Exhi1.30 Case Document Filed Page of Confidential Pursuant to Protective Order Golkow Litigation Services Page UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF NEW YORK GOVERNMENT OF THE UNITED STATES VIRGIN ISLANDS Plaintiff vs JPMORGAN CHASE BANK N.A Defendant/Third Party Plaintiff JPMORGAN CHASE BANK N.A Third-Party Plaintiff vs JAMES EDWARD STALEY Third-Party Defendant FRIDAY JUNE CONFIDENTIAL PURSUANT TO PROTECTIVE ORDER Videotaped deposition of Kimberly Mehlman-Orozco Ph.D held at the offices of WilmerHale Pennsylvania Avenue NW Washington DC commencing at a.m Eastern on the above date before Carrie A Campbell Registered Diplomate Reporter and Certified Realtime Reporter GOLKOW LITIGATION SERVICES ph fax deps golkow.com Case Document Filed Page of Tm Confidential Pursuant to Protective Order Tm Golkow Litigation Services Tm Page Tm F0 Tf the country and I think she in Oregon or Tm F0 Tf Washington State now and just didn have Tm F0 Tf the time to dedicate to it Tm F0 Tf Did Ms Mahn did she practice Tm F0 Tf law through Mahn Mehlman Associates Tm F0 Tf A She did not She had her own Tm F0 Tf law firm Tm F0 Tf How much income did you earn Tm F0 Tf through Mahn Mehlman Associates Tm F0 Tf A I don recall Tm F0 Tf Was that the majority of your Tm F0 Tf income from to Tm F0 Tf A I don believe so Tm F0 Tf What do you believe the other Tm F0 Tf sources of income were during that time Tm F0 Tf A I don remember I don Tm F0 Tf recall Tm F0 Tf Prior to Mahn Mehlman Tm F0 Tf Associates you worked for Rand Corporation Tm F0 Tf correct Tm F0 Tf A I did not work for them but I Tm F0 Tf did like they subcontracted to me I Tm F0 Tf think for writing some grants So I wasn Tm F0 Tf an employee I was a subcontractor Tm F0 Tf And how did you get that work Case Document Filed Page of Tm Confidential Pursuant to Protective Order Tm Golkow Litigation Services Tm Page Tm F0 Tf A This was a while ago My best Tm F0 Tf recollection is they reached out to me and Tm F0 Tf they wanted a subject matter expert on human Tm F0 Tf trafficking because they did not have Tm F0 Tf somebody employed with that subject matter Tm F0 Tf expertise Tm F0 Tf And what does that mean to be Tm F0 Tf a subject matter expert for Rand Corporation Tm F0 Tf What did you do Tm F0 Tf A Provided my expertise in an Tm F0 Tf advisory capacity on human trafficking Tm F0 Tf related to the grants that they were Tm F0 Tf submitting for which were related to human Tm F0 Tf trafficking Tm F0 Tf So you did grant writing or you Tm F0 Tf advised someone who was actually writing Tm F0 Tf proposals for grants Tm F0 Tf A They had somebody writing the Tm F0 Tf grants And I don remember if I Tm F0 Tf contributed to any of the grant writing but Tm F0 Tf basically providing them citations Tm F0 Tf information issues limitations some advice Tm F0 Tf on data collection methods survey design Tm F0 Tf statistical analysis is my best Tm F0 Tf recollection Case Document Filed Page of Tm Confidential Pursuant to Protective Order Tm Golkow Litigation Services Tm Page Tm F0 Tf Again it was a while ago but Tm F0 Tf essentially educating them on the human Tm F0 Tf trafficking subject and some of the barriers Tm F0 Tf to successful identification and Tm F0 Tf intervention things of that nature Tm F0 Tf Was this subcontracting work Tm F0 Tf full-time Tm F0 Tf A No Tm F0 Tf How many hours a week would you Tm F0 Tf spend as a subcontractor for Rand Tm F0 Tf Corporation Tm F0 Tf A I do not remember Tm F0 Tf Was it less than hours a Tm F0 Tf week Tm F0 Tf A I don remember Tm F0 Tf Prior to your work Tm F0 Tf subcontracting at the Rand Corporation you Tm F0 Tf list the Justicia Institute Tm F0 Tf Did you found this institute Tm F0 Tf A Yes Tm F0 Tf Why did you found it Tm F0 Tf A I honestly don remember sort Tm F0 Tf of the reasons why I founded it but I think Tm F0 Tf my recollection is to bridge the gap between Tm F0 Tf policy and action There was a huge gap Case Document Filed Page of Tm Confidential Pursuant to Protective Order Tm Golkow Litigation Services Tm Page Tm F0 Tf the coursework in but I don think I Tm F0 Tf turned in my master thesis until like the Tm F0 Tf fall of So I think the official Tm F0 Tf graduation date is winter of Like Tm F0 Tf January of something like that Tm F0 Tf And what is your graduation Tm F0 Tf date with your doctor of philosophy Tm F0 Tf A August of is the best of Tm F0 Tf my recollection Tm F0 Tf And did you earn your master of Tm F0 Tf arts as part of the overall Ph.D program at Tm F0 Tf George Mason Tm F0 Tf A Sorry say that again Tm F0 Tf Sure Tm F0 Tf The criminology degree at Tm F0 Tf George Mason the Ph.D program did it have Tm F0 Tf an option for you to earn your master or Tm F0 Tf were those two totally separate programs Tm F0 Tf A Two totally separate programs Tm F0 Tf So I applied and completed I think so I Tm F0 Tf applied completed my bachelor degree Tm F0 Tf Applied and I had not yet completed my Tm F0 Tf master when I applied for the Ph.D program Tm F0 Tf and was accepted But they were they had Tm F0 Tf separate I mean I have separate degrees Case Document Filed Page of Tm Confidential Pursuant to Protective Order Tm Golkow Litigation Services Tm Page Tm F0 Tf I think this should be a Tm F0 Tf complete list Tm F0 Tf Are all of these publications Tm F0 Tf published in peer-review journals Tm F0 Tf A No Clearly not Tm F0 Tf How many of these are published Tm F0 Tf in peer-review journals Tm F0 Tf A So on page the Projected Tm F0 Tf Heros Self-Perceived Manipulators that Tm F0 Tf published in a peer-review journal article Tm F0 Tf That one Tm F0 Tf I think the two articles the Tm F0 Tf Mentions of Dental Hygiene and Decisions in Tm F0 Tf Dentistry I think those are two peer-review Tm F0 Tf journal articles So that three Tm F0 Tf The Safe Harbor Legislation for Tm F0 Tf Juvenile Victims of Sex Trafficking on Tm F0 Tf page that a peer-review journal Tm F0 Tf article Tm F0 Tf My book is not a peer-reviewed Tm F0 Tf journal article but it was reviewed by Tm F0 Tf peers So it was reviewed by Louise Shelley Tm F0 Tf It was reviewed by John Cotton Richmond who Tm F0 Tf is a former prosecutor They provide blurbs Tm F0 Tf like on the back So it wasn a Case Document Filed Page of Tm Confidential Pursuant to Protective Order Tm Golkow Litigation Services Tm Page Tm F0 Tf peer-review process but it a hybrid Tm F0 Tf academic/commercial press So there was I Tm F0 Tf think a vetting of the information to some Tm F0 Tf degree Tm F0 Tf So I say four if you re only Tm F0 Tf counting the journal four if you re only Tm F0 Tf counting the journal articles Tm F0 Tf When you say your book do Tm F0 Tf you mean Hidden in Plain Sight Tm F0 Tf A Yes ma am Tm F0 Tf You wrote another book called Tm F0 Tf The Jihadi Next Door How ISIS is Forcing Tm F0 Tf Defrauding and Coercing Your Neighbor into Tm F0 Tf Terrorism correct Tm F0 Tf A Correct Tm F0 Tf Does that book relate to human Tm F0 Tf trafficking Tm F0 Tf A No it doesn relate to human Tm F0 Tf trafficking but it does discuss how the Tm F0 Tf methods of recruitment into organized crime Tm F0 Tf such as terrorism can are tangentially Tm F0 Tf similar to methods of recruitment control Tm F0 Tf used by traffickers Tm F0 Tf So does the word trafficker Tm F0 Tf or trafficking appear in your book Case Document Filed Page of Tm Confidential Pursuant to Protective Order Tm Golkow Litigation Services Tm Page Tm F0 Tf A I do not recall I mean at a Tm F0 Tf very minimum it might be in the bio about me Tm F0 Tf because you know I not an expert on Tm F0 Tf terrorism whatsoever Tm F0 Tf If you look at page Tm F0 Tf A Uh-huh Tm F0 Tf you list Scholarly Tm F0 Tf Presentations Tm F0 Tf A Uh-huh Tm F0 Tf These are presentations that Tm F0 Tf you ve given is that correct Tm F0 Tf A Yes I think so Or that I ve Tm F0 Tf given alongside somebody else Tm F0 Tf And why do you call them Tm F0 Tf scholarly presentations Tm F0 Tf A I think because of the ac or Tm F0 Tf the audience is more academic as opposed to Tm F0 Tf general public Tm F0 Tf You also have a subject called Tm F0 Tf other presentations Tm F0 Tf What the difference between Tm F0 Tf scholarly presentations and other Tm F0 Tf presentations Tm F0 Tf A I think the other presentations Tm F0 Tf were more for like nonacademic audiences Case Document Filed Page of Tm Confidential Pursuant to Protective Order Tm Golkow Litigation Services Tm Page Tm F0 Tf VIDEOGRAPHER The time is Tm F0 Tf a.m We re back on the record Tm F0 Tf QUESTIONS BY MS BOGGS Tm F0 Tf We were talking about your Tm F0 Tf background earlier Tm F0 Tf You ve never investigated or Tm F0 Tf prosecuted trafficking in connection with any Tm F0 Tf law enforcement agency correct Tm F0 Tf A What do you mean by Tm F0 Tf investigated That I ve never investigated Tm F0 Tf as a law enforcement officer Tm F0 Tf Correct Tm F0 Tf A As I mentioned earlier I not Tm F0 Tf a law enforcement officer but I have worked Tm F0 Tf in collaboration with law enforcement to Tm F0 Tf catalyze investigations Tm F0 Tf What do you mean catalyze Tm F0 Tf investigations Tm F0 Tf A To I guess provide them with Tm F0 Tf information to start an investigation So to Tm F0 Tf provide them with information that they might Tm F0 Tf not be aware of that might be a situation Tm F0 Tf that is at a high risk of trafficking Tm F0 Tf So if you want would you Tm F0 Tf like me to give a couple of examples Case Document Filed Page of Tm Confidential Pursuant to Protective Order Tm Golkow Litigation Services Tm Page Tm F0 Tf Yes please Tm F0 Tf A Okay So and I talk about Tm F0 Tf this in a number of my media articles There Tm F0 Tf was an instance in Virginia where there was Tm F0 Tf an individual who was actually in Virginia on Tm F0 Tf pretrial release for malicious wounding Tm F0 Tf against another woman Tm F0 Tf I just through happenstance saw Tm F0 Tf him throw a woman out of a car I alerted Tm F0 Tf law enforcement It turns out this Tm F0 Tf individual was being investigated for a sex Tm F0 Tf trafficking operation And the woman who he Tm F0 Tf threw out of the car that I helped rescue at Tm F0 Tf one point had been shot at point-blank range Tm F0 Tf in the leg It required a vascular Tm F0 Tf transfusion Tm F0 Tf I you know tell this anecdote Tm F0 Tf in my books and a number of other media Tm F0 Tf reports Tm F0 Tf In when she called the Tm F0 Tf police to attempt to extricate herself she Tm F0 Tf was arrested So there a headline from Tm F0 Tf Associated Press that says prostitute calls Tm F0 Tf police on pimp So she called the police on Tm F0 Tf her sex trafficker She was arrested Case Document Filed Page of Tm Confidential Pursuant to Protective Order Tm Golkow Litigation Services Tm Page Tm F0 Tf I helped rescue this woman and Tm F0 Tf initiated the investigation Tm F0 Tf So I directly called Detective Tm F0 Tf Bill Woolf who I mentioned earlier who Tm F0 Tf worked for Fairfax County Police at the time Tm F0 Tf to initiate that investigation Tm F0 Tf Another investigation that I Tm F0 Tf catalyzed I think I discuss in my book was Tm F0 Tf simply through reviewing online materials Tm F0 Tf published by commercial sex consumers There Tm F0 Tf were reports of a woman who was being Tm F0 Tf sex-trafficked She had mental disabilities Tm F0 Tf mental handicaps and there was an allegation Tm F0 Tf that she was being sex-trafficked by her Tm F0 Tf by a family member Tm F0 Tf Within a few hours of reporting Tm F0 Tf that law enforcement had initiated a sting Tm F0 Tf and helped rescue this woman I talk about Tm F0 Tf that in the book Tm F0 Tf Another instance that I think I Tm F0 Tf talk about in the book was a door-to-door Tm F0 Tf solicitation crew that was from North Tm F0 Tf Carolina that just again through Tm F0 Tf happenstance came to my door and based off Tm F0 Tf of the material or the information that Case Document Filed Page of Tm Confidential Pursuant to Protective Order Tm Golkow Litigation Services Tm Page Tm F0 Tf she shared it was at risk of exploitation Tm F0 Tf reported to law enforcement Tm F0 Tf And so I had different levels Tm F0 Tf of involvement with each of those Some of Tm F0 Tf them I was more intimately related to or Tm F0 Tf involved with the investigation for example Tm F0 Tf the one with Bill Woolf But I think those Tm F0 Tf are a couple of examples of where I helped Tm F0 Tf catalyze investigations Tm F0 Tf Other than these three Tm F0 Tf examples have you worked with law Tm F0 Tf enforcement on any other specific cases Tm F0 Tf A By law enforcement you mean Tm F0 Tf just police not prosecutors Tm F0 Tf Right I don mean as an Tm F0 Tf expert witness Tm F0 Tf A Right Tm F0 Tf I just mean I think you had Tm F0 Tf said that you had helped save victims And I Tm F0 Tf was just wondering so you gave me three Tm F0 Tf examples Tm F0 Tf Are there any other victims Tm F0 Tf that you ve worked with police to save Tm F0 Tf A Those are three examples that Tm F0 Tf came to mind I know that we ve worked in my Case Document Filed Page of Tm Confidential Pursuant to Protective Order Tm Golkow Litigation Services Tm Page Tm F0 Tf capacity serving on like task forces so Tm F0 Tf like the Prince William County human Tm F0 Tf trafficking task force the Prince George Tm F0 Tf County human trafficking task force I ve Tm F0 Tf worked with law enforcement in those Tm F0 Tf capacities Tm F0 Tf But as far as like specific Tm F0 Tf people that were rescued I don remember Tm F0 Tf any particular case that comes to mind Tm F0 Tf In these three instances that Tm F0 Tf you just told me about was the trafficker Tm F0 Tf eventually convicted Tm F0 Tf A I don know that I followed up Tm F0 Tf on any of them to know whether there was a Tm F0 Tf conviction So typically I mean Tm F0 Tf organizations like Polaris they do the same Tm F0 Tf thing they ll catalyze the investigation by Tm F0 Tf reporting information but they have no data Tm F0 Tf on whether there ultimately a conviction Tm F0 Tf Have you ever been involved in Tm F0 Tf determining how to charge a case Tm F0 Tf A No Tm F0 Tf In reaching your opinions in Tm F0 Tf this case do you rely on any training Tm F0 Tf materials that you conducted Case Document Filed Page of Tm Confidential Pursuant to Protective Order Tm Golkow Litigation Services Tm Page Tm F0 Tf Islands Tm F0 Tf Do you see that Tm F0 Tf A Yes ma am Tm F0 Tf Are you offering opinions about Tm F0 Tf whether government agencies appropriately Tm F0 Tf exercised discretion in enforcing the laws Tm F0 Tf A I don think I have levied Tm F0 Tf that opinion in my report Tm F0 Tf Are you offering opinions about Tm F0 Tf what steps the United States Virgin Islands Tm F0 Tf took in regard to Jeffrey Epstein Tm F0 Tf A I don think that I have Tm F0 Tf leveled that opinion in my report Tm F0 Tf Did you review any documents Tm F0 Tf regarding the United States Virgin Islands Tm F0 Tf statutory authority Tm F0 Tf A Not to my recollection Tm F0 Tf Do you know what resources the Tm F0 Tf Government of the US Virgin Islands has at Tm F0 Tf its disposal Tm F0 Tf A No not offhand Tm F0 Tf Do you know what the budget is Tm F0 Tf of the Virgin Islands Police Department Tm F0 Tf A No ma am not offhand Tm F0 Tf Do you know whether the Virgin Case Document Filed Page of Tm Confidential Pursuant to Protective Order Tm Golkow Litigation Services Tm Page Tm F0 Tf Islands received any complaints regarding Tm F0 Tf Jeffrey Epstein Tm F0 Tf A When you mean sic the Virgin Tm F0 Tf Islands do you mean governmental Tm F0 Tf authorities Tm F0 Tf Yes Tm F0 Tf A or law enforcement Tm F0 Tf officials Tm F0 Tf Yes correct Tm F0 Tf A I don know Tm F0 Tf Do you know the circumstances Tm F0 Tf under which the Virgin Islands Police Tm F0 Tf Department can gain access to private Tm F0 Tf property or a private island Tm F0 Tf A No I don Tm F0 Tf If we go back to page that Tm F0 Tf second sentence restates Undeniable that Tm F0 Tf Epstein was a sexual predator who engaged in Tm F0 Tf illicit behavior to the physical and Tm F0 Tf emotional detriment of an unknown number of Tm F0 Tf women and children Tm F0 Tf What do you mean by physical Tm F0 Tf and emotional detriment Tm F0 Tf A I think from the testimony that Tm F0 Tf I have read and from the information that Case Document Filed Page of Tm Confidential Pursuant to Protective Order Tm Golkow Litigation Services Tm Page Tm F0 Tf MS ELLSWORTH Object to the Tm F0 Tf form of the question Tm F0 Tf THE WITNESS No Tm F0 Tf Mehlman-Orozco Exhibit Tm F0 Tf marked for identification Tm F0 Tf QUESTIONS BY MS BOGGS Tm F0 Tf I going to hand you a Tm F0 Tf document that been marked as Mehlman-Orozco Tm F0 Tf Exhibit Tm F0 Tf Do you recognize Exhibit Tm F0 Tf A Yes Tm F0 Tf What is it Tm F0 Tf A It an article that was Tm F0 Tf co-authored by two other individuals on I Tm F0 Tf guess the attempts to identify trafficking Tm F0 Tf in the field of dentistry It was published Tm F0 Tf in August Tm F0 Tf And if you turn to page Tm F0 Tf there are red flags for identifying human Tm F0 Tf trafficking here correct Tm F0 Tf A Yes Tm F0 Tf So here you are in you re Tm F0 Tf recommending the use of red flags correct Tm F0 Tf A I am not recommending them per Tm F0 Tf se and I don think that I think that Case Document Filed Page of Tm Confidential Pursuant to Protective Order Tm Golkow Litigation Services Tm Page Tm F0 Tf this was more sort of I was a third author Tm F0 Tf on this so I think those recommendations Tm F0 Tf were predominantly from the first two Tm F0 Tf authors And it something that at the time Tm F0 Tf there wasn really these were just coming Tm F0 Tf out and it was more sort of raising Tm F0 Tf awareness Tm F0 Tf So I think my contributions Tm F0 Tf were more so for example giving them the Tm F0 Tf information from Joan Reid on the entrapment Tm F0 Tf and enmeshment schemes as opposed to the Tm F0 Tf recommendations I think the recommendation Tm F0 Tf sections were more from Sheryl and Susan Tm F0 Tf Mehlman-Orozco Exhibit Tm F0 Tf marked for identification Tm F0 Tf QUESTIONS BY MS BOGGS Tm F0 Tf I handing you what been Tm F0 Tf marked as Mehlman-Orozco Tm F0 Tf A Uh-huh Tm F0 Tf Do you recognize Exhibit Tm F0 Tf A Yes Tm F0 Tf What is it Tm F0 Tf A It is a tweet from of the Tm F0 Tf DHS trafficking indicator card Tm F0 Tf And you say Red flags of Case Document Filed Page of Tm Confidential Pursuant to Protective Order Tm Golkow Litigation Services Tm Page Tm F0 Tf the issues related to secondary exploitation Tm F0 Tf but it also can I mean yes I think it Tm F0 Tf covers a lot of sort of this general Tm F0 Tf concept of secondary exploitation Tm F0 Tf So in addition to the examples Tm F0 Tf I gave I mean piggybacking other issues or Tm F0 Tf other social initiatives off of trafficking Tm F0 Tf in order to further an alternative or Tm F0 Tf ulterior agenda could be a type of secondary Tm F0 Tf exploitation But I didn think I don Tm F0 Tf think I was really conceptualizing that per Tm F0 Tf se as secondary exploitation in the draft I Tm F0 Tf guess summary chapters Tm F0 Tf How can you tell whether Tm F0 Tf someone is engaging in secondary exploitation Tm F0 Tf versus trying to sincerely help victims Tm F0 Tf A How can I determine it It Tm F0 Tf not something that I would determine Tm F0 Tf How can a person or an entity Tm F0 Tf or a trier of fact determine it Tm F0 Tf That correct Tm F0 Tf A I think that that remains to be Tm F0 Tf seen I think that the purpose of me Tm F0 Tf bringing up secondary exploitation is to make Tm F0 Tf a trier of fact aware of this phenomenon and Case Document Filed Page of Tm Confidential Pursuant to Protective Order Tm Golkow Litigation Services Tm Page Tm F0 Tf between an in-between area between Tm F0 Tf trafficking and consent but I would not Tm F0 Tf consider survival sex to be truly consenting Tm F0 Tf So I think my opinion on that Tm F0 Tf issue is made very clear in the report Tm F0 Tf Again I think that these children should be Tm F0 Tf treated as persons in need of services Tm F0 Tf social services They should not be Tm F0 Tf criminalized They should not be treated as Tm F0 Tf consenting criminals whatsoever Tm F0 Tf But the fact of the matter is Tm F0 Tf that they despite what Ms Carr says they Tm F0 Tf are not treated as de facto victims of Tm F0 Tf trafficking Tm F0 Tf Treated by whom Tm F0 Tf A By law enforcement by courts Tm F0 Tf by appellate courts by social services by a Tm F0 Tf number of entities Tm F0 Tf So earlier we were talking Tm F0 Tf about misidentification Tm F0 Tf Have you ever been sued by a Tm F0 Tf business for defamation Tm F0 Tf A Yes Tm F0 Tf When Tm F0 Tf A I think in Case Document Filed Page of Tm Confidential Pursuant to Protective Order Tm Golkow Litigation Services Tm Page Tm F0 Tf And what Tm F0 Tf A Or maybe Tm F0 Tf And what was the nature of that Tm F0 Tf lawsuit Tm F0 Tf A So I had gone to a nail salon Tm F0 Tf that there were two years worth of Tm F0 Tf individuals who had claimed to have procured Tm F0 Tf commercial sex services at the nail salon Tm F0 Tf They had described in detail for example Tm F0 Tf ejaculating on the hot towels at the nail Tm F0 Tf salon Tm F0 Tf And because of the allegations Tm F0 Tf that were being made publicly online I ended Tm F0 Tf up writing an opinion editorial in the Tm F0 Tf Washington Post about that concealing the Tm F0 Tf name of the business but then talking about Tm F0 Tf the fact that there were multiple individuals Tm F0 Tf who had claimed publicly to have received and Tm F0 Tf procured commercial sex services over two Tm F0 Tf years at that particular nail salon Tm F0 Tf And so I think the thesis of Tm F0 Tf the opinion editorial was discussing how Tm F0 Tf these allegations can happen even in you Tm F0 Tf know the nail salons that you patronize Tm F0 Tf I ended up doing an interview Case Document Filed Page of Tm Confidential Pursuant to Protective Order Tm Golkow Litigation Services Tm Page Tm F0 Tf with Fox News Fox local news and Fox News Tm F0 Tf ended up unbeknownst to me at the time and Tm F0 Tf without my consent naming the business And Tm F0 Tf because of the naming of the business they Tm F0 Tf ended up filing a lawsuit against me which Tm F0 Tf was eventually dropped Tm F0 Tf As part of the depositions in Tm F0 Tf that particular matter individuals did talk Tm F0 Tf about how they did not have licenses how Tm F0 Tf other people were providing sexual services Tm F0 Tf but not them So there was a lot that came Tm F0 Tf out during that particular case Tm F0 Tf But I think it a great case Tm F0 Tf to underscore the need to verify allegations Tm F0 Tf and verify them with empirically based Tm F0 Tf evidence Because at the time in which I Tm F0 Tf wrote that opinion editorial it was common Tm F0 Tf you know accepted business practice to look Tm F0 Tf at allegations posted on commercial sex Tm F0 Tf consumer review forums to catalyze Tm F0 Tf investigations Tm F0 Tf And it was something that Tm F0 Tf obviously it difficult to prove and Tm F0 Tf oftentimes people even well-intentioned to Tm F0 Tf catalyze investigations on the basis of that Case Document Filed Page of Tm Confidential Pursuant to Protective Order Tm Golkow Litigation Services Tm Page Tm F0 Tf information can be sued for defamation Tm F0 Tf For example Woolf Nader Tm F0 Tf phonetic who is a sheriff in Florida also Tm F0 Tf was similarly sued for defamation because of Tm F0 Tf catalyzing an investigation off of online Tm F0 Tf reviews by commercial sex consumers Tm F0 Tf The Washington Post op-ed that Tm F0 Tf you wrote is not on your publication list Tm F0 Tf correct Tm F0 Tf A I don know if it is or not Tm F0 Tf It was written a while ago Tm F0 Tf You also filed a lawsuit Tm F0 Tf against the business correct Tm F0 Tf A I did but I non-suited it Tm F0 Tf because I didn want to have to pay for an Tm F0 Tf attorney to move forward with that Tm F0 Tf Did the day spa or anyone Tm F0 Tf associated with the day spa ever face Tm F0 Tf criminal charges Tm F0 Tf A Yes Tm F0 Tf When Tm F0 Tf A Around that same time It was Tm F0 Tf a former masseuse The not for Tm F0 Tf trafficking though It was again for I Tm F0 Tf think providing massage out a license but Case Document Filed Page of Tm Confidential Pursuant to Protective Order Tm Golkow Litigation Services Tm Page Tm F0 Tf they did face criminal charges Tm F0 Tf So there was no sexually Tm F0 Tf related charge is that correct Tm F0 Tf A For providing sexually based Tm F0 Tf massage Tm F0 Tf Correct Tm F0 Tf A No Not to my knowledge Tm F0 Tf Mehlman-Orozco Exhibit Tm F0 Tf marked for identification Tm F0 Tf QUESTIONS BY MS BOGGS Tm F0 Tf I handing you what been Tm F0 Tf marked as Mehlman-Orozco Exhibit Tm F0 Tf A Uh-huh Tm F0 Tf Do you recognize Exhibit Tm F0 Tf A Yes Tm F0 Tf What is it Tm F0 Tf A It is the coverage over their Tm F0 Tf lawsuit against me Of the day spa Tm F0 Tf lawsuit Tm F0 Tf And you re quoted in this Tm F0 Tf article correct Tm F0 Tf A Yes I think my quote is on Tm F0 Tf page of Tm F0 Tf So did you speak with Fox in Tm F0 Tf regard to this story Case Document Filed Page of Case Document Filed Page of Identifying Victims of Human Trafficking OJ dimensionsofdentalhygiene com article ident i fying victims-of-human trafficking Sheryl Syme ROH MS Susan Camardese ROH MS Kimber Mehlman-Orozco PhD PURCHASE COURSE XHI IT lD WIT flZIO DATE _fJ Campbell RDA CAR CSR This course was published in the August issue and expires August The authors have no commercial conflicts of interest to disclose This credit hour self-study activity is electronically mediated EDUCATIONAL OBJECTIVES After reading this course the participant should be able to Discuss trends in human trafficking and the oral health professional role in identifying treating and helping victims Explain the types of individuals that human traffickers target and tactics for manipulating victims Describe common oral injuries that trafficking victims present with as well as reasons why victims typically underreport abuse Human trafficking is a rampant global health problem affecting a growing number of children and adults On a worldwide basis traffickers use fraud coercion threats and deception to manipulate victims into various forms of exploitation including domestic servitude sex trafficking sham marriages forced labor and criminal activity Trafficking is identified as a form of slavery and a major yet often hidden crime involving the control of victims for the traffickers economic gain Targeting potential victims who appear lost disenfranchised or in desperate situations traffickers are adept at isolating victims from social support systems and creating dependence limiting victims movement to work settings and hiding the signs of victimization Human trafficking victims are often lured by promises of lucrative employment stability ability to obtain an education a steady income to send home to support their families or a loving relationship While the stories of trafficked survivors often include accounts of trying to improve their lives or that of their families and desires to migrate to areas that promise a better future these individuals are not always migrants Although transportation may be a control tactic to keep human trafficking victims in unfamiliar places the defining characteristic is exploitation for profit rather than being moved from one region to another Given the extent of the problem and that trafficked individuals may seek dental treatment oral health professionals have a responsibility to recognize the signs that may indicate victimization and be prepared to provide appropriate treatment resources and referrals er able The United States is a key source site of transport and destination for trafficked individuals Reports of trafficking to the National Human Trafficking Hotline and Polaris BeFree Textline have been increasing in all states and Washington DC The National Human Trafficking Hotline is partially funded by the US Department of Health and Human Services and is operated by Polaris a nonprofit nongovernmental anti-trafficking organization While a lack of uniformity in reporting and tracking victims in a universal database as well as the clandestine nature of this criminal activity creates challenges in identifying victims the US Department of State estimates more than million individuals are victims of human trafficking worldwide As regional and global markets increase for human Case Document Filed Page of trafficking so too does the need to identify trafficked individuals Considering that health care providers may be among the few professionals to come in contact with these individuals clinicians should be prepared to identify possible victims TRAFFICKING Ky?4xYk?O En å?S zZ?ٱ BT D??G?Yƺș?6?x ʛпK?N??k f7 ѵzk??k?u Z?0µCa cM XB w6 מ?u W?2?IM?A Ʋ?nw_?5lt T0nH Fk ބёU NA4?C g?a WF9?N?S?p a Obݠn N2 zh V?e a?L 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N?7?rg f?ڣ1 zw?O??w?j Case Document Filed Page of Labor trafficking victims are most often recruited through a job offer and represent approximately percent of US victims while sex trafficking accounts for of victims in the US of the latter most are trafficked by their intima partners In an estimated one out of six of the runaway children reported to the National Center for Missing and Exploited Children were likely sex trafficking victims Children are often targeted through social networking and escort websites and at bus and truck stops train stations youth centers homeless shelters schools and malls-often within hours of i splacement from their homes Youth entrapment and enmeshment schemes are frequently used in the sex trafficking of minors and resemble power and control techniques observed in other exploitive relationships such as intimate partne violence IPV in which there are similarities in the victim and perpetra or dynamics In both child sex trafficking and IPV the trafficker/perpetrator gains control by isolating victims from outside social support and terrorizing victims through the use of emotional blackmail and/or physical and sexual violence Glamorizing and normalizing commercial sex are additional ways adolescents are enticed into sex trafficking often by the trafficker use of peers for recruiting This may include peer recruiters who appear to be living the good life Pervasive themes in the literature indicate that a female age is her greatest vulnerability to being sex trafficked as a minor Vulnerable populations include children in the child welfare system and foster care runaways homeless individuals those living in impoverished communities seeking work migrant workers individuals with limited English skills those with disabilities socially marginalized ind i viduals people rooted in vulnerability to gender inequality situations and those who identify as lesbian gay bisexual transgender or intersex Increasingly reports indicate that traffickers are preying on those with intellectual or other disabilities and using drugs or withholding medication and health care to manipulate victims into commercial sex Branding and tattooing are common and mark the trafficked person as property enabling the trafficker to claim ownersh i of the victim and signal other pimps to stay away CHALLENGES IN IDENTIFYING VICTIMS Identifying vict i ms poses a significant challenge to researchers and professionals who provide medical or dental care interventions and referral resources because trafficked children and adults rarely self identify Trafficked victims may underreport because they Lack access to legal or support services Fear retaliation from their traffickers against them or their families Have been conditioned to fear and distrust anyone other than thei captors including law enfo cement or other authorities Fear the consequences of being identified as illegal immigrants or crim i nals instead of victims Feel ashamed of their activities and how their families and communities will receive them if they return Feel a sense of hopelessness in escaping their captors and the emotional or financial indebtedness employed by their traffickers Do no identify that they are victims of human trafficking PSYCHOLOGICAL AND PHYSICAL COSTS Traffickers use intimidation and emotional entrapment to control victims including violence against the individual or their families and friends threats of deportation confiscation of identification documents shaming or guilt and trauma-bonding in which the trafficked person fears the trafficker yet feels n?D?ك?f?D?hE 7i Lu?u 4W 1Vfw3 q?dž k?d?Qu?Sv L?S Re λJ HZ i L?hp H?Fs률?M?V gk b?I wpmj??rGpA?k S?R1 W?dlqT Su i?m Rh顿 T?D vF7 J?UM Aa??M?u Pp z?r Fa a??U Q?E a 7g?N 7v SҼDR i TD?i Ss6?BE h?s Ov I?V RIan jCr pځq i Se 7?uSm i D8 f5 ȬpQ??HEҴ i a NH?Bc?u A?i ڱK 9C a?A Fy Nݎ w?z GNH2?kZ?c Xtk RCW Ia Oh v?P?H ޤo N?c 9Ұ?c Xn?b 3x a i ݷނ I x?H w?w hn ƒ?m??X ae b?f JM Sk H?j MY??;C Đ?ӥH?w-??R?A 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md2 d:m 𠏏"R Y?X RM Al C?L?t 7l i אf??m Xp A T?ER-K?ex o?/?iH b;H C?Fs?y S?DyW 7Y a??y Μ?b?-l fj?3P m?J gG?VO?4f?P?Gh?7 6s g?h??R?S?W e?ѫzz 3j p?z?Wn ΐ??wȳ?SV?t?C Wj nG d?Ļo??0?vp N7 i dw7LaM 4M ox?A80 F?Ō A 6օkk z?gU vy?Oю K??ܕ RWy?f i z0d Ar?3 CGG aǙ I u?O v?pR 7Kh6 My??Qp?_ Case Document Filed Page of relieved to be taken care of offered employment and allowed to live Trafficked individuals are routinely exposed to seasoning tactics such as withholding food water sleep or social contact and psychological trauma that enabled the trafficker to achieve submission increase dependence and reduce resistance TABLE Resources for Seeking Help or Reporting Human Trafficking Resources National Human Traffiddng Hotline Local police depart ent or local contact number Department of Homeland Security Blue Campaign to End Hum,m Traffi cki ng dhs.ggv/blue-compaign/via.im 243enteied Polaris Project webs i te and reso enter polarispr ject.org US Immigration and Customs Enforc:ement Homeland Security Investiga ti ons HSI or rt online i ng the HS I tip form ice.gov/web/orm/his-tipJorm Purpose Toll-free nationa anti trafficking hotline and resource center provid i ng assistance with service providers and placement resources operate.d by the nongovernmental Polaris Organization funded by the federal governme Call for i mmediate safety advising and pro ection oncer Provides legal assist.Ince spec i al T-V i sa authori za i on for vi ct i ms of human trafficki antl victim support pro vi des i mmigration relief to nonUn i ted States citize of human trafficking on ro fi nongovernmental organ i zation wo king i rectly with irn ms Polaris host the Nat i onal Human Resource Center cris i ho i ne and BeFree Textline tex HELP or INFO to BeFree US Immigration and Customs Enforcement/Homeland Security Investigations i nvestigates human trafficking and arrests traffidcers call i clinicians notice suspicious c1rnvity in the practice or community Psychological entrapment often prevents victims from escaping even when opportunities arise Victims and survivors may experience multiple psychological conditions including severe post traumatic stress disorder rape trauma syndrome series of emotional physical and behavioral reactions experienced by rape victims and child sexual abuse accommodation syndrome in which children go through five stages of response to ongoing abuse including secrecy helplessness accommodation delayed disclosure and retraction In addition victims may have anxiety and/or nervous disorders psychosomatic syndromes eating disorders personality disorders depression substance abuse issues and subsequent addiction and thoughts of self-harm or suicide Victims of human trafficking frequently present to medical and dental facilities with a variety of physical health needs including injuries from violence head and neck trauma sexually transmitted diseases STDs dental or orofacial conditions and malnutrition Other common presenting factors include substance use and/or addiction oral lesions associated with STDs multiple pregnancies and forced abortions Physica injuries to trafficked individuals are often inflicted to the head and face including teeth and jaw fractures and mandibular dislocations consequently demand for dental care is one of many common needs of trafficked victims Neglected health conditions-such as uncontrolled asthma hypertension diabetes malnourishment obesity addiction untreated skin infections/lesions untreated caries and periodontal conditions-and withholding medication or noncompliance with recommended therapies may be signs that trafficked individuals are being prevented from accessing care ROLE OF ORAL HEALTH PROFESSIONALS Victims may present for dental services as a result of restricted access to dental hygiene products or deleterious effects on oral health from sex or labor work as well as for cosmetic purposes Additionally a sex trafficker interest in seeking cosmetic dental services would most likely stem from a desire 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vr QuA g?fE9?p Flp8 Hf?_ IN I _M OG3 hڹ?a?R?F rᙁ??G W?D??z _Tye N??釜?Qc gDCz?)??k F?Q?Q?Z?V I??a ts??K g?s 4D Q?e H?Ar8?F?d?F Yj co9t EɁ Bˊ mi iyBHY VK?f oj 0?J?ǭZ?n qw gt L?/s 7뿣o zh rK逐v?N?G A?F 6?ht a?h?l??v i R??a oz?5 I?HC?G m?w?ade eyo Y??!Yu?Ӆ A?cs o?u??džн i ɧ_?u Iř;;ސ?刜 Case Document Filed Page of make the victim more attractive to clients Thus the responsibility of identification relies on the providers ability to recognize the sometimes subtle signs of vict i mization and follow up with focused questions to assess immediate treatment and referral needs That said the role of oral health professionals in assisting i ctims of human trafficking has not been extensively discussed in the literature In some cases oral health professionals may be the first responders in rendering care to trafficked ind i viduals A survey of US-based survivors of human trafficking shows that while being trafficked were seen by a dentist along with other health care providers but few vict i ms were identified by these clinicians Signs of abuse or other indicators of human trafficking warrant a one-on-one conversation without the presence of the victim attendant The online version of this article includes case scenarios and signs to aid in victim identification in addition to sample questions that can be used to assess whether a patient may be a victim While not an exhaustive list the questions may prove helpful in the assessment process In recognition of the suspected frequency with which as yet unidentified traff i cking victims are being seen in health care facilities efforts to educate clinicians about human trafficking have increased in the past years At the same time documentation of the health consequences and risks of human trafficking is improving as is science understanding of the gaps in health care providers knowledge about this growing problem Oral health professionals mental health workers emergency room professionals gynecologists or other specialty physicians and nurses and midwives would all benefit from training designed to increase recognition of trafficking victims so an interdisciplinary response can be initiated TABLE Human Trafficking Assessment Questions Cl i i i ans ould identify their interest in helping and avoid sounding judgmenta when asking the follow i ng screening questions Are you iving an workin i a sa lace a nd when do you sl ee Have you ever been pressured lo do someth i ng tha yo did wa to or we ncomfortab oi Have yo eve een hr eatene i nt i mated so eone If a id this person say would happen to you Are you able to come and go free at ome and work What happens if yo leave or talk of leav i ng ho or work Do you ave access to a mo ey or the mo ey yo earn Has a nyone taken so or all of you money hel your money with pro ises to keep it safe Do you owe money to som on Are you i ebt to someo and how are you pay i ng off the debt Does so eone control upervise an or mo ito you a yo ur work Has yo communication wi othe een restr i cted or cut off Have yo ever had a phone computer What ap ed to se items Oo yo ave days off fro work a nd at do you do your days off Are you allowed to take breaks a work 1f a not fee li ng el a you a bl to tike time off from work Has so eone ever con rolle ur access to foo and rink ea lt care and/o med i cations Has someone ever taken yo ide tificatio papers passp rt or othe persona ocume ts A ap te ro he Polar i Pro ject Hu an Traffickin co ni ze the igns A aifab le a pol arisprojeet rgl ec ogniz si ns fW oH4 n?3f R?J?m 6R?h?z KEA ۀ?x?A 8WEB?d D?A P?O D?e4 Dc wa zX Sя I x/x?h p?"G?Tf wc t?K?Y a 6t VC ZL fTQ S?1sx mhk,?b??o1 ءcR v?HFwG ڃ_V IH 5DŽ mF9 r?N?B B?2P q?R o3?R 4h yl r?"匚??GB ٶY j?rQ Xpe Qo nP Qw 5e S-?D o?t j??CG;K?O a 퉕?y Yk L?ѻ ӚrW K??O i 9?КN ʓc X?Q?C??O RG a o??e QI V??p N?ｂn Į?p?q R?ӜPO?ut?ǔ Wu aL h??Y o?Fۥ7 s?I p?T D4?z 9?A??NZK iJ 4ʡ?D??ke Sjk oڳ j?/FJ sJ j?J WX?O?eZ?7v VO PR In?ɶ-1 k8i Wo X?o q?TH6??k?Z?R yE ꌬmӘ m?Y H?W vidl Ե,?v ȃKF?_?-BȤ 0KK?A U?/Nе?v 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Dt?u?vL?K p2_f L??W c??j MzJ Zx bG F??x ej?ICn rk q?c?o Y?y h?k?F9 r?d 3n PV P?ոz?XZE A z?Ȳ?ŵC?Ԗ k??o 2?ikY?W H6S??Ǯ fp ZfA oC rCdH??S?lq?I i Sw P?L J.Vt a 7h Rqh ЄC c9 Z?uō л?oSl?;?k4?ޖ wCS?8g?r 0S uH?jHe T3 K:?Ѝ oE VP P4 I rV x?YE W?B?N f?p3g y?/C 0ʇ?yg?0L?i Def䈛Q??n Iq Rn?hXJ kn 0w k?Z g_Q s?J t?z KFx p?Z?j?V,?A B?z m5 嚧?i??s p?S?O??XO T?ϩ?Й?o?m S?q?B s?F s?q_d5 Q?C??rӝ cܒy?v?W?G z??Z?d??IKp e?b im?q a?m A oNν P?Ԩ?S i/wX E?G ia Y?R e?d?i3 G?ng D?t N?g iAH V??W i Zp?j??W ja EZ hY YE i z?p CH I L?Ѧޛ w?ICk t?E ә?Ϟ i,?v 5O w6 r3 N??s p??zrH??U??s I?i QJ o9 VTWN y_i Kǀ 6R?v VH Case Document Filed Page of CLINICAL STRATEGIES Separating the patient from the third party accompanying him or her to the health visit is a crucial first step in conducting screening questions about human trafficking A third partys refusal to allow the patient to be alone with the provider may indicate that he or she is not concerned with obtaining the best care for the patient but instead fears being divulged as a trafficker The patient can be asked if he or she requires an interpreter or prefers a male or female clinician It is also up to the clinicians judgment to enlist interpreter services if the provider suspects impaired communication is affecting the ability to provide necessary health care The denial of interpreter services by the individual accompanying the patient may be another red flag indicating victimization Clinicians should not inquire about trafficking-specific details but should know their state-mandated reporting laws for children and adults as well as vulnerable adults and when weapons are involved Oral health professionals are mandated to report their suspicions of abuse and neglect perpetrated against children younger than regardless of consent Detailed documentation of craniofacial injuries and other injuries identified during the dental examination should include descriptions locations duration and information pertaining to the cause If a patient divulges that he or she is a victim the oral health professional must establish rapport acknowledge the presence of trauma symptoms respect an adults decision on whether he or she is ready and able to self-report and attend to the individuals immediate needs and safety Clinicians should not divulge personal addresses or contact information or attempt to harbor the trafficked person Unless legally mandated providers should not contact authorities without consent of an adult trafficking victim instead oral health professionals are advised to encourage self-reporting and refer the patient to the appropriate support services If the victims personal decision is in contrast with the health care providers a trauma-informed approach enables the trafficked indjvidual to feel in control and respected perhaps for the first time Establishing this level of trust may provide an opportunity for the victim to potentially return when he or she is ready to escape the trafficking situation Case Document Filed Page of TABLE Red Flags for Identifying Human Trafficking Indicators for lndividua in Question Work Conditions Is restricted in coming and going places as he/she wishes Is under age and providing commercial sex acts Is i he commercial sex industry and has a handler/manager or pimp Wages are low or nonexistent or paid only through tips Works excessively ong hours with i ttle or no breaks Experiences st ri ct ru les or works under severe restrictions Was recru i ted with false promises regarding the work he/she would be invo lve in and promises for a better life education igher paying or ex ci ting opportunit i es Works all the i but is unab to pay off debt to trafficker Works or ives i rn sett i ngs a rked by high security measures camera boarded or opaque i ndows bars on i rndow and doors Psychological Signs Fearful anxious depressed or nerv ous/parano i loo ing around befo r,e ta lki ng Extreme startle response Exhibits wmbative behav io as a de ense mechan i sm Become anxious and appears dis rustfu of aw enforcement when brought up in conversation Ooan make eye con act and appears very submissi or overly emotionally attached lo th i rd arty Extreme dependence on the third party for iving arrangements drugs affect i on fmotion ess withdrawn posture Physical Signs Unmet health and dental care needs Appears mal no urished a nd dehydrated Brand i ng or tattoo i ng in highly vis i ble areas of body to show her pimps that he/she is owned by another pimp Appe a rs have been ys i cally and sex 1u1ll abuse hys i cally restra i ned confi ned or tortured Reports an unusua ll igh number sexual partners Self-inti icted in uries Ad i ctio to substances Chron i me di cal con ditio ns ul i tiple ne or recur rent sexually transm i tted i seases Presen ts with injuries from i1r1 adeql!late personal protect i ve equipment i the workp ace Lade of Autonomy and Self-Determination Has few or no persona belongings Doesn rnnlrol own mone finances and doesn have a financ i a bank acmunt Lack of ipassport imm ig iat i on or identificati on documents tu rned hem over to his/her handler traffi cke employer or another person I not permitted to speak or st seek permission to speak from th i rd party attending appointment who does all the talking in ists on being present or translating and over rides the conversation with needs for cosmetic treatment and not overall healt care needs Ha been renamed show ownership by trafficke or to attract ore buyers Lade of Connectedness Social Outlets an Long-Range Plans Claims to be just visi ti ng and unable to convey where he/she is living States an unverifiable fesid en ial add ess Doesn know where he/she is lack knowledge of what ci town or even slate he/she is i No sense of time Lacking social contacts outside of hand er trafficker out of touch with fami ly and friends Doesn express long-range goals or plans for future Difficulty in explain i ng wha he/she oes for fun or socially I _i f??g c?rg?R?O?1?Hq h?5ia WA1 H9 f??o n?V 2Cc ɐ/?W?M PE S5 w?h?u 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h?WN n??L e?Z fʇ?B c?P TXÅ?0H?SO9??tp?G Case Document Filed Page of UUO II Ul ll1 II I CIIU UV I lU p1 I IOlU II Oth er A ge a pe a rs falsifie or disc a cy between re orte an sp ec ed a ge A large isc re pancy in age of vktim to trafficker A cc ani ed by cont rol li an ema di person Acco mpanied by ir a rty who is i tereste in obtai ing et ic a or i mprov vict ims a pear an ce a i se tr a ffi king ly a nd ot in erested in lo te rm eatmen pla or prevent i ve care Ac com anied by th ir a rty wh offe to pay for a ll de al ork in ca Ad a pted from he Po a ri Pro je ct a ra ffi king ecogni he i gns A a i lable a ar i sp roj ect rglr ecog ni ze-s ig REFERRALS AND RESOURCES Compared to other vict i mized groups relatively few resources and long-term susta i nable services exist for individuals identified as victims of human trafficking Trauma-informed programming is essential to the recovery of survivors and requires an approach that effectively focuses on the physical and mental health consequences of human trafficking Table provides resources for those who seek help or wish to report suspected cases of human trafficking Dental teams need to become familiar with local resources such as housing legal assistance and trauma-informed care providers as well as their intake requirements CONCLUSION Human traffick i ng is a global public health problem and oral health professionals are well positioned to play an important role in identifying and lending support to victims Given the likelihood that oral health professionals will encounter victims who are seeking treatment under a variety of circumstance they should be prepared to identify respond and refer for intervention Clinicians should use the red flag indicators screening questions and specific general and ora health presentations commonly associated with trafficking-related injuries as triggers for interventions Oral health care is an important component of the interdisciplinary care necessary for addressing trafficking victims psychological and physical needs REFERENCES U.S Department of State Trafficking In Persons Report June Avai able at state gov Accessed July Department of Justice National Strategy to Combat Human Trafficking January Available at justice Accessed July Miller-Perrin Wurtele SK Sex trafficking and the commercial sexual exploitation of children Women Therapy Brien JE White Rizo CF Domestic minor sex trafficking among child welfare-involved youth an exploratory study of correlates Child Maltreat Polaris Projec Human Trafficking The Victims and Traffickers Available at Accessed July National Center for Missing and Exploited Children Child Sex Trafficking Available at missingkids.org/1in6 Accessed July Case Document Filed Page of U.S Department of Jus ice The National Strategy for Child Exploitation Prevention and Interdiction A Report to Congress-April Available at justice gov psc/file/842411/download Accessed July Cole Sprang Sex trafficking of minors in metropolitan micropolitan and rural communities Child Abuse Neg Reid JA Entrapment and enmeshment schemes used by sex traffickers Sex Abuse Na ional Human Trafficking Resource Center National Human Traffick i ng Resource Center NHTRC Data Breakdown United Sta es Report Available at humantraffickinghotline org/sites/default/files/NHTRC 20United 20States 20Report 20USA pdf Accessed July Macias-Konstantopoulos Human trafficking the role of medicine in interrupting the cycle of abuse and violence Ann Intern Med Cole Sprang Lee Cohen The trauma of commercial sexual exploitation of youth a comparison of CSE victims to sexual abuse in a clinical sample lnterpers Violence Jimenez Jackson AM Deye Aspects of abuse commercial sexual exploitation of children Curr Prob Pediatr Adolesc Health Care Varma Gillespie McCracken Greenbaum VJ Charac eristics of child commercial sexual exploitation and sex trafficking vict i ms presenting for medical care in the United States Child Abuse Neg Gibbs DA Hardison Walters JL Lutnick A Miller Kluckman Sevices to domestic minor victims of sex rafficking Opportunities for engagement and support Child Youth Serv Rev Hachey LM Phillippi JC Identification and management of human trafficking i the emergency department Adv Emerg Nurs Logan TK Walker Hunt Understanding human trafficking in the United States Trauma Violence Abuse Department of State United States Advisory Council on Human Trafficking Annual Report Available at state.gov/j/tip/263114 htm Accessed July Dovydaitis Human trafficking the role of the health care provide Midwifery Womens Health Nuzzolese Human trafficking role of oral health care providers Forensic Odontostomatol Lederer Wetzel The health consequences of sex trafficking and their implications for iden ifying victims in healthcare facilities Annals of Health Law Greenbaum VJ Commercial sexual exploitation and sex trafficking of children in the United States Curr Prob Pediatr Adolesc Health Care Chaffee English A Sex trafficking of adolescents and young adults in the United States Healthcare provide role Curr Opin Obstet Gyneco Callaghan MG Human trafficking and the dental professional Am Dent Assoc Blackiston Saving a life Recognizing the signs of human traff i cking abuse and neglect ROH UM1 i fI?q F?E OD LI s0ө A?U1t sW Mb r?Ր C.??wN ע??Ա n?L Ps a(C3?z l??V?vQ h?d Px??t EC T?jz0??y aN ڸ2 pJ?W G?כ d?R Fpk P/ɓ nf hϲEc k0x 3CJB4 h싪?Ԫ?3 H?-q?g tg A OC e?M??a;q?o HLNL?Z k(??q?BA er cL D?Q??pϕ 2I A?W V??g 5y A?q?XY jax go?gy?U ds?I sG cR?6bQ x?ې m??K?W M?h sVC?2kȪ?i?J O?t fȗ?0 Tfk 4aҾ J?m WO?H p?6w YAw 7W j??x?z k?U?A ڗ?y 3j W?R?o Ps p?G ښjh S?Mx nb U??fP O?D??R?j M??ށ?L R?Ԓ_l i m??m U?o w?A B4 kڋ 4V k?!?dW bj dh O?Z?ji ʁZ TT zں VIJ??M lH 5KS Nc h?ԋ G?b?H?0ale F_ Cf KF?4 ʀ?פ bޤEᭈ_T yF?k??j X?q?f??HxA i o1i?Ǖ YV 8lH9?hl f?u??w?Yހ6 όQ T??bS e?UˆK??y?e 5Ϫ0O V??M LK2 Xm3 cs P??KƏ??PUN?dEʤ MCc Z0 8ݪ3Vv??H?j?-xt慯 i,?M??qtΎ fp Q?K 3W R?NxRje rC W?x qqQ?c Gw c?t ژ??f?W?gj 6W Pr U??Ԓ N?F a?WƏ?S a ook O?饏??扖 w?F??x?p 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B?R r?3u G?U l?M E9?Ო S?m K??l E?Ÿ 7r?N?ԃ xP?D?E??x A lv5d A W??V?bFi ˇ8 V4 Qu h?lA?G;?ɒ d?E H??C y??/EI?V 3?ZsR?e ʒ_ՎXp?X Wc Gy EWv?kC?4 za b?I x_ԔƔߵ F럣 t?ܢ?u?bX K1 t?ap v?f??B袅O d?QȆ?δ?EC i5 a y8 狟e?o x??wRn??vw?s Nr Udβ?v?ڿK R?Ʉ??,hy?u x?M _bA IJ??ue??sH U4 q怎?8?z LF nRtl 5iuk cǚ tCR Ykb ZB A Pg??ߏ(?b d?i Ǒo qګ?5!孈??JDTkd?;?R?SFk?3 Qu H_?t?aT c?h KC?ddP eg eÀkt?d i?S?Iz LH??胻k Q?n2c r??ǔ Tn u?ô3 L?Z?Ǯ?T z?K?yq bz7 Ce룪ۊ?ό ݚk b??fg??c?겑 js?A?uW X5 f?Ȼ f?em ŗ?Ě?L?w?ǹ 0??GI?vTz I t?x za?3t a?T _W ii6 Hb om??ӫ Bt Y6 o?Q?J JнԒ t_ qog?X ԯN 34?M?ZRR??xӗ?g Knމ M?q?gQ k?H p0 Ƅw b7?qh ܙK??s Case Document Filed Page of Chisolm-Straker Baldwin Ga"igbe-Togbe Ndukwe Johnson PN Richardson LD Health care and human trafficking we are seeing the unseen Health Care Poor Underserved Baldwin SB Eisenman DP Sayles JN Ryan Chuang KS Identification of human trafficking victims in health care settings Health Hum Rights Powell Dickens Stoklasa Training U.S health care professionals on human trafficking where do we go from here Med Educ Online Grace AM Lippert Collins et al Educating health care professionals on human trafficking Pediatr Emerg Care Schwarz Unruh Cronin Evans-Simpson Britton HE Ramaswamy Human trafficking identification and service provision in the medical and social service sectors Health Hum Rights Hemm i ngs Jakobowitz Abas et al Responding to the health needs of survivors of human trafficking a sys ematic review BMC Health Serv Res Hopper Trauma-informed psychological assessment of human trafficking survivors Women Therapy Featured image by
