Sex Little Children Yu 6

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Updated 2104 GMT (0504 HKT) December 17, 2020
A survivor of sex trafficking at The WellHouse in Alabama, which helps young girls and women get their lives back on track.
(CNN)"You just have to dance, we can make a little money like that."
That's what Shandel, then 13, said her boyfriend told her at a party he had taken her to some 12 years ago.
And that's how it all began, Shandel, now 25, recalled. Gradually, the man she thought of as the only person who loved her or even cared for her, demanded more. Much more -- and she said he would physically abuse her if she refused.
Even now, it is difficult for Shandel -- who requested CNN use only her first name due to privacy concerns -- to talk to strangers about what she was forced to do with men.
She had left an abusive situation at home -- her dad was on drugs, and her mother had "her own issues," Shandel said. The man she left home for "was the first person that felt like who loved me."
"In hindsight, it wasn't love, but it felt like love," she said. "It was like, if I didn't do these things, then he wouldn't love me."
Shandel is among the many victims of child sex trafficking, the commercial sexual exploitation of children. While the term trafficking evokes for many images of children kidnapped off the street, smuggled across borders and moved from place to place, that's rarely the case, social workers and researchers say.
Many who work with the children or who study the problem prefer the the term commercial sexual exploitation of children to trafficking, as it offers a much clearer picture of what's happening.
The children most vulnerable are those living in poverty, often known to child protection services, in foster care, in generally unstable conditions, social workers and researchers say. Many have been sexually abused as children before they become victims.
"As much as stories might come out about conspiracies to target people who are relatively safe, relatively less vulnerable, the truth is on the hotline," said Robert Beiser, the strategic initiatives director for sex trafficking at Polaris, which runs the National Human Trafficking Hotline.
"Our data shows that people are exploited because traffickers know that there are certain groups of people that don't have the support, that don't have the ability to get accountability, or justice for themselves," Beiser said. "And those people who, if you exploit them, it's much less likely that any problems will come your way as a trafficker or as a sex buyer."
And the children are far more likely to know, and even be related to their exploiters, than to be grabbed by a stranger, the experts say.
"Hollywood loves a very dramatic abduction and similar stories, but that is not what typically happens in trafficking cases," said Jonathan Todres, a law professor at Georgia State University who focuses on child trafficking.
"It is usually someone they know or someone that an acquaintance knows. So it may be that a peer introduces them to someone who ends up recruiting for a trafficking ring."
Focusing on kids being nabbed by strangers or a child trafficking cabal leads people to miss the point, said Rachel Lloyd, who was trafficked as a teenager and later founded GEMS, a non-profit in New York that helps survivors get their life back on track.
"There are girls who are kidnapped and forced into the life, it's just not the most common," Lloyd, whose organization helps hundreds of girls and young women survivors every year, said.
Rachel Lloyd, a sex trafficking survivor, founded GEMS to help other young survivors.
"It's not stranger danger in the way that we like to think about it. It's about vulnerability and risk meeting the billion-dollar industry, filled with exploitative predators who are, whether they are johns or pimps, looking to continually fill the need to supply."
There are no reliable estimates of the number of victims
It's impossible to put a number on how many children are being commercially sexually exploited, researchers say, because there's just no system in place to track it.
Depending on how they're identified by authorities, the children might be labeled juvenile delinquent, a child welfare case, a runaway, according to Samantha Vardaman at Shared Hope International, whose mission is to end sex trafficking.
"The label that gets assigned to that child is going to dictate whether they ever get counted in the base number of commercial sexual exploitation," Vardaman said.
The US National Human Trafficking Hotline identified 22,326 trafficking victims and survivors last year. Of those, 14,597 were cases of sex trafficking and 1,048 were sex and labor trafficking, or forcing someone to work by fraud or coercion. Farm and domestic work are common avenues of labor trafficking, according to the hotline.
The average age of those trafficked was 17, and the numbers sharply decline of those older that were identified by the hotline. The sum of younger victims was about the same as the number of 17 year olds.
Many victims are running away from harm
The exploiters are almost always men, the experts say, and the victims are usually female, although boys are trafficked, too. In the beginning, some girls think the man is going to help them into a better life.
"Maybe they've been dating them a couple of weeks. Maybe they think he's a manager who's going to set up their dance careers," Lloyd said. "I've seen girls who were thinking they were going to have a career in the entertainment industry."
Others have thought the man was a landlord who was offering them an apartment, she said, a strong lure for a homeless girl or one looking to escape an abusive situation at home.
Most kids "do not go out into the street, they're running away from some harm," Todres, the law professor, said. "And they feel in that moment that the street is a better option. And that's a really profound statement."
One observation that staff members at The WellHouse in Odenville, Alabama, a recovery facility for survivors, have made is that many of the girls and women were sexually abused as children.
The WellHouse in Alabama helps survivors heal and thrive.
An adult woman living there now was trafficked as a child by her father, according to The WellHouse director, Carolyn Potter.
Carolyn Potter​ has been chief executive officer of The WellHouse for six years.
"She has described just the horror of all of it," Potter said. "And then, when she was able to leave the family home and felt like her siblings were safe ... she ended up being trafficked as an adult and fell right back into it."
The WellHouse houses adult survivors of commercial sex exploitation on its peaceful, 63-acre campus, and many are young women who were trafficked for years, starting in their teens, Potter said.
The organization also has children as clients, and is working on opening a housing facility for children in the spring of 2021. The average age of children they are seeing right now is 14, according to Potter.
The commercial sexual exploitation of children is "really everywhere," Beiser said. "People ask us a lot for what hot spots might be, and I think that implies that there are a set of people doing bad things in one location. (But) it's a system that is really set up for people with money to exploit people who are vulnerable. What we see is that it's almost exactly proportional to population in the country."
While it's more prevalent in urban areas, rural areas aren't spared, and the internet has widened the net for exploiters, experts say.
It's also driven a lot of the activity out of sight, Lloyd said, making it harder to identify victims.
Sex trafficking victims are often criminalized
If the girls are picked up by the police, they are often charged with a crime.
Prostitution and buying sex, in most states, are "relatively equivalent crimes," Beiser said, "even though a person in prostitution may be doing it so that they're not homeless, or so that they can feed themselves. But no one is buying sex out of some sort of basic need for survival."
An underage girl who is arrested for prostitution can be "charged with prostitution and adjudicated delinquent as a result" in 19 US states, according to Vardaman.
The issue is one that Shared Hope International has been working on for many years, she said.
When Lloyd came to the US more than 20 years ago, she was working as a missionary focused on women in the sex industry, and was constantly running into teenagers and preteens on the streets and even in prison. Soon after, she founded GEMS from her kitchen table.
Progress has been made in some cities and states. Minnesota has removed criminal liability for minors for prostitution, according to Christine Raino at Shared Hope International.
Seattle and King County, Washington, have almost no arrests of people in prostitution, but "there's significant accountability for sex buyers, especially people trying to buy sex from children," according to Beiser.
The hundreds of thousands of dollars generated there in such fines go directly into immediate services for survivors of commercial sexual exploitation, Beiser said.
New York no longer charges minors for prostitution, Lloyd said. While that is progress, it's also cut off a point of intervention for social workers like Lloyd, she said.
"Over the past 18 years, we've seen tremendous advances in the ability to serve survivors, coming out of situations like that," said Beiser. "And much more awareness of how social inequality, and even the criminal justice systems, focuses on criminalizing victims of trafficking for crimes like prostitution, rather than rather than sex buyers who have full have decision making over who they exploit."
That progress includes an increase in services such as those provided by GEMS and The WellHouse. Both help the women with getting an education, safe housing, and financial training.
And these places offer the truly invaluable to survivors: Being able to share their stories with other people who have been through the same life-shattering experience.
Today, Shandel is thriving. She is working on a college degree in marketing, has a family and helps mentor other survivors at GEMS.
While it's difficult to know the effect right now that the Covid-19 pandemic is having on the commercial sexual exploitation of children, what's clear is that it is putting more children at risk, Beiser said.
People who might be escaping trafficking situations by finding a place to work or shelter are finding that shelters have reduced capacity or are closed because of the pandemic, according to Beiser, and "many nonprofits have had to close because they're not getting the resources that they need."
"Since the Covid pandemic, we've seen a significant increase in calls for emergency shelter," he said.
"We're going to see the echoes of what Covid has done to make people more economically vulnerable, unfortunately for years to come, if we don't put the right policies in place to help people."
The pandemic has also made it harder to help survivors. At GEMS in New York, everything but the housing for survivors has gone virtual, Lloyd said.
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CHICAGO - A small but growing number of teens and even younger children who think they were born the wrong sex are getting support from parents and from doctors who give them sex-changing treatments, according to reports in the medical journal Pediatrics.
It's an issue that raises ethical questions, and some experts urge caution in treating children with puberty-blocking drugs and hormones.
An 8-year-old second-grader in Los Angeles is a typical patient. Born a girl, the child announced at 18 months, "I a boy" and has stuck with that belief. The family was shocked but now refers to the child as a boy and is watching for the first signs of puberty to begin treatment, his mother told The Associated Press.
Pediatricians need to know these kids exist and deserve treatment, said Dr. Norman Spack, author of one of three reports published Monday and director of one of the nation's first gender identity medical clinics, at Children's Hospital Boston.
"If you open the doors, these are the kids who come. They're out there. They're in your practices," Spack said in an interview.
Switching gender roles and occasionally pretending to be the opposite sex is common in young children. But these kids are different. They feel certain they were born with the wrong bodies.
Some are labeled with "gender identity disorder," a psychiatric diagnosis. But Spack is among doctors who think that's a misnomer. Emerging research suggests they may have brain differences more similar to the opposite sex.
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Spack said by some estimates, 1 in 10,000 children have the condition.
Offering sex-changing treatment to kids younger than 18 raises ethical concerns, and their parents' motives need to be closely examined, said Dr. Margaret Moon, a member of the American Academy of Pediatrics' bioethics committee. She was not involved in any of the reports.
Some kids may get a psychiatric diagnosis when they are just hugely uncomfortable with narrowly defined gender roles; or some may be gay and are coerced into treatment by parents more comfortable with a sex change than having a homosexual child, said Moon, who teaches at the Johns Hopkins Berman Institute of Bioethics.
It's harmful "to have an irreversible treatment too early," Moon said.
Doctors who provide the treatment say withholding it would be more harmful.
These children sometimes resort to self-mutilation to try to change their anatomy; the other two journal reports note that some face verbal and physical abuse and are prone to stress, depression and suicide attempts. Spack said those problems typically disappear in kids who've had treatment and are allowed to live as the opposite sex.
Guidelines from the Endocrine Society endorse transgender hormone treatment but say it should not be given before puberty begins. At that point, the guidelines recommend puberty-blocking drugs until age 16, then lifelong sex-changing hormones with monitoring for potential health risks. Mental health professionals should be involved in the process, the guidelines say. The group's members are doctors who treat hormonal conditions.
Those guidelines, along with YouTube videos by sex-changing teens and other media attention, have helped raise awareness about treatment and led more families to seek help, Spack said.
His report details a fourfold increase in patients at the Boston hospital. His Gender Management Service clinic, which opened at the hospital in 2007, averages about 19 patients each year, compared with about four per year treated for gender issues at the hospital in the late 1990s.
The report details 97 girls and boys treated between 1998 and 2010; the youngest was 4 years old. Kids that young and their families get psychological counseling and are monitored until the first signs of puberty emerge, usually around age 11 or 12. Then children are given puberty-blocking drugs, in monthly $1,000 injections or implants imbedded in the arm.
In another Pediatrics report, a Texas doctor says he's also provided sex-changing treatment to an increasing number of children; so has a clinic at Children's Hospital Los Angeles where the 8-year-old is a patient.
The drugs used by the clinics are approved for delaying puberty in kids who start maturing too soon. The drugs' effects are reversible, and Spack said they've caused no complications in his patients. The idea is to give these children time to mature emotionally and make sure they want to proceed with a permanent sex change. Only 1 of the 97 opted out of permanent treatment, Spack said.
Kids will more easily pass as the opposite gender, and require less drastic treatment later, if drug treatment starts early, Spack said. For example, boys switching to girls will develop breasts and girls transitioning to boys will be flat-chested if puberty is blocked and sex-hormones started soon enough, Spack said.
Sex hormones, especially in high doses when used long-term, can have serious side effects, including blood clots and cancer. Spack said he uses low, safer doses but that patients should be monitored.
Gender-reassignment surgery, which may include removing or creating penises, is only done by a handful of U.S. doctors, on patients at least 18 years old, Spack said. His clinic has worked with local surgeons who've done breast removal surgery on girls at age 16, but that surgery can be relatively minor, or avoided, if puberty is halted in time, he said.
The mother of the Los Angeles 8-year-old says he's eager to begin treatment.
When the child was told he could get shots to block breast development, "he was so excited," the mother said.
He also knows he'll eventually be taking testosterone shots for life but surgery right now is uncertain.
The child attends a public school where classmates don't know he is biologically a girl. For that reason, his mother requested anonymity.
She said she explained about having a girl's anatomy but he rejected that, refused to wear dresses, and has insisted on using a boy's name since preschool.
The mother first thought it was a phase, then that her child might be a lesbian, and sought a therapist's help to confirm her suspicion. That's when she first heard the term "gender identity disorder" and learned it's often not something kids outgrow.
Accepting his identity has been difficult for both parents, the woman said. Private schools refused to enroll him as a boy, and the family's pediatrician refused to go along with their request to treat him like a boy. They found a physician who would, Dr. Jo Olson, medical director of a transgender clinic at Children's Hospital Los Angeles.
Olson said the journal reports should help persuade more doctors to offer these kids sex-changing treatment or refer them to specialists who will.
"It would be so nice to move this out of the world of mental health, and into the medical world," Olson said.
First published on February 20, 2012 / 8:12 AM
© 2012 The Associated Press. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed.
Copyright © 2021 CBS Interactive Inc. All rights reserved.
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Sex Little Children Yu 6