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Open doors: a statewide netwok for victims of sex trafficking
JUNE 2016
Open Doors: A Statewide Network for
Victims of Sex Trafficking
Florida ranks third in calls received by the National
Human Trafficking Resource Center, behind only
California and Texas.1
This is caused by factors
other than high population, including transportation
patterns, tourism, location and large numbers of
vulnerable residents. The number of children living
in foster care and the large transient population
aggravate the human trafficking problem, as they
become targets for “pimps” and other traffickers.
In response, Florida passed landmark legislation, in
2012 called the Florida Safe Harbor Act,2
which
specified that sex trafficked children be treated as
dependent children needing therapeutic services,
rather than as juvenile delinquents. The new
measure, though, allocated minimal funding. The
Act also required all safe houses serving this
population to provide services such as counseling,
food, clothing, health and dental care,
transportation and security.
A Statewide Council on Human Trafficking, led by
Florida Attorney General Pam Bondi, was created
in 2014 to bring together state and community
leaders to explore progressive tactics and
treatments.
During the 2015 legislative session, HB 369
became law, mandating human trafficking signs be
placed in public places to educate broader
audiences, including potential victims. In 2016, HB
545 specified that sex trafficking victims shouldn’t
be charged with prostitution, and also criminalized
the use of tattoos to brand victims.
1
National Human Sex Trafficking Resource Center (2015). United States Report 1/1/2015 – 12/31/2015. National Human Trafficking Resource Center. Re-
trieved from https://traffickingresourcecenter.org/sites/default/files/NHTRC%202015%20United%20States%20Report%20-%20USA%20-%2001.01.15%20-%
2012.31.pdf
2
Florida State Legislature, (2016). Committee Substitute for Committee Substitute for House Bill No. 99 (pp. Chapter 2012-105). Tallahassee, FL: Laws of
Florida.
“Human trafficking is the third-largest global criminal enterprise, exceeded only by drug and
arms trafficking. Florida ranks third in calls received by the National Human Sex Trafficking
Research Center.”
- U.S. State Department &
NHSTRC 2015 Annual United States
POLICY BRIEF
2
Open doors: a statewide netwok for victims of sex trafficking
A Florida Commercial Sexual Exploitation of
Children (CSEC) workgroup recently called for a
variety of funding priorities based on extensive
review of published research and best practices
nationwide:
 A sanctioned, statewide coordinated care
approach for funding and care management
including survivor-mentoring as a component;
 Funding should follow the survivor as they
move through the system for specialized services
for substance abuse, mental health and trauma-
related treatments;
 Specialized services for boys and LGBT youth;
 Multiple types of placements for survivors
beyond safe houses;
 Prevention education for at risk youth, potential
“johns,” and the professionals working with
children; and
 Prioritizing building the service networks in
Miami, Broward, Hillsborough, Orange, Palm
Beach and Duval counties.6
The Safe Harbor Act was a remarkable step, but its
implementation has lacked continuity of care and
resources to provide adequate services to victims.
Florida is not unlike other states in addressing this
complex issue. Large gaps have remained in trauma
-focused crisis intervention and therapeutic services
after victims are recovered.3
Sex trafficked children experience substantial
psychological and behavioral issues.4
The survivor-
mentor model has been identified as a best practice
for not only identifying children who have been
sexually exploited, but also in their successful
treatment. In addition, survivor-mentor models also
can increase the number of pimp prosecutions by
giving victims the support and empowerment
necessary to testify against their captors and
abusers.5
Minnesota’s “No Wrong Door” program utilizes
many best practices in identifying and treating
sexually exploited youth, which include providing
regional navigators to connect them with services
for emergency, transitional and permanent housing
and other services.
In Massachusetts, a survivor-led mentoring model
called “My Life My Choice Services” prevents the
commercial exploitation of girls by empowering
them with knowledge and skills. It also trains
service providers to recognize girls who are being
commercially exploited, and improves the
community response to girls who have been
exploited.
Georgia has initiated the “Georgia Cares” program,
which provides critical services for victims of
trafficking through victim support and restoration,
emergency response and assistance, training and
awareness and coordination and collaboration. The
program functions as the single coordinating
agency for Domestic Minor Sex Trafficking
(DMST) survivors.
Dr. Lawanda Ravoira, CEO of Delores Barr Weaver
Policy Center and Roy Miller, President of The
Children’s Campaign envisioned and developed
Open Doors: A Statewide Network for Sex
Trafficked Children.
3
The Florida Senate Committee on Children, Families, and Elder Affairs Staff Analysis and Fiscal Impact Statement for SPB 7088, March 14th
, 2014.
4
The Office of Program Policy and Government Accountability (OPPAGA) report, State and Local Agencies Are in Initial Stages of Addressing Needs of Child
Victims of Commercial Sexual Exploitation, June 2015.
5
Commercial Sexual Exploitation of Children Services Workgroup Convened by Florida’s Department of Children, Families, and Department of Juvenile Jus-
tice, Restoring our Kids: An analysis of Florida’s continuum of care and recommendations to improve services for commercially sexually exploited children,
November 13th
2015.
6
The Florida Department of Children and Families and the Department of Juvenile Justice released the CSEC Services Workgroup report: Restoring Our Kids:
An Analysis of Florida’s Continuum of Care and Recommendations to Improve Services for Commercially Sexually Exploited Children, November, 2014.
A Promising Practice: The Open Doors
Statewide Service Delivery System
Large Gaps in Services, Training
and Identification of Victims
3
Open doors: a statewide netwok for victims of sex trafficking
An initial general revenue appropriation was
secured from the 2016 Florida Legislature. Direct
service dollars are being sought from federal, state
and local sources to bring Open Doors online
before the end of the 2016 calendar year.
Phase 1 of the pilot is projected to be implemented
in five target regions including Northeast Florida
(Nassau, Duval, St. Johns, Baker, Clay), North
Central Florida (Leon), Central Florida (Orange,
Osceola), Southwest Florida (Collier, Lee) and the
Suncoast (Hillsborough, Manatee, Sarasota).
Additional counties and contracted providers will
be identified for the Phase 2 implementation to
establish a statewide program.
The Open Doors Network will utilize a public-
private partnership approach and will be
administered by a single contract non-profit
organization, Voices for Florida. The
administration of the Open Doors pilot program
through a single contractor allows for uniform
protocols in the delivery of effective services and
the increased efficiency in the sharing of
information and resources and data collection.
Improved processes and outcomes expected include
increased care coordination for sexually exploited
and trafficked children by developing and
implementing emergency response and assistance,
victim support, survivor-mentors, screening, access
to clinical services, research-based assessments,
safety planning, individual care plans, coordination
of mentoring services, training, public awareness
and collaboration.
As part of its commitment to the Safe Harbor Act,
the Florida Legislature passed training
requirements for organizations and facilities
working with CSEC placements. Open Doors
presents an opportunity to leverage training
resources and reduce administrative burden while
ensuring compliance with state laws.
Open Doors places rescued or referred sexually
exploited and trafficked victims in the care of a
team of professionals, including highly trained
survivor-mentors, regional advocates and clinicians
that work in concert with law enforcement and
community partners at every entry point where a
victim is identified. The regional advocates will
work collectively with the systems in their targeted
area to provide services based on the individual
needs of the children. Survivor mentors, because
they understand what the child is going through,
will establish connections and build trusting
alliances. Through this trust, victims are less likely
to have episodes of running away. They are also
more likely to engage in therapy and other aspects
of their recovery plan. The clinicians will provide
specialized, trauma-informed, therapeutic care to
the victims when they are ready to receive services
as aligned with the total care management plan.
Other features of the model include that the
survivor-mentors will serve as first responders, on
call 24/7 to provide immediate crisis intervention
and assistance for victims, along with day-to-day
care management services under supervision of the
regional advocates. According to experts, “peer-
provided services can improve the effectiveness of
the traditional mental health delivery system.”7
Open doors: How it Works
It adapts the best practices learned from
Minnesota, Massachusetts, Georgia and other
states for use in Florida.
The goal of Open Doors is to provide a
framework and program designed to assist
victims immediately and expertly through the
improved delivery and coordination of existing
services, as well as the development of a
statewide service delivery network.
7
Phyllis Solomon, Psychiatric Rehabilitation Journal, Peer Support/Peer Provided Services Underlying Processes, Benefits, and Critical Ingredients. Spring 2004—
Volume 27 Number 4.
4
Open doors: a statewide netwok for victims of sex trafficking
They will also accompany victims to court hearings
and verify the recovered child’s eligibility for
services, coordinate these services, provide support
and ensure victims are safe and able to participate
in services. In one study, the addition of a peer
specialist to a care management team resulted in
improvement in quality of life measures, fewer
significant life problems and improved self-esteem
and social support.8
The regional advocates will work collectively with
the various systems and stakeholders to provide
access to multiple services and troubleshooting
based on the individual needs of the children, youth
and families. Each regional advocate will develop
and submit a work plan that contains:
 Regional needs assessment, including an
examination of the population at risk;
 Regional strengths and areas for development;
 Goals and measurable outcomes; and
 Regional action plan with activities and
timelines.
In general, public policies need to continue the shift
away from blame, shame, discrimination and
isolation experienced by victims toward a model
that offers validation, support, acceptance and
relational safety. Funding and services must align
with the needs of sexually exploited and trafficked
victims and provide a logical starting point for
implementing services in a thoughtful, cost
effective manner. These new policies will create a
solid foundation on which all other service needs
will be identified and considered.
 Florida leads the nation in the strength of its sex
trafficking laws, according to national advocacy
organizations. The laws are weakened by
inadequate planning, resource allocations and
implementation.
 Florida ranks third in calls received by the
National Human Trafficking Resource Center,
behind only California and Texas.9
 Florida ranks second nationwide for having the
highest transient population and fourth for the
number of children in foster care ̶ vulnerable
populations for human trafficking.
 National data shows that 85 percent of
confirmed sex trafficking incidents involve U.S.
citizens.
Specific policy recommendations for the near
future include:
 Continue to support public policies that
strengthen laws against perpetrators of sex
trafficking and support for services to CSEC
victims; and
 Support the Open Doors pilot project and its
eventual expansion, as well as develop and
secure funding for continuity of care statewide
for child victims of sexual exploitation and
trafficking.
8
Bologna, M. J., & Pulice, R.T. (2011). Evaluation of a peer-run hospital diversion program: A descriptive study. American Journal of Psychiatric Rehabilitation, 14
(4): 272-286.
9
National Human Trafficking Resource Center, (2015). Florida State Report 1/1/2015 – 12/31/2015. National Human Trafficking Resource Center. Retrieved from
https://traffickingresourcecenter.org/sites/default/files/NHTRC%202015%20Florida%20State%20Report%20-%20FL%20-%2001.01.15%20-%2012.31.15.pdf
Policy recommendations
Fast Facts
Open Doors Administered By: In Partnership With:

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Open Doors Policy Brief

  • 1. 1 Open doors: a statewide netwok for victims of sex trafficking JUNE 2016 Open Doors: A Statewide Network for Victims of Sex Trafficking Florida ranks third in calls received by the National Human Trafficking Resource Center, behind only California and Texas.1 This is caused by factors other than high population, including transportation patterns, tourism, location and large numbers of vulnerable residents. The number of children living in foster care and the large transient population aggravate the human trafficking problem, as they become targets for “pimps” and other traffickers. In response, Florida passed landmark legislation, in 2012 called the Florida Safe Harbor Act,2 which specified that sex trafficked children be treated as dependent children needing therapeutic services, rather than as juvenile delinquents. The new measure, though, allocated minimal funding. The Act also required all safe houses serving this population to provide services such as counseling, food, clothing, health and dental care, transportation and security. A Statewide Council on Human Trafficking, led by Florida Attorney General Pam Bondi, was created in 2014 to bring together state and community leaders to explore progressive tactics and treatments. During the 2015 legislative session, HB 369 became law, mandating human trafficking signs be placed in public places to educate broader audiences, including potential victims. In 2016, HB 545 specified that sex trafficking victims shouldn’t be charged with prostitution, and also criminalized the use of tattoos to brand victims. 1 National Human Sex Trafficking Resource Center (2015). United States Report 1/1/2015 – 12/31/2015. National Human Trafficking Resource Center. Re- trieved from https://traffickingresourcecenter.org/sites/default/files/NHTRC%202015%20United%20States%20Report%20-%20USA%20-%2001.01.15%20-% 2012.31.pdf 2 Florida State Legislature, (2016). Committee Substitute for Committee Substitute for House Bill No. 99 (pp. Chapter 2012-105). Tallahassee, FL: Laws of Florida. “Human trafficking is the third-largest global criminal enterprise, exceeded only by drug and arms trafficking. Florida ranks third in calls received by the National Human Sex Trafficking Research Center.” - U.S. State Department & NHSTRC 2015 Annual United States POLICY BRIEF
  • 2. 2 Open doors: a statewide netwok for victims of sex trafficking A Florida Commercial Sexual Exploitation of Children (CSEC) workgroup recently called for a variety of funding priorities based on extensive review of published research and best practices nationwide:  A sanctioned, statewide coordinated care approach for funding and care management including survivor-mentoring as a component;  Funding should follow the survivor as they move through the system for specialized services for substance abuse, mental health and trauma- related treatments;  Specialized services for boys and LGBT youth;  Multiple types of placements for survivors beyond safe houses;  Prevention education for at risk youth, potential “johns,” and the professionals working with children; and  Prioritizing building the service networks in Miami, Broward, Hillsborough, Orange, Palm Beach and Duval counties.6 The Safe Harbor Act was a remarkable step, but its implementation has lacked continuity of care and resources to provide adequate services to victims. Florida is not unlike other states in addressing this complex issue. Large gaps have remained in trauma -focused crisis intervention and therapeutic services after victims are recovered.3 Sex trafficked children experience substantial psychological and behavioral issues.4 The survivor- mentor model has been identified as a best practice for not only identifying children who have been sexually exploited, but also in their successful treatment. In addition, survivor-mentor models also can increase the number of pimp prosecutions by giving victims the support and empowerment necessary to testify against their captors and abusers.5 Minnesota’s “No Wrong Door” program utilizes many best practices in identifying and treating sexually exploited youth, which include providing regional navigators to connect them with services for emergency, transitional and permanent housing and other services. In Massachusetts, a survivor-led mentoring model called “My Life My Choice Services” prevents the commercial exploitation of girls by empowering them with knowledge and skills. It also trains service providers to recognize girls who are being commercially exploited, and improves the community response to girls who have been exploited. Georgia has initiated the “Georgia Cares” program, which provides critical services for victims of trafficking through victim support and restoration, emergency response and assistance, training and awareness and coordination and collaboration. The program functions as the single coordinating agency for Domestic Minor Sex Trafficking (DMST) survivors. Dr. Lawanda Ravoira, CEO of Delores Barr Weaver Policy Center and Roy Miller, President of The Children’s Campaign envisioned and developed Open Doors: A Statewide Network for Sex Trafficked Children. 3 The Florida Senate Committee on Children, Families, and Elder Affairs Staff Analysis and Fiscal Impact Statement for SPB 7088, March 14th , 2014. 4 The Office of Program Policy and Government Accountability (OPPAGA) report, State and Local Agencies Are in Initial Stages of Addressing Needs of Child Victims of Commercial Sexual Exploitation, June 2015. 5 Commercial Sexual Exploitation of Children Services Workgroup Convened by Florida’s Department of Children, Families, and Department of Juvenile Jus- tice, Restoring our Kids: An analysis of Florida’s continuum of care and recommendations to improve services for commercially sexually exploited children, November 13th 2015. 6 The Florida Department of Children and Families and the Department of Juvenile Justice released the CSEC Services Workgroup report: Restoring Our Kids: An Analysis of Florida’s Continuum of Care and Recommendations to Improve Services for Commercially Sexually Exploited Children, November, 2014. A Promising Practice: The Open Doors Statewide Service Delivery System Large Gaps in Services, Training and Identification of Victims
  • 3. 3 Open doors: a statewide netwok for victims of sex trafficking An initial general revenue appropriation was secured from the 2016 Florida Legislature. Direct service dollars are being sought from federal, state and local sources to bring Open Doors online before the end of the 2016 calendar year. Phase 1 of the pilot is projected to be implemented in five target regions including Northeast Florida (Nassau, Duval, St. Johns, Baker, Clay), North Central Florida (Leon), Central Florida (Orange, Osceola), Southwest Florida (Collier, Lee) and the Suncoast (Hillsborough, Manatee, Sarasota). Additional counties and contracted providers will be identified for the Phase 2 implementation to establish a statewide program. The Open Doors Network will utilize a public- private partnership approach and will be administered by a single contract non-profit organization, Voices for Florida. The administration of the Open Doors pilot program through a single contractor allows for uniform protocols in the delivery of effective services and the increased efficiency in the sharing of information and resources and data collection. Improved processes and outcomes expected include increased care coordination for sexually exploited and trafficked children by developing and implementing emergency response and assistance, victim support, survivor-mentors, screening, access to clinical services, research-based assessments, safety planning, individual care plans, coordination of mentoring services, training, public awareness and collaboration. As part of its commitment to the Safe Harbor Act, the Florida Legislature passed training requirements for organizations and facilities working with CSEC placements. Open Doors presents an opportunity to leverage training resources and reduce administrative burden while ensuring compliance with state laws. Open Doors places rescued or referred sexually exploited and trafficked victims in the care of a team of professionals, including highly trained survivor-mentors, regional advocates and clinicians that work in concert with law enforcement and community partners at every entry point where a victim is identified. The regional advocates will work collectively with the systems in their targeted area to provide services based on the individual needs of the children. Survivor mentors, because they understand what the child is going through, will establish connections and build trusting alliances. Through this trust, victims are less likely to have episodes of running away. They are also more likely to engage in therapy and other aspects of their recovery plan. The clinicians will provide specialized, trauma-informed, therapeutic care to the victims when they are ready to receive services as aligned with the total care management plan. Other features of the model include that the survivor-mentors will serve as first responders, on call 24/7 to provide immediate crisis intervention and assistance for victims, along with day-to-day care management services under supervision of the regional advocates. According to experts, “peer- provided services can improve the effectiveness of the traditional mental health delivery system.”7 Open doors: How it Works It adapts the best practices learned from Minnesota, Massachusetts, Georgia and other states for use in Florida. The goal of Open Doors is to provide a framework and program designed to assist victims immediately and expertly through the improved delivery and coordination of existing services, as well as the development of a statewide service delivery network. 7 Phyllis Solomon, Psychiatric Rehabilitation Journal, Peer Support/Peer Provided Services Underlying Processes, Benefits, and Critical Ingredients. Spring 2004— Volume 27 Number 4.
  • 4. 4 Open doors: a statewide netwok for victims of sex trafficking They will also accompany victims to court hearings and verify the recovered child’s eligibility for services, coordinate these services, provide support and ensure victims are safe and able to participate in services. In one study, the addition of a peer specialist to a care management team resulted in improvement in quality of life measures, fewer significant life problems and improved self-esteem and social support.8 The regional advocates will work collectively with the various systems and stakeholders to provide access to multiple services and troubleshooting based on the individual needs of the children, youth and families. Each regional advocate will develop and submit a work plan that contains:  Regional needs assessment, including an examination of the population at risk;  Regional strengths and areas for development;  Goals and measurable outcomes; and  Regional action plan with activities and timelines. In general, public policies need to continue the shift away from blame, shame, discrimination and isolation experienced by victims toward a model that offers validation, support, acceptance and relational safety. Funding and services must align with the needs of sexually exploited and trafficked victims and provide a logical starting point for implementing services in a thoughtful, cost effective manner. These new policies will create a solid foundation on which all other service needs will be identified and considered.  Florida leads the nation in the strength of its sex trafficking laws, according to national advocacy organizations. The laws are weakened by inadequate planning, resource allocations and implementation.  Florida ranks third in calls received by the National Human Trafficking Resource Center, behind only California and Texas.9  Florida ranks second nationwide for having the highest transient population and fourth for the number of children in foster care ̶ vulnerable populations for human trafficking.  National data shows that 85 percent of confirmed sex trafficking incidents involve U.S. citizens. Specific policy recommendations for the near future include:  Continue to support public policies that strengthen laws against perpetrators of sex trafficking and support for services to CSEC victims; and  Support the Open Doors pilot project and its eventual expansion, as well as develop and secure funding for continuity of care statewide for child victims of sexual exploitation and trafficking. 8 Bologna, M. J., & Pulice, R.T. (2011). Evaluation of a peer-run hospital diversion program: A descriptive study. American Journal of Psychiatric Rehabilitation, 14 (4): 272-286. 9 National Human Trafficking Resource Center, (2015). Florida State Report 1/1/2015 – 12/31/2015. National Human Trafficking Resource Center. Retrieved from https://traffickingresourcecenter.org/sites/default/files/NHTRC%202015%20Florida%20State%20Report%20-%20FL%20-%2001.01.15%20-%2012.31.15.pdf Policy recommendations Fast Facts Open Doors Administered By: In Partnership With: