EDAPT Interpersonal Violence Practice Exam

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Which of the following EHR patterns may indicate trafficking?

Repeated visits to a provider for the same diagnosis

Repeated visits to the same provider for the same diagnosis can signal trafficking because victims often endure ongoing injuries or health issues caused or controlled by a trafficker and may not receive a clear or truthful explanation due to fear or coercion. In the electronic health record, this pattern shows persistent medical needs that don’t neatly resolve with standard care, alongside potential hesitancy or inconsistencies in the patient’s history. It flags the possibility that the patient is being repeatedly exposed to harm or being prevented from leaving the situation, rather than simply having a straightforward, well-managed condition.

By contrast, excellent health maintenance and regular attendance at follow-up visits generally reflect engaged, stable care and adherence to treatment, which are less suggestive of trafficking. No healthcare visits in years also doesn’t indicate trafficking and could reflect access barriers, choice, or other factors unrelated to coercive control. If you notice a pattern of repeated, unresolved visits for the same issue, approach the patient with trauma-informed care, assess safety, and involve appropriate support services.

Excellent health maintenance

Regular attendance at follow-up visits

No healthcare visits in years

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