W.A.R. on Slavery: Human Trafficking Awareness for Healthcare

We invite you to take part in a new E-Learning pilot program geared toward health care providers. These 20 short, 3-minute online lessons allow staff to complete the course at their own pace and within a flexible time-frame.

Gaps in knowledge of human trafficking identification, care, and response are apparent among medical students, residents, physician assistants, attending physicians, nurses, and social workers. For example, in a New York City-based study, only 4.8 percent of emergency medicine clinicians reported feeling confident about their ability to identify a victim of human trafficking. A survey of survivors about their interactions with health care professionals demonstrated that, in addition to not being identified, they had been hurt, humiliated, and, in some cases, harmed by the actions of clinicians, highlighting the need for trauma-informed care training.


Healthcare professionals are on the frontlines when it comes to identifying and caring for victims of human trafficking. As a result, providers need to be educated on how to recognize indicators of abuse so they can intercede on behalf of the patient. This program will play a critical role in preparing our country’s medical community to help victims break out of this abuse cycle.

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At the conclusion of this activity, learners should be able to:

  • Discuss the common indicators for sex and/or labor trafficking victims
  • Describe the red flags for sex and/or labor trafficking victims
  • Describe the trauma-informed techniques or building rapport with a potential victim
  • Identify the questions to ask when communicating with a potential sex and/or labor trafficking victim
  • Describe how to use the National Human Trafficking Resource Center for reporting along with referrals

Pre-Requisite Pre-Test 10 minutes
Day 1 Blamed and Shamed 3 minutes
Day 2 Pimping Is Ownership 3 minutes
Day 3 Do You Really Care 3 minutes
Day 4 The Stockholm Syndrome 3 minutes
Day 5 The Difficult Patient 3 minutes
Day 6 Look Beneath the Surface 3 minutes
Day 7 It’s Not About the Drugs 3 minutes
Day 8 Labor Control Keeps Them Enslaved 3 minutes
Day 9 It’s Not My Fault 3 minutes
Day 10 Promising Offer at the Mall 3 minutes
Day 11 Invisible Boys 3 minutes
Day 12 Labor Domestic Servants 3 minutes
Day 13 Guerilla Pimp 3 minutes
Day 14 Trafficking the LGBTQ 3 minutes
Day 15 Labor Promised an Education 3 minutes
Day 16 Family Secrets 3 minutes
Day 17 Labor – Sham Keeps Men Enslaved 3 minutes
Day 18 It’s About Survival 3 minutes
Day 19 Believe Me or Not 3 minutes
Day 20 No One Understands Me 3 minutes
Resources Resources Review and Interactive Actives 5 minutes
Evaluation Post-Test and Evaluation Survey 15 minutes

ICD-10 Codes
Continuing Medical Education (CME I):
Statement of Accreditation:
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Michigan State Medical Society and Michigan Public Health Institute. The Michigan State Medical Society is accredited by the ACCME to provide continuing medical education for physicians.

AMA Credit Designation Statement:
The Michigan State Medical Society designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

AAMA Credit Designation Statement:
This program has been granted prior approval by the American Association of Medical Assistants (AAMA) for 1.50 approved for continuing education unit(s). Granting approval in no way constitutes endorsement by the AAMA of the program content or the program provider.

Nursing Contact Hour Designation:
 A total of 1.50 nursing contact hours have been awarded by the Michigan Public Health Institute - Continuing Education Solutions (MPHI-CES). No partial credit is available.

Michigan Public Health Institute – Continuing Education Solutions is an approved provider for continuing nursing education by the Ohio Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. (OBM-001-91) (OH-320, 06/01/16) Course #100040487; expires 12/31/2017. Course #10004088; expires 12/31/2018.

Social Work Clock Hour Designation: Michigan Only
This course has been awarded 1.50 clock hours by the Michigan Public Health Institute – Continuing Education Solutions (MPHI-CES).

MPHI-CES is an Unlimited Approved Provider (MICEC-0042) by the Social Work Continuing Education Collaborative and is recognized by the State of Michigan, Department of Community Health, Licensing Division for Social Work Continuing Education. MPHI-CES Course #2017-75-0001; expires 08/31/2018.

Health Educator (NCHEC) Contact Hour Designation:
 A total of 1.50 entry-level continuing education contact hours (CECH) have been awarded by the Michigan Public Health Institute - Continuing Education Solutions (MPHI-CES). No partial credit is available.
Sponsored by Michigan Public Health Institute, a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is designated for Certified Health Education Specialists (CHES) and/or Master Certified Health Education specialist (MCHES) to receive up to 1.50 total Category I continuing education contact hours. Maximum advanced-level CHECH available are 0.00. Course # 101877-29647; expires on 10/1/2018

Healthcare Risk Managers Contact Hour Designation:
 A total of 1.50 contact hours of Continuing Education Credit has been awarded by the Michigan Public Health Institute - Continuing Education Solutions (MPHI-CES). No partial credit is available.
This program has been approved for a total of 1.50 contact hours of continuing education credit toward fulfillment of the requirements of ASHRM designations of fellow (FASHRM) and distinguished fellow (DFASHRM) and towards certified professional in healthcare risk management (CPHRM) renewal. Content Area & Content Code: 1 A-F; 2 A-E; 3 A-H, N-P; 4 A-B MPHI-CES Course #2017-75-0001R

Healthcare Quality CPHQ Continuing Education Hour Designation:
 A total of 1.50 CPHQ continuing education hours have been awarded by the Michigan Public Health Institute - Continuing Education Solutions (MPHI-CES). No partial credit is available.
This program has been approved by the National Association for Healthcare Quality for 1.50 CPHQ continuing education hours MPHI-CES Course #2017-75-0001Q; expires 9/30/2018

How to obtain Certificate of Attendance:
  1. Review disclosures and other course information.
  2. Register for a grouping based on start date.
  3. Complete the Pre-Test.
  4. View the course in its entirety (20 videos).
  5. Participate in the online community and view resources.
  6. Print Certificate of Attendance and keep for your records.
  7. Complete the Post-Test and evaluation survey provided.

How to obtain Certificate of Continuing Education
  1. Follow directions as listed for Certificate of Attendance
  2. An email will be sent after completing the Day 20 and obtaining the Certificate of Attendance that contains the link to the Post-Test and evaluation survey.
    • Pass the Post-Test with 80% or better.
    • Complete the evaluation survey.
  3. After the Continuing Education team has reconciled the learning activity completion and the Post-Test you will receive a Certificate of Continuing Education via the email you registered with.
    What makes our Human Trafficking course better for your organization than another program or even developing a course of your own?

    Here are our Top 10 Reasons why:
    1. Less Expensive Than “Free” Programs
    2. Proven Results
    3. eLearning Content Using Evidence-Based Research
    4. Create Communities of Practice to Engage Your Staff
    5. Provide a Practical On-the-Job Tool for Learners to Use at Work
    6. The Approach is Trauma-Informed and Victim-Centered
    7. Change What People Think and How They Behave in 3 Minutes a Day
    8. Continuing Education Hours Upon Completion
    9. State and Federal Mandated Standards
    10. Program Content and Evaluation Criteria is State of the Art
    Read More

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    Organizational Pricing

    Organizational pricing with continuing education as low as $20/person is available. Click the "Request More Information" button below to have someone contact you and help your organization get registered for this one-of-a-kind training.

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    The Four Stages of Recovering from Sex Trafficking

    Understanding the Four Stages of Recovering from Sex Trafficking can help advocates decipher what stage of recovery a victim/survivor is in; which can ultimately assist advocates in more effective communications and increase understanding of their needs. It can assist victims/survivors realize their own victimization; know the work they need to do to recover, and see what they can look forward to at the end of the tunnel.


    The Human trafficking victim/outcast are subjected to on-going trauma. They navigate through life with the victim mindset and don’t realize they are victims.


    The survivor asks for help. They live in a safe place yet struggle with how to undo the negative psychological affects trafficking inflicted in them. They are tempted to go back to using drugs or trafficking and may relapse.


    The thriver is living independently and out of survival mode. They learn how they fell prey to traffickers, what kept them trapped, what it took to escape, and what it will take to remain free.


    The Human Trafficking Victor or Leader have their blinders are off and have reached “the other side”. They are leaders in their own lives and have acquired improved communication skills and know how to set boundaries. The shame has been released and they walk with their heads held high.

    To read more about Understanding the Four Stages of Recovering from Sex Trafficking, click the button below to download the full document.


    Human Trafficking: A Success Story Presentation

    Human Trafficking: Tips from Survivor, Ruth Randon

    This is a partial list of the 49 research references used to develop this program. If you wish to see the entire list, please email: Patti@HumanTraffickingElearning.com

    Red Flags: Identifying Sex Trafficking Victims in the ED. Jessica Munoz, FNP-BC. Emergency Physicians Monthly. November 2012.

    American Medical Women’s Association: Recognizing Human-Trafficking Victims. Alicia Gallegos. Pediatric News. Frontline Medical News. April 27, 2015.

    The Health Consequences of Sex Trafficking and Their Implications for Identifying Victims in Healthcare Facilities. Lederer, L. and Wetzel, C.A. 2014 Annals of Health Law 23(1), 61-91.

    Identification and treatment of human trafficking victims in the emergency department: A case report. Gibbons, P., & Stoklosa, H. (2016). Journal of Emergency Medicine, 50 (5), 715-719.

    Domestic sex trafficking of minors: medical student and physician awareness. Titchen, Kanani E. et al. Journal of Pediatric and Adolescent Gynecology. May 2015.

    Evidence-Based Mental Health Treatment for Victims of Human Trafficking. Erin Williamson, Nicole M. Dutch, and Heather J. Clawson; Caliber, an ICF International Company (2010),

    Prevalence and correlates of survival sex among runaway and homeless youth. Greene JM, Ennett ST, Ringwalt CL. American Journal of Public Health. 1999;89(9):1406-1409.

    Human trafficking and health: a cross-sectional survey of NHS professionals’ contact with victims of human trafficking. Ross, C., Dimitrova, S., Howard, L.M., et al. BMJ. 2015.

    Human Trafficking: The Role of the Health Care Provider. Dovydaitis T. Journal of Midwifery & Women’s Health. 2010;55(5):462-467.

    Identification of human trafficking victims in health care settings. Baldwin SB, Eisenman DP, Sayles JN, Chuang K, Ryan G. Health and Human Rights, 13:1-8; 2011.

    Mental health and health related quality of life among adult Latino primary care patients living in the United States with previous exposure to political violence. D.P. Eisenman, L. Gelberg, H. Liu, and M.F. Shapiro, Journal of the American Medical Association 290/5 (2003), pp. 627-634.

    Survivors of torture in a general medical setting: How often have patients been tortured, and how often is it missed? D.P. Eisenman, A.S. Keller, and G. Kim, Western Journal of Medicine 172/5 (2000), pp. 301–304.

    Prevalence of torture survivors among foreign-born patients presenting to an urban ambulatory care practice. S. Crosby, M. Norredam, M.K. Paasche-Orlow, L. Piwowarczyk, T. Heeren, M.A. Grodin, Journal of General Internal Medicine 21/7 (2006), pp. 764-768.

    Health Care Providers Training Needs Related to Human Trafficking: Maximizing the Opportunity to Screen and Intervene. Reena Isaac et al. Journal of Applied Research on Children 1, 10 (2011).

    Challenges Faced by Homeless Sexual Minorities: Comparison of Gay, Lesbian, Bisexual, and Transgender Homeless Adolescents with Their Heterosexual Counterparts. Cochran, Bryan N., Stewart, Angela J., Ginzler, Joshua A., and Ana Mari Cauce. 2002. American Journal of Public Health 92, no. 5: 773-777.

    Sexual Abuse, Alcohol and Other Drug Use, and Suicidal Behaviors in Homeless Adolescents. Rew, Lynn, Tayler-Seehafer, Margaret and Maureen Fitzgerald. 2001 Issues in Contemporary Pediatric Nursing 24: 225-240.

    Using a Clinic-based Screening Tool for Primary Care Providers to Identify Commercially Sexually Exploited Children. Kimberly S. G. Chang, Kevin Lee, Terrence Park, Elizabeth Sy, Thu Quach. Journal of Applied Research on Children: Informing Policy for Children at Risk Volume 6 | Issue 1 Article 6, 2015.

    Human Trafficking: Guidebook on Identification, Assessment, and Response in the Health Care Setting. Alpert EJ, Ahn R, Albright E, et al. MGH Human Trafficking Initiative, Division of Global Health and Human Rights, Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA and Committee on Violence Intervention and Prevention, Massachusetts Medical Society, Waltham, MA. September 2014.
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    Disclaimer: The information provided at this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

    Unapproved Use: Speakers will not be discussing information about pharmaceutical agents that is outside of U.S. Food and Drug Administration approved labeling.
    Resolution of Conflicts of Interest: In accordance with the ACCME and ANCC Standards for Commercial Support, Michigan Public Health Institute – Continuing Education Solutions implemented mechanisms, prior to the planning and implementation of this learning activity, to identify and resolve conflicts of interest for all individuals in a position to control content of this learning activity.

    Planning Committee/Faculty and Disclosures: The following speakers and/or planning committee members have indicated they have no relevant financial relationship(s) with commercial interests to disclose:
    • Patti Hathaway, CSP
    • Ruth Rondon
    • Sherri Hines, BS, MA
    • Linda Holton

      Staff and Content Validation Reviewer Disclosure: The CE Committee members and CE staff involved with this activity as content validation reviewers have reported no relevant financial relationships with commercial interests.

    Cancellation Policy: This policy is available for you to read during the registration process under "Terms and Conditions" prior to submitting your registration.

    In partnership with: MPHI