Psych CASC / OSCE · Old age psychiatry — residential care and systems of care
Explain antipsychotic risk and a non-drug plan to a residential care manager — CASC communication station
MRCPsych/FRANZCP-style communication station: explain RAC behavioural assessment, person-centred care evidence, antipsychotic mortality risk, limited indications, chemical restraint concerns, and collaborative plan.
On this page
Study tools
Target exams
Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the old-age psychiatry registrar on a residential care liaison visit. [1]
Candidate instructions. Acknowledge staff injury and facility pressures; explain multifactorial behaviour (medical causes, pain, unmet needs, care approach); outline non-drug and staff-training plans with plain-language evidence; explain why antipsychotics are not first-line for wandering or calling out and carry death/fall risks; clarify when a short low-dose course might still be used with review; address chemical restraint and documentation; agree a written collaborative plan and follow-up. Examiner plays the care manager. [1][2][3]
References5ShowHide
- [1]Kales HC, Gitlin LN, Lyketsos CG Assessment and management of behavioral and psychological symptoms of dementia BMJ, 2015.PMID 25731881
- [2]Schneider LS, Dagerman KS, Insel P Risk of death with atypical antipsychotic drug treatment for dementia: meta-analysis of randomized placebo-controlled trials JAMA, 2005.PMID 16234500
- [3]Fossey J, Ballard C, Juszczak E, et al. Effect of enhanced psychosocial care on antipsychotic use in nursing home residents with severe dementia: cluster randomised trial BMJ, 2006.PMID 16543297
- [4]Ballard C, Corbett A, Orrell M, et al. Impact of person-centred care training and person-centred activities on quality of life, agitation, and antipsychotic use in people with dementia living in nursing homes: A cluster-randomised controlled trial PLoS Med, 2018.PMID 29408901
- [5]Husebo BS, Ballard C, Sandvik R, et al. Efficacy of treating pain to reduce behavioural disturbances in residents of nursing homes with dementia: cluster randomised clinical trial BMJ, 2011.PMID 21765198