From siloed clinics to systemic change: improving healthcare for trafficking survivors

Author: Prakash, Jaya & Geynisman-Tan, Julia

Abstract: Specialized clinics for human trafficking survivors have emerged as a response to the complex healthcare needs for this population. While these clinics provide essential, trauma-informed care, they may inadvertently create systemic challenges by siloing survivors, introducing logistical barriers, and shifting responsibility away from the broader healthcare workforce. Drawing lessons from historical health epidemics, such as the HIV/AIDS crisis of the 1980s, this article critiques the unintended consequences of trafficking-specific clinics. It examines how these clinics may reinforce stigma, limit survivors’ access to comprehensive care, and perpetuate gaps in provider preparedness. We call for a balanced approach, advocating for the integration of trafficking-informed care into standard healthcare delivery systems while leveraging specialized clinics as transitional models. Recommended actions include (1) training all providers in trauma-informed care, (2) embedding universal screening protocols, (3) improving accessibility through coordinated case management systems, and (4) involving survivors in service design. By addressing these challenges, the healthcare system can better meet the needs of trafficking survivors while building a sustainable, equitable care framework.

Keywords: human trafficking, interpersonal violence, specialized clinics