Psych CASC / OSCE · Public-community psychiatry — restrictive practices
Explain seclusion and repair trust after restrictive practice — CASC communication station
MRCPsych/FRANZCP-style CASC: post-seclusion explanation, least-restrictive framing, harms honesty, rights principles, debrief, crisis planning — no fabricated statute sections.
On this page
Study tools
Target exams
Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar. The examiner plays the patient who was secluded yesterday.[2]
Candidate instructions. Explain what seclusion is and why it was used in plain language. Acknowledge harm and distress. State that it is not punishment and not a treatment for psychosis. Outline less restrictive steps that should be tried first. Cover observation/safety, that legal paperwork follows local rules (do not invent section numbers), rights to information/advocacy/review principles, and a collaborative plan to reduce the chance of recurrence. Invite their account of what happened.[1][2][5]
References6ShowHide
- [1]Chieze M, Hurst S, Kaiser S, et al. Effects of Seclusion and Restraint in Adult Psychiatry: A Systematic Review Front Psychiatry, 2019.PMID 31404294
- [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]Newton-Howes G, Mullen R Coercion in psychiatric care: systematic review of correlates and themes Psychiatr Serv, 2011.PMID 21532070
- [5]Knox DK, Holloman GH Jr Use and avoidance of seclusion and restraint: consensus statement of the american association for emergency psychiatry project Beta seclusion and restraint workgroup West J Emerg Med, 2012.PMID 22461919
- [6]Huckshorn KA Reducing seclusion restraint in mental health use settings: core strategies for prevention J Psychosoc Nurs Ment Health Serv, 2004.PMID 15493493