Psych CASC / OSCE · Public-community — disaster and mass casualty psychiatry
Evacuation centre survivor after bushfire — CASC communication station
MRCPsych/FRANZCP-style CASC: trauma-informed disaster assessment, Hobfoll/PFA framing, risk, and collaborative stepped plan.
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Target exams
Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar attached to the evacuation centre mental health team. Privacy is limited; negotiate a quieter corner. [4]
Candidate instructions. Build rapport. Assess suicide risk. Map exposure and current practical needs. Normalise early distress without dismissing severe symptoms. Explain PFA-style support and that not everyone needs specialist trauma therapy immediately. Do not force a full graphic narrative. Do not offer mandatory group debriefing as prevention. Agree a collaborative safety and follow-up plan. [1][2][3]
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]Hobfoll SE, Watson P, Bell CC, et al. Five essential elements of immediate and mid-term mass trauma intervention: empirical evidence Psychiatry, 2007.PMID 18181708
- [2]Rose S, Bisson J, Churchill R, Wessely S Psychological debriefing for preventing post traumatic stress disorder (PTSD) Cochrane Database Syst Rev, 2002.PMID 12076399
- [3]Forbes D, Lewis V, Varker T, et al. Psychological first aid following trauma: implementation and evaluation framework for high-risk organizations Psychiatry, 2011.PMID 21916629
- [4]North CS, Pfefferbaum B Mental health response to community disasters: a systematic review JAMA, 2013.PMID 23925621
- [5]Brady K, Pearlstein T, Asnis GM, Baker D, et al. Efficacy and safety of sertraline treatment of posttraumatic stress disorder: a randomized controlled trial JAMA, 2000.PMID 10770145