Overcoming Disclosure Reluctance in Youth Victims of Sex Trafficking: New Directions for Research, Policy, and Practice

Using rapport building to improve information yield when interviewing adolescents: A systematic review and call for research

BACKGROUND

Adolescents frequently experience and witness violence and crime, yet very little research has been conducted to determine how best to question these witnesses to elicit complete and accurate disclosures.

OBJECTIVE

This systematic review integrated scientific research on rapport building with child and adult witnesses with theory and research on adolescent development in order to identify rapport building techniques likely to be effective with suspected adolescent victims and witnesses.

METHOD

Four databases were searched to identify investigations of rapport building in forensic interviewing of adolescents.

RESULTS

Despite decades of research of studies including child and adult participants, only one study since 1990 experimentally tested techniques to build rapport with adolescents. Most rapport strategies used with children and adults have yet to be tested with adolescents. Tests of these strategies, along with modifications based on developmental science of adolescence, would provide a roadmap to determining which approaches are most beneficial when questioning adolescent victims and witnesses.

CONCLUSIONS

There is a clear need for research that tests what strategies are best to use with adolescents. They may be reluctant to disclose information about stressful or traumatic experiences to adults due to both normative developmental processes and the types of events about which they are questioned in legal settings. Rapport building approaches tailored to address adolescents' motivational needs may be effective in increasing adolescents' reporting, and additional research testing such approaches will provide much-needed insight to inform the development of evidence-based practices for questioning these youth.

Unique Considerations for Forensic Interviews With Adolescents: An Exploration of Expert Interviewers' Perspectives

Although adolescents are at elevated risk of sexual victimisation, very limited research has focused on how best to interview suspected adolescent victims. The current study was conducted to lay the groundwork for the development of best-practice interviewing approaches with adolescents when sexual victimisation is suspected. Expert interviewers with experience and knowledge in interviewing suspected adolescent victims were asked about common challenges they encounter with adolescent interviewees and how they tailor their interviews for this population. The findings indicated that adolescents are often reluctant to disclose, and the strategies the interviewers use to meet the unique needs of adolescents hinge on respecting each adolescent as a relatively autonomous and independent person. Identifying which strategies expert interviewers use is a fruitful starting point for future experimental research that can test and ultimately develop evidence-based practices for this population, which is necessary to help interviewers interact with suspected adolescent victims in ways that align with their psychosocial and cognitive maturity.

Help-Seeking Among Children Impacted by Commercial Sexual Exploitation: A Scoping Review

This scoping review aims to summarize current research on help-seeking behaviors and patterns among children who have experienced commercial sexual exploitation of children (CSEC) victimization and/or are at high risk of exploitation. Because the literature on help-seeking specific to CSEC victimization is limited, the current review was expanded to summarize findings from help-seeking research for children who have experienced harms that often co-occur with CSEC, such as maltreatment and homelessness. The authors searched three large article databases (PsycInfo, Ovid MEDLINE, and Web of Science) for articles that were (a) empirical; (b) measured or used the term "help-seeking" in their framing and/or results; (c) included children between the ages of 12 and 18; (d) primarily focused on children from the United States; (e) published in English. Ultimately, 22 articles met all inclusion criteria and were included in the final review. Results suggest that cisgender white females are the most likely to seek help, followed by sexual and gender minority children. Cisgender male children were the least likely to engage in help-seeking behaviors. Universally, children were more likely to engage in informal help-seeking rather than formal help-seeking, with younger children being more likely to reach out to parents and older children more likely to reach out to friends. Importantly, ethnically diverse children were under-represented, leading to limited information about how and why these children seek help. Implications for help-seeking by children impacted by commercial sexual exploitation are discussed, providing guidance for programming and research related to CSEC prevention.

Successful Criminal Prosecutions of Sex Trafficking and Sexual Abuse of Minors: A Comparative Analysis

Despite increased awareness of sex trafficking of minors in the U.S., prosecution of traffickers remains difficult, in part because of victim uncooperativeness. There are questions about how that uncooperativeness is expressed, whether it is evident in successfully prosecuted cases, and whether it is unique to trafficked minors or it emerges in similar age victims of sexual abuse. To provide insight relevant to these questions, we compared appellate opinions in two types of successfully prosecuted criminal cases: sex trafficking and sexual abuse of adolescent victims. In the trafficking opinions, victims were rarely described as disclosing on their own or as knowing their trafficker before the victimization. The opinions also often alluded to the trafficking victims' uncooperativeness and delinquency history, and frequently mentioned electronic evidence and prosecution experts. The sexual abuse opinions, in contrast, tended to suggest that victims' own disclosures initiated the case, perpetrators were known and trusted adults, and caregiver support during the case was common. Finally, the sexual abuse opinions never explicitly mentioned victim uncooperativeness or electronic evidence and rarely mentioned expert testimony or delinquency. The different characterizations of the two case types highlight the need for improved education concerning effective prosecution of sex crimes against minors.

Current Trends in Sex Trafficking Research

PURPOSE OF REVIEW

Sex trafficking is a significant global problem that results in millions of individuals being sexually exploited annually. This paper will provide an overview of recent research in the field of sex trafficking and evaluate findings to provide recommendations for future research and policy work.

RECENT FINDINGS

In recent years, there has been an increase in research focused on understanding sex trafficking and how it can be prevented. Specifically, recent studies have explored characteristics of sex trafficking cases, risk factors for experiencing sex trafficking, recruitment and maintenance processes, identification and intervention techniques, and treatment approaches. While there have been significant strides to better understand sex trafficking across the globe, numerous areas require further exploration. Additional research conducted internationally and with adults who have experienced sex trafficking is needed to better understand methods that can identify individuals at risk for being trafficked, enhance early detection, and provide services to trafficked individuals.

Frontline Medical Professionals' Ability to Recognize and Respond to Suspected Youth Sex Trafficking

OBJECTIVES

Many youth sex trafficking victims visit health care facilities while being trafficked. Little is known regarding whether frontline medical professionals recognize risk factors or are aware of effective interviewing approaches to identify and intervene for youth victims. The aim of the present study was to assess frontline medical professionals' knowledge of youth sex trafficking, adolescent development, and forensically informed interviewing to provide guidance for professional training.

METHODS

Two hundred seventy-seven frontline medical professionals [first responders and emergency department (ED)/clinical professionals] in Southern California completed an online survey about their background, training, perceptions of likely youth sex trafficking scenarios, knowledge of adolescent development, sex trafficking, and forensically informed interviewing.

RESULTS

Nearly all professionals recognized risk and the need to collect additional information, yet few (1% first responders and 12% ED) recognized that risk as sex trafficking. Forty-six percent of first responders also indicated that responding to nonmedical needs was outside of their job responsibilities. A mixed model analysis of covariance revealed significant interactions of gender by domain ( P = 0.01) and domain by training ( P = 0.045). Women evidenced better knowledge (78% accuracy) about sex trafficking and interviewing (73%) than adolescent development (64%), whereas men were more accurate with sex trafficking (64%) than adolescent development (61%) and interviewing (62%). For domain by training, tests of within subjects' contrasts showed a quadratic relation ( P = 0.02) was the best fit model, where training was most strongly associated with accuracy in sex trafficking knowledge.

CONCLUSIONS

Frontline medical professionals are lacking in their knowledge of youth sex trafficking, interviewing, and especially adolescent development. An area in which interventions can be targeted is with training (because it emerged in a significant interaction). Training could combat unrepresentative depictions of victims, improve understanding of common victim characteristics, and highlight how forensically informed interviewing can improve medical professionals' ability to gather crucial history about victims' experiences and needs.

Commercial Sexual Exploitation of Children and Adolescents in Europe: A Systematic Review

OBJECTIVES

The objective of this review is to provide a systematic and critical summary of findings regarding empirical studies conducted on commercial sexual exploitation of children (CSEC) in Europe. The purpose is to gain an understanding of the characteristics and main topics addressed in European research on CSEC, identify gaps, and give suggestions for future studies.

METHOD

The review was guided by the "Preferred Reporting Items for Systematic Review and Meta-Analysis-Protocols". A comprehensive search on several databases was conducted to identify published and unpublished empirical research on CSEC in Europe, revealing 3,846 documents. In total, 56 research papers that focused specifically on CSEC in European samples were included.

SYNTHESIS

Research concerning European studies of CSEC and trafficking for purposes of sexual exploitation has developed significantly over the last 20 years but is still rather limited and mainly focused on the UK and Sweden. Most of the studies reviewed suffer from important methodological flaws such as an inaccurate definition of the phenomenon analyzed, small and convenience samples, and nonvalidated and nonspecific instruments.

CONCLUSIONS

Findings from this study demonstrate the need for greater exploration and research around a number of areas of sexual exploitation of children in Europe. Further work is necessary in terms of capacity building, training, and awareness-raising for society as a whole and, specifically, professionals providing direct support to children and young people at risk of exploitation.

Do children unintentionally report maltreatment? Comparison of disclosures of neglect versus sexual abuse

BACKGROUND AND AIMS

Children's initial reports often play a key role in the identification of maltreatment, and a sizeable amount of scientific research has examined how children disclose sexual and physical abuse. Although neglect constitutes a large proportion of maltreatment experiences, relatively little attention has been directed toward understanding whether and how children disclose neglect. The overarching aim of the present study was to document this process by comparing disclosure patterns in cases of neglect to those in cases of sexual abuse.

METHOD

Redacted jurisdiction reports (N = 136) of substantiated dependency cases of neglect (n = 71) and sexual abuse (n = 65) in 4- to 17-year-olds were coded for why maltreatment was suspected, and for children's perceived awareness and disclosure of the maltreatment.

RESULTS

Neglect was most often initially suspected via contact with emergency services (e.g., police, emergency medical services), whereas sexual abuse was most often initially suspected as a result of children's statements. Children evidenced greater perceived awareness of sexual abuse than neglect and were more likely to disclose the former in their first investigative interview. Perceived awareness was further associated with a higher likelihood of children's statements initiating discovery of maltreatment and disclosing in the first investigative interview.

CONCLUSIONS

Children may benefit from greater knowledge about their needs for safety, supervision, and provision in the home, which could increase the likelihood they would disclose neglect. Such, in turn, could lead to earlier interventions for children and families.

Exploring Sexual Grooming in Female Perpetrated Child Sexual Abuse

According to official statistics, two percent of those who commit sex crimes are women, most of which involve child victims. However, victimization surveys suggest the true rate of female-perpetrated child sexual abuse is significantly higher than official statistics, and that it is under-detected and under-reported. Compared to men, relatively little is known about the behaviors and tactics that females employ to perpetrate child sexual abuse. While as many as half of male-perpetrated child sexual abuse involves sexual grooming, sexual grooming has not been empirically studied as it pertains to women. Existing literature, case studies, and media reports describe behaviors and strategies of women who abuse minors which may be suggestive of sexual grooming, particularly in cases of child sexual abuse perpetrated by female educators and child sex traffickers. This article explores what is known about female sexual offending, integrating it with the research on sexual grooming to provide a framework for understanding female sexual grooming behaviors. Implications for prevention, policy, and practice will be examined.

Child Labor and Sex Trafficking

Regardless of their practice setting or subspecialty, pediatricians are likely to encounter children who have experienced sex or labor trafficking or who are at risk for exploitation. Only 24.1% of health professionals in one study reported receiving previous training on human trafficking; after a brief presentation on the topic, 39.6% indicated that they knew or suspected they had cared for a trafficked person in the past 3 months. Trafficked and exploited children can present with myriad physical or mental health conditions; most have experienced repeated, significant trauma; and few are likely to spontaneously disclose their exploitative situation. As a result, clinicians face challenges in recognizing and appropriately responding to potential human trafficking. Knowledge of common risk factors and potential indicators of exploitation can assist the pediatrician in recognizing affected and at-risk youth. However, health professionals report that existing training tends to focus on general information about trafficking, with relatively little time spent discussing the specifics of the trauma-informed approach to patient interactions. Given the critical importance of building patient trust, empowering patients to share their concerns, and engaging them in their own care and safety planning, this article focuses on the practical aspects of working with trafficked and exploited children. A brief overview of human trafficking is followed by an extensive discussion of rights-based, culturally sensitive, trauma-informed strategies for interacting with vulnerable patients.

Responding to orphanage trafficking from an information gathering perspective

Estimates suggest that close to 3 million institutionalized children internationally have some family to whom they could go home. A proportion of these children is recruited from their communities under false pretenses and has false documentation that describes them as legal orphans. The orphanages where they live exploit them on the basis of their orphanhood. These children are known as paper orphans. The aim of the current article is to provide a profile of their origins and networks based on current available evidence, from an investigative interviewing perspective. Increased discussion and research of this problem will assist in supporting efforts towards reunification of children with families, investigations by law enforcement into orphanages, and successful prosecution of orphanage trafficking. The article provides an overview of the orphanage trafficking context, followed by a comparison of orphanage trafficking victims with other child trafficking victims from the perspective of investigative needs. Investigative needs are outlined with respect to two primary groups who would interview paper orphans and other involved parties (e.g., birth parents, orphanage staff)-law enforcement and reunification officers. In the final section of the article, we encourage further research on orphanage trafficking and provide initial guidance for interviewing in this unique context. This paper serves as a step to raise further awareness of paper orphans, orphanage trafficking, and the specific characteristics of their cases that affect research and planning into how to identify and interview them and others involved.

Commercial Sexual Exploitation, Stigma, and Trauma: A Detrimental Trio for an Altered Sense of Self

This study aimed to assess whether, and to what extent, the commercial sexual exploitation of female adolescents placed in residential care predicted different manifestations of an altered sense of self in emerging adulthood while considering the possible confounding effects of child maltreatment and perceived stigmatization. Data were gathered in a broader longitudinal study conducted among a sample of 124 female adolescents placed in residential youth care centers. Commercial sexual exploitation was self-reported during adolescence. Altered sense of self was self-reported in emerging adulthood with the following dependent variables: sense of failure, sense of defensiveness and shame, lack of self-awareness, and other-directedness. Findings suggest that, even after accounting for the significant effects of confounding variables, commercial sexual exploitation increases specific vulnerabilities pertaining to identity development. This creates unique intervention needs among young women. Our study adds to the literature by highlighting the unique influence of commercial sexual exploitation experiences among vulnerable female adolescents on their sense of self in young adulthood. Our results point to the relevance of considering the intersection of trauma and stigmatization when working with and providing services to adolescent females with a history of commercial sexual exploitation.

Police Interviewing Behaviors and Commercially Sexually Exploited Adolescents' Reluctance

Little is known about the relation between law enforcement interviewing behaviors and commercially sexually exploited children's (CSEC) reluctance. This study examined the relation between officers' use of maximization, (references to) expertise, minimization, and support and adolescent CSEC victims' reluctance in a small sample of police interviews (n = 2,416 question-answer pairs across ten interviews). Twenty-six percent of officers' utterances contained at least one interviewing tactic. When statements were paired with maximization, they were correlated with more reluctance than when they were not paired with an interviewing tactic. Contrary to predictions, support was also related to greater reluctance. Open-ended (recall) questions and statements were associated with greater reluctance than closed-ended (recognition) questions. The results highlight the importance of understanding the context in which interviewing strategies are employed when assessing the relation between interviewer behavior and interviewee reluctance.

Identifying novel forms of reluctance in commercially sexually exploited adolescents

BACKGROUND

Research has largely overlooked expressions of reluctance in commercially sexually exploited adolescent ("CSEA") victims. This is problematic because gaining information from known victims is of the utmost importance in order to better serve the needs of current and potential future victims.

OBJECTIVE

The current study proposes a novel conceptualization of reluctance based on CSEA victims' transcripts from police interviews and courtroom examinations.

PARTICIPANTS AND SETTING

The study examined police interviews (n = 8 victims, 1558 utterances) and courtroom transcripts (n = 6 victims, 1961 utterances) conducted with female CSEA victims aged 15-17 years old (M_age = 16.29). The victims were associated with the same trafficker and were thus interviewed by the same group of police officers, and for those who testified, were questioned by the same lawyers in court.

RESULTS

Sixteen reluctance tactics were identified, including several that have been overlooked in previous literature. The current reluctance measure identified more reluctance than previous studies' reluctance measures. Reluctance was much more common in police interviews (26.4%; p < .001) than in court (5.5%), and if victims were more reluctant in the police interviews, they were less likely to appear in court (p = .001).

CONCLUSIONS

These findings have implications for future conceptualizations of reluctance, and illustrate the importance of considering the age of the victim and the circumstances under which the victim is questioned in identifying reluctance.

Injustice in the Justice System: Reforming Inequities for True “Justice for All”

True justice is equitable. Counseling psychologists, through their skills, knowledge, and values, can be a powerful force in reforming a system that oppresses marginalized groups to one that is just. In this paper, we focus on three major aspects of the justice system: laws and the courts, law enforcement, and detention and corrections, and we further describe injustice in these three areas. We then use critical race theory and counseling psychology perspectives to develop a framework to provide counseling psychologists with practical strategies to transform inequities. Such strategies include advocating to change unjust laws, filling the research gap for effective and humane practices, developing evidence-based programs, and providing leadership and training.

Implicit Encouragement: Enhancing Youth Productivity when Recounting a Stressful Experience

In recent years, increasing efforts have been focused on testing strategies of improving victimized children's narrative productivity, given that, for many youth, finding out what has happened to them is crucial to intervening and promoting their well-being. Implicit encouragement strategies, such as back channeling by conversational partners, have shown some preliminary promise, but their precise effects on productivity and accuracy have not been adequately examined. In this study, 98 youth, ages 8-14, completed a laboratory-based stressful activity, and a week later, a surprise memory test regarding what happened in the lab activity. Interviewers varied their use of implicit encouragement. Open-ended recall questions asked youth about both factual details and detail about their feelings and thoughts during the laboratory activity. Implicit encouragement increased the amount of both types of details and had no effect on errors. In fact, few youth provided any incorrect information in their recall reports. Neither age nor stress was related to youth's productivity or accuracy, directly or in conjunction with implicit encouragement. Results highlight the value of interviewers using encouraging behaviors when questioning children and adolescents to elicit a range of information about prior stressful experiences.