal.pdf;Addressingmentalhealthneedsinsurvivorsofmodernslavery,acriticalreviewandresearchagenda,TheFreedomFundandtheHelenBamberFoundation,201591http://www.barnardos.org.uk/considering_trauma_and_recovery-2.pdf92http://www.barnardos.org.uk/considering_trauma_and_recovery-2.pdf9382%female;agesrangingbetween10and17;Kissetal.,2015b94Ford,2009

Page 31: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

30

shiftfromabrain(andbody)focusedonlearningtoabrain(andbody)focusedonsurvival.”95

Moreover,theyoftenlackresourcessuchaseducation,professionalskills,orfinances,tobuild

ahealthyandpositivelifeaftertrafficking.

A common response to severe trauma is dissociation, which is the perceived

detachmentof themind fromtheemotional stateand thebody.96Dissociativebehaviorsare

frequentlyobservedacross theclinical spectrumof cases inwhich interpersonalviolencehas

occurred.97Manyvictimsoftraffickingalsosufferfrom“hyper-vigilance,”whichisacondition

ofbeingconstantly“onguard,”oftencontinuinglongafterthevictimhasescapedtheconfines

of their situation.98 People who have been trafficked frequently express fears that they are

beingwatchedorfollowedbyotherpeople,orthattheyarebeingspokenabout,mocked,and

laughedatbycasualacquaintancesorstrangers.99Thosefearsarecompoundedbyfeelingsof

shameandlowself-esteem,particularlyinthosewhohavesufferedfromsexualviolencewho

mayperceivethatotherscaninstinctively“see”or“know”whathashappenedtothem.100All

those factorscanresult insocial isolationandan inability to formpositiverelationships.Self-

harm is a form of coping with overwhelming emotion, particularly anxiety. It is common

amongstsurvivorsofinterpersonalviolenceincludingsexualabuse/assault.101

AdverseChildhoodExperiences(ACEs)

AdverseChildhoodExperiences(ACEs)refertosomeofthemostintensiveand

frequentlyoccurringsourcesofstressthatchildrenmaysufferearlyinlife.Suchexperiences

includemultipletypesofabuse,neglect,violencebetweenparentsorcaregivers,otherkindsof

serioushouseholddysfunctionsuchasalcoholandsubstanceabuse,andpeer,community,and

collectiveviolence.ACEsarebiologicalstressorsthatdisrupthumanneurologicaldevelopment

and,inturn,interferewithnormalcognitionandbehavior.Neurosciencehasshownthat

95DahliaNissaSilberg,TheUtilizationofMovementandDancetoSupportChildrenintheAftermathofCommunityDisaster.96https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5156567/97https://www.unodc.org/documents/human-trafficking/TIP_module3_Ebook.pdf98http://www.helenbamber.org99Zimmerman,Cathyhttp://researchonline.lshtm.ac.uk/1343272/1/498767.pdf100Zimmerman,Cathyhttp://researchonline.lshtm.ac.uk/1343272/1/498767.pdf101Zimmerman,C.,etall,StolenSmilesStolensmiles:asummaryreportonthephysicalandpsychologicalhealthconsequencesofwomenandadolescentstraffickedinEurope,2006

Page 32: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

31

childrenwhoexperienceadversitiescanhaveaphysiological“toxicstress”responsethat

inhibitstheirbraindevelopment,compromisefunctioningofthenervousandimmunesystems,

andimpacttheirphysicalandmentalhealthcognition,behavior,andrelationships.102Individual

ACEshaveacumulativeeffect,whichcanbeexpressedasthesumofallACEsanindividualis

exposedto,oftenreferredtoasa“traumadose.”Followingthelaunchofreportssuchasthe

WorldReportonViolenceandHealthandtheUNStudyonViolenceAgainstChildren,Scholars

increasinglyrecognizedtheconsequencesofchildmaltreatment.Inthedecadesincethefirst

ACEStudyresultswerepublished,anumberofotherinitiativesindevelopedanddeveloping

countrieshavebegunexaminingtheconsequencesofchildmaltreatmentandothertraumatic

stressorsforhealthriskbehaviorsandincreasedlong-termchronicdiseaseconsequences.103

ThesestudiesshowthatthehighertheACEscore(andthereforethetraumadose),themore

frequentandseveretheconsequencesinrespectofcognitiveandbehavioraldisturbances.104

HighACEscoresarecorrelatedwithincreasedlikelihoodofsmoking,alcoholabuse,illicitdrug

abuse,andriskysexualbehavior.105ACEsalsoincreasetheriskofheartdisease,chroniclung

disease,liverdisease,suicide,injuries,HIVandSTDs.Fromapublichealthlens,ACEsarewidely

prevalent,highlyinterrelated,andintergenerational.106

Inmanycases,victimsoftraffickinghavesufferedtraumaticexperiencessuchasabuse,

neglect,exploitationand/orsocialandeconomicdeprivationthatbeganintheirdevelopmental

years,makingthemspecificallyvulnerabletotargetingfortrafficking.107Theseearlytraumatic

experiencesarecompoundedthroughtheprocessofbeingtrafficked.

102NationalScientificCouncilontheDevelopingChild.(2005/2014).ExcessiveStressDisruptstheArchitectureoftheDevelopingBrain:WorkingPaper3.UpdatedEdition.http://www.developingchild.harvard.edu103Includingacomparativeriskassessmentofchildsexualabusetoinformtheglobalburdenofdisease(GBD)estimates;theGlobalSchools-basedStudentHealthSurvey(GSHS),theInternationalSocietyforPreventionofChildAbuseandNeglect(ISPCAN)InternationalChildAbuseScreeningTool(ICAST),andcountry-specificprojects(e.g.inAustralia,China,Malaysia,Singapore,SouthAfrica,Swaziland,andVietnam).104http://www.who.int/violence_injury_prevention/violence/activities/adverse_childhood_experiences/global_research_network_may_2009.pdf105CenterforDiseaseControl,DivisionofViolencePrevention,MajorFindings,AboutBehavioralRiskFactorSurveillanceSystemACEData106WHO,AddressingAdverseChildhoodExperiencesToImprovePublicHealth:ExpertConsultationhttp://www.who.int/violence_injury_prevention/violence/activities/adverse_childhood_experiences/global_research_network_may_2009.pdf107https://www.unodc.org/documents/human-trafficking/An_Introduction_to_Human_Trafficking_-_Background_Paper.pdf

Page 33: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

32

The typicalACEs surveywould aim to identify 10 typesof childhood trauma. Five are

personal: 1. physical abuse, 2. verbal abuse, 3. sexual abuse, 4. physical neglect, and 5.

emotional neglect. And five are related to other family members: 1. a parent who’s an

alcoholic,2.amotherwho’savictimofdomesticviolence,3.afamilymemberinjail,4.afamily

memberdiagnosedwithamentalillness,5.andthedisappearanceofaparentthroughdivorce,

death,orabandonment.Eachtypeoftraumaiscodedasone“point.”So,forexample,aperson

who’s beenphysically abused,with one alcoholic parent, and amotherwhowas a victimof

domestic violencehasanACE scoreof three.BasedondirectobservationataBraziliannon-

profitorganizationthatworkswithat-riskgirls,aswellasconversationswithprogramstaff,itis

believedthatthegreatmajorityofprogramparticipantshaveexperiencedatleastfourofthese

typesoftrauma.ACEscoresof4orhigherarecorrelatedwithanincreasedriskofmanyhealth

consequences including adult onset chronic disease, depression, suicide, being violent, and

becomingavictimofviolence;suchtraumahasalsobeenshowntoincreasethelikelihoodof

chronicpulmonary lungdiseaseby390percent;hepatitisby240percent,depressionby460

percent,andsuicideby1,220percent.108

108https://acestoohigh.com/?s=got+your+ace+score%3F&submit=Search

Page 34: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

33

AddressingtheChallengeswithAlternativeTools

Given the scaleofmodernslaveryaround theworld, there isa criticalneed tobetter

understandthementalhealthneedofsurvivors.Andgiventhatmostvictimsandsurvivorsare

in developing countries with inadequate health infrastructure, it’s necessary to identify

effective, low-cost,scalabletreatmentoptionsthatcanbeusedbylocalorganizationstohelp

millionsofsurvivorstotackletheirtrauma.”109Asof2013Brazilhad5,259psychiatrists,12,377

psychologists,11,958socialworkers,3,119psychiatricnursesand2,661occupationaltherapists

workingforthefederalhealthsystem(UnifiedHealthSystem)in2013.110Theseareaverysmall

numberswhenoneconsidersthecountry’s240million-personpopulation.

Thefundamentalcomponentsofassistanceforyoungsurvivorsofsextraffickingarethe

provisionofasafe,secureenvironment,accesstosocialandemotionalsupport,educationand

play. Awide range of therapies for survivors of violence exist tomeet the specific needs of

victims of trafficking including individual psychotherapy, trauma-focused therapy/trauma

counseling, systemic psychotherapy/family therapy, psychodynamic therapy, counseling,

Gestalt therapy, existential and group psychotherapy,Hakomi-appliedmindfulness, yoga and

movementclass,cranio-sacraltherapy,osteopathy,andacupuncture.However,inBrazil,many

survivors reside in areas where there are not enough mental health professionals to help

childrencopewithpost-traffickingphysicalandmentalhealthsymptomsorpreventthemfrom

becoming vulnerable to the same forces that led them to be trafficked in the first place.

Servicesareunequallydistributedacrossregionsofthecountryandtherearesubstantialgaps

inmentalhealthcareandtrainedsocialworkers,especiallyinpoorregionsofthecountry.

Given the impactof traumaon thebrain andnervous system, somatic approaches to

treatment may be of potential benefit to traumatized people.111 In particular, intervention

109Grono,N.,CNNInternational,2015Traumatizedandvulnerable,slaverysurvivorslivewithmentalhealthissues.110TheUnifiedHealthSystem(SUS)isasingle,publicsystemtoaggregateallhealthservicesprovidedbyfederal,stateandmunicipalpublicinstitutionsthroughdirectandindirectadministration,aswellasfoundationssupportedbypublicauthorities.Thesenumberswerethelastavailable.111VanderKolk,1994;VanderKolk,2014;VanderKolk,2006.

Page 35: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

34

approachesthatincorporatesomaticformsofregulationmaybenefittraumatizedchildrenand

adolescents for whom language-based approaches are difficult to implement. A somatic

interventionforchildrenandadolescentsdoesnotdependonverbalexpressionbytheclient,

uses some form of movement-based activity, and may build interoceptive awareness as

componentsortoolsforimprovedself-regulation.Failuretointegratesensoryinput,modulate

arousal, and engage in effective verbal communication interferes with the capability of

traumatizedindividualstoengageinthepresent,therebycausingthem“tolosetheirwayinthe

world.”112Somevictimsoftraffickingcometoexperiencetheirbodyasacontinuoussourceof

suffering,beyondtheircontrol.Theyare inseparablefromtheirpainanddetachedfromtheir

body as a sourceof vitality,which inhibits their ability to function in daily life. Responses to

trauma combine to exacerbate anxiety, panic, and vulnerability, resulting in isolation and

withdrawalfromotherpeople.

Body-mind therapyuses themutual influenceofbodyonmind,andmindonbody to

facilitatehealingandrecoveryfromtraumaandaidintheprocessingofunpleasantsensations

andemotionsthatoriginates inphysicalsensations.Mind-bodyapproaches involve increasing

the tolerance of feelings and sensations that originatewithin the body,modulation of those

emotions,andlearningeffectiveactiontoconfrontthesenseofphysicalhelplessness.

DanceMovementTherapy:MeninaDança

Trauma leaves its imprint on both mind and body and research demonstrates that

effective treatment requires addressing the involvement of both.113 Reconnecting with the

body, learninghowtocare for thebody,developingmorepositive feelings for thebody,and

recreatingsexualitymustoccurintheprocessofhealing.114

Menina Dança is a Brazilian non-profit organization that works with at-risk girls in

communitiesalongtheBR-116,Brazil’s“exploitationhighway”servingabout150girlsages6-21

112VanderKolk,2006.113https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3181584/114Mills,LettyJ.&Daniluk,JudithC.,HerBodySpeaks:TheExperienceofDanceTherapyforWomenSurvivorsofChildSexualAbuse,2002,JournalofCounselingandDevelopment

Page 36: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

35

inthecityofMedinainMinasGerais.Thereisnotonesingleplaygroundinthetown,although

there aremakeshift soccer fields throughout town and three semi-commercial squares with

park benches. None of Menina Dança’s programs have been formally evaluated since they

openedtheirdoorsin2011.115IobservedtheprogramtounderstandhowasmallNGOinBrazil

couldbetter supportandengagevulnerable, at-riskgirls, andhowmovementanddancecan

facilitatechangeandpromotehealing.NotallofthegirlswhoattendMeninaDançahavebeen

trafficked,butallofthemhaveahighdegreeofvulnerability.116

Menina Dança is primarily a “before and after-school” program that uses Dance

Movement Therapy (DMT) as a primary tool for engagement. A primary theoretical

underpinningofthispsychotherapeuticpracticeisthatmovementisaprimarylanguageforall

humanbeingsand,assuch,isapowerfulmeanstoaccessimplicitmemoryandstoredhistory,

trauma-relatedornot.Fromadevelopmentalperspective,DMTacknowledgesthenon-verbal

roots of all human language, communication, and experience, and therefore may be

particularly suited to work with survivors who have literally experienced the unspeakable

directly on their bodies. Dance may be considered the creative or expressive aspect of

movement,andformanycultures,likeBrazilianculture,wherethecreativeprocessisincluded

inritual,healing,anddailylife,DMTmaybemoreappropriatethanconventionaltalk.117Infact,

in someofmymeetingswith staff,many shared that girls refer to their bodieswith shame,

guilt,anddissociation,andtheydescribedthetransformationthegirlsfeltwhentheydanced.

BecauseDMTusesmovementastheprimarymeansofcommunication,thebodyisnot

merelyaddressedintherapybutactuallygivenavoice.Survivorscaneventuallyregainasense

ofcontroloverconfusingthoughtsandfeelingsastheynavigatetheirownbodilyexperience.

Because of its active intervention methods, DMT is an important form of treatment for

traumatized childrenwhose brain development, nervous systems, and externalized behavior

are alteredby traumatic experiences.Movement anddance served an important role in this

processbyallowingforhealingself-expressionandplay.

115AccordingtothenExecutiveDirector,RitaMarques.116SinceIwasonthegroundinAprilof2016,RitaMarques,oneofthefoundersofMeninaDançaanditsExecutiveDirectorlefttheorganizationduetoadisagreementwiththeBoardofDirectors.117Gray:ExpressiveArtsTherapies:WorkingwithSurvivorsofTorture

Page 37: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

36

Recommendations

Much more research is needed in order to fully understand the scope of child sex

trafficking in Brazil and to formulate effective and realistic preventive measures, improve

servicedeliverystandards,clarify rolesof themultipleagencies involvedandbetter integrate

policiesthataffectthemostvulnerablefamiliesandchildren,betterintegratethegovernment

responsewithNGOeffortsacrossBrazil,establishbenchmarksfortrainingoffrontlineworkers,

andultimatelyputBrazilinabetterpositiontocombatthetraffickingofitschildren.Basedona

comprehensive analysis of challenges and opportunities to combat trafficking of children in

Brazil,thefollowingrecommendationsareproposed:

1. Rethink the roleofCGCs in combatingchild sex trafficking inBrazilby strengthening

and equipping the Child Guardianship Councils with infrastructure (vehicles, computers,

databases),butalsowithbetterandmorefrequenttrainingandoversightofcounselors.Invest

inimplementationoftheCGCsintendedpurposesetforthintheECA.Improvechildtrafficking

datacollectionamongtheCGCs,municipalpolice, statepolice,healthclinicsandschoolsand

continuetoimproveonthecommunicationofactorswithinthe“RededeProteção”(Network

ofProtection),alsostrengthencollaborationand integrationamongtheseseparatedsystems,

reducingoverallbureaucracyinthesystemsthatconvergearoundthechild.

2. Provideprofessionalizationandcapacity training to teachers, social-workers,doctors,

nurses,paramedics,policeofficers,andallCGCstaff, includingtrainingforrapididentification

ofdomesticchildvictimsoftrafficking,andlegalandpsychosocialtraining.Helpsocietyat-large

recognize that these are not separate unrelated incidents of child exploitation throughout

Brazil, but a hidden systematic crisis that is failing themost vulnerable andmarginalized of

Braziliancitizens

Page 38: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

37

3. Improve the Disque 100 hotline and data collection across multiple governmental

bodies:bothintermsofcollecting,sharing,analyzingthedata,butalsoinbeingabletoactually

helpthosewhocallin,ratherthanservingprimarilyasarepositoryofcalls;connectDisque100

data with international hotlines to share data, strategies, and resources. Invest in data

collection as it relates to the mapping of vulnerabilities and risks that leave many at a

heightenedrisk,andstartdeployingresourcesmoreeffectivelyandefficientlybasedonbetter

understandingoftheseriskfactors.

4. Invest in alternative treatment interventions for childrenwho are trauma survivors:

fund small pilot studies of effectiveness of certain therapies on child survivors’ healing;

document and evaluate services and interventions that support survivors; and train more

individualsandNGOstodeliversomeofthoselow-costinterventionssuchasDanceMovement

Therapy. Adopt specialized policies and programs to protect and support childrenwho have

beenvictimsoftrafficking.Childrenshouldbeprovidedwithappropriatephysical,psychosocial,

legal, educational, housing, and health-care assistance. Design treatments that take into

accountthecompoundingeffectsofACEsinthelivesofchildren.

Page 39: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

38

Appendix1:Op-Ed

Childrensoldforsex-Brazilmuststopthedomesticsextraffickingofitschildren

July2016

Brazil ismakingheadlines lately,with storiesabout thecrumblingpolitical system, thecostly

infrastructureupgrades for theOlympics, the Zika virus, and theendless corruption scandals

that plague the country.However, there is amore frightening story not being told: Brazilian

childrenarebeingsoldforsex.

Sex trafficking of children is one of the gravest human rights violations of our time and it is

happeninginmyhomecountrytoday.TheBraziliangovernmentmustdomoretoprotectand

assist the most marginalized of its citizens, especially in an era where technology enables

buyerstofindyounggirlsandboyswiththetouchofafewbuttonsonasmartphone.

UNICEF reports that themosthiddenandunderreported formof violenceagainst children is

sexualabuseandthatchildrenwhohavebeensexuallyabusedareatheightenedriskofbeing

drawn into thecommercial sex trade.Childrenwhohavebeensexuallyexploiteddealwitha

myriadofhealthissuesfromdepression,anxiety,andtraumaticstress,todissociationbetween

brainandbodyfortherestoftheirlives.Theymaybewithdrawn,moody,self-destructiveand

sometimes suicidal. The overall negative health outcomes from the accumulation of stress

disrupt early brain development and compromise functioning of the nervous and immune

systems.

On a recent research trip to Brazil,I discovered that very few mental health and stress-

regulationserviceswereavailabletochildrensurvivorsofsextrafficking.Thereisnocohesive,

systematic responseto identifyvictims,andprovidequalifiedandspecificservices. Iwasalso

astonishedbythelackofoveralltrainingandresourcesoftheChildrenGuardianshipCouncils

(ConselhosTutelares),whicharepresentinalmostallmunicipalitiesinBrazil,putinplaceinthe

1990sasindependent,autonomousinstitutionstoguaranteetherightsofthechild.

Page 40: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

39

Brazilisindenialaboutthescopeoftheproblem.ConsistentlypeoplereferredtotheNortheast

of Brazil as a hotspot for this problem (which it is), but they failed to see that this is also a

probleminBrazil’slargestcities,RiodeJaneiroandSãoPaulo.ManyofthepeopleIinterviewed

toldmethatthefastestwaytogetkilledinBrazilwastoreportonthesystematicexploitation

ofchildrenhappeningacrossthecountry;manypeoplealsotoldmethatservices likeWhat's

App havemoved the conversations and exchanges between traffickers and buyers off the

streets.

The U.S. State Department confirms that Brazilian women and children are exploited in sex

trafficking and some police officers tolerate “child prostitution,” patronize brothels, and rob

andassaultwomeninprostitution,impedingproactiveidentificationofsextraffickingvictims.It

alsopointsoutthatBrazilianstatutesprohibitingtraffickingdonotalignwithinternationallaw,

andthatgovernmentfundingandprovisionofspecializedservicesforvictimsisinadequate.

TheinvisibilityofthisphenomenonmaysteminpartfromthepermissivenessoftheBrazilian

culture and the objectification of women and girls. Sexual stereotypes are embedded in

everyday life in this historically patriarchal society.Unless Brazilians canbreak free from the

social norms that accept and normalize those stereotypes and related behaviors,we cannot

addresstherootcausesofthisproblem.A2012reportbyInstitutoProMundofoundthat77%

ofmenthoughtitwascommontohavesexwith"underageprostitutes".

It is true that there are many urgent ills plaguing the country starting with the corruption

scandalsofBrazil'stopleadership.However,protectingchildrenfromtheworstformofhuman

rights abuses must rise above political priorities. Brazil ratified the UN’s Palermo Protocol

(whichdefined trafficking inpersons) in2004, showinga commitment toall formsofhuman

trafficking.Yetvictimsofthiscrimearenotreceivingthelegalassistanceoraccesstophysical,

mentalandsocialservicesthatthegovernmentshouldmakeavailabletothem.

Page 41: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

40

TheBraziliangovernmentmustactimmediately.First,itmustincreasetrainingandoversightof

ChildrenGuardianshipCouncilsinallmunicipalitiessochildtraffickingvictimsareidentifiedand

receive specialized care. Second, it must strengthen the network of victim care services,

including fundingspecificprogramsof re-integrationandassistance for thispopulation (legal,

psychological, economic, educational/vocational, and social) and verify through ongoing

oversightthatvictimsofsextraffickingactuallyreceivethosecomprehensiveservices.Lastly,it

must increase efforts to investigate and prosecute trafficking offenses,and convict and

sentencetraffickers;“perceivedimpunity”fromlawenforcementisakeydriverofdemand.

Preventing the sexual exploitation of children must become a priority for the Brazilian

government,andapriorityconversationforeveryBraziliancitizen.Thereisanopportunitywith

thecurrentmediaattentiontobuildontheinternationalcommunity’sawarenessandprotect

Brazilianchildrenfrombecomingvictimsofthisheinouscrime.

NatashaDolby isahumanrightsactivist,philanthropistandaResearchFellowat theWSD

HandaCenterforHumanRightsandInternationalJusticeatStanfordUniversity.

Page 42: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

41

OtherReferences

Publications

� SERAFSexualExploitationRiskAssessmentFramework,aPilotStudy,2007� SERRETTI,J.L.N.M.,Tráficointernacionaleinternodepessoasparaexploraçãosexual,

comoformamodernadetrabalhocomreduçãoàcondiçãoanálogaadeescravo,2012� SexualExploitationandhomelessyouthinCalifornia,whatpolicymakersneedtoknow,

2012� SexualExploitationRisk–AssessmentFramework–aPilotStudy,2007SamCluttinand

JanColes� TheBambooProjectonChildResilience-OakFoundation,2013� TheBodyCanChangetheScore:EmpiricalSupportforSomaticRegulationinthe

TreatmentofTraumatizedAdolescents,Warner,E.&Spinazzola,Jetal.2014� TheBodyRemembers:Dance/MovementTherapywithanAdultSurvivorofTorture,A.

E.L.Gray,2001� The Causes and Consequences of Re-Trafficking – Evidence from the IOM Human

TraffickingDataBase� ResearchtoAction-SexuallyexploitedMinorsNeedsandStrengths–WestCoast

Children’sClinic,Basson,Dana;Rosenblatt,Erin,PsyD;Haley,Hannah,� Rosenn,K.‘JudicialReforminBrazil’,1998,LawandBusinessReviewoftheAmericas� Rothschild, B, The body remembers: The psychophysiology of trauma and trauma

treatments,2000� AExploraçãoSexualdeCriançaseAdolescentesnoBrasil–ReflexõesTeóricas, relatos

depesquisaeintervençõespsicosociais,2004Libório,R.M.C&Sousa,S.M.G.� A Exploração Sexual Comercial de Crianças e Adolescentes na legislação Brasileira –

lacunaserecomendações,IPECSubregiã0AméricadoSul,Sprandel,M.,2002� AddressingMentalHealthNeedsinSurvivorsofModernSlavery–ACriticalReviewand

ResearchAgenda,TheFreedomFundandtheHelenBamberFoundation,2015� AgendadeConvergênciaProtejaBrasil,GuiadeReferênciaparaoscomitêsdeproteção

integral a crianças e adolescentesnas cidades-sededaCopadoMundoda FIFABrasil2014egrandeseventos

� Bestpromisingandemergingpracticesinthetreatmentoftrauma:Whatcanweapplyinourworkwithtorturesurvivors?,Fabri,M.2011

� Bringingitallbackhome,aresearchonthereintegrationofsurvivorsoftraffickingintheirfamiliesandcommunities,FreedomFund

� Bontempo,D., Bosetti, et al., Exploração sexual demeninas e adolescentes no Brasil,1995

� CaliforniaChildWelfareCouncil,EndingtheCommercialSexualExploitationofChildren:ACallforMulti-SystemCollaborationinCalifornia

� CaringforTraffickedPerson,GuidanceforHealthProviders,IOM,LSofHTM,UNGIFT� Circuitos e Curto-Circuitos no Atendimento, Defesa e Responsabilização do Abuso

Page 43: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

42

SexualContraCriançaseAdolescentesdoDistritoFederal,Faleirosetal.,2001� Devereaux,C.,Untying theknots:Dance/movement therapywitha familyexposed to

domesticviolence,JournalofDanceTherapy,2008� Foot, K., et al., Developments in Anti Anti-Trafficking Efforts: 2008-2011, Journal of

HumanTrafficking,2015� CohenJ.,DeblingerE.etal."Theimportanceofcultureintreatingabusedandneglected

children:Anempiricalreview",2001� ComprehensiveCareofTraumatizedChildren,GlennSaxe;HeidiEllis;JasonFogler;

SusanHanseen,BarbaraSorkin,2005� ConselhoFederaldePsicologia,ServiçodeProteçãoSocialaCriançaseAdolescentesVí

masdeViolência,AbusoeExploraçãoSexualesuasFamílias:referênciasparaaatuaçãodopsicólogo.Brasília–DF.,2009

� ConselhoTutelar,MeuLugarNaMinhaCidade,MemorialDescritivoseOrientações� Faleiros, V., A violência sexual contra crianças e adolescentes e a construção de

indicadores:acríticadopoder,dadesigualdadeedoimaginário,1998� Dijk, J., Estimating Human Trafficking Worldwide: A Multi-Mode Strategy. Forum on

Crime and Society, United Nations Office on Drug and Crime – Special Issue:Researchinghiddenpopulations:approachesandmethodologiesforgeneratingdataontraffickinginpersons,2015

� Harris,D.A.,Pathwaystoembodiedempathyandreconciliation:Formerboysoldiersinadance/movementtherapygroupinSierraLeone.Intervention:InternationalJournalofMentalHealth,PsychosocialWorkandCounselinginAreasofArmedConflict,2007

� Expressiveartstherapies:Workingwithsurvivorsoftorture,GrayA.E.L.,2011� Kiss,L.,Yun,K.,andZimmerman,C.,Exploitation,Violence,adSuicideRiskAmongChild

andAdolescentsurvivorsofHumanTraffickingintheGreaterMekongSubregion,2015� Koch,S.C.,&Weidinger-vonderRecke,B.,Traumatizedrefugees:Anintegrateddance

andverbaltherapyapproach.TheArtsinPsychotherapy,2009� Valentine,G.E.,Dance/movementtherapywithwomansurvivorsofsexualabuse.The

UseofCreativeTherapieswithSexualAbuseSurvivors,2007� Van der Kolk, B.A., McFarlane, A.C., & Weisaeth, L, Traumatic Stress: The effects of

overwhelmingexperienceofmind,bodyandsociety,1996.� Gray,A.E. L.,TheBodyasVoice:SomaticPsychologyandDance/MovementTherapy

withSurvivorsofWarandTorture.Connections,2002� Kornblum, R. & Halsten, R. L., In-school dance/movement therapy for traumatized

children,CreativeArtsTherapiesManual,2006� Krantz,A.M.,&Pennebaker,J.W.,Expressivedance,writing,trauma,andhealth:When

wordshaveabody,2007� Latonero,M.,HumanTraffickingOnline-TheRoleofSocialNetworkingSitesandOnline

Classifieds,2011� Latonero,M.,TheRiseofMobileandtheDiffusionofTechnology-FacilitatedTrafficking,

2012

Page 44: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

43

� Leal,M.&Leal,M.,PesquisasobreTráficodeMulheres,CriançaseAdolescentesparafinsdeExploraçãoSexualComercial-PESTRAF:RelatórioNacional–Brasil,CECRIA,2002.

� Global Progress & Delay in ending violence against children – the rhetoric and thereality,InternationalNGOCouncilonViolenceAgainstChildren,2016

� GlobalEyeonHumanTrafficking,Vuong,A.aMulti-DisciplinaryApproach,2013� Harris,D.A.,Dance/movementtherapyapproachestofosteringresilienceandrecovery

amongAfricanadolescenttorturesurvivors.JournalonRehabilitationofTortureVictimsandPreventionofTorture,2007

� EscolaqueProtege:EnfrentandoaViolênciaContraCriançaseAdolescentes,Faleiros&&Faleiros,2008

� MapeamentodosPontosVulneráveisàExploraçãoSexualdeCriançaseAdolescentesnasRodoviasFederaisBrasileiras.PolíciaRodoviáriaFederal.Apoio:ChildhoodBrasil/OIT/SEDH

� Meekums,B.,Creativegrouptherapyforwomensurvivorsofchildsexualabuse,2000� Mills, L.,&Daniluk, J.,Herbody speaks: Theexperienceof dance therapy forwomen

survivorsofchildsexualabuse.JournalofCounseling&Development,2002� Mills,LettyJ.&Daniluk, JudithC.,HerBodySpeaks:TheExperienceofDanceTherapy

for Women Survivors of Child Sexual Abuse, 2002, Journal of Counseling andDevelopment

� Moore, C., Dance/movement therapy in the light of trauma: Research findings of amultidisciplinary project. In S.C. Koch & I. Brauninger, Advances in Dance/movementtherapy:theoreticalperspectivesandempiricalfindings,2006

� EvaluationofBarnardo’sSafeAccommodationProjectforSexuallyExploited&TraffickedYoungPeople

� Levine,P.&Frederick,A.,Wakingthetiger:Healingtrauma,1997� Learning from Children Exposed to Sexual Abuse and Sexual Exploitation: Synthesis

ReportoftheBambooProjectStudyonChildResilience,Gillian.R.,DeCastro,E.etal.,2014

� MacDonald, J., Dance with demons: Dance movement therapy and complex posttraumatic stress disorder, Dance movement therapy: Theory, research and practice,2006

� Morethanjustrescue:Thinkingbeyondexploitationtocreatingassessmentstrategiesforchildsurvivorsofcommercialsexualexploitation,McIntyre,B-Reducingtraumasymptomsfrompreviousabusesoftenbecomesaprerequisitetoaddressingtraumafromexploitation(s)experiencedduringthechild’straffickingexperience,2014

� O’Donnell,D.A.,Meditationandmovementtherapyforchildrenwithtraumaticstressreaction.CreativeArtsTherapies,2006

� RelatóriodeMonitoramentodePaísSobreaExploraçãoSexualComercialdeCriançaseAdolescentes(ESCA),2014,ECPATInternational

� Offenderson theMove,Global StudyonSexual ExploitationofChildren inTravel andTourism,2016,ECPATInternational

Page 45: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

44

� OptionalProtocolontheSaleofChildren,ChildProstitutionandChildPornography,2000

� OsagentessociaisdarededeproteçãoeAtendimentonoenfrentamentodaexploraçãosexualcomercial,2012,MariadeFatimaPereiraAlberto,AnaCristinaSerafimdaSilva,VanessaCavalcanteGomes,RobertaValescaMotaSantana,ÀdriaMeloSoares

� Ossetesentimentoscapitais,Diogenes,G.,2008� StephanieDelaney&ColinCotterill,ThePsychosocialRehabilitationofChildrenwho

havebeenCommerciallySexuallyExploited-ATrainingGuide� Surtees, Rebecca,Nexus Institute, King Baudoin Foundation Report “Re-integration of

traffickedpersons.Workingwithchildrenandyouth”,2014� Surtees,Rebecca,Re/IntegrationoftraffickedpersonsWorkingwithtraffickedchildren

andyouth,2014� Tantia, J. (2015):The interfacebetweensomaticpsychotherapyanddancemovement

therapy–acriticalanalysis,body,movementanddanceinpsychotherapy� RelatóriodeMonitoramentodePaísSobreaExploraçãoSexualComercialdeCriançase

Adolescentes(ESCA),2014,ECPATInternational� Petit,J.M.,RightsoftheChild,ReportsubmittedbytheSpecialRapporteuronthesale

ofchildren,childprostitutionandchildpornography,2004� Piscitelli,A.,BetweenIracemaBeach&TheEuropeanUnion:InternationalSexTourism

&Women’sMigration,2013� Winkler,SarahA.,"BreakingtheSilenceandMovingVoices:Dance/MovementTherapy

intheTreatmentofMaleandFemaleSexualTraumaSurvivors"(2013).Dance/MovementTherapy&Counseling

� Piscitelli,A.“Revisitingnotionsofsextraffickingandvictims”CenterforGenderStudiesPAGU,StateUniversityofCampinas,2012

� Piscitelli, A., On “gringos” and “natives”: Gender and Sexuality in the context ofinternationalsextourisminFortaleza,Brazil,2001

� PlanoNacionaldeEnfrentamentoaoTráficodePessoas–I&II� PlanoNacionaldeEnfrentamentodaViolênciaSexual contraCriançaseAdolescentes,

2013, http://www.sdh.gov.br/assuntos/bibliotecavirtual/criancas-e-adolescentes/publicacoes-2013/pdfs/plano-nacional-de-enfrentamento-da-violencia-sexual-contra-crianca-e-adolescentes

� PlanoNacionaldeEnfrentamentodaViolênciaSexualcontraCriançaseAdolescentes-www.comitenacional.org.br,Brasil,2010

� PlanoNacionaldeEnfrentamentodaViolênciaSexualContraCriançaseAdolescentes,2013

� Positive Factors andObstacles to a Sustainable Reintegration in Brazil, Fernandes, D.,2013,IOM

� Profiting from Abuse, An investigation into the sexual exploitation of our children,UNICEF2001

� TheIOMHandbook–DirectAssistanceforVictimsofTrafficking

Page 46: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

45

� Singer, A. J., Hidden treasures, hidden voices: An ethnographic study into the use ofmovement and creativity in psychosocial work with war-affected refugee children inSerbia.Dancemovementtherapy:Theory,researchandpractice,2006.

OnlineArticles

� http://www.dailymail.co.uk/news/article-2492821/Child-prostitutes-Brazils-Highway-Hell-BR-116.html

� http://www.huffingtonpost.com/2014/06/12/world-cup-child-prostitution_n_5474716.html

� http://www.sdh.gov.br/assuntos/bibliotecavirtual/criancas-e-adolescentes/publicacoes-2013/pdfs/plano-nacional-de-enfrentamento-da-violencia-sexual-contra-crianca-e-adolescentes

� Insight Crime, 2014, www.insightcrime.org, Latin America’s Success (& Struggles) inFightingHumanTrafficking

� ColoradoProjectforComprehensivelyCombatHumanTrafficking(http://www.endslaverynow.org/colorado-project-to-comprehensively-combat-human-trafficking)

� ComissãoParlamentardeInquérito,FinalReport2004http://www2.senado.leg.br/bdsf/bitstream/handle/id/84599/RF200401.pdf?sequence=5

� https://www.nytimes.com/2014/01/29/us/a-courts-all-hands-approach-aids-girls-most-at-risk.html

� Amid Olympic Rush, Brazil’s Hotels Join the Fight Against Human Trafficking(www.mic.com)

� Trabalho Infantil, 50 Perguntas e Respostas - 2014 Comissão para Erradicação doTrabalhoInfantildaJustiçadoTrabalho,www.tst.jus.br

� Avaliaçãodemetodologiasdeintervençãosocialnoenfrentamentodaviolênciasexualcontracriançaseadolescentes,2004MariaLuciaPintoLeal,MarceloRasgaMoreiraeMario Angelo Silva (Evaluation ofmethodologies for social intervention in combatingsexualviolenceagainstchildrenandadolescents)

� Childrenarealwaysvictimsinsextradebuttheywon’talwaysagree.ChronicleofSocialChange,2013

� ECPACTWorldCongressReport,2008� Childrenexploitedforsexneedourhelp,SFGate,Clark,L.,2014� Cockayne, J. and Panaccione, K., Fighting Modern Day Slavery, What role for

internationalcriminaljustice?FreedomFund2015� ConversandosobrePolíticasPúblicasparaMeninas,RECRIA,Faleiros

(http://www.cecria.org.br/recria/index.php?option=com_content&view=article&id=200:conversando-sobre-politicas-publicas-para-meninas-e-adolescentes&catid=36:artigos)

� Exploração Sexual de Crianças e Adolescentes se torna crime hediondo, 2014 “PulsarBrasil”

Page 47: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

46

� Inter Agency Coordination; Group Against Trafficking in Persons, 2014 “PreventingTraffickinginpersonsbyaddressingdemand”

� ForumDCA,http://www.direitosdacrianca.gov.br/temas/redes_teste/forum-dca/� ForumNacionalDCAhttp://www.forumdca.org.br/historia� TheConventionAgainstTortureandOtherCruel,InhumanorDegradingTreatmentor

Punishment,1984� TheConventionAgainstTransnationalOrganizedCrimeanditssupplementalProtocolto

Prevent,SuppressandPunishTraffickinginPersons,EspeciallyWomenandChildren,2000

� TheConventionontheEliminationofAllFormsofDiscriminationAgainstWomen,1979� TheEvolutionofChildRightsCouncilsinBrazil,Duarte,C.,Hoven,C.W.,Rizzini,I.,Earls,

Felton, Carlson, Mary. The evolution of child rights councils in Brazil. InternationalJournalofChildren'sRights

� The Freedom Ecosystem, How the Power of Partnership can help stop modern dayslavery,DeloitteUniversityPress

� TraffickinginPersonsinLatinAmericaandtheCaribbean,Seelke,C.� TrainingManual To Fight Trafficking in Children for Labor:, Sexual andOther Formof

Exploitation–Actionagainstchildtraffickingatpolicyandoutreachlevels,ILO,UNICEFandUN.GIFT,2009

� UnitedNationsOfficeonDrugsandCrimeGlobalReportonTraffickinginPersons,2014and2015

� Valentine2007,DanceMovementTherapywithWomenSurvivorsofSexualAbuse� ViolenceagainstWomeninBrazil,AReporttotheCommitteeonEconomic,Socialand

CulturalRights,OMCT,WorldOrganizationAgainstTorture,2003� Violes, Grupo de Pesquisa sobre Tráfico de Pessoas, Exploração Sexual deMulheres,

CriançaseAdolescentes(http://grupovioles.blogspot.com/2011/07/esca.html)� WhereThere IsNoPsychiatrist:AMentalHealthCareManual (BooksBeyondWords),

Patel,V.� WomenUnderSiege(www.womenundersiegeproject.org)� WorldHealthOrganization-AssessmentInstrumentforMentalHealthSystemsinBrazil

(WHO-AIMS),2007

Page 48: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

47

AbouttheWSDHandaCenterforHumanRightsandInternationalJustice

TheWSDHandaCenterforHumanRightsandInternationalJusticeequipsanewgenerationof

leaders with the knowledge and skills necessary to protect and promote human rights and

dignity forall.Reflectingadeepcommitmentto international justiceandtheruleof law, the

Center collaborates with partners across Stanford University and beyond on innovative

programsthatfostercritical inquiry intheclassroomandintheworld.TheCenterpursuesits

mission through a range of international programs including justice sector capacity-building

initiatives, civil society outreach efforts, trial monitoring, expert consultancies, and archival

resource development, with a focus on transitional justice initiatives and new technologies.

The Handa Centerwas originally founded in 1999 as the War Crimes Studies Center at UC

Berkeley. In 2014,Director David Cohenmoved the Center to Stanford University with the

generous support of Dr. Haruhisa Handa and his foundation, Worldwide Support for

Development (WSD). The move enabled the newly re-named Handa Center to sustain its

establishedinternationalprograms,whileexpandingthescopeofopportunitiesformeaningful

student engagement by integrating classroom curricula with faculty research, student

internships,andcommunity-engagedlearningopportunities.

In Fall 2016,the Handa Center launched Stanford’s firstMinorin Human Rights, opento

undergraduates inanymajor. This has been accompanied by new interdisciplinary curricula

that enable students to apply a human rights lens to issues and regions of their

choosing.Meanwhile, the Center remains engaged with several interdisciplinary, policy-

oriented research and applied initiatives both domestically and internationally. The Center

focusesonwide-rangingissues includinghumantrafficking, traumamentalhealth, justiceand

reconciliationinpost-conflictsocieties,andatrocitiespreventionandresponse.

ThroughitsprogramsatStanfordandbeyond,theCenteriscommittedtoincreasingawareness

ofandraisingthelevelofdiscoursearoundnewdevelopmentsinthefieldsofhumanrightsand

internationallawamongavarietyofstakeholders.

Page 49: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

48

Ingratitudetomanywhohavehelpedmakethisprojectarealitywiththeirthoughts,suggestions,timeandefforts.ThalesTreigerArcoverdeLuisFabianodeAssisJuliaBlecknerJessieBrunnerMariaLauraCanineuDavidCohenRenataMariaCoimbraSáviaCordeiroEvaDenglerClarissaDesterroCristinaFernandesDavidHarrisNadineBurkeHarrisInstitutoProMundoStaffRitaMarquesMeninaDançaStaffTatyanaRapiniFabianaSeveroRebeccaSurteesAliceTaylorLuzTur-SinaiGozalAnnaFloraWerneckCathyZimmerman

Page 50: DOMESTIC SEX TRAFFICKING OF CHILDREN IN …...Section two discusses the psychological impact of child sex trafficking, focusing on the impact of trauma referred to as adverse childhood

NATASHA DOLBY RESEARCH FELLOW