The patient who brought the app, the chatbot and the amber flag — CASC digital psychiatry station

The first ninety seconds — the set-up that is itself a mark

Do this before anything clinical, every remote consultation. Confirm his physical location, who else is within earshot, a call-back number that works if the connection drops, and which emergency service covers that address. Say why you are asking: "If we get cut off while we're talking about something serious, I want to already know how to reach you."^[1][2]

Then notice the car. A consultation from a work car park is not a private space. Offer to reschedule to somewhere private, or to continue by phone from a quieter spot — and note that lack of a private space is one of the four digital-access barriers, not a sign of poor engagement.^[19]