Northwell Health Human Trafficking Response Program (NHHTRP)

Santhosh Paulus, MDHuntington Hospital Site DirectorGlen Cove Family Medicine ResidencyAssistant Professor Hofstra Northwell School of MedicineNorthwell Health Human Trafficking Response Program System Task Force Leader

August 14, 2018

Implementation Process

• Public Health Law

• Screening Questions

• Timeline

• Training

• Challenges

• Successes

New York Consolidated Laws, Public Health Law - PBH § 2805-y. Identification and assessment of human trafficking victims

November 4, 2017

• Requires general hospitals and diagnostic and treatment centers (DT&C)

– establish and implement policies and procedures – pertaining to the identification, assessment, and

referral of victims of human trafficking

Human Trafficking Screen

• Primary 4 question screen

• Secondary Screen (CAST LA)

HUMAN TRAFFICKING SCREEN

1) Is somebody holding your ID or passport?

2) Have you provided sex for money, food, shelter,or other needs?

3) Does someone require you to pay part of yourearnings to them?

4) Is the job/pay different than what you werepromised?

Implementation Timeline

Northwell Health Human Trafficking Response Program Training Schedule

iLearn 1.0

(Must be completed prior

to attending 90 minute

training)

90-minute Live training iLearn 2.0 2 hour Champion

Training

Task Force Members X X X X

Emergency Department

Nurses

X X X

Assistant Directors of

Nursing (Supervisors)

X X X X

Nurse Managers X X X X

ED Registrars X X X

Transporters X X X

Security X X X

Social Workers X X X X

Case Managers X X X

ED Physicians X

Ancillary Clinical/non-

clinical staff

X

Challenges

• Time, time and time

• Administrative time for the Task Force Leadership

• Time for training of ED

Successes

• Having a multi-team approach to the implementation and training

• Working with the ED and the ambulatory site to accommodate their scheduling needs for training• Utilized monthly meeting time and adjusted our training time

• ED: single 90 minute live training

• Ambulatory: two 60 minute live trainings

Suggestions

• Set up your teams early

• Get buy in from your Task Force and Champions and help them to know what their responsibilities are

• It is equally important to let them know what their responsibilities are not