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Every day in the United States, children and adolescents are
victims of commercial sexual exploitation and sex trafficking.
Despite the serious and long-term consequences for victims as well
as their families, communities, and society, efforts to prevent,
identify, and respond to these crimes are largely under supported,
inefficient, uncoordinated, and unevaluated. Confronting Commercial
Sexual Exploitation and Sex Trafficking of Minors in the United
States examines commercial sexual exploitation and sex trafficking
of U.S. citizens and lawful permanent residents of the United
States under age 18. According to this report, efforts to prevent,
identify, and respond to these crimes require better collaborative
approaches that build upon the capabilities of people and entities
from a range of sectors. In addition, such efforts need to confront
demand and the individuals who commit and benefit from these
crimes. The report recommends increased awareness and
understanding, strengthening of the law's response, strengthening
of research to advance understanding and to support the development
of prevention and intervention strategies, support for multi-sector
and interagency collaboration, and creation of a digital
information-sharing platform. A nation that is unaware of these
problems or disengaged from solutions unwittingly contributes to
the ongoing abuse of minors. If acted upon in a coordinated and
comprehensive manner, the recommendations of Confronting Commercial
Sexual Exploitation and Sex Trafficking of Minors in the United
States can help advance and strengthen the nation's emerging
efforts to prevent, identify, and respond to commercial sexual
exploitation and sex trafficking of minors in the United States.
Table of Contents Front Matter Summary Part I: Understanding
Commercial Sexual Exploitation and Sex Trafficking of Minors in the
United States 1 Introduction 2 The Nature and Extent of Commercial
Sexual Exploitation and Sex Trafficking of Minors in the United
States 3 Risk Factors for and Consequences of Commercial Sexual
Exploitation and Sex Trafficking of Minors 4 Legal Framework Part
II: Current and Emerging Strategies 5 The Legal System 6 Victim and
Support Services 7 Health and Health Care 8 The Education Sector 9
The Commercial Sector 10 Multisector and Interagency Collaboration
Part III: Recommendations 11 Overall Conclusions and
Recommendations Appendixes Appendix A: Disentangling the Language
of Commercial Sexual Exploitation and Sex Trafficking of Minors in
the United States Appendix B: Lessons Learned from International
Efforts to Respond to Commercial Sexual Exploitation and Sex
Trafficking of Minors Appendix C: Site Visit Methodology and
Summaries Appendix D: Workshop and Site Visit Agendas Appendix E:
Biosketches of Committee Members and Staff Index
A Review of the HHS Family Planning Program provides a broad
evaluation of the Title X family planning program since its
establishment in 1970. The program successfully provides family
planning services to its target audience of low-income individuals,
but there is room for improvement. While the program's core goals
are apparent, a secondary set of changing priorities has emerged
without a clear, evidence-based strategic process. Also, funding
for the program has increased in actual dollars, but has not kept
pace with inflation or increased costs. Several aspects of the
program's structure could be improved to increase the ability of
Title X to meet the needs of its target population. At the same
time, the extent to which the program meets those needs cannot be
assessed without a greater capacity for long-term data collection.
A Review of the HHS Family Planning Program recommends several
specific steps to enhance the management and improve the quality of
the program, as well as to demonstrate its direct contribution to
important end results, such as reducing rates of unintended
pregnancy, cervical cancer, and infertility. The book will guide
the Office of Family Planning toward improving the effectiveness of
the program. Other parties who will find the research and
recommendations valuable include programs receiving Title X funding
from the Office of Family Planning, policy makers, researchers, and
professional organizations. Table of Contents Front Matter Summary
1 Introduction 2 Overview of Family Planning in the United States 3
Title X Goals, Priorities, and Accomplishments 4 Program Management
and Administration 5 Collection of Data to Measure Program Outcomes
References Appendixes Appendix A: Data Sources and Methods Appendix
B: Population Research and Voluntary Family Planning Programs
Appendix C: Title X Family Planning Program Regulations Appendix D:
Program Guidelines for Project Grants for Family Planning Services
Appendix E: Family Planning Program Assessment Rating Tool Appendix
F: Committee Site Visits Appendix G: *Family Planning Annual
Report* Data Elements Appendix H Summary of Previous Title X
Evaluations and Reviews Appendix I: Title X and OPA-Funded Research
Appendix J: Organization, Funding, and Management of the Title X
Program Appendix K: Measurement of Quality in the Title X Family
Planning Program Appendix L: Committee and Staff Biographies
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