The Medical Response To Child Sex Trafficking Jordan

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The Medical Response To Child Sex Trafficking Jordan Greenbaum, MD Blank Center for Safe

The Medical Response To Child Sex Trafficking Jordan Greenbaum, MD Blank Center for Safe and Healthy Children’s Healthcare of Atlanta 1

Medical Response to Child Sex Trafficking • Our medical response is coordinated with police

Medical Response to Child Sex Trafficking • Our medical response is coordinated with police and child protective services • We provide the forensic interview, medical exam, treatment, rape kit, & referrals in 3 Emergency Depts and 2 clinics in Atlanta • We use trained nurse practitioners and forensic interviewers 2

The Process…. Police pick up victim Police call Children’s Hospital Transfer Center MP contacts

The Process…. Police pick up victim Police call Children’s Hospital Transfer Center MP contacts social worker (SW) Transfer Center contacts medical provider (MP) on-call MP and SW meet police and child at hospital Child has exam, interview Child Protective Services are called, GCCO contacted Team agrees on safety plan with GCCO Child followed by MDT Follow up at Center for repeat exam and forensic interview 3

The Medical Evaluation • Detailed medical interview – Is NOT a forensic interview –

The Medical Evaluation • Detailed medical interview – Is NOT a forensic interview – Assess chief complaint (current symptoms) – Reproductive health history – Prior/current injuries/abuse – Substance use/misuse – Mental Health Screen – High-risk behaviors 4

Medical Evaluation • Document general health, untreated conditions • Document nongenital injuries • Urine

Medical Evaluation • Document general health, untreated conditions • Document nongenital injuries • Urine drug testing 5

Medical Evaluation • • Sexual assault evidence kit Colposcopic exam with photodocumentation Testing/treatment sexually

Medical Evaluation • • Sexual assault evidence kit Colposcopic exam with photodocumentation Testing/treatment sexually transmitted infections Pregnancy testing/prophylaxis • Referrals for further care 6

Sex Trafficking Multidisciplinary Team • Serves metro Atlanta counties • Meets monthly to discuss

Sex Trafficking Multidisciplinary Team • Serves metro Atlanta counties • Meets monthly to discuss cases • Exchange info on whereabouts of children, stage of investigation, ongoing services • Ensure that all relevant authorities are involved • Ensure medical exams obtained • Share resources • Cross-training of professionals 7

Education and Training • We host a webinar series and computer-based training for medical

Education and Training • We host a webinar series and computer-based training for medical professionals – Topics include: • Overview of child sex trafficking • The Medical Examination • The Medical Interview • Special Topics • Victim/Survivor-Centered Approach to sex trafficking 8

Education and Training • We give presentations at medical conferences (local, regional and national)

Education and Training • We give presentations at medical conferences (local, regional and national) • We provide introductory training on child sex trafficking for multidisciplinary audiences (police, attorneys, behavioral health professionals, teachers, etc) 9