trafficking case study
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School
University Of Georgia *
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Course
NSG124
Subject
Medicine
Date
Apr 3, 2024
Type
docx
Pages
3
Uploaded by nhp74314
The girl presented to the emergency department with a woman who said she was her aunt; however, Myia was afraid of her. Upon assessment by the APRN, the older woman who said she was Myia’s aunt knew little about her medical history,
and there were findings of old bruises and a broken arm. All these factors would prompt a red flag of child abuse or neglect
for the APRN. Because Myia spoke little English and was afraid
of this older woman, she could be a victim of human trafficking.
Baughman et al. (2021) report over the years many states have begun to utilize frameworks such as the Decision-making
Ecology Framework (DME) when they encounter situations of suspected abuse. According to them, these frameworks use algorithms to assist them in resolving identified issues. They also contend these algorithms are cost-effective and elicit evidence-based solutions for child welfare cases. Keddell (2021) reports the DME framework was developed to be used by Child Protective Services (CPS). This framework encompasses internal, external, and individual factors related to child welfare and CPS. The APRN could use the (DME) since it is a framework often utilized by child protective services. This framework looks at all the factors of the case, including the case, external and internal environment, decisions, and outcomes. The decision-making framework encompasses an initial assessment and subsequent follow-up assessments to make choices that align with Miya's safety.
After speaking with the older woman, the APRN should have her step out of the room to continue her assessment of Myia. The APRN should approach this situation with respect for all parties and take care to perform a thorough assessment of Myia and the factors contributed to her coming into the emergency department. The APRN should provide Myia with an interpreter to help her feel comfortable from a cultural standpoint and to alleviate the language barrier. The APRN must conduct the assessment in an area where privacy can occur. The APRN should be patient with Myia, listen to her,
and be supportive. The APRN should be open and honest with Myia. The APRN must take care not to ask questions that make assumptions about what has happened and make Myia feel comfortable throughout the process. Providing the interpreter helps to make Myia comfortable and assists the APRN in gathering needed information to determine her next steps. If the APRN suspects abuse or any type of child endangerment after speaking to Myia, she must report this information to the authorities.
According to the law, some individuals are mandated reporters, meaning they must report all suspected abuse. Baughman et al. (2021) say healthcare workers, teachers, individuals who work in schools, mental health professionals, counselors, social workers, and law enforcement officers are all required to report abuse or neglect to children. They also report there are laws in all 50 states. According to Baughman et al. (2021), there is a hotline these individuals can call to report suspected abuse. There are also laws in the United States to prevent sex trafficking. More than 30 states have adopted legislation known as “Safe Harbor” laws ( Fedina et al., 2019).
Saxena et al. (2021) report there are several types of resources available. These resources can be monetary, administrative, personnel, and from both the public and private sectors. They contend these resources can be limited within the organizations working with the child. The APRN must be aware of the available resources and the role these people play within the (DME) framework. These resources are used in cases of child abuse, neglect, and trafficking. Some important resources for this case are the child welfare system,
politicians, educators, law enforcement, healthcare providers, mental health professionals, community, and religious agencies. The child welfare system includes the CPS worker and the supervisor. These individuals are responsible for helping both the children and parents (Saxena et al., 2021). The CPS worker assesses the situation and the data presented
to determine the needs of the child. The criminal justice resource includes politicians, law enforcement, and the courts.
Educators, administrators, and school employees are integral to the DME. School employees are the support staff within the school responsible for ensuring the child's safety and educational needs. Other resources include family members, healthcare professionals, counselors, community agencies, and religious institutions.
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