Psych CASC / OSCE · Professional — stigma, recovery and rights-based care
Shared decision-making and stigma around long-acting antipsychotic — CASC communication station
MRCPsych/FRANZCP-style CASC: stigma-sensitive SDM for oral vs LAI, recovery goals, rights-aware communication without inventing legal 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 in an early-psychosis clinic. [3]
Candidate instructions. Your patient is considering long-acting injectable antipsychotic medication after partial oral adherence. Explore concerns about stigma and identity, use a shared decision-making structure, link options to personal recovery goals (for example work), avoid pejorative or coercive language, check understanding, agree a plan, and safety-net. Do not invent statute numbers or threaten compulsory treatment as a first conversational move. [1][3][4]
References4ShowHide
- [1]Corrigan PW, Rao D On the self-stigma of mental illness: stages, disclosure, and strategies for change Can J Psychiatry, 2012.PMID 22854028
- [2]Leamy M, Bird V, Le Boutillier C, et al. Conceptual framework for personal recovery in mental health: systematic review and narrative synthesis Br J Psychiatry, 2011.PMID 22130746
- [3]Elwyn G, Frosch D, Thomson R, et al. Shared decision making: a model for clinical practice J Gen Intern Med, 2012.PMID 22618581
- [4]Deegan PE, Drake RE Shared decision making and medication management in the recovery process Psychiatr Serv, 2006.PMID 17085613