To Doctors: If you detect signs of abuse or exploitation, you as a doctor are legally bound to report it. There are more cults and troubled families out there than people realize.
In some communities or “groups”, sexual abuse especially of girls, and the use of children especially teens for hard labor is common. These children are not likely to come to you as a doctor, but you may run across them in other parts of your life. You are duty bound to protect children at every age from everyone, including potentially their family.