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Support for Sexually Exploited Minors

The Problem

1. A child or adolescent victim identified as a prostitute may be treated as a criminal and detained, whereas the same youth identified as a victim of commercial sexual exploitation will be referred for a range of health and protective services.

A. True

B. False


2. Which of the following crimes committed against children and adolescents is considered commercial sexual exploitation and/or sex trafficking of minors?

A. Transporting a minor for the purpose of sexual exploitation.

B. Exchanging sex/sexual acts for money or something of value, such as shelter, food, or drugs.

C. Having a minor perform in peep shows or strip clubs.

D. All of the above.


3. Identification of victims and survivors and any intervention, above all, should do no further harm to any child or adolescent.

A. True

B. False


4. The presence of one or more risk factors would not result in the commercial sexual exploitation and sex trafficking of minors without the presence of:

A. An exploiter or trafficker

B. A history of child abuse

C. Family conflict, disruption, or dysfunction

D. All of the above


5. Psychogenic factors, such as poor self-esteem, chronic depression, and internal locus of control, in addition to low future orientation, may be risk factors for involvement in commercial sexual exploitation and sex trafficking of minors.

A. True

B. False


How Victim and Support Services Can Help

6. Which of the following is a specific example, given by the IOM/NRC report, of an effort to enhance the involvement of child welfare in addressing commercial sexual exploitation and sex trafficking of minors?

A. Creating a specific “allegation of harm” for commercial sexual exploitation and sex trafficking of minors to improve case management.

B. Requiring reporting to child protective services.

C. Developing state guidelines and tools for child welfare professionals.

D. All of the above.


7. The Trafficking Victims Protection Act stipulates that victims of convicted traffickers are entitle to full restitution for the labor they performed.

A. True

B. False


8. Which population is often overlooked as being at risk for commercial sexual exploitation and sex trafficking?

A. Boys / adolescent males

B. LGBT youth

C. Both (A) and (B)

D. None of the above


9. Most current prevention efforts focus on:

A. Raising awareness of the problem of commercial sexual exploitation and sex trafficking of minors and improving capacity to identify children and adolescents at risk of victimization.

B. Assisting and supporting those at risk for commercial sexual exploitation and sex trafficking.

C. Educating adolescent males.

D. Deterring and eliminating demand by promoting victim- and survivor-centered law enforcement strategies and laws.


10. All of the following pertain to sexual assault response teams, except for:

A. They are community-based interventions that provide comprehensive care to victims of sexual assault and coordinate the legal, medical, mental health, and advocacy response.

B. They represent a shift from a victim / survivor focus to a case focus.

C. Their activities include conducting multidisciplinary training, providing direct support and advocacy to victims and survivors, developing protocols and policies for responding to cases, conducting case review to coordinate the response to cases, and educating the public about sexual violence and resources available to survivors.

D. All of the above pertain to sexual assault response teams.


Approaches and Challenges to Service Provision

11. Without treatment, traumatic experiences can lead to changes in the brain that may create an inherent sense of distrust toward others, including those trying to help; a distrust of authority; and a sense of betrayal and resentment toward society in general.

A. True

B. False


12. Which of the following is an element of a trauma-informed system of care?

A. Ongoing training in trauma for staff and leadership.

B. Use of trauma assessment tools and provision of trauma-specific services.

C. Meaningful participation by both staff and those receiving services in the design and operation of the organization.

D. All of the above.


13. Case management can be especially beneficial for those who:

A. Have complex needs.

B. Must interact with multiple systems.

C. (A) and/or (B).

D. None of the above.


14. Many law enforcement personnel familiar with sex trafficking cases identify which of the following as the most needed service for victims?

A. Medical services

B. Shelter and housing

C. Mental health services

D. Legal services


Recommended Strategies

15. Which of the following is a recommendation to increase awareness and understanding of commercial sexual exploitation and sex trafficking of minors in the United States?

A. Develop, implement, and evaluate training for professionals and others who routinely interact with children and adolescents.

B. Develop, implement, and evaluate public awareness campaigns.

C. Develop, implement, and evaluate specific strategies for children and adolescents.

D. All of the above.


16. Child and adolescent victims and survivors of commercial sexual exploitation and sex trafficking always view themselves as victims.

A. True

B. False


17. One of the most significant barriers to preventing, identify, and responding to commercial sexual exploitation and sex trafficking of minors is a lack of:

A. Reliable, timely information.

B. Public awareness.

C. Training for professionals and others who routinely interact with children and adolescents.

D. All of the above.


Barriers to Identification of Victims and Survivors

18. Strategies used with _____ may hold promise for overcoming lack of disclosure as a barrier to the identification of victims and survivors of commercial sexual exploitation and sex trafficking.

A. Victims of child abuse and neglect

B. Victims of domestic violence

C. Refugees of war

D. All of the above


19. Commercial sexual exploitation and sex trafficking of minors falls within the mandatory reporting requirements for all 50 states and the District of Columbia.

A. True

B. False


20. To avoid unintended consequences of being compelled to notify child protective services and/or other authorities, health care professionals may decide not to ask specific questions related to possible exploitation or trafficking.

A. True

B. False


How Health Care Professionals Can Help

21. Commercial sexual exploitation and sex trafficking of minors are associated with which public health issue of concern to local communities?

A. HIV and other sexually transmitted infections.

B. Unwanted pregnancies.

C. Basic unmet primary preventive health care needs among adolescents.

D. All of the above.


22. Identification of those at high risk for commercial sexual exploitation and sex trafficking and their referral to local service providers, which provide resources to prevent them from become victims, is an example of:

A. Early primary prevention

B. Primary prevention

C. Secondary prevention

D. Tertiary prevention


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