Date of Award

Spring 5-9-2026

Document Type

Honors Thesis

Department/Major

Health Science

First Advisor

Bridget Diamond-Welch

Second Advisor

Anna Kosloski

Third Advisor

Amber Evenson

Keywords

Sex traffiking, Native American, mental health, healing and recovery

Subject Categories

Mental and Social Health

Abstract

The mental health impacts of sex trafficking on Native American survivors and pathways to resilience are important to understanding healing. Native Americans are disproportionately affected by sex trafficking due to systemic inequities, historical trauma, and socioeconomic vulnerability. Using interviews with 47 Native survivors conducted as part of a larger Office on Violence Against Women project, this study analyzes the mental health challenges and recovery strategies identified by participants. Findings reveal that survivors commonly experience significant psychological effects, including post-traumatic stress disorder (PTSD), depression, and anxiety. Among participants, PTSD emerged as the most frequently reported condition, followed by depression and anxiety, highlighting the long-term psychological consequences of trafficking. Despite these challenges, survivors demonstrated resilience through a range of healing strategies. These strategies were categorized into three primary themes: spiritual, creative, and therapeutic. Spiritual practices such as ceremonies and prayer were frequently cited as meaningful sources of healing, while creative outlets like music and journaling provided emotional expression. Therapeutic approaches, including counseling and mental health treatment, were the most utilized resources. This study underscores the importance of culturally responsive and trauma-informed care in supporting Native American survivors. By centering survivor voices, this research highlights the need for integrated approaches that combine clinical support with culturally grounded healing practices to promote long-term recovery and well-being.

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