How can health care providers help to identify, treat and advocate for victims of human trafficking?
This question was discussed at the Royal College Simulation Summit, an annual forum that invites health professionals from across Canada to share ideas, explore cutting edge research and accelerate best practices in simulation-based education.
This ground-breaking plenary panel brought together an interprofessional team from health care, education and law enforcement to discuss the role of health care providers in human trafficking and to think about how we can use simulation to help address this social justice issue.
Sex trafficking… what you need to know
We may think that most sex trafficking victims are smuggled here from overseas, but that is a myth. Human trafficking is a lot closer to home than you may think. ĚýThe statistics are staggering: over 90% of victims in Canada are domestic and over 50% are Indigenous[i]; furthermore, almost 40% of victims are minors[ii]. Sex traffickers have adapted to modern times and will often recruit their victims through social media, targeting vulnerable youth by creating common links to gain trust and offering enticing invitations that promise glamour, adventure and escape.
Josée Mensales and Diane Veillette, both police officers, co-founded the Survivors Program of the Sexual Exploitation-Human Trafficking Investigation Unit of the Service de Police de la Ville de Montreal (SPVM) over a decade ago because they wanted to create an approach that would support and give a voice to victims while building partnerships and raising awareness of human trafficking.
In 2015, they were invited to present at a community nursing course taught by Françoise Filion, Assistant Professor at Ă山ǿĽé’s Ingram School of Nursing, to help sensitize students and educate them on how to help identify and advocate for victims of human trafficking.
Why it’s so important to educate health care professionals
Over 80% of human trafficking victims will seek medical assistance during their captivity[iii], but the majority of health care professionals are not able to identify them due to lack of knowledge and training.
“Sex trafficking victims may be brought to emergency rooms or clinics, so it’s important that our frontline health care professionals are well-trained to detect the signs,” explains Professor Filion. “For example, some common red flags might include branding tattoos behind the patient’s ears, between the fingers or near the genitals; they may not possess identification documents, or they may be accompanied by an individual who speaks for them and refuses to leave their side.”
Engaging through simulation
Realizing value in training, Professor Filion approached the Steinberg Centre for Simulation and Interactive Learning (SCSIL) at Ă山ǿĽé to develop scenarios with standardized patients based on real-life encounters to engage emotional and cognitive learning. The goal was to allow students to practice communications skills in a safe environment so that they would be better equipped to detect and help victims in a real clinical setting.
Niki Soilis, Education Manager at the SCSIL supported this project and helped to bring this to a wider audience through a public webinar held in January 2019. The team is also collaborating with the Canadian Alliance of Medical Students Against Human Trafficking (CAMSAHT) to amplify the message.
“Good education changes what youĚýdo, really good education changes how youĚýthink, and great education fundamentally shapes who youĚýare,” says Dr. Farhan Bhanji, Director of Education at the SCSIL. “I believe that simulation-based education has the potential to change who we are.”
A very important aspect of this educational initiative is the patient (survivor) voice.Ěý Courageous survivors from the SPVM Survivors Program were invited to share their stories and talk about their interactions with the health care system in order to help guide health care professionals. This was shared during a video at the Royal College plenary panel.
“We had the privilege of working with these survivors.Ěý To see them overcome such tremendous challenges and thrive… it really changes you,” expressed officer Mensales. “We hope that this will motivate you to become leaders in your community on this issue.”
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[i]ĚýGrant, Tavia, “Missing and Murdered: The Trafficked”,ĚýThe Globe and Mail, February 10, 2016,Ěý
[ii]ĚýGamache, ValĂ©rie «ĚýCommission sur l’exploitation sexuelle : entre rĂ©pression et sensibilisationĚý»,ĚýLa Presse,ĚýNovember 4, 2019.Ěý
[iii]ĚýLeslie, J. (2018). Human Trafficking: Clinical assessment guidelines. Journal of Trauma Nursing, 25(5), 282-289.
Stoklosa H, Grace A, Littenberg N. Medical education on human trafficking. AMA J Ethics. 2015;17(10):914-921
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Related media coverage
La Presse,ĚýAriane Lacoursière
Le 7 novembre 2019
Entrevue avec Josée Mensales et Françoise Filion
CBC RadioĚý– Let’s Go with Sabrina Marandola
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Le 11 novembre 2019 Ă 17:39
Profession Santé
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CPAM 1410 AM Montréal et CJMS 1040 AM Montréal
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Entrevue avec Françoise Filion
No link available
November 14, 2019
Interview with Guido Guberman at time stampĚý30:20
