Psych CASC / OSCE · Forensic psychiatry — mental health law
Explain compulsory admission and rights — CASC communication station
MRCPsych/FRANZCP-style CASC: explain involuntary status, capacity vs Act principles simply, rights, least restrictive care, alliance repair, no fabricated statute sections.
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Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar on the acute ward. The examiner plays the patient.[1]
Candidate instructions. Explain compulsory inpatient status in plain language. Cover why the team judged it necessary (illness + risks), that you used the least restrictive option that was still safe, what treatment involves at a high level, rights to information/advocacy/review under local law (principles — do not invent section numbers), and that status will be reviewed as they improve. Respond to anger without becoming defensive. Check understanding.[1][2]
References5ShowHide
- [1]Newton-Howes G, Mullen R Coercion in psychiatric care: systematic review of correlates and themes Psychiatr Serv, 2011.PMID 21532070
- [2]Katsakou C, Rose D, Amos T, et al. Psychiatric patients' views on why their involuntary hospitalisation was right or wrong: a qualitative study Soc Psychiatry Psychiatr Epidemiol, 2012.PMID 21863281
- [3]Lidz CW, Hoge SK, Gardner W, et al. Perceived coercion in mental hospital admission. Pressures and process Arch Gen Psychiatry, 1995.PMID 7492255
- [4]Owen GS, Ster IC, David AS, et al. Regaining mental capacity for treatment decisions following psychiatric admission: a clinico-ethical study Psychol Med, 2011.PMID 20346192
- [5]Chieze M, Hurst S, Kaiser S, et al. Effects of Seclusion and Restraint in Adult Psychiatry: A Systematic Review Front Psychiatry, 2019.PMID 31404294