Commercial Sexual Exploitation Identification Tool (CSE-IT) – version 2.0

WestCoast Children’s Clinic

Commercial Sexual Exploitation Identification Tool (CSE-IT) – version 2.0

1. HOUSING AND CAREGIVING.

The youth experiences housing or caregiving instability for any reason.
a. Youth runs away or frequently leaves their residence for extended periods of time (overnight, days, weeks).
Field is required!
Field is required!
b. Youth experiences unstable housing, including multiple foster/group home placements.
Field is required!
Field is required!
c. Youth experiences periods of homelessness, e.g. living on the street or couch surfing.
Field is required!
Field is required!
d. Youth relies on emergency or temporary resources to meet basic needs, e.g. hygiene, shelter, food, medical care.
Field is required!
Field is required!
e. Parent/caregiver is unable to provide adequate supervision.
Field is required!
Field is required!
f. Youth has highly irregular school attendance, including frequent or prolonged tardiness or absences.
Field is required!
Field is required!
g. Youth has current or past involvement with the child welfare system. ∞
Field is required!
Field is required!

Subtotal Housing and Caregiving

Indicator 1 Score: A subtotal of 0 to 3 = No Concern. A subtotal of 4 or 5 = Possible Concern. A subtotal from 6 to 14 = Clear Concern.
0.00
Field is required!
Field is required!
Possible Concern

Clear Concern

2. PRIOR ABUSE OR TRAUMA.

The youth has experienced trauma (not including exploitation).
a. Youth has been sexually abused. ∞
Field is required!
Field is required!
b. Youth has been physically abused. ∞
Field is required!
Field is required!
c. Youth has been emotionally abused. ∞
Field is required!
Field is required!
d. Youth has witnessed domestic violence. ∞
Field is required!
Field is required!

Subtotal Prior Abuse or Trauma

Indicator 2 Score: A subtotal of 0 or 1 = No Concern. A subtotal of 2 = Possible Concern. A subtotal from 3 to 8 = Clear Concern.
0.00
Field is required!
Field is required!
Possible Concern

Clear Concern

3. PHYSICAL HEALTH AND APPEARANCE.

The youth experiences notable changes in health and appearance.
a. Youth presents a significant change in appearance, e.g. dress, hygiene, weight.
Field is required!
Field is required!
b. Youth shows signs of physical trauma, such as bruises, black eyes, cigarette burns, or broken bones.
Field is required!
Field is required!
c. Youth experiences periods of homelessness, e.g. living on the street or couch surfing.
Field is required!
Field is required!
d. Youth relies on emergency or temporary resources to meet basic needs, e.g. hygiene, shelter, food, medical care.
Field is required!
Field is required!
e. Parent/caregiver is unable to provide adequate supervision.
Field is required!
Field is required!
f. Youth has highly irregular school attendance, including frequent or prolonged tardiness or absences.
Field is required!
Field is required!
g. Youth has current or past involvement with the child welfare system. ∞
Field is required!
Field is required!

Subtotal Physical Health and Appearance

Indicator 3 Score: A subtotal of 0 or 1 = No Concern. A subtotal of 2 or 3 = Possible Concern. A subtotal from 4 to 16 = Clear Concern.
0.00
Field is required!
Field is required!
No Concern
Possible Concern

Clear Concern

4. ENVIRONMENT AND EXPOSURE.

The youth’s environment or activities place them at risk of exploitation.
a. Youth engages in sexual activities that cause harm or place them at risk of victimization.
Field is required!
Field is required!
b. Youth shows signs of physical trauma, such as bruises, black eyes, cigarette burns, or broken bones.
Field is required!
Field is required!
c. Youth uses language that suggests involvement in exploitation.
Field is required!
Field is required!
d. Youth is connected to people who are exploited, or who buy or sell sex.
Field is required!
Field is required!
f. Youth has current or past involvement with law enforcement or juvenile justice. ∞
Field is required!
Field is required!
f. Youth has highly irregular school attendance, including frequent or prolonged tardiness or absences.
Field is required!
Field is required!
g. Youth has gang affiliation/contact that involves unsafe sexual encounters.
Field is required!
Field is required!

Subtotal Environment and Exposure

Indicator 4 Score: A subtotal of 0 = No Concern. A subtotal of 1 = Possible Concern. A subtotal from 2 to 14
0.00
Field is required!
Field is required!
No Concern
Possible Concern

Clear Concern

5. RELATIONSHIPS AND PERSONAL BELONGINGS.

The youth’s relationships and belongings are not consistent with their age or circumstances, suggesting possible recruitment by an exploiter.
a. Youth has unhealthy, inappropriate or romantic relationships, including (but not limited to) with someone older/an adult.
Field is required!
Field is required!
b. Youth meets with contacts they developed over the internet, including sex partners or boyfriends/girlfriends.
Field is required!
Field is required!
c. Explicit photos of the youth are posted on the internet or on their phone.
Field is required!
Field is required!
d. Youth receives or has access to unexplained money, credit cards, hotel keys, gifts, drugs, alcohol, transportation.
Field is required!
Field is required!
e. Youth has several cell phones or their cell phone number changes frequently.
Field is required!
Field is required!
f. Youth travels to places that are inconsistent with their life circumstances.
Field is required!
Field is required!

Subtotal Relationships and Personal Belongings

Indicator 5 Score: A subtotal of 0 = No Concern. A subtotal of 1 or 2 = Possible Concern. A subtotal from 3 to 12 = Clear Concern.
0.00
Field is required!
Field is required!
Possible Concern

Clear Concern

6. SIGNS OF CURRENT TRAUMA.

The youth exhibits signs of trauma exposure.
a. Youth appears on edge, preoccupied with safety, or hypervigilant.
Field is required!
Field is required!
b. Youth has difficulty detecting or responding to danger cues.
Field is required!
Field is required!
c. Youth engages in self-destructive, aggressive, or risk-taking behaviors.
Field is required!
Field is required!
d. Youth has a high level of distress about being accessible by cell phone.
Field is required!
Field is required!

Subtotal Signs of Current Trauma

Indicator 5 Score: A subtotal of 0 = No Concern. A subtotal of 1 or 2 = Possible Concern. A subtotal from 3 to 8 = Clear Concern.
0.00
Field is required!
Field is required!
Possible Concern

Clear Concern

7. COERCION.

The youth is being controlled or coerced by another person.
a. Youth has an abusive or controlling intimate partner.
Field is required!
Field is required!
b. Someone else is controlling the youth’s contact with family or friends, leaving the youth socially isolated.
Field is required!
Field is required!
c. Youth is coerced into getting pregnant, having an abortion, or using contraception.
Field is required!
Field is required!
d. Someone is not allowing the youth to sleep regularly or in a safe place, go to school, eat, or meet other basic needs.
Field is required!
Field is required!
e. The youth or their friends, family, or other acquaintances receive threats.
Field is required!
Field is required!
f. Youth gives vague or misleading information about their age, whereabouts, residence, or relationships.
Field is required!
Field is required!

Subtotal Coercion

Indicator 7 Score: A subtotal of 0 = No Concern. A subtotal of 1 = Possible Concern. A subtotal of 2 to 12 = Clear Concern.
0.00
Field is required!
Field is required!
Possible Concern

Clear Concern

8. EXPLOITATION.

The youth exchanges sex for money or material goods, including food or shelter.
a. Youth is exchanging sex for money or material goods, including food or shelter for themselves or someone else, e.g. child, family, partner.
Field is required!
Field is required!
b. Youth is watched, filmed or photographed in a sexually explicit manner.
Field is required!
Field is required!
c. Youth has a history of sexual exploitation. ∞
Field is required!
Field is required!
d. Youth is forced to give the money they earn to another person.
Field is required!
Field is required!

Subtotal Coercion

Indicator 8 Score: A subtotal of 0 = No Concern. A subtotal of 1 = Possible Concern. A subtotal from 2 to 8 = Clear Concern.
0.00
Field is required!
Field is required!
Possible Concern

Clear Concern

Continuum of Concern

(draw a line indicating level of concern for exploitation)
Indicator:
Concern Level
Indicator score
1. HOUSING AND CAREGIVING
Possible Concern

Clear Concern

0.00
Field is required!
Field is required!
2. PRIOR ABUSE OR TRAUMA
Possible Concern

Clear Concern

0.00
Field is required!
Field is required!
3. PHYSICAL HEALTH AND APPEARANCE
Possible Concern

Clear Concern

0.00
Field is required!
Field is required!
4. ENVIRONMENT AND EXPOSURE
Possible Concern

Clear Concern

0.00
Field is required!
Field is required!
5. RELATIONSHIPS AND PERSONAL BELONGINGS
Possible Concern

Clear Concern

0.00
Field is required!
Field is required!
6. SIGNS OF CURRENT TRAUMA
Possible Concern

Clear Concern

0.00
Field is required!
Field is required!
7. COERCION
Possible Concern

Clear Concern

0.00
Field is required!
Field is required!
Add scores for indicators 1 through 7
(Score cannot exceed 14):
A.
0.00
Field is required!
Field is required!
8. EXPLOITATION.
Possible Concern

Clear Concern

0.00
Field is required!
Field is required!
If Indicator 8 score is 1 (Possible Concern) put 4 in Box B
If Indicator 8 is a 2 (Clear Concern) put 9 in Box B
B.
0.00
Field is required!
Field is required!
TOTAL: Add boxes A and B for a total score
between 0-23.
TOTAL
0.00
Field is required!
Field is required!
E-mail Address of Individual Reporting (Optional)
Field is required!
Field is required!
Name of Individual Reporting (Optional)
Field is required!
Field is required!
Police Report/Case #
If this is involving a case, please add it.
(Optional)
Field is required!
Field is required!
Any Other Details?
(Optional)
Field is required!
Field is required!