We Do What We Can

With the increased awareness of detecting Intimate Partner Violence, IPV, and Human Trafficking, it is essential to remember that as healthcare workers, we can offer education and options, but we cannot force anyone to get help.?

Recently, I saw a patient for a sexual assault exam. This individual disclosed they frequently had sex for food, a place to stay, transportation, and money. This person also suffered from significant mental health and substance abuse issues and had not received routine medical care for many years. None of the staff had picked up that this individual was a victim of trafficking. It is easy to overlook what lies below the surface when, at first glance, this patient is under the influence of substances, mentally ill, and homeless.?

After speaking with this person at length, they asked me how can I make it stop, how can I get “them” to stop having sex with me?” I wished I had a magic solution for this individual. We discussed human trafficking resources, and ultimately, this individual declined help.

In this particular situation, I felt reassured that at least this individual had a safe disposition because they were going to a mental health treatment center.?

As difficult as it may be to see patients who are victims go back to their perpetrators or return to unsafe situations, we still must continue to keep alert to the signs that someone might be in a situation involving IPV or human trafficking. We should always offer support, education, and resources. I am sure if this person remains in our community, I will interact with them again. While they did not want help this time, maybe they will ask for help the next time or the 10th time. It is important our patients know the door is always open.?

To all of you out there doing this challenging work, keep supporting each other. Often, it doesn’t feel good, but we are all doing the best we can.?

#compassionfatigue #SANE #forensicnurse #humantrafficking #sexualassault