WEBVTT 00:00:00.000 --> 00:00:04.180 align:middle line:84% SIMONE JAECKL: Kids are primarily victimized 00:00:04.180 --> 00:00:06.850 align:middle line:90% between the ages of 11 and 15. 00:00:06.850 --> 00:00:08.920 align:middle line:84% The largest group of child victims today 00:00:08.920 --> 00:00:10.660 align:middle line:90% in the United States are girls. 00:00:10.660 --> 00:00:12.470 align:middle line:90% It's about almost 90%. 00:00:12.470 --> 00:00:16.600 align:middle line:84% Children who are trafficked by their parents or by close 00:00:16.600 --> 00:00:19.150 align:middle line:84% to relatives, which also happen, especially in the context 00:00:19.150 --> 00:00:21.250 align:middle line:84% of the opioid crisis, they have been 00:00:21.250 --> 00:00:23.050 align:middle line:84% found to be as young as five years old. 00:00:23.050 --> 00:00:25.180 align:middle line:84% CYNTHIA HURST: We know that children 00:00:25.180 --> 00:00:31.000 align:middle line:84% who have been trafficked are more likely to become ill. 00:00:31.000 --> 00:00:35.140 align:middle line:84% They're also more likely to die younger. 00:00:35.140 --> 00:00:38.230 align:middle line:84% SERWA ERTL: Sex trafficking is not child prostitution. 00:00:38.230 --> 00:00:40.510 align:middle line:84% There is no such thing as child prostitution. 00:00:40.510 --> 00:00:41.560 align:middle line:90% It's child abuse. 00:00:41.560 --> 00:00:43.360 align:middle line:84% GERI GREENSPAN: It's not just some stranger 00:00:43.360 --> 00:00:45.700 align:middle line:84% that comes and kidnaps a child and then sells them 00:00:45.700 --> 00:00:46.780 align:middle line:90% on the street. 00:00:46.780 --> 00:00:49.300 align:middle line:84% It's very often somebody that's already 00:00:49.300 --> 00:00:51.370 align:middle line:84% in that child's life in a position of trust. 00:00:51.370 --> 00:00:55.030 align:middle line:84% GEQUETTA MURRAY-KEY: Some people don't see it as an issue 00:00:55.030 --> 00:00:57.400 align:middle line:84% because they don't see the issue. 00:00:57.400 --> 00:01:02.140 align:middle line:84% They're expecting this problem to look a certain way, 00:01:02.140 --> 00:01:05.470 align:middle line:84% to be in another country, to be somebody 00:01:05.470 --> 00:01:08.890 align:middle line:84% that has ripped clothes and their hair is not combed 00:01:08.890 --> 00:01:12.040 align:middle line:84% and they have dirt on their face. 00:01:12.040 --> 00:01:15.970 align:middle line:84% And whatever the movies present, they 00:01:15.970 --> 00:01:19.300 align:middle line:84% don't recognize that right there in their son's classroom, right 00:01:19.300 --> 00:01:22.540 align:middle line:84% there in their daughter's classroom, 00:01:22.540 --> 00:01:25.690 align:middle line:84% there's a possibility that someone this could 00:01:25.690 --> 00:01:26.860 align:middle line:90% be happening to. 00:01:26.860 --> 00:01:31.270 align:middle line:84% SIMONE JAECKL: I am setting out to explore the risk factors 00:01:31.270 --> 00:01:35.200 align:middle line:84% for sex trafficking, the context, the root causes, 00:01:35.200 --> 00:01:39.610 align:middle line:84% and hopefully develop intervention and prevention 00:01:39.610 --> 00:01:43.247 align:middle line:84% strategies that are effective once I find out 00:01:43.247 --> 00:01:44.080 align:middle line:90% what the causes are. 00:01:44.080 --> 00:01:46.870 align:middle line:84% The Institute of Medicine and National Research Council 00:01:46.870 --> 00:01:50.320 align:middle line:84% pointed out that schools were emerging 00:01:50.320 --> 00:01:53.590 align:middle line:84% as promising environments for these prevention 00:01:53.590 --> 00:01:57.700 align:middle line:84% and intervention strategies for the kids they serve. 00:01:57.700 --> 00:02:01.910 align:middle line:84% School nurses are just like nurses in general in society. 00:02:01.910 --> 00:02:04.060 align:middle line:84% They are the trusted health care professionals. 00:02:04.060 --> 00:02:06.490 align:middle line:84% They are uniquely positioned because they easily 00:02:06.490 --> 00:02:10.360 align:middle line:84% gain children's trust we have found out, I have found out, 00:02:10.360 --> 00:02:13.930 align:middle line:84% and research supports that because they 00:02:13.930 --> 00:02:17.140 align:middle line:84% have what they call an open door policy, meaning kids just-- 00:02:17.140 --> 00:02:19.510 align:middle line:84% they don't just come to be assessed when they are sick 00:02:19.510 --> 00:02:20.650 align:middle line:90% or to pick up meds. 00:02:20.650 --> 00:02:23.200 align:middle line:90% But they also come just to chat. 00:02:23.200 --> 00:02:27.400 align:middle line:84% CYNTHIA HURST: Nurses see things that teachers and others may 00:02:27.400 --> 00:02:30.010 align:middle line:84% not, and they may notice things-- 00:02:30.010 --> 00:02:33.820 align:middle line:84% tattoos or bruises, things that don't make sense. 00:02:33.820 --> 00:02:36.040 align:middle line:84% SERWA ERTL: They're on the front lines right now, 00:02:36.040 --> 00:02:40.160 align:middle line:84% so they are seeing children in adolescents day in and day out. 00:02:40.160 --> 00:02:42.322 align:middle line:84% They might also hear things from students 00:02:42.322 --> 00:02:43.780 align:middle line:84% because they may share information. 00:02:43.780 --> 00:02:46.750 align:middle line:84% GERI GREENSPAN: To have somebody like a school nurse 00:02:46.750 --> 00:02:49.780 align:middle line:84% who has access to those children who's already talking 00:02:49.780 --> 00:02:54.072 align:middle line:84% to them about intimate health issues, who's there 00:02:54.072 --> 00:02:55.780 align:middle line:84% in the school and can see them every day, 00:02:55.780 --> 00:02:58.755 align:middle line:84% I think it's very important and can be a great resource. 00:02:58.755 --> 00:03:01.120 align:middle line:84% SIMONE JAECKL: I am interviewing school nurses 00:03:01.120 --> 00:03:04.630 align:middle line:84% throughout the Commonwealth, and I see 00:03:04.630 --> 00:03:06.610 align:middle line:90% quite a range of preparedness. 00:03:06.610 --> 00:03:11.630 align:middle line:84% Some are very prepared, and others are not really prepared 00:03:11.630 --> 00:03:12.130 align:middle line:90% at all. 00:03:12.130 --> 00:03:13.990 align:middle line:84% They don't really know more than what 00:03:13.990 --> 00:03:16.210 align:middle line:84% you and what people in general may know 00:03:16.210 --> 00:03:18.205 align:middle line:90% from just from the lay press. 00:03:18.205 --> 00:03:21.100 align:middle line:84% SERWA ERTL: Being aware of what to look for 00:03:21.100 --> 00:03:23.410 align:middle line:84% and recognizing that it's child abuse 00:03:23.410 --> 00:03:26.230 align:middle line:84% and that this adolescent needs more help I think 00:03:26.230 --> 00:03:29.920 align:middle line:84% is the most important thing for a nurse. 00:03:29.920 --> 00:03:33.460 align:middle line:84% And so that's why I think nurses are in such a unique position 00:03:33.460 --> 00:03:35.615 align:middle line:90% to help with this. 00:03:35.615 --> 00:03:37.990 align:middle line:84% GEQUETTA MURRAY-KEY: We're supposed to care for children, 00:03:37.990 --> 00:03:41.470 align:middle line:84% protect and provide for them, and so that individual 00:03:41.470 --> 00:03:43.360 align:middle line:84% is learning at a young age that they'll 00:03:43.360 --> 00:03:44.810 align:middle line:90% have to fend for themselves. 00:03:44.810 --> 00:03:47.560 align:middle line:84% They get used to being in a submissive situation 00:03:47.560 --> 00:03:49.355 align:middle line:84% and maybe doing things as an adult 00:03:49.355 --> 00:03:50.980 align:middle line:84% that they wouldn't normally do but they 00:03:50.980 --> 00:03:52.870 align:middle line:90% don't know any other way. 00:03:52.870 --> 00:03:54.850 align:middle line:84% SIMONE JAECKL: These kids are destroyed. 00:03:54.850 --> 00:03:57.820 align:middle line:84% To believe in people again, to believe in life, 00:03:57.820 --> 00:04:01.810 align:middle line:84% and to get a fair chance of starting a life as an adult, 00:04:01.810 --> 00:04:06.160 align:middle line:84% it's very difficult, and I think it is up to us as a society, 00:04:06.160 --> 00:04:10.060 align:middle line:84% to health care providers, and to schools to make 00:04:10.060 --> 00:04:11.890 align:middle line:90% that happen for these kids. 00:04:11.890 --> 00:04:13.810 align:middle line:84% The schools are an excellent place 00:04:13.810 --> 00:04:16.300 align:middle line:90% to start because kids are there. 00:04:16.300 --> 00:04:18.920 align:middle line:84% If they are watched-- if somebody has an eye on them 00:04:18.920 --> 00:04:22.480 align:middle line:84% and because of that, somebody knows what to look for, 00:04:22.480 --> 00:04:24.280 align:middle line:84% I think we do have a pretty good chance 00:04:24.280 --> 00:04:29.430 align:middle line:84% to at least help more children to safety and health right. 00:04:29.430 --> 00:04:45.119 align:middle line:90%