Homelessness and housing instability — OSCE

A four-year-old girl is brought to the clinic for a recurrent asthma exacerbation. Her mother has missed two appointments and the address on file is wrong. When asked gently about housing, her mother becomes tearful and discloses the family has been sleeping on a relative's lounge room floor for six weeks since an eviction. The candidate must take a trauma-informed history, screen broadly across the five domains of harm, build rapport without judgement, explain the plan including the portable health summary and housing linkage, and recognise any safeguarding or domestic-violence concern.