Currently there is not a national protocol for healthcare and human trafficking. It can be difficult for healthcare providers to recognize trafficking victims when they seek care, especially in clinics and emergency rooms. If victims do present themselves in clinics or hospitals, in general they will not identify themselves as victims of trafficking. Why? Often victims do not understand they are victims of trafficking (Hofmann, 2015). In addition, mistrust of authorities and fear of being reported to law enforcement will prevent victims as identifying themselves as trafficked (Ahn et al.,2013).