A Survivor-Derived Approach to Addressing Trafficking in the Pediatric ED

摘要: Objectives Our objective was to elicit the perspectives of survivors child trafficking on addressing in pediatric emergency department (ED) and, secondarily, provide a survivor-derived framework help medicine (PEM) providers discuss with their patients. Methods We conducted in-depth, semistructured interviews young adults who experienced as children and/or adolescents. In interviews, we employed novel video-elicitation method designed by research team detailed participant feedback and recommendations ED through an interactive, immersive discussion interviewer. A grounded theory approach employed. Results Seventeen were revealing following themes, which present integrated for PEM providers: (1) fear is significant barrier; (2) participants do want ask about trafficking, it not harmful so; (3) should address emphasizing confidentiality privacy encouraging agency; (4) patient direct, sensitive, nonjudgmental manner; (5) changes environment may facilitate conversation. Suggested wordings tips from compiled. Conclusions Trafficking feel that can be place where they asked when done private, or retraumatizing. Fear major barrier disclosure setting, mitigate this increasing agency providing choices. discussing trafficking.