Psych CASC / OSCE · Intellectual disability — neurodevelopmental
Explain FASD diagnosis and supports to kinship carers — CASC communication station
MRCPsych/FRANZCP-style communication station: explain FASD without mother-blame, face-not-always-required concept, no disease-modifying drug, scaffolding and comorbidity care, secondary disability prevention hope, and alcohol-free pregnancy messaging.
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Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the dual-diagnosis / CAMHS psychiatry registrar. [1]
Candidate instructions. Explain the FASD diagnosis to kinship carers in plain language, address whether facial features are required, clarify that no medicine cures the brain injury, outline school and home supports, give hope through early diagnosis and structure, and answer a question about alcohol and pregnancy for a teenage relative. The examiner plays the carers. [1][2]
References4ShowHide
- [1]Williams JF, Smith VC; Committee on Substance Abuse Fetal Alcohol Spectrum Disorders Pediatrics, 2015.PMID 26482673
- [2]Hoyme HE, Kalberg WO, Elliott AJ, et al. Updated Clinical Guidelines for Diagnosing Fetal Alcohol Spectrum Disorders Pediatrics, 2016.PMID 27464676
- [3]Streissguth AP, Bookstein FL, Barr HM, Sampson PD, O'Malley K, Young JK Risk factors for adverse life outcomes in fetal alcohol syndrome and fetal alcohol effects J Dev Behav Pediatr, 2004.PMID 15308923
- [4]Cook JL, Green CR, Lilley CM, et al. Fetal alcohol spectrum disorder: a guideline for diagnosis across the lifespan CMAJ, 2016.PMID 26668194