Understanding and Responding to the Needs of Commercially Sexually Exploited Youth : Recommendations for the Mental Health Provider - 20/11/15

Doi : 10.1016/j.chc.2015.08.007

Roya Ijadi-Maghsoodi, MD ^a,^b,^⁎ , Mekeila Cook, PhD ^c, Elizabeth S. Barnert, MD, MPH, MS ^d, Shushanik Gaboian, MSW ^e, Eraka Bath, MD ^f
^a VA HSR&D Center for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Healthcare System, 11301 Wilshire Boulevard, Building 500, Room 1601, Office of Healthcare, Transformation and Innovation, Mail Code 10–C, Los Angeles, CA 90073, USA
^b Department of Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA 90095, USA
^c Integrated Substance Abuse Programs, Department of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, 11075 Santa Monica Boulevard, Suite 100, Los Angeles, CA 90025, USA
^d Department of Pediatrics, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA 90095, USA
^e Department of Neuroscience and Human Behavior, University of California Los Angeles, Los Angeles, CA 90095, USA
^f Child Forensic Services, Department of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, University of California Los Angeles, 300 Medical Plaza, Room 1243, Los Angeles, CA 90095, USA

^∗Corresponding author.

Résumé

Mental health providers are frequently at the forefront of addressing the multifaceted needs of commercially sexually exploited youth. This article provides an overview of the definition of commercial sexual exploitation of children and relevant legislation including the shift toward decriminalization of commercially sexually exploited youth. To provide clinicians with tools needed to deliver competent care to this population, a review of risk factors for commercial sexual exploitation of children and the role of the clinician in identification, assessment, and treatment of commercially sexually exploited youth are discussed.

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Keywords : Commercially sexually exploited children, Commercial sexual exploitation of children, Sex trafficking, Human trafficking, Exploitation

Plan

Key points

Introduction

Defining commercial sexual exploitation of children

The Trafficking Victims Protection Act of 2000 and “Safe Harbor” Protections for Commercially Sexually Exploited Youth

Risk Factors Contributing to Vulnerability to Commercial Sexual Exploitation of Children

Recruitment and entrapment techniques used by traffickers

Domestic Recruitment

International Recruitment

The psychiatric interview and potential challenges

Identification of commercially sexually exploited youth

Mental health implications of commercial sexual exploitation of children

Physical health implications of commercial sexual exploitation of children

Treatment options and approaches

General Principles Include Using a Multidisciplinary Approach and Trauma-Informed Care

Evidence-based Treatment of Symptoms Associated with Commercial Sexual Exploitation of Children

Programmatic Interventions

Additional resources for providers

Summary

Dr R. Ijadi-Maghsoodi is supported by the VA Office of Academic Affiliations through the VA Advanced Fellowship in Women's Health. Dr E. Bath receives funding from the NIMH (2P20 MD000182) and the Los Angeles County Department of Probation. Dr R. Ijadi-Maghsoodi, Dr E.S. Barnert, Dr M. Cook, and Ms S. Gaboian have nothing to disclose. The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the US Department of Veterans Affairs or the United States Government.

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Vol 25 - N° 1

P. 107-122 - janvier 2016 Retour au numéro

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Understanding and Responding to the Needs of Commercially Sexually Exploited Youth : Recommendations for the Mental Health Provider - 20/11/15

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