Prompt

A man with schizophrenia has repeated admissions, hostel instability, dual substance use, and poor clinic engagement; you must match community models, plan crisis response, address housing/employment principles, and avoid fidelity-free branding or invented legal sections.

Station brief

Format. Management / care-planning station, approximately 7–10 minutes after reading. You are the psychiatry registrar in a community service leadership meeting with a consultant examiner role-playing service manager. ^[2]

Candidate instructions. Review the case summary. Recommend an appropriate community model package, justify intensity and fidelity features, plan crisis and discharge continuity, address housing and vocational principles, state step-down criteria, and note when admission remains necessary. Do not invent mental health act section numbers. ^[1]^[4]^[5]

References8Show

[1]Stein LI, Test MA Alternative to mental hospital treatment. I. Conceptual model, treatment program, and clinical evaluation Arch Gen Psychiatry, 1980.PMID 7362425
[2]Marshall M, Lockwood A Assertive community treatment for people with severe mental disorders Cochrane Database Syst Rev, 2000.PMID 10796415
[3]Dieterich M, Irving CB, Bergman H, et al. Intensive case management for severe mental illness Cochrane Database Syst Rev, 2017.PMID 28067944
[4]Johnson S, Nolan F, Pilling S, et al. Randomised controlled trial of acute mental health care by a crisis resolution team: the north Islington crisis study BMJ, 2005.PMID 16103032
[5]Tsemberis S, Gulcur L, Nakae M Housing First, consumer choice, and harm reduction for homeless individuals with a dual diagnosis Am J Public Health, 2004.PMID 15054020
[6]Bond GR, Drake RE, Becker DR Generalizability of the Individual Placement and Support (IPS) model of supported employment outside the US World Psychiatry, 2012.PMID 22295007
[7]Mueser KT, Torrey WC, Lynde D, et al. Implementing evidence-based practices for people with severe mental illness Psychiatr Serv, 2003.PMID 12841590
[8]Dixon L, Goldberg R, Iannone V, et al. Use of a critical time intervention to promote continuity of care after psychiatric inpatient hospitalization Psychiatr Serv, 2009.PMID 19339319

Station brief

References8Show

[1]Stein LI, Test MA Alternative to mental hospital treatment. I. Conceptual model, treatment program, and clinical evaluation Arch Gen Psychiatry, 1980.PMID 7362425
[2]Marshall M, Lockwood A Assertive community treatment for people with severe mental disorders Cochrane Database Syst Rev, 2000.PMID 10796415
[3]Dieterich M, Irving CB, Bergman H, et al. Intensive case management for severe mental illness Cochrane Database Syst Rev, 2017.PMID 28067944
[4]Johnson S, Nolan F, Pilling S, et al. Randomised controlled trial of acute mental health care by a crisis resolution team: the north Islington crisis study BMJ, 2005.PMID 16103032
[5]Tsemberis S, Gulcur L, Nakae M Housing First, consumer choice, and harm reduction for homeless individuals with a dual diagnosis Am J Public Health, 2004.PMID 15054020
[6]Bond GR, Drake RE, Becker DR Generalizability of the Individual Placement and Support (IPS) model of supported employment outside the US World Psychiatry, 2012.PMID 22295007
[7]Mueser KT, Torrey WC, Lynde D, et al. Implementing evidence-based practices for people with severe mental illness Psychiatr Serv, 2003.PMID 12841590
[8]Dixon L, Goldberg R, Iannone V, et al. Use of a critical time intervention to promote continuity of care after psychiatric inpatient hospitalization Psychiatr Serv, 2009.PMID 19339319

Matching community models for revolving-door psychosis — CASC/management station

Station brief

Matching community models for revolving-door psychosis — CASC/management station

Station brief