Psych CASC / OSCE · Child and adolescent psychiatry — children of parents with mental illness
COPMI family discussion — CASC communication station
MRCPsych/FRANZCP-style CASC: family-inclusive explanation of COPMI care, dual loyalty, and collaborative safety planning.
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Station brief
Format. Communication station, approximately 7–10 minutes after reading. You are the adult psychiatry registrar in clinic.[1]
Candidate instructions. Your patient has depression and two school-age children. They fear that mentioning the children will lead to automatic removal. Explain why services ask about children, how treating their illness can help the children, what family-focused support looks like, confidentiality limits if a child is unsafe, and agree a practical plan for who cares for the children if they become unwell again. Be collaborative, non-collusive, and non-catastrophising. Do not invent statute section numbers.[1][2]
References4ShowHide
- [1]Reupert AE, J Maybery D, Kowalenko NM Children whose parents have a mental illness: prevalence, need and treatment Med J Aust, 2013.PMID 25369850
- [2]Weissman MM, Pilowsky DJ, Wickramaratne PJ, et al. Remissions in maternal depression and child psychopathology: a STAR*D-child report JAMA, 2006.PMID 16551710
- [3]Siegenthaler E, Munder T, Egger M Effect of preventive interventions in mentally ill parents on the mental health of the offspring: systematic review and meta-analysis J Am Acad Child Adolesc Psychiatry, 2012.PMID 22176935
- [4]Beardslee WR, Gladstone TR, Wright EJ, Cooper AB A family-based approach to the prevention of depressive symptoms in children at risk: evidence of parental and child change Pediatrics, 2003.PMID 12897317