Supporting Disclosure
Please explore the items below to see what you can and should do to help patients disclose their story:
Provide Privacy
- Provide a private and confidential environment where they can speak without fear of being overheard.
- Prioritise the safety of the patient.
- See the patient alone (apart from an interpreter). Do not inquire about trafficking related circumstances in front of others.
Click 'Listen'
Listen
- Listen to their assessment of their situation and risk.
- Treat the patient with dignity and respect.
- Where possible offer the option of a female or male worker or interpreter, particularly in cases of suspected sexual violence.
Click 'Take Your Time'
Take Your Time
- Appreciate that they may have experienced trauma and therefore may be sensitive to possible indications of trauma, e.g. mistrust, anxiety, dissociative state. Responding non-judgementally and reassuringly is important.
- Do not rush the consultation. They may have some cognitive impairment and may find it difficult to remember details or make decisions.
- Be sensitive to possible fear of contact with statutory agencies - they may have been told that they will be deported.
Click 'Be Patient-Centred In Your Approach'
Be Patient-Centred In Your Approach
- Recognise that the defining features of trafficking - the lack of control and predictability - make it important that they aren't further disempowered.
- Encourage them to participate in decisions. Consider their age and their capacity to make decisions.
Avoid calling authorities such as police and immigration services unless you have informed the consent of the patient or where the threat of danger to the patient or others is such that you need to do so.
You could also contact your local adult protection and/or child protection team for support.