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OUR TAKE

Child Trafficking Remains an Issue in Southeastern Massachusetts

January 21, 2022 by Jacob Stapledon

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Child Trafficking Remains an Issue in Southeastern Massachusetts – 10 more points we need you to know

Jacob Stapledon

January 20, 2022

This article, it’s data and information included was written with input and information provided by team members from Children’s Cove, the Bristol County Children’s Advocacy Center, and the Plymouth County Children’s Advocacy Center.

In 2021, the Children’s Advocacy Centers for Cape Cod & the Islands, Bristol County and Plymouth County held response meetings and coordinated support services to nearly 300 child victims of human trafficking. In nearly 90% of these cases there was an online element related to the exploitation, meaning, the exploitation took place online OR there was specific communication, planning or exchange which took place online. Children in our communities, including Hyannis, Westport, Fall River, Hingham, Brockton, Mashpee, Plymouth, and Dartmouth, were identified as victims of sexual exploitation and human trafficking. Each of these Child Advocacy Centers (CACs) in southeastern Massachusetts work collaboratively with every branch of law enforcement and child protective services to provide a coordinated response to child trafficking. With an increasing risk to children in online spaces, we want to inform the community of the trends we have seen over the last year. This article aims to demystify the terms and issues, where these risks unfold, and what parents and caregivers in the community can do to reduce the risk of exploitation online.

1. The Definition of Commercial Sexual Exploitation of Children (CSEC)

Human trafficking is widely defined as “a crime that involves exploiting a person for labor, services, or commercial sex.” Massachusetts state law further defines the trafficking of children as the Commercial Sexual Exploitation of Children (CSEC). The CACs of Massachusetts recognize that CSEC occurs when a person under the age of 18 engages, agrees to engage, or offers to engage in sexual conduct with another person in return for a fee or an exchange of food, shelter, clothing, education, or care. Child sexual abuse material (child pornography) can also be considered a form of trafficking.

2. Online Exploitation is More than Just a Photo

Often, when people hear the term online exploitation, they may think it is solely referring to the sending or receiving of nude images of individuals under 18. Correctly, yes, that is a form of online exploitation where a child’s image can then be captured and sold, traded, or shared indefinitely on the internet. However, Child Sexual Abuse Material can be far more than that. Once a child has discovered the person has saved the image, they may be manipulated, threatened or exploited to produce more (often increasingly graphic) images or ultimately meet in person where they become physically exploited. The person receiving the image may be receiving some type of financial gain from their exploitation, or use it to trade with other exploiters. The shame, embarrassment and fear children feel upon learning the person they are engaging with online is not the person they claimed to be reduces the instances where they will ask for help from a trusted adult. What can start as one single image can quickly spiral out of control to a place they never would have found themselves otherwise.

3. Exchange is Something of Value to the Child, Not Everyone

So often parents and professionals alike only think of an exchange being money. Money is the least often exchanged item of value for children who are victimized. And, as a reminder, an exchange does not need to take place, only be offered. Digital assets and currencies in video games and mobile apps as well as substances not regularly available to children (such as nicotine products including vapes) have rapidly increased as items of value in our region. At times, something more personal is what is desired or valued; someone being their boyfriend or girlfriend, going to a party together they would never be invited to otherwise, etc. The feeling of being wanted, socially accepted, and loved is often the “exchange” or tool exploiters use most.

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4. No Type of Access is “Safe”

If a child has access to an internet connection, they are at risk of exploitation. Across our region we have seen exploitation take place on parents’ computers, tablets and phones, as well as their own tablets, computers and phones. We also have seen exploitation take place on video game consoles, on school-based Chromebooks, tablets, and iPads and through apps associated with school use. Often, the fear or anxiety associated with risks for exploitation are when a child receives their own mobile phone. If parents and caregivers don’t keep their eyes on these devices and have regular conversations about safety on all internet enabled devices the opportunity for exploitation to happen in plain sight remains high.

5. The Top Culprits in the Digital World

Children can access nearly an unlimited number of apps, social media profiles, email accounts, and online exchanges such as CashApp, PayPal, and Venmo. These apps keep the evidence of exploitation hidden behind a mobile or internet-based device. If parents aren’t involved and regularly monitoring their children’s apps and internet enabled devices, this may be happening right in the same room. Staying up to date with what is trending in the digital world is as important for caregivers as it is for the youth who use them.

Over the last year the most prominent apps where exploitation has taken place, or has been discussed or coordinated were Snapchat, Discord, Facebook Messenger, Instagram, Chat Roulette, WhatsApp and Omegle. For parents and caregivers, understanding how these apps work, discussing safety rules online for these apps, and having your children show you how they use and access them is a good place to start. For resources about apps, how they are used, check out the parent resources on the Internet Matters website.

6. Apps on the Rise and Not Thought About

While the apps listed above have been a focus of issues and investigations over the last year, we are increasingly seeing more issues in newer apps. With TikTok being the most searched and rapidly growing social media and video sharing network since 2020, it has attracted everyone to its platform young and old alike. Children as young as 9 and 10 years old have found themselves in dangerous situation on the platform and as it has become more commonplace, parents and caregivers may have gotten more relaxed about safety associated with this app. This has also translated to video livestreaming apps and platforms like Facetime, Zoom, Skype, or messenger apps which allow livestreaming. Kids and teens may begin a streaming call with the belief that because it is happening in real time it cannot be captured or recorded, when in fact screen shots, sharing and recording is easier now more than ever. And, due to the nature of the streaming, there would be no record on behalf of the streaming service of what took place if it was recorded by a third-party app. Even apps designed specifically for kids and teens with safety in mind, such as Yubo, are targets for online predators and exploiters to infiltrate for the very fact it is supposed to be safe.

7. Exploitation is Normalized and Often Missed

“Sexting,” or sending sexually explicit text messages and images, has become a social norm for kids and teens. With the virtual world regularly intertwined in the real world, dating and sexual exploration regularly resides in online spaces. Sending a nude image to someone a child is interested in is as common as passing a note was pre-cell phone days. However, because of the commonality of it, the desensitization and normalization of one’s nude image is devalued. What was once a horrifying and embarrassing event of a sexual photograph or nude being sent to a group of people is now a common occurrence to little or no alarm. At times these images live right in the group chat of your child’s main friend group on their phone, the place you would never suspect would be an issue.

You must have the difficult conversations about online exploitation with your children and start when they are young.”

8. Prevention is Possible

When reading this list or learning about online exploitation, the first reaction for parents and caregivers is often “well, they just won’t have a phone or a computer, that’s it.” That is as realistic as saying a teen can’t have a car because some people drive recklessly, can’t play sports because of injuries, or go to parties because some people drink. The online and digital world is where most children learn, socialize, and engage. The same conversations about safety which are used for driving, sports and parties need to take place about being online. As a parent, you can have conversations with your children about body and online safety. You can set ground rules for internet usage and access. You can have the difficult conversations about online exploitation with your children and start when they are young. The more engaged you are with a child’s online life and the reality and risks; the more likely they will be to talk with you about issues they have.

9. Leave the Door Open

Even if you do have these conversations with your children, there is always the lingering fear from kids and teens if they mess up and tell you they will get in trouble. We know kids and teens will mess up, and we most definitely would like to take their phones and encase them in concrete and send them to the bottom of the ocean. However, what’s most important is that they know that your door is open for a calm, non-judgmental conversation so that if they do make a mistake, they can ask for help. If they do make a mistake or make a report that something happened to them: believe them, advocate for them, and focus on their health, wellness and safety with support from your local CAC.

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10. If Your Child is Exploited Online

Remain calm, and don’t take quick action such as deleting images or messages; these may be important to effectively report and get help. Identify how, when and where this happened, where the images are now and who may have them (do not view them), and what app or platform (messenger, Snapchat, Kik, etc.) it was on? Contact your local police department, and you can reach out to your local Children’s Advocacy Center and ask what steps to take next. The National Center for Missing Children (NCMEC) has an incredible resource for parents to walk through how to have content removed from all major platforms in a streamlined process. If you see or suspect child sexual abuse material online or on social media, you can report it to NCMEC through their Cyber Tipline. You don’t need to know who an exploiter is; he or she can be unknown to you – what’s important is that you make the report.

If you have concerns that a child is being exploited, please report suspicious behaviors to your local CAC, law enforcement agency or file a report with the Department of Children and Families. All of these cases are screened and reviewed with a focus on safety in our community. If you are unsure of where to seek support, or what next steps to take, visit our Get Help page for more information.

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Mindfulness and Compassion for the Holidays

December 17, 2021 by Jacob Stapledon

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Mindfulness and Compassion for the Holidays

Jacob Stapledon and Manny Marrero, MOT, OTR/L

December 21, 2021

The holiday season is in full swing with colder weather, glowing lights, candles burning, music playing and treats finding their ways into homes, offices, and shared spaces. Holiday cards are exchanged, gatherings organized, elves sit on shelves, and eggnog is found in grocery stores once again.

The winter holiday season is a glowing beacon of hope and togetherness amongst family, friends, and the community. However, it can also be an intrusive reminder of desperation, loss, and feeling isolated, especially for those who have experienced trauma. And, due to the nature of trauma, the impacts are very rarely isolated to a single person. The ripple effect extends outward to parents, caregivers, siblings, neighbors, co-workers and more. Whether it is a recent trauma, or one from long ago, the effects are different for everyone.

Perhaps the holidays bring a reminder of a loved one lost, the unspoken absence of an abuser at the dinner table, or memory of a trauma experienced on the day itself. While everyone else is singing carols or toasting the season, the feeling of being “different” can often compound, creating a heightened sense of isolation or worse.

While everyone else is singing carols or toasting the season, the feeling of being ‘different’ can often compound, creating a heightened sense of isolation or worse.”

So, what to do?

We asked Manny Marrero, a mental health occupational therapist, yoga, mindfulness, and mediation instructor who works at Cape Cod Hospital in the Centers for Behavioral Health, to give us insight on how to manage the consequences of trauma during the holidays. Here’s Manny’s guidance:

The holidays are a microcosm of the complexity and beauty of life. We can be around our loved ones feeling joy and celebrating, and in that same space, we can start to feel grief and suffering. We may get an urge to push the unpleasant emotions away because, after all, “it’s the most wonderful time of the year.” By practicing mindfulness, we can be reminded to be in the moment with a sense of awareness, compassion, and kindness; we can allow those feelings to exist and notice that they will pass naturally. We will feel something else, maybe next time, it is joy, peace, gratitude, or love.

As humans, we are designed to experience a wide range of emotions. An unpleasant emotion does not need to be fixed. Instead, we can meet the unpleasant emotion or memory with understanding and compassion, which sends a message to our mind and body that we are resilient. Mindfulness is not a destination or a panacea. Mindfulness is about being fully present with the moment to enjoy it. Above all, it opens us up to self-compassion when an unpleasant emotion regarding a past traumatic experience comes to the surface. Through mindfulness, we allow ourselves to be human, perfectly imperfect, flawed and enough.

The holidays do not have to be a time of pressure, but rather a time to reflect and share love, kindness, and compassion with others. So, if you find yourself stressed or anxious this holiday season, take five minutes to sit comfortably, let go of expectations and judgments as you breathe deeply into the belly. When you exhale, breathe out slowly with awareness of releasing tension and stress. After five minutes, notice how you feel. You may see there is less stress in the mind and body, and you are better able to be present for yourself and others. When we are present, we truly experience being alive and feeling all the love and joy that the holiday season can bring.

It is also important to practice self-care during this season. Parents, caregivers, and partners often take on the frustration, anger, sadness, and disappointment of their loved ones feeling of loss, trauma, and grief. To support children and loved ones in the holiday season, you must make self-care a priority.

Carve out time for yourself, identify what is going to make you happy and help you relax. Do not put this off! Self-care practices are often the first to go after what can be even a minor inconvenience. Identify at least one healthy activity that calms you down, releases anxiety or frustration, and do your best to practice it daily. Double doses of self-care are recommended. Talk with your partner, family, or friends about what you look forward to in the holiday season and find something you know will bring you joy.

Care for yourself, for your loved ones, and for others. It was the compassion of Cindy Lou Who which made the Grinch stop, reflect, and realize that he was feeling something other than anger. And that made all the difference.

Happy Holidays from all of us at Children’s Cove

For additional tips, lessons, guided meditations, and mindfulness exercises, visit Manny’s YouTube channel here.

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Let’s Talk About Porn

November 16, 2021 by Jacob Stapledon

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Let’s Talk About Porn

Jacob Stapledon

November 16, 2021

The way that porn has evolved from the days of magazines tucked away in bedrooms to the internet is more damaging than you think. The reality of today is that pornography is far too common, free, and accessible as well as incredibly extreme, often filled with illegal and exploitative material. What used to be limited to adult book and video stores is now accessibly 24 hours a day by any device connected to the internet. The reality is that the porn industry is just a few clicks away from a child.

According to Quartz media, the online pornography industry is an estimated $15 billion industry, which makes it more profitable that Netflix ($11.7 billion), Hollywood ($11.1 billion) or Viacom ($13.3 billion). What is even more surprising is a survey from the American Psychology Association that reported the average age for a child’s exposure to online pornography is 13 years old.

A 2016 Barna study revealed that over two-thirds of 13-24-year-old males and one-third of 13-24-year-old females are viewing pornography at least monthly.”

A startling research article from 2016 identified that over 65% of 13-24-year-old males and nearly 35% of 13-24-year-old females were viewing pornography at least monthly. And, in that same study less than half of parents surveyed believed their children viewed pornography. Additionally, children under the age of 10 years old make up more than 20% of visitors to internet pornography websites.

The issue of exposure is massive, and the intentional act of showing a child pornography is sexual abuse by definition. As a Child Advocacy Center, we are concerned about the availability of porn increasing the risk of children being victimized in-person or online. However, it’s incredibly difficult to limit the exposure of children to an increasingly sexualized social media space, and the bombardment of teens of normalizing online exploitation of their own bodies.

Over the years, we have seen an increase in scary trends. “Sexting,” or sending sexually explicit text messages and images, has become a rapidly growing social norm for kids and teens. The rise of Sugardaddy and Sugarbaby websites are waiting for children the day they turn 18, and OnlyFans accounts and websites have an age verification system on par with a “click here.” Children are being inundated with social media personalities selling their images every day. Media plays a large role in reinforcing this behavior in children. The nuances of adult versus child exploitation are fading away.

At Children’s Cove, we hope to support parents and caregivers in normalizing some of these uncomfortable and too uncommon conversations. We need to talk about the one topic we haven’t brought up much: porn. “Why?” you may ask, especially when we have already discussed child sexual abuse material quite often, and the ways in which exploitation impacts children. You might think that porn is seemly something which may fall outside of our wheelhouse. Many moons ago that may have been the case, however, the trends and root causes of issues which do fall into our work brings porn closer to front and center than we would like it to be.

As the normalization of violent, extreme, and casual porn continues, or at the bare minimum self-exploitation of one’s own body being a non-issue, we will be witnessing increasing challenges of preventing younger and younger children from exposure.

But it doesn’t have to be like this.

Having conversations with children about what lurks on the internet is incredibly important. And talking about it in a factual way and being open to having conversations about what children may see accidentally is a necessary step of parenting in the increasingly digital world. Last year a documentary was released chronicling two parents from New Zealand who decided to learn about this issue, tackle it, and share it with other parents. A trailer to their feature film is linked here. And, the National Center on Sexual Exploitation has written a wonderful article about how to have conversations with children if you do find that they have been viewing porn, and how to approach it in a way to benefit your family.

We encourage all parents to #HaveTheConversation with their children early and often, about body safety and about online safety. To read some of our suggestions of how to be smart and safe online, visit that section on our parent’s page here.

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The Frontline of Recognizing Abuse: Teachers

October 19, 2021 by Jacob Stapledon

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The Frontline of Recognizing Abuse: Teachers

Jacob Stapledon

October 19th, 2021

The role of teachers in the lives of our children cannot be understated. We entrust teachers with the wellbeing of our children’s growth and development, and their understanding of social norms and how the world works around us. There are many roles that teachers fill which go beyond their regular scope of work. One of the most important and often overlooked roles of teachers is that of a mandated reporter.

In Massachusetts, when mandated reporters, while working in their professional capacity, have a reasonable belief to suspect abuse or neglect to a child under the age of 18, they must immediately make an oral report to the state’s child protection agency, the Department of Children and Families (DCF), followed by a written report within 48 hours of making the oral report (this is called a 51A report.). DCF then screens the cases and determines if an investigation is warranted. Even if a case isn’t found to be in the scope of work for DCF, it is then forwarded on to the District Attorney’s Office, where it is again screened, and if it is determined that a crime has been committed, an investigation is opened by law enforcement. Most of our referrals come from DCF or law enforcement, and many of those come from a mandated report.

we have had a surge of referrals for cases involving commercial sexual exploitation of children by more than 86% over the previous fiscal year.”

In the early surge of COVID-19 we saw a massive drop off in referrals to Children’s Cove for investigative forensic interviews. It impacted our numbers for the entire year in a way we have never seen. Looking at the DCF Annual Report for 2020, the data shows the decrease was not specific to us. Between March and May of 2020, DCF had a reduction of reports by more than 47%. DCF also retained a lower case count than the previous two years, lowering the numbers by 12%. Additionally, per the report, with mandated reporters such as schoolteachers making up nearly 80% of all reports, “the data shows that the closure of schools accounted for much of the decline. Once school ended, the number of 51As were comparable to what the Department historically receives during the summer and school vacations.”

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Following the summer of 2020, and the opening of schools in a hybrid fashion, DCF has seen the number of reports go back up. Children’s Cove has also had an increase in our referrals and a significantly higher number of cases than last year. Our referrals have increased by 44% and there has been a 54% increase in forensic interviews. Additionally, we have had a surge of referrals for cases involving commercial sexual exploitation of children by more than 86% over the previous fiscal year.

Teachers are the mandated reporters who children spend most of their time with. Teachers fill a critical role in the early recognition and reporting of suspected abuse. They are trusted confidants who children turn to for help, whether something is something is happening at home or elsewhere. With more than 60% of alleged offenders in cases last year being parents or caretakers, we know that a teacher or school staff member is often the trusted adult children will go to first.

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Children’s Cove provides education, training, and professional development for any child-facing organization across the Cape and Islands at no-cost. Training for the recognition of signs and symptoms of abuse is something rarely provided for the staff at many of these organizations. With our evidence-based curriculum utilized statewide in collaboration with the Massachusetts Children’s Alliance, we can work together to stem the tide of child sexual abuse by equipping teachers with the tools they need to effectively recognize and respond to those signs of abuse and minimize the trauma to children which follows a disclosure.

Teachers are on the frontline of recognizing abuse, and Children’s Cove is here to provide support to one of their most critical roles.

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Safety, Security, Privacy, and the Victimization of Children Lost in it All

September 1, 2021 by Jacob Stapledon

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Safety, Security, Privacy, and the Victimization of Children Lost in it All

Jacob Stapledon

September 1, 2021

In 2018 The New York Times reported that more than 45 million images and videos of child sexual abuse material (CSAM), federally known as child pornography, existed on the internet. This number has been growing exponentially since the beginning and subsequent boom of the internet age. With nearly 48% of the global population now having smart phones, and even more with the access and ability to carry a device in their pockets, perpetrators of sexual abuse of children are more easily able to photograph or film their assaults. Furthermore, children who are being manipulated or threatened are more often able to generate their own sexual exploitation and abuse images. As access to these devices and the internet increases, the sexual abuse and exploitation of children being published online continues to grow.

Warnings and reports from the FBI and National Center for Missing and Exploited Children (NCMEC) assert that the impacts of COVID-19 and the increased push of children into online spaces has increased the risk of online sexual exploitation of children. At Children’s Cove we saw firsthand an increase in these online cases, as did the other regional Child Advocacy Center’s in Massachusetts. And indeed, amongst our community of professionals we saw not only that children are increasing their time online, but perpetrators of abuse and exploitation are also online more.

Imagine the very worst thing that has ever happened to you was recorded and then it was shared repeatedly for other peoples’ pleasure

The New York Times article also stated that in 2008 the issue of CSAM was already an epidemic (a term which holds a more household understanding now) and in 2018 it was a crisis at the breaking point. So where are we in 2021? Much like the discussion related to the climate crisis, the opioid epidemic, and the COVID-19 pandemic: we are at a point where urgent and decisive actions need to take place. One such action was recently taken in a controversial move by technology giant Apple.

Apple recently announced it will be completing an update to its iOS operating system which will contain a tool capable of scanning and identifying child sexual abuse materials on its platforms. Working in partnership with NCMEC, which functions as the national partner to investigators working on cases involving internet crimes against children, Apple will have an automated system scan individual devices to recognize what are known as hashes of images on their phone. Each image and video created and circulating on the internet is assigned a “hash.” When CSAM images/videos are identified, their hash is stored in the NCMEC database and flagged. The Apple system will work in tandem with the NCMEC system to trigger an alert for review if it detects 30 or more known hashes on an Apple device.

Seems straightforward, so where’s the controversy?

The controversy, as raised by privacy advocates and former NSA whistleblower Edward Snowden, is this: “Where is the limit of what is monitored on individuals’ devices?” The action taken by Apple is effectively installing a system to monitor what you do on a private device. And while the scope of the monitoring is for random numbers and letters, the concern isn’t the process as designed and intended, but what could be done with the same implementation process. Even as Apple has steadfastly stated it will not allow this process to be abused, the discussion of privacy in our society with the increased push of technology to monitor our devices, is very worthwhile. But what are the costs we are willing to pay?

On one hand, we are talking about individual property, liberty and privacy. It is, in a certain manner of thought, a violation of constitutional privacy without due process; a potential violation of the 4th Amendment of the Constitution, even if it is simply looking for a series of hashes. And while the allowances of digital surveillance under the Patriot Act cleared the path for this type of autonomous screening, the challenges to these types of programs have matched the pace at which this technology grows and expands.

On the other hand, as described by the mother of one victim of CSAM, “Imagine the very worst thing that has ever happened to you was recorded and then shared repeatedly for other peoples’ pleasure.” And, that this repetitious sharing continues in perpetuity- the act is relived and reshared for days, months, years and decades by those who consume the content of exploitation; the survivor continues to be revictimized. There are more than 45 million of these images and videos in existence, and the agencies that hold the perpetrators of these crimes and those who share them responsible, are outmatched and underfunded.

We are far into an epic journey wrought with the challenges of the digital age, and rapidly expanding our use of technologies with inherent dangers akin to the wild west. What actions are we willing to take? What sacrifices should be considered to protect children from exploitation and victimization?

Consider this: we are aware that private companies follow our movements online and advertise to us based on that history. We know social media companies suggest new connections based on our current connections and interests. We know that cars, phones, and GPS systems monitor our travel and upload traffic data in real-time. We know all this information is stored, sold, shared, and used for private businesses already. And, for the most part, everyone accepts this as a part of the agreement to use these devices. Why then, shouldn’t the work to protect and prevent the exploitation of children be part of the agreement too?

 

UPDATE:

Shortly after the writing of this piece, on September 3rd Apple made the decision to delay the rollout of its iOS update after the backlash from privacy and cybersecurity advocates claiming there were inherent safety risks. While Apple indicated the primary reason for the backlash is the handling of information and how the process works rather than the functionality, it still made the decision to delay. The National Center for Missing and Exploited Children offered a statement in reply, “Apple’s decision to delay their proactive measures to detect, report and remove child sexual exploitation material is disheartening. At the National Center for Missing & Exploited Children, we will continue to be a voice for children and support decisions that prioritize child safety. We hope that Apple’s conviction to implement meaningful child protection features does not waver in the months to come.

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Saying “No” is About More Than One Idea of Consent

August 20, 2021 by Jacob Stapledon

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Saying “No” is About More Than One Idea of Consent

Jacob Stapledon

August 19, 2021

There is seemingly no end to the debate about personal choices in our nation: for or against vaccinations, standing or kneeling for the pledge, abortion, naturalization vs. pathways to citizenship, changes to the second amendment, etc. All of these carry an inherent personal choice for or against something, but they may also lead to a secondary impact or carry a greater meaning. Whether that meaning is symbolic, or manifests change is up for debate until the test of time decides an outcome.

As the Tokyo Olympics came to an end and the United States emerged victorious it was not the medal count that struck as the monument of importance. It was the courage on display from Simone Biles in her ability to say “no” which resonated so much. Regardless of her athletic ability and whether or not she felt she had anything to prove, the lesson to take away from Ms. Biles is that bravery and self-worth isn’t pushing through challenges despite how you feel but acknowledging that sometimes a task may be too great and it’s ok to take a step back.

Ms. Biles’ leadership in promoting the choice to take care of herself on the world’s largest stage is as inspirational as her athletic performance.

Recently, several articles have been published about the use of “sick time” in the United States and how prior to the COVID-19 pandemic Americans would regularly go to work sick. Nearly 25 percent of respondents in a poll stated they would go to work if they felt sick. As our country does not have a requirement for paid sick time there are many who work while sick because not doing so may mean a day of lost wages. There is a perception that if you take a sick day, that you are weak, expendable, or that you just don’t care about your job. There is a very large value system based on “work” or the responsibility you bear in your profession in our nation. The shame, guilt, and anxiety of being out sick often forces many to go into work when they feel awful, which can also impact those around them. With 1 in 5 Americans impacted in some way by a diagnosis of mental illness (depression, anxiety, PTSD, Post-Partum, etc.) how many people are forcing themselves to perform when the struggle was simply getting out of bed?

However, with the impacts of COVID-19, there has been a renewed discussion about sick time, and a much larger (though not universal) expectation that if someone is sick, feeling sick, or having any symptom of illness they should not go to work or school. This has led to impacts in the workforce, education, and numerous other sectors in our nation, but those impacts are not as devastating as believed. The discussions about being proactive in support of sick colleagues and coverage for work have accelerated and, in many cases, have positive outcomes and solutions. Are we getting closer to the discussion of the need for time off for mental health wellness as well?

Ms. Biles is a role model for us all showing immense bravery in openly discussing her struggles and her fear of not being able to perform at the level she expects of herself – which is no doubt higher than the expectations from us as spectators of the sport. Ms. Biles made a greater statement to us that sometimes, no matter how important the “job,” everyone has the choice to prioritize their own self-care and self-worth, and to say that even if others cannot see that something is wrong, there may actually be a burden being carried that is too heavy to lift at that moment.

For survivors of sexual abuse, whether it has been disclosed, undisclosed, prosecuted, dismissed, publicly known or private: the burdens deep inside can be a substantial weight to carry day to day. The adversity that Ms. Biles has endured and overcome so publicly cannot be understated. Her performance as an international athlete past and present cannot be minimized. Her true merit as a champion is her willingness to say, “I just felt it would be a little bit better to take a back seat, work on my mindfulness.” Ms. Biles’ leadership in promoting the choice to take care of herself on the world stage is as inspirational as her athletic performance.

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Children's Cove is a proud
department of Barnstable County.

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Children's Cove - The Cape and Islands Child Advocacy Center ©2025. All Rights Reserved.
Individuals pictured are models and are used for illustrative purposes only. Children’s Cove is partially supported by the Massachusetts Office of Victims of Assistance through a Victim of Crime Act of 1984 (VOCA) grant from the Office of Victims of Crime, Office of Justice Programs, U.S. Department of Justice. In accordance with Federal law and U.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, religion, gender or gender identity, disability, ancestry, age, marital status, public assistance status, sexual orientation, veteran history/military status or genetic information. (Not all prohibited bases apply to all programs.) To file a complaint of discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider employer, and lender.

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