Publications and Resources

PUBLICATIONS AND RESOURCES

Competencies

Child Sex Trafficking Competencies for Counselors

The Child Sex Trafficking Competencies for Counselors provide a framework and describe the necessary knowledge, skills, and attitudes and beliefs for those working with sex trafficking survivors and persons at risk for sex trafficking. Statements are organized around five dimensions: (a) intervention strategies and the helping relationship, (b) trauma and sex trafficking, (c) assessment of risk factors and indicators, (d) ethical practice, and (e) cultural diversity and human growth and development (See Interiano-Shiverdecker et al., 2022)

Instruments

Child Sex Trafficking Competency Scale for Counselors: Self-Report © 

Child Sex Trafficking Competency Scale for Counselors: Supervisor-Report © 

The Child Sex Trafficking Competency Scale for Counselors: Self-Report (CSTCS-C) and Child Sex Trafficking Competency Scale for Counselors: Supervisor-Report (CSTCS-SR) assess counselors’ and trainees’ level of competency to prevent, identify, and treat sex trafficked youth and those at-risk. The CSTCS-C and CSTCS-SR consist of 127-items that measure overall competence, as well as competence in five domains: (a) intervention strategies and the helping relationship, (b) trauma and sex trafficking, (c) assessment of risk factors and indicators, (d) ethical practice, and (e) cultural diversity and human growth and development. Copyright 2021 by Interiano-Shiverdecker, Romero, and Elliott.

Publications

Unveiling the Multidimensional Impact of Sex Trafficking: Insights from Survivors 

Abstract: This transcendental phenomenological study delves into the lived experiences of 10 women who experienced sex trafficking. Through in-depth individual interviews, participants unveiled a narrative marked by coercion, manipulation, and multifaceted abuse. Despite variations in the duration and onset of their ordeals, participants uniformly expressed the profound and lasting impact of sex trafficking across numerous facets of their lives. Psychological distress, physical ailments, disrupted vocational trajectories, strained relationships, and spiritual upheaval were recurrent themes, illustrating the pervasive nature of their trauma. This research highlights the urgent necessity for holistic support and intervention strategies tailored to the intricate and multidimensional needs of sex trafficking survivors as they embark on the arduous journey toward recovery and healing. The findings underscore the imperative for counselor training programs to incorporate a nuanced understanding of sex trafficking trauma and its far-reaching implications, thereby fostering more effective therapeutic approaches. This study contributes to a deeper comprehension of the challenges faced by survivors and advocates for systemic changes to enhance the support framework available to them. 

A Scoping Review: Implications for the Development of Sex Trafficking Interventions and Training Programs for Mental Health Professionals

Abstract: Sex trafficking (ST) is a form of modern-day slavery, and the service needs of individuals impacted by ST are both unique and complex. Despite the complexities and comprehensiveness of these needs, there is a lack of understanding regarding the effective components of theoretical frameworks and models for serving clients affected by ST. Such understanding is instrumental in developing training programs for mental health providers. Therefore, we conducted a scoping review of sex trafficking studies related to mental health, focusing on the modalities and frameworks referenced for client services and analyzing the methodologies and core components within these models. We completed a comprehensive search of databases to identify relevant studies, screening a total of 2,818 records, with 21 studies included for data extraction. Our findings highlighted the significance of incorporating a comprehensive, multidimensional, and multidisciplinary approach to providing services to clients affected by ST. We offer considerations for practice, research, and policy. 

Child Sex Trafficking and Professional School Counselor Preparedness in Texas

Abstract: Professional school counselors in Texas responded to a questionnaire about training received and their needs concerning preparedness to identify and work with youth exposed to child sex trafficking (CST). The study utilized a convergent parallel mixed methods design. Quantitative results indicated many participants did not find that their graduate degree program prepared them to work with CST and less than half felt their school and/or district provided adequate training opportunities. In addition, thematic analysis revealed two themes characterizing Texas school counselors’ needs to identify and work with CST: (a) concerning preparedness: “so much going on” and (b) “specific training”: a comprehensive review of CST. This article concludes with implications and recommendations for practice and future research 

“A Learning Curve”: Counselors’ Experience Working with Sex Trafficking

Abstract: In this transcendental phenomenological study, we interviewed 10 counselors who have clinical experience working with sex trafficking survivors. Through in-depth individual interviews, participants discussed their lived experiences providing counseling to this population. Our analysis revealed four primary themes: (a) counselor knowledge: “learning curve,” (b) counselor skills: “creating a safe space to dive into work,” (c) counselor attitudes: “being able to listen to the client’s story,” and (d) counselor action: “more than just a counselor.” The findings indicated that counselors working with sex trafficking survivors needed to understand and address the different aspects of trauma. Our findings also demonstrate that working with sex trafficking survivors requires additional competencies such as recognizing the signs of sex trafficking, vulnerable populations, and the processes by which traffickers force people into sex trafficking. We discuss these findings in more detail and identify implications for counselor training and practice.

2022

Development of Child Sex Trafficking Counseling Competencies in the United States: A Delphi Study

Abstract: Child sex trafficking (CST), the unlawful recruitment of any minor to engage in commercial sexual exploitation through force, fraud, or coercion, is a growing epidemic worldwide. Sex trafficking can have devastating consequences for children, including long-lasting physical and psychological trauma. Counselors working in clinical and school settings have first-hand access to a number of at-risk populations due to the nature of their work. Yet, counselors in the United States report lack of training on CST as a limitation to their ability to identify and effectively work with CST victims. Limited training derives from the absence of competency standards to guide counselors working with CST victims. To address this critical gap, this research study utilized expert consensus to develop an initial list of CST competencies for counselors working in the United States. A heterogeneous sample of 19-CST experts participated in a four-round Delphi process. The expert panel reached a consensus on 128 CST competency statements organized into five domains: (a) intervention strategies and the helping relationship, (b) trauma and sex trafficking, (c) assessment of risk factors and indicators, (d) ethical practice, and (e) cultural diversity and human growth and development. This article assists in identifying standards of practice necessary for counselors to detect, prevent, and assist sex-trafficked youth. Creating an initial list of competency standards can serve as guiding points for clinical practice training curricula, and quality control assessments for counselors, and possibly other mental health professionals, working with CST.

A Content Analysis of Sex Trafficking Instruments

Abstract: This content analysis examined assessments available for the screening of sex trafficking to provide professional counselors further insight into the features of sex trafficking and how to best identify and measure this phenomenon. The authors reviewed 12 articles that included a complete or partial use of 13 instruments and completed a content analysis using Krippendorff’s procedures. The final analysis resulted in five overarching categories: (a) commercial sexual exploitation, (b) risk factors, (c) forms of abuse, (d) mental and physical health assessment, and (e) unstable living conditions and caregiving. The authors also provide psychometric information for each available sex trafficking instrument. Discussion, implications for clinical practice, and recommendations for future research are provided.

2021

Review of Child Sex Trafficking Instruments

Abstract: Child sex trafficking (CST) has continued to exist in plain sight and often goes unidentified or misidentified in mental health settings. Often generalized as human trafficking, official statistics of children who fall victim of sex trafficking remains unknown and understudied. With social platforms becoming more available to youth, children are increasingly vulnerable to CST and are unaware of their exposure to victimization. Counselors working with children and adolescents are in a unique position to prevent and disrupt CST if detected in the counseling relationship, but the lack of CST assessment tools hinders an accurate assessment of CST. Therefore, the authors reviewed existing published screening or identification tools for CST available and applicable for mental health and school settings. At the completion of an expansive search of tools, the authors excluded results that did not meet the strict criteria. This paper reviews the four remaining instruments and presents information on their scope, reliability, validity, strengths, limitations, and source. The authors also discuss considerations for each instrument in clinical practice, providing a resource for counselors seeking a CST assessment tool that best fits their population and setting.