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Universal Screening Makes Exploitation Visible

Updated: Feb 12, 2024

By: David T. Perry, Danna Basson, PhD, and Hannah Haley



This research brief discusses the impact of universal screening on identifying children who are trafficked or vulnerable to sex trafficking. Our experience using the Commercial Sexual Exploitation – Identification Tool (CSE-IT) shows that universal screening is critical to both prevention and early intervention.


Early identification and intervention prevent prolonged abuse


Most children experiencing exploitation go two or more years before anyone notices the signs. After implementing a universal screening protocol, child welfare staff in one large urban county identified ten times as many trafficked youth.




“Screening universally was a game changer for us. It allowed us to do more than just verify our gut instinct about cases. We started to see how all the complicating factors point to exploitation. We’re better able to recognize the abuse.” – Child Welfare Manager, large California County





Universal screening can be implemented in any setting


Screening universally with a validated tool like the CSE-IT only takes 3-5 minutes to complete. WestCoast has trained providers in 20 states to use the CSE-IT in settings such as child welfare, juvenile justice, schools, foster family agencies, child advocacy centers, healthcare settings, and homeless shelters. These agencies range in size and staff capacity, demonstrating that universal screening is feasible in all systems and settings.


As of this publication, providers have screened nearly 134,000 youth using the CSE-IT, and identified 15,197 youth, or 11%, as having a clear concern for exploitation. If you are interested in learning more about the CSE-IT, please contact us at screening@westcoastcc.org.

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