Project THRIVE: A multidisciplinary one-stop shop model of healthcare for survivors of human trafficking
Repository Posting Date2017-12-14T19:57:36Z
Author(s)Potter, JoNell; Symes, Stephen; Newport, D. Jeffrey; Godur, Anastasia; Mills, Grechen; Karmin, Ira; Caralis, Panagiota
Author DetailsJoNell Potter, PhD, FAAN; Stephen Symes, MD; D. Jeffrey Newport, MD, MS, MDiv; Anastasia Godur, MPH, MPA; Grechen Mills, BS; Ira Karmin, MD; Panagiota Caralis, MD, JD
Lead Author Sigma AffliationNon-member
Level of EvidenceN/A
Purpose: The purpose of this program is to provide an overview of a model of medical care designed for human trafficking survivors.
Summary: Human trafficking for sex and labor is a national epidemic. Most victims access health care while being trafficked. Once rescued, many victims need medical and mental health services. A comprehensive “one-stop shop" model of health care offering multidisciplinary services in a single location for survivors of human trafficking was designed to provide a patient centered approach within an environment that fosters compassion, trust, support and stability was designed and implemented to assist survivors with access to primary care, women’s health and mental health services. The clinic’s goal is to establish stable and consistent health care that is respectful, comprehensive, and sensitive to survivor needs.
Outcomes: Key components of the model include consistent providers and streamlined intake procedures to reduce redundancy of patient history details often painful to repeat. All were rescued as adults, and trafficked on average over 15 years. Multiple chronic medical and psychiatric morbidities include PTSD, hepatitis C, pelvic pain, depression, anxiety, suicide ideation, and chronic headaches. In addition to sexual abuse, a history of physical abuse is a common finding. Isolation and fear are predominate. Social support and family networks rarely exist for this population. Despite years of abuse and neglected health care needs, they survived. Trust with providers is key to improving adherence. The tragic stories of abuse & torture have a dramatic emotional impact on staff; programs must devote attention & incorporate interventions into programs to assist staff & faculty with coping.
Implications: Every individual story for these women is different and tragic, however the human spirit among these patients is strong. Most have been seen by health care providers while being trafficked. Nurse Practitioners providing health care in a variety of settings will benefit from this presentation to gain knowledge regarding the recognition and known strategies to provide interventions for this population.