1. Rehabilitation and Recovery
Concrete Strategies and Implementation
Jonathan Martens
Senior Specialist:
Migrant Assistance Division
November 23rd, 2010
Bratislava

2. 1. Remembering the Context
The ‘typical’ beneficiary

3. Prior to being trafficked…1.
CONTEXT 2.
PALERMO 3.
OHCHR 4.
COMMIT 5.
CONCLUSION

4. Travel and Transit

5. Violence women experienced during trafficking1.
CONTEXT 2.
PALERMO 3.
OHCHR 4.
COMMIT 5.
CONCLUSION
FORM OF VIOLENCE
YES (%)
(n=207)
Physical violence
76%
158
Sexual violence
90%
186
Either physical and sexual violence
95%
196
Both physical and sexual violence
71%
148
THREATS DURING TRAFFICKING
Woman was threatened
89%
185
Woman's family was threatened
36% 75
Woman AND her family were threatened
34% 70

6. “How often were you free?”

7. 2. Now you want to help… 1. CONTEXT 2. PALERMO 3. OHCHR 4. COMMIT 5.
CONCLUSION
2. Now you want to help…

8. Spheres of Vulnerability
Migrant women
Women experiencing sexual abuse, domestic violence, torture
Exploited women laborers
Trafficked women
Women sex workers
Source: LSHTM 2003

9. Some Key Concerns and Challenges
Safety
personal safety and that of the family.
Legal Status
in the case of foreign victims who are asked to co-operate with the criminal justice process.
Confidentiality
that his/her identity will be disclosed to the family, or the general public, and that s/he will be stigmatized as a result.
Fear of re-traumatisation
that s/he will have to testify in the physical presence of the trafficker or be in the presence of him or his associates at any stage of the criminal investigation or criminal. 1.
CONTEXT 2.
PALERMO 3.
OHCHR 4.
COMMIT 5.
CONCLUSION

10. Important Guidelines
Do no harm – adhere to ethical / human rights standards.
Treat all contact with trafficked persons as a potential step towards rehabilitation.
Prioritize the safety of trafficked persons, self and staff.
Provide respectful, equitable assistance that does not discriminate.
See book for details of each – lots have actions sheets in the handbook –some we will work on today

11. Important Guidelines
5. Be prepared with referral information and contact details for trusted support persons.
6. Collaborate with other support services.
7. Ensure the confidentiality and privacy of trafficked persons.
8. Provide information in a way that each trafficked person can understand.
See book for details of each – lots have actions sheets in the handbook –some we will work on today

12. Important Guidelines 9. Obtain voluntary, informed consent.
10. Respect the rights, choices, and dignity of each individual.
11. Avoid calling authorities unless given the consent of the trafficked person.
12. Maintain all information about trafficked persons in secure facilities.

13. Facilitating rehabilitation in an assistance setting
3. Supportive Responses
Facilitating rehabilitation in an assistance setting

14. Common Reactions and Supportive Responses- 1
Fear, Insecurity, Anxiety
Description and reassurance of physical security and confidentiality; accompaniment to outside appointments
Mistrust of Others
Regular inquiries into needs and well-being; patience in developing relationship; unconditional provision of practical assistance and moral support
Mistrust of Self; low self esteem
Creating small tasks; setting short term goals; validating accomplishments
Self-blame, Guilt, Shame
Reassurance that what happened was not his/her fault; reminder of his/her courage and resourcefulness under extreme conditions

15. Common Reactions and Supportive Responses- 2
Anger
Remaining calm in face of hostility; patience; implementation of reasonable measures to ensure person’s safety and safety of others
Memory Lapses; Dissociation
Not pressuring the person; understanding the importance of forgetting for some people
Isolation, Loneliness
Offering phone contact (or other contact) with family; opportunities to participate in one-to-one or group activities
Dependence, Subservience or Defensiveness
Assigning small tasks and setting limited goals; reassuring person of abilities; not assuming all responsibility for person’s welfare (allowing person to choose when, how and if they wish assistance)

16. Economic Rehabilitation
Eg. IOM’s ERTV Project – India
Multi-stakeholder approach
Beneficiary, NGO, Local Government, Private Companies, IOM
Flexible business models
Franchise, Production Centre, Independent Business, Traditional (eg. Dairy)
3. Sustainability

17. How assistance supports rehabilitation
4. Facilitating Change
How assistance supports rehabilitation

18. Multiple physical health symptoms that improve with support services
0-14 Days
28-56 Days
90+ Days

19. Significant Psychological Distress
0-14 days
28-56 days
90+ days

20. Change in Mental Health1.
CONTEXT 2.
PALERMO 3.
OHCHR 4.
COMMIT 5.
CONCLUSION
0-14 days
28-56 days
90+ days
Source: Stolen Smiles.

21. Key Elements to Promote Rehabilitation
Individual response required
Active participation of the beneficiary
Safety is always a primary consideration
Comprehensiveness of services
Multi-stakeholder approach
Importance of monitoring to sustainability
There is no single global approach: Each beneficiary should receive support that is tailored to her experiences and resultant needs

22. End Jonathan Martens IOM Headquarters Geneva, Switzerland
Tel: