SRFP054: Human trafficking in Healthcare: Identifying primary care team knowledge and barriers to trauma-informed care

Samantha Mendoza Stanteen; Victoria Udezi, MD, MPH, MPH; Nida Ahmed

Abstract

Context: Human trafficking is a widespread issue that is hard to recognize. It has been estimated that over 300,000 people in Texas are victims of human trafficking. Studies have shown that 30-87% of victims had contact with a healthcare professional while they were being trafficked, yet no recognition or interventions took place. The implementation of trauma-informed care in the primary care setting is important because primary care clinicians may encounter human trafficking victims/survivors in their practice and need to know how to respond appropriately. Assessing the current understanding primary care clinicians have of trauma-informed care will help identify the barriers to recognizing and addressing the needs of human trafficking victims and survivors.

Objective: To identify gaps in primary care clinician knowledge of trauma-informed care.
Human subjects review: Quality improvement, non-regulated.

Study Design: Descriptive, cross-sectional study utilizing results from a validated survey that measured the knowledge and attitudes participants had regarding trauma-informed care.

Setting: Primary care clinic in Dallas, Texas.

Participants: The survey was distributed to health care professionals in a primary care clinic

Results: The survey has been completed by 52% (n=14) of the participants. Preliminary findings show that a majority (57%) of participants were not knowledgeable about what trauma-informed care entails and did not feel comfortable in their ability to screen for and address trauma in patients. Seventy-one percent of participants indicated they received no training or resources on trauma-informed care. A third of the participants felt that there were clinic barriers to implementing trauma-informed care including time, expertise, and resources. Sixty-four percent of participants identified lack of training in trauma and patients’ non-communication as personal barriers to implementing trauma-informed care, and half identified lack of available resources.

Conclusions: The practice of trauma-informed care by health care clinicians is needed to identify and properly provide care to human trafficking victims and survivors. Preliminary findings support the need for trauma-informed care training and identify barriers faced by primary care clinicians.

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