Trafficking, exploitation and forced marriage — OSCE

OSCE station: explaining to a young person alone in a cubicle why a child-protection report and a trafficking referral are being made, applying the principle that a child cannot consent to exploitation, maintaining trust through honest communication, and outlining the pathway to support.

osce communication and safeguarding station2 min readVerification in progress

Prompt

A 15-year-old girl in the emergency department with a sexually transmitted infection, accompanied by a controlling older man who holds her documents, has been identified as a possible victim of commercial sexual exploitation. The candidate must speak with her alone, explain the duty to report and the referral, and maintain trust and honesty without promising secrecy.

Candidate brief

You are the paediatric registrar in the emergency department. A 15-year-old girl has been assessed privately after a controlling accompanying adult was asked to wait outside. She has a sexually transmitted infection, cannot name her school, and her identity documents were held by the adult. The child-protection team has been consulted, a child-protection report is being made, and a referral to the National Referral Mechanism for possible trafficking is planned. The girl is now alone with you and has asked what is happening. ^[5] ^[2]

You have 8 minutes to explain to her, honestly and without promising secrecy, why a report is being made, what support is available, and what will happen next, while maintaining her trust. ^[13]

References6Show

[1]Wood LCN Child modern slavery, trafficking and health: a practical review of factors contributing to children's vulnerability and the potential impacts of severe exploitation on health BMJ Paediatrics Open, 2020.PMID 32537521
[2]Hemmings S, Jakobowitz S, Abas M, et al Responding to the health needs of survivors of human trafficking: a systematic review BMC Health Services Research, 2016.PMID 27473258
[5]Greenbaum J, Crawford-Jakubiak JE Child sex trafficking and commercial sexual exploitation: health care needs of victims Pediatrics, 2015.PMID 25713283
[6]Greenbaum J Child Sex Trafficking and Commercial Sexual Exploitation Advances in Pediatrics, 2018.PMID 30053930
[13]Wright N, Jordan M, Lazzarino R Interventions to support the mental health of survivors of modern slavery and human trafficking: A systematic review International Journal of Social Psychiatry, 2021.PMID 34431379
[15]Pettoello-Mantovani M, Cokugras H, Ferrara P, et al Child Brides and Forced Marriages: An Aspect of Child Abuse and Neglect The Journal of Pediatrics, 2022.PMID 35940291

Trafficking, exploitation and forced marriage — OSCE

osce communication and safeguarding station2 min readVerification in progress

Candidate brief

You have 8 minutes to explain to her, honestly and without promising secrecy, why a report is being made, what support is available, and what will happen next, while maintaining her trust. ^[13]

References6Show

[1]Wood LCN Child modern slavery, trafficking and health: a practical review of factors contributing to children's vulnerability and the potential impacts of severe exploitation on health BMJ Paediatrics Open, 2020.PMID 32537521
[2]Hemmings S, Jakobowitz S, Abas M, et al Responding to the health needs of survivors of human trafficking: a systematic review BMC Health Services Research, 2016.PMID 27473258
[5]Greenbaum J, Crawford-Jakubiak JE Child sex trafficking and commercial sexual exploitation: health care needs of victims Pediatrics, 2015.PMID 25713283
[6]Greenbaum J Child Sex Trafficking and Commercial Sexual Exploitation Advances in Pediatrics, 2018.PMID 30053930
[13]Wright N, Jordan M, Lazzarino R Interventions to support the mental health of survivors of modern slavery and human trafficking: A systematic review International Journal of Social Psychiatry, 2021.PMID 34431379
[15]Pettoello-Mantovani M, Cokugras H, Ferrara P, et al Child Brides and Forced Marriages: An Aspect of Child Abuse and Neglect The Journal of Pediatrics, 2022.PMID 35940291