
Human trafficking remains one of the most overlooked and misunderstood crises affecting women and girls across the country. While it is often portrayed as a distant or hidden crime, its impact is deeply felt in communities like ours—often by those already facing significant hardships. At Alvis, professionals working directly with survivors see the reality behind the statistics every day.
Makesha West, Clinical Director of Amethyst and Recovery Housing at Alvis, offers powerful insight into the complex experiences of trafficking survivors and the urgent need for broader awareness and support.
The poorest women in our society, those who experience persistent injustices like social inequality and financial discrimination, or have been in foster care, overuse drugs and alcohol and lack stable housing are the most likely to be sex trafficked even - at young ages. According to numerous studies, the most common age of entry into sex trafficking in the United States is between 12 and 14 years of age. Although trafficking involves all age groups of women, a significant number of victims are minors. Research indicates that 50% or more of victims are children under the age of 18.
Young girls whose lives have been affected by violence and sexual assaults, whether by strangers or family members, are found to be the most vulnerable to the threats and promises of traffickers. Additionally, 40% to 85% of women involved in prostitution and sex trafficking have a chemical use disorder. The most current numbers show that 50% of women seeking substance use treatment are victims of human trafficking.
Makesha West reported that at least 60 to 70% of the women treated at Amethyst are survivors of sex trafficking, sex trade or sexual trauma. “These women often have unique needs that go beyond traditional recovery services. They require trauma-informed therapy, comprehensive mental health support, and assistance with rebuilding trust and self-worth. Many also need help navigating legal issues, securing safe housing, and accessing medical care for both physical and emotional health,” West said.
Pregnancy during trafficking requires another set of emotions and treatment. “Some women do carry their pregnancies to term, while others may not.,” West explained. “For those who do, decisions about raising the child depend on individual circumstances, support systems, and their recovery progress. Our role is to provide nonjudgmental support and resources to help them make informed choices.”