Psych CASC / OSCE · Professional practice — advocacy
Meeting a patient who wants to appeal — CASC advocacy and communication station
FRANZCP/MRCPsych-style station: respond to a detained patient's advocacy requests — appeal rights, advance statement, family boundaries — without collusion or paternalism, while maintaining alliance. FRANZCP W01/W08.
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Study tools
Target exams
FRANZCPMRCPsychABPNMD-DNB
Prompt
A 34-year-old man detained on an inpatient unit asks to meet you. He wants to appeal his detention, wants his sister excluded from all discussions, and wants his advance statement — written six months ago in remission — to be followed. He is guarded, angry that 'nobody reads what I wrote', and says the last admission ended with a depot he never agreed to.
Candidate instructions (7 minutes)
Meet the patient. Address his three requests. Do not promise what you cannot deliver. Demonstrate advocacy without collusion or paternalism.[12]
References20ShowHide
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- [9]Szmukler G, et al. The UN Convention on the Rights of Persons with Disabilities: 'Rights, will and preferences' in relation to mental health disabilities Int J Law Psychiatry, 2017.PMID 28647294
- [10]Hoffman SJ, et al. Is the UN Convention on the Rights of Persons with Disabilities Impacting Mental Health Laws and Policies in High-Income Countries? A Case Study of Implementation in Canada BMC Int Health Hum Rights, 2016.PMID 27836014
- [11]Craigie J, et al. Legal capacity, mental capacity and supported decision-making: Report from a panel event Int J Law Psychiatry, 2019.PMID 30389184
- [12]Galderisi S, et al. Ethical challenges in contemporary psychiatry: an overview and an appraisal of possible strategies and research needs World Psychiatry, 2024.PMID 39279422
- [13]Rodolico A, et al. Family interventions for relapse prevention in schizophrenia: a systematic review and network meta-analysis Lancet Psychiatry, 2022.PMID 35093198
- [14]Bøgh Jacobsen N, et al. Caregiver burden among relatives of individuals with severe mental illness: a qualitative systematic review Nord J Psychiatry, 2026.PMID 42312619
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- [20]Stacey D, et al. Decision aids for people facing health treatment or screening decisions Cochrane Database Syst Rev, 2024.PMID 38284415