Paeds Cases · mental-behavioural-and-psychosomatic
Explain the collaborative-care plan and the CAMHS partnership to a family — OSCE
OSCE communication station: explaining collaborative care, the stepped plan, shared medication management, consent and information-sharing, the care coordinator role, and the acute-risk safety-net, framed without blame for a family whose earlier referral was lost.
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Study tools
Target exams
MRCPCH ClinicalRACP DCE
Prompt
Parents of a 14-year-old with two months of low mood, declining school attendance and a recent superficial self-laceration, frustrated because a CAMHS referral six months ago was never taken up; they ask what 'collaborative care' means, who is in charge, whether their daughter will need medication, and what happens if things get worse.
Candidate instructions
Explain what collaborative care means in plain language, who leads the team, how the plan is stepped and tracked, how medication would be shared if needed, how consent and information-sharing work across the clinic, school and CAMHS, and what the family should do if risk rises — while acknowledging that the earlier lost referral was a systems failure you are now designing around. The examiner plays a parent. [1] [2]
References4ShowHide
- [1]American Academy of Child and Adolescent Psychiatry (AACAP) Committee on Collaborative and Integrated Care and AACAP Committee on Quality Issues. Clinical Update: Collaborative Mental Health Care for Children and Adolescents in Pediatric Primary Care. J Am Acad Child Adolesc Psychiatry, 2023.PMID 35779696
- [2]Campo JV, Geist R, Kolko DJ. Integration of Pediatric Behavioral Health Services in Primary Care: Improving Access and Outcomes with Collaborative Care. Can J Psychiatry, 2018.PMID 29673268
- [3]Asarnow JR, Rozenman M, Wiblin J, Zeltzer L. Integrated Medical-Behavioral Care Compared With Usual Primary Care for Child and Adolescent Behavioral Health: A Meta-analysis. JAMA Pediatr, 2015.PMID 26259143
- [4]Dvir Y, Ryan C, Straus JH, Sarvet B, Ahmed I, Gilstad-Hayden K. Comparison of Use of the Massachusetts Child Psychiatry Access Program and Patient Characteristics Before vs During the COVID-19 Pandemic. JAMA Netw Open, 2022.PMID 35107575