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.
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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]
You have read the opening of this CASC / OSCE. The complete unit — every section and its primary-source references — is part of the Psychiatry Fellowship fellowship atlas.
References6Show ledgerHide ledger
- [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