methods for working in contact with victims. It explains therapeutic work which specifically addresses the trafficking experience and HBF’s approach to care, which is designed to be effective for each individual’s protection and to enable their long-term, sustained recovery. HBF services HBF provides the following services: – – – – – Medico-legal documentation of physical and psychological injuries A range of therapies and therapeutic work for recovery and rehabilitation Co-ordination of external medical care Onward referral for specialist legal advice, welfare, housing and to NGOs and support agencies Courses, classes and group activities Clients are referred to the Helen Bamber Foundation by a variety of professionals working with survivors, including legal representatives, doctors, health professionals, social workers and others. Requests for HBF’s services are responded to in accordance with their degree of urgency, principally in relation to clinical needs. As a small charity with a staff of busy medical professionals, HBF inevitably prioritizes work with people who will be assisted by the provision of medico-legal documentation of their given history and/or specialist therapy for their sustained recovery and rehabilitation.2 The provision of HBF’s services is not conditional upon the victim’s immigration status in the UK, which may be insecure, uncertain or unknown. ing through the provision of appropriate services which can meet their individual needs. All referrals are considered by HBF’s internal multi-disciplinary team. In cases where HBF is able to assist, clients are invited for an initial assessment of their immediate clinical and practical needs. This assessment is based upon HBF’s own clinical referral form4 which has been developed specifically for this purpose. For detailed clinical assessments, HBF clinicians use a range of internationally recognized tools which are appropriate for the assessment of physical and psychological injuries sustained by this client group. Of primary importance is the Istanbul Protocol which provides the framework through which a history can be taken and physical and psychological injuries accurately recorded. Other tools include screening instruments such as the Harvard Trauma Questionnaire5 and the Hopkins Symptoms Checklist6; diagnostic criteria from the Diagnostic and Statistical Manual of Mental Disorders7; and the International Classification of Diseases8; the WHO Guidelines for medico-legal care of victims of sexual violence 9 and Clinical Outcomes in Routine Evaluation (CORE)10. HBF Clients We are aware from our work with other agencies and the high level of demand for our services that HBF works with only a small percentage of the trafficked population in the UK. Victims of trafficking in the care of HBF are predomi- Some victims of trafficking are already receiving assistance and support from external organizations when they are referred.3 Others have no such support and HBF staff endeavour to locate it for them. Cross-referral and joint work with other agencies and organizations (‘multi-agency working’) is essential to ensure rehabilitation for victims of traffickInternational Statistical Classification of Diseases and Related Health Problems Convention on Action against Trafficking in Human Beings - of sexual violence Guidelines for medico-legal care for victims - CORE: A Decade of Development 50