Department of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, Boston, MA, 02115, USA.
HEAL Trafficking, Los Angeles, USA.
Matern Child Health J. 2022 Mar;26(3):623-631. doi: 10.1007/s10995-021-03342-w. Epub 2022 Jan 11.
Little is understood about child welfare involvement (CWI) in cases where the birth mother has experienced human trafficking.
The aim of this study was to explore provider perceptions of the impact of CWI for the trafficked mother.
Participants were selected among providers caring for trafficked birth mothers. Semi-structured interviews were conducted with providers and qualitative content analysis was conducted.
Interviewees reported reasons for CWI, positive and negative impacts of CWI and provided recommendations for systems improvement.
Recommendations from this exploratory study include mechanisms to support trafficked mothers, train hospital social workers, and systems change. During the prenatal period, strategies to support the trafficked mother may include addressing gaps in social determinants of health, ensuring appropriate medical and mental health care, early screening and referral to substance use treatment services, enhancing community support, and working to develop safety plans for survivors and their families. Enhanced engagement of social workers and all providers to improve understanding of the unique complexity of trafficked mothers is needed. Education should include an understanding that judgement of a caretaker's ability to parent should be current and holistic and not reflexive based on history in the electronic medical record. An exploration of the child welfare system itself should also be undertaken to identify and modify discriminatory laws and policies. Finally, efforts to address social determinants of health in the community and enhance the trauma-informed nature of child welfare referrals could improve the lives of trafficked mothers.
对于经历人口贩卖的生母所涉儿童福利介入（CWI），人们知之甚少。
本研究旨在探讨提供者对被贩卖母亲 CWI 影响的看法。
在照顾被贩卖生母的提供者中选择参与者。对提供者进行半结构化访谈，并进行定性内容分析。
受访者报告了 CWI 的原因、CWI 的积极和消极影响，并提出了系统改进的建议。
这项探索性研究的建议包括为被贩卖母亲提供支持的机制、培训医院社会工作者和系统变革。在产前期间，支持被贩卖母亲的策略可能包括解决社会决定因素健康方面的差距，确保适当的医疗和心理健康护理，早期筛查和转介到药物使用治疗服务，增强社区支持，并努力为幸存者及其家人制定安全计划。需要增强社会工作者和所有提供者的参与度，以提高对被贩卖母亲独特复杂性的理解。教育应包括理解对照顾者育儿能力的判断应是当前和全面的，而不是基于电子病历中的历史记录的反射性判断。还应探讨儿童福利制度本身，以确定和修改歧视性法律和政策。最后，努力解决社区的社会决定因素健康问题，并增强儿童福利转介的创伤知情性质，可以改善被贩卖母亲的生活。
