Engaging the Unseen:

Domestic Sex Trafficking and Sexual Exploitation in Psychiatric Settings

"Jeffrey Epstein got away for years with raping underage girls, and the public is properly outraged that powerful people seemed to shrug and let him off easy. But the problem isn’t one tycoon but many tens of thousands of men who pay for sex with underage girls across the country . . . . .some 40 million people are effectively locked into modern forms of slavery, according to the Global Slavery Index. That includes sex trafficking but also child marriages and a great deal of forced labor . . . In the United States, no one knows exactly how many children are sold for sex, but estimates have run between 10,000 and 100,000 in any given year. Whatever the number, it’s too many".  
                                                  - from "Thousands More Jeffrey Epsteins Are Still Out There"
                                                                                  Nicholas Kristoff, The New York Times
Friday, November 22, 2019
The Crestview Country Club 
Agawam, MA

8:30 AM - 4:00 PM
6 CE Contact Hours
Abigail M. Judge, PhD Course Description

There is increased awareness about the scope of sex trafficking in the United States and research has identified mental health needs as survivors’ dominant health concern. Survivors present to all psychiatric settings during and after exploitation - inpatient units, emergency departments, forensic and substance use disorder programs - but many factors constrain the help they receive. This includes, for example, professionals’ limited knowledge about identifying and responding to survivors, and the effects of severe trauma and social marginalization on survivors’s disclosure and help-seeking. This workshop will: provide an overview of domestic sex trafficking in New England; define mental health needs and the role of substance use disorder; name factors that distinguish trafficking from other forms of sexual violence; and present survivor-centered strategies for engagement and building services.

Learning Objectives 
At the end of this workshop, participants will be able to: 

1) Define human sex trafficking and recognize other forms of sexual exploitation that present in many psychiatric settings.

2) Identify factors that differentiate sexual exploitation from other forms of sexual violence and that directly bear on victim identification and engagement.

3) Describe three ways in which substance use disorder and sex trafficking are associated.

4) List three strategies for engaging survivors of sex trafficking in a range of psychiatric settings, e.g., emergency departments, outpatient, inpatient, forensic. 

5) Explain the importance of partnering with survivor professionals when designing mental health services for this population. 

Abigail M. Judge, PhD, is a clinical and forensic psychologist on staff at Massachusetts General Hospital in Boston, MA. Since 2009, Dr. Judge has worked with adolescent and adult survivors of sex trafficking and commercial sexual exploitation in a range of roles: therapist, educator, court appointed evaluator, and expert witness. At MGH, Dr. Judge currently leads a clinic for young adult and adult survivors of domestic sex trafficking and sexual exploitation. She is on the part-time clinical faculty at Harvard Medical School where she teaches about engaging survivors of sexual exploitation in psychiatric settings, complex trauma, and court involved treatment. In addition, Dr. Judge maintains a private psychotherapy and consultation practice in Cambridge, MA. Dr. Judge has authored numerous publications, including two edited books. In 2018, Dr. Judge received a grant from the Radcliffe Institute for Advanced Study at Harvard University to convene an interdisciplinary national meeting to help direct future research and practice: Listening to survivors: Building mental health services for women exiting commercial sexual exploitation through psychology and survivor professional collaborations.
Schedule and Course Outline
Friday, November 22, 2019
The Crestview Country Club, Agawam, Massachusetts

8:00 AM - 8:30 AM Registration and Coffee
8:30 AM - 10:15 AM
Overview of sex trafficking and commercial sexual exploitation in the United States
  •  Identifying survivors in psychiatric settings
  •  Relevance to all clinical roles
10:15 AM - 10:30 AM Break & Refreshments
10:30 AM - 12:00 PM
Uncharted waters:
Mental health needs, engagement challenges, and scarce resources
12:00 PM - 1:00 PM Lunch at the Crestview, included with your registration
1:00 PM - 2:30 PM
Exploited vulnerability:
Substance use disorder and sex trafficking
2:30 PM - 2:45 PM Break and Refreshments
2:45 PM - 3:45 PM
Overcoming challenges and listening to survivors:
Principles for addressing mental health needs
3:45 PM - 4:00 PM Questions and Answers