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Healthy Lifestyle & Harm Reduction

Steering Committee

Angela Rabbitt DO

Wendi Ehrman MD

José Salazar

Desire Casarez

Madelaine Tully MD

Debbie Lassiter, D.Div

Carla McKiver

Marlanda Grandberry

Healthcare Collaborative Against Sex Trafficking

hcastmilw.org

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Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Empower patients to maintain a healthy lifestyle and utilize harm reduction strategies

OBJECTIVES

Discuss the importance of harm reduction in cases of sex trafficking
Important categories of harm reduction

Healthy relationships and sexuality
Substance use disorder
Immediate survival and safety needs

Resources in Milwaukee
Engaging patients in harm reduction

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Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Empower patients to maintain a healthy lifestyle and utilize harm reduction strategies

“Like, you can't expect just because I'm in this situation, and you got me out, that my whole mental state of mind is okay. No, it's still–(there’s) underlying issues a person has. They think just because you're out of this situation, that, oh, everything is going to be peaches and cream. No.”

~Survivor, Sojourner Family Peace Center, Milwaukee

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Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Empower patients to maintain a healthy lifestyle and utilize harm reduction strategies

HARM REDUCTION

Policies, programs, and practices that aim to minimize the health, social, and economic consequences of an exposure.

“[Harm reduction] focuses on positive change and on working with people without judgement, coercion, discrimination, or requiring that they stop the [harmful behavior] as a precondition of support.”

https://www.hri.global/what-is-harm-reduction

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Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Empower patients to maintain a healthy lifestyle and utilize harm reduction strategies

IMPORTANT HARM REDUCTION STRATEGIES

Screen for associated health conditions
Education- harm reduction in:

Relationships
Substance use disorder
Sexual violence
Nutrition

Provide local safety resources

Lederer LJ, Wetzel, CA. The health consequences of sex trafficking ind their implications for identifying victims in healthcare facilities. Annals of Health Law. 2014;23(1):61-91.

“In the lifestyle, you’re living day by day, moment by moment, hour by hour. I have no idea what tomorrow is going to bring me or if I’m even going to be alive, let alone I have an appointment to a doctor. I wasn’t going to a doctor.”

–Survivor, Convergence Resource Center, Milwaukee

Health care providers promote harm reduction in a variety of situations, but some aspects are particularly important for patients impacted by sex trafficking.
Patients who are trafficked are at high risk for untreated chronic medical problems and experience significant barriers to accessing care. So screening for associated health conditions and providing care during the visit whenever possible is important.
In large, multi-center studies involving surveys, focus groups, and interviews of survivors, the most common conditions (apart from mental health concerns) were:

reproductive health care issues related to sexual violence and coercion (sexually transmitted infection, physical injuries),
substance use disorder, and
nutritional concerns (severe weight loss 43%, eating disorders 36%, malnutrition 35%)

Providers who plan to screen for harm reduction opportunities should have a plan for how to respond to a positive screen

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Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Empower patients to maintain a healthy lifestyle and utilize harm reduction strategies

Basic needs

Do you have a safe place to stay tonight?
Do you need help finding food?
Do you need help with transportation?
What resources have worked best for you in the past?

Help them connect.

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Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Empower patients to maintain a healthy lifestyle and utilize harm reduction strategies

Healthy Relationships/Interpersonal Violence: Screening

Make it a routine part of the evaluation

“We talk with all our patients about healthy relationships because they can have such a big effect on your health.”

Screening for interpersonal violence goes beyond “do you feel safe at home”

“If you and your partner have a disagreement, what happens? What do you do? What do they do?” “Do you know anyone in a violent relationship?”

Use screening as a tool for education

https://rhntc.org/sites/default/files/resources/fpntc_hlthy_rlshp_wheel_2019-03-01.pdf

https://stacks.cdc.gov/view/cdc/11402

In addition to screening for basic needs, screening for safety in relationships is important for all patients, but especially for people at high risk for trafficking.
According to survivors of sex trafficking in our focus groups, screening for safety in relationships seems more comfortable and less judgmental if it is part of the evaluation for every patient.
Survivors working with HCAST also say sometimes safety screening seems like just a check-box, and that the provider doesn’t actually want to know or deal with the answer. So it is important that providers are comfortable asking the questions in a way that lets patients know they care about the answer.
Providers can also use screening as a chance to educate. If providers feel there is high risk but the patient isn’t ready to disclose violence in relationships, providers can ask if they know anyone who has been in a violent relationship and then provide some information and resources that the patient can pass on.

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Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Empower patients to maintain a healthy lifestyle and utilize harm reduction strategies

Healthy Relationships/Interpersonal Violence (IPV): responding to a disclosure

Assess immediate danger:

“Are you worried for your safety if you don’t leave with the person that brought you here?”
“What do you think will happen if your partner knows what you told me?”
“Are you worried about the safety of any loved ones or pets?”

Initiate report to law enforcement if appropriate
Further assessment and safety planning

Assist contacting National Human Trafficking Hotline or local Domestic Violence Hotline
Provide written or online safety planning resources

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Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Empower patients to maintain a healthy lifestyle and utilize harm reduction strategies

Futures Without Violence

Strategies to stay safe during violence
Safety when preparing to leave
Safety measures to take in your home
Enforcing a protection order
How to prepare an exit plan

https://www.futureswithoutviolence.org/userfiles/file/Maternal_Health/Safety%20plan%20English-Consensus%20Guidelines.pdf

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Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Empower patients to maintain a healthy lifestyle and utilize harm reduction strategies

NHTRC

https://humantraffickinghotline.org/sites/default/files/Safety%20Planning%20At%20A%20Glance.pdf

Domestic Violence Resource Center

https://www.dvrc-or.org/safety-planning/

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Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Empower patients to maintain a healthy lifestyle and utilize harm reduction strategies

Utilizing Technology to Stay Safe

Precautions:

Many traffickers directly control victims’ phones
If someone does have access to a phone, the trafficker may be using apps/ software on that phone to track them

Survivor can consider borrowing a phone or using a “burner” phone to communicate without being tracked
Turn off location settings, uninstall any apps that the survivor does not recognize, avoid using social media

https://www.domesticshelters.org/articles/technology/lifesaving-apps-for-survivors-of-domestic-violence

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Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Empower patients to maintain a healthy lifestyle and utilize harm reduction strategies

Examples of free safety Apps:

Noonlight: discreetly call 911 in an escalating dangerous situation
myPlan: helps identify abusive behavior, immediate risk, and resources to formulate safety plan

Safe at Home: address confidentiality program

Wisconsin DOJ Website
Removes patient’s name and address from public records
Mail sent to PO Box in Madison - then forwarded to the participant’s address

https://www.domesticshelters.org/articles/technology/lifesaving-apps-for-survivors-of-domestic-violence

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Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Empower patients to maintain a healthy lifestyle and utilize harm reduction strategies

Addressing the risks of forced and coerced sexual contact

Contraception may not be accessible or allowed

Provide condoms (“male” and “female” condoms)
Discussion of less visible forms of birth control

IUDs, nexplanon, depo, even nuvaring

Regularly screen for sexually transmitted infections and pregnancy (ideally every 3-4 months)
Vaccinate against HPV and Hepatitis B (if not immune)
Educate about prophylactic medications for STI’s and pregnancy

Timeframes for post-exposure prophylaxis and how to access
HIV PreP

For many reasons people who are being victimized by traffickers may not be able to leave the situation right away, and they may return to the life multiple times before they are finally able to leave for good.
It is helpful to discuss with patients some ideas to reduce health complications from forced or coerced sexual contact.
Using condoms is always recommended, but people who are trafficked may not be given access to condoms and they don’t always have a choice to use them. They may face consequences of violence or financial losses for turning away buyers who refuse to use condoms.
Screen regularly for STIs and pregnancy- there are no specific guidelines for how often this population should be screened, but recommendations for other high risk groups is every 3-4 months.
Make sure patients are vaccinated for HPV and offer Hepatitis B testing to ensure they are immune.
Educate patients on how to access prophylactic medications for sexually transmitted infections and pregnancy.

Discuss the timeframe in which prophylactic medications can be given.
HIV pre-exposure prophylaxis: patients are given a daily medication to prevent HIV. This may be a viable option for some, but patients should be educated that the medications need to be taken daily and there is some bloodwork and monitoring that may be too challenging for some patients

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Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Empower patients to maintain a healthy lifestyle and utilize harm reduction strategies

Harm Reduction in Substance Use Disorder

History of incarceration, homelessness, and involvement in the sex trade all increase the risk for overdose and skin and soft tissue infections with injection drug use

Transient and chaotic lifestyle and coercion/control by traffickers make follow-up appointments for treatment difficult

Murphy EL et al. Risk factors for skin and soft-tissue abscesses among injection drug users: a case-control study. Clin Infect Dis 2001;33:35-40

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Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Empower patients to maintain a healthy lifestyle and utilize harm reduction strategies

Harm Reduction in Substance Use Disorder

Medication assisted treatment (MAT)/ Opioid Agonist Therapy (OAT)
Medically supervised injection facilities
Syringe exchange programs
Vaccines- tetanus, pneumococcal, hepatitis B if not immune
Education

In HCAST focus groups, women reported that accessing detoxification and bridging services to residential substance abuse treatment facilities was a problem. This can be particularly problematic for victims of sex trafficking who may be forced to return to traffickers during times of homelessness or to manage symptoms of withdrawal without medical support. Quick access to substance abuse treatment services can be life-saving.
Some primary care centers and emergency departments have worked towards immediate access to providers who can prescribe medication assisted treatment (MAT) for substance use disorder, either through co-located services or telemedicine.
One way to find MAT providers is through the Substance Abuse and Mental Health Services Administration (SAMHSA) Website. The website provides contact information for MAT providers.
A link to the SAMHSA website and other resources to find syringe exchange programs in Milwaukee and access services for substance use disorder are included at the end of this presentation.
Again, providing vaccines to protect against illnesses transmitted through needle sharing are an important step in harm reduction.
It’s also very important to educate patients about safe injection practices.

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Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Empower patients to maintain a healthy lifestyle and utilize harm reduction strategies

Harm Reduction in Substance Use Disorder: Education

Hand washing prior to injection, clean the skin with alcohol
Single use needles, no needle sharing
The arm is the safest injection site, avoid feet and groin
IV safer for injection (increased infection risk with IM)
How to spot an overdose
How to avoid an overdose
How to safely detox
Naloxone take home kits

National Harm Reduction Coalition. Safer Drug Use 101 https://harmreduction.org/issues/safer-drug-use/facts/

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Tips for safer injection drug use�https://harmreduction.org/issues/safer-drug-use/injection-safety-manual/�

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Building a safety plan for opioid overdose�https://www.safeproject.us/wp-content/uploads/2021/07/Safety-Plan-Version.pdf��

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Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Empower patients to maintain a healthy lifestyle and utilize harm reduction strategies

Harm Reduction in Substance Use Disorder

Opioid agonist therapy is associated with 54% reduction of HIV and 50% reduction in hepatitis C
Syringe Services Programs (SSP) are associated with 34% reduction of HIV and 76% reduction of hepatitis C

MacArthur G, et al. Opiate substitution treatment and HIV transmission in people who inject drugs: systematic review and meta-analysis. BMJ. 2012; 345:e5945

Aspinall EJ, et al. Are needle and syringe programmes associated with a reduction in HIV transmission among people who inject drugs: a systematic review and meta-analysis. Int J of Epidemiology. 2014;43(1):235-248.

Platt L, et al. Effectiveness of needle/syringe programmes and opiate substitution therapy in preventing HCV transmission among people who inject drugs. Cochrane Database of Syst Rev. 2017;9(9):CD12021

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Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Empower patients to maintain a healthy lifestyle and utilize harm reduction strategies

Engaging Patients in Harm Reduction: Trust Building Skills

Patients may have significant trauma history:

Trauma and violence before, during, and after victimization
Intergenerational trauma (racism, violence, poverty, etc.)
Medical mistrust: many have experienced breaches of privacy and confidentiality, and discrimination by the healthcare system

Dang BN, et al. Building trust and rapport early in the new doctor-patient relationship: a longitudinal qualitative study. BMC Medical Education. 2017;17(1):32

Suah A, Williams B. How should clinicians address a patient’s experience of transgenerational trauma? AMA J Ethics. 2021;23(6):E440-445.

An important component of successful harm reduction is to approach patients in a way that is non-judgmental and engages patients to take an active role in improving their health.
People who have experienced sex trafficking have generally experienced a significant amount of physical and psychological trauma. Sex trafficking is associated with higher rates of child maltreatment and sexual abuse in their past which can contribute to the vulnerabilities that lead to victimization.
Intergenerational trauma is not unique to victims of trafficking, but issues like racism and poverty are reported to be more prevalent in victims.
Even after victims are able to escape their victimization, they continue to report higher rates of mental illness as they deal with the aftermath of the trauma and the continued trauma of judgement by people who are not aware of the violence and coercion associated with human trafficking.

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t

Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Empower patients to maintain a healthy lifestyle and utilize harm reduction strategies

“He beat me up and… You know what they say about your life flashing?... What about my son, my baby? I just made myself, forced myself to run up to a park… I made it though. But the treatment and what happened, that I almost died and that’s how I was treated? I’m human too…”

- Survivor, Inner Beauty Center, Milwaukee

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Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Empower patients to maintain a healthy lifestyle and utilize harm reduction strategies

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Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Empower patients to maintain a healthy lifestyle and utilize harm reduction strategies

Engaging Patients in Harm Reduction: Trust Building Skills

Don’t take it personally
Be aware of your reactions and body language
Don’t make assumptions
Normalize behaviors
Let them talk. Don’t interrupt.

Trust is extremely difficult for people who have been impacted by trafficking. Victims and survivors are used to manipulated and may not assume you have a positive intent to help them.
The lack of trust is a product of their experience, not a personal statement about the provider’s character. Don’t take it personally. Look for ways to build trust in the relationship.
Be aware of body language and reactions. If providers seem shocked or disgusted by patients’ stories, patients may not feel open to sharing further.
Though choices patients make may be hard to understand unless we have had similar life experiences, responding with judgement is not likely to facilitate engagement with the healthcare team.
Rather than ask “Why do you continue to drink when you know how bad it is for your health?” Even if providers honestly want to understand, it can come across as a judgment of the person’s character. Instead consider saying “Many people struggle to stop drinking, but the more you keep trying the higher your chances that you will eventually be able to quit. For now, lets talk about ways to cut back.”
Providers should avoid assumptions based on appearance, gender, or patient’s experience with trafficking. Risk factors for trafficking can be helpful to target certain populations for prevention, but victims of trafficking can present in many different ways and with many different backgrounds. If providers limit their understanding of sex trafficking to a stereotype of what a victim should look like, they may fail to recognize more diverse presentations.
Normalizing behaviors by letting patients know the challenges they are experiencing are not new, that many people struggle with domestic violence, substance use disorder, etc and that is why providers ask questions about these things can help patients understand that they are not being singled out because of the way they look, their insurance status, etc.
Letting patients talk without interruption also establishes trust.

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Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Empower patients to maintain a healthy lifestyle and utilize harm reduction strategies

Engaging Patients in Harm Reduction: Trust Building Skills

Explain why you are asking sensitive questions, purpose of proposed testing
Tell them what you are going to do before you do it, get permission
Give them options
Focus on modifiable behaviors

One focus group participant pointed out that some questions routinely asked by healthcare providers can be offensive. For example, this survivor was asked how many sexual partner she has had in the past. Rather than answer it had been hundreds, she avoided any further questioning. This question was probably asked to assess her risk of reproductive health concerns to guide treatment, but a better question that would have been sufficient to guide treatment may have been “have you had more than 4 sexual partners in the past”.
Helping patients understand why providers are asking sensitive questions and recommending certain testing can avoid the patients’ misinterpretation that providers are making assumptions and judgments about them based on appearance or circumstance.
A component of trauma informed care in medicine is to explain what will happen during the evaluation early in the visit. Providers can say, “So today I’ll first get some medical information from you about your health history and your family’s history to help me understand what sort of tests or treatments you might need, then I’ll do a physical exam, which will include listening to your heart and lungs, feeling your stomach for any abdominal pain or other problems, checking all your skin, etc. Then we’ll go over what test and treatment I think might be best and we can decide together what you want to do. Does that sound OK? What concerns do you have?” This gives patients the opportunity to mentally process an evaluation that may be triggering for them, and also to let the provider know what parts of the evaluation they may have more trouble with.
When discussing treatment recommendations with patients, providers should discuss with the patient what is feasible for them and focus on behaviors they feel they can change right now.

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Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Empower patients to maintain a healthy lifestyle and utilize harm reduction strategies

“Being in the life, there could be a lot of times where you don’t get a say-so. You don’t really get to make decisions for yourself. So really the doctor making it known and really making patients feel like we have a say-so and we’re actually leading our treatment is huge. . . It's our body, it's our life, and we need to have a say-so, because it's not just our physical health. It goes to our mental health as well.”

- Survivor, Inner Beauty Center, Milwaukee

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Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Empower patients to maintain a healthy lifestyle and utilize harm reduction strategies

Patient Education and Health Literacy

Assess where they are: “What do you already know about ____?”
Slow down, pause to check in with them after each new point
Use visual aids (draw it out, pull up images on the computer)
Teach back: “This was a lot of information. I want to make sure I explained this well. Can you tell me in your own words what our plan is going forward?”
“What questions do you have? What information can I expand on?” (not “Do you have any questions?”)
Written materials: short and sweet, no jargon, big font, use diagrams and pictures

Sudore RL, Schillinger D. Interventions to improve care for patients with limited health literacy. J Clin Outcomes Manag. 2009;16(1):20-29.

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Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Empower patients to maintain a healthy lifestyle and utilize harm reduction strategies

Videos can help overcome literacy deficits

https://medlineplus.gov/anatomyvideos.html

https://medlineplus.gov/healthtopics.html.

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Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Empower patients to maintain a healthy lifestyle and utilize harm reduction strategies

Some Reproductive Health Resources in Milwaukee

Community Health Centers: primary care for uninsured/ underinsured patients

Progressive, 16th Street
Keenan Sexual Health Clinic
Free, first-come, first-served walk-in STD testing and emergency contraception

Diverse & Resilient

Free STD testing (walk-in or appointment)
Open to everyone, with special emphasis on LGBTQ+ people of color

Planned Parenthood

STD testing, vaccinations, reproductive health care, available on a sliding scale

Vivent Health

HIV Resource Center

Check out the Milwaukee Health Department website for more resources

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Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Empower patients to maintain a healthy lifestyle and utilize harm reduction strategies

Interpersonal violence resources in Milwaukee (assistance with safety planning)

Sojourner Family Peace Center

24/7 Domestic Violence Hotline

Call: 414-933-2722

Text: 414-877-8100

https://www.familypeacecenter.org/

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Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Empower patients to maintain a healthy lifestyle and utilize harm reduction strategies

Sexual Violence Resources in Milwaukee- Medical

Sexual Assault Nurse Examiners (SANE)

SANEs in Wisconsin typically focus on the care of adolescent and adult victims, though some are trained in pediatric sexual assault/abuse. SANE coordinators throughout Wisconsin are listed on the Wisconsin Department of Justice website.

Child Advocacy Centers (CACs)

Child Advocacy Centers are child-friendly spaces with multiple co-located services for victims of child maltreatment and their families. Many CACs include medical and mental health services. Because they focus on children and offer multiple co-located services, they are the preferred site for pediatric sexual assault/abuse medical evaluations. Locations and contact information for Wisconsin CACs can be found at https://cacsofwi.org/.

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Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Empower patients to maintain a healthy lifestyle and utilize harm reduction strategies

Substance Abuse Resources

211 Wisconsin Access Point

Provides screening and assessment for drug and alcohol abuse for both insured and uninsured residents of Milwaukee County. Connects patients to a treatment provider and a Recovery Support Coordinator who assists with access to other community services. Available M-F 8am – 4:30pm.

Medication-Assisted Treatment (MAT)

Substance Abuse and Mental Health Services Administration. �The website provides information about MAT, how to obtain certification to provide treatment for substance use disorders, and a list of SAMHSA-accredited programs and certified practitioners.

Needle Exchanges in Wisconsin

Detoxlocal. Lists needle exchange programs in Wisconsin and provides a 24/7 detox line

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Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Empower patients to maintain a healthy lifestyle and utilize harm reduction strategies

Resources for basic needs:

IMPACT 211

Text your ZIP Code to TXT-211

Call 866-211-3380

Impactinc.org

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Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Goal 1: Improve awareness and knowledge about human trafficking

Healthcare Collaborative Against Sex Trafficking

Empower patients to maintain a healthy lifestyle and utilize harm reduction strategies

Thank you!

Questions and more info:

Hcastmilw.org