Youth justice and detained young people — OSCE

OSCE station: performing an entry health screen and risk assessment for a young person newly admitted to detention, applying the equivalence-of-care principle, maintaining confidentiality and rapport in a custodial setting, and planning continuity and release handoff.

osce communication and assessment station1 min readVerification in progress

Prompt

A 16-year-old boy is brought to the youth justice reception health screen on his first night in remand detention. He is quiet, avoids eye contact and discloses that he has been thinking about ending his life. The candidate must perform a trauma-informed entry assessment, evaluate suicide and self-harm risk, explain confidentiality and its limits, and outline the immediate safety plan and the pathway to comprehensive assessment.

Station brief (candidate)

You are the on-call paediatric doctor called to the youth justice reception health screen. A 16-year-old boy has just been remanded in custody. He is quiet, avoids eye contact, and has told the nurse that he has been thinking about ending his life. You have eight minutes to assess him and agree a plan. [5] [11]

Paediatrics Fellowship Pro

You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship atlas.

References4Show ledger

[1]Borschmann R, Janca E, Carter A, Willoughby M, Hughes N, Snow K, et al. The health of adolescents in detention: a global scoping review. The Lancet Public Health, 2020.PMID 31954434
[5]Borschmann R, Coffey C, Moran P, Hearps S, Degenhardt L, Kinner SA, et al. Self-harm in young offenders. Suicide & Life-Threatening Behavior, 2014.PMID 24773535
[11]Casiano H, Bolton SL, Hildahl K, Katz LY, Bolton J, Sareen J A population-based study of the prevalence and correlates of self-harm in juvenile detention. PLoS One, 2016.PMID 26760497
[16]Barnert ES, Perry R, Morris RE Juvenile incarceration and health. Academic Pediatrics, 2016.PMID 26548359