Psych CASC / OSCE · Addiction psychiatry — dual diagnosis and integrated care
Explain dual diagnosis integrated care — CASC communication station
MRCPsych/FRANZCP-style communication station: explain co-occurring psychosis and cannabis use, integrated care, MI engagement, recovery hope, and safety-netting.
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Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in the early intervention / dual-capable community clinic. [1]
Candidate instructions. Explain dual diagnosis (psychosis and cannabis use), why care is integrated rather than "stop first then treat," outline medication and talking approaches including motivational work, address parents' fear that "he just needs tough love," and discuss recovery goals and safety. Check understanding. [1][2]
References3ShowHide
- [1]Drake RE, Mueser KT, Brunette MF Management of persons with co-occurring severe mental illness and substance use disorder: program implications World Psychiatry, 2007.PMID 18188429
- [2]Schoeler T, Petros N, Di Forti M, et al. Effects of continuation, frequency, and type of cannabis use on relapse in the first 2 years after onset of psychosis: an observational study Lancet Psychiatry, 2016.PMID 27567467
- [3]Hettema J, Steele J, Miller WR Motivational interviewing Annu Rev Clin Psychol, 2005.PMID 17716083