Psych CASC / OSCE · Forensic psychiatry — risk assessment
Explain forensic risk assessment and leave plan to a family member — CASC communication station
MRCPsych/FRANZCP-style CASC: explain SPJ vs actuarial concepts, static/dynamic/protective factors, leave conditions, multi-agency principles, and residual uncertainty to a family member.
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Format. Communication station, approximately 7–10 minutes active time after reading. You are the forensic psychiatry registrar. The examiner plays the adult sibling of a patient in medium security. [1]
Candidate instructions. Explain how the team assesses risk before leave using plain language. Cover structured assessment (not just a score), history vs current changeable factors, strengths/protective factors, conditions of leave, what would stop leave, and residual uncertainty. Avoid equating mental illness with permanent dangerousness. Do not invent specific Mental Health Act section numbers. Check understanding and invite questions. [1][3][4]
References5ShowHide
- [1]Buchanan A Risk of violence by psychiatric patients: beyond the "actuarial versus clinical" assessment debate Psychiatr Serv, 2008.PMID 18245161
- [2]De Vries Robbé M, de Vogel V, Douglas KS, et al. Changes in dynamic risk and protective factors for violence during inpatient forensic psychiatric treatment: predicting reductions in postdischarge community recidivism Law Hum Behav, 2015.PMID 24933171
- [3]Large MM, Ryan CJ, Nielssen OB Helpful and unhelpful risk assessment practices Psychiatr Serv, 2010.PMID 20439381
- [4]Storey JE, Watt KA, Hart SD An examination of violence risk communication in practice using a structured professional judgment framework Behav Sci Law, 2015.PMID 25615811
- [5]Fazel S, Gulati G, Linsell L, et al. Schizophrenia and violence: systematic review and meta-analysis PLoS Med, 2009.PMID 19668362