Here are the resources mentioned in the Washington Family Physician's recent article on human trafficking:

• US Department of Health and Human Services Adult Human Trafficking Screening Tool and Guide
• National Human Trafficking Resource Hotline:
  • Website
  • Phone number: 888-373-7888
  • Text: 233733
• Washington State Department of Commerce Clearinghouse on Human Trafficking
• Washington State Department of Health Human Trafficking page
• Innovations HTC, an Indigenous Survivor-led community-based resource based in Olympia
• CUES (Confidentiality, Universal Education and Empowerment, Support) resource via Futures Without Violence
• Federal definitions of human trafficking:
  • Labor trafficking is the recruitment, harboring, transportation, provision, or obtaining of a person for labor or services, through the use of force, fraud, or coercion for the purpose of subjection to involuntary servitude, peonage, debt bondage, or slavery.
  • Sex trafficking is the recruitment, harboring, transportation, provision, obtaining, patronizing, or soliciting of a person for the purpose of a commercial sex act, in which the commercial sex act is induced by force, fraud, or coercion, on in which the person induced to perform such act has not attained 18 years of age.
  • Sources: Victims of Trafficking and Violence Protection Act of 2000 via the PurpLE Health Foundation
• Four principles of trauma-informed care, via the PurpLE Health Foundation:
  1. Realizing the widespread impact of trauma
  2. Recognizing signs and symptoms in trauma, including in patients and their families and in staff and clinical team members
  3. Responding by fully integrating knowledge about trauma into policies, procedures, and practices
  4. Seeking to actively resist re-traumatization
• Example of a primary care referral for someone who has experienced trafficking:
  • "Major childhood abuse, domestic violence from ex-husband, labor trafficking by family members, and suspected sex trafficking by mother. She went to a doctor a while ago and they found lumps in her breast, but she hasn't followed up or done further testing. She gets nervous/anxious pretty easily, so it has taken her a while to go to a doctor again."
  • This is a representative example and not based on a specific individual.
• American Family Physician, “Addressing Suspected Labor Trafficking in the Office” Mishori R & Ravi A. “Curbside Consultation: Addressing Suspected Labor Trafficking in the Office” Am Family Physician. 2015 Dec 15;92(12):1092-5.