Psych CASC / OSCE · Public and community psychiatry — telepsychiatry
Telepsychiatry crisis review and local team liaison — CASC/communication station
CASC-style station: Shore-lineage tele-risk standards, means restriction, disposition, GP follow-up, digital and privacy constraints.
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Study tools
Target exams
FRANZCPMRCPsychABPNMD-DNB
Prompt
You are the on-call psychiatry registrar providing telepsychiatry support to a rural ED 400 km from the regional base. A 34-year-old teacher was brought after texting a friend about overdosing on remaining antidepressants. She is on video from a private cubicle; the ED doctor and nurse are present. She lives alone in a rental; Wi-Fi is unstable. She has not yet given a full address on the electronic record. You have 10 minutes to establish tele-safety process, structure suicide risk, advise immediate management, and agree a collaborative plan with the local team.
Station brief
Format. Combined clinical advice and team communication station, approximately 8–10 minutes. Work with the ED doctor/nurse as colleagues; do not monologue guidelines. [1][4]
Candidate instructions. Establish tele-safety (identity, address, contacts, privacy, call-drop plan); structure suicide risk including means and supports; advise on immediate ED management and disposition; propose short-term collaborative follow-up if remaining local is safe; name limits of video if connection fails. [1][2][5]
References8ShowHide
- [1]Shore JH, Yellowlees P, Caudill R, et al. Best Practices in Videoconferencing-Based Telemental Health April 2018 Telemed J E Health, 2018.PMID 30358514
- [2]Mishkind M, Shore JH, Barrett R, et al. Resource Document on Best Practices in Synchronous Videoconferencing-Based Telemental Health Telemed J E Health, 2024.PMID 38054938
- [3]Hilty DM, Ferrer DC, Parish MB, et al. The effectiveness of telemental health: a 2013 review Telemed J E Health, 2013.PMID 23697504
- [4]Fortney JC, Pyne JM, Turner EE, et al. Telepsychiatry integration of mental health services into rural primary care settings Int Rev Psychiatry, 2015.PMID 26634618
- [5]Sabin JE, Skimming K A framework of ethics for telepsychiatry practice Int Rev Psychiatry, 2015.PMID 26493214
- [6]Kohn R, Saxena S, Levav I, et al. The treatment gap in mental health care Bull World Health Organ, 2004.PMID 15640922
- [7]Li H, Glecia A, Kent-Wilkinson A, et al. Transition of Mental Health Service Delivery to Telepsychiatry in Response to COVID-19: A Literature Review Psychiatr Q, 2022.PMID 34101075
- [8]Fortney JC, Bauer AM, Cerimele JM, et al. Comparison of Teleintegrated Care and Telereferral Care for Treating Complex Psychiatric Disorders in Primary Care JAMA Psychiatry, 2021.PMID 34431972