Page 27 - Delaware Medical Journal - January/February 2021

TREATMENT
TABLE 1: State of Delaware, The Office of the
Child Advocate (OCA) and the Child Protection Accountability Commission (CPAC) Juvenile Trafficking Pre-Assessment Checklist
HEALTH INDICATORS - SEX TRAFFICKING
❑ High number of intimate partners reported for age
❑ Multiple terminated pregnancies
❑ Sexually transmitted infections/diseases
❑ Substance abuse
❑ Exhaustion and/or malnourishment
❑ Physical or sexual abuse
❑ Branding – tattoo (name, symbol) and reluctance to explain tattoo
❑ History of abuse or neglect
❑ Mental health issues such as depression, posttraumatic stress disorder, withdrawal, suicidal or self-harming tendencies, memory loss
❑ Physical signs of unhealthy living conditions (skin rash, poor hygiene including dental)
RELATIONSHIP INDICATORS - SEX TRAFFICKING
❑ Controlling intimate partner, friend or relative
❑ Older intimate partner
❑ Has relative or friend involved in commercial sex
❑ Females may struggle to maintain relationships with other females
BEHAVIORAL INDICATORS - SEX TRAFFICKING
❑ Multiple, prolonged runaway attempts (3+ or gone for more than 20 days)
❑ High levels of or increased truancy and/or curfew violations
❑ Poor school performance or behavior
❑ School performance is significantly under grade level
❑ Frequents websites known for sale of commercial sex (Backpage, Craigslist, Mocospace, Eros, Myscarletbook, etc.)
❑ Uses language of the commercial sex industry (“the life”):
● Daddy (to describe partner)
● Bottom (to describe female who has more control over others)
● Family/Folks (to describe others in the life)
● Renegade (selling sex without a controller)
● Choosing up (going to another controller)
❑ History of criminal charges related to prostitution or other charges that may occur while being trafficked (thefts, drugs, assault)
ENVIRONMENTAL INDICATORS - SEX TRAFFICKING
❑ Found in an area known for illegal commercial sex
❑ Found with men (often older males)
❑ Found with large amount of cash on their person
❑ Resides in or is found near hotels
❑ Sexually explicit social networking profiles
❑ Stays with individuals who require payment for housing them (could be sexual favors, drugs or money)
LABOR TRAFFICKING INDICATORS
❑ Recruited with false promises of work conditions
❑ Works long hours with few or no breaks
❑ Pay is inconsistent
❑ Some or all of pay goes towards debt or housing, food, etc.
❑ Some or all of pay is given to someone else
❑ Unexplained signs of injury or illness, possibly untreated
❑ Desperation to make a sale (magazines, beauty products, etc.) or for money while begging
❑ Shows anxiety in maintaining job for duty to family, intimate partner or to pay a debt to employer
an at-risk population such as young survivors of HT, and is most appropriately performed by a skilled mental health clinician using a TIC approach. A thorough evaluation of children and adolescents who have experienced HT provides insight into their experience of trauma that plays an important role in
guiding the clinician’s adaptation of the treatment to best address their individual information about survivors’ perception of their HT experience and appropriately conceptualizing cases as familial HT versus commercial HT would encourage a clinician to consider the effect that
becoming a commodity within children’s own families has on their developing view of themselves, their relationships with caretakers, and their expectations for future familial relationships.20 Additionally, a thorough assessment of the youth’s emotional, behavioral, and adaptive functioning may also reveal
Del Med J | January/February 2021 | Vol. 93 | No. 1
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