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Title page 1
Contents 3
Highlights 2
Letter 6
Background 10
Federal Agency Roles in Combating Human Trafficking 11
Behavioral Health 14
Key HHS and DOJ Trafficking Programs Fund a Variety of Survivor Services, Including Behavioral Health Services 15
Key HHS Human Trafficking Survivor Assistance Programs 15
Key DOJ Human Trafficking Survivor Assistance Programs 19
HHS Followed Leading Practices to Assess Grant Programs' Performance; DOJ Followed Most but Not All Practices for its Adult Survivor Program 23
HHS Followed Leading Practices to Assess Grant Programs' Performance 23
DOJ Followed Most, but Not All, Leading Practices Assessing Grant Programs' Performance 28
Service Availability Among Factors that Can Affect Survivors' Access to Behavioral Health Services; Agencies Have Taken Steps to Improve Access 33
Factors That Can Affect Access to Behavioral Health Services for Survivors 34
HHS and DOJ Actions to Help Improve Access to Behavioral Health Services 40
Conclusions 42
Recommendation for Executive Action 43
Agency Comments and Our Evaluation 43
Appendix I. HHS and DOJ Grant Programs that Fund Behavioral Health Services for Human Trafficking Survivors 46
Appendix II. Information about Selected Grantees 52
Appendix III. Substance Abuse and Mental Health Services Administration Programs Supporting Human Trafficking Survivors 54
Appendix IV. Human Trafficking Survivors Served by HHS's Key Survivor Assistance Grant Programs 56
Appendix V. Human Trafficking Survivors Served by DOJ's Key Survivor Assistance Grant Programs 57
Appendix VI. Comments from the Department of Justice 59
Appendix VII. GAO Contact and Staff Acknowledgments 61
Bibliography of Related Studies 62
Figure 1. Federal Agency Roles Combatting Human Trafficking 12
Figure 2. Departments of Health and Human Services' and Justice's Human Trafficking Protection Programs 13
Figure 3. Factors That Can Affect Access to Behavioral Health Services for Human Trafficking Survivors, Identified by Literature, and Selected... 34
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