Psych CASC / OSCE · Foundations — prevention and early intervention
Youth prevention and early intervention service planning — CASC/communication station
Teaching/communication station: translate Gordon/Rose prevention and early intervention evidence into a staged, non-polarised district plan without overpromising or defaulting to antipsychotics for UHR.
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Study tools
Target exams
FRANZCPMRCPsychABPNMD-DNB
Prompt
You are the psychiatry registrar meeting a school principal, a GP lead, a parent of a 18-year-old with attenuated psychotic symptoms, and a health service finance officer. They have 10 minutes to agree a district youth mental health plan after a spike in emergency presentations and a report of median DUP of 11 months.
Station brief
Format. Multi-party communication / systems station, approximately 8–10 minutes. Facilitate a shared plan; avoid monologue and avoid picking only beds or only school days.[9]
Candidate instructions. Name prevention levels plainly; set honest expectations for school programmes; outline UHR care without default antipsychotics; propose multi-element early intervention and DUP reduction; close with measurable metrics and equity.[1][2][5][8]
References9ShowHide
- [1]Gordon RS Jr An operational classification of disease prevention Public Health Rep, 1983.PMID 6856733
- [2]Rose G Sick individuals and sick populations Int J Epidemiol, 2001.PMID 11416056
- [3]Werner-Seidler A, Perry Y, Calear AL, et al. School-based depression and anxiety prevention programs for young people: A systematic review and meta-analysis Clin Psychol Rev, 2017.PMID 27821267
- [4]Cuijpers P, van Straten A, Smit F, et al. Preventing the onset of depressive disorders: a meta-analytic review of psychological interventions Am J Psychiatry, 2008.PMID 18765483
- [5]Fusar-Poli P, Bonoldi I, Yung AR, et al. Predicting psychosis: meta-analysis of transition outcomes in individuals at high clinical risk Arch Gen Psychiatry, 2012.PMID 22393215
- [6]Davies C, Cipriani A, Ioannidis JPA, et al. Lack of evidence to favor specific preventive interventions in psychosis: a network meta-analysis World Psychiatry, 2018.PMID 29856551
- [7]Marshall M, Lewis S, Lockwood A, et al. Association between duration of untreated psychosis and outcome in cohorts of first-episode patients Arch Gen Psychiatry, 2005.PMID 16143729
- [8]Correll CU, Galling B, Pawar A, et al. Comparison of Early Intervention Services vs Treatment as Usual for Early-Phase Psychosis JAMA Psychiatry, 2018.PMID 29800949
- [9]Campion J, Javed A, Lund C, et al. Public mental health: required actions to address implementation failure in the context of COVID-19 Lancet Psychiatry, 2022.PMID 35065723