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Psych CASC / OSCEProfessional — stigma, recovery and rights-based care

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.

communication2 min readVerification in progress

Target exams

FRANZCPMRCPsychABPNMD-DNB
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Study tools

Target exams

FRANZCPMRCPsychABPNMD-DNB
Prompt
A young adult with first-episode psychosis declines LAI medication because of stigma and identity fears; you must explore self-stigma, maintain alliance, use SDM structure, support recovery goals, and avoid coercion theatre or pejorative language.

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]

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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 library.

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References4ShowHide
  1. [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. [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. [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. [4]Deegan PE, Drake RE Shared decision making and medication management in the recovery process Psychiatr Serv, 2006.PMID 17085613
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