“They Did Not Pay Attention or Want to Listen When We Spoke”: Women’s Experiences in a Trafficking-Specific Shelter in Cambodia

Affilia ◽  
2021 ◽  
pp. 088610992098483
Author(s):  
Laura Cordisco Tsai ◽  
Vanntheary Lim ◽  
Channtha Nhanh ◽  
Sophie Namy
Keyword(s):  
Human Trafficking ◽  
Qualitative Data ◽  
Well Being ◽  
Health Impacts ◽  
Global Challenge ◽  
Vocational Services ◽  
Trauma Informed ◽  
Evidenced Based ◽  
Shelter Services

Human trafficking is a global challenge that violates fundamental human rights. While the risk factors and health impacts of human trafficking have been well documented, the potential for survivors’ resilience is far less understood. In Southeast Asia, the majority of trafficking-specific services have historically been concentrated in shelters, and yet evidenced-based protocols for shelter services are lacking. This study aligns with the growing literature that emphasizes the importance of feminist and trauma-informed services to support the long-term well-being of survivors of human trafficking. Drawing on qualitative data collected over a 6-year period, the analysis foregrounds the lived experiences and perspectives of 10 women who resided in the same trafficking-specific shelter. Six core themes emerged: being labeled as a victim of human trafficking despite contesting this classification, feeling forced to live in the shelter, a strong desire to leave the shelter environment, disempowering engagement with staff, lack of professionalism among staff, and limitations in vocational services. Collectively, these participant narratives reflect a marked divergence from feminist principles and illustrate the potential for recreating conditions that curtail women’s agency and cause harm within the shelter system. We conclude with a discussion of the implications for a feminist approach to shelter-based service delivery and practice.

scholarly journals Private retirement resorts in South Africa: Guidelines for wellness and sustainability in the long term.

2013 ◽  
Vol 32 (1) ◽  
Author(s):  
Andries C. Hauptfleisch
Keyword(s):  
South Africa ◽  
Knowledge Base ◽  
Quantitative Data ◽  
Qualitative Data ◽  
Well Being ◽  
The Other ◽  
Literature Study ◽  
Optimal Profile

Unsubsidised private retirement resorts in South Africa developed during the last three decades present residents with many challenges. There is no existing generally accepted knowledge base or guidelines to serve this sensitive market. The research objective was to establish which elements are experienced by residents of retirement resorts as satisfactory and which as problematic. A literature study was also undertaken. Quantitative as well as qualitative data were obtained by means of structured questionnaires, interviews and a seminar. The results reported pertain to eight resorts in the east of Pretoria, four in Bloemfontein and two in Knysna. The study is currently being extended to other centres. The quantitative data is arranged in order of the priorities set by the biggest group (Pretoria), with the other groups in comparison. So the research was based on the sourcing of quantitative and qualitative data, as well as on descriptive evaluations. The results offer insightful knowledge and guidelines towards establishing an optimal profile for the development of long-term sustainable private retirement resorts. The implications and value of this study are that both developers of retirement resorts and prospective residents are provided with guidelines to better equip them to evaluate a specific retirement resort with regard to the sustainable well- being of residents long-term.

Human Trafficking

2018 ◽  
Author(s):  
Nisha Verma ◽  
Celeste S Royce
Keyword(s):  
Human Trafficking ◽  
Partner Violence ◽  
Sex Trafficking ◽  
Healthcare Providers ◽  
Health Clinics ◽  
Trauma Informed Care ◽  
Trauma Informed ◽  
The Many ◽  
Modern Day Slavery

Human sex trafficking, often referred to as modern-day slavery, is a major global human rights problem with at least 4.5 million people trafficked for commercial sex annually. Many of these women interface with the medical system regularly, often in women’s health clinics and the emergency departments. Therefore, it is important for healthcare providers to be able to identify red flags for human trafficking, to be able to screen effectively, and to know how to connect patients with resources in the community. It is also important for healthcare providers to be aware of the many long-term health effects related to sexual trauma that victims of human trafficking may develop. OBGYNs are able to have long-lasting impacts on the many survivors of human sex trafficking by screening effectively and providing compassionate, trauma-informed care. This review contains 4 figures, and 3 tables, and 40 references. Keywords:  Sexual assault, sexual violence, Intimate partner violence, Human trafficking, Rape, Trauma-informed care, Women, Primary Care, Obstetrics and Gynecology.

Postpartum Mood Disorders Screening in the NICU

2016 ◽  
Vol 35 (4) ◽  
pp. 240-242 ◽  
Author(s):  
Patricia Scheans ◽  
Rebecca Mischel ◽  
Margi Munson ◽  
Katya Bulaevskaya
Keyword(s):  
Mental Health ◽  
Mood Disorders ◽  
Systematic Approach ◽  
Family Health ◽  
Well Being ◽  
Health Impacts ◽  
Long Term Outcomes ◽  
Tertiary Referral ◽  
Health And Well Being

AbstractMaternal depression is increasingly recognized as the leading complication of childbearing. A mother’s mental health impacts the well-being and long-term outcomes of her children. This column will discuss a systematic approach to screening for maternal postpartum mood disorders (PPMDs) and referring women to resources according to an established algorithm. This work was undertaken in a tertiary referral NICU and performed by dedicated NICU personnel with the goals of optimizing NICU infants’ outcomes and supporting maternal and family health and well-being.

The Application of Trauma-Informed Care to Substance Use Disorder

2021 ◽  
Vol 40 (5) ◽  
pp. 332-334
Author(s):  
Denise J. Maguire ◽  
Barbara L. Cirrito ◽  
Jayne Solomon
Keyword(s):  
Well Being ◽  
Abstinence Syndrome ◽  
Long Term Effects ◽  
Therapeutic Environment ◽  
Trauma Informed Care ◽  
Psychological Injuries ◽  
Trauma Informed ◽  
Patient Families ◽  
And Function

Trauma-informed care (TIC) has been described to apply to several groups of traumatized patient/families in the NICU. Trauma is multidimensional, including physical and psychological injuries with long-term effects on well-being and function. A newborn experiences the best outcomes when the mother also experiences the best outcomes. Thus, the TIC approach is applicable to the care of the infant with neonatal abstinence syndrome (NAS) and mother. Organizational adoption of this model is likely to provide a supportive and therapeutic environment for the infant with NAS and family.

Childhood Trauma

2021 ◽  
pp. 49-63
Author(s):  
Kirstin Painter ◽  
Maria Scannapieco
Keyword(s):  
Social Workers ◽  
Childhood Trauma ◽  
Emotional Abuse ◽  
Well Being ◽  
Life Outcomes ◽  
Trauma Informed Care ◽  
Trauma Informed ◽  
Physical Neglect ◽  
The Relationship

There are five main types of childhood trauma: physical abuse, sexual abuse, emotional abuse, physical neglect, and emotional neglect. Since childhood trauma can affect the child’s health and well-being even long after the trauma has occurred, it is essential for social workers to be able to categorize the trauma to develop better interventions that will help prevent long-term traumatic effects. However, it is also important to understand the three major manifestations a trauma can take form of in children. Childhood trauma can cause, influence, or exacerbate how people cope with mental illness. It can increase the risk of developing risky, addictive, or criminogenic behavior like substance abuse later in life. Trauma can also harmfully affect a child’s development, resulting in negative life outcomes. Social workers need to be able to implement trauma-informed care programs while also making use of the findings about the relationship between neuroscience and childhood trauma for further practice.

scholarly journals Transformative Service Initiatives: Enabling Access and Overcoming Barriers for People Experiencing Vulnerability

2021 ◽  
pp. 109467052110133
Author(s):  
Silke Boenigk ◽  
Aaron A. Kreimer ◽  
Annika Becker ◽  
Linda Alkire ◽  
Raymond P. Fisk ◽  
...  
Keyword(s):  
Public Policy ◽  
Qualitative Data ◽  
Homeless People ◽  
Well Being ◽  
Positive Influence ◽  
Access To Higher Education ◽  
Process Framework ◽  
Empirical Tests ◽  
Individual Strategies

Transformative service initiatives (TSIs) refer to activities by organizations (public, private, nonprofit) or volunteers to serve people experiencing vulnerabilities, including long-term challenges (e.g., refugees, homeless people, undocumented immigrants, ex-convicts) and try to improve their well-being. To advance the concept of TSI, this study proposes a 3A (Awareness, Alignment, Access) Integration Process Framework that can facilitate empirical tests of whether participation in TSIs affects people’s access to critical services. The empirical evidence affirms a positive influence of TSI participation on two TSR outcomes (application and access to higher education), according to data from a longitudinal study of 2,068 refugees (Study 1) that relies on propensity score matching and regression analysis. Study 2 uses qualitative data from six focus groups and identifies 16 barriers to successful refugee integration; it also identifies four individual strategies to overcoming those integration barriers. From academic and public policy perspectives, the findings demonstrate that efforts to plan and implement TSIs should follow a stepwise process to achieve the intended transformative outcomes. These findings can help academic, public policy, and civil society actors design and implement TSIs in various contexts to benefit people experiencing vulnerability.

Shelter-based services for survivors of human trafficking in Cambodia: Experiences and perspectives of survivors

2021 ◽  
pp. 147332502110109
Author(s):  
Laura Cordisco Tsai ◽  
Vanntheary Lim ◽  
Channtha Nhanh
Keyword(s):  
Human Trafficking ◽  
Longitudinal Research ◽  
Sexual Exploitation ◽  
Phenomenological Approach ◽  
Trauma Informed Care ◽  
Trauma Informed ◽  
Shelter Services ◽  
Depth Interviews ◽  
Minimal Research ◽  
Shelter Programs

In Southeast Asia, services for survivors of human trafficking have historically been centralized within shelter programs. Minimal research has, however, been conducted regarding trafficking-specific shelters, particularly research that highlights the perspectives of survivors themselves. This manuscript presents the perspectives of survivors of human trafficking and sexual exploitation on their own experiences pertaining to trafficking-specific shelter services. We analyzed data from the Butterfly longitudinal research (BLR) study, a 10-year longitudinal study exploring the lives, trajectories, and viewpoints of survivors of human trafficking and sexual exploitation in Cambodia. We analyzed 236 in-depth interviews and narrative summaries of interviews conducted between 2011 and 2016 using an interpretive phenomenological approach ( n = 79). Four themes were identified: feeling privileged to live in a shelter; lacking freedom and feeling imprisoned by rules; limited engagement with family; and mixed experiences with counseling. Findings inform critical recommendations for implementing trauma-informed care and strengthening mental health services for survivors, including services provided within shelter programs and within the anti-human trafficking movement more broadly.

scholarly journals Transforming human trafficking rescue services in Nigeria: towards context-specific intersectionality and trauma-informed perspectives

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Foluké Abigail Badejo ◽  
Ross Gordon ◽  
Robyn Mayes
Keyword(s):  
Human Trafficking ◽  
Well Being ◽  
Ethnographic Study ◽  
Theory And Practice ◽  
Service Research ◽  
Cultural Norms ◽  
Content Type ◽  
Rescue Service ◽  
Trauma Informed ◽  
Context Specific

Purpose This study aims to introduce context-specific intersectionality and trauma-informed perspectives for transformative services theory and practice. While transformative service research concerning vulnerable people has focused on well-being and alleviating suffering, there has been less attention paid to how the intersection of scales of social categorisation such as class, gender and cultural norms shapes experiences and outcomes. Likewise, there is a paucity of attention to how lived experiences of trauma among people, such as human trafficking survivors, can and should influence service interactions, delivery and outcomes. Design/methodology/approach The authors draw upon insights from a focused ethnographic study featuring narrative interviews with ten human trafficking survivors and seven rescue service industry stakeholders, as well as field observations, in Nigeria. Thus, this work enriches the limited scholarship on transformative services across Africa, where local cultural contexts have a significant influence on shaping service environments. Findings The authors identify how the intersections of socio-economic class, gender dynamics, cultural norms and trauma shape the service experience for survivors. Originality/value The authors argue for the criticality of intersectionality and trauma-informed perspectives to transformative services to improve the mental and economic well-being of survivors of human trafficking in the long term.

scholarly journals FRAMEWORK FOR INTEGRATING INDOOR AIR QUALITY IMPACTS INTO LIFE CYCLE ASSESSMENTS OF BUILDINGS AND BUILDING RELATED PRODUCTS

2015 ◽  
Vol 10 (1) ◽  
pp. 127-149 ◽  
Author(s):  
Susie R. Wu ◽  
Defne Apul
Keyword(s):  
Life Cycle ◽  
Air Quality ◽  
Impact Assessment ◽  
Indoor Air Quality ◽  
Indoor Air ◽  
Well Being ◽  
Health Impacts ◽  
Life Cycle Assessments ◽  
Life Cycle Stages

Products used during construction and operation of a building can contribute to Indoor Air Quality (IAQ) problems that affect occupants' well-being. However, IAQ is conventionally not addressed in the life cycle assessments (LCAs) of buildings and building related products even though IAQ leads to one of the areas of protection under LCA - human health impacts. In this study, we proposed an overall framework for integrating IAQ into LCA using the standard steps of LCA. The framework focused on IAQ and LCA modeling from two categories of building related products: i) passive products that realize their function through initial installation and have long-term decayed emissions, and ii) active equipment that realize their function and cause emissions through daily operation. Dynamic and static life cycle inventory modeling approaches were proposed for passive products and active equipment, respectively. An indoor intake fraction equation and USEtox model effect factors were incorporated into the life cycle impact assessment. Three hypothetical examples were presented to illustrate the calculation procedure of the framework. We concluded that it was feasible to integrate IAQ into building related LCA studies. Development of IAQ related impact assessment methodologies can improve upon the limitations of this study. Further studies need to be carried out to compare the health impacts from IAQ related sources to other life cycle stages of building related products.

scholarly journals Social connection and physical health outcomes among long-term care home residents: a scoping review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kaitlyn Lem ◽  
Katherine S. McGilton ◽  
Katelynn Aelick ◽  
Andrea Iaboni ◽  
Jessica Babineau ◽  
...  
Keyword(s):  
Health Outcomes ◽  
Physical Health ◽  
Scoping Review ◽  
Long Term Care ◽  
Well Being ◽  
Health Impacts ◽  
Social Connection ◽  
Term Care ◽  
Physical Health Outcomes

Abstract Background Social connection is recognized as an important determinant of health and well-being. The negative health impacts of poor social connection have been reported in research in older adults, however, less is known about the health impacts for those living in long-term care (LTC) homes. This review seeks to identify and summarize existing research to address the question: what is known from the literature about the association between social connection and physical health outcomes for people living in LTC homes? Methods A scoping review guided by the Arksey & O’Malley framework was conducted. Articles were included if they examined the association between social connection and a physical health outcome in a population of LTC residents. Results Thirty-four studies were included in this review. The most commonly studied aspects of social connection were social engagement (n = 14; 41%) and social support (n = 10; 29%). A range of physical health outcomes were assessed, including mortality, self-rated health, sleep, fatigue, nutrition, hydration, stress, frailty and others. Findings generally support the positive impact of social connection for physical health among LTC residents. However, most of the studies were cross-sectional (n = 21; 62%) and, of the eleven cohort studies, most (n = 8; 73%) assessed mortality as the outcome. 47% (n = 16) were published from 2015 onwards. Conclusions Research has reported positive associations between social connection and a range of physical health outcomes among LTC residents. These findings suggest an important role for social connection in promoting physical health. However, further research is needed to consider the influence of different aspects of social connection over time and in different populations within LTC homes as well as the mechanisms underlying the relationship with health.

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