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Child Trafficking Case 2


History
You are evaluating a 16 year-old female in your clinic. She is accompanied by her child protective services caseworker after the patient was found missing from her group home for approximately one year.

You gain rapport with the patient and ask about her medical history. She discloses a history of asthma that was not treated for approximately one year during the time she was on the run. She had several urgent care visits for acute exacerbations. She also discloses a diagnosis of Chlamydia twice with appropriate treatment with Azithromycin each time.

Then, you ask her about human trafficking. "I know sometimes when I see patients who are on the run, sometimes they are asked to do things like have sex for money or a place to stay, has that ever happened for you?" She discloses she knows someone who does that but she never did that.

You address her medical needs by

  • Prescribing albuterol
  • Offering to address other concerns she might have (e.g., HIV, STIs, pregnancy)
  • Having her return to see you in 2 weeks


Concern
You identify the patient as being at risk for sex trafficking because of the following:

  • She has been on the run from a group home. Being in the foster system implies some history of abuse/neglect.
  • History of untreated chronic medical condition
  • History of Chlamydia twice
  • States she knows someone who exchanges sex for money

 
How would you convey your concerns about her being trafficked?

  1. Let her know you are an expert in teen trafficking and can help her.
  2. Let her know that you can be her medical home.
  3. Express your concerns in a trauma-informed manner.
  4. Both B & C


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The best answer is D.

She has not yet identified herself as a victim of trafficking. Labeling her will not help gain rapport.

Approaching her in a trauma-informed manner includes approaching her without judgment while being supportive and offering choice regarding her health care needs. Tell her that you are here to take care of her body and that she can come back any time for care without questions or judgment.


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How would you involve the CPS caseworker?

  1. Let the caseworker know your concerns about sex trafficking.
  2. Ask the caseworker to make a report to the Child Abuse Hotline.
  3. Ask the caseworker to help find resources for the patient.
  4. Both A & B
  5. Both A & C


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Syracuse, New York
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