Psych CASC / OSCE · Child and adolescent psychiatry — child protection for psychiatrists
Child protection disclosure — CASC communication station
MRCPsych/FRANZCP-style CASC: respond to child maltreatment disclosure, explain reporting, assess safety and sibling risk, agree plan.
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Format. Communication station, approximately 7–10 minutes after reading. You are the CAMHS psychiatry registrar in clinic. A parent is in the waiting room. [1]
Candidate instructions. Respond to disclosure of physical abuse. Ensure the young person feels heard. Explore nature, frequency, weapons, injuries, and who else is at home. Assess mood and suicidal ideas. Explain clearly that you cannot keep serious abuse secret when a child is at risk, without inventing statute numbers. Outline multi-agency next steps (social care/child protection, medical review, police if indicated). Address sibling safety. Agree a plan and follow-up. Do not force the young person to invent details or blame them for family consequences. [1][2]
References4ShowHide
- [1]Gilbert R, Kemp A, Thoburn J, et al. Recognising and responding to child maltreatment Lancet, 2009.PMID 19056119
- [2]Gilbert R, Widom CS, Browne K, et al. Burden and consequences of child maltreatment in high-income countries Lancet, 2009.PMID 19056114
- [3]Cohen JA, Mannarino AP, Kliethermes M, Murray LA Trauma-focused CBT for youth with complex trauma Child Abuse Negl, 2012.PMID 22749612
- [4]Appelbaum PS Clinical practice. Assessment of patients' competence to consent to treatment N Engl J Med, 2007.PMID 17978292