{"id":7174,"date":"2017-01-23T11:30:33","date_gmt":"2017-01-23T18:30:33","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=7174"},"modified":"2020-01-29T15:56:59","modified_gmt":"2020-01-29T22:56:59","slug":"exposing-the-toll-of-human-trafficking","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/exposing-the-toll-of-human-trafficking\/","title":{"rendered":"Exposing the toll of human trafficking"},"content":{"rendered":"
<\/div>

On a snowy, bitter cold morning Dec. 7, Elli Reid stood before a crowd of some 60 people at University of Colorado Hospital. Her chilling subject matter matched the weather outside.<\/p>\n

Reid, a detective with the Colorado Springs Police Department, was there to discuss the subject of human trafficking \u2013 exploitation of individuals by others for sex, forced labor, and slavery. She spoke frankly in her introduction.<\/p>\n

\u201cThis is a harsh, sexually explicit topic,\u201d Reid said. \u201cI don\u2019t want to take away from that and make it vanilla.\u201d<\/p>\n

\"UCH
UCH employees fill a room in the Bruce Schroffel Conference Center before a presentation on human trafficking Dec. 7.<\/figcaption><\/figure>\n

The talk was peppered with graphic images, abusive language and frank discussions about a robust underground economy that trades in flesh and thrives on fear and intimidation, both physical and psychological. It\u2019s alive and well in Colorado and across the United States and the world, said Reid. She is part of a Human Trafficking Unit formed in the Colorado Springs Police Department that launched in 2014.<\/p>\n

\u201cWe\u2019re staying busy in Colorado Springs and El Paso County,\u201d Reid said. She added that UCH sits in an area ripe for human trafficking. \u201cYou have I-25 running north-south and I-70 running east-west right through lovely Denver,\u201d she said.<\/p>\n

Violating the vulnerable<\/strong><\/p>\n

The potential victims are also here: young runaways, the physically abused, the homeless, and the forsaken, all targets for those who prey on the vulnerable by offering a rough security in exchange for servitude, Reid said. The trade bustles in the motels, massage parlors, brothels, and strip clubs that dot any urban area. But Reid said that human trafficking often hides in plain sight and is present on the streets and in schools and neighborhoods.<\/p>\n

Reid came at the invitation of Eve Lindemann, RN, CCRN, trauma nurse coordinator at UCH. Lindemann heard her speak at UCHealth\u2019s Memorial Hospital in Colorado Springs, which has a well-established and respected Forensic Nurse Examiner (FNE) program to identify and assist victims of violence, including those caught up in the web of human trafficking.<\/p>\n

\u201cI thought it would be good for our trauma staff to increase their awareness of the importance of helping these victims,\u201d Lindemann said.<\/p>\n

The hospital has taken another step in that direction with the recent hiring of Santasha Gordon, RN, as its first SANE (sexual assault nurse examiner). Gordon served in the role for three years at Denver Health. The job involves examining potential victims of sexual violence, collecting evidence, providing counseling and medical care, and working with law enforcement. Gordon said she hopes to launch the program, including nurse training, in the next several weeks.<\/p>\n

Before our eyes<\/strong><\/p>\n

The human trafficking presentation is important for bedside nurses, who can help spot signs of trouble when a patient shows up for a medical issue: tattoos, brands, fidgeting, anxiety, inordinate attention to the cellphone, and so on, Gordon said.<\/p>\n

\u201cWe don\u2019t like thinking this is in our own backyard, but we all need to be aware that it happens,\u201d she said.<\/p>\n

Lindemann recalled an incident when she worked as a bedside nurse in the Burn Center. She encountered an attractive woman of about 20 with two older men who wouldn\u2019t leave her side. The relationship \u201cdidn\u2019t seem normal,\u201d Lindemann said. \u201cBut I wasn\u2019t sure who to call or how to respond and I didn\u2019t know the questions to ask,\u201d she said.<\/p>\n

The FNEs play that role at Memorial, not only for providers, but also for the police. \u201cThe FNEs are key to the work we do because they are trained in recognizing the signs of human trafficking,\u201d Reid said. They act as \u201csubject matter experts\u201d who both treat victims and testify about the evidence they collect, she added. \u201cI have them on speed dial.\u201d<\/p>\n

Mind of the victim<\/strong><\/p>\n

It\u2019s vital for providers not only to recognize the physical signs of human trafficking victims but also to understand the psychological damage of the crime, Reid said. She noted to the audience that she learned early never to ask a victim, \u201cWhy don\u2019t you leave this life?\u201d It\u2019s a question fraught with judgment and disapproval. Rather, a provider should ask, \u201cWhat keeps you here?\u201d That opens the door to discussion and understanding of the factors that have led them down a path that Reid stresses no one chooses voluntarily.<\/p>\n

Reid labeled pimps sexual \u201cpuppeteers\u201d with a \u201ccontrolling mindset\u201d they use to maintain stables of prostitutes, euphemistically called \u201cescorts.\u201d She showed an example of an ad she placed on an online site that used thinly disguised wording to solicit sex for $100 a half hour. It didn\u2019t take long for her phone to \u201cblow up\u201d with inquiries, Reid said, noting that at that rate, an escort could easily earn $2,500 a week, but a pimp would take at least a portion of it, if not all.<\/p>\n

For that reason alone, Reid dismissed the notion that the prostitution that is part and parcel of human trafficking is a \u201cvictimless crime.\u201d She said that about two-thirds of the women and men she has worked with suffered child abuse. About six in 10 needed health care services and three-quarters needed job training. About half contemplated or attempted suicide and a third were threatened with death.<\/p>\n

\u201cIf you look at an emergency department, there is a constant coming and going of patients,\u201d Reid said. \u201cIt\u2019s easy to develop a tough skin and say, \u2018That\u2019s just another prostitute.\u2019 But there is an underlying tragedy in every one of those lives.\u201d<\/p>\n

Among the attendees was Kari Waterman, MS, CNS, manager of clinical education at UCH. She said the presentation offered an important reminder that hospitals are not shielded from the problems of the streets.<\/p>\n

\u201cI think it brings a greater awareness of our societal issues that present to our hospital repeatedly,\u201d Waterman said. \u201cThis presentation offered practical approaches to identifying and advocating for these victims when they present in our hospital.\u201d She added that Reid also helped her to grasp the apparent paradox dubbed the \u201cStockholm syndrome,\u201d which leads the abused to \u201cfeel a sense of trust for their abuser.\u201d<\/p>\n

Reid said those bonds of loyalty and unity can be difficult to break, but health care providers can help to do so. She noted that 28 percent of the victims she\u2019s encountered have had contact with a provider during their captivity.<\/p>\n

\u201cThere is no standard operating procedure for working with patients who might be victims of human trafficking,\u201d Reid said. \u201cBut you might be the only person that that victim will talk to.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

On a snowy, bitter cold morning Dec. 7, Elli Reid stood before a crowd of some 60 people at University of Colorado Hospital. Her chilling subject matter matched the weather outside. Reid, a detective with the Colorado Springs Police Department, was there to discuss the subject of human trafficking \u2013 exploitation of individuals by others […]<\/p>\n","protected":false},"author":2143,"featured_media":18127,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[7],"tags":[235,294,4781],"class_list":["post-7174","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-stories","tag-emergency-care","tag-nursing","tag-research-in-health-care"],"acf":[],"yoast_head":"\nExposing the toll of human trafficking - UCHealth Today<\/title>\n<meta name=\"description\" content=\"On a snowy, bitter cold morning Dec. 7, Elli Reid stood before a crowd of some 60 people at University of Colorado Hospital. 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