A Review of U.S. Health Care Institution Protocols for the Identification and Treatment of Victims of Human Trafficking

The purpose of this study was to characterize and assess human-trafficking (HT) identification, treatment, and referral protocols of U.S. health care service provider institutions. A total of 30 protocols from 19 states and 2 national organizations were analyzed. Across the protocols, the most commonly listed indicator of HT victimization was patient history of physical- or sexual-abuse victimization, which was included in 73% of the protocols. In addition, the majority (70%) of the protocols listed ≥ 1 medical-symptom indicator of HT victimization (e.g., bruises, scars, frequent injuries), ≥ 1 indicator based on a patient’s apparent dependence on another person (e.g., patient not in control of personal identification), and ≥ 1 indicator related to how the patient communicates (e.g., inconsistencies in the patient’s story about his or her medical condition). A smaller proportion of protocols included indicators of HT that pertained to housing (60%), the patient’s appearance (47%), the patient’s mental health (63%), sexual history (63%), or technology-related indicators such as the patient possessing explicit digital photos of himself or herself with another person (20%). We conclude that additional research is needed to establish ideal protocol content but propose that in the interim protocol developers consider using practice-informed and evidence-based information that pertain to six areas of victim identification and assistance.