Psych CASC / OSCE · Intellectual disability — forensic dual disability
Dual-disability court liaison — CASC communication station
MRCPsych/FRANZCP-style CASC: accessible explanation of fitness and supports, management of yes-saying, multiagency next steps, and dignity-preserving dual-disability communication.
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Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the dual-disability psychiatry registrar in court liaison clinic. [2]
Candidate instructions. Meet a 25-year-old man with mild intellectual disability charged with assault after a fight with a flatmate. Support worker interrupts frequently. Solicitor wants a quick “unfit” letter based on old IQ 65. Explain in plain language what you will assess (fitness now, not guilt), check understanding with teach-back, address yes-saying, involve the support worker without letting them take over, and outline next steps (further assessment, possible education/supports, multiagency plan). Do not invent statute section numbers. Do not humiliate. [1][2]
References4ShowHide
- [1]Clare IC, Gudjonsson GH Interrogative suggestibility, confabulation, and acquiescence in people with mild learning disabilities Br J Clin Psychol, 1993.PMID 8251959
- [2]Wall BW, Krupp BH, Guilmette T Restoration of competency to stand trial: a training program for persons with mental retardation J Am Acad Psychiatry Law, 2003.PMID 12875497
- [3]Holland T, Clare IC, Mukhopadhyay T Prevalence of criminal offending by men and women with intellectual disability and the characteristics of offenders J Intellect Disabil Res, 2002.PMID 12061335
- [4]Latvala A, Tideman M, Søndenaa E, et al. Association of intellectual disability with violent and sexual crime and victimization Psychol Med, 2023.PMID 35238292