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The families and children migrating from Central America have suffered terrible traumatic experiences, and a recent report by Physicians for Human Rights (PHR), a non-profit advocacy group, addresses the serious, long-term medical consequences of this trauma. These important findings provide compelling support for more humane immigration policies, and inform best practices for lawyers working with immigration clients.

Trauma Suffered by Young Migrants

Multiple studies link trauma to long-term negative health outcomes, including chronic disease, impaired cognitive development, and mental health conditions. With analysis by medical school faculty and students from Weill Cornell Center for Human Rights, the report is significant for its sole focus on child asylum seekers. Out of the 183 children in the study, nearly 80% experienced direct physical violence, 71% experienced threats of violence or death, 59% witnessed acts of violence, and almost 20% experienced repeated sexual violence or exploitation. Sixty percent of the children experienced some form of gang violence, and 47% experienced violence perpetrated by family members. A constant theme among the children was the lack of protection from law enforcement in their home countries. (Eighty-nine percent were from El Salvador, Guatemala, and Honduras.)  Many also reported traumatic experiences during transit to the U.S. through dangerous terrain, with inadequate food or water, where they remained vulnerable to continued acts of violence.

Thousands of women in the United States, who never knowingly or intentionally entered the sex industry, find themselves trapped in a world of unspeakable abuse. These women, whether in illicit massage parlors or other abhorrent situations, are routinely arrested despite being the victims – while traffickers and buyers with actual culpability routinely are not.

To understand their plight, imagine you are a single parent with three children, recently unemployed, and faced with mounting debt.  You see an online advertisement for a work opportunity in a neighboring country with a thriving restaurant industry.  You can split rent with other workers, send home earnings, and return to your children as soon as your debts are repaid.  To sweeten the offer, the employment agency covers airfare, handles immigration papers, secures an employer, and arranges housing, all at a fee that you can pay off over the course of your work engagement.  It seems your prayers have been answered; you leave hopeful and determined for the United States.