Stacy L. Schaffer Founder, 31:8 Project

Stacy L. Schaffer Founder, 31:8 Project

Be the Voice: How healthcare providers can make a difference in the fight against human trafficking.

Objec;ves Define human trafficking and the different categories it encompasses on an interna;onal, na;onal and local level. Have a greater knowledge of local and na;onal laws pertaining to human trafficking. Iden;fy a poten;al vic;m of human trafficking and/ or a trafficker. Determine next steps aber iden;fying a vic;m.

8 year old girl in El Salvador Playing on dirt road Car pulls up Takes Ana across the border to a brothel Found due to a noise complaint Rescued Anna s Story

Defining Human Trafficking

Two Categories Sex Trafficking/Labor Trafficking Vic;ms of sex trafficking may be children, teenagers or adults lured by false promises and ul;mately forced into pros;tu;on. Vic;ms of labor trafficking can be found in many types of domes;c and non- domes;c situa;ons. Vic;ms are trapped into a cycle of debt, forcing them into involuntary servitude, debt bondage and slavery.

Types of Slavery Agriculture Domes;c Services Manufacturing Domes;c Minor Sex Trafficking Child Soldiers Bride Trafficking Organ Trafficking

Ac;on + Means + Purpose = Human Trafficking

Global Issue

Human Trafficking in ND

S;ng Opera;on in the Bakken

U.S. Government Ac;on Trafficking in Persons Report (TIP) Vic;ms of Trafficking and Violence Protec;on Act of 2000 (TVPA) The Trafficking Vic;ms Reauthoriza;on Act of 2003, 2005, 2008, 2013, 2015

Building a Legal Framework

North Dakota Legisla;on North Dakota Century Code 12.1-40- 01 Human Trafficking Senate Bill 2107 - Uniform Act on Preven;on of Remedies for Human Trafficking Created a comprehensive framework to combat human trafficking in North Dakota Amended with a Gag amendment - Except as provided by federal law, funds of this state or a poli;cal subdivision of this state and federal funds passing through the state treasury or a state agency to provide treatment and support services for vic;ms of human trafficking may be used to refer for or counsel for family planning services, but may not be used to perform, refer for, or encourage abor;on

North Dakota Legisla;on Senate Bill 2199 Funding for vic;m services Appropriated $500,000 to the Office of the A`orney General to provide grants to organiza;ons involved in providing preven;on and treatment services related to human trafficking vic;ms Senate Bill 2219 - Human Trafficking Commission Gives the A`orney general authority to establish a human trafficking commission The commission will develop a coordinated plan to provide services to vic;ms, coordinate training, promote public awareness, collect and evaluate data on human trafficking

North Dakota Grant Awards Senate Bill 2275 Makes it illegal for anyone to force or coerce a human trafficking vic;m to have an abor;on. The court may sentence defendant for up to five years in prison Senate Bill 2284 Funding for SANE (Sexual Assault Nurse Examiner) $250,000 for grants through the domes;c violence and rape crisis program for community- based or hospital- based sexual assault examiner programs Senate Bill 2332 Johns School Offender educa;on program and increases penalty for second offense of an individual who hires another individual with the inten;on of engaging in sexual ac;vity

ND Sexual Assault & Human Trafficking Programs Funded To help offset the costs of enhancing the quality and quan;ty of sexual assault nurse examiner services, the Land Board awarded the following grants to: Central Dakota Forensic Nurse Examiners, Bismarck - $171,060 Mercer County, Stanton - $10,131 Dakota Children's Advocacy Center, Bismarck - $27,419 Jamestown Regional Medical Center, Jamestown - $ 12,785 Domes;c Violence and Abuse Center, Inc., GraBon - $6,886 Family Crisis Shelter, Williston - $14,486 Altru Health System, Grand Forks - $5,000

Doctors Trained to Iden;fy Vic;ms

28% of trafficking survivors in one study said they came into contact with a healthcare provider during the trafficking situa;on, and were not recognized. - Family Violence Preven;on Fund

Iden;fying a Vic;m Understand the different forms of trafficking Health characteris;cs of a trafficked person Signs that a person is being held as a slave Ques;ons to ask if you suspect you are in the presence of a trafficking vic;m

Ques;ons to Ask Can you leave your job if you want to? Can you come and go as you please? Have you been hurt or threatened if you tried to leave? Has your family been threatened? Do you live with your employer? Where do you sleep and eat? Are you in debt to your employer? Do you have your passport/iden;fica;on?

Health Characteris;cs Malnutri;on, dehydra;on or poor personal hygiene Sexually transmi`ed diseases Signs of rape or sexual abuse Bruising, broken bones, or other signs of untreated medical problems Cri;cal illnesses including diabetes, cancer or heart disease Post- trauma;c stress or psychological disorders

Example of Taioos on Vic;ms

Examples of Traffickers Brothel and fake massage business owners and managers Growers and crew leaders in agriculture Gangs and criminal networks Pimps

What vic;ms want you to know Think about things from our point of you, never say you understand, because you haven t been there. But s;ll try to put yourself in our shoes. Language counts. The words you use make a difference. Calling us pros;tutes hurts us. We may act hard but we have to have the wall up for survival. Deep down we know we need help. We need more informa;on about your services, and we need it to be in places where we can see it (public restrooms, bus stops, shelters, clinics, etc.)

Taking a Stand

Iden;fy Best Prac;ces EDUCATION Have policies in place Assist pa;ent in contac;ng law enforcement, if desired Contact child protec;ve services or appropriate service provider if pa;ent is a minor Call the Na;onal Human Trafficking Resource Center (NHRTC) 1-888- 373-7888

Contacts in North Dakota North Dakota Bureau of Criminal Inves;ga;on 31:8 Project Invisible Innocence FUSE Caws North Dakota North Dakota Women s Network North Dakota Human Rights Coali;on North Dakota Human Trafficking Task Force

Resources on Na;onal Level DEPT OF HOMELAND SECURITY - BLUE CAMPAIGN Working in collabora;on with law enforcement, government, non- governmental and private organiza;ons, strives to protect the basic right of freedom and bring those who exploit human lives to jus;ce. NATIONAL HUMAN TRAFFICKING RESOURCE CENTER A na;onal an;- trafficking hotline and resource center serving vic;ms and survivors of human trafficking and the an;- trafficking community in the United States. Available to answer calls from anywhere in the country, 24 hours a day, 7 days a week, every day of the year in over 200 languages. POLARIS PROJECT A nonprofit, non- governmental organiza;on that works to combat and prevent modern- day slavery and human trafficking.

Medical Trainings Physicians Against the Trafficking of Humans (PATH) doc- path.org

Overview Define human trafficking and the different categories it encompasses on an interna;onal, na;onal and local level. Have a greater knowledge of local and na;onal laws pertaining to human trafficking. Iden;fy a poten;al vic;m of human trafficking and/or a trafficker. Determine next steps aber iden;fying a vic;m.

QUESTIONS Speak Up For Those Who Cannot Speak For Themselves Contact Informa;on: Stacy L. Schaffer schaffer@318project.org Phone 701.557.3750 www.318project.org Facebook.com/318project

notmylife.org References dhs.gov/blue- campaign/what- human- trafficking contemporarypediatrics.modernmedicine.com/ contemporary- pediatrics/content/tags/child- pornography/sex- trafficked- child?page=full traffickingresourcecenter.org state.gov/j/;p/laws/index.htm polarisproject.org legis.nd.gov doc- path.org/path

projecsuse.org pcand.org ndcaws.org ndwomen.org ndhrc.org References ti.gov/about- us/inves;gate/civilrights/ human_trafficking unodc.org/unodc/en/human- trafficking/what- is- human- trafficking.html ice.gov/human- trafficking