Commonspirit Health, Dignity Health, Sacramento, CA, USA.
International Centre for Missing and Exploited Children, Alexandria, VA, USA.
J Prim Care Community Health. 2022 Jan-Dec;13:21501319221093119. doi: 10.1177/21501319221093119.
Little is known about the impact of trauma-informed primary healthcare on recovery from human trafficking, or individual characteristics associated with successful participation in community services.
To evaluate the efficacy of a trauma-informed family medicine clinic, the Medical Safe Haven ("MSH"), in facilitating success in a community-based anti-trafficking victim service program, Community Against Sexual Harm ("CASH"), and to identify participant characteristics associated with successful CASH completion.
Retrospective analysis of data from 57 adult females participating in the CASH program, 37 of whom received care at MSH. We examined differences in descriptive statistics between those who completed the CASH program and those who did not; then conducted logistic and linear regressions testing the association between MSH care and CASH program outcomes. Survival analysis models examined the time to CASH program drop-out (program incompletion).
Odds of successful CASH completion increased by a factor of 5.37 for MSH patients compared to other participants. This association strengthened with increases in the duration of MSH care and degree of patient engagement. The positive association of MSH care on program completion was mediated by the length of program participation. The extended length of participation among MSH patients was even stronger when those patients were in a stable and independent housing situation. The risk of program incompletion was 68% lower for MSH patients compared to other participants.
Adults who experience human trafficking and receive healthcare at MSH are significantly more likely to successfully complete the CASH program than those who do not receive healthcare or who use alternative health systems. Study findings argue for the importance of consistent, trauma-informed longitudinal healthcare for trafficked persons.
对于创伤知情的初级保健对人口贩运后康复的影响，或者与成功参与社区服务相关的个体特征，人们知之甚少。
评估创伤知情的家庭医学诊所（Medical Safe Haven，MSH）在促进基于社区的反人口贩运受害者服务项目（Community Against Sexual Harm，CASH）成功中的效果，并确定与成功完成 CASH 相关的参与者特征。
对参与 CASH 项目的 57 名成年女性的数据进行回顾性分析，其中 37 名在 MSH 接受治疗。我们比较了完成和未完成 CASH 项目的参与者在描述性统计数据上的差异；然后进行逻辑和线性回归，检验 MSH 护理与 CASH 项目结果之间的关联。生存分析模型检验了 CASH 项目退出（项目未完成）的时间。
与其他参与者相比，MSH 患者成功完成 CASH 的可能性增加了 5.37 倍。随着 MSH 护理时间的延长和患者参与度的增加，这种关联得到了加强。MSH 护理对项目完成的积极关联是通过项目参与的时间长短来介导的。当 MSH 患者处于稳定和独立的住房状况时，MSH 患者的参与时间延长，其影响更大。与其他参与者相比，MSH 患者的项目不完整风险降低了 68%。
接受 MSH 医疗保健的经历人口贩运的成年人比未接受医疗保健或使用替代医疗系统的成年人更有可能成功完成 CASH 项目。研究结果表明，对于被贩运者来说，持续、创伤知情的纵向医疗保健非常重要。
