Explain therapeutic security and placement to a general adult consultant — CASC communication station

Station brief

Format. Communication station, approximately 7–10 minutes after reading time. You are the forensic psychiatry registrar speaking with a general adult consultant (examiner role-player). ^[1]

Candidate instructions. Validate safety concerns. Explain therapeutic security (physical, procedural, relational). Clarify that high secure is for grave and immediate risk, not a default waiting-room. Agree interim management: observation, medication optimisation, least-restrictive alternatives to indefinite seclusion, and structured referral information for correct security matching. Mention that once in secure care, the goal is treatment and step-down, not permanent high containment. No invented statute numbers. Check understanding. ^[2][3][4]