Psych CASC / OSCE · Public and community psychiatry — carers and family-inclusive practice
Explain family-inclusive care and negotiate confidentiality with parents — CASC communication station
MRCPsych/FRANZCP-style communication station: explain family-inclusive practice, reframe EE without blame, negotiate confidentiality, outline FPE, and support carer distress.
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Target exams
Station brief
Format. Communication station, approximately 7–10 minutes. You are the psychiatry registrar meeting the parents. [4]
Candidate instructions. Build alliance; reframe expressed emotion without blame; explain what family psychoeducation involves and why it helps; negotiate what can and cannot be shared given their son's consent; assess parental distress and offer support; agree next steps. [1][2][4][5]
You have read the opening of this CASC / OSCE. The complete unit — every section and its primary-source references — is part of the Psychiatry Fellowship fellowship atlas.
References5Show ledgerHide ledger
- [1]Butzlaff RL, Hooley JM Expressed emotion and psychiatric relapse: a meta-analysis Arch Gen Psychiatry, 1998.PMID 9633674
- [2]McFarlane WR, Dixon L, Lukens E, Lucksted A Family psychoeducation and schizophrenia: a review of the literature J Marital Fam Ther, 2003.PMID 12728780
- [3]Pharoah F, Mari J, Rathbone J, Wong W Family intervention for schizophrenia Cochrane Database Syst Rev, 2010.PMID 21154340
- [4]Dixon L, McFarlane WR, Lefley H, et al. Evidence-based practices for services to families of people with psychiatric disabilities Psychiatr Serv, 2001.PMID 11433107
- [5]Yesufu-Udechuku A, Harrison B, Mayo-Wilson E, et al. Interventions to improve the experience of caring for people with severe mental illness: systematic review and meta-analysis Br J Psychiatry, 2015.PMID 25833867