International Journal of Psychiatry in Medicine
Volume 54, Issue 4-5, 2019, Pages 344-351

Caring for human trafficking victims: A description and rationale for the Medical Safe Haven model in family medicine residency clinics (Article) (Open Access)

Chambers R.*
  • a Family Medicine Residency Program, Dignity Health Methodist Hospital, Sacramento, CA, United States

Abstract

Human trafficking is a growing public health issue. As we understand more about the prevalence of persons experiencing trafficking accessing clinical services and their unique healthcare needs, we recognize the need for programs dedicated to creating a safe environment to ensure victims and survivors have equitable, sustainable access to the physical, mental, and psychosocial care they require. Healthcare providers are often a first line of care for persons experiencing trafficking and represent a significant opportunity to positively impact outcomes in terms of health, overall quality of life, and reintegration into society. Here we discuss how persons experiencing trafficking present in the clinic, including survivors’ reported experiences with healthcare providers, how to identify victims, and why it is important to do so appropriately in a trauma-informed manner. We then describe key characteristics of a “Medical Safe Haven” clinic, an umbrella term used to describe clinics providing longitudinal care for patients who have been trafficked using validated victim-centered trauma-informed care techniques and incorporating survivor-informed practices. Medical Safe Haven clinics coordinate care with local community agencies, provide training for healthcare providers, and ensure longitudinal, comprehensive care by mitigating barriers to access, reducing risk of re-traumatization, and preventing failure of victim rehabilitation. We conclude with recommendations for next steps in evaluation and dissemination of this model of care. © The Author(s) 2019.

Author Keywords

Primary care Psychiatry Medical education Human trafficking trauma-informed care

Index Keywords

depression training sexual behavior home care health care personnel human psychosis social support psychosocial care sexually transmitted disease physical abuse quality of life developmental disorder risk factor medical education prevalence victim human trafficking Article doctor patient relationship learning disorder health care utilization physical disability family medicine health care need primary health care public health

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85068668799&doi=10.1177%2f0091217419860358&partnerID=40&md5=c4d01a4d1c68919ad89fd8ef26349b3e

DOI: 10.1177/0091217419860358
ISSN: 00912174
Cited by: 1
Original Language: English