Psych CASC / OSCE · Forensic psychiatry — sexual offending
Explain sexual-offence risk assessment and community conditions to a family member — CASC communication station
MRCPsych/FRANZCP-style CASC: explain legal vs clinical ideas, static/dynamic/protective factors, supervision conditions, residual uncertainty, and multi-agency principles without graphic detail or stigma language.
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Station brief
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 preparing for community forensic follow-up after sexual offences. [2]
Candidate instructions. Explain, in plain non-sensational language, how the team assesses risk of further sexual harm. Cover multi-source assessment, what a static score means (group ranking, not destiny), changeable factors and strengths, community conditions (no child contact, substances, treatment, supervision), multi-agency principles without inventing statute numbers, and residual uncertainty. Avoid graphic offence detail. Check understanding and invite questions. [1][3]
References5ShowHide
- [1]Hanson RK, Thornton D, Helmus LM, et al. What Sexual Recidivism Rates Are Associated With Static-99R and Static-2002R Scores? Sex Abuse, 2016.PMID 25810478
- [2]Hanson RK, Morton-Bourgon KE The accuracy of recidivism risk assessments for sexual offenders: a meta-analysis of 118 prediction studies Psychol Assess, 2009.PMID 19290762
- [3]Large MM, Ryan CJ, Nielssen OB Helpful and unhelpful risk assessment practices Psychiatr Serv, 2010.PMID 20439381
- [4]de Vries Robbé M, de Vogel V, Koster K, et al. Assessing protective factors for sexually violent offending with the SAPROF Sex Abuse, 2015.PMID 25210106
- [5]Seto MC The Motivation-Facilitation Model of Sexual Offending Sex Abuse, 2019.PMID 28715948