Psych CASC / OSCE · Professional — spirituality and religion in psychiatry
Spiritual history and treatment negotiation — CASC communication station
MRCPsych/FRANZCP-style CASC: HOPE/FICA skills, risk, boundaries, explanatory model negotiation, and chaplaincy offer.
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Target exams
Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the outpatient psychiatry registrar reviewing a new referral. [1]
Candidate instructions. Build rapport. Assess suicide risk. Take a brief patient-led spiritual history (HOPE or FICA style). Explore how faith relates to depression and medication beliefs. Avoid proselytising and unconsented prayer. Offer spiritual care/chaplaincy with consent. Agree a collaborative plan that can include both clinical treatment and faith supports. [1][2][4]
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.
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- [1]Moreira-Almeida A, Sharma A, van Rensburg BJ, et al. WPA Position Statement on Spirituality and Religion in Psychiatry World Psychiatry, 2016.PMID 26833620
- [2]Anandarajah G, Hight E Spirituality and medical practice: using the HOPE questions as a practical tool for spiritual assessment Am Fam Physician, 2001.PMID 11195773
- [3]Borneman T, Ferrell B, Puchalski CM Evaluation of the FICA Tool for Spiritual Assessment J Pain Symptom Manage, 2010.PMID 20619602
- [4]Poole R, Cook CCH, Song R, Robinson CA Psychiatrists' attitudes to professional boundaries concerning spirituality and religion: mixed-methods study BJPsych Open, 2023.PMID 37589193
- [5]Malviya S, Greenham J Exploration of Roles and Contribution of Spiritual Care Practitioners in Mental Health: An Australian Study J Relig Health, 2025.PMID 39862307
- [6]Weber SR, Pargament KI The role of religion and spirituality in mental health Curr Opin Psychiatry, 2014.PMID 25046080