Title |
Human Trafficking, Mental Illness, and Addiction: Avoiding Diagnostic Overshadowing
|
---|---|
Published in |
The AMA Journal of Ethic, January 2017
|
DOI | 10.1001/journalofethics.2017.19.1.ecas3-1701 |
Pubmed ID | |
Authors |
Hanni Stoklosa, Marti MacGibbon, Joseph Stoklosa |
Abstract |
This article reviews an emergency department-based clinical vignette of a trafficked patient with co-occurring pregnancy-related, mental health, and substance use disorder issues. The authors, including a survivor of human trafficking, draw on their backgrounds in addiction care, human trafficking, emergency medicine, and psychiatry to review the literature on relevant general health and mental health consequences of trafficking and propose an approach to the clinical complexities this case presents. In their discussion, the authors explicate the deleterious role of implicit bias and diagnostic overshadowing in trafficked patients with co-occurring addiction and mental illness. Finally, the authors propose a trauma-informed, multidisciplinary response to potentially trafficked patients. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 53 | 52% |
United Kingdom | 5 | 5% |
Canada | 3 | 3% |
Mexico | 1 | <1% |
Colombia | 1 | <1% |
Nigeria | 1 | <1% |
Ireland | 1 | <1% |
France | 1 | <1% |
Argentina | 1 | <1% |
Other | 1 | <1% |
Unknown | 34 | 33% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 78 | 76% |
Practitioners (doctors, other healthcare professionals) | 13 | 13% |
Scientists | 7 | 7% |
Science communicators (journalists, bloggers, editors) | 3 | 3% |
Unknown | 1 | <1% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 67 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 12 | 18% |
Student > Ph. D. Student | 11 | 16% |
Student > Bachelor | 10 | 15% |
Student > Doctoral Student | 5 | 7% |
Researcher | 5 | 7% |
Other | 12 | 18% |
Unknown | 12 | 18% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 22 | 33% |
Social Sciences | 9 | 13% |
Nursing and Health Professions | 7 | 10% |
Psychology | 7 | 10% |
Biochemistry, Genetics and Molecular Biology | 2 | 3% |
Other | 6 | 9% |
Unknown | 14 | 21% |